Rjsii1432

Do the facilities in Westchester also call the commercial providers directly? I've never worked in Westchester, but elsewhere where I did work, facilities used to mainly call commercial providers directly. They would usually only call 911 for cardiac arrests and similar calls where additional manpower would be needed.

The "move over law" typically only dealt with vehicles stopped on the road/shoulder. A vehicle approaching would have to move over a lane to the left if save to do so. Is that the case here? I haven't seen the actual bill/law. I didn't think they updated the law to require pulling over to the shoulder for blue/green lights approaching from behind.

I've never seen a tiered dispatch with ALS FD first response that TOTs to commercial Als ambulances. It should be interesting. I wonder how long it would take before AFD transitions to FF/EMT-Bs only.

So that means they are going to contract with a paid Als ambulance service? So 911 will send an AFD first response vehicle along with the commercial ambo?

Apparently Transcare HV is not making payroll today either...rumor was their employees were told at least a week late. Not good.

It's good to see districts taking steps to get ambulances out in their coverage areas quickly and with a high level of care. I think we are all tired of hearing some smaller rescue squads with limited resources going 3-4 dispatches and having mutual aid or a commercial service coming from far away. Thats not fair to the patient. The problem is the cost of these services. The commercial companies see their expenses rising and their payments from Medicare, Medicaid, etc being reduced, and some commercial agencies are finding themselves with financial issues as well. Therefore the low ball contracts of the past for a company to get their foot in the door in that jurisdiction are going away. The all volume needs to be there otherwise they are going to charge the jurisdiction a higher contract fee to cover their overhead that they are not making up for through billing. The key points of the article really are these towns and districts need to look at pooling their resources and getting the best coverage at the best price - not necessarily a paid Als Amb in every town or district but some combination of paid Als and bls to cover the call volume. And the public needs to be informed. Even if well-intentioned and in the best interest of their residents' health and safety, a huge tax increase like that is going to cause a backlash. Best to get the public on board and choose the best option to get them a timely and appropriately trained ambulance crew at the best price for the taxpayer

I got my county results today