Northern Garrett County Rescue Squad

Northern Garrett County Rescue Squad ORC Policy

I. RESPONDING TO EMERGENCY CALLS

A. THE AMBULANCE WILL NOT GO ENROUTE UNTIL A CREW HAS ARRIVED AT THE STATION, OR SUFFICIENT CREW MEMBERS ARE EITHER ON THE SCENE OR CAN BE PICKED UP ENROUTE.

B. A CREW SHALL CONSIST OF THREE PEOPLE WHENEVER POSSIBLE BUT MAY RESPOND WITH TWO AS LONG AS ONE MEMBER IS AN EMT OR MEDIC AND BOTH DRIVER AND ATTENDANT FEEL COMFORTABLE TO RESPOND UNDER MANNED, UPON RESPONDING TELL GARRETT CENTRAL YOU ARE RESPONDING UNDER MANNED.

C. IF CREW FEELS THAT HELICOPTER IS NEEDED, CALL FOR IT AS SOON AS POSSIBLE.

D. NO CREW SHALL RESPOND TO A CALL WITHOUT BEING DISPATCHED BY CENTRAL ALARM OR SQUAD OFFICER, OR PATIENT COMES DIRECTLY TO THE STATION, IN WHICH CASE NOTIFY CENTRAL AS SOON AS POSSIBLE.

E. IF A FULL SCHEDULED DUTY CREW IS ON CALL THEY SHOULD RESPOND TO THE CALL, IF YOU ARE NOT ASSIGNED TO THAT CREW YOU SHALL STAy BACK FOR NEXT CALL. IF CREW IS SHORT HANDED OR THEY FEEL THEY NEED EXTRA HELP YOU MAY GO WITH THAT CREW, OR IF AN OFFICER ASKS YOU TO RESPOND YOU MAY DO SO.

F. ONLY ONE RIDE ALONG ON BOARD.

II. DRIVERS RESPONSIBILITIES

A. ANY PERSON WHO HAS THE INTENT OR WISHES TO OPERATE ANY VEHICLE OWNED, LEASED OR OTHERWISE THE PROPERTY OF NORTHERN GARRETT COUNTY RESCUE SQUAD WILL,

MEET ALL REQUIREMENTS SET FORTH BY THE INSURANCE PROVIDER, AND
SUCESSFULLY COMPLETE A SQUAD APPROVED VEHICLE OPERATORS COURSE, AND
OBTAIN APPROVAL BY THE STATION ASSISTANT CHIEF.

B. DELETED DECEMBER 11, 2005

C. DELETED DECEMBER 11, 2005

D. DELETED DECEMBER 11, 2005

E. RECORD ALL MILEAGE ON APPROVED MILEAGE FORMS AND SUBMIT IN A TIMELY MANNER.

F. PRE-CHECK AMBULANCE WHEN ARRIVING FOR DUTY THAT ALL LIGHTS ARE WORKING, FLUIDS ARE AT PROPER LEVELS, ALONG WITH TIRES AND EXTERIOR OF UNITS ARE CLEAN.

G. DRIVERS WILL REPORT ALL MECHANICAL PROBLEMS TO THE MAINTENANCE OFFICER IN A TIMELY MANNER.

H. DRIVER SHALL KNOW WHERE ALL THE EQUIPMENT IN UNITS IS LOCATED, AND BE PREPARED TO ASSIST WITH EQUIPMENT AT SCENE.

I. ALL DRIVERS SHALL COMPLY WITH AND COMPLETE MANDATORY CADET TRAINING AS OUTLINED IN ARTICLE III OF THE BY-LAWS.

J. DELETED FEBRUARY XX, 2007

K. ALL DRIVERS MUST BE SQUAD APPROVED.

L. IN THE EVENT THAT AN EMERGENCY ARISES, THE SENIOR (ON-SCENE) MEMBER OF NORTHERN GARRETT COUNTY RESCUE SQUAD MAY APPOINT A DRIVER THAT DOES NOT MEET THE REQUIREMENT OF THIS SECTION. IN THE EVENT THAT THIS OCCURS, THE SAID SENIOR MEMBER WILL COMPLETE A DETAILED SIGNIFICANT INCIDENT REPORT AND SUBMIT IT TO A MEMBER OF THE ORC WITHIN TWENTY-FOUR (24) HOURS.

