Ems Service Monthly Report Template (Page 2 of 2) in pdf

Ems Service Monthly Report Template Page 2

EMS Service Monthly Report Template

Version 1.0

Medical Coverage for Community Events

Youth Sports, Fairs, Parades, etc.

List the name, location and duration of the event covered with the staff numbers and/or

resources you provided,

i.e.

Summer Festival

August 19 2013

Location Town Green

8am to 6 pm

1 BLS Ambulance and Crew

1 BLS Bike Team with 2 EMT's

Number of staff hours paid _____ / volunteer _____

Community Service Events

• Child Safety Seat Installation Clinic

• First Aid Course

• CPR Course

• Injury Prevention Lecture

• Blood Pressure Screening

• Flu Clinics

EMS Service Funding Raising Events (if applicable)

Pasta Dinner, Pancake Breakfast, Car Wash

Direct mail solicitation to residents and businesses

Explain what the money is to be used for i.e. buying equipment/vehicles

How much have you raised this month? $ ___________

EMS Service Achievements

Recognition or Awards

Service Milestones i.e. 25 years of service

Loss or addition of staff

New recruit training

Promotion of staff

New Officers

New equipment and or vehicles

Clinical Care Enhancements i.e. Paramedic level upgrade

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Ems Service Monthly Report Template Page 2