paramedic

emergency medical technician

emt-basic

communication specialist

dispatcher

MMT Ambulance

Ahhh where to get started. First of all pay is decent, $13Hrly as a new hire EMT. However people who were working previously for the old company before the buy out are making way less and do not receive raises what so ever. Management/Cooperate refuse to hear any of it. Even when they’ve got more time on. Dispatch is based out of Omaha which is ridiculous because they have no clue of where anything is at in the entire Kansas City metro area outside of what google maps says. Which leads to unrealistic ETAs for hospitals and upset nurses at the hospital complaining at the crew for needing to be there 2Hrs ago when you were in the middle of a call 2Hrs ago. Despite what the company says it is not station based ( at least not in Kansas City.) The station we do have is a tiny little old auto repair shop. Houses maybe 5 trucks and the rest are parked outside. We are posted at local gas stations and businesses. They are flexible as to where you post as long as you’re either north of I70 or south of it depending on which post you need to be at (South/North Post.). Out of approximately 15 trucks 2 are reliable and a total of maybe 6 currently run. (Those numbers change daily. Only for the worse.) newest apparatuses we have are 2 ford transit vans which are auto load equipped. But they’ve been ran to death and have more issues in their 4 to 5 year life span then my grandma did at the age of 92... Driver training is concerning. All driver training consists of is driving the truck around the buildings parking lot once and backing it up into a parking space. This lack of proper training and poor management with addition to the pushed mandatory overtime and lack of beds to sleep in at the station for the overnight crew just adds insult to injury. Midwest Medical recently Had a Line Of Duty Death out of the Sioux City Iowa station. With the way this company is playing its cards doesn’t surprise me to find out that it was due to lack of sleep. Usually for change to be implemented it takes for someone to get killed unfortunately and even now there’s been no push for driver training. Most employees are leaving and going to a local fire district who offers better benefits and better equipment. Talks of getting 911 contracts from the assistant manager only for the manager to shoot the ideas down despite heavy support from corporate. Assistant manager and manager argue constantly and it’s like being a child of a married couple going through a divorce Mom says this but Dad said this. You don’t know which boss to listen to because if you do you hear about it from the other boss. The assistant manager is definitely trying to steer the station in better direction with 911 contracts and wanting a new building. Main manager is definitely whipped by corporate and doesn’t make a strong push for anything to change for the better. Strongest push he made was for some Omaha trucks to be assigned to Kansas City to help out since most of trucks are shady/inoperable on a good day. They sent 2 trucks that are broke down now too. Joke of a company. If you wanna work here take all this into consideration. If you wanna show up and lift manual cots with 300Lbs patients and literally drive almost the whole shift with back to back LDTs or short transfers then go for it. Pays well but in the end it’s really not worth it. 

a typical day at work: As part of the management team I would show up 30 to 45 minutes prior to the first shift starting. I would get a hand off briefing from my counterpart and immediately start trying to get crews out the door. I still allowed time to get their truck checked off but we nearly always had transports waiting.


what you believe you learned: Human Resources protects the company not the employee. If you need to have a sensitive conversation with management make sure you bring a friend with you that will be a witness. Management will always have somebody else from management present so this should not be an issue.


Management: This is a Transport company and it's exactly what you would expect. Our goal is to get as many transports completed while keeping crews safe. As a supervisor I did my best to make sure my crews had everything they needed, but there is a serious disconnect from the lowest level leadership to the higher ups. Once you get away from the shift/team lead, it gets harder to get anything done.


workplace culture: I've been removed for a while,  but our culture was one primarily focused around patient and crew safety. I understood people are here for a paycheck and not to make a new family so I tried to be as professional as I could with everybody.


the hardest part of the job: Chronic understaffing of shifts,  and nurses who don't understand transport does not happen immediately. I told my crews and dispatchers that the hospitals will never be happy, so do your best but don't break your back trying to make them happy.  if they had an issue with my crew I directed them to call me and I would handle it.


the most enjoyable part of the job: As a supervisor I really enjoyed getting to teach and help subordinates with patient problems. As a regular truck member I really liked doing the ventilator and ECMO transports. 

MMT Lorton had several great features. I was never assigned a permanent partner and thus "cycled through" multiple providers - all were top-notch and provided great patient care.
No 24/7 service has equipment that works perfectly all the time; MMT Lorton was VERY responsive to vehicle repair requests (relative to other services I've worked), and did their best.
Dispatch was typically well thought-out; trucks rarely "crossed", and calls would be assigned when possible from Point A to point B, then B to C, C to D, which reduced crew stress.
Management was generally approachable, and would appear to listen to concerns.

Now the bad:

On hire I arranged with the station supervisor to work specific days; this arrangement went right out the window when shifts were rearranged, without consulting me or attempting a compromise. If you have specific requirements, (eg "I can't work Sundays" or such), get an agreement in writing. I was told to like it or go elsewhere. So much for valuing employees.

