EMS Captain / Shift Supervisor
Position Type: Full-Time / Shift-Based/ Overtime Exempt
Department: Sheriff’s Office – EMS Division
Reports To: EMS Chief
Position Summary:
The EMS Shift Captain/Shift Supervisor is responsible for overseeing daily EMS operations during an assigned shift and holds administrative duties, ensuring high-quality patient care, personnel readiness, and operational efficiency. This position provides leadership, supervision, and support to EMS personnel while maintaining compliance with clinical protocols, agency policies, and regulatory standards.
The Shift Captain serves as the primary operational leader during their shift, coordinating emergency responses, managing resources, supporting field crews, and acting as a liaison between field personnel, command staff, and partner agencies.
This position is assigned to a Quick Response Vehicle (QRV) and may be based out of the Mainland Station or Ocracoke Island Station, based on shift needs assessed by the Captain. There are also situations where the Captain may staff a transport unit if call volume or staffing dictates.
Shift schedule: 96/192, meaning the duration of a duty shift is 96 hours (4 days) followed by 192 hours off (8 days). Shift start time is 8 AM.
In addition to general shift duties, each of the three shift Captains has a primary area of focus (logistics, training/education, and compliance). The primary area of focus for this position will be compliance.
Key Responsibilities
Operational Leadership
• Supervise EMS personnel during assigned shifts, ensuring appropriate staffing and operational readiness.
• Monitor and coordinate emergency response activities to ensure timely and effective service delivery.
• Serve as the on-duty command officer for significant incidents, multi-unit responses, and complex patient care situations.
• Provide scene support, guidance, and command when required.
• Coordinate with fire, law enforcement, emergency management, and hospital partners during incidents.
Personnel Supervision
• Provide leadership, mentoring, and guidance to EMTs, AEMTs, and Paramedics.
• Address personnel issues, resolve conflicts, and promote a positive team environment.
• Ensure crews adhere to agency policies, protocols, and professional standards.
• Conduct shift briefings and communicate operational updates.
Clinical Oversight
• Ensure patient care provided by EMS personnel meets medical protocols and clinical standards.
• Provide on-scene clinical support and decision-making when necessary.
• Review patient care reports for accuracy, completeness, and quality assurance.
• Participate in quality improvement and clinical review initiatives.
Resource and Fleet Management
• Ensure ambulances, medical equipment, and supplies are operational and properly stocked.
• Monitor fleet readiness and coordinate maintenance or repairs when necessary.
• Manage deployment and coverage to maintain appropriate system response.
Incident Management
• Respond to high-priority incidents to provide supervisory oversight.
• Serve in an Incident Command System (ICS) role when appropriate.
• Coordinate mutual aid responses and resource requests.
Documentation and Reporting
• Complete required supervisory reports, incident reports, and shift activity summaries.
• Document personnel issues, operational concerns, and unusual events.
• Assist with investigations, internal reviews, and compliance documentation.
Training and Development
• Support ongoing training and professional development of EMS personnel.
• Assist in identifying training needs and reinforcing operational procedures.
• Participate in drills, exercises, and agency training programs.
Minimum Qualifications
• Current NC Paramedic credential
• Minimum 3–5 years of EMS field experience, with demonstrated leadership ability.
• Valid NC driver’s license with acceptable driving record.
• Knowledge of EMS protocols, emergency response systems, and incident command structure.
Preferred Qualifications
• Previous supervisory, leadership, or EMS Officer experience.
• AS or BS degree in EMS or related field
• Incident Command System (ICS) training (ICS-100, 200, 700, 800 or higher).
• Instructor certifications (i.e., CPR, ACLS, PALS, Level I, Level II, etc.)
• Experience in quality assurance, compliance, training, or operational management.
Key Skills and Competencies
• Leadership and team management
• Critical decision-making under pressure
• Strong communication and interpersonal skills
• Operational coordination and resource management
• Clinical knowledge and patient care expertise
• Conflict resolution and problem-solving
Physical Requirements
• Ability to perform all duties required of an EMS provider, including lifting, carrying, and patient movement.
• Ability to work extended shifts, nights, weekends, and holidays as scheduled.
• Ability to operate emergency vehicles and respond to emergency scenes in various environments.
Work Environment
The EMS Shift Captain works in a dynamic and high-stress environment, responding to emergency incidents, supporting field personnel, and ensuring operational readiness. The position may involve exposure to hazardous environments, infectious diseases, extreme weather conditions, and physically demanding situations.
Additional Expectations
• Maintain professional appearance and conduct consistent with agency standards.
• Demonstrate commitment to public service, patient care excellence, and team leadership.
• Promote a culture of safety, accountability, and continuous improvement.
About Hyde County (expectations of our field providers/Paramedics)
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)
TO APPLY: Currently, the County website is down, and you will need to fill out the PD107 form and email it to cgibbs@hydecountync.gov Subject: Captain Application
Certification Level: Paramedic
County: Hyde
Closing Date (if any): 04/30/2026