Wake County EMS currently uses a combination of 12-hour and 24-hour shifts, with the majority of employees on 12-hour shifts.

Our D and E shifts are 12 hours, and they're subdivided into daytime, nighttime and peak load. The day and night shifts typically start and stop at 7:00.

Peak load shifts run 12 hours out of each day. They have staggered start times, which include 6 a.m., 7 a.m., 9 a.m., 10 a.m., 11 a.m., 2 p.m. and 3 p.m.


Wake County EMS currently has 7 units on 24-hour shifts, made up of A, B & C shifts. They work three 24-hour shifts with a day off in between, then 4 straight days off. Shift start time for 24-hour units is 8 a.m.


All of the 24-hour shifts are being converted to 12-hour day and night shifts in the coming years.

Paramedics and EMTs are permanently assigned to day shift, night shift, peak load shift, or a 24-hour shift. Employees may submit for transfer between each of those assignments, which are awarded based on availability and the needs of the system.


We work very hard to accommodate preferences, but we reserve the right to reassign employees across the shifts based on the needs of the system.




Once released from the Academy, employees are assigned to a Field Training Officer (FTO) on whichever shift their FTO is on. Most often, that is a 12-hour day shift, but may be any of the other shifts. At the completion of the Field Training and Evaluation Process (FTEP), the new employee will be permanently assigned to a new shift based on the needs of the system. We give as much consideration to preference as possible.