helicopper

Read more: http://www.stamfordadvocate.com/news/article/Angela-Carella-Court-order-dispatch-data-latest-4404335.php#ixzz2PjQdlfdi
So it took a judge to tell them they have to do their job and comply with the rules? That's sad!

Standardization and ease of identification. Of course there is nothing standard in anything in NY.

McDonalds.

Locations around the world.

I don't think there is a call that we have that does not leave some level of impression, good, bad or indifferent on us. It is why we do what we do. Some calls we remember because of the positive impact we were able to make while other we spend a lifetime struggling to forget for the impact that they make on us.

On the EMS side....
While working for Abbey Richmond in White Plains on a Sunday morning back in the early 1980's. I was assigned as the paramedic on the transport ambulance and was told to return to the office. My EMT and I were told to go do a 2 man ambulette from Longview Nursing Home in W.P. to Grace Church on Main St in W.P.
We were told that there were no ambulette drivers working and the transport had to be done. When we arrived ( in an ambulette ) we found a 106 y.o. female named Clara Beech. She was allowed to leave the nursing home only once a year on her birthday, and for medical services. Clara was as alert as a 40 y.o. and could see as good as anyone thru her coke bottle thick glasses. She was packaged and wheeled out to the ambulette. As we got outside she broke out in a song of praise for the beautiful day the Lord gave her on her birthday. Now off to Grace Church we went. When we arrived you would had thought the Pope was coming to the church. The church was mobbed. We wheeled her into church all the way to the front where she was the center of attention, which she ate up.
We left her there and returned 2 hours later to take her back to the nursing home. To see the joy on this woman's face more then made up for the fact that an A.L.S. bus was taken out of service for an ambulette call.
Well if you think it ends here it only half over.
Fast forward 1 year. I was again working Abbey W.P. this time on Amb-1. When I reported for work I checked the transport booking slips for the day. Right on top was the slip for Clara to go to church for her 107th birthday. Again it would take the transport A.L.S. ambulance out of service. I told the Transport medic that I'd do the ambullete call and he cover the city. He thought I was nuts but he agreed.
When we walked into her room at the nursing home ( which was only about a 10 bed nursing home) she looked up saw me and greeted me by my first name. She then said "so you came back to take me to church on my 107th birthday". I could believe she remembered me.
Off to church we went again and there was another mob at the church for Clara's birthday.
When we picked her up for the return she asked if we could drive around a bit. We drove around W.P. for about 30 minutes as she gave us a guided tour of how W.P. use to be around the turn of the century. That's the 1800's into the 1900"s. She grew up in W.P.
I don't know what ever happened to Clara, but I think about those two birthday ambulette trips to church often.

McDonalds.

Locations around the world.

McDonalds.

Locations around the world.

McDonalds.

Locations around the world.

McDonalds.

Locations around the world.

NYS did not go from tier 2 to 6 in 5 years. It went from 5 to 6 in a short amount of time, not sure maybe a year. Prior people were hired at a level tier 4 from the early 90's to only a few years back. Not 100% sure but im close.

McDonalds.

Locations around the world.

It is my understanding based on a phone call too a friend that the units purchased in the region were $330,000.00 but the Yonkers unit was modified to accomplish local missions as well as the UASI Task Force Mission and cost over $400,000.00. Yonkers Police ESU were the lead on this project and are forming a task force which is going to consist of YPD ESU, YFD, Empress ambulance and OEM personnel. It will be a regional as well as a national asset and should be in service end of August. They haven't received it yet and have a lot of work still ahead before it hits the streets. Hopes this answers some of the questios.

Some interesting points from the report:

NYS has 1830 fire departments? That's crazy. Per capita, that's one fire department for every 9,500 people in the state (approximately).

But wait, NYC, has only one FD and the majority of the population. So backing that out it is really an entire fire department for every 5,200 people in the state (approximately). If each department has a budget of $100K, which is not a lot and probably captures a reasonable average between larger downstate departments and smaller, underfunded departments, the total cost of fire service in NYS is 183 MILLION dollars. And we still can't get a full response on every initial call. Wow!
Back to the original point of this thread.
If this sentence started without career, it would be a great line. Career FF have statutory minimum training despite all the AHJ and home rule comments made previously. It is definitely a double standard and should be fixed.

This is a fascinating thread and it is great to see such a discussion returning to EMTBravo.
One thing that piqued my interest is the issue of training availability and provision by local entities and/or fire districts. This link will take you to the OFPC report on training: http://www.dhses.ny.gov/ofpc/training/documents/2012-legislative-report.pdf
Of particular interest was (page 3):

It would appear that agencies can work with their county to provide additional training at the county's expense. If the county is unable or unwilling to provide funding for that training, the district could probably arrange with the county to provide officially sanctioned supplemental training that would meet everyone's needs.

