Paramedic – Hyde County & Ocracoke Island, North Carolina
Two Worlds. One Mission.
Mainland Rural EMS
On the mainland, you serve close-knit rural communities where response distances are longer and clinical judgment
matters. You’ll manage everything from medical emergencies to hunting accidents, motor vehicle collisions, and other
unique trauma calls—often with limited resources and the autonomy that rural medicine demands.
Ocracoke Island EMS
On Ocracoke Island, EMS becomes even more specialized. Access is limited, and transport options depend on ferries,
weather, boat, and aircraft availability—you will typically be the highest level of care on scene. Low call volume allows
time for preparation, training, and thoughtful patient care, but when emergencies occur, your skills, decision-making,
and coordination with air medical and partner agencies are critical.
Why Hyde County EMS
• Broad scope with real autonomy • Low call volume, high responsibility
• Strong community relationships • Time to train and prepare
• 96/192 schedule (4 days on / 8 days off) • Modern equipment (new trucks, LP35s, powerload cots, Sapphire pumps)
Compensation & Benefits
• $19.60 – $25.00 per hour DOE (paid monthly)
• Overtime paid at 1.5x hourly rate (pay week runs 12 AM Sun to 12 AM Sun)
• As an example, if you work your 96hr shift from 8 AM Mon to 8 AM Fri you would accrue 40 hours at the regular rate and
56 hrs at the OT rate – Ocracoke time shift change
• As an annual example, a paramedic earning $22.25/hr working all scheduled shifts could expect to earn +/- $81,500.
This does not include any additional OT the employee may desire to pick up.
Requirements:
• NC Paramedic credential (or ability to obtain reciprocity) – out-of-state applicants are welcome!
• EVOC and NIMS/ICS 100, 200, 700, 800 (within 90 days)
• Valid driver’s license
Ready to practice paramedicine where your skills truly matter?
Apply today and experience EMS in Hyde County and Ocracoke Island.
To apply: https://www.hydecountync.gov/employment/
Certification Level: Paramedic
County: Statewide (No County)
Closing Date (if any):