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Clinical Operations

Our goal is to provide the best comprehensive EMS system by staying up to date on the most current practices in care for the community we service. We strive to provide the best patient care to the community by having the most state of the art equipment available. We are a growing and comprehensive EMS Department and a true 3rd service public safety organization. We  are very proud of our new 8,500 sq/ft station, built in 2009 that includes nearly 2,000 sq/ft dedicated to the training and education of our paramedics and staff. 


The Clinical Operations Division is a multi-collaborative division compromised of the entire command staff of WCEMS.  Pivotal to the success of the paramedics is the dedication and oversight assistance from Dr. William Loesch, MD and Dr. Robert Stark, DO.  The Field Training Officers (FTO) at WCEMS are among the most important positions the department utilizes. They are the ones who carry out the education and training of the entire staff.

Clinical Capabilities

The Department of EMS realizes that without the proper medical equipment, standards of care, and right amount of clinical oversight we can not administer the best patient care to the community.  The department utilizes a peer review process designed to review all aspects of the department in an organized format.  Starting in 2011 we instituted the CIR Division (Clinical Improvement and Research Division) compromised of field level staff and command staff designed to bring the most science proven evidence based treatment modalities to the department.  The first quarter of 2011 was focused on the evaluation and research of our current Sudden Cardiac Arrest statistics and protocols.  To see an example of how the CIR division worked to improve efficiency by implementing the pit-crew approach to positions during SCA click the picture.  



In 2012, Washington County EMS implented the benchmarks. No longer are the days of "we think or believe that call went well." We wanted a more measureable process. The benchmarks were created to measure different areas for quality improvement. The areas in which we are monitoring at this time include; Pain Management, Cardiac Arrest, Chest Pain, RSI, Respiratory Emergencies, Emergency Out of County Transfers. If you are interested in looking at the benchmarks, click here.


 In 2011 the department was approved a phased-in approach to bringing the new LP-15 into the hands of our paramedics. We hope to complete the phase-in by the end of 2013.  Through the financial assistance of the LCRA Community Development Partnership Grant we have also recently deployed the new piston driven battery powered LUCAS II mechanical CPR device.  The device is just one piece in a collaborative group of improvements to the departments' sudden cardiac arrest protocols with the overall goal to improve ROSC (return of spontaneous circulation) and ultimately patient survival from SCA.  Another recent improvement was the protocol addition of the new MAD devices. The device gives our paramedics another route to administer life saving medications to high risk seizure patients or certain pediatric populations.



Lucas 2 




Advanced Community Paramedicine Program (ACP)

The EMS Department became one of the just a handful of EMS Departments in the Country this year as they introduced the Advanced Community Paramedine Program (ACP) in Washington County. The program is an innovative way and attempt to cut healthcare cost and improve efficiency in the healthcare system by using highly clinically skilled paramedics to feel unmet gaps in the community. The program is certainly not the normal approach to most public safety departments but we believe doing the norm is not fiscally sustainable for the country nor Washington County. While bearakracts in Washington talk about healthcare we have decided to give our best effort to institute change in the healthcare system. We believe we can no longer simply ask for more staffing, more stations, and more personnel due to an increase in call volume. We must go do better with education, preventive medicine, and navigating patients to appropriate care sites. The program has already saved $300,000 from our 2013 budget proposal and we expect that to increase as the program is fully deployed.


To read more about the program click here..

Credentialing Process


  • New Employee Orientation Program (NEOP)






(Click Links to open files then down arrow to advance power point slides)




Advanced Community Paramedicine Request Form

* Required