Intermediate Care Operative (ICO)


The Intermediate Care Operative (ICO) post is designed to provide a comprehensive and dedicated Patient Transport/Intermediate Care Service within the National Ambulance Service.

Some of the Clinical/Patient Care Responsibilities include:

  • Safe transportation of non-emergency patients to and from Out Patient Departments, Clinics, Day Hospital and any other location as required from time to time.
  • Deliver care to patients in an emergency situation while awaiting the arrival of or in support of Paramedics or above up to their level of competence .i.e. Emergency Medical Technician.
  • Provide safe and secure transportation of specialist teams including multiple incubator situations using specialised moving and handling equipment.
  • Provide the logistical, support and transport needs of retrieval and transport medicine teams.


Eligibility Criteria for the Grade:

  • Current registration on the Emergency Medical Technician Register held by the Pre Hospital Emergency Care Council (PHECC)
  • Possess the National Qualification in Emergency Medical Technology and the PHECC EMT Practitioner’s Licence
  • Hold of a current, full,  unendorsed Class C1 driving licence – (Note Irish 78 Restriction is not acceptable)
  • Possess the requisite knowledge and ability, including a high standard of suitability, for the proper discharge of the duties of the office