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Q&A

Werner walks through overflow call handling when no call taker is available

New York City Council · Oct 20, 2026 · starts 2:05:02 · 1 min 53 sec

Ariola asks step by step what happens when no EMS call taker is available. Werner says NYPD releases the call to an EMS overflow position with a code, and the call taker enters the incident based on that code; if no call taker is available, it still goes to overflow.

Joann Ariola

Okay, so I want to go back to you, Chief Werner.

Joann Ariola

Step by step, what happens when no EMS caller is available and a call comes in and it's taken?

Denise Werner

PD will release the call to our overflow position, which we refer to as relay.

Denise Werner

It will come with a code.

Denise Werner

And there's a call taker seated there that manages that work.

Denise Werner

And they will put the job into the system, the incident into the system based on the code.

Joann Ariola

Okay, and if the call taker is unavailable?

Denise Werner

At the time that this incident occurred?

Joann Ariola

At any time, if a call taker is not available.

Denise Werner

Any time there is not a call taker available, correct.

Denise Werner

It goes to the overflow position.

Joann Ariola

It goes to the overflow, and then it goes to low acuity, right, number five.

Joann Ariola

Not always.

Joann Ariola

Or highest of low acuity.

Denise Werner

It could be higher.

Denise Werner

No, it could be a higher acuity.

Denise Werner

It depends on PD interviews the caller first.

Denise Werner

They get the address, the borough, and they ask what's the emergency.

Denise Werner

And that information is transcribed into what they categorize their code as.

Denise Werner

Some of them are pretty broad.

Denise Werner

There could be multiple things occurring that it would take that type of code.

Denise Werner

They need that code to enter the system.

Denise Werner

They need that code to enter it to us.

Denise Werner

And then we take that code and we have a list of what each code represents.

Denise Werner

And that's how we acquire the unknown call type.

Joann Ariola

And how long does it usually take for an unknown to get properly categorized?

Denise Werner

As soon as it hits their terminal, they can have it categorized within 30 seconds.

Denise Werner

It's not...

Joann Ariola

Right, but we may not have...

Joann Ariola

have an ambulance to respond.

Denise Werner

Well, once we entered into the system from the call-taking perspective, then it gets sent immediately to a dispatcher.

Joann Ariola

Right.