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IDENTIFY AND IMPLEMENT CHANGES FOR <br />OPERATIONAL IMPROVEMENT <br />Challenge #4 - Provide quality Emergency Medical Services to the <br />community. <br />I& J& jmk I& <br />Lake Johanna Fire Department currently responds to all medical calls <br />in our three contract cities along with Ramsey County Sheriff's Office <br />and Allina. Department members are currently required to complete <br />Emergency Medical Technician - Basic training and maintain that as a <br />minimum requirement. <br />Some of our department members are trained to a higher level <br />of Paramedic. Roseville and St. Anthony Fire Departments have <br />successfully rolled out ALS first response programs that equip <br />apparatus with staff holding the highertraining level of Paramedic with <br />the additional equipment, supplies and medications needed to provide <br />care. We have observed extended response times for some calls by <br />the primary service area ALS ambulance, with coverage occasionally <br />provided by mutual aid ambulances from other Paramedic -level ALS <br />services to ensure timely emergency care. <br />ID <br />FIRE <br />Working with our medical directors on expanding that program RESPONSES BY TYPE <br />would allow us to provide care at that higher level including 12-lead AS OF 04/30/2025 <br />EKG monitoring, Intraosseous Access for medication administration, <br />advanced airway management, as well as additional medications for <br />pain management and cardiac arrest resuscitation. <br />IT <br />