05/19/2026
Time once again for the Tuesday Tally!
Week of May 12, 2026 – May 19, 2026
Total Calls: 35
Local Calls: 28 , Interfacility Transfers (IFT): 7
IFT Mileage: 1,120 miles
Hours Out of Service: 29.5 hours
So far in 2026, we are averaging 34 calls a week.
On average, 9 of those 34 calls are IFTs. Weekly, IFTs represent an average of 45 hours out of service and 1,411 miles driven.
Managing this kind of transfer volume safely requires a deliberate focus on personnel health and strict risk mitigation. appropriate topics for Today, Tuesday, May 19: EMS Safety Day.
In a rural service where long-distance interfacility transfers routinely pull our crews out of the county for hours at a time, provider and patient safety is a core component of our daily risk management strategy. Two of our most vital local safeguards for protecting our crews, our patients, and the county’s fleet assets are the fatigue and environmental hazard policies.
The Fatigue policy involves a formula called the fatigue matrix, which acts to monitor and regulate crew exhaustion during high-volume periods. When a crew hits a specific threshold of consecutive hours of high call volume or intensive long-distance transports, the policy is invoked. This triggers mandatory down-time and pulls a crew out of the first-line transfer rotation to guarantee adequate rest before they get behind the wheel again.
The Environmental hazard policy establishes absolute parameters for when our ambulances can and cannot be committed to long-distance regional transfers during adverse conditions (like flash flooding!). We monitor live MoDOT road data and local weather advisories. Under the policy, if regional or arterial roads are designated as completely covered or hazardous, long-distance IFTs are immediately restricted until conditions improve.
These policies actively protect our personnel and our physical assets from increased probability of fatigue-induced error and heightened threats associated with high-risk driving environments.