Field Ops

The Field Operations division includes all field staff deployed on the ALS and BLS 911 emergency ambulances. The ambulances are deployed using peak-load staffing and system status unit deployment. The shifts are 12-hour, 10-hour, and 8-hour fixed day’s schedules. At peak times, Grady deploys 22-ALS, 1-ALS Special Operation unit, and 3-BLS units. Grady maintains compliance of a fractal response time metric as determined by the Region 3 EMS council. In addition to ambulances, we deploy a District Supervisor and District Commander at all times and an Operations Manager during business hours. When available, an ALS Quick Response Vehicle (QRV) responds when needed and a paramedic Navigator is deployed to assist crews with hospital turn-times.

All units are equipped with GPS tracking to assure the closest unit response to calls and mobile data terminals to receive call dispatch information. The patient charting is completed on a Toughbook that is integrated into the Computer Aided Dispatch system.

Grady EMS through the non-emergency division provides all discharge and inter-facility transportation planning for the hospital which includes ambulatory vans, wheelchair vans and BLS units for stretcher patients.

The Field Division transports patients to hospitals within the Atlanta area and specific Grady clinics through a new program called the Alternate Destination Care Program. Alternate Destination Care Program permits the field provider to transport stable ambulatory patients that meet specific criteria to one of Grady’s ambulatory care clinics. The responding ambulance will be notified prior to arrival if the patient meets the EMD determinant code to qualify for the program. Upon arrival the field provider will complete an assessment and establish concordance with the EMD determinant. If the patient meets this concordance, the patient will be offered transport to one of four pre-selected ambulatory clinics. Should the field assessment result in discordance, the patient will be transported to an emergency department.

Grady EMS paramedics and EMTs use an extensive set of Clinical Care Guidelines (Protocols and Standing Orders) approved by the EMS Medical Director. The majority of clinical care guidelines permit standing order medication and skill treatments. Grady EMS caries a full complement of ALS gear, Philips MXR cardiac monitors (12-lead, BP, pulse ox, CO2, temp, and QCPR), EZ-IO Drill, King Airways as a secondary device, and military tourniquets.

Grady EMS recently completed the RAMPART seizure medication study.