Hm, just heard that they are using a priority dispatch system now so instead of sending ALS 100% of the time, they'll send an ambulance with EMTs on it to low priority calls. From what it has been described to me by some guys who work in ALCO fire, they say "there are some growing pains". Fire is a little upset they don't send the ambulance CODE 3 100% of the time, and they'll send a crew of EMTs CODE 2 to some calls while Fire is still sent CODE 3 to 100% of the calls as it was described to me.
I also hear that it is like an assembly line there where the crew gets off the rig, somebody makes sure to stock up the rig, and then the next crew goes on without checking the rig. On the side of the ambulance there is a container that they can give Fire stuff (e.g. nasal cannulas if Fire used it).
I hear they don't have O2 on their gurneys, which the guy I was talking with didn't sound too happy about. I actually haven't looked at their gurney, and I keep forgetting to take a glance, lol, so I can't confirm this.
I was told that Fire got to train on all of their equipment, but the EMTs/Paramedics from AMR got less training on it so sometimes Fire has to help them use it/figure it out.
That's what I was told by one medic/firefighter from ALCO Fire. He didn't sound like he liked him, but he described it as only "growing pain" and said he thinks Paramedic Plus will change for better once they learn "how things are down in ALCO" and "they don't realize how busy it is here". I cannot confirm any of this (except the gurney one, but haven't looked yet, and see if an ambulance is staffed with two EMTs, which I haven't seen yet).