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Chief Nicholson warns EMS time-on-task up 27% since 2014; drone purchase awaits FEMA approval

San Francisco Fire Commission · June 12, 2019
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Summary

Chief Janine Nicholson reported EMS unit time-on-task has increased about 27% since 2014, driven by traffic and hospital delays, and the department's grant-funded drone purchase is stalled pending Cal OES/FEMA aviation approval; the department is coordinating with PG&E on planned power-shutoff impacts.

Chief of Department Janine Nicholson told the Fire Commission she and command staff have been visiting stations and holding town halls to improve internal communication and that operational pressures are mounting on EMS. "Our time on task is up 27% since 2014," she said, explaining that longer hospital triage, increased documentation and city traffic all extend how long ambulances and suppression units are tied up on calls.

Nicholson said the department is seeking collaborative fixes with hospitals, the Department of Public Health and other partners and emphasized the budget request for EMS personnel and training to help reduce delays. She also flagged increased call volume: overall call volume is up 13% since 2014 and EMS-specific calls by 24%.

On technology and planning, Assistant Deputy Chief Mike Cochran updated the Commission on the department's UASI grant-funded drone. Cochran said Cal OES submitted an aviation request to FEMA in April on the department's behalf but has not yet received FEMA approval; follow-ups in May also drew no response and the department remains in a holding pattern until FEMA signs off. "We're awaiting FEMA," Cochran said.

Nicholson and Cochran also described coordination with the Department of Emergency Management and PG&E about public-safety power shutoffs and a citywide tabletop drill. The department is preparing operational questions to present to PG&E and said it is engaging with DEM and other agencies to mitigate call-volume and logistics impacts if shutoffs occur.

Nicholson said the department will present budget testimony to the Board of Supervisors' budget committee and that public-facing events (including Pride and large sports/entertainment events) require multiagency planning to ensure access and coverage.