C

City and County of San Francisco

City and county government in San Francisco

EMT/Paramedic

Full-TimeUpdated on 10/23/2026
No salary listed
Mid
San Francisco, CA, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • Applicants must be at least 19 years old at application and at least 20 years old at appointment.
  • Applicants must have a high school diploma or an equivalency certificate.
  • Applicants must possess a valid driver license with a seven-year driving record verified during the background investigation, and a valid Class A, B, or C California Driver License by appointment.
  • Applicants must meet the stated driving-record eligibility standards, including restrictions on specified convictions, license suspension or revocation, moving violations, and driving-related probation.
  • Applicants must not have a disqualifying felony conviction and must meet the stated misdemeanor probation and conviction review standards.
  • Level I applicants must possess a current and valid California Emergency Medical Technician certification by the application filing deadline and be able to accredit with the local Emergency Medical Services Authority before appointment.
  • Level I applicants must possess and maintain a valid Class A, B, or C California Driver License with an Ambulance Driver certificate or endorsement by appointment.
  • Level I applicants must have either 500 hours of verifiable EMT work experience on an ambulance or first responder vehicle, or documented ambulance ride-along as a San Francisco Fire Reserve member, within the last three years; or 1,000 such hours within the last five years.
  • Level II applicants must possess and maintain a valid California Emergency Medical Technician Paramedic license and be able to accredit with the local Emergency Medical Services Agency.
  • Level II applicants must possess and maintain a valid Class A, B, or C California Driver License with an Ambulance Driver certificate or endorsement by appointment.
  • Level II applicants must have either 1,000 hours of verifiable paramedic work experience on an ambulance or first responder vehicle within the last three years, or 1,500 such hours within the last five years.
  • Candidates invited to continue in the selection process must pass a multiple-choice written test covering job-related areas, which may include emergency medicine procedures and practices and current EMT techniques in field and hospital settings.
  • Candidates must provide requested certifications, driver-license documentation and experience verification; failure to provide requested verification disqualifies them from further participation.
Responsibilities
  • Respond to medical and other emergencies and perform life-support and life-saving activities.
  • Provide emergency medical services, maintain equipment, and staff and drive an ambulance to deliver initial pre-hospital emergency medical care.
  • Evaluate and administer advanced first aid, basic life support and life-maintenance measures, including cardiopulmonary resuscitation and definitive therapeutic care at the scene or during transport.
  • Provide community health screening and other non-emergency health services.
  • Protect patient privacy and safeguard patient information in accordance with the Health Insurance Portability and Accountability Act and San Francisco Fire Department privacy practices.
  • Perform ambulance driving, EMT attendant duties and other related duties as assigned.
  • At Level II, provide advanced emergency medical care to fire victims and support activities to save lives and property.
  • Conduct medical scene size-ups, establish a medical command post, report to the incident commander or EMS Captain, and implement the medical Incident Command System.
  • Support rescue activities in varied situations; provide first aid, shock treatment, cardiac compression, resuscitation and measures to prevent blood loss.
  • Respond to trauma and medical emergencies; evaluate and triage patients, including during major disasters, and administer appropriate emergency treatment.
  • Initiate emergency care and advanced life support to stabilize patients, including cardiopulmonary resuscitation, defibrillation, drug administration, invasive procedures and definitive therapy.
  • Assess hazards at residences, businesses, public assemblies, schools and hospitals for compliance with fire codes, ordinances, laws and regulations, and refer potential hazards or violations to the appropriate Fire Department division.
  • Participate in required training and physical fitness programs.
  • Work a 40-hour week on shifts that may include days, evenings, nights, weekends and holidays, as operational requirements determine.
  • Maintain the physical strength, agility and stamina needed to perform the position's demanding physical duties.

About the company

C

City and County of San Francisco

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The City and County of San Francisco is a consolidated local government that carries out both municipal and county responsibilities for residents, businesses and visitors. It runs public health, policing and fire protection services, while also maintaining streets and parks and operating public transit. An elected mayor and Board of Supervisors set policy and approve public spending, with departments and commissions responsible for day-to-day administration. Taxes, service fees and intergovernmental funding support its programs, alongside revenue earned by public enterprises. The consolidated government was established in 1856 and is based in San Francisco, California.

Company Size

10,001+

Company Stage

N/A

Total Funding

N/A

Headquarters

San Francisco, CA

Founded

1856

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