You are currently viewing our boards as a guest which gives you limited access to view most discussions and access our other features. By joining our free community you will have access to post topics, communicate privately with other members (PM), respond to polls, upload content and access many other special features. Registration is fast, simple and absolutely free so please, join our community today!
PLEASE NOTE: Do NOT use an optonline.net email address when you register, as you will not receive your activation email. Why? Because CABLEVISION AND THE DOLANS SUCK.
If you have any problems with the registration process or your account login, please contact contact us.
What is your departments policy regarding ambulance response and there code status? For example: Your ambulance rolls to a sig 9 with a code and a crew. Now you hear your other ambulance roll with no code and driver officer only. What is the point of responding?!! You dont have a code!! The other bus has a crew and a code. Now what if your responding and you come across an MVA? Or your flagged down? Now you dont have a code. My point is ambulances shoudnt be rolling if there is no code on them. Period.
A bus can role driver-only however they can only role with the knowlege that an EMT is on scene or responding to the scene. If the bus arrives before the EMT does than the driver waits for the EMT to make patient contact and perform patient care.
This subject is getting into the grey area of ems b/c as Kellytool was saying anything could happen to the EMT while responding. The best thing to do is role with at least a code and a driver onboard so you wont have to worry about anything.
How about this for "overkill" to a BLS incident. Many times, my department will have a First Responder, 4 Chiefs, 2 ALS rigs with a "full" crew and a Fire Police unit respond for a EMS run(whether it is BLS or ALS). The First Responder is a Paramedic, the chiefs are all EMT's, and usually at least one rig will have a EMT. This to me is a little overboard.
I agree thats "overkill" however I believe that each individual dept's precurdures dictate what rolls on signal9As'. In some depts that have 2 ambulances a precedure could be that if one ambulance gets on the road and if there is a crew for the second ambulance than they can role and assist the first bus. or if fire police has a crew than they can role for traffic control and scene safety.
It may just be a BLS call however I would rather get 2 buses and a first responder out then get nothing out at all. You can always turn away incoming units no call is too little or too big. Theres always the availibility to transmit a sig 6 if you have way too much apparatus responding.
What is your departments policy regarding ambulance response and there code status? For example: Your ambulance rolls to a sig 9 with a code and a crew. Now you hear your other ambulance roll with no code and driver officer only. What is the point of responding?!! You dont have a code!! The other bus has a crew and a code. Now what if your responding and you come across an MVA? Or your flagged down? Now you dont have a code. My point is ambulances shoudnt be rolling if there is no code on them. Period.
Sometimes in the FD buses roll with a large crew...you don't need such a large crew...they can help out on scene but when there's a patient in the ambulance the other ambulance can transport the extra crew back to the station
Oh boy Oh boy--none the less we can all agree that we are all state certified ambulances and we should all be responding with at least an EMT on board because that is state procedure. If an ambulance is responding to a call without at least an EMT to a potential crew on scene that is a state no no. That ambulance could be at risk for getting flagged down as Kelly put it and that is putting the dept at unnecessary liability. As far as over kill--to each their own-- each dept has their own procedure. Personally I prefer me and one other tech in the back and I send everyone else home. 3 techs in the back and you're rubbing cheek to cheek.
2. If a voluntary ambulance service has a written response policy in place in which an EMT is allowed to respond directly to the scene from home or work, the ambulance may respond to the scene of the emergency even if an EMT is not on board.
6. A service may send an ambulance and equipment to the scene of an emergency if they know another service will provide the EMT staff necessary to perform patient care. The service sending the ambulance would share responsibility for the care being provided. These types of mutual agreements to share the staff and equipment must be done in writing in advance.
So basically it is OK to roll without a code if you know there is a code on scene and your dept has a written policy that allows it.
now say the district mechanic takes the truck for a test drive after working on it, and comes accross a car accident? does he
A. drive by and pretend he did not see it?
B. Stop to help out, and call for assistance?
C. Wish he called in sick?
Also how many departments have Out of service placards for the ambulances when they are being driven for mechanical reasons or getting fuel?
In my agency and I know of a few others we have placards that are laminated and placed in the glove box of every apparatus. So when a non code takes the appratus out either for fuel or going to EMT school they just gotta reach in the glove box and put the placard in the window on the dashboard.
It doesnt have to be laminated or computer printed. You could rip a piece of paper from a notebook and write "out of service not part 800" on it with a marker and that will suffice.
All except for one of you have been on the rant long enough to have read the above thread and the concurrent thread on fly car operators responsibilities. There is no reason to rehash this again.
If you would like to talk about WHAT YOUR DEPARTMENT DOES, that's great, share your thoughts and ideas. But as far as "what is allowed" and what is "legal" please refer to the above and the associated threads; there is no reason to debate all of this again, especially when the answers have already been supplied the Chaiman of Nassau REMSCO and a State EMS representitive.
All except for one of you have been on the rant long enough to have read the above thread and the concurrent thread on fly car operators responsibilities. There is no reason to rehash this again.
If you would like to talk about WHAT YOUR DEPARTMENT DOES, that's great, share your thoughts and ideas. But as far as "what is allowed" and what is "legal" please refer to the above and the associated threads; there is no reason to debate all of this again, especially when the answers have already been supplied the Chaiman of Nassau REMSCO and a State EMS representitive.
Thanks,
KYE994
Sorry, didnt have time to go through the threads to see if this was posted already.
Thanks SQ51--- I really thought it was mandatory as per New York State---there was discussion at work about this and wow we all thought it was mandatory. Is it mandatory as per nassau to have at least EMT on board?
Ambulance response