M. OPERATE ANY EMERGECNY VEHICLE OF NORTHERN GARRETT COUNTY RESCUE SQUAD IN ACCORDANCE WITH MARYLAND TRANSPORTATION ARTICLE 21 SECTION 106.

Transportation § 21-106

(a) Subject to the conditions stated in this section, the driver of an emergency vehicle registered in any state may exercise the privileges set forth in this section while:
(1) Responding to an emergency call;
(2) Pursuing a violator or suspected violator of the law; or
(3) Responding to, but not while returning from, a fire alarm.
(b) Under the circumstances stated in subsection (a) of this section, the driver of an emergency vehicle may:
(1) Park or stand without regard to the other provisions of this title;
(2) Pass a red or stop signal, a stop sign, or a yield sign, but only after slowing down as necessary for safety;
(3) Exceed any maximum speed limit, but only so long as the driver does not endanger life or property; and
(4) Disregard any traffic control device or regulation governing direction of movement or turning in a specified direction.
(c)
(1) The privileges set forth in this section apply only while the emergency vehicle is using audible and visual signals that meet the requirements of § 22-218 of this article, except that an emergency vehicle operated as a police vehicle need not be equipped with or display the visual signals.
(2) The driver of an emergency vehicle may not use flashing lights or a bell, siren, or exhaust whistle while returning from an emergency call or fire alarm, except that fire apparatus carrying standing firemen may use flashing lights that are visible only to the rear.
(d) This section does not relieve the driver of an emergency vehicle from the duty to drive with due regard for the safety of all persons.

N. A DRIVER OF A VEHICLE OWNED, LEASED, OR OTHERWISE THE PROPERTY OF NGCRS INVOLVED IN A VEHICLE COLLISION, WILL WITHIN TWO (2) HOURS OF THE COLLISION, REPORT TO A SQUAD APPROVED MEDICAL FACILITY AND SUBMIT TO A URINALYSIS AND BLOOD TEST TO DETERMINE ALCOHOL AND OR ILLEGAL NARCOTIC CONTENT. COST OF SAID TESTING WILL BE PAID BY NGCRS. ANY PERSON FAILING TO SUBMIT TO A URINALYSIS AND BLOOD TEST WITHIN THE TIME LIMIT WILL BE IMMEDIATELY DISMISSED FROM NGCRS.

III. CREW CHIEF RESPONSIBILITIES

A. CREW CHIEF IS RESPONSIBLE FOR SEEING THAT ALL UNITS ARE FULLY STOCKED AT THE BEGINNING OF EACH SHIFT, ALL UNITS ARE CLEANED INSIDE, AND EQUIPMENT CHECK LIST IS PROPERLY FILLED OUT.

B. CREW CHIEF IS RESPONSIBLE TO SEE THAT STATION IS CLEANED AT THE END OF EACH SHIFT.

C. CREW CHIEF IS RESPONSIBLE TO NOTIFY PROPER PERSON OF SUPPLIES NEEDED TO PROPERLY STOCK UNITS, PLEASE CHECK CUPBOARDS BEFORE CALLING.

D. CREW CHIEF IS RESPONSIBLE FOR THEIR CREW AND TO SEE THAT ALL MEMBERS ACT IN A PROFESSIONAL MANNER, ALL PROBLEMS SHALL BE REPORTED TO PROPER OFFICER.

E. CREW CHIEFS SHALL ANSWER TO THE ASST. CHIEF OF THEIR STATION OR THE CHIEF.

IV. ARRIVAL ON SCENE

A. CREW CHIEF IS IN CHARGE OF SCENE FOR SQUAD, UNLESS THERE IS AN OFFICER ON SCENE AND WISHES TO TAKE CHARGE.

B. CREW CHIEF SHALL DETERMINE IF ANY OTHER UNITS ARE NEEDED INCLUDING THE HELICOPTER IF IT HAS NOT BEEN DISPATCHED ALREADY.

C. WHERE NUMEROUS PATIENTS ARE INVOLVED, CREW CHIEF SHALL ASSIGN TRIAGE OFFICER TO ASSIGN PROPER PRIORITY AND A TRANSPORTATION OFFICER TO ASSIGN TRANSPORTATION OF THE MOST SERIOUSLY INJURED FIRST.

