Hamilton County Ambulance Service
Aurora, NE

Learn a little about us...
Hamilton County Ambulance Service provides advanced and basic life support response to an emergency (911) and non-emergent transport to all of Hamilton County. Hospital to hospital transport, nursing home transfers, as well as a tiered ALS response with other basic life support services, including intercepts with surrounding counties.
Hamilton County Ambulance Service covers a population of over 9,400 and an area of 543 square miles which includes 24 miles of Interstate 80 and averages more than 700 calls a year.
First responders in the county provide emergency services in five fire districts: Giltner, Hampton, Hordville, Marquette, and Phillips. Hamilton County has a rescue truck equipped with the Jaws of Life and rescue equipment, including rope rescue equipment.
The Aurora Volunteer Fire Department mans the rescue truck and responds to all motor vehicle accidents and other rescue calls.
Hamilton County Ambulance Service staffs two ambulances at all times with a crew of one EMT & Paramedic at a minimum.  With a third ambulance manned by call back personnel.
Meet The Team
We would like to introduce you to some of our employees so you might recoginize us around the community.

'A' Shift

  1. Tim Graham
    Tim Graham
    Captain/Paramedic and Special Operations Officer. Has been serving Hamilton County since 2001.
  2. Caden Huenefeld
    Caden Huenefeld
    Is a Paramedic and has been serving Hamilton County since 2012.
  3. Eric Vieth
    Eric Vieth
    Is a Paramedic and has been serving Hamilton County since 2014.

'B' Shift

  1. Mark Kubik
    Mark Kubik
    Director, Captain/Paramedic and Supply/Vehicle Maintenance Officer. Has been Serving Hamilton County since 1999.
  2. Angel Lentz
    Angel Lentz
    Is a Paramedic and has been Serving Hamilton County since 2009.
  3. Mathew Hedge
    Mathew Hedge
    Is a Paramedic and has been serving Hamilton County since 2015.

'C' Shift

  1. DJ Adams
    DJ Adams
    Is a Paramedic and has served Hamilton County since 2015.
  2. Brent Dethlefs
    Brent Dethlefs
    Captain/Paramedic and Training Officer. Has been serving Hamilton County since 2004.
  3. Tiffany Luebbe
    Tiffany Luebbe
    Is an EMT and has been serving Hamilton County since 2013.

Part Time

  1. Mike Madden
    Mike Madden
    Is an EMT-I and has been serving Hamilton County since 1990.
  2. Hanah Enderle
    Hanah Enderle
    Is an EMT and has been serving Hamilton County since 2016.
  3. Ethan Studebaker
    Ethan Studebaker
    Is a Paramedic and has been serving Hamilton County since 2014.
  4. Tim Carlson
    Tim Carlson
    Is an EMT and has been serving Hamilton County since 1990.
  5. Gerri Collins
    Gerri Collins
    Is an EMT and has been serving Hamilton County since 2007.
  6. Frank Collins
    Frank Collins
    Is an EMT and has been serving Hamilton County since 2007.
  7. Kyle Johnson
    Kyle Johnson
    Is an EMT and has been serving Hamilton County since 2013.
  8. Cathy Sigler
    Cathy Sigler
    Is a Paramedic and has been serving Hamilton County since 1997.
  9. Tammy Spellman
    Tammy Spellman
    Is an EMT and has been serving Hamilton County since 2014.
By using the arrow buttons you can scroll left or right to see all our part time employees.

Paramedic (Medic)

Paramedic is an allied health professional, and in some communities, Paramedics provide a large portion of the out-of-hospital care while representing one of the highest levels of out-of-hospital care. In communities that use emergency medical dispatch systems, Paramedics may be part of a tiered response system. In all cases, Paramedics work alongside other EMS and health care professionals as an integral part of the health care system.
To become a Paramedic, you need over 400 hours of classroom instruction and over 500 hours of clinical and ride time. After successfully completing training and licensure, paramedics can perform advanced life support procedures such as:
Endotracheal intubation, rapid sequence induction, percutaneous and surgical cricothyrotomy, decompress the pleural space (needle decompression).

Also, perform gastric decompression by placing a nasogastric tube.
Pharmacological Interventions: Insert an intraosseous placement (bone drill), gain access to indwelling catheters and implanted central IV ports and administer medications by IV infusion after establishing an IV in the field. Paramedics may also maintain an infusion of blood or blood products.

Paramedics are also providers of ACLS (Advanced Cardiovascular Life Support),
 able to perform cardioversion, manual defibrillation, and transcutaneous pacing.
Paramedics can also provide any basic life support procedures. These are just a few of the many procedures and tools Paramedics use to provide advanced life support.

Advanced Emergency Medical Technician (AEMT)

The Advanced EMT or AEMT is the new mid-level EMS provider that has been
introduced at the national level according to the new national EMS scope of practice model. The minimal psychomotor scope of practice at the national level for an AEMT includes all EMT level skills, basic airway management and the insertion of supraglottic airways, patient assessment, and several pharmacological interventions beyond the EMT level. These pharmacological interventions include peripheral intravenous therapy, pediatric intraosseous placement (bone drill), and administering non-medicated intravenous fluids such as 0.9% saline solution, administering nitroglycerin, epinephrine, dextrose 50%, glucagon, naloxone, nitrous oxide and administering inhaled beta agonist medications, such as albuterol. AEMT is an effective link between Paramedics and EMT levels of practice, often making it the ideal third crew member on any EMS scene.

Emergency Medical Technician (EMT)

Besides employing basic medical assessment skills, typical procedures provided by EMTs include CPR, automated external defibrillation, mechanical ventilation using a bag-valve mask, placement of airway adjuncts, such as oropharyngeal and nasopharyngeal airways, pulse oximetry, glucose testing using a glucometer, splinting (including spinal immobilization and traction splints), and airway suctioning to clear the airway. In addition, EMTs are trained to assist patients with administration of certain prescribed medications, including nitroglycerin, Metered-dose inhaler such as albuterol, and epinephrine auto-injectors, such as the EpiPen. EMTs can typically also administer certain non-prescribed drugs including oxygen, oral glucose, and activated charcoal (usually upon medical direction). EMTs provide the basic life-saving procedures needed for life support and often a critical link in the chain of medical care personnel.


How long are shifts?

Full or Part time work?

What kind of schedule do you have?

We work an A,B,C, shift schedule. That means we have three shifts that rotate.
We work 24 hour shifts starting at 6:00am on the day of your shift and end 6:00am the following day.
Example: If the shift starts 6:00am Wednesday.
                     Shift ends 6:00am Thursday.
We have both full and part time positions.
Part time help however is allowed flexible schedule.  For more information please contact us.

What's your career really like?

Are you at the station for 24 hours?

What about training?

Call or even stop down to see us and talk to our Paramedics and EMT's.  If you're interested maybe even set up a time to ride along!
At this time we currently man the station from 6:00am until 5:00pm. We are required to stay in city limits and duty ready for the duration of the shift.
Every month we hold department EMS trainning to maintaning skills and continuing education requierments for licensure. Also daily on duty training and practice with equipment.