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Hillsborough County Government

Fire Medic IV (#FM4F48U) F48U
$0.00-$36.90 Hourly / $0.00-$6,396.00 Monthly / $0.00-$76,752.00 Yearly


Performs duties as the officer in charge of an advanced life support, paramedic rescue crew.  


Graduation from high school or possession of a GED Certificate; and

Seven years in grade as a Rescue Lieutenant with Hillsborough County Fire Rescue or nine years or more with Hillsborough County Fire Rescue and currently a Rescue Lieutenant; and

Possession of a Fire Fighter's Certificate of Compliance as issued by the State of Florida; and 

Possession of a valid State of Florida Paramedic certification; and

Possession of a valid American Heart Association approved Advanced Cardiac Life Support (ACLS) certification; and

Possession of a valid Driver License.


  • Customer Commitment - Proactively seeks to understand the needs of our customers and provide the highest standards of service.
  • Dedication to Professionalism and Integrity - Demonstrates and promotes fair, honest, professional and ethical behaviors that establishes trust throughout the organization and with the public we serve.
  • Organizational Excellence - Takes ownership for excellence through one's personal effectiveness and dedication to the continuous improvement of our operations.
  • Success through Teamwork - Collaborates and builds partnerships through trust and the open exchange of diverse ideas and perspectives to achieve organizational goals.


  • Considerable knowledge of diseases and emergency medical conditions, their diagnosis, and appropriate treatment procedures.
  • Considerable knowledge of equipment used for patient care such as defibrillators and vital signs monitors.
  • Considerable knowledge of fire fighting, search and rescue methods, and techniques.
  • Considerable knowledge of applicable laws and regulations governing emergency vehicle operations.
  • Considerable knowledge of safe driving techniques for emergency vehicles.
  • Considerable knowledge of fire fighting and hazardous materials terminology.
  • Working knowledge of the characteristics of fire.
  • Working knowledge of standard fire fighting and rescue tools and equipment and their correct use.
  • Working knowledge of roads, streets, hospitals, schools, and other facilities within response area.
  • Working knowledge of proper lifting techniques.
  • Working knowledge of the functions, services, procedures and regulations of the unit to which assigned.
  • Working knowledge of building construction as it relates to fire behavior and fire suppression and control.
  • Working knowledge of the Health Insurance Portability and Accountability Act.
  • Skill in the use and care of hand tools and equipment used in fire rescue operations.
  • Ability to identify patient conditions based on signs and symptoms.
  • Ability to identify mechanical failures of equipment.
  • Ability to handle confidential information.
  • Ability to make sound decisions quickly under stressful conditions.
  • Ability to lift and carry weights up to 90 pounds.
  • Ability to perform duties under hazardous conditions requiring considerable physical exertion.
  • Ability to communicate effectively orally, non-verbally, and in writing.
  • Ability to work effectively with others.
  • Ability and willingness to perform housekeeping activities.   
  • Ability and willingness to work rotating shifts to include nights, weekends and holidays.
  • Ability to effectively train others.
  • Ability to perform as a lead worker and oversee the work of subordinate personnel.
  • Ability to safely operate a motor vehicle.
  • Ability and willingness to work outside in a subtropical climate under adverse weather conditions and high noise levels.
  • Ability to maintain combat firefighter readiness status.
  • Ability to use a computer and related software.


NOTE: The following duties are illustrative and not exhaustive. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Depending on assigned area of responsibility, incumbents in the position may perform some or all of the activities described below.
  • Functions as lead crew member and supervises an emergency advanced life support paramedic fire rescue crew.
  • Directs, coordinates and performs patient care activities.
  • Assesses patients’ condition to include; vital signs, interpreting electrocardiogram rhythms and communicating with destination facility on the nature and extent of illnesses.
  • Provides appropriate emergency medical care within limits established by standard operations and protocols.
  • Trains subordinate personnel.
  • Provides verbal, written and computer reports pertaining to condition and care of patients at emergency scenes and in transit.
  • Determines appropriate patient destinations and transport methods.
  • Complies with all regulations concerning the handling of the deceased, notifies authorities, preserves evidence, and initiates appropriate documentation as required.
  • Safely and efficiently operates emergency response vehicles.
  • Conducts pre-fire planning of commercial buildings, hospitals, schools and other buildings.
  • Maintains department equipment, grounds, furnishings or structures.
  • Participates in station drills, allied emergency procedures, and actions refresher training.
  • Performs as a lead worker overseeing the work of subordinate personnel.
  • Responds to fire alarms and performs search, rescue and fire suppression operations to combat fires.
  • Operates hand and power tools to ventilate structures;
  • Positions and climbs ladders; pulls hose from truck-bed and makes connections to hydrants and pump apparatus; and operates charged hose lines of various sizes to combat fires.
  • Performs salvage operations; lifts and removes property from damaged structures; places salvage covers over furniture to protect from water damage; operates water vacuum; places fans and smoke ejectors inside burning structure to minimize damages and maximize visibility.
  • Performs other related duties as required.


Employees assigned to this classification will serve a one year probationary period.

CLASS: FM4F48U; EST: 3/6/2008; REV: 10/14/2011;