RE: City / County Ordinances

[Guest guest]

SAFD EMS will and does respond to Nursing homes if called. Most nursing

homes only call the private company that provides the non emergency transfers

for

them. Most of the time at a delayed response time to a FD EMS unit with no

First Response. A majority of this is lack of education on the staff part

because the Administrator says " Use only XYZ Ambulance "

WSWeeks

SAFD

FF/Lic-P

In a message dated 3/15/2005 10:11:03 AM Central Daylight Time,

bwoodward@... writes:

> Subj: RE: City / County Ordinances

> Date: 3/15/2005 10:11:03 AM Central Daylight Time

> From: bwoodward@...

> Reply-to:

> To:

> Sent from the Internet

>

>

>

>

> You really don't need an ordinance to stop that. Inform you law

> enforcement agency about the problem. You can enforce an ordinance that

> requires private services to obtain permission to run code through your

> city. The City of San has an ordinance that requires privates

> to obtain code 3 clearance through their EMS dispatch.

> Some cities (San included) don't respond to nursing homes for

> residents, regardless of the situation, part of that is because the call

> is turned in as a transfer (one medical facility to another and SAEMS

> does not provide transfers). You might educate your nursing homes

> facilities that in the event of a true emergency your system will

> provide that service at a much better level of care and response times

> will be greatly enhanced. Most nursing homes have contracts with the

> privates for the non-emergencies and inorder to keep those contract they

> tend to give the privates their emergency calls too!

> BH

>

> City / County Ordinances

>

>

>

> I am searching for anyone that has an ordinance prohibiting private

> ambulance services from responding Code 3 to a non emergent call.

>

> We are having an increase in private services responding to nursing

> homes

> Code 3. In my opinion should the patient require a Code 3 response from

> a

> private provider, they meet criteria for the local 911 service.

>

> Thank you in advance for any help. Please email me privately.

>

> Peggy Fonseca, EMT-P, CCEMT-P, FP-C

> Goliad County EMS Administrator

> P.O. Box 938

> Goliad, Tx 77963

>

> (fax)

>

> CONFIDENTIAL & PRIVILEGED

> Unless otherwise indicated or obvious from the nature of the following

> communication, the information contained herein is privileged and

> confidential

> information/work product. The communication is intended for the use of

> the

> individual or entity named above.

> If the reader of this transmission is not the intended recipient, you

> are

> hereby notified that any dissemination, distribution or copying of this

>

> communication is strictly prohibited. If you have received this

> communication in

> error or are not sure whether it is privileged, please immediately

> notify us by

> return e-mail and destroy any copies, electronic, paper or otherwise,

> which

> you may have of this communication.

>

>

>

[Guest guest]

38 years!!! would love to here some of your stores!!! best of luck

glad to you coming back!!!!jcs---

In , " Silsbee EMS " <silsbeeems@g...>

wrote:

> Louis I am 60 years old worked ems 38 years retired and am going

back to work part time for the competition you can bet it aint for

the money lol I have a good paying job now and am quitting to go

back to ems work at 7 dollars an hour less for the satisfaction I

get doing it. I have been giving pt care since 1966 until 2004 I

left a year and cant stand sitting at home knowing ( not really

sitting at home but not on a truck giving care ) I could be out

helping some body and not just sitting on my wrinkled butt at home.

Yall wish me good luck on my new venture I hope to continue giving

good pt care for the rest of my life, after having a mi and living

through it I know some things some of the young guys don't and it is

the support the patient needs is higher than just good training and

care they need mental support and that doesn't come from a desire

for a pay check. Sorry that some people don't seem to understand

that whither a pt is a 911 call or a transfer call they are afraid

at the time of needing you. I have transported my own doctor when he

had his MI you cant believe the strutting he did in the er about me

when he got able to work again. Blow you own horn but don't forget

why you are working in your chosen profession, I worked for the

state prison system in house security and I just could not deal with

the way things are there wake up dude those are people ( humans )

you are dealing with never ever think of a fellow human as beneath

you. Sorry Louis I hope every body understands that this was not

addressed to you I got carried away again and said more than I

should have again. In closing respect your fellow medics and by all

means each and every one of your patients.

>

>

> -------------------------------------------------------------------

-------------

>

> Re: City / County Ordinances

>

>

>

>

> In a message dated 4/4/2005 9:50:19 P.M. Central Daylight Time,

> silsbeeems@g... writes:

>

> The interesting thing is that 90 % of all those people had pt

care first and

> the bad ones were only there for a pay check and personal

glory. In closing

> I applaud all of you.

>

>

>

> Are you saying you know Medics in the business for the MONEY! I

find that

> hard to believe unless they truly have no ambition or idea what

one cam make

> doing just about anything else! LOL

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@a...

