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Caswell County establishes Advanced EMT paygrade to support workforce pipeline
Summary
Commissioners approved creating an Advanced EMT paygrade to retain and develop EMTs into paramedics; staff said it requires no new appropriations because affected employees occupy budgeted paramedic positions while training.
County EMS leadership presented a proposal on May 18 to create an Advanced EMT (AEM) paygrade that recognizes an intermediate certification level between EMT and paramedic and helps retain employees pursuing paramedic certification.
Presenters said the change would not expand headcount or require new funding because the employees are already working in budgeted paramedic positions and would be paid at the AEM rate while in that certification step. “This is about recognizing the certification level that already exists within North Carolina EMS education and using it strategically to strengthen our workforce pipeline,” the presenter said.
Commissioners asked how many employees qualify (three currently, two enrolled in paramedic school), whether the AEM scope allows more medication administration (yes), and how local pay compares to surrounding counties (Caswell County paramedic starting pay cited as $22.20/hour, below neighboring counties). Commissioner Smith moved to approve the paygrade; Commissioner Ingram seconded and the board approved the measure by voice vote.
The county manager and finance director said the FY26 budget contains the necessary positions and that the paygrade is intended to improve retention and long-term staffing stability.
