Quoted from DemocraticVoiceOfReason

I didn't quit -- I stepped UP into something that has allowed me greater financial freedom.

Quoted from marymagdelene1234

I guess "squatting" gives you financial freedom...............

Quoted from bumblethru

This medical board should consist of some 'residents' who aren't 'connected'!

Quoted from bumblethru

This medical board should consist of some 'residents' who aren't 'connected'!

Quoted from TippyCanoe

and just what will this board decide???

ALS or BLS?

more or less or less or more?

will logic or emotion apply?

Quoted Text

Section 3004-A. Regional Emergency Medical Advisory Committees.
1. Regional emergency medical advisory committees shall develop policies, procedures, and triage, treatment, and transportation protocols which are consistent with the standards of the state emergency medical advisory committee and which address specific local conditions. Regional emergency medical advisory committees may also approve physicians to provide on line medical control, coordinate the development of regional medical control systems, and participate in quality improvement activities addressing system-wide concerns. Hospitals and prehospitalmedical care services shall be authorized to release patient outcome information to regional emergency medical advisory committees for purposes of assessing prehospital care concerns. Regional quality improvement programs shall be presumed to be an extension of the quality improvement program set forth in section three thousand six of this article, and the provisions of subdivisions two and three of such section three thousand six shall apply to such programs.

2. The committee shall nominate to the commissioner a physician with demonstrated knowledge and experience in emergency medical services to serve on the state emergency medical advisory committee.

3. No civil action shall be brought in any court against any member, officer or employee of the committee for any act done, failure to act, or statement or opinion made, while discharging his or her duties as a member, officer, or employee of the committee, without leave from a justice of the supreme court, first had and obtained. In no event shall such member, officer, or employee be liable for damages in any such action if he or she shall have acted in good faith, with reasonable care and upon probable cause.

4. Any decision of a regional emergency medical advisory committee regarding provision of a level of care, including staffing requirements, may be appealed to the state emergency medical advisory committee by any regional EMS council, ambulance service, advanced life support service, certified first responder, emergency medical technician, or advanced emergency medical technician adversely affected. No action shall be taken to implement a decision regarding existing levels of care or staffing while an appeal of such decision is pending. Any decision of the state emergency medical advisory committee may be appealed pursuant to subdivision two-a of section three thousand two-a of this article.

Section 3005. Ambulance Service Certificates.
1. No ambulance service operating for profit, hospital ambulance service or municipal ambulance service of a city of over one million population shall operate on or after September first, nineteen hundred seventy-five unless it possesses a valid ambulance service certificate issued pursuant to this article. Effective January first, nineteen hundred ninety-seven, no ambulance service shall be operated unless it possesses a valid ambulance service operating certificate issued pursuant to this article or has been issued a statement of registration. No advanced life support first response service shall operate unless it possesses a valid advanced life support first responder service operating certificate. Effective January first, two thousand, no ambulance service shall be operated unless it possesses a valid operating certificate.

2. The department shall issue an initial certificate to an ambulance service certified prior to the effective date of this section upon submission of proof that it is the holder of a valid ambulance service certificate and is otherwise in compliance with provisions of section three thousand nine of this article.

2-a. Prior to January first, two thousand, the department shall issue an initial certificate to a registered ambulance service in possession of a valid registrationprovided that such service has been issued an exemption issued by a regional council pursuant to subdivision five-a of section three thousand three of this article.

3. The department shall issue an initial certificate to an advanced life support first response service upon submission of proof that such advanced life support first response service is staffed and equipped in accordance with rules and regulations promulgated pursuant to this article and is otherwise in compliance with provisions of section three thousand nine of this article.

4. A certificate issued to an ambulance service or advanced life support first response service shall be valid for two years. The initial certification fee shall be one hundred dollars. Thereafter the biennial fee shall be in accordance with the schedule of fees established by the commissioner pursuant to this article. However, there shall be no initial or renewal certification fee required of a voluntary ambulance service or voluntary advanced life support first response service.

5. No initial certificate (except initial certificates issued pursuant to subdivision two of this section) shall be issued unless the commissioner finds that the proposed operator or operators are competent and fit to operate the service and that the ambulance service or advanced life support first response service is staffed and equipped in accordance with rules and regulations promulgated pursuant to this article.

6. No ambulance service or advanced life support first response service shall begin operation without prior approval of the appropriate regional council, or if there is no appropriate regional council established such ambulance service or advanced life support first response service shall apply for approval from the state council as to the public need for the establishment of additional ambulance service or advanced life support first response service, pursuant to section three thousand eight of this article.

7. Applications for a certificate shall be made by the owner of an ambulance service or advanced life support first response service operating for profit or the responsible official of a voluntary ambulance service or advanced life support first response service upon forms provided by the department. The application shall state the name and address of the owner and such other information as the department may require pursuant to rules and regulations.