V. TWO OR MORE UNITS ON SCENE

A. FIRST CREW CHIEF ON SCENE SHALL BE IN CHARGE UNLESS RELIEVED BY A SUPERIOR OFFICER.

B. SECOND CREW CHIEF ON SCENE SHALL REPORT TO PERSON IN CHARGE.

C. DRIVERS ARE RESPONSIBLE FOR THE UNITS THEY RESPOND WITH UNLESS TOLD DIFFERENTLY BY PERSON IN CHARGE.

D. FIRE COMPANY IS IN CHARGE OF HELICOPTER LANDINGS.

E. FIRE CHIEF IS IN CHARGE OF OVERALL SCENE.

VI. ENROUTE TO HOSPITAL WITH PATIENT

A. HIGHEST LEVEL CARE PROVIDER IS IN CHARGE OF PATIENT CARE AND ASSIGNING DUTIES OF CREW MEMBERS.

B. ALL MEMBERS ON BOARD SHALL FOLLOW STATE, LOCAL, AND SQUAD PROTOCOLS.

C. ALL COMPLETE PATIENT INFORMATION SHALL BE TRANSMITTED TO THE RECEIVING HOSPITAL AS SOON AS POSSIBLE.

D. CREW MEMBERS MAY ASSIST MEDICS BY PLACING PATIENT ON MONITOR, HOWEVER THE MEDIC IS STILL RESPONSIBLE FOR THE CORRECT PLACEMENT OF ALL LEADS.

E. CREW MEMBERS MAY ASSIST MEDIC IN SETTING UP IV’s, HOWEVER MEDIC IS RESPONSIBLE FOR SEEING THAT THE CORRECT FLUID IS BEING GIVEN AND EXPIRATION DATE IS GOOD.

F. DELETED DECEMBER 11, 2005

G. DELETED DECEMBER 11, 2005

H. DELETED DECEMBER 11, 2005

I. PRIORITY ONE TRAUMA SHALL BE TAKEN TO NEAREST FACILITY PER REGIONAL PROTOCOL, OR UNLESS PATIENT STATES OTHERWISE.

J. CARDIAC ARREST PATIENTS SHALL BE TAKEN TO HOSPITAL OF PATIENTS OR FAMILY CHOICE UNLESS REQUEST IS UNREASONABLE, OR PATIENT CONDITION UNWARRENTS THEIR REQUEST.

K. ALL PATIENTS FROM THE WISP SKI AREA SHALL BE TAKEN TO GARRETT MEMORIAL UNLESS THEY ARE A MEMBER OF NORTHERN RESCUE SQUAD.

L. IN THE EVENT OF INCLEMENT WEATHER, OR VERY BAD ROAD CONDITIONS, PATIENT SHALL BE TAKEN TO NEAREST HOSPITAL.

M. OPERATE ANY EMERGENCY VEHICLE OF NORTHERN GARRETT COUNTY RESCUE SQUAD IN ACCORDANCE WITH MARYLAND TRANSPORTATION ARTICLE 21 SECTION 106. REFER TO SECTION II, DRIVERS RESPONSIBILITIES FOR WORDING OF SAID ARTICLE.

VII. ARRIVAL AT HOSPITAL

A. PATIENT SHALL BE TAKEN TO ROOM ASSIGNED BY HOSPITAL PERSONNEL.

B. LEAVE PATIENT’S ROOM AS SOON AS POSSIBLE UNLESS YOU ARE ASKED BY HOSPITAL STAFF TO ASSIST THEM.

C. CREW CHIEF SHALL SEE THAT ALL PAPER WORK IS COMPLETED, ALL SUPPLIES ARE REPLACED, WITH THE EXCEPTION OF ALS SUPPLIES IN WHICH CASE THE MEDIC IS RESPONSIBLE.

D. CREW CHIEF MAY ASSIGN THESE DUTIES TO SOMEONE ELSE.

VIII. RESPONSIBILITIES AFTER CALL

A. CREW CHIEF SHALL MAKE SURE THE AMBULANCE IS CLEANED, AND RESTOCKED, AND READY FOR THE NEXT CALL.

B. ALL REPLACEABLE SUPPLIES SHALL BE REPLACED AT THE HOSPITAL WHEN POSSIBLE.

C. ALL RECORDS SHALL BE COMPLETED AND PLACED IN PROPER LOCATION.

D. DRIVERS SHALL CLEAN THE EXTERIOR OF UNITS. IF TIME DOES NOT PERMIT TO COMPLETELY WASH OUTSIDE DUE TO WORK, OR OTHER OBLIGATIONS, OR OTHER VALID REASON, TRY AT LEAST TO RINSE IT OFF, ESPECIALLY DURING WINTER MONTHS.