The Statute (General Municipal Law 122-:

This is a fascinating thread and it is great to see such a discussion returning to EMTBravo.
One thing that piqued my interest is the issue of training availability and provision by local entities and/or fire districts. This link will take you to the OFPC report on training: http://www.dhses.ny.gov/ofpc/training/documents/2012-legislative-report.pdf
Of particular interest was (page 3):

It would appear that agencies can work with their county to provide additional training at the county's expense. If the county is unable or unwilling to provide funding for that training, the district could probably arrange with the county to provide officially sanctioned supplemental training that would meet everyone's needs.

Some interesting points from the report:

NYS has 1830 fire departments? That's crazy. Per capita, that's one fire department for every 9,500 people in the state (approximately).

But wait, NYC, has only one FD and the majority of the population. So backing that out it is really an entire fire department for every 5,200 people in the state (approximately). If each department has a budget of $100K, which is not a lot and probably captures a reasonable average between larger downstate departments and smaller, underfunded departments, the total cost of fire service in NYS is 183 MILLION dollars. And we still can't get a full response on every initial call. Wow!
Back to the original point of this thread.
If this sentence started without career, it would be a great line. Career FF have statutory minimum training despite all the AHJ and home rule comments made previously. It is definitely a double standard and should be fixed.

This is a fascinating thread and it is great to see such a discussion returning to EMTBravo.
One thing that piqued my interest is the issue of training availability and provision by local entities and/or fire districts. This link will take you to the OFPC report on training: http://www.dhses.ny.gov/ofpc/training/documents/2012-legislative-report.pdf
Of particular interest was (page 3):

It would appear that agencies can work with their county to provide additional training at the county's expense. If the county is unable or unwilling to provide funding for that training, the district could probably arrange with the county to provide officially sanctioned supplemental training that would meet everyone's needs.

That video simply highlights the fact that we have no EMS system in Westchester. We have a patchwork of different agencies doing different things with different resources hoping for a positive outcome and despite the best intentions of the people involved, we are nowhere near a solution.
A comprehensive approach is needed to address the problem and institute a true system.
If the six villages in Greenburgh, as an example, continue operating on their own little islands, they will fail. The notion that Irvington will put on per diem personnel for 451 calls a year at a cost of $288 per shift is just not sustainable.

If the six villages all do that the cost is prohibitive. But a town-wide solution would be much more cost effective based on the call volume.
There was also a lot of misinformation in that presentation. "Private services do not do emergency care, they do transport only". Really? Other assertions about the law were questionable and hopefully someone reviews them for IVAC and the village board.
It also baffles me that anyone is still proposing that DPW or other municipal agencies provide drivers during the day instead of fixing the broken EMS system.

That video simply highlights the fact that we have no EMS system in Westchester. We have a patchwork of different agencies doing different things with different resources hoping for a positive outcome and despite the best intentions of the people involved, we are nowhere near a solution.
A comprehensive approach is needed to address the problem and institute a true system.
If the six villages in Greenburgh, as an example, continue operating on their own little islands, they will fail. The notion that Irvington will put on per diem personnel for 451 calls a year at a cost of $288 per shift is just not sustainable.

If the six villages all do that the cost is prohibitive. But a town-wide solution would be much more cost effective based on the call volume.
There was also a lot of misinformation in that presentation. "Private services do not do emergency care, they do transport only". Really? Other assertions about the law were questionable and hopefully someone reviews them for IVAC and the village board.
It also baffles me that anyone is still proposing that DPW or other municipal agencies provide drivers during the day instead of fixing the broken EMS system.

She might be complaining even if not running for mayor. The difference is nobody would listening.

Retirement? Don't you have to have worked in order to retire? It will seem a little less like home monitoring 60 and not hearing the familiar voice of 607.

The problem is that the system is broken, and everyone is trying to fix individual pieces.

We have too many agencies, with too many UNDER Paid staff (mostly perdiems) and this just hurts everyone. Most agencies do not have thecall volume to justify paying people to sleep.
Just treats the symptoms.

I hate to tell you but your overall view is far to simplistic to the vast complexity of providing mass scale EMS. The system we operate in is dramatically smaller and some of the same issues are prevalent. In a municipal system the taxpayer ultimately decides what level of service they desire. Through the election process and voting on bonds, budgets, etc. they ensure that the level of service is no less than they are willing to pay for and most recently no more that the minimum they're willing to pay for as well.
Calls must be triaged in almost every system because the taxpayers don't want to pay people to sit around and do nothing. So there becomes a balancing point that a system has enough units available to answer true emergencies most days but know that the system will begin to fail (below stated response times, care levels) when the system is truly taxed. This is the same with all public services and actually most privates (they have to throw profit margin in as well int he decision process). EMS systems are pushed to failure daily nationwide, many time is places far less problematic than NYC. Hell can you imagine how easy the guys who plan NYC EMS would find a western city with flat well laid out (engineered) streets properly named and numbered?
Few if any systems are without flaws, diminishing the quality of the employees is not the answer to long response times and/or inadequate advanced care resources.