Brewster Ambulance Awarded Taunton's 911 EMS Contract

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trp
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Brewster Ambulance Awarded Taunton's 911 EMS Contract

#1 Post by trp » 05 May 2016 13:28

FYI per Brewster Ambulance's Facebook page:

April 22 at 12:16pm ·
"It is with great pleasure we can announce that Brewster Ambulance has been awarded the City of Taunton’s 3-year municipal contract, with a start date of July 1, 2016.
The awarding of this contract only confirms the outstanding service we provide to our patients and municipal contracts. Our commitment to excellence and superior patient care has set the bar for building EMS systems in communities.
Thank you for your continued dedication and stand out service to all of our customers and to one another.
The Brewster Family"
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#2 Post by KB1FJR » 05 May 2016 16:27

Who does AMR have still. Springfield, Plymouth, Framingham (why and when did Framingham get rid of their fire run ambulance anyways?) , Wellesley and I think Newton still have AMR.

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#3 Post by N1BHH (Silent Key) » 05 May 2016 17:35

KB1FJR wrote:Who does AMR have still. Springfield, Plymouth, Framingham (why and when did Framingham get rid of their fire run ambulance anyways?) , Wellesley and I think Newton still have AMR.
Not Plymouth, lost to Brewster about 3 years ago, just signed a long extension. Newton has been Cataldo for a couple years.
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#4 Post by W1KNE » 30 Jun 2016 20:24

FYI They took over Taunton operations today at 18:00
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#5 Post by trp » 30 Jun 2016 21:22

W1KNE wrote:FYI They took over Taunton operations today at 18:00
http://www.tauntongazette.com/news/2016 ... ay-at-6-pm
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#6 Post by W1KNE » 30 Jun 2016 21:28

Which was today at 6, like I said. :D
My next door neighbor works for Brewster and told me it was happening today but he wasn't 100% sure of the time. The Ambulances have been ready for a while, with magnetic stickers over the "Taunton" part as they were delivered.
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#7 Post by trp » 30 Jun 2016 21:33

W1KNE wrote:Which was today at 6, like I said. :D ...
The link to the article in the Taunton Gazette that I provided was for anyone wanting further background information regarding the transition from AMR to Brewster in Taunton and not to dispute the information that you posted.
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#8 Post by garys » 01 Jul 2016 00:24

It sounds like they will be continuing the practice of the FD calling the ambulance provider on the phone and then the provider, Brewster in this case, dispatching on a company frequency. Suboptimal at best.
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#9 Post by Mjg0519 » 01 Jul 2016 03:44

garys wrote:It sounds like they will be continuing the practice of the FD calling the ambulance provider on the phone and then the provider, Brewster in this case, dispatching on a company frequency. Suboptimal at best.
Is the ambulance checking in with Fire after they're dispatched? How is this "suboptimal"?

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#10 Post by garys » 01 Jul 2016 10:36

It's sub optimal because it adds another layer to the dispatch. Which increases the chance for error. Other systems which use private ambulances, including some that use Brewster, insist that the ambulances operate on the town frequency and in are dispatched by the PD or FD. Quincy comes to mind off the top of my head. I think Milton does that with Fallon as well. There are others, but I can't name them off the top of my head.
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#11 Post by trp » 01 Jul 2016 21:26

I just heard Brewster/Taunton Rescue 2 request a patch to Rhode Island Hospital through Bristol CMED on Med channel 4 (463.0750/468.0750 PL 127.3). CMED assigned them Med channel 102 (462.9875 PL 127.3) and toned out and brought Rhode Island Hospital online. Brewster never came up on Med 102 and it was then discovered that Brewster/Taunton Rescue 2 did not have Med channel 102 programmed into their CMED radio.

That's interesting because all ambulances in the Commonwealth are required to have all 20 CMED channels programmed into their radios (the 10 older/original Med channels 1-10 and the 10 newer Med channels 12-102). I wonder how that slipped through the cracks? Perhaps an incomplete radio programming template from their radio shop/vendor?
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#12 Post by Mark SNE Moderator » 01 Jul 2016 21:27

Plymouth seems to have medical/911 calls dispatched on Plymouth FD frequency 154.43 (173.8) by Brewster Ambulance first, then the FD dispatcher repeats the call to the station(s) assigned, which seems odd to me?
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#13 Post by garys » 01 Jul 2016 21:46

