EMT348

Well it's a legitimate question considering it doesn't count shift differential and meal money, so on so forth. Some people may be wondering the same thing about what the money actually works out to be.

I was under the impression that was until the apparatus was no longer compliant to NFPA standards. Usually it's about 20 years.

Approximately 100 per class usually. I've heard that they're scheduling 2 classes. One in June/July and one in the fall/early winter

I just received my results and list number on Thursday.

I think all commercial services are looking to downsize and cut their losses. Emergency services are always trying to put themselves out of business(Fire Departments with Fire Prevention, EMS with safety and health awareness). This isn't all bad, but at the same time it does mean jobs. Look at the situation in New York City where Voluntary Hospital participants in the EMS system are closing their doors and turning everything to the City. FDNY has 3 classes scheduled (One right now and 2 more in the neighborhood of July).

There are facilities in the region that have been told by Municipal EMS agencies to be nameless not to call 911 anymore. Some Municipal EMS agencies will not respond to facilities and have asked them to contract with commercial agencies instead of dialing 911. I disagree with you that commercial agencies cannot respond lights and sirens to any call because the dispatchers are OR are not EMD certified. As far as the dispatching being abysmal I would mostly agree. But then again, who's system is perfect?

I personally feel that Care1 EMS is trying to make a full deck of cards out of the jumbled mess of what was HVPS and Regional EMS. They're trying to fix mistakes of prior administrators(those who had their hand in the cookie jar, made bad business decisions and those who just plain pissed off other agencies). If my memory serves me correctly, at one point Regional EMS gave MLSS a run for their money when they held the contracts for New Windsor EMS, Cornwall EMS, St. Lukes - Newburgh Hospital, Florida, Warwick, Chester, Lenape, Port Jervis, as well as a slew of Skilled Nursing Facilities and Assisted Living homes. I think that Care1 could be just as successful if they put the rubber to the road and deliver on their guarantees. While I feel that Yonkers is so out of the way for Care1, it's a smart business move for them if they can pull jobs out of the areas there. And they are. It's pretty obvious when the fleet in Yonkers nearly tripled in the last six months to almost match the same number of trucks that Middletown puts out on a daily basis during the week. Tommy, you mentioned the "abuse" of ALS from municipal services to back up BLS units from Commercial Agencies. While most of the time this is improper and I don't agree with stripping any area of coverage, I feel that it does go both ways. There are most certainly times where Municipal EMS is tied up on jobs and exceeds it's ability to answer up for calls. Such was the case a few weeks ago when Dutchess County ran out of ALS in the northern section of the county and requested that Care1 relocate a unit to help service an area that they weren't contracted to, or during an MCI. I think that requesting ALS backup from where ever you can get it is the responsible thing to do rather than just leave the BLS providers to take in a serious patient on their own. They're following NYS protocols. Requesting ALS. On the whole subject of using lights and sirens vs not using lights and sirens... People should be using a triage system to determine whether or not to send the unit lights and sirens or not. EMD the call. And finally, I think after working commercial EMS for a while and also working municpal that Care1 is moving in the right direction. Just need to lay out the path they want to take a little more clearly. Get stable on their feet.