Summary

The EMS Lieutenant (Operations) serves as a Field Trainer Officer and performs the duties of a Medic I while functioning as a ride-up supervisor in the absence of a shift Captain. This position is responsible for training and evaluating employees in the clearance process and serves as a liaison between Quality Management and shift supervision. The EMS Lieutenant (Operations) provides supervisory coverage for a designated operational area when assigned as an acting EMS Captain and may be tasked by EMS Battalion Chiefs or EMS Captains to lead or complete projects, training initiatives, or operational assignments.

Examples of duties

This position requires strong leadership, high accountability, and a commitment to Forsyth County Emergency Services operational standards. Work involves mentorship, coaching, direct field training, and ensuring quality and compliance with departmental procedures. The EMS Lieutenant (Operations) must demonstrate sound judgment, independent decision-making, and effective communication while working in a dynamic and high-pressure environment.

Ability to effectively train, mentor, and evaluate EMS personnel.
Strong knowledge of Forsyth County EMS protocols, policies, and quality assurance standards.
Effective written and verbal communication skills.
Ability to manage stressful or rapidly changing situations.
Ability to lead projects and assignments independently.
Strong problem-solving and operational decision-making abilities

Qualifications

High School Diploma or Equivalent
North Carolina EMT-Paramedic Credential
ICS 100, 200, 300, 400, 700, and 800
Completion of an established Field Training Methodology Course
Competency with Microsoft Office Suite and Ninth Brain platform
Cleared QRV Medic
One year experience as an EMS Paramedic Crew Chief
Two years’ experience as a North Carolina Credentialed Paramedic working within a 911 prehospital system
Completion of EMS Officer I course (preferred)
Associate’s degree in EMS, Emergency Management, Public Safety or another related field (Preferred)

Supplemental information

Respond to emergency and non-emergency calls for service and provide excellent ALS level care using all current protocols, equipment, and vehicles.
Train, coach, and evaluate employees progressing through the clearance process.
Supervise EMT-Basic direct reports and complete annual performance evaluations for those personnel.
Serve as liaison between Quality Management and shift supervision, ensuring effective communication and documentation.
Perform duties of Medic I and provide advanced prehospital medical care.
Serve as acting EMS Captain when assigned, overseeing operations in a designated response area.
Provide guidance, feedback, and mentorship to junior EMS personnel.
Assist with development and implementation of training plans, remediation plans, and operational improvement initiatives.
Conduct field performance evaluations and deliver training assessments.
Ensure compliance with Forsyth County EMS protocols, quality assurance expectations, and operational guidelines.
Complete assigned projects and initiatives from EMS Battalion Chiefs or EMS Captains.
Maintain accurate records, reports, and documentation related to training, supervisory actions, and patient care.
Participate in continuing education, leadership development programs, and departmental initiatives.
Must be able to lift, carry, and move patients and equipment in excess of 100 lbs with assistance.
Frequent standing, walking, bending, kneeling, climbing, and reaching during emergency response activities.
Ability to work in hazardous, confined, or unstable environments during rescue or medical operations.
Must be able to operate EMS vehicles and equipment according to department standards.
Must maintain sufficient physical stamina for extended emergency operations.