U.S. Fire Administration Library Citation(s)

 
Call Number:

27701

A study to determine the feasibility of implementing the paramedic engine concept in the West Covina Fire Department

Author(s):Janis, Joseph H. ; West Covina. Fire Department.
Description: 37 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 1997
Identifier/s:Accession No.: 89082/ OCLC Record No.: 488531247
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. ADVANCED LIFE SUPPORT 2. BASIC LIFE SUPPORT 3. EMERGENCY MEDICAL CARE 4. ENGINE COMPANIES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The primary mission of the West Covina Fire Department is no longer preventing and suppressing fires. The primary function of our department is now to provide emergency medical care to our community. Although our primary mission has changed, the way in which we deliver services has not changed in the past 25 years. Engine companies provide basic life support (BLS) measures and paramedic squads provide advanced life support (ALS). We have only two paramedic squads providing ALS for the entire city, while we have five engine companies performing BLS for the same area. This greater coverage area for paramedic squads leads to higher response times for the delivery of ALS measures. The purpose of this report was to further examine the paramedic engine company concept and determine if it was feasible for the City of West Covina. When it was determined that the concept was advantageous for the community, an attempt was made to implement the change by using methods used in the Strategic Management of Change Course. The historical, evaluative, and the action-research methodologies were used. The following research questions were answered: 1. Has the paramedic engine company concept improved services and has it been cost effective in other communities? 2. What problems have been encountered by others who have implemented this program? 3. Would the paramedic engine company concept be cost effective in West Covina? 4. Would the city management and the city council support this concept? 5. How will the labor union react to this change? Historical research was conducted by reviewing books, journals, and other documents from the National Fire Academy that were relevant to this area of study. Surveys were sent to fire departments that had been utilizing paramedic engines, and two formal interviews were also performed. Financial statistics were obtained from the city's finance department, and a cost analysis was completed on a proposed reorganized delivery system. A staff report was written and a presentation was made to the fire chief, city manager and city council. Information about the desired change was provided to labor via e-mail and informal meetings. Although all results that were obtained from other organizations were positive and all the steps of effective change were completed, the time allotted for this project was not enough to implement the change. A request was made to the city manager and to the city council to authorize staff to enter the paramedic engine company concept into the meet and confer process. Phase I (Analysis) and Phase II (Planning) of the Strategic Change Model were completed. Phase III (Implementation) was not completed since the city council's authorization was only recently obtained for the implementation of paramedic engines and to begin the meet and confer process.
Notes:West Covina, CA; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

28231

A study to determine if paramedic engine companies would provide a more efficient level of service for the Alhambra Fire Department

Author(s):Mosack, Raymond A. ; Alhambra. Fire Department.
Description: 66 p.
Publication Data:Emmitsburg, MD : National Fire Academy. April 1998
Identifier/s:Accession No.: 90891/ OCLC Record No.: 483031082
Type of Item: (EFO PAPER) EFO PAPER

PDF

Sections of this paper not on the Internet.
www.usfa.fema.gov/pdf/efop/efo28231.pdf (137kb)
Subjects:1. BASIC LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. FIRE DEPARTMENTS 5. PARAMEDICS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The increasing role of emergency medical services (EMS) in the Fire Service forces fire administrators to look at alternatives to providing these services. The purpose of this research project was to establish if the Alhambra Fire Department could provide a more efficient and cost effective delivery of EMS through the implementation of Paramedic Engine Companies using existing resources. This would include maintaining ambulance transportation utilizing (non-sworn) Emergency Medical Technician - 1's (EMT-1's). Evaluative and action research methodologies were used in this research to answer the following questions: 1. Is the Department efficiently and effectively utilizing its personnel resources? 2. Does the Department have resources in place to establish paramedic engine companies? 3. Does the Department meet its operational objective of providing equal levels of emergency medical services to all four fire station jurisdictions on an initial response basis? 4. Does historical data support the implementation of basic life support (BLS) ambulances? 5. Is research available to support the concept of paramedic engine companies? An assessment was conducted on how the Department currently delivers emergency medical services. Fire Department resources were evaluated to establish if they were effectively utilized in an efficient manner. Historical data was analyzed to establish patient populations based on call type and level of care provided. Literature was reviewed from a company that provides contract employees for two other fire departments in Southern California. Financial data was obtained and reviewed from the city finance department detailing the personnel cost of firefighter paramedics. Alhambra units response times were analyzed on an initial response for EMS calls. The findings of the research support the concept of paramedic engine companies for the City of Alhambra, while implementing BLS ambulances staffed by EMT-1's, non-sworn employees. This, however, is predicated on further studies to address some operational concerns brought to light as a result of this study.
Notes:Alhambra, CA; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]