Fallon in Weymouth does that as well. They operate a secondary PSAP and Brewster may do that in Plymouth as well. As I understand, people staffing a secondary PSAP still have to be EMD trained. The advantage is that the call can be directly transferred to the secondary PSAP. So, if someone in Plymouth calls 9-1-1, they get the primary PSAP and if the call is medical it goes to the secondary PSAP. That's my guess, but my training on the 9-1-1 systems predates all of that stuff.
Mark SNE Moderator wrote:Plymouth seems to have medical/911 calls dispatched on Plymouth FD frequency 154.43 (173.8) by Brewster Ambulance first, then the FD dispatcher repeats the call to the station(s) assigned, which seems odd to me?
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#14 Post by garys » 01 Jul 2016 21:49

Somebody screwed up.
trp wrote:I just heard Brewster/Taunton Rescue 2 request a patch to Rhode Island Hospital through Bristol CMED on Med channel 4 (463.0750/468.0750 PL 127.3). CMED assigned them Med channel 102 (462.9875 PL 127.3) and toned out and brought Rhode Island Hospital online. Brewster never came up on Med 102 and it was then discovered that Brewster/Taunton Rescue 2 did not have Med channel 102 programmed into their CMED radio.

That's interesting because all ambulances in the Commonwealth are required to have all 20 CMED channels programmed into their radios (the 10 older/original Med channels 1-10 and the 10 newer Med channels 12-102). I wonder how that slipped through the cracks? Perhaps an incomplete radio programming template from their radio shop/vendor?
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#15 Post by Citywide 173 » 01 Jul 2016 23:12

trp wrote:I just heard Brewster/Taunton Rescue 2 request a patch to Rhode Island Hospital through Bristol CMED on Med channel 4 (463.0750/468.0750 PL 127.3). CMED assigned them Med channel 102 (462.9875 PL 127.3) and toned out and brought Rhode Island Hospital online. Brewster never came up on Med 102 and it was then discovered that Brewster/Taunton Rescue 2 did not have Med channel 102 programmed into their CMED radio.

That's interesting because all ambulances in the Commonwealth are required to have all 20 CMED channels programmed into their radios (the 10 older/original Med channels 1-10 and the 10 newer Med channels 12-102). I wonder how that slipped through the cracks? Perhaps an incomplete radio programming template from their radio shop/vendor?
Someone screwed up, but where the screw up occurred might be a little murky. Med 9N, 9-2, 10N and 10-2 are designated by the state for interoperability (and sometimes dispatch for 9N and 10N), not ambulance to hospital. The communications plan has templates for 16 and 20 channel zones. In the 16 channel zone template, MED 9N, 9-2, 10N and 10-2 are located in the IOP zone, not the region zone. In the 20 channel zone template, all frequencies are in the region zone.

So....

Are the radios not programmed correctly? If they are, and utilizing 16 channel zones, it's not an issue of the frequencies not being in the radio.
Was the crew not properly trained on how to change zones, and where to find the 9N, 9-2, 10N and 10-2 channels? If they weren't, why?
Why would Bristol be using a channel designated for INTEROP as an ambulance to hospital frequency?

http://www.mass.gov/eohhs/docs/dph/emer ... s-plan.pdf
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#16 Post by trp » 02 Jul 2016 08:08

Citywide 173 wrote:...Why would Bristol be using a channel designated for INTEROP as an ambulance to hospital frequency?
Bristol CMED has been using Med 102 for ambulance-to-hospital communications with Rhode Island Hospital for the last 2-3 years. It's a repeated channel (? repeater location at Copicut in Fall River) and CMED tests with the hospital on Med 102 twice a day at 8AM and 8PM.

Bristol CMED also uses Med 9 (462.9500 PL 127.3) for ambulance-to-hospital communications but usually only when the normal Med channels go down. Within the last few months I heard them using Med 9 for patches to Morton Hospital when there was a CMED outage in the area. Med 9 is also repeated with ? repeater location at Copicut in Fall River.
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#17 Post by trp » 13 Jul 2016 19:25

The saga continues with some of Brewster's ambulances not being able to communicate with Rhode Island Hospital (RIH) on Med channel 102. I heard two different incidents today that necessitated other methods of communicating with RIH.

The first incident involved a Brewster/Taunton Rescue truck that requested a patch to RIH and was given Med channel 102. Bristol CMED was told by the Brewster truck on Med 4 that they didn't have Med 102. A phone patch with RIH was then made on Med 1 instead.

The second incident involved Brewster 8 (unknown if that truck is assigned to Taunton) and they were also told on Med 4 to go to Med 102 for a patch to RIH. They told CMED that they didn't have that channel so CMED gave them the direct phone number to RIH over-the-air on Med 4 so that they could call the hospital directly by telephone and totally bypass CMED! That kind of defeats the whole purpose of CMED doesn't it?

