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Ambulance / EMS Crew

You run pre-hospital care. A call comes in, an ambulance and crew are dispatched, the crew works the patient in the field, and the patient is handed off to the Emergency Department on arrival. Two roles share this, split between the control desk and the field.

A dispatcher runs the control desk — the fleet, the crews and the dispatch board. A paramedic (the crew) works the call and authors the run sheet. The receiving ED can see an inbound run.

A run sheet is the pre-hospital clinical record for one call — assessment, vitals, interventions and transport. EMS is Emergency Medical Services. eSign PIN is your 6-digit signing PIN, required to sign the run sheet.

As a dispatcher, you can:

  • Maintain the fleet — the ambulance register: each vehicle’s type, status and base.
  • Maintain crew rosters — paramedics, technicians and drivers, and their shifts.
  • Dispatch a call — assign an ambulance and crew to an emergency call.
  • Read the dispatch board — every call, vehicle and run in progress.

As a paramedic, you can:

  • Read the run board — the call you are assigned and its details.
  • Author the run sheet — record the assessment, vitals, interventions and transport in the field.
  • eSign the run sheet — sign your record with your eSign PIN as the attending crew.

The control desk and the field are deliberately separate. A paramedic does not manage the fleet, the crew roster, or dispatch — those are the dispatcher’s control-desk actions. A dispatcher does not author or sign the clinical run sheet — that is the crew’s clinical record. The receiving ED clinician can read an inbound run and the pre-hospital summary at handoff, but does not run the call.

ScreenModuleWhoWhat you do there
FleetAmbulanceDispatcherMaintain the vehicle register
CrewsAmbulanceDispatcherMaintain crew rosters and shifts
Dispatch BoardAmbulanceDispatcherAssign an ambulance and crew
Run SheetAmbulanceParamedicAuthor and eSign the run sheet
HandoffEDED clinicianReceive the inbound run
  1. The dispatcher keeps the fleet and crew rosters current and watches the dispatch board.
  2. A call comes in — the dispatcher assigns an ambulance and crew to it.
  3. The paramedic works the patient in the field, recording the run sheet — assessment, vitals, interventions and transport — and eSigns it.
  4. On arrival, the crew hands off to the Emergency Department, where the receiving clinician sees the inbound run and the pre-hospital summary.