E. DRIVERS SHALL MAKE SURE ALL UNITS ARE FULL OF FUEL.

F. EACH CREW MEMBER SHOULD HELP TO SEE THAT UNITS, AND STATION IS CLEANED BEFORE LEAVING YOUR SHIFT, SO ONE PERSON DOES NOT HAVE TO DO IT ALL.

IX. RIDE ALONG’S

A. RIDE ALONG’S MUST HAVE;
1. CPR

2. FIRST-AID

3. BLOOD BORN PATHOGENS

B. RIDEALONG’S MUST ENROLL IN EMT CLASS WITHIN ONE YEAR (IF CLASS IS RELATIVELY CLOSE.) FROM INTRODUCTION TO MEMBERSHIP, OR BE TRAINED AS A DRIVER IF INSURANCE PERMITS. IF MEMBER DOES NOT, MAY BE SUBJECT TO DISMISSAL. SUBJECT TO ORC DECISION.

X. FIRST RESPONDERS

A. FIRST RESPONDERS SHALL TAKE CHARGE OF PATIENT UNTIL AMBULANCE CREW ARRIVES, AT WHICH TIME YOU SHALL TURN PATIENT CARE OVER TO CREW CHIEF OR OFFICERS, UNLESS YOU ARE TAKING TRACTION THEN YOU SHALL REMAIN AT THAT POSITION UNTIL SUCH TIME THE PATIENT IS IMMOBILIZED.

B. TURN ALL PATIENT INFORMATION OVER TO CREW CHIEF.

C. UPON FULL EVALUATION OF SCENE THE FIRST RESPONDER SHALL NOTIFY THE RESPONDING UNIT OF PATIENT’S CONDITION. CREW CHIEF ON RESPONDING UNIT MAY CANCEL OR ASK FOR UNITS BASED ON THIS INFORMATION.

D. FIRST RESPONDERS SHALL NOT ATTEMPT TO RESPOND TO THE SCENE UNLESS YOU CAN SAFELY REACH THE SCENE PRIOR TO THE EMERGENCY UNITS, OR THE CREW RESPONDS UNDER-MANNED, OR CREW REQUESTS ADDITIONAL HELP, OR REQUESTED BY CENTRAL ALARM.

E. USE GOOD JUDGMENT TO WHAT YOU ARE RESPONDING TO, DOMESTIC, BARS, SHOOTING, OR TO ANY INCIDENT WHERE YOUR SAFETY IS IN QUESTION.

XI. MEDICS

A. MEDIC’S SHALL ACT UNDER THE PROTOCOLS PRESENTED BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEM.

B. ANY MEDIC ADMINISTERING ALS TO A PATIENT SHALL REMAIN WITH THAT PATIENT UNTIL HE/SHE REACHES THE HOSPITAL, OR PATIENT CARE IS TURNED OVER TO SOMEONE WITH THE SAME OR HIGHER LEVEL OF TRAINING YOU HAVE.

C. MEDIC’S SHALL NOT DRIVE WHEN THERE IS A PATIENT ON BOARD UNLESS THERE IS SOMEONE WITH THE SAME OR HIGHER LEVEL OF TRAINING YOU HAVE.

XII. EMT’S

A. EMT-B ‘S SHALL ACT UNDER THE PROTOCOLS SET BY THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SYSTEMS.

B. EMT-B’S MAY ASSIST MEDIC’S IN PLACING PATIENTS ON THE MONITOR OR SETTING UP IVs, HOWEVER IT’S THE MEDIC’S FULL RESPONSIBILITY IN ASSURING THAT ALL PROCEDURES ARE CORRECT.

C. NO NEW EMT SHALL RUN IN THE BACK BY THEMSELVES, UNTIL THEY HAVE THREE SKILL CRITIC SHEETS FILLED OUT BY THE CREW CHIEF OR OFFICER ON THAT CALL.

