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ANZSCO 4111Skill level 2Health and care

Paramedic

Provide on-scene emergency care and transport patients to hospital.

Registration: AHPRA registration as a paramedic

Salary

Cited figures only: median full-time weekly earnings for the ANZSCO unit group Ambulance Officers and Paramedics (4111) from Your Career (Jobs and Skills Australia), and where available the QILT graduate starting salary for the matching study area.

FigureAUDSource
Median full-time weekly earnings$2556Your Career (2026-09-23)
Graduate starting salary$77,400QILT (2026-08-31)

How far does this stretch in each city?

Jobs, demand and who does this work

Figures for the ANZSCO occupation Ambulance Officer (411111), the closest official match for paramedic, from Your Career (Jobs and Skills Australia data, sourced 2026-09-23).

People employed
17,500
Future demand
Strong
Work full-time
83%
Average full-time hours
47 a week
Women
45%
Median age
37

Where the jobs are (share of workers)

NSW27.8%
VIC29.6%
QLD22.9%
WA7.9%
SA7.2%
TAS2.6%
ACT1%
NT1.1%

Highest qualification held by workers

Postgraduate qualification8%
Bachelor degree57.5%
Diploma or advanced diploma20.7%
Certificate I-IV6.1%
Year 122.4%
Below Year 121.7%

What a paramedic actually does

Paramedics work shifts of 10 to 14 hours on rotating rosters that include nights, weekends and public holidays. A shift starts with vehicle and equipment checks, then you're on standby in your truck waiting for a triple-zero dispatch. Jobs range from genuine emergencies (chest pain, trauma, cardiac arrest, stroke) to lower-acuity calls that could have been a GP visit. Between jobs you complete electronic patient care records, restock consumables, and respond to controller pings to move to a more central standby location. Most metro paramedics spend a large slice of the shift parked in hospital emergency-department ramps waiting to off-load a patient, which adds to fatigue. Rural and remote crews drive long distances, manage more cases without backup and lean on telehealth support. The work mixes high adrenaline moments with long stretches of routine transfer, social welfare visits and mental-health presentations.

Typical tasks

  • Triage and treat patients in the pre-hospital setting.
  • Operate emergency vehicles and equipment safely.
  • Document patient assessments and interventions.

Skills you'll use

  • Rapid pre-hospital assessment under time pressure
  • Advanced life support including airway management and defibrillation
  • Drug calculation and IV cannulation in the back of a moving ambulance
  • Calm communication with frightened patients and bystanders
  • Trauma management and spinal precaution decisions
  • Mental-health de-escalation and risk assessment
  • Multi-agency coordination with police, fire and SES
  • Documentation under fatigue and time pressure

How to become one

  1. 1Finish Year 12 with English and ideally a science subject (Chemistry or Biology helps with the degree workload)
  2. 2Complete a 3-year accredited Bachelor of Paramedicine or Bachelor of Paramedic Science
  3. 3Pass the clinical placement hours required by the Paramedicine Board (around 1,000 hours)
  4. 4Apply for AHPRA registration as a paramedic in your final semester
  5. 5Apply for a graduate paramedic role with a state ambulance service. These are competitive and often require additional interviews and assessments
  6. 6Complete a supervised on-road graduate year before working as a qualified single paramedic
  7. 7Consider specialty progression to intensive-care paramedic, extended-care paramedic, flight paramedic or rural and remote roles

Where you can work

  • State ambulance services (NSW, Victoria, QLD, WA, SA, Tas, NT, ACT)
  • Defence Force health services
  • Industrial sites such as mines and offshore platforms
  • Aeromedical retrieval services (RFDS, CareFlight)
  • Events and concert medical teams
  • Private patient transport services
  • Community paramedic and extended-care programmes

Career progression

Typical stages and roles. Years of experience are a rough guide; pay at each stage depends on the employer, award or agreement.

  1. Graduate paramedic
    0-1 years
    Typical roles: Graduate paramedic intern
  2. Qualified paramedic
    1-5 years
    Typical roles: On-road paramedic, Single-officer responder
  3. Intensive-care paramedic
    5-10 years
    Typical roles: Intensive-care paramedic, Extended-care paramedic, Clinical instructor
  4. Senior or team manager
    10+ years
    Typical roles: Team manager, Clinical educator, Operations manager

Is this for you?

You might love this if

  • You can stay calm and methodical when adrenaline is high
  • You can work closely with the same partner for 12 hours at a time
  • You don't mind unpredictable rosters and missed family events
  • You can hold up under repeated exposure to trauma and grief
  • You're physically fit enough to lift, climb and carry equipment

This might not suit you if

  • You want regular daytime hours with weekends off
  • You can't switch off after a confronting shift
  • You can't handle long stretches sitting in your truck on standby or ramping
  • You don't cope well with the bureaucratic side of state services

Ways in

Uni and TAFE routes for paramedic. We only list pathways that actually lead to this occupation.

TAFE / VET

Nationally accredited Certificate and Diploma qualifications.

No direct TAFE pathway to this career.

Sources

ExamExplained does not publish predictive salary figures. For current Australian earnings data check Your Career (yourcareer.gov.au) directly. Career classifications follow the ABS ANZSCO 2022 release.

ExamExplained