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ORANGE COUNTY FIRE RESCUE STUDY ORANGE COUNTY EMS 1 2 We recommend the Division increase the number of "IRV" Medics from the current 3 5 per shift to 8 per shift, including a shift supervisor. 4 5 We recommend the Division increase the nwnber of EMTs per shift from 6 per shift 6 to 10 per shift and the number of active on duty ambulances from 3 to 5. 7 8 The above three recommendations are based on an ever growing amount of 9 research that is confirnting when emergency services workers are on duty 10 consistently more than the above standard, their mental acuity and skill functioning 11 aze compromised. Orange County has been fortunate to have dedicated personnel 12 who have been willing to work these hours. But the strain is evident and it is a 13 matter of time before a serious lapse of judgment or less than acceptable standard of 14 care results in a tragic outcome. 15 16 The Division needs to improve its relationship with the fire departments. First 17 Responders aze a key to the success of the program. They perceive that they aze a 18 step child of the program and they do not receive the support in terms of training 19 they need and recognition they deserve. We recommend the Division establish the 20 position of Training Officer and the responsibilities of this position include ensuring 21 that fire departments receive the training they perceive necessary with the 22 rerngnition that they are not employees with a static work schedule. 23 24 We recommend that the Division deploy a medic unit and transport unit at the 25 Orange Rural Station 2location on Phelps Road. This provides excellent access to 26 both the Caldwell District and Cedar Grove. It also provides excellent response to 27 incidents in the northern area of Hillsborough and Orange Rural's response district. 28 29 We recommend that the Division make permanent its IIZV unit in Efland. Besides 30 serving Efland, this unit can also serve Cedar Grove, and Orange Grove. 31 32 Given the Count~s land use plan, we do not believe that it will be necessary to 33 deploy a unit in either Caldwell or Cedar Grove in the planning horizon. 34 35 91