8. For purposes of this article, competent means that any proposed operator of any ambulance service or advanced life support first response service who is already or had been within the last ten years an incorporator, director, sponsor, principal stockholder, or operator of any ambulance service, hospital, private proprietary home for adults, residence for adults, or non-profit home for the aged or blind which has been issued an operating certificate by the state department of social services, or a halfway house, hostel, or other residential facility or institution for the care, custody, or treatment of the mentally disabled subject to the approval by the department of mental hygiene, or any invalid coach service subject to approval by the department of transportation, is rendering or did render a substantially consistent high level of care. For purposes of this subdivision, the state emergency medical services council shall adopt rules and regulations, subject to the approval of the commissioner, to establish the criteria to be used to define substantially consistent high level of care with respect to ambulanceservices, advanced life support first response services, and invalid coaches, except that the commissioner may not find that a consistently high level of care has been rendered where there have been violations of the state EMS code, or other applicable rules and regulations, that

(i) threatened to directly affect the health, safety, or welfare of any patient, and

(ii) were recurrent or were not promptly corrected. For purposes of this article, the rules adopted by the state hospital review and planning council with respect to subdivision three of section twenty-eight hundred one-a of this chapter shall apply to other types of operators. Fit means that the operator or proposed operator

(a) has not been convicted of a crime or pleaded nolo contendere to a felony charge involving murder, manslaughter, assault, sexual abuse, theft, robbery, fraud, embezzlement, drug abuse, or sale of drugs and

(b) is not or was not subject to a state or federal administrative order relating to fraud or embezzlement, unless the commissioner finds that such conviction or such order does not demonstrate a present risk or danger to patients or the public.

Section 3005-A. Staffing Standards; Ambulance Services and Advanced Life Support First Response Services.
1. The following staffing standards shall be in effect unless otherwise provided by this section:

(a) effective January first, nineteen hundred ninety-seven the minimum staffing standard for a registered ambulance service shall be a certified first responder with the patient;

(b) effective January first, two thousand, the minimum staffing standard for a voluntary ambulance service shall be an emergency medical technician with the patient;

(c) the minimum staffing standard for all other ambulance services shall be an emergency medical technician with the patient; and

(d) the minimum staffing standard for an advanced life support first response service shall be an advanced emergency medical technician with the patient. Circumstances permitting other than advanced life support care by an advanced life support first response service may be established by rule by the state council, subject to the approval of the commissioner.

2. Any service granted an exemption by the regional council pursuant to subdivision five-a of section three thousand three of this article shall be subject to the standards and terms of the exemption.

3. Notwithstanding any other provision of the article, the effective date of the standards established by this section shall be delayed by one year for each fiscal year, prior to January first, two thousand, in which the amounts appropriated are less than that which would have been expended pursuant to the provisions of section ninety-seven-q of the state finance law.

Quoted from bumblethru

This medical board should consist of some 'residents' who aren't 'connected'!

Quoted from 795

the residencts alread said what they need to on this ishew

that was the vote ! ! ! ! !

Quoted from gadfly

I just heard earlier tonight that FDG took the Town gas key away from REMS without notice.

Quoted Text

ROTTERDAM
REMS source of fuel cut off
BY JUSTIN MASON Gazette Reporter

    Supervisor Frank Del Gallo abruptly announced that the town will no longer sell fuel to Rotterdam Emergency Medical Services Inc., leaving the nonprofit ambulance company less than three days to make other arrangements to power its fl eet.
    Del Gallo asked company officials to turn in their fuel keys via an e-mail sent Tuesday. By Thursday morning, the keys ambulance operators used to access the town pumps no longer worked, meaning the company will no longer be able to purchase fuel at the vastly discounted price per gallon previously offered by the town.
    “They weren’t given any time to explore their options,” said Frank Salamone, an attorney representing the ambulance company. “Instead, it was ‘please return your keys immediately’ and 36 hours later, the pumps were shut off.”
    Del Gallo said the town can no longer provide the fuel because the contract with REMS expired on New Year’s Day. He said selling fuel to REMS would set a precedent for other noncontracted services to buy from the town’s pumps.
    “If we sold to them, we’d have to give fuel to any business,” he said Thursday.
    Del Gallo said the ambulance company purchased fuel via its annual subsidy from the town. Now the town no longer provides funding for REMS. With the absence of this funding, he said, there’s no guarantee the fuel will be paid for, especially given the expiration of the company’s contact with Rotterdam.
    But Salamone disagrees. He said the town has sold fuel to emergency medical crews since 1996 and continued to allow access to its pumps even before REMS paid off a $20,000 fuel tab it accrued over a two-year period ending in 2008.
    “I don’t see why the supervisor at this time has decided to change the mode of operation that has existed since 1996,” he said.
    Salamone said REMS offi cials are now investigating options to purchase fuel from other municipal sources. Otherwise, he said ambulances may soon need to rely on retail pumps for their fuel needs.
    “Don’t be surprised if you see an ambulance parked at a gas station pumping gas,” he said.
    Board member Nicola DiLeva wasn’t aware of the fuel pumps being turned off for REMS. She said Del Gallo never informed the board of his intentions to stop selling the fuel to the ambulance company.
    “I don’t know where it’s coming from because it wasn’t shared with the board,” she said of his decision. “Again, I have more questions than answers.” .......................>>>>...................>>>>.....................http://www.dailygazette.net/De.....r01103&AppName=1