> (Home Office)

> (IFW Office)

> (Cell Phone)

> (IFW Fax)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the

author and the

> author alone. I in no way ever intend to speak for any person

or

> organization that I am in any way whatsoever involved or

associated with unless I

> specifically state that I am doing so. Further this E-mail is

intended only for its

> stated recipient and may contain private and or confidential

materials

> retransmission is strictly prohibited unless placed in the

public domain by the

> original author.

>

>

>

[Guest guest]

38 years!!! would love to here some of your stores!!! best of luck

glad to you coming back!!!!jcs---

In , " Silsbee EMS " <silsbeeems@g...>

wrote:

> Louis I am 60 years old worked ems 38 years retired and am going

back to work part time for the competition you can bet it aint for

the money lol I have a good paying job now and am quitting to go

back to ems work at 7 dollars an hour less for the satisfaction I

get doing it. I have been giving pt care since 1966 until 2004 I

left a year and cant stand sitting at home knowing ( not really

sitting at home but not on a truck giving care ) I could be out

helping some body and not just sitting on my wrinkled butt at home.

Yall wish me good luck on my new venture I hope to continue giving

good pt care for the rest of my life, after having a mi and living

through it I know some things some of the young guys don't and it is

the support the patient needs is higher than just good training and

care they need mental support and that doesn't come from a desire

for a pay check. Sorry that some people don't seem to understand

that whither a pt is a 911 call or a transfer call they are afraid

at the time of needing you. I have transported my own doctor when he

had his MI you cant believe the strutting he did in the er about me

when he got able to work again. Blow you own horn but don't forget

why you are working in your chosen profession, I worked for the

state prison system in house security and I just could not deal with

the way things are there wake up dude those are people ( humans )

you are dealing with never ever think of a fellow human as beneath

you. Sorry Louis I hope every body understands that this was not

addressed to you I got carried away again and said more than I

should have again. In closing respect your fellow medics and by all

means each and every one of your patients.

>

>

> -------------------------------------------------------------------

-------------

>

> Re: City / County Ordinances

>

>

>

>

> In a message dated 4/4/2005 9:50:19 P.M. Central Daylight Time,

> silsbeeems@g... writes:

>

> The interesting thing is that 90 % of all those people had pt

care first and

> the bad ones were only there for a pay check and personal

glory. In closing

> I applaud all of you.

>

>

>

> Are you saying you know Medics in the business for the MONEY! I

find that

> hard to believe unless they truly have no ambition or idea what

one cam make

> doing just about anything else! LOL

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@a...

> (Home Office)

> (IFW Office)

> (Cell Phone)

> (IFW Fax)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the

author and the

> author alone. I in no way ever intend to speak for any person

or

> organization that I am in any way whatsoever involved or

associated with unless I

> specifically state that I am doing so. Further this E-mail is

intended only for its

> stated recipient and may contain private and or confidential

materials

> retransmission is strictly prohibited unless placed in the

public domain by the

> original author.

>

>

>

[Guest guest]

38 years!!! would love to here some of your stores!!! best of luck

glad to you coming back!!!!jcs---

In , " Silsbee EMS " <silsbeeems@g...>

wrote:

> Louis I am 60 years old worked ems 38 years retired and am going

back to work part time for the competition you can bet it aint for

the money lol I have a good paying job now and am quitting to go

back to ems work at 7 dollars an hour less for the satisfaction I

get doing it. I have been giving pt care since 1966 until 2004 I

left a year and cant stand sitting at home knowing ( not really

sitting at home but not on a truck giving care ) I could be out

helping some body and not just sitting on my wrinkled butt at home.

Yall wish me good luck on my new venture I hope to continue giving

good pt care for the rest of my life, after having a mi and living

through it I know some things some of the young guys don't and it is

the support the patient needs is higher than just good training and

care they need mental support and that doesn't come from a desire

for a pay check. Sorry that some people don't seem to understand

that whither a pt is a 911 call or a transfer call they are afraid

at the time of needing you. I have transported my own doctor when he

had his MI you cant believe the strutting he did in the er about me

when he got able to work again. Blow you own horn but don't forget

why you are working in your chosen profession, I worked for the

state prison system in house security and I just could not deal with

the way things are there wake up dude those are people ( humans )

you are dealing with never ever think of a fellow human as beneath

you. Sorry Louis I hope every body understands that this was not

addressed to you I got carried away again and said more than I

should have again. In closing respect your fellow medics and by all

means each and every one of your patients.

>

>

> -------------------------------------------------------------------

-------------

>

> Re: City / County Ordinances

>

>

>

>

> In a message dated 4/4/2005 9:50:19 P.M. Central Daylight Time,

> silsbeeems@g... writes:

>

> The interesting thing is that 90 % of all those people had pt

care first and

> the bad ones were only there for a pay check and personal

glory. In closing

> I applaud all of you.

