EMS System Review - State of New Jersey

State of New Jersey, DHSS, OEMSConsulting Services: EMS System Reviewrevocation.Recommendation41. Adopt the above reallocation of EMS JEMSTAR funding to positively affect all aspects ofthe EMS System. This should be reevaluated in two years to determine if reallocation isnecessary.42. Licensed commercial air medical services should be allowed to function as a back-up tothe JEMSTAR system. JEMSTAR should continue to revise the dispatch and responseprotocols to refine the current process. Commercial units are encouraged to carefullyconsider the profitability of commercial air medical services.43. Quality management of medical priority dispatch must be established for ALS services tobe efficient.44. Eliminate the use of ALS projects as de facto cover for BLS services. Consider usingcommercial services for back-up BLS transportation or fire services for BLS first response.45. Medical directors should determine which patients ALS units can transfer care to afterassessment or treatment.46. Allow ALS projects to provide patient transportation. 11147. Modify legislation and regulation to allow ALS transport units to be staffed by oneparamedic and one EMT and non-transport units to be staffed with one paramedic. TheALS project medical director can mandate minimum staffing for the specific unit.48. EMS organizations should be allowed to provide ALS if they meet the project guidelines setby the NJOEMS.49. New Jersey should not pursue adding EMT-Intermediate as an EMS provider level. 11650. Allow non-firefighter paramedics and EMT-Bs into the Fire and Police Pension System.Alternatively, create a special section in PERS for paramedics and EMT-Bs.51. Encourage EMS and other healthcare professionals to cross-train, but provide a careerpath for those wishing to make EMS a career. Education programs build bridges instead ofwalls for those wishing to further their education.52. New Jersey community colleges and four-year colleges who provide EMS managementprograms should consider adopting the FESHE curriculum. Training programs shouldtarget the four EMS management levels identified above.53. EMS managers should take advantage of EMS training programs sponsored by theNational Fire Academy, the American Ambulance Association and other privateorganization.54. Schools, social organizations and volunteer EMS organizations should provide earlyexposure to EMS for our children and adolescents. This helps provide a realistic andmentored approach to guiding adolescents and young adults to a career in EMS.55. Volunteer EMS leadership should support EMT-B as the standard for BLS care andadvocate for diverse methods of education that will increase accessibility to training.Page105105110110110114114122123123123124126TriData, a Division of 132September 2007System Planning Corporation