Narcisse asks how many 911 calls do not need ambulance transport
Narcisse asks whether FDNY tracks how many calls crews determine do not need emergency care or transport. Miano says EMS does not tell people they do not need care; if a patient wants transport, EMS provides it, and refusal is handled through an RMA.
One of the things, I don't know if I forget, forgive me, I don't know if the chair had asked that.
How many 911 did your crews determine on the scene did not need emergency care or an ambulance transport?
Do you track that number?
We have the number of ambulance transports.
No, my question is, I mean, on the scene,
That they don't need the emergency at this point.
So when we arrive at the scene, we don't tell someone they don't need emergency care.
If they want to be transported to the hospital, we transport them to the hospital.
If someone says, I just want to be evaluated, I just want my blood pressure taken, right?
And we take their blood pressure and everything seems like it's okay, and the patient decides they don't want to go to the hospital, that's where that RMA that we spoke about earlier comes into play.
But we don't go to someone's house or the location where an ambulance is called to and tell them that we're not taking them to the hospital.
Okay.
RMA would be very good at that point.
Because if the person qualified to tell the person, whoever that they are assessing, they're good, they have the training, they're one of the best, right?
So taking them to the hospital, I don't know.
I mean, as a registered nurse, I don't know.
Because if they don't need it,
That's how we end up with the freaking flyers in the ER that make over, you know, overloaded the ER too.
So is that a way we can?
I think that it's some kind of, it needs more discussion, right?
I don't think that, but if someone calls for an ambulance, right, our job is to respond, evaluate, treat, and transport.
And if they want to be transported to the hospital, we take them to the hospital.
Yeah.
I mean, that's a tough one, Chair.
You agree?
Yeah, and also, right, we can't just abandon a patient.
There's state regulations on abandonment, and we can't just tell somebody we're not taking it and walk away.
I got that.
But, yeah, that's a tough one.
Because that's why now I know why I was getting frequent fires for no reason.
Because they call 911, they get in.
So, Chair, I think I've finished with my question because that's been a long process.
I don't know if you have any more questions.
Oh, I just want to mention that Council Member Albadal has joined us.
And if the council members do not have any further questions, Council Member Ressler.
Sure.