>

>

>

> Are you saying you know Medics in the business for the MONEY! I

find that

> hard to believe unless they truly have no ambition or idea what

one cam make

> doing just about anything else! LOL

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@a...

> (Home Office)

> (IFW Office)

> (Cell Phone)

> (IFW Fax)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the

author and the

> author alone. I in no way ever intend to speak for any person

or

> organization that I am in any way whatsoever involved or

associated with unless I

> specifically state that I am doing so. Further this E-mail is

intended only for its

> stated recipient and may contain private and or confidential

materials

> retransmission is strictly prohibited unless placed in the

public domain by the

> original author.

>

>

>

[Guest guest]

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

Sorry to offend any of you with my comments however based on my networking I

still don't believe that most 911 providers worked for a private first.

As far as medics in the state of Texas, I certainly believe that they are some

of the best in the world. I have been a part of this list since it started

several years ago and I have always been impressed with the standards in Texas.

As a matter of fact I am always complimenting on the way EMS is done in Texas

and have cited example in many of the committees that I serve on. One of the

reasons that I stay on this list is to check it frequently to learn from your

experiences.

I have also worked for a private ambulance company at one time and the stardards

are pretty low. One of the reason is because it is a " for profit " venture.

I also work for a fire based EMS service and some fire based EMS systems are in

business for job security. I think the best model is the 3rd service model and I

will always maintain that.

Both of these topics have been discussed numerous times before and there are

alway many different opinions.

Thanks for allowing me to submit my opinion.

Larry D.

___________________________________________________________________

Speed up your surfing with Juno SpeedBand.

Now includes pop-up blocker!

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[Guest guest]

Sorry to offend any of you with my comments however based on my networking I

still don't believe that most 911 providers worked for a private first.

As far as medics in the state of Texas, I certainly believe that they are some

of the best in the world. I have been a part of this list since it started

several years ago and I have always been impressed with the standards in Texas.

As a matter of fact I am always complimenting on the way EMS is done in Texas

and have cited example in many of the committees that I serve on. One of the

reasons that I stay on this list is to check it frequently to learn from your

experiences.

I have also worked for a private ambulance company at one time and the stardards

are pretty low. One of the reason is because it is a " for profit " venture.

I also work for a fire based EMS service and some fire based EMS systems are in

business for job security. I think the best model is the 3rd service model and I

will always maintain that.

Both of these topics have been discussed numerous times before and there are

alway many different opinions.

Thanks for allowing me to submit my opinion.

Larry D.

___________________________________________________________________

Speed up your surfing with Juno SpeedBand.

Now includes pop-up blocker!

Only $14.95/month -visit http://www.juno.com/surf to sign up today!

[Guest guest]

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers will

try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city. About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came to

town who wanted to increase profits by increasing our transfer load and as a

result, ambulances from neighboring areas were constantly running 911 calls

in the city. The medics that worked for this particular service in this town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is the

point that some of the folks on this board are trying to make.

[Guest guest]

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers will

try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city. About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came to

town who wanted to increase profits by increasing our transfer load and as a

result, ambulances from neighboring areas were constantly running 911 calls

in the city. The medics that worked for this particular service in this town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is the

point that some of the folks on this board are trying to make.

[Guest guest]

I worked funeral home service then transfer service then private 911 provider

than city 911 then back to private so how does that float your boat. In 36 years

you do a lot and all this howwie about 911 and private is hog wash . The quality

of the service provided is dependant on the individuals working the service at

the time.

--------------------------------------------------------------------------------

Re: City / County Ordinances

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

I worked funeral home service then transfer service then private 911 provider

than city 911 then back to private so how does that float your boat. In 36 years

you do a lot and all this howwie about 911 and private is hog wash . The quality

of the service provided is dependant on the individuals working the service at

the time.

--------------------------------------------------------------------------------

Re: City / County Ordinances

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

I worked funeral home service then transfer service then private 911 provider

than city 911 then back to private so how does that float your boat. In 36 years

you do a lot and all this howwie about 911 and private is hog wash . The quality

of the service provided is dependant on the individuals working the service at

the time.

--------------------------------------------------------------------------------

Re: City / County Ordinances

Larry,

I think you are correct. I never worked transfers before I worked 911.

There are many in the area that I live that do work a private transfer

company before they work for a 911 service for the fact that the city 911

provider

hired Paramedics only for a long time but now are hiring some EMT-I's. I did

not live in this area when I started in EMS and actually never did a

transfer until I was a Paramedic.

[Guest guest]

I think the point was trying to make is that it doesn't really matter

what the " service " does. What matters is the medics. Sure, the units may

be spread thin...that is what a lot of privates do in order to make money.

