RECRUI T ONBOARD ASSESS TRACK PLUS: AWARD-WINNING
SCHEDULE A FREE
Streamlining the process of attracting, identifying and building skilled EMS workforces.
“Avesta allowed us
to further cultivate
that continues to
Human Resources Generalist
Cataldo Ambulance Service, Inc.
For more information, visit JEMS.com/rs and enter 12.
In the world of rehabilitation, “ROSC” is an
acronym for a recovery-oriented system of care.
This type of response is a more promising system focus for EMS and public safety than our
current response models. The real challenge is
how we transition to that new model of care.
OFFER A SAFE STATION
Addicts trying to quit drugs and
escape environments where they’re
likely to use again have few options
when it comes to finding immediate rehabilitation support. While
working in two separate counties
in Western Pennsylvania, I saw
patients faking suicide attempts
to get entry into rehab programs.
Despite the presence of intake
centers and recovery specialists in
these communities, addicts often
fear legal entanglement and are
embarrassed to been seen entering traditional
One low-cost intervention that commu-
nities can implement to transition to a more
effective approach comes from a model pro-
gram in Manchester, N.H. In Manchester, peo-
ple who want to enter recovery have a different
option. All fire stations in the city have been
designated as safe stations for people who
want to get into recovery. 1
The process starts when someone walks
into the station seeking help. If firefighters
determine that the patient needs immediate medical care, they call for an ambulance.
Otherwise, they call a local treatment center
to transport the patient directly to their facility. After hours, a certified recovery specialist
or a licensed drug and alcohol counselor will
talk with the patient and arrange a safe place
to spend the night until they can be admitted
the next morning.
If the patient has illegal substances or
firearms on them when they arrive, the police
are called to dispose or take possession of the
materials. If the patient has an outstanding
warrant for violent or serious crimes, the individual is brought to the police department to
resolve the warrant, but most criminal justice
matters are put “on hold” until the
patient finishes their treatment.
The initiative, which launched
in 2016, has already helped approximately 1,100 individuals. 2 Costs
associated with the program are
minimal, and come from equipping
each station with a disposal bin for
needles and other paraphernalia.
The primary response to a 9-1-1
call for an overdose will always
include a resuscitative focus; however, once
the patient is revived, most systems have lit-
tle to offer in the way of providing follow-up
support. One option for communities is to pro-
vide a warm handoff from the 9-1-1 response
to the systems available to help with recovery.
Provide a visit by a community paramedic
The ROSC rate or the
reversal of respiratory arrest
alone isn’t an adequate
measure of success in