The agenda item on June 3, 2026 proposes updates to EMS job descriptions and the creation of a new Advanced EMT position, forming a three-tier career ladder: EMT Basic Life Support (BLS), Advanced EMT, and Medic. The county notes there are currently four Department of Emergency Services staff who qualify to move from BLS to the new Advanced EMT role and outlines pay bands and Virginia OEMS scope of practice documents to support higher levels of care. These classification changes are accompanied by budget transfers totaling $27,011 in FY27 from EMS operational lines and personnel contingency to EMS personnel, signaling a strategic investment in EMS staffing and capabilities. As the county formalizes this new role and upgrades practice levels, it is likely to need additional training, certification support, scheduling/HR systems, clinical QA tools, and potentially recruitment marketing. Vendors in EMS training, e‑learning, workforce management software, HR/payroll systems, and clinical documentation/QA solutions can engage with the EMS Supervisor and County Administrator to support implementation.

The county references Virginia OEMS scope of practice documents, highlighting a focus on compliance ...