But, when that unit arrives on a call if the medics aboard treat the patient

the staff, nurses at the receiving hospital, etc with professionalism and

respect...most importantly the patient...then that is what matters. If the

management/owners do not want to add units, upgrade equipment, pay whatever

they should, replace stuff then the medics have to deal with it, move on or

(worst case) become more of the problem. I belong to another list

(ekg-club) where some of the frequent, and way-way knowledgeable

contributors, work at services that still use LP10s. And I can guarantee

that I would rather have them looking at my EKG from a LP10 and treating my

oh so feeble heart than 90% of the medics I know with a LP12 with all the

bells and whistles. If you are in this business to help people...DO IT.

If you are in this business to have people help you help people then you don

t belong in this business. This concludes my diatribe.

Chambers, LP

-- Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

I think the point was trying to make is that it doesn't really matter

what the " service " does. What matters is the medics. Sure, the units may

be spread thin...that is what a lot of privates do in order to make money.

But, when that unit arrives on a call if the medics aboard treat the patient

the staff, nurses at the receiving hospital, etc with professionalism and

respect...most importantly the patient...then that is what matters. If the

management/owners do not want to add units, upgrade equipment, pay whatever

they should, replace stuff then the medics have to deal with it, move on or

(worst case) become more of the problem. I belong to another list

(ekg-club) where some of the frequent, and way-way knowledgeable

contributors, work at services that still use LP10s. And I can guarantee

that I would rather have them looking at my EKG from a LP10 and treating my

oh so feeble heart than 90% of the medics I know with a LP12 with all the

bells and whistles. If you are in this business to help people...DO IT.

If you are in this business to have people help you help people then you don

t belong in this business. This concludes my diatribe.

Chambers, LP

-- Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

I think the point was trying to make is that it doesn't really matter

what the " service " does. What matters is the medics. Sure, the units may

be spread thin...that is what a lot of privates do in order to make money.

But, when that unit arrives on a call if the medics aboard treat the patient

the staff, nurses at the receiving hospital, etc with professionalism and

respect...most importantly the patient...then that is what matters. If the

management/owners do not want to add units, upgrade equipment, pay whatever

they should, replace stuff then the medics have to deal with it, move on or

(worst case) become more of the problem. I belong to another list

(ekg-club) where some of the frequent, and way-way knowledgeable

contributors, work at services that still use LP10s. And I can guarantee

that I would rather have them looking at my EKG from a LP10 and treating my

oh so feeble heart than 90% of the medics I know with a LP12 with all the

bells and whistles. If you are in this business to help people...DO IT.

If you are in this business to have people help you help people then you don

t belong in this business. This concludes my diatribe.

Chambers, LP

-- Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

I know of a city based ems 911 service that has to have privates to make 911

calls because they cant / don't have enough units to handle the calls

sooooooooooo.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers will

try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city. About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as a

result, ambulances from neighboring areas were constantly running 911 calls

in the city. The medics that worked for this particular service in this town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is the

point that some of the folks on this board are trying to make.

[Guest guest]

I know of a city based ems 911 service that has to have privates to make 911

calls because they cant / don't have enough units to handle the calls

sooooooooooo.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers will

try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city. About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as a

result, ambulances from neighboring areas were constantly running 911 calls

in the city. The medics that worked for this particular service in this town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is the

point that some of the folks on this board are trying to make.

[Guest guest]

I know of a city based ems 911 service that has to have privates to make 911

calls because they cant / don't have enough units to handle the calls

sooooooooooo.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers will

try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city. About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as a

result, ambulances from neighboring areas were constantly running 911 calls

in the city. The medics that worked for this particular service in this town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is the

point that some of the folks on this board are trying to make.

[Guest guest]

Thank you.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

Thank you.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

Thank you.

--------------------------------------------------------------------------------

Re: City / County Ordinances

,

I agree to a point. Yes, it does depend a lot on the quality of the

individuals working for a service; however, many of the private providers

will try to

get by with as few units as possible to cover the emergency calls. I had

worked for a private for profit provider that covered a particular city.

About

80% of our calls were 911 and the other 20% were either hospital to hospital

transfers or hospital back to the nursing home transfers. A new manager came

to

town who wanted to increase profits by increasing our transfer load and as

a

result, ambulances from neighboring areas were constantly running 911

calls

in the city. The medics that worked for this particular service in this

town

were some of the best that I have ever worked with. Despite the fact the

medics were excellent, the response time still suffered due to the lack of

available units in service. You simply cannot skimp on 911 to make a profit

with

transfers and expect to keep a contract for very long and I think this is

the

point that some of the folks on this board are trying to make.

[Guest guest]

I know of some also. A manager or chief needs to constantly look at the

statistics on call volume, areas or districts that have a high concentration of

calls, budget and be able to recruit and retain medics to adequately cover a

city.

[Guest guest]

I know of some also. A manager or chief needs to constantly look at the

statistics on call volume, areas or districts that have a high concentration of

calls, budget and be able to recruit and retain medics to adequately cover a

city.