XIII. CONDUCT OF MEMBERS

A. MEMBERS SHALL NOT DISCUSS ANY RUN, PATIENT CARE OR CONFIDENTIAL SQUAD BUSINESS WITH ANYONE OTHER THAN SQUAD MEMBERS WITHOUT CONSENT OF AN OFFICER.

B. ALL MEMBERS SHALL CONDUCT THEMSELVES IN A PROFESSIONAL MANNER WHEN REPRESENTING NORTHERN RESCUE SQUAD.

C. NO MEMBERS SHALL RESPOND TO ANY CALL WHILE USING OR IMPAIRED BY ALCOHOL AND/ OR DRUGS.

D. ANY COMPLAINTS CONCERNING GARRETT CENTRAL ALARM, OR OTHER ORGANIZATIONS, OR OTHER SQUAD MEMBERS SHALL BE ADDRESSED THROUGH THE CHAIN OF COMMAND.

E. ANYONE NOT PULLING DUTY IN THE DAYTIME OR AFTER MIDNIGHT SHALL NOT BE ISSUED PAGERS OR RADIOS.

F. TO BE CONSIDERED AN ACTIVE MEMBER YOU MUST PULL AT LEAST TWENTY -FOUR HOURS OF SCHEDULED DUTY A MONTH, UNLESS OTHER ARRANGEMENTS ARE MADE WITH AN OFFICER AND CLEARED THROUGH THE ORC

G. SQUAD MEMBERS ARE RESPONSIBLE TO FIND A REPLACEMENT IF THEY ARE UNABLE TO PULL THEIR REGULAR DUTY ASSIGNMENT.

H. ALL LONG DISTANCE PHONE CALLS SHALL BE LOGGED, IN WHICH YOU MAY BE BILLED IF NOT SQUAD RELATED.

I. MEMBERS HAVING PROBLEMS HANDLING A CALL TO WHICH THEY RESPOND MAY CONTACT AN OFFICER WHO CAN CONTACT THE C.I.S.D. TEAM ALL INFORMATION CONCERNING THIS TYPE CALL IS STRICTLY CONFIDENTIAL.

J. IF A MEMBER IS CHARGED OF A CRIME THEY SHOULD REPORT TO THE ORC FOR PROPER DISPOSITION.

XIV. SEXUAL HARASSMENT

A. UNWELCOME OR UNWANTED SEXUAL ADVANCES, REQUEST, OR DEMANDS FOR SEXUAL FAVORS, VERBAL ABUSE, OR ANY TYPE OF SEXUALLY ORIENTED CONDUCT THAT UNREASONABLY INTERFERES WITH ANOTHER’S WORK PERFORMANCE OR CREATES A WORK ENVIRONMENT THAT IS INTIMIDATING, HOSTILE OR OFFENSIVE CONSTITUTES SEXUAL HARASSMENT AND WILL NOT BE TOLERATED BY NORTHERN GARRETT COUNTY RESCUE SQUAD, INC.

B. PERSONS HARASSING OTHERS WILL BE DEALT WITH SWIFTLY AND VIGOROUSLY THROUGH THE SQUAD’S DISCIPLINARY SYSTEM.

C. ANY PERSON WHO BELIEVES THAT HE OR SHE IS BEING HARASSED IS ENCOURAGED TO REPORT THIS TO HIS OR HER ASST. CHIEF, THE CHIEF OR MEMBER OF THE BOARD OF DIRECTORS OF THE SQUAD.

XV. SUSPENSION OF MEMBERS

A. IMMEDIATE SUSPENSION FOR UP TO SEVENTY - TWO HOURS MAY OCCUR UPON THE DECISION OF ANY LINE OFFICER FOR ANY VIOLATION.

B. MEMBERS HAVE THE RIGHT TO APPEAL A SUSPENSION BY REQUESTING A MEETING WITH THE ORC IF YOU ARE NOT SATISFIED WITH THEIR DECISION YOU MAY REQUEST A MEETING WITH THE BOARD, AND FINALLY WITH THE MEMBERSHIP AT THE NEXT MONTHLY MEETING

C. MEMBERS SHALL BE SUSPENDED FOR BEING UNDER THE INFLUENCE OF ALCOHOL OR DRUGS WHILE ON DUTY, OR PERFORMING ANY MEDICAL OR RESCUE TECHNIQUES WHILE BEING A MEMBER OF NORTHERN RESCUE SQUAD.