The reporting software (Imagetrend) had been "customized" to where it became a) possible to fill out half a patient care report without even first seeing the patient;
b) sometimes impossible to complete in clear conscience due to limited choices in drop-down lists;
c) required every reporter to fill in things that should have been prefilled, eg "Destination Type" (you had to pick Hospital) for a major hospital we visited 50 times daily.
While these seem nit-picky, they contributed to slow in-service times, added time spent filling out forms, and general dissatisfaction. Also do we really need to list that the truck expires in May of next year on every daily truck checkout?

I've worked for several IFT companies in the past 20 years, and MMT is actually pretty good. The only real problem seemed to be with the management, but that may simply be growing pains. I'd definitely say give them a shot.

I worked here as an EMT for almost three years. In your interview you will be sold on Midwest being the company to work for and that you will be paid better than most places. That is a lie. This isn’t 911. It’s IFT. Mainly hospital discharges. Sometimes taking people home. Sometimes there’s a spicy call thrown in from time to time to keep you on your toes.  A single crew can plan on running the whole shift. Which could be anywhere from 6-10 calls during that shift. A crew will be run by dispatch. If you work here you will have a love/hate relationship with them. All I will say is they don’t need any medical certifications to be a dispatcher and it shows. Dispatch is also not held accountable for their mistakes. Things will be promised to you: new equipment, more crews on during the day, a raise. It will never happen. Anytime they say they are making these grand changes that will make work more enjoyable, do NOT get your hopes up. It won’t happen. Take this job for what it is; a place to get your foot in the door of EMS. The only reason I stayed for as long as I did is because I knew my coworkers were in the same boat. Your coworkers will be some of the best people you could ever meet! Some I consider friends that I will have for life. Although you’ll want to hate your manager or shift supervisors, they are doing their best and they’re great people to go to for help. Anything management tries to do to make employees happy is stopped by the higher ups. The higher ups do not care if employees are happy. They only care if you’re bringing in money for the company.  I’ll leave you with this, Midwest is a money hungry business. It’s a revolving door. It’s a great place to start, but not to end up. Get in and get out.  

It really is an easy job  made extremely difficult. This company is quite hypocritical and has quite the bit of work to be done to accomplish owning up to what other ambulance companies are like in the surrounding areas. Honestly, the only one up it has on other local companies is the pay. Communication is a huge issue here as well between management, dispatch, etc. The education of employees given by the company is extremely lacking and pretty much a joke. I highly recommend maintaining education on your own or with a different EMS related organization. No one ever seems to be on the same page. They will listen to concerns from crew and aim to work with those who are interested in contributing to the progression of the company and ems as a whole, but nothing ever comes of it. The people who work here are great people and friendly, but overall things need a VAST change for the better. They don't have much in terms of set policies relating to issues you may occur while working on the roads which is a huge con. SOPS and policies are important to have! This company seems to only care about number of calls you can accomplish within the shift- oh and of course expect to get off late. (More than you should in a IFT setting). Most equipment is expired too or functions just enough. No wonder employees are jaded they way that they are. If you are a new EMT or truly want to make a change and advance within your EMS career I don't recommend this company- at least as of right now. If you work here as a stepping stone and for the pay.. I highly advise knowing your worth as an individual and as as EMS provider. Know yourself, your scope of practice, and kill them with kindness.

For EMT’s, it can be a good place to get your feet wet. But if you’re a paramedic, especially a new one, don’t waste your time. Management does not care about the employees, or the patients, only about making you run as many calls as possible. Even if you’re sick. They made me continue my shift when I started having covid 19 symptoms, which is highly unethical. I ended up exposing 3 or so patients. Test the next day came back positive and I had a fever. I was harassed, while at home, to get my charts done despite the fact that I was sick and per state protocols had 72 hours to get them done. Medics get guilt tripped if they do have to call out or if they’re asked to pick up a shift and say no. Favoritism is an issue as well. Amongst many, many other issues, the current manager will listen to upper management before being an advocate for the employees. Management also changes at least twice a year. They are very short on paramedics, so finding coverage is very difficult. Employees are hit or miss. Sometimes you get a good bunch, sometimes they’re toxic – talking for hours about people behind their backs, they’d rather watch you fail than help you to succeed. Management won’t do anything about that either, aside from contributing to it. Turnover is high. Dispatch gets treated better than the EMT’s and medics. They can do no wrong and it is always the crew's fault. HR struggled for months to fix my benefits and I know other coworkers had issues with HR getting things correct. The list of things wrong with this company is quite extensive. Do yourself a favor and avoid privately owned ambulance services. Get on a volunteer fire department instead until you get hired onto a paid fire department.

