MED-ACT offers career path opportunities for those interested in specializing in the delivery of emergency medical services. Most paramedics spend many years at MED-ACT, and often add specialty work to their role. MED-ACT offers a variety of development and leadership opportunities for field providers.
Each ambulance is led by an officer, either a lieutenant or a paramedic. The officer provides medical leadership and guidance for all personnel who are part of the on-scene EMS team. The paramedic and officer usually alternate being the primary patient care provider with each call, but some crews choose to keep one person in the "primary role" for the duration of the shift, and then switch to the other partner being "primary" for the duration of the following shift. The team confers with each other about decisions to be made, but the officer has the final accountability and bears primary responsibility for any actions taken by the EMS crew.
Most ambulances are led by an EMS Lieutenant, responsible for supervising the EMS team. Lieutenants also serve as preceptors for paramedic students as needed. Each shift has three EMS Captains. Captains are responsible for training newly hired paramedics and are qualified to work as replacements for EMS Battalion Chiefs as needed. Captains supervise additional paramedics that they may not work with on a daily basis.
The shift is then led by two EMS Battalion Chiefs. Two Division Chiefs are assigned to lead the North and South Battalions across all three shifts. A Captain assigned to the Education Division also supports each shift and coordinates training for the shift.
Special Operations Teams
MED-ACT maintains several special operations teams that specialize in different types of response. Many field providers join a special operations team in addition to their regular field assignment. Click here for more information on Special Operations at MED-ACT.
MED-ACT uses a collaborative leadership structure to incorporate field input on a variety of management issues. Field personnel are encouraged to participate in any of these venues. Field input is an essential part of MED-ACT’s approach, helping to assure that our actions are coordinated and grounded.
The role of the MED-ACT Council is to participate in the decision-making process regarding the department's growth and activities, in concert with the mission and values of the department. The Council assumes an active role in decisions pertaining to operations, projects, essential development concerns, and the financial implications. The MED-ACT Council is comprised of elected representatives from different working units within MED-ACT.
The council coordinates the work of five standing working groups: Systems Planning Group, Safety and Wellness, Clinical Implementation and Logistics, Budget and Information Systems.
System Planning Group
The System Planning Group (SPG) is a working committee under the MED-ACT Council. It is comprised of seven to ten field providers. It allows paramedics to have input on how the EMS system works. Issues the SPG may make recommendations on range from where ambulances are placed to what tools personnel will use for communications.
Safety and Wellness
The role of EMS personnel can be physically and emotionally demanding. In the course of carrying out their daily EMS responsibilities, employees may be pushed to their physical and emotional limits. At such times, a risk for injury or stress on the employee exists. The SW group has the responsibility to advise the department on safe practices for both our providers and our patients. This includes wellness programs offered by the department.
Clinical Implementation and Logistics
The Clinical Implementation and Logistics (CIL) evaluates new equipment, medications, medical procedures, or anything that involves direct patient care. When new equipment or procedures are to be implemented, the CIL group works closely with management and education to purchase equipment and train the department. This ensures that all levels are represented when new items are put in place, or other items are removed.
CIL also has standing subcommittees that are devoted to ambulance and PAR unit design. These subcommittees write and approve the specifications for vehicles to be ordered by the department.
Information Systems Group
MED-ACT uses a variety of information technologies to capture and analyze information, including ruggedized laptops for electronic medical records, tablets for administrative and research tasks and computerized inventory systems. The Information Systems Group (ISG) consists of field providers acting as a user’s group to assure functionality. ISG evaluates both software and hardware, testing new technologies to assure field readiness.
The Budget Committee is established to assure field-level awareness and involvement in the budgetary process. The committee is made up from 9 field level Lieutenants or Paramedics, 1 Battalion Chief, 1 Captain, the Finance Administrator, and the EMS Chief. Members are expected to be informed of and involved in the annual budgetary discussions. The Budget Committee will also complete projects as defined by the EMS Chief, Executive Officer on the Committee, or the Budget Committee Chair. The Budget Committee is considered a parallel entity as defined by the High Performance Organization (HPO) principles.
Awards and Recognition Group
The role of the Awards and Recognition Group at MED-ACT is to recognize our coworkers not only for delivering excellent emergency care, but to recognize them for accomplishments and exceeding the mission and values of MED-ACT. The group is comprised of field and office personnel who receive input from members of the department that would like to recognize their peers for outstanding performance. We celebrate things like superb patient care, great customer service, community service and contributing to the organization. This group is tasked with tenure awards and also the celebration of employees that are retiring.