Evaluation of Ambulance Services at the Naval Regional Medical Center, Charleston, South Carolina

摘要

This paper presents an analysis of the current ambulance service provided by the Naval Regional Medical Center (NRMC), and formulates recommendations for improvements to the pre-hospital care system's structure and operation. Although the preponderence of ambulance runs appear to be executed in a rapid and professional manner, recently identified discrepancies may indicate the presence of potentially unsafe conditions. Specifically, some confusion has been encountered regarding ambulance dispatching policies and responsibilities. Ambulance response has been delayed, on occasion, by the dispatcher's: failure to obtain sufficient information regarding the patients location and complaint, confusion regarding the patient eligibility for services, and misinterpretation of dispatching procedures. Other delays have occurred because of the driver's unfamiliarity with: the geographic area, ambulance operation, and requirements for remaining available to the dispatcher.