Job Description

Job Title, Grade Code Intermediate Care Operative (ICO)

(Driver whose duties involve the transportation of patients and clients (on public roads))


Grade Code: 6133

Campaign Reference  
Closing Date  
Proposed Interview Date (s)  
Taking up Appointment A start date will be indicated at job offer stage.
Location of Post National Ambulance Service (initial assignments to one of the three NAS Areas)

·         NAS North Leinster

·         NAS West

·         NAS South


Details of the HSE National Ambulance Structure are provided at:


Details of Service


The role and purpose of the National Ambulance Service is to provide a clinically appropriate and timely pre-hospital patient care and transportation service. Pre-hospital emergency care and transportation services are provided as an integral part of a continuum of care for patients/clients, and there is a requirement to work in partnership with other health care providers in both Scheduled and Unscheduled Healthcare Services


Reporting Relationship Area Operations Manager or designated alternate
Purpose of the Post The Intermediate Care Operative post is designed to provide a comprehensive and dedicated Patient Transport/Intermediate Care Service within the National Ambulance Service.


Intermediate Care Operatives may be tasked occasionally to higher acuity calls. In this role, the primary purpose will be:


·         In advance of an EMS resource as a First Responder

·         Simultaneously, alongside an EMS resource as additional responders/practitioners, e.g. Cardiac Arrest

·         As the primary resource to low acuity calls not appropriate to Paramedic service provision, i.e. Omega Calls

·         In any role deemed appropriate during a Major Emergency.


Principal Duties and Responsibilities


Clinical/Patient Care Responsibilities


·          Maintain PHECC EMT Registration by completing relevant PHECC Requirements.

·          Safe transportation of non-ambulance patients to and from Out Patient Departments, Clinics, Day Hospital and any other location as required.

·          Work in collaboration with other colleagues and Control staff to effect the safe and dignified transportation of bariatric patients using specialised patient moving and handling equipment.

·          Deliver care to patients in an emergency situation while awaiting the arrival of or in support of Paramedics or above up to their level of competence .i.e. Emergency Medical Technician.

·          Provide safe and secure transportation of specialist teams including multiple incubator situations using specialised moving and handling equipment.

·          Provide the logistical support and transport needs of retrieval and transport medicine teams.

·          Transport patient charts, specimens, and other patient/client related material in a safe and confidential manner.

·          Assist in patient comfort situations in a professional courteous and compassionate manner.

·          Communicate with a broad range of HSE and non HSE professionals as appropriate.

·          Adopt a “can do” and flexible approach to every situation not encompassed by procedures.

·          Attend to patients in a professional courteous and compassionate manner using best practice including compliance with Clinical Practice Guidelines.

·          Act within the principles of Framework for Major Emergency Management during major emergencies if the need arises and to carry such communications equipment as necessary and to be familiar with the Major Emergency Plan.

·          Participate in exercises and training sessions designed to improve the ability of the Ambulance Service to respond to a Major Emergency.

·          Intermediate Care Operatives in the National Ambulance Service are required to maintain a high standard of dress and appearance as well as conducting themselves in a responsible manner at all times.


Promote Personal Health & Wellbeing


§ In the context of delivering high quality Intermediate Care Services, maintaining a level of fitness and personal development appropriate to the role is essential.

§  Demonstrate awareness of own stress levels and seek appropriate support.

§  To ensure there is no smoking in the vehicle.

§  Be proactive in the community to identify risk, to reduce deaths and injuries.

§  Deliver appropriate safety messages to those groups most at risk.

§  Wear such uniforms and/or protective clothing as deemed necessary for the performance of his/her duties.


Promote Safety, Health & Welfare At Work (Including Driving & Vehicle Checks)


§ Identify and report actual or potential hazards/risks in the work environment in accordance with the Health Service Executive Ambulance Service Safety Statement / deal with them appropriately.

§ Take immediate action to minimise risks where it is reasonably practicable to do so.

§ Drive all relevant vehicles types operated by the NAS in accordance with the Policy for Vehicular Emergency Response, Safe Work Practice Sheet on Driving and the Site Specific Safety Statement.

§ To comply with the rules of the road, to observe speed restrictions and to drive in a competent, safe manner and with patient and vehicle safety in mind.

§ To ensure all passengers wear their safety belts.

