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Morning Lineup – March 11

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Monday Morning – Let's Save Some Money!

In these times of economic recession, municipalities and governmental agencies everywhere are searching for ways to reduce spending and thus shrinking their budgets.  Sometimes you can find savings tucked away in programs that are not so obvious unless you go looking for them.  And that's what the officials in the small city of Milton, Georgia (pop. 36,000) did.

Somebody in the Milton Fire Department discovered that the city was paying a premium to Rural/Metro Ambulance for "speedy service," i.e.: response times for critical care emergencies of under 8 minutes 90% of the time.  But Milton Fire Chief Robert Edgar says that their response time is averaging more than 11 minutes.

The northern portion of Fulton County, where Milton lies, is contractually covered by Rural/Metro for emergency medical service, but the selection of the provider is made by the county without any input from the localities.  Milton, knowing that it was being underserved due to location and call volume, pays a premium of an additional $132,000 annually.  But R/M has never met their obligation, primarily because they don't stage an ambulance close enough to the city for the promised coverage.

The Alpharetta – Milton Patch recently reported:

Chief Edgar said the Milton Fire Department is getting its fire engines to the scene quickly, so residents still were being treated within six minutes of the 911 call. He said the Milton response time average is 5 minutes, 40 seconds.

"We're putting a paramedic on that medical call within six minutes," he said.

The city's firefighter/paramedics have the same advanced medical care available that paramedics on Rural/Metro ambulances can provide, the fire chief said.

"The only thing we can't do is transport the patient to a medical facility for advanced care," he said. "I think that's a little more comforting" for city residents, he said. A serious medical situation will get two paramedics dispatched to the scene from Milton.

The Milton FD operates out of three fire stations.
17 of their firefighters are paramedics, all others are EMT's.
(photo of Truck 1 from Milton City website)

Last month the city decided to lop off the $11,000 monthly subsidy for service they never recieved and notified Rural/Metro that they would discontinue the policy within a few months.  Rural/Metro has also agreed to some other provisions that will enhance their service to the area and you can read all the details of this new plan in the Alpharetta – Milton Patch HERE.

So take a tip from the folks down in the Peach State and look for the obvious for some savings.  Those little bits add up.  First though, we need to get our own equipment checked out for today.  Expanded checklist on Mondays, so we'd better get started.  I'll see that the Bunn-O-Matic is filled when we get back to the day room and start talking about those overlooked places to save some money.  See you there in a little while.

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Rural Metro in Trouble With County Commissioners

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Tried To Conceal Medications Removed

CLARK COUNTY, INDIANA, COMMISSIONERS ARE considering cancelling their contract with Rural Metro for their ALS service following a serious breach of their obligation to provide full paramedic service.

The problem first came to light in December when a R/M paramedic radioed to the dispatcher that his unit was not carrying  Ativan, a drug used to control seizures.

WHAS-TV chased down a copy of the radio transmission in question and posted it in this video report:

 

All this was news to the county commissioners and the county board of health, all who thought that the ambulances were fully stocked with the drugs that their contract calls for.  In a subsequent investigation, WHAS found out:

It’s because of a DEA investigation into Rural Metro Ambulance when they worked out of Louisville. There was morphine and Valium missing from ambulances and the DEA was trying to figure out who took the drugs. Because of that investigation their paramedics were banned from carrying certain medications, medications used to stop seizures.

County commissioners thought the medication was on board and weren’t tipped off to what was going on until they heard calls from paramedics to dispatchers saying they didn’t have medication.

Rural Metro said they now have the medication on their ambulance, but the commissioners are still concerned about their contract with the company and have issues with the way things were handled.

The commissioners are understandably upset and they held a meeting Wednesday morning to discuss the situation with Rural Metro.  Following that meeting they said that they will decide by the end of this month whether to continue with Rural Metro or not.

Firegeezer comments:  By delaying the decision they have bought time to quickly arrange for alternative source of coverage if needed.

Read the entire stories posted by WHAS-TV online HERE and HERE.
Rural Metro WEBSITE.

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Another Stolen Ambulance

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Party Doll's Weekend Comes to Quick Conclusion

ANOTHER RURAL/METRO AMBULANCE was stolen Sunday morning in the Buffalo suburb of Amherst, New York.  It all began around 6:30 am when a policeman brought Heather Sullivan, 37 and drunk, into the emergency room of the ECMC hospital.  Once she was left unattended, she dashed out the ER entrance where she found the ambulance, also unattended and with  the keys in the ignition.  WGRZ-TV continues the tale:

She started heading east down Kensington Ave. with police in pursuit. Once she reached the first traffic circle, she lost control of the ambulance and went straight through the circle and continued towards the Walgreens. She slammed into a brick wall surrounding the parking lot, slowing her down before the ambulance came to a rest.

WIVB-TV

"Thank God she missed the building though. The brick wall stopped her, otherwise, she would have been definitely into the building," said Amherst Police Senior Investigator Scott Lawida.

The ambulance was heavily damaged due to the impact of the brick wall.

The woman has been arrested and charged with reckless endangerment, grand larceny, criminal possession of a stolen vehicle and other charges.

A Rural/Metro spokesman says that the ambulance will probably be a total loss with damages estimated at $80,000 to $100,000.  The police said that she was driving at an extremely high rate of speed.

WGRZ-TV filed this video report:

 

The Buffalo News has the STORY.
WIVB-TV has MORE.

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Fatal Ambulance Crash in Rochester

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Rural/Metro Ambulance Was on Non-Emergency Transport

Update, Tuesday am:  Amb. driver ticketed.  Scroll down.

AN AMBULANCE TRANSPORTING a Rochester, New York, nursing home resident to a hospital was struck broadside Sunday afternoon resulting in fatal injuries to the 82-yr.-old patient.

Democrat & Chronicle photo

The Rural/Metro ambulance was on a non-emergency transfer and was making a left-turn when a car coming the opposite direction slammed into the side of the ambulance.  Both of the medics were transported and the two people in the car, ages 84 and 92, were seriously injured. 

WHAM-TV Ch. 13 provided this video report from the scene:

 

Police have not yet determined which vehicle had the right-of-way.

The Democrat & Chronicle has MORE.

Update, Tuesday am:
The driver of the ambulance has been ticketed for failure to yield the right-of-way leading to the fatal crash on Sunday.
WHAM-TV Ch. 13 reports:

Brighton Police have charged a Rural Metro ambulance driver after a fatal crash Sunday. Police say Melissa Onderdonk, 43, turned in front of a car, causing the crash. She has been ticketed for failure to yield the right of way.

The accident killed Erwin Leonard, 82, who was a patient in the ambulance.

Monday evening Rural Metro released the following statement:

“Rural/Metro Medical Services deeply regrets the loss of life from yesterday’s accident. We are cooperating fully with the investigation by the Brighton Police Department and New York State Police. Rural/Metro Medical Services is conducting an internal inquiry as well, which will include a full review of applicable company policies and the procedures used in this case.

While the investigation continues, our ambulance crew members involved continue to recover from their injuries. Both crew members are dedicated professional first responders with many years of combined experience serving the public. Melissa and Dennis obviously have been personally affected by this tragedy along with our entire EMS staff.”

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