No Crew Report Information Page
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Luzerne County 9-1-1 -
Countywide EMS No Crew Policy
The Pennsylvania Department of Health
approved the Luzerne County Countywide EMS Response Plan submitted
August 2016, which effectuated a change to the No Crew Policy
originally established, and is effective October 1, 2016. The Countywide
EMS Response plan now has a Delayed Response / No Crew Policy and status
for EMS Agencies.
Luzerne County Delayed Response / No Crew
A Delayed Response is given to a unit(s) that
have not gone enroute before the toning sequence ends at the six (6)
minute mark. This status is strictly an in-house Computer Aided Dispatch
(CAD) system command given to a unit, which allows for the dispatchers
to see who the next due unit will be, if needed, for any additional
response. A report of all units that move to Delayed Response status are
issued to EMS of NEPA for their records. Any unit that is placed into
Delayed Response is
not prohibited to respond to a
call and may go enroute after placed into this status.
A "No Crew" is issued to Emergency Medical
Service (EMS) agencies within Luzerne County that have reported their
licensed ALS (Advanced Life Support) or BLS (Basic Life Support) units
as "Available for Dispatch" to emergency calls, but then one of the
Unit has been toned two (2) times, three (3)
minutes apart for a total of six (6) minutes and after being moved
into "Delayed Response", the unit then does not go enroute to the
call before another agency has arrived on scene which finishes
assessment of the patient and the patient has either been
transported, signs off on medical treatment or no contact has been
made with the patient.
The unit has been toned at least one (1)
time, and then either notifies the 9-1-1 facility that they will be
unavailable for this call or will not have adequate staffing to crew
for the call, and go to the next due unit.
Understanding This Report
This report is NOT a "missed calls" report. The
No Crew report simply reports every agency that is in an available for
dispatch status, has been toned out for a call and subsequently does not
If a department has an Ambulance 1 (A1) and an
Ambulance 2 (A2), you do not combine both No
Crew totals as a grand total of "missed calls".
For Example: if 594A1 has 20 No Crews, and 594A2 has 23 No Crews that is
NOT a total of 43 missed calls. If there is a medical call and we
tone out a department who has reported 2 EMS units available and neither
unit (A1 or A2) gets out for that call after being placed into Delayed
Response, it is a "No Crew" for A1 and a "No Crew" for A2, even though
this is the same call they were dispatched to.
The report does not compare how many calls are
made versus a No Crew. PA EMS Act 37 of 2009 states that an agency must
be available 24/7/365 or be part of a broader Countywide plan.
No Crews are now reported for any mutual aid
calls. Fire department responses such as "Commercial Fire Alarms" and
"Wires Down" do not
count as a No Crew. For the purposes of these reports, only EMS related
calls for service are included.
A unit that is placed into a "No Crew" status is
not automatically placed back in service. A unit can only be placed as
available for dispatch after the EMS agency notifies the 9-1-1
Supervisor they are available. Once the 9-1-1 facility is notified, the
agency/unit will be placed back in service.
If a company's first available unit makes it out
for a call, but they receive a 2nd call for response and the second
available unit is reported by the agency as available and moves from a
Delayed Response to a "No Crew", then ONLY the 2nd unit gets a "No
Crew"; the first unit will stay in service once their call is completed,
as they fulfilled their first call.
Following Up With Agencies
With the implementation of the Countywide EMS
Plan, EMS of NEPA, Luzerne County 9-1-1 and the Committee formed to
formulate the Countywide EMS Response Plan, will analyze the results of
the No Crew Report quarterly, beginning January 2017. A separate report
will be sent to Municipalities whose 1st due unit is failing to meet the
requirements of the Countywide EMS Response Plan.