I know there is a large difference in scale, but Stillwater has a FD-based ambulance service, with FF-Medics. I haven't seen a staffing problem on the ambulance side or a reluctance on the part of the firefighters to become certified BLS or ALS. (Now a hiring requirement*) Stillwater added a (single) Medical Officer (EMT-Paramedic) on each shift that responds on many of the ambulance runs in addition to the station ambulance.
The problem Stillwater Fire is having is budget for staffing across the board, the positions that are funded are filled. If the chief gets his manpower (or is that personpower) budget requests there will be additional ambulance crews added, along with more firefighters overall. Stillwater currently can't crew all the equipement housed in the smaller stations; if a engine rolls, there is no crew left for the brush rig, for instance.
Several years ago a private ambulance service was proposed for Stillwater, to take over some of those routine transfers, and the FD managed to "persuade" the city commission to place such heavy requirements on the private service that they threw up their hands and abandoned the idea.
I suspect that the firefighters in each area want to maintain the status quo, whatever it is. So in time Tulsa or OKC could make the change to a FD-based ambulance service as they hire new personnel who accept it as the norm. Lets face it, nobody likes change and some may never adapt to a different system from what they are used to. Notice the seniority break in Stillwater's policy.
Mark S.
*From the
Stillwater Fire Department website:
SPECIAL CERTIFICATIONS, REGISTRATIONS, LICENSES REQUIRED:
· Firefighters hired after October 1, 2003, are required to be a State of Oklahoma certified EMT-Intermediate or EMT-Paramedic as a job requirement.
1. Firefighters hired after October 1, 2003, will have to achieve EMT-I certification within two years or three attempts on the written and practical examinations administered by the State of Oklahoma. Achieving EMT-I certification will be at the expense of the City of Stillwater.
2. Firefighters hired after October 1, 2003, are required to maintain their medical certification at the ALS level while they are in the bottom 50% of the department by seniority. Firefighters above the 50% may elect to drop back in medical certification to a lower certification, but no lower than the State required minimum.