§ At the start of each tour of duty, carry out and complete a Daily Vehicle Inspection Form, ensuring that all defects, deficiencies and accident damage are reported on a Vehicle/Equipment Defect Report Form to the relevant Supervisor.

§ Check any vehicle prior to use ensuring that it is fully equipped, visually checked for defects and that all equipment is functioning and ready for use in accordance with Service Procedures.

§ Carry out maintenance, equipment and drug checks on vehicles as may be in service at any given time.

§ Operate equipment in accordance with Standing Operational Procedures and

manufacturer’s instructions.

§ Maintain the NAS standards of cleanliness for vehicles, equipment, stations and garages i.e. clean Stations, Vehicles and Garages during downtime.

§ Be personally responsible for not undertaking any task or action which would knowingly cause risk to self, others, or to the Health Service Executive National Ambulance Service.

§ As far as is reasonably practicable attempt to prevent other people from undertaking tasks or actions which would knowingly cause risk to themselves, others, or to the Health Service Executive National Ambulance Service.

§ Participate in briefing/training sessions and carry out any agreed control measures and duties as instructed.

§ Comply with all Health and Safety guidelines and be familiar with Safety Statements and Site Specific Statements.

§ All accidents must be reported immediately in line with the Safety, Health and Welfare at Work Act, 2005 and all staff must comply with all safety regulations.

§ In line with the Public Health (Tobacco) Acts 2002 & 2004, smoking within buildings and vehicles of the Health Service Executive is not permitted.


Administrative Responsibilities (Including Managing Resources & Information)


§  Maintain regular communications with National Emergency Operations Centre to register updates regarding cancellations, additions and mobility requirements.

§  Record details and maintain records of patients, journeys, vehicle refuelling and duty hours in accordance with Service procedures.

§  Maintain and submit records as required by the Area Operations Manager or a designated Supervisor to include Daily Vehicle Inspection Forms, Vehicle/Equipment Defect Report Forms, Patient Care Report Forms or any other reports as required.

§  Co-operate with and be familiar with all management procedures in relation to discipline, industrial relations agreements, rosters, training, leave and grievance.

§  Take responsibility for ensuring operational equipment is ready for use.

§  Document all patient care and treatment and comply with records management processes.

§  Access and record information using computerised systems.

§  Undertake paperwork, such as recording routine tests on pieces of equipment.

§  Accept responsibility for security of stations, vehicles, equipment and patient’s property where appropriate.

§  Maintain confidentiality in relation to personal data held for colleagues and patients, ensuring it is processed lawfully; for no purpose other than for which it was intended; is relevant to that purpose; is retained for no longer than is necessary; is processed in accordance with the rights of the subject to access and accuracy; and is protected from accidental loss or damage in accordance with the requirements of the Data Protection Act 1988 and 2003, and records management guidance.

§  Maintain confidentiality of patient identifiable personal data using a non-identifiable alternative, where practicable, and limiting access on a strictly need to know basis


Tours of Duty


§  Work rosters as assigned, carry out the duties of the Intermediate Care Operative and be available for duty outside of normal hours as and when the need may arise.

§  Work in any location as assigned from time to time.

§  Foster good working relationships with others.

§  To report to a Supervisor as designated by the Area Operations Manager.

§  Comply with all present and future Standing Operational Procedures including clinical, operational and control related.

§  To provide optimum patient care within the scope of practice of a PHECC Registered EMT.


Development, Education & Training


§  Take part in training and development programmes as appropriate.

§  Be prepared to undertake continuous professional development opportunities.

§  Support the development of colleagues.

§  Mentor new Intermediate Care Operatives and foster an atmosphere of learning by example.

§  Undergo such training as may be prescribed by the NAS for both organisational and individual development.

§  Identify and seek the support of the NAS for relevant professional development opportunities necessary to maintain and improve clinical competence.

§  Identify developmental opportunities within the work context and take part in activities, which lead to personal and professional development.

§  Further training and updating of skills will be required at the discretion of the Area Operations Manager from time to time.

§  Attend supervision and appraisal session with Supervisors and Operations Resource Managers as required.




Other Requirements of the Post


§  Have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc.and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.

§  Other tasks reasonably and normally incidental to the post are set out in Health Service Executive National Ambulance Service Policies, Training, Operational and Health and Safety instructions, Standing Operational Procedures, Code of Conduct and general information circulars.