D. INSUBORDINATION TO OFFICERS.

E. MISCONDUCT ON A SCENE OR ON SQUAD PROPERTY.

F. MAJOR TRAFFIC VIOLATION WHILE OPERATING AN EMERGENCY VEHICLE.

G. ANY VIOLATION OF BY-LAWS, ADMINISTRATIVE OR OPERATING PROCEDURES OF NORTHERN RESCUE SQUAD.

H. UNAUTHORIZED USE OF EMERGENCY VEHICLES, OR SQUAD PROPERTY.

I. UNPROFESSIONAL CONDUCT (I.E.) GOSSIP ABOUT OTHER MEMBERS, OR PHONE CALLS TO MEMBERS THAT MIGHT MAKE THAT MEMBER FEEL DEGRADED IN SOME WAY.

J. STEALING OF SQUAD PROPERTY.

K. MISCONDUCT OR ACTIONS TO NORTHERN GARRETT COUNTY RESCUE SQUAD OR OTHER ORGANIZATIONS.

L. ANY MEMBER TAKING A PAGER TO SCHOOL, OR SKIPPING SCHOOL TO RESPOND ON CALLS, SHALL HAVE PAGER TAKEN AWAY AND SUSPENDED FOR THIRTY DAYS.

M. ALL THE ABOVE ARE GUIDELINES, ALL CASES SHALL BE HANDLED ON AN INDIVIDUAL BASIS.

XVI. CHAIN OF COMMAND

A. CREW CHIEFS

B. STATION ASST. CHIEF’S

C. CHIEF

D. CHAIRPERSON

E. VICE CHAIRPERSON

F. BOARD MEMBERS

G. FORMER OFFICERS

H. FORMER BOARD MEMBERS

XVII. INTEFERENCE DURING PERFORMANCE OF OFFICIAL DUTIES

IN ACCORDANCE WITH MARYLAND LAW (CRIMES AND PUNISHMENT 11D), IT IS UNLAWFUL FOR ANY PERSON TO WILLFULLY INTERFERE WITH OR OBSTRUCT A RESCUE SQUAD MEMBER, OR EMERGENCY SERVICES PERSONNEL WHILE THE SAID INDIVIDUAL IS PERFORMING EMERGENCY SERVICE. ANY MEMBER OF NGCRS THAT FEELS THEY HAVE BEEN INTERFERED WITH OR OBSTRUCTED WILL REPORT THE INCIDENT IN THE FOLLOWING MANNER,

The complaint must be submitted in writing and signed to the Operational Review Committee (ORC) with in seventy-two (72) hours of occurrence. Complaint must be a detailed statement.

Upon a complete review/investigation by the ORC a finding of Founded or UNFOUNDED will be issued.

If Unfounded, ORC will:
-Notify the member in writing of the ORC’s findings, details need not be disclosed. A copy of the letter will be forwarded to the Board of Directors (board).
-All information written or otherwise will be secured, filed. (Minimum of five (5) years)

If Founded, ORC will:
-Notify the member in writing of the ORC’s findings, details need not be disclosed.
-Submit a detailed report to the board along with all information written or otherwise.

Board will:
            -Review the ORC report with a member of the ORC present.
-If more investigation is required, all information will be returned to the ORC with a written request of details they wish followed-up on.
-If board overrides the ORC recommendation, the board will:
            -Provide the ORC with a detailed letter as to the board’s decision
-Notify the member in writing as to the board’s decision, details need not be disclosed.
If board upholds the ORC recommendation, the board will:
            -Provide the ORC with a letter as to the board’s decision.
-Notify the member in writing as to the board’s decision, details need not be disclosed.
-A member of the board and ORC will meet with an investigator from Maryland State Police or Garrett County Sheriff’s Office requesting criminal charges be filed.
-If satisfaction is not met by local law enforcement, request a meeting with an investigator from the Garrett County States Attorney’s Office.
-If satisfaction is not met at the local level, contact an investigator from the Maryland Attorney Generals Office.

REVISED NOVEMBER 8, 2007

            Andrew Teter               Chief
            Doris Beal                    Assistant Chief 1
            Rodney Bowser            Assistant Chief 2
            Kenny Sines                 Assistant Chief 3
            Joshua Pope                 ALS Coordinator