Keep in mind that starting right off the bat you're not going to get all of the guts and glory that comes with a 911 service. Even working all of the chuck truck runs (dialysis, transfers, granny homes, etc.) you'll still get some 911 contact, just not the majority for that city. Keep in mind, when you're in the truck for whatever company you're working for, that truck is a moving billboard and you could very well after clearing a call roll up on a multiple car MVA allowing you to get some 911 contact or be flagged down because the natives got restless and somebody got a bullet in their ass. In short sum what I'm getting at is you can't start out at the top no matter what field you're working in. Many, MANYYYYYYY of those working 911 start off at places being the gerriatric taxi in order to get their skills down and get theirself into a system of their own to find out what works best for them. Or you have the ones that're burnt out on 911 and want the break that comes with working the chuck truck runs.
Also keep in mind that some cities with their private pay ambulance services, such as like the one I'm presently at in Louisville, KY ; no we don't have the 911 contract for Louisville, but the company has sub-stations right across the border in Indiana for which they do have the 911 contract for and a station in Jeffersontown which is a hop skip and a jump from Louisville which they also have the 911 contract for. In addition we provide backup 911 for Louisville Metro when they get slammed, which on average for a 16 hour shift I'm typically on atleast 3 Louisville Metro calls. Last but not least, no matter where you end up being or what you end up doing, never forget who you are and where you came from. :wink:
-K.Kidder
NREMT-B
KY EMT-B