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Q&A

Ariola asks call taker staffing and safe hold numbers

New York City Council · Oct 20, 2026 · starts 0:50:32 · 2 min 45 sec

Ariola asks how EMS call takers are scheduled and what number of held calls the system can safely handle. Miano says call takers are staggered based on historical volumes, and he explains that the system prioritizes high-acuity calls and redirects ambulances rather than using a fixed safe hold number.

Joann Ariola

So how?

Joann Ariola

How often and what are the number of EMS call takers that EMS call takers are available?

Paul Miano

So EMS call takers are scheduled in a staggered.

Paul Miano

They report in a staggered manner throughout the day based on historical call volume highs and lows.

Paul Miano

So at our peak time, we are staffed with the peak amount of call takers that we have.

Paul Miano

In our off-peak times, we work on staggering up and staggering down.

Paul Miano

But I will defer to Chief Werner for more clarification.

Denise Werner

Our baseline schedule is a three, eight and a half hour shift around the clock.

Denise Werner

And then I stagger the 12 hour members throughout the day into the evening when our call volume increases.

Joann Ariola

Okay, so.

Joann Ariola

For lack of a better word, what, in your opinion, is the safe amount of calls to be on hold that the system can handle in the current staffing state?

Paul Miano

Could you just repeat that one more time?

Paul Miano

Sorry.

Joann Ariola

So what do you believe is a safe amount of calls to be on hold in the system that the system now can handle in its current staffing state?

Joann Ariola

200 calls, 100 call.

Joann Ariola

Like if you get an average of 100 calls in a day, and I'm making that number up, and now you've got 200 calls that day, what's the breaking point?

Paul Miano

So I think it's...

Paul Miano

It's much more dynamic than it being so black and white to be able to just come out with a number, right?

Paul Miano

38% of the calls that we receive every day are what we consider to be high acuity or life-threatening.

Paul Miano

So that means the other 62% calls that come in are not considered life-threatening or high priority.

Paul Miano

So we do not want our life-threatening.

Paul Miano

assignments to hold at all.

Paul Miano

And that is why the system is designed where if we are responding to a low acuity assignment, an ambulance is redirected to a higher acuity assignment.

Paul Miano

So there is no number, right?

Paul Miano

There's no exact number that I could give you that would make any sense because it varies so much, not just day to day, but hour to hour and literally moment to moment.

Paul Miano

Like I mentioned to the speaker, we had several ambulances responding to the

Paul Miano

constituent's injury, but they were redirected because someone else called and they were having what is considered a life-threatening emergency.