BREWSTER AMBULANCE SERVICE

POSITION JOB DESCRIPTION

A dual role. A supervising leader who may also practice as a Paramedic, assigned to the City of Quincy.

Department Operations

Division Division 2, Quincy

Reports To Regional Director of Operations

Level Level 3, Supervisor

Direct Reports Team members working the assigned area

FLSA Code Exempt

Employment Status Full time, forty eight hours per week worked as twenty four hour shifts

Compensation $62,000 to $105,000 annually, depending on certification level and experience

Service Line Primarily 911 emergency response for the City of Quincy

Scope Division 2: the Quincy municipal service area, and the Town of Braintree team members where the assignment requires it

POSITION SUMMARY

The Field Supervisor is the first line of supervision for the team members working an assigned area. The role remains present through the shift, coaches in the moment rather than at review, keeps stations and units ready, takes initial command at a significant incident, and delivers the service promised to the municipality or the facility.

This assignment is the City of Quincy, in Division 2, a contracted municipality where the work is primarily 911 emergency response. It is a single supervisor assignment rather than a shared one, worked as twenty four hour shifts.

It is a dual role. The Field Supervisor supervises and may also practice as a Paramedic, supporting the field providers at the point of care, and works with the Command Center on the movement of resources through the shift.

The purpose of the role is patient care: a supported field provider, a controlled scene, a sound clinical decision, the right level of care for the transfer, and additional resources requested promptly when a call requires more than one unit.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Operational performance management

Monitors and achieves the operational metrics for the assigned area: response times, chute times, unit downtime and the other measures the service is held to. Works the gap where performance is off target rather than only reporting it.

Assesses daily staffing needs and reports them to Scheduling and Deployment and the Command Center, so a gap is resourced by the people who hold the schedule. This role does not build or change the schedule, but works collaboratively to fill shifts.

Ensures team members have the equipment and disposables required to meet compliance and to care for their patients successfully, and partners with the Operations team to keep them supplied.

Works collaboratively with Scheduling and Deployment and the Command Center on coverage: provides what the area requires, who is available and the relevant local knowledge, and supports the decision they make.

Monitors how the team members are working, including the pattern behind a unit that is consistently delayed. Supports the team members and addresses the cause rather than recording the occurrence.

Ensures the Brewster standard is upheld in the assigned area: company policy and procedure, including time and attendance, uniform and appearance, and the behavioral competencies expected of every team member. Educates, explains and teaches the standard and supports the team members to meet it, manages, coaches, counsels and corrects where it is not met, including formal corrective action.

Takes a solution oriented approach: identifies the barriers that make the work harder than it needs to be and removes them through teamwork, collaboration and innovation.

Completes all required reporting, including the end of shift report before going off duty: what happened in the area, what was resolved, what remains outstanding, and what the incoming supervisor needs to pick up.

Escalates what cannot be resolved at this level to Operations leadership.

The assigned area

Responds to significant incidents, mass casualty and unusual medical incidents in the assigned area, and takes initial command until relieved.

Updates the Operations leadership team on an evolving, ongoing or major incident while it is running rather than after it closes: what is happening, what resources have been committed and what is needed.

Inspects the assigned stations for cleanliness, organization and readiness, sets the standard by example, and works alongside the team members to complete what is needed.

Inspects ambulance readiness: cleanliness, mechanical condition, required equipment present and in date, and stock at par level. Escalates a unit that is not fit to operate.

Verifies that field personnel carry the certification and licensure the state requires.

Maintains compliance in the assigned area with every regulation the service operates under, including state Emergency Medical Services regulation, Department of Public Health requirements, OSHA, HIPAA and the municipal or facility contract, resolving what can be resolved at the time and reporting the rest.

Participates in the hospital relationships while on duty: knows what each hospital expects, resolves a service issue at the time, and raises a recurring problem for the company to address.

May be called upon to support the hospital partners the city works with and to see that Advanced Life Support interfacility units are managed appropriately, though interfacility work is not the focus of this assignment.

Meets the needs of the communities served, and raises the changes the company must make to continue meeting them.

Team members

Knows the team members working the assigned area and owns their experience of it: who they are, how they are performing, what they need to do the job well, and the conditions they are working in.

Supervises the team members on duty in the assigned area and remains accessible to them throughout the shift.

Coaches team members in the moment, and uses calls as teaching and evaluation opportunities.

Reinforces operational documentation standards and assists with addenda to free calls from operational hold.

Clears outstanding documentation, including missing physician certification statements and unsigned records, ahead of the deadlines that affect the record and the claim.

Supports performance management: contributes to evaluations, tracks what was coached and whether performance changed, and raises a pattern rather than a single event. Supports training and quality improvement with Education and Clinical Services.

Advocates for the team members while upholding the Brewster standard: carries what they raise to the people who can resolve it, and reports the outcome back, including when a request is declined.

