Alamance County EMS has four 24 hour shifts. Each shift has its own Supervisor and Assistant Supervisor.
There are 18 - 19 EMT/Paramedics per shift. Every shift has 7 - 8 ALS (Advanced Life Support) units, including the three Medic Trucks that run 24 hours. Two BLS (Basic Life Support) units are staffed Monday thru Friday 7 a.m. until 6 p.m.
County & City Fire Departments assist ACEMS on medical calls and motor vehicle accidents. First Responders with the fire departments arrive on the scene and are able to assess the patient and perform basic life support before the ambulance arrives. This can include CPR, vitals signs, spinal immobilization and administering oxygen.
Once the ALS transport unit arrives on the scene, Paramedics can begin providing the patient with advanced life support. Cardiac monitoring, establishing IVís, maintaining an airway, administering medications can all be done while en route to the hospital.
The two BLS units transport patients to and from doctorís appointments, back to the patients home or a nursing facility after discharge from hospital. These units also will back up the ALS units when all units are out on calls.
At the beginning of each shift, personnel do daily checks of the units to check all equipment and supplies. In addition to the units being checked and cleaned, base duties are done each morning.