Ems has a lot of different, interesting options as career paths. Private ambulance is one of them which is a good option for beginners just joining or people who just want an easy job which pays decently. Luckily private ambulance is brainless work with relatively easy patient interactions. Midwest Medical turned one of the easiest jobs I've ever worked in my life into one of the most annoying things I have had the displeasure of taking part in. The equipment is all new and nice, theyve taken a huge load with the Clinics contract as well but here are my issues. The company is overloaded and overworked, they will stack 2-4 calls on you at any given time, they've just completed a massive haul of blanket hiring taking any and everyone who hasn't been able to hack it at other places. Workers with zero to little experience giving bad/dangerous medical advice to co-workers. Workers who just have horrible work ethic and time wasting habits to bad past histories, this company has hired everyone.Most of the positions open are for interfacility transport which is strictly hospital to hospital 5-20 minute trips all day. The PCR reporting system is horrid and has you filling out billing and insurance information. ALS runs all day back to back for medics, zero emergency or 911. Lastly the pay is garbage but has helped increase pay to other companies around NE Ohio. The critical care unit contracted through the Cleveland Clinic is excellent though with hard working and thorough crews, please don't mix these two up. Apply through the Clinic for them.

Typical shift would be 5-8 patient transports (mostly non-emergency from Hospital to/from nursing home and back- plus about 30 minutes per-call for paperwork. Think Happy-cab with room for a stretcher in the back.  This is not anything like 911 service or what you learned in EMT/Medic school.  Medicine is not the focus.  Patients are usually stable and just being transported because they just need a stretcher as opposed to wheelchair. Lots of psych transports.  Squads don't carry a full compliment of ALS medications / technology.  No radios for dispatching / encoding to hospitals - they still rely on landlines and paper printers.  Scheduling / dispatching / patient care systems are about 15 years behind current technology.  Crews are 2 EMT's or 1 EMT / 1 Paramedic.  Cots are almost entirely manual (so realize you are going to be dead-lifting 300lbs on a regular basis and you partner may not be in good shape) - long-term lasting back injuries are almost a given.  Squads and stations are typically in poor repair - stations are bare-bones, dirty, and rodent infested.
This is the "second-string" of EMS services, you're not going to be using your EMS skills or saving lives.  Pay is probably 1/3 of what you could make at a 911 service, so you can imagine what kind of people work there.

Management is poor - they are in over their heads.  Only a select few run the company, the rest of management is a revolving door.

I was a former pilot for Midwest MedAir. The culture felt unsafe when I worked there. I've seen maintenance rushed  in order to appease higher ups and maintain flight status.

 The company liked to pressure pilots to fly in unsafe conditions (thunderstorms, icing conditions, strong winds). Taking unnecessary risks was encouraged, because it resulted in more revenue for each patient flown. I've known pilots at this company that had to land in farmers fields because they pushed weather too hard. I was reprimanded many times when turning flights down due to safety concerns. I've even had the FAA call me to question me and cross reference complaints from other pilots about company culture.

 My first indications that this was a poor company to work for was when I flew 30 days straight because pilots kept quiting and I had to fill the schedule. As far as I know, there isn't a single pilot still working for this company that I worked with originally. Even the Director of Operations and Chief Pilot have left.The turn over for pilots is very frequent, which hurts overall combined experience level of flight crews. The med crew was awesome. I really enjoyed working with them. Company culture was very poor though, and I would not trust this company with flying a family member of mine.

The work itself isn’t great. Standard private transport nonsense...BUT MMT goes through excruciating measures to off set it. The pay is outstanding. 18/HR for basics with shift premiums up to $20/HR. Medics depending on the type can make anywhere from 24-30. They will bend over backwards to accommodate schedules, and requested time off, to their own determent.  They don’t ride you about your times unless you’re being ridiculous. They try to get you off on time, unlike other agencies that will think nothing of holding you over for 2+ hrs. The health insurance is pretty standard. 3 options with HSAs to PPOs and indemnity plans to supplement. Overtime is abundant, and non mandatory. They have a 911 team for the clinic, and are starting a mobile integrated health team. Promotions are doable, but I wouldn’t recommend it. Props to the supervisors there but they’re salary and IMO the extra work isn’t worth the total lack of OT. Protocols are archaic at best, negligible at worst. The equipment is all brand new for now, with power costs but no power loaders. A nice culture, with a calm and steady workplace. Great place to start your career or to take a break, or to supplement your income. 

Top Job Titles	Average Salary
Paramedic 32 salaries reported	$31.06 per hour
Emergency medical technician 11 salaries reported	$21.18 per hour
Emt-basic 4 salaries reported	$24.13 per hour
Communication specialist 5 salaries reported	$19.60 per hour
Dispatcher 5 salaries reported	$24.40 per hour

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