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San Rafael plans BLS ambulance crew to reduce medic workload; more than 100 applicants seek initial openings
Summary
Commissioners were briefed on a Basic Life Support (BLS) ambulance program set to launch in early 2026 that officials say will free paramedic (ALS) units for acute cases; staff reported more than 100 applicants for roughly five initial positions.
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San Rafael commissioners heard details of a planned Basic Life Support (BLS) ambulance program that officials said will begin operation in early 2026 and will be staffed initially by a small cohort of employees drawn from a larger applicant pool.
Commissioners were told the department has received more than 100 applications for about five initial BLS positions. Chief Hatfield (who the meeting identified as overseeing the program) described the BLS unit as a way to transport routine patients who do not require advanced life support so paramedic units remain available for more acute emergencies. Officials said the BLS unit will initially be a reserve ambulance placed into service and based out of Station 51.
Commissioners compared the expected effect to the city’s SAFE program (a separate mental‑health‑oriented outreach unit), which they said freed law enforcement and ambulance resources to focus on higher‑acuity work. A question was raised about funding and whether SAFE or other programs draw from fire or police budgets; staff said SAFE is administered via the police department and that BLS funding and staffing details are being finalized.
Details reported at the meeting: - Reported applicants: more than 100 applicants for approximately five positions (speaker: Commissioner Burford). - Planned launch: early 2026 (speaker: department staff). - BLS base: reserve ambulance, planned station 51 (speaker: department staff).
Why this matters: rising EMS call volumes are increasing demand on paramedic units; a designated BLS transport unit aims to reduce that burden and enable paramedics to respond faster to critical calls. Commissioners supported monitoring program results and signaled they expect expansion to additional 24/7 BLS shifts if demand persists.

