Monroe County (NY) Ambulances

MONROE COUNTY AMBULANCES

Ambulance numbering is based on the fire battalion numbering system. Ambulance corps' carry the numbers of the fire district where their base is located. All ambulances have 4-digit numbers and the third digit for independent corps' is 5 or higher. The commercial ambulance companies have their own number blocks outside the fire battalions. Per the countywide numbering system, the last digit of every ambulance unit number is 9.

MONROE-LIVINGSTON REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL

• Car 900 EMS Administrator
• Car 901 EMS Coordinator
• 902 through 905 Deputy coordinator?
• Car 906 Physician Response Vehicle
• 907 Physician
• Car 908 Deputy EMS Director
• 909 Physician
• 910 Executive Deputy EMS Coordinator
• 920 Deputy coordinator?

VOLUNTEER

• 1849-1879 Irondequoit
• 2459,2469 Hamlin
• 2719-2799 Greece
• 3049-3089 Brighton
• 3259,3269 East Rochester
• 3459-3489 Perinton
• 3759-3779 Penfield
• 3859-3879 Pittsford
• 4319-4339 Chili
• 4539-4599 Gates
• 589 Rush
• 6079-6199 CHS MIHC
• 6359 RIT

INDUSTRIAL

• 7019 Kodak
• 7129 Xerox (Webster)

COMMERCIAL

• 912-949 AMR
• 950-999 Monroe

OUT-OF-COUNTY

• 2359 Holley FD
• 4259 Bergen FD
• 2881,2882 Lima FD
• 2481,2482 Avon FD

ADVANCED LIFE SUPPORT UNITS

Commercial Sector Medic 1-9

• Medic 1-5 AMR
• Medic 6-9 Monroe
• Medic 10# AMR
• Medic 60# Monroe

Northeast Quadrant Medic 1#

• Medic 10,11 Webster
• Medic 17-19 Irondequoit (18 is flycar)

Battalion 2 - Medic 2#

• Medic 20,21 Greece
• Medic 22 Greece (backup at HQ)
• Medic 23 Brockport
• Medic 24 unused
• Medic 25 Brockport
• Medic 26 (paramedic aboard Barnard FD squad)
• Medic 27 (paramedic aboard Barnard FD squad)
• Medic 28,29 Spencerport

Battalion 3 - Medic 3#

• Medic 30,31 Brighton
• Medic 32 SEQ - Penfield
• Medic 34,37 SEQ - Perinton (Medic 35 is equipment only)
• Medic 36 SEQ - Pittsford (Medic 39 is equipment only)
• Medic 38 SEQ - housed in quarters

Battalion 4 - Medic 4#

• Medic 40,41 Gates
• Medic 42 Monroe - western suburbs
• Medic 43 Chili

Battalion 5 - Medic 5#

• Medic 50-53 Henrietta (50 is spare)
• Medic 56,57 Honeoye Falls FD

Out-of-County ALS Medic 6#,7#,8#

• Medic 47 Genesee County (LVA)
• Medic 66 Ontario County (Victor Farmington)
• Medic 70 Livingston County (Avon)
• Medic 73,78,79 Livingston County EMS
• Medic 74,7401 Livingston County (Livonia)
• Medic 77 Genesee Valley EMS (Caledonia)
• Medic 80,81 Macedon FD
• Medic 82 Palmyra Ambulance
• Medic 88 Northeast Wayne ALS

Industrial ALS Medic 9#

• Medic 90,91 Xerox (Webster)
• Medic 95,96 Kodak (708 is flycar)

Radio Repair Medic 100

ALS COMMAND NUMBERS

Northeast Quadrant

• 1M5 Chief Tech

Northwest Quadrant

• 2M5 Chief Tech (GVA)
• 2M9 off-duty ALS Tech (GVA)

Monroe County Battalion 3

• 3M4 President
• 3M5 Chief Tech
• 3M6 Deputy Chief Tech
• 3M7 Captain
• 3M8 Lieutenant - Medic 32
• 3M9 Lieutenant - Medic 36

"Brighton Volunteer Ambulance"

• 3M10 Chief-EMS Operations
• 3M20 Major - Logistics
• 3M30
• 3M40
• 3M50
• 3M60
• 3M70
• 3M80
• 3M90

Southwest Quadrant

• 4M5 Chief Tech (Gates)

South Central Sector

• 5M5 Chief Tech (Henrietta)

• RITA (RIT Ambulance, Hentrietta)

• 6M13 Chief of Operations
• 6M23 Deputy Chief
• 6M33-53 Lieutenants
• 6M93 On Duty Medical Command Officer
• 6M## cleared members

Commercial Sector

• 9M2 Chief Tech (National)
• 9M5 Chief Tech (Monroe)
• 9M6 Monroe Patient Services

Special Events

• 8M10-8M20 Med-Event

HOSPITAL E.D. STATUS CODES

• HOSPITAL COLOR CODE SYSTEM WAS DISCONTINUED 5/1/2010 *

The hospitals in Monroe County participate in a color code system. The colors indicate how busy the hospitals' emergency departments are. Colors are collected by the duty hospital for the month every day at 00:30, 08:30 and 18:30. The duty hospital relays the colors by telephone to dispatchers at OEC, Rural/Metro and Monroe Ambulance.

Each hospital gives two colors, medical and surgical. During an MCI (see below) the OEC dispatcher makes a special poll for current color codes and availability of acute, non-acute and special care beds. Updates are requested periodically for the duration of the incident.

Hospitals that provide emergency psychiatric services list a third color code for their Psych ED status.

The colors used in Monroe County are:

• GREEN - No appreciable delay in treatment.
• PRE-RED - Moderate to lengthy delays in treatment are likely.
• RED - ED is unable to accommodate additional patients.

Hospitals must meet certain criteria before going Code Red. These criteria include lack of inpatient beds for admissions, lack of monitored beds for cardiac patients, lack of available stretchers in ED and a certain number of admitted patients being "boarded" in the ED.

The boarding threshold depends on the size of the hospital. Code Red status must be re-examined and updated every two hours and requires the presence of a hospital administrator (or designee) in the ED for the duration of the Code Red condition.

Patients insisting on transport to a Code Red hospital must sign a special release form. This form explains that the patient's condition may become worse if they go to the Red hospital because they may not be able to receive appropriate treatment. The patient becomes legally responsible for the liability and cannot later sue the hospital or the ambulance service that provided transportation.

A hospital may temporarily invoke Code Red status during an internal emergency such as a power failure or a fire.

COMMON AMBULANCE CODES

• 5 Mental
• 500 Cardiac arrest
• 980 DOA

EMD SEVERITY CODES

• Alpha = barely an emergency, no lights/sirens, BLS
• Bravo = emergency call, BLS (sometimes "Baker")
• Charlie = emergency call, ALS
• Delta = emergency call, fire dep't first-responds, ALS
• Omega = referral to Poison Control (ambulance still dispatched

in Monroe County, but not in other counties)

EMS DISPATCH CODES

• Priority 1 = Delta
• Priority 2 = Charlie
• Priority 3 = Bravo
• Priority 4 = Alpha

Related Links

• Monroe Ambulance (NY)
• Rural Metro Rochester (NY)
• American Medical Response (Rochester)

With thanks to NF2G.com