Does Royal Ambulance run 911 calls?
- Thread starter patzyboi
- Start date
DesertMedic66
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My guess is that they are only a BLS/CCT/IFT company with no 911 contracts.
Based on previous posts (eg http://www.emtlife.com/showthread.php?t=33873), Patzyboi is from the San Francisco Bay Area. He's probably talking about the Royal Ambulance in San Leandro, CA.
http://royalambulance.com/
In the bay area, interfacility transport (IFT) companies like Royal Ambulance, Norcal Ambulance, Rural/Metro of Northern California (aka Rural/Metro IFT), ProTransport-1, etc do respond to "emergencies", but they are not usually 9-1-1 or CODE 3 (urgent, lights and sirens). They are usually CODE 2 (urgent, but no lights and sirens), and usually the hospital the patient called, a convalescent home, skilled nursing facility, etc. will call an ambulance company like Royal Ambulance to transport the patient to the emergency room.
It's still an emergency, they just aren't responding to a 9-1-1 call.
The answer: CODE 2 calls.
http://royalambulance.com/
In the bay area, interfacility transport (IFT) companies like Royal Ambulance, Norcal Ambulance, Rural/Metro of Northern California (aka Rural/Metro IFT), ProTransport-1, etc do respond to "emergencies", but they are not usually 9-1-1 or CODE 3 (urgent, lights and sirens). They are usually CODE 2 (urgent, but no lights and sirens), and usually the hospital the patient called, a convalescent home, skilled nursing facility, etc. will call an ambulance company like Royal Ambulance to transport the patient to the emergency room.
It's still an emergency, they just aren't responding to a 9-1-1 call.
The answer: CODE 2 calls.
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I'm sure this has been answered here before I can't remember. In California, are ambulances operating outside of the 911 system permitted to respond with lights and sirens to calls that are determined to be "emergencies?"
Woodtownemt
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In LACo ift ambulances only respond if pt doctors gives go ahead. Basicly no. there are som exceptions. The company I am with has kasier contract so its not uncommon to run code 3 for a cct run. Other then that if you are transporting and pt starts to circle drain then you have options to upgrade to L&S or wait for medic intercept.
BeachMedic
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Short answer - no. At least not in the SF Bay Area and surrounding areas. Dispatch doesn't even keep track of the IFT ambulances unless they are affiliated with the 911 provider.
Back in my BLS days with AMR we got dispatched Code 3 to a few calls. Usually MVAs with multiple pts with minor injuries. AMR had the 911 contract though.
Actually, in counties like Santa Clara that have private companies who run ALS, you can respond code 3 as long as a doctor is requesting it (for example, out of an urgent care). Generally this only applies to ALS and CCT, not BLS.
BeachMedic
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And that is what I get for opening my mouth about counties I have never worked in lol. Ask me any questions about Alameda or Santa Cruz countries and I got it!
Fairly certain the other counties don't have that same practice as Santa Clara though. Except maybeSan Francisco.
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Different than what I'm used to for sure. If a facility calls our dispatch, the call will be triaged and a unit dispatched. Whoever does 911 in the area is not notified unless the facility also calls 911 (which makes for a disaster usually).
If the call is determined to be an emergency, a unit will be sent emergent, regardless if its ALS or BLS.
If the call is determined to be an emergency, a unit will be sent emergent, regardless if its ALS or BLS.