Responds to team member injuries, accidents and exposures, supports the person, and completes the supervisory report.

Responds in person after a difficult or unusual call, checks on the team members involved, arranges time out of service where it is needed, requests or takes part in a debriefing, and connects them to peer support, critical incident stress management and the employee assistance program.

The Quincy contract

Works twenty four hour shifts in Quincy as the sole Field Supervisor assigned to the city, so that the community and the team members working it have a supervisor present through the shift.

May also serve as the supervisor for the Town of Braintree team members, and may represent Brewster locally there, where the assignment requires it.

Maintains the contracted service relationship with the municipality at working level, and represents Brewster at local meetings, events and public safety briefings.

Works alongside the municipality's fire and police on scene and in planning, including pre planning for recurring local events, and supports the contract reporting the community is owed.

Ensures the service is delivered efficiently and effectively across the municipal service area, including response time performance against the contract, and raises an adverse trend before it affects contract compliance.

Other duties

Performs other duties as assigned, consistent with the level and scope of this role.

BEHAVIORAL COMPETENCIES

Clinical Credibility. Works at full proficiency at their level of certification, and holds the confidence of the team members on a clinical decision.

Supervising Former Peers. Holds the standard with people they recently worked beside, consistently and without making it personal.

Availability. Reachable and present throughout the shift, not only when a problem escalates.

Leads by Example. Works to the standard asked of others.

Coaching and Support. Gives feedback close to the event, follows up, and approaches team members to support the work rather than to inspect it.

Ownership of the Team Member Experience. Understands the conditions the team members work in and acts to improve them rather than only to measure them.

Partner Credibility. Represents Brewster to a municipal, hospital or facility partner as credibly as to a team member.

Ownership of the Assignment. Treats the assigned area as a responsibility rather than a location worked.

Speaks Up. Raises a concern about a unit, a partner or a patient without waiting to be asked, and submits improvement ideas.

Sound Judgment. Decides well under stress and holds to the ethical standard without supervision.

Communication. Gives and takes verbal and written instruction clearly, and writes a record someone else can rely on.

WHAT SUCCESS LOOKS LIKE

Stations, vehicles and equipment are ready, and deficiencies are reported rather than absorbed.

The schedule for the operating area is filled and accurate.

Team members are working efficiently, and where they are not the cause is identified and being addressed rather than recorded.

Team members report the job is supported: a supervisor knows them, responds to them and reports back.

Injuries, accidents and exposures are responded to the same day and documented properly.

Patient care records and addenda are completed on time, and nothing outstanding reaches billing or audit.

The partners served know their supervisor by name and raise issues to them first.

QUALIFICATIONS, ABILITIES AND CONDITIONS

Qualifications, held at hire

Current Massachusetts certification as a Paramedic. The level required is system dependent, and Quincy is an Advanced Life Support assignment that is not held below Paramedic level.

Current BLS, ACLS and PALS certifications.

At least two years of experience at the level certified. Supervisory or lead experience preferred.

Incident Command System certification: ICS 100, ICS 200, ICS 700 and ICS 800, held at hire or completed within the first ninety days.

High school diploma or General Education Degree (GED). Bachelor's degree preferred.

Compliance with drug screening at any time.

Abilities

Holds supervision as the primary role, and practices clinically without letting it displace that.

Works without direct supervision for much of the shift, and brings a decision that exceeds the role to Operations leadership rather than carrying it alone.

Covers an area rather than a single location, and prioritizes where presence has the greatest effect.

Works proficiently with the company's operational systems and standard office software.

Conditions

Assigned to the City of Quincy, in Division 2.

May be asked to cover another divisional area, or to support the company elsewhere, where operational need requires it.

Anchored to a division, with review and development held by the Regional Director of Operations.

Full time at forty eight hours per week, worked as twenty four hour shifts, including nights, weekends and holidays.

Regular travel across the assigned area, with a valid driver's license and a motor vehicle record within company standards.

Physical requirements and work environment

This is a uniformed position.

The role is field based. Work is carried out in a company vehicle, at scenes, in stations, at hospitals and public safety facilities, and in all weather and road conditions, with prolonged driving, standing, walking, stairs and uneven ground.

Meets the physical, mental and sensory requirements of a practicing clinician: lifts and maneuvers one hundred and twenty five pounds or more with assistance, including up and down stairs repeatedly, sits, stands or kneels for long periods, bends, stoops and crawls as necessary, and works at times in low light, in confined spaces and in a moving vehicle.

Potential exposure to blood and body fluids, infectious disease, traffic, noise, extremes of temperature and distressing scenes.

Reasonable accommodations may be made to enable a qualified individual with a disability to perform the essential functions of this position.

Brewster Ambulance Service is an Equal Opportunity Employer. This description sets out the general nature and level of the work and is not an exhaustive list of all duties.

Employment is at will.