Currently we utilize a two 24 hour shift per week schedule. We work set days. We are a private not-for-profit municipal owned EMS service. We are looking at going to some other type of schedule that won't require so many employees and will hopefully cost less. We are getting hit hard by state and local economy and we now have to find a way to eliminate some money out of the budget. I think that by changing our schedule it may help. I am just curious to see if anyone out there is doing anything innovative scheduling wise. I have researched into the 24/48 schedule and I believe it is the California schedule of 1 on, 1 off, 1 on, 1 off, 1 on, 4 off. I would like to see what some others out there are doing.

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We are a private not-for-profit municipal owned EMS service.

Wouldn't that make you a public service rather than private?

I need more info:
What sort of call volume do you have?
What is your unit time on task?
How many ambulances do you operate??
What level of practitioner do you utilize?
What are your peak usage times?
24 hour shifts sacrifice the safety of patients and especially EMS crews. I have worked the 24/48 shift for years and recently started working 3 12's one week and 4 12's the next. Not one unhappy employee.
We are technically a private ambulance service that is owned by a Township in our County. We then contract out to cover several other townships within our county and we are governed by our board of directs which is compromised by one township trustee from each township we cover. To the rest of your questions:

1. We run 6500 calls per year. 70-80% 911 calls and the remainder are transfers out of our county hospital.
2. I am not sure what you mean by "unit time on task"?? Our average turn around time on a call is 45 minutes to an 1 hour and 15 minutes.
3. We run a total of 6 24 hour ambulances.
4. We staff all of our ambulances with one Paramedic and one EMT-Basic Advanced.
5. Our peak usage time would be from 9am-7pm


ArcticKat said:
We are a private not-for-profit municipal owned EMS service.

Wouldn't that make you a public service rather than private?

I need more info:
What sort of call volume do you have?
What is your unit time on task?
How many ambulances do you operate??
What level of practitioner do you utilize?
What are your peak usage times?
So, you have an average of about 3 calls per day per ambulance with a total time in service of about 4 hours a day each, tops. You have too many ambulances. Have 3 units taken off the road for the low periods with one crew on call in case the other three get over worked. Run 18 X 12 hour shifts and use the other 6 that you are no longer using as time off for the current staff.

That's one idea at least
We run 24/48. We used to have a 1 on, 1 off, 1 on, 2 off schedule. I have worked for a service that did 12 hour shifts and have vowed not to return to that. Our service runs on avg 30 calls/day with 3 units. M-F 0800-0000 we have a 4th unit. We also end up doing a fair amount of long transfers to hospitals in other cities so the 4th unit gets utilized for those.
Never done 12's. Don't think I would like it. In answer to your question about cutting employees, we once had a 24 on, 24 off, 24 on, 48 off schedule. Don't need as many employees to man it, but makes for 1 short week every 5th week. Depending on what your state laws say concerning time paid while on duty will define whether you can do this or not. We obviously were not getting paid the full 24 hours we were on duty. Works for admin but 24/48's are a better solution for the employees.
i'm in a municipal owned/run dual service (fire and ems). We run a 24/48, 3 shifts (a,b, and c), where we work essentially every 3rd day. we have 9 medic units throughout our city. our busy units avg about 20 runs per 24 hrs. i also work for a private service on my days off (not both of course) in which they run 1-24 hr, 2- 7 to 11, 2 10-10, and 1 3-11 crews. the 24 hr crew goes from 7am to 7am, since many of these are fire dept employees (about 17 of us). The shifts for the private don't run like that every day of course.

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