The thing that's interesting here is that ever since CMED was narrowbanded back in January 2013 all ambulances in the Commonwealth are required to have all 20 Med channels in their CMED radios (Med 1-10 and Med 12-102) and that is supposed to be inspected/verified when the ambulances are inspected each year by OEMS. I wonder how this situation continues with nobody (CMED operator, EMT or paramedic in the ambulance) reporting the problem through the appropriate channels and getting the matter resolved.
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#18 Post by garys » 13 Jul 2016 20:25

Maybe it's been reported to management and they don't think it's a priority.
trp wrote:The saga continues with some of Brewster's ambulances not being able to communicate with Rhode Island Hospital (RIH) on Med channel 102. I heard two different incidents today that necessitated other methods of communicating with RIH.

The first incident involved a Brewster/Taunton Rescue truck that requested a patch to RIH and was given Med channel 102. Bristol CMED was told by the Brewster truck on Med 4 that they didn't have Med 102. A phone patch with RIH was then made on Med 1 instead.

The second incident involved Brewster 8 (unknown if that truck is assigned to Taunton) and they were also told on Med 4 to go to Med 102 for a patch to RIH. They told CMED that they didn't have that channel so CMED gave them the direct phone number to RIH over-the-air on Med 4 so that they could call the hospital directly by telephone and totally bypass CMED! That kind of defeats the whole purpose of CMED doesn't it?

The thing that's interesting here is that ever since CMED was narrowbanded back in January 2013 all ambulances in the Commonwealth are required to have all 20 Med channels in their CMED radios (Med 1-10 and Med 12-102) and that is supposed to be inspected/verified when the ambulances are inspected each year by OEMS. I wonder how this situation continues with nobody (CMED operator, EMT or paramedic in the ambulance) reporting the problem through the appropriate channels and getting the matter resolved.
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#19 Post by Citywide 173 » 16 Jul 2016 12:22

trp wrote:That kind of defeats the whole purpose of CMED doesn't it?
It's not really defeating the purpose of C-MED, as alternate notification methods have been part of the mix since the 1985 Communications Plan was published, but it does create a dangerous liability for the crews as the conversation with the hospital/doc is not recorded, and if something were to go wrong, it would be a "he said-she said" type of situation where the crew would be at the disadvantage.

I don't think it's a matter of the inspectors missing it, as we were gigged for expired Oropharyngeal Airways in our last inspection....most of us thought they were joking, but upon researching, the pieces of rigid plastic actually do have expiration dates. They have applied a much stricter attention to detail, so I would expect something like an improperly programmed radio would not be missed. I'm going with the people in the trucks were never properly trained on the use of the radios.
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#20 Post by garys » 16 Jul 2016 13:16

Several of the systems I'm familiar with that use cell phones over CMED call in on dedicated lines that they tell me are recorded. I have no way of verifying that other than going to the hospitals, which I don't expect to do. As you and I know, several times CMED "tapes" have been pulled for training purposes. Not that anything is on "tape" these days. It's been a long time since the 30 track Magnasync - Moviola system was used. :)
Citywide 173 wrote:It's not really defeating the purpose of C-MED, as alternate notification methods have been part of the mix since the 1985 Communications Plan was published, but it does create a dangerous liability for the crews as the conversation with the hospital/doc is not recorded, and if something were to go wrong, it would be a "he said-she said" type of situation where the crew would be at the disadvantage.

I don't think it's a matter of the inspectors missing it, as we were gigged for expired Oropharyngeal Airways in our last inspection....most of us thought they were joking, but upon researching, the pieces of rigid plastic actually do have expiration dates. They have applied a much stricter attention to detail, so I would expect something like an improperly programmed radio would not be missed. I'm going with the people in the trucks were never properly trained on the use of the radios.
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#21 Post by Citywide 173 » 16 Jul 2016 18:28

garys wrote: they tell me are recorded.
I've heard this as well, but I'm not sure I'd want the second party of the conversation to control the recording. The third party (C-MED) mitigates the possibility of "sanitizing."
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#22 Post by garys » 16 Jul 2016 18:41

Citywide 173 wrote:I've heard this as well, but I'm not sure I'd want the second party of the conversation to control the recording. The third party (C-MED) mitigates the possibility of "sanitizing."
{{Insert Hillary Clinton joke here}}

Guys in the suburbs tell me with fair consistency that they have trouble contacting some CMEDs. I don't work there and haven't done a CMED patch in years, so I can't comment on it.
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