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County EMS proposes shifting to 24/72 schedule to reduce overtime and improve retention

Lancaster County Council · May 7, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

EMS leadership proposed transitioning part of the service from 24/48 to a 24/72 schedule, which would require hiring roughly a dozen additional medics to create a fourth shift and is expected to reduce overtime built into current schedules; staff said a phased rollout would take about 60 days after funding approval.

Council heard a presentation from EMS representatives about a proposed move from the current 24/48 staffing model toward a 24/72 schedule. EMS speaker Clay explained that the existing schedule generates high built overtime and has produced retention problems compared with neighboring counties that operate 24/72 or 12-hour models.

"After a 24 hour shift and you run 12 to 16 calls a day... you're gonna have to have a time to decompress," Clay said while explaining health and retention reasons for the shift-change proposal. Staff said the transition would require hiring roughly 12–14 additional medics to create an additional shift; net overtime costs could move from a heavy built-overtime line into regular payroll, potentially offsetting some of the new hires' cost. Clay estimated a realistic rollout would take about 60 days after funding is approved; council discussed phased funding (e.g., 0.5 of the change in year one) and asked staff about recruitment timelines and retention assumptions. No final vote was taken; council asked staff to include staffing scenarios and cost projections for follow-up budget markups.