Paramedics have rejected the Victorian Government's latest pay offer, paving the way for more industrial action.
Ambulance Employees Australia says the government's offer is substandard and would force paramedics to trade off overtime and other entitlements.
The union's Steve McGhie says the latest offer represents a pay cut in real terms.
"It is concerning for paramedics that they're not being valued and not being [given] a reasonable offer," he said.
"The negotiations have been going for six months and paramedics are dismayed with this type of offer."
The paramedics say the pay offer would amount to a $1 a week pay increase.
The State Government is also facing further industrial action from teachers over their long running pay dispute.
The Education Union has called a statewide strike for tomorrow.