·     To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

§  Any other duties which may be assigned from time to time by the Area Operations Manager or designated alternate.

§  As a mandated person under the Children First Act 2015 you will have a legal obligation to report child protection concerns at or above a defined threshold to TUSLA & to assist Tusla, if requested, in assessing a concern which has been the subject of a mandated report


The above Job Specification is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.



Eligibility Criteria


Qualifications and/ or experience


Candidates must have at the latest date of application:


1.     Professional Qualifications, Experience, etc.


(a)   Eligible applicants will be those who on the closing date for the competition:


(i) Are currently registered, and maintain registration on the Emergency Medical Technician Division of the Register as held by the Pre Hospital Emergency Care Council.



(ii) Possess the National Qualification in Emergency Medical Technology and the PHECC EMT Practitioner’s licence.




(iii) Are the holders of a current full unendorsed Class C1driving licence – (Note UK 101 Restriction, NI 79 (NFHR) Restriction & Irish 78 Restriction is not acceptable).




b) Candidates must possess the requisite knowledge and ability, (including a high standard of suitability) for the proper discharge of the duties of the office.



A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.



Each candidate for and any person holding the office must be of good character.



·         C1 Driving Tests passed after the closing date of this campaign i.e. Tuesday 19th April 2022 will not be accepted.

·         Candidates who are classed as a Novice Driver i.e. those who obtained their first full driving licence within the last two years and are required to display N plates, will not be considered for employment opportunities. These candidates if successful at interview will be placed on the panel but their status will be recorded as Dormant. This means that they will not receive any expressions of interest until they notify us in writing that they are no longer required to display N Plates, i.e. the two year period since they obtained their first full licence has passed.

·         Applicants will be required to submit a Driving Licence Printout from their Local Authority* with their application form. This printout must be an original and must state whether or not you currently have any endorsements or penalty points on your licence.  This printout must be from a recent date and is normally requested from the body who issued your driving licence e.g. National Driver Licence Service (NDLS) in ROI, Driver & Vehicle Licensing Agency (DVLA) in Northern Ireland or UK. For more information please visit: or

*Please note that it can take a minimum of 10 working days for your request to be processed.

·         Candidates with penalty points on their licence should note that the maximum penalty points allowed by NAS are 5 points at the closing date of the campaign. Candidates who are found to have incurred 6 or more penalty points on their licence will not progress further in the recruitment process.

·         Appointment to and continuation in posts that require statutory registration is dependent upon the post holder maintaining annual registration in the relevant division of the register maintained by the Pre Hospital Emergency Care Council.


Post Specific Requirements


Phase one of training involves a special induction/training course designed for Intermediate Care Operatives. This course addresses both clinical and driving competencies. Failure to complete this course satisfactorily within the defined period will result in termination of employment.


Other requirements specific to the post You will be required to have a mobile telephone or approved item of communications equipment for urgent or necessary calls/contact during and outside of working hours


Skills, competencies and/or knowledge



§  Demonstrate initiative, flexibility and problem solving skills especially with regard to working in the changing environment of the National Ambulance Service.

§  Demonstrate effective teamwork, communication and interpersonal skills.

§  Demonstrate time management, planning and organising skills including the ability to deal accurately and effectively with incidents in a time critical situations

§  Demonstrate empathy and caring skills especially in relation to providing a quality service to patients/clients.

§  Demonstrate the ability to cope under pressure.

§  Demonstrates sufficient professional/clinical knowledge to carry out the duties and responsibilities of the role.


Campaign Specific Selection Process


Ranking/Shortlisting / Interview

A ranking and or short listing exercise may be carried out on the basis of information supplied in your application form.  The criteria for ranking and or short listing are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification.  Therefore it is very important that you think about your experience in light of those requirements.


Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process. 


Those successful at the ranking stage of this process (where applied) will be placed on an order of merit and will be called to interview in ‘bands’ depending on the service needs of the organisation.


Code of Practice The Health Service Executivewill run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, facilities for feedback to applicants on matters relating to their application when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process and review in relation to allegations of a breach of the Code of Practice.  Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code of Practice, Information for Candidates”.


Codes of practice are published by the CPSA and are available on in the document posted with each vacancy entitled “Code of Practice, Information for Candidates” or on

The reform programme outlined for the Health Services may impact on this role and as structures change the Job Specification may be reviewed.


This Job Specification is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.




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