Clinical Ranks

Membership Advancement
As our EMTs gain experience in the field, we encourage them to take on leadership roles that broaden their responsibilities during calls. Below is a list of clinical ranks based on training and experience they’ve gained.

Probationary EMT
Probationary EMTs are new members who have worked less than 24 hours. While on calls, probationary EMTs work under the supervision of the crew chief or leads. They also receive training on MERT-specific logistics and duties of the MERT member. Senior members teach and aid probationary EMTs’ in their transition to active EMTs. After 24 hours of experience and a general assessment of the EMT’s familiarity with equipment and MERT operations, the probationary EMT will be promoted into a fully active EMT.

Walking EMT
Following MERT’s relocation to the Quad in Spring 2010, MERT incorporated the position of Walking EMT on each shift. Walking EMTs are certified EMTs, fully capable of performing the necessary patient care, but have not yet completely the advanced bike course that is necessary to respond to calls on bikes. While on shift, walking EMTs respond with the crew on foot to calls inside and immediately outside the Quad. They can also take shifts at Spring Fling, Penn Rec games, or any other event that requires a crew to be on foot.

Lead EMT
Beginning Spring 2010, MERT implemented the new rank of Lead EMT to provide a bridge between EMT and Crew Chief. Lead EMT work in a clinical capacity similar to a Crew Chief, but they do not have the same level of operational responsibility. The responsibilities of the Lead EMT include interviewing the patient and rendering necessary care, responding to a second scene accompanied by another EMT, determining transport decisions in consultation with the Crew Chief or Supervisor, and being capable of completing all patient care documentation. Two Lead EMTs may also run a shift in lieu of a Crew Chief. All Lead EMTs have met a threshold number of hours and patient contacts; completed patient care scenarios to NREMT standards; and demonstrated familiarity of MERT operations, SOPs, and campus building locations.

Crew Chief EMT
MERT members become crew chiefs once they have accumulated the experience and confidence necessary to lead calls on their own. Only one Crew Chief is necessary for a crew. All Crew Chiefs must pass a review of their responsibilities for an entire shift, as well as be reviewed on two medical calls by two existing Crew Chiefs. In addition, Crew Chiefs are required to demonstrate more in-depth knowledge of MERT operations, SOPs, and building locations in an interview with the Operations Lieutenant.