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Commissioners weigh policy to allow volunteer firefighters to drive ambulances in emergencies

Stokes County Board of Commissioners · May 13, 2025
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Summary

Stokes County commissioners discussed amended vehicle-use policy language permitting volunteer firefighters to drive ambulances when designated by a senior EMS official. Supporters cited necessity in certain emergencies; some commissioners requested confirmation from the medical director and insurers before final action.

Stokes County commissioners on May 12 reviewed proposed language that would allow a volunteer firefighter to drive a county ambulance when designated by the senior EMS official on site.

Supporters and staff said the change would provide needed flexibility in situations where a local volunteer is available to drive an ambulance so paramedics can treat a patient in the back. “When medically necessary and all other options are exhausted, that’s what you need to have happen,” one commissioner said.

Opponents and some commissioners cautioned about liability risks and asked whether the arrangement could affect the county’s medical-director oversight or insurance coverage. Several asked staff to confirm whether the practice aligns with the medical director’s scope and whether coverage is in place; insurance representatives were cited as having indicated coverage for firefighters in some circumstances.

The board moved the item forward for action pending confirmation from the medical director (Dr. Nelson) and the county’s insurers; staff were tasked to return with a final recommendation and any needed training or procedural safeguards.

Next steps: County staff will verify medical‑director agreement, insurance coverage and training requirements and return the policy for formal adoption.