Rockingham County EMS Operations System
Rockingham County EMS relies
heavily on EMT first responders from local volunteer fire departments and
rescue squads to begin patient care prior to the arrival of our Paramedic
ambulance.
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First Responders assess the
Patient and perform any Basic Life Support (BLS) treatment necessary
including; cardiac defibrillization, CPR, hemorrhage control, and
administration of oxygen. They may also assist the patient in taking their
own prescribed medications and administer epinephrine to treat a
life-threatening allergic reaction. When the Paramedic ambulance
arrives any advanced life support (ALS) care needed can be administered at
that time. This includes inserting a tube into a patient's lungs who is
unable to breathe on their own, starting any IVs that may be necessary,
cardiac monitoring with EKG interpretation and administration of critical
care medications.
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Due to the performance of
invasive procedures and the broader scope of practice, Paramedics require a
higher level of training than EMTs. More than 1000 hours of initial
education is required in addition to monthly continuing education and
frequent hands on skill competency evaluations once Paramedic level
certification has been reached. In comparison, EMT certification requires
only 120 hours of classroom time.
System Organization
All emergency calls outside of
the cities of Eden and Reidsville go directly to the 9-1-1 Center located in
Wentworth. There the call is categorized by complaint and sent to a
Telecommunicator. On average there are four Telecommunicators on duty per
shift and each one is assigned to handle a specific agency, i.e. Sheriff,
County Fire, Madison Police or EMS. Rockingham County EMS responds to all
medically related 9-1-1 calls and also provides the non-emergency transports
within and out of the County.
All of our ambulances are staffed with 2 personnel, of which at least one is
at the Paramedic level. All of our personnel are certified at the
state and local levels with some being Nationally Registered Paramedics
Critical Care Paramedics and Tactical Paramedics. In
addition, Rockingham County EMS is assisted by Reidsville Fire Department,
Eden Fire Department, numerous county volunteer fire departments, Reidsville
Rescue, Eden Rescue and Madison Rescue.
| All of our on-line ambulances are
Type III models, which provide a passageway connecting the patient
compartment with the driver's compartment. This provides easy access and
ability to communicate between the attendant and the driver. We currently
operate 4, 24-hour ALS ambulances, 2 12 hour ALS ambulances, and 1 QRV
(quick response vehicle) that is staffed with 1 Paramedic to provide
care until the transporting ambulance can arrive.
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These ambulances respond from stations located around the county. Base 3 is
located in Reidsville and houses 2, 24-hour ambulances; Base 1 is located in
Eden and houses 2, 24-hour ambulances and our prime time unit. Base 2 is
located in Mayodan and houses 1, 24 hour unit, Base 6 is located in
Huntsville with 1 24-hour unit and Base 4 is located at the Bethany Fire
Department and houses our 24-hour QRV.
Employees
Currently we employ 38 full-time
and 46 part-time field personnel working at the Paramedic or EMT levels.
Full-time employees work either a 24/48 or a 12 hour shift. Part-time
employees are scheduled to fill hours for full time employees who are off
with vacation or sick leave, staff the Prime-Time Unit (M-F 8:00am-4:00pm)
and to help fill openings generated by attrition. All of our employees must
pass written and hands on testing, psychological evaluations and a drug
screening, in addition to a physical agility test, in order to be considered
for employment.