How Is Peak Load Staffing, Unit Hour Utilization and System Status Management Used in the Fire Service and Ambulance.

Also, EMS works best with multiple different smaller objects working together to be come one large functional unit. At one time each shift can carry up to 30 people divided into two supervisors. This is the definition of chaos that brings order. Each crew member can run 15 different calls at one time. Some of these calls require a supervisor’s

Having adequate resources, including personnel, equipment, and water is essential to a successful operation. Improper implementation of the ICS system, as well as not having accountability for the firefighters involved in a fire as large as the Pawtucket event, are serious safety issues that could have proved disastrous for the firefighters in this incident. Safety is the first rule in firefighting with the end goal that everyone goes

Inherently the fire service operates in high-risk environments to facilitate the role of preserving life safety and property conservation. How these incidents are managed and safeguarded by our administration

The fire department and The EMS have been working together for long period of time. Emergency medical services has different types of rank and responsibilities such as emergency medical responder who “are volunteers, provide basic, immediate care including bleeding control, CPR, AED, and emergency childbirth. An EMR, with the help of an EMT, can assume care for a patient while that patient is being transported”. Emergency medical technician includes all EMR skills, advance oxygen and ventilation skills, pulse oximetry, noninvasive blood pressure monitoring, and administration of certain medication. Advance emergency medical technician knows all EMT skills, advanced airway devices, intravenous and intraosseous access, blood glucose monitoring, and administration of additional medications. Paramedic includes all AEMT skills, advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions. Critical care paramedic specialize in the management of critical trauma and medical patients during interfacility ground and aeromedical transports. Skills performed by CCPs include ventilator management, IV pump infusion maintenance, aortic balloon pump monitoring, and specialized hemodynamic monitoring, although in some states some of these skills are performed by Paramedic level providers due to a lack of a separate level of licensure or classification as "Critical Care". Often

Another example of an emergency service is the Fire and Rescue service. They work with the public in many ways; one way is to make house calls to the elderly to make sure that they have the necessary equipment like fire alarms to ensure safety in the home. Another form of support that the fire service provides to the public is they have youth schemes an example of this the “Safe Drive Stay Alive” program that they run for secondary schools and colleges. These youth schemes also allow members of the fire service to go into schools and youth groups and talk to them about the dangers of fires and how they can be prevented.

Each year in the United States approximately 114 million people visit their local Emergency Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS). (Board et al.) Health care in America has moved from an individual, fee-for-service health care system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is a government controlled healthcare system, and is set up to be a value-based payment system. The ACA will expand and transform the roles of EMS within the healthcare system. EMS’s ability to survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F. Kennedy had this to say about change, “Change is the law of life. And those who look only to the past or present are certain to miss the future.” (BrainyQuote) In order for EMS to thrive in the changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in their clinical practices. There are three other areas that will be discussed at length, EMS agencies should be actively pursuing a community paramedicine program, EMS using remote telemedicine and EMS moving towards a value-based payment system.

Emergency telecommunications otherwise known as 911 dispatching is a fast paced and exciting work environment. During a twelve hour shift, the dispatchers never know what is going to occur, nor do they know when it is going to occur. Hours of boredom can be followed by minutes of sheer panic and terror. They deal with everything from domestic violence to medical calls, traffic stops to house fires. A 911 dispatcher doubles as a communications liaison for police officers, deputies, medical personnel, and fire fighters. Emergency telecommunications often known as dispatching can be broken down into four major categories: law enforcement, fire, emergency medical, and call taking/administrative.

The Ambulance Service – it is important in the public services because Ambulance services help many people with serious or life-threatening conditions. They also provide a range of other urgent and planned healthcare and transport services.

Tactical medicine is an important part of the EMS system because of the many violent scenes ems personnel respond on. Tactical EMS members would be used in more of and active shooter situation where there is still a definite hot zone and a threat to first responders and civilians. There is a statistic from the FBI that states that 1 out of 10 officers are assaulted in their career.

Non-compliance regarding the fire drill data occurs on the 2nd and 3rd shifts; this is usually when there is no leadership present on the hospital campus. This would lead one to believe that the staff is only compliant with the drills when leadership is physically on the hospital campus to play “watchdog.” A solution to help this non-compliance behavior is to have leadership present during all hours and complete rounding to ensure staff is compliant with the drills. This is important because the drills have an effect on life safety.

EMS services have been around for quite some time, but during the 1960’s it had more of an interest. “The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces.” (Manish N. Shah, 414). The field that I am interested in is Health and with in the field of Health I want to investigate and focus on an EMT (Emergency Medical Technician). The reason for this is because this is a field I am actively interested in and want to make a career out of in my future. EMT, paramedic and firefighters are part of a 911 dispatch call that will be there with in minutes and have the ability to save and better the patients life on the scene

Urgent Ambulance Services is a company that is to service its community by providing urgent and non-emergency medical pre hospital care. The organization would be serving their communities by promoting health, and safety educations in the communities they service. The organization is to educated young and old of First Aid, CPR, and safety to install the awareness and promote healthy choices. The organization is to also provide effective and prompt pre-hospital Medical services to community that calls for any non-emergent and emergency medical help, and transportations.

The Emergency Medical Service(EMS) are the people who will usually respond to a 911 call relating to medical emergency.

A literature review was conducted on the subjects of time management, staffing, and hour allocation for the environmental factors. The same review was conducted on the attitudinal factors of firefighters related to preplanning. The National Fire Protection standard 1620 Standard for Pre-Incident Planning (NFPA 2015) was reviewed along with reviews of past research papers and emails to fire departments to see what procedures have been used

However, I believe that with the help of special interest groups and advocates speaking with representatives that with enough movement the issue can be discussed. Another major issue that may arise once there is a requirement for departments to incorporate a health and wellness is compliance. However, I feel like this was a similar challenge that was a concern when NIMS was enforced to create interoperability. Like the NIMS implementation I believe that creating a more firefighter focused fire service will be supported by enough departments that it can be successful carried out. The last obstacle that may occur is funding grants for firefighter survival training. To overcome this challenge there may need to be a change of focus in funding opportunities in the emergency services to support the betterment of those serving the communities around the