Medical Direction

New Jersey
The loss of the training fund has affected all emergency medical service agencies.  Volunteer, eligible agencies have experienced a loss of the fund directly, while other departments have experienced a decrease in the number of elective continuing education classes available to their members. 

Historically Dr. Lavelle has provided active medical direction to several New Jersey EMS agencies with a dedicated amount of "in-station" time every month.  This dedicated time was important to the agency in an attempt to improve patient care and the education of the staff.  However, with the loss of the training fund, and with the economic situation facing every emergency service agency, this ideal aspect of medical direction may not be financially possible. 

With this in mind, Emergency Training and Consulting has two different models for New Jersey medical direction.

In-Station Model
This original program provides in-station time by Dr. Lavelle to respond to calls, ride with crews, perform QA, and attend meetings or other activities as listed below.  This program starts at 4 hours per month.  Additional time is available, if desired, for larger departments.  The In-Station Model includes:

·    Medical Direction by Dr. Ken Lavelle, who has 23 years of experience in NJ EMS starting as an EMT, firefighter, paramedic, EMS Chief and Medical Director

·    Occasional Scene Response and Special Event Standby, as available

·    Advisement to EMS Chiefs and Boards on current medical issues

·    Response to complaints by citizens, questions from municipal leaders, etc.

·    Chart review for quality improvement purposes with feedback to staff (if emsCharts is utilized)

·    Monthly Medical Director Update newsletters to all staff members on current EMS issues

·    24/7 availability of Dr. Lavelle by phone and email for questions and issues that may arise

·    Representation of the agency to local MICU, state OEMS and other public safety and medical entities as necessary

·    Oversight of EpiPen and other programs as approved by OEMS

·    A set of BLS EMS Protocols, based on old NJ protocols and updated by Dr. Lavelle

·    Full insurance for both errors/omissions and on-scene medical malpractice is covered (this is rare amongst other medical directors)

Alternative Model
This alternative program includes all of the typical activities with the exception of in-station time.  Instead, Up to (6) evening elective classes (3 CEUs each) instructed by ETC instructors with unlimited enrollment for all agency staff are provided.  This program combines elective CEU training, and medical direction by Dr. Ken Lavelle, a former EMT and paramedic who is acutely familiar with the challenges of NJ Fire and EMS agencies.  Essentially this model includes all aspects of active medical direction with the exception of in station dedicated time. 

New Jersey Interfacility Medical Direction
Dr. Lavelle can provide affordable medical oversight for companies performing interfacility transportation.  This includes quality improvement review of charts, Medical Director Update newsletters and availability for phone and email follow-up regarding questions, issues and complaints.  Rates for both BLS and SCTU are available.  For SCTU, we can assist in a limited amount of training and protocol development.

Pennsylvania

Non-Emergency/Interfacility Transport Agencies
Dr. Lavelle can provide medical oversight for Basic Life Support transport companies, including assisting with the requirement for AEDs in Pennsylvania. Rates are customized for these companies based on size and volume. Contact us for rates and more information.

Emergency Services
Dr. Lavelle serves as medical director for multiple emergency agencies including ALS and QRS departments. Chart Review/Quality Improvement, dedicated in-station ride time and Special Event stand-by services are also available.

If you are interested in Medical Direction, or have any questions, please contact Dr. Lavelle directly at  klavelle@EmergencyTraining.net

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