OEMS Logo8.jpg

COVID-19 Impact

Reporting Week
Please select the week you are reporting.
Agency Name
Please list your agency's official name (No abbreviations).
Contact Person
Please list the name and email address of the person completing this report.
County
Please list the county (or counties) your agency serves.
0b0349e27fde4ccf85f4533663e456d8 Atlantic  
0b0349e27fde4ccf85f4533663e456d8 Bergen 
0b0349e27fde4ccf85f4533663e456d8 Burlington 
0b0349e27fde4ccf85f4533663e456d8 Camden 
0b0349e27fde4ccf85f4533663e456d8 Cape May 
0b0349e27fde4ccf85f4533663e456d8 Cumberland 
0b0349e27fde4ccf85f4533663e456d8 Essex 
0b0349e27fde4ccf85f4533663e456d8 Gloucester 
0b0349e27fde4ccf85f4533663e456d8 Hudson 
0b0349e27fde4ccf85f4533663e456d8 Hunterdon 
0b0349e27fde4ccf85f4533663e456d8 Mercer 
0b0349e27fde4ccf85f4533663e456d8 Middlesex 
0b0349e27fde4ccf85f4533663e456d8 Monmouth 
0b0349e27fde4ccf85f4533663e456d8 Morris 
0b0349e27fde4ccf85f4533663e456d8 Ocean 
0b0349e27fde4ccf85f4533663e456d8 Passaic 
0b0349e27fde4ccf85f4533663e456d8 Salem 
0b0349e27fde4ccf85f4533663e456d8 Somerset 
0b0349e27fde4ccf85f4533663e456d8 Sussex 
0b0349e27fde4ccf85f4533663e456d8 Union 
0b0349e27fde4ccf85f4533663e456d8 Warren 
Personnel
What is your total number of personnel?
How many of your personnel are currently out sick due to testing positive for COVID-19?
How many of your personnel have been hospitalized due to COVID-19?
How many of your personnel are currently out due to self-quarantine for possible COVID-19 exposure?
How many of your personnel are currently out due to other reasons?
How many of your personnel were previously quarantined and have since returned to full duty?
Have any of your personnel succumbed to a COVID-19 related illness?
eb7111b91ceb4680a0955069d381b4df Yes 
eb7111b91ceb4680a0955069d381b4df No 
If you have had COVID-19 personnel deaths, have you reported them to the NJDOH / ESF 8 desk?
eb7111b91ceb4680a0955069d381b4df Yes 
eb7111b91ceb4680a0955069d381b4df No 
Resources
What other resources does your department forecast may become critical?
0b0349e27fde4ccf85f4533663e456d8 NONE 
0b0349e27fde4ccf85f4533663e456d8 Personal Protective Equipment (PPE) 
0b0349e27fde4ccf85f4533663e456d8 Medical Supplies 
0b0349e27fde4ccf85f4533663e456d8 Support Personnel 
0b0349e27fde4ccf85f4533663e456d8 Other (please list resource) 
Has your agency utilized, or are they currently utilizing, any of the following waivers?
0b0349e27fde4ccf85f4533663e456d8 NONE 
0b0349e27fde4ccf85f4533663e456d8 BLS Triage to Home 
0b0349e27fde4ccf85f4533663e456d8 ALS Triage to Home 
0b0349e27fde4ccf85f4533663e456d8 BLS Crewmember Requirements 
0b0349e27fde4ccf85f4533663e456d8 MICU Crewmember Requirements 
0b0349e27fde4ccf85f4533663e456d8 SCTU Crewmember Requirements 
0b0349e27fde4ccf85f4533663e456d8 Unlicensed Vehicle 
0b0349e27fde4ccf85f4533663e456d8 Out of State BLS Provider 
0b0349e27fde4ccf85f4533663e456d8 BLS Certification Extension 
0b0349e27fde4ccf85f4533663e456d8 Expired EMT Re-Entry - COVID19 
0b0349e27fde4ccf85f4533663e456d8 Authorization for Paramedics to Work in Hospital Setting 
0b0349e27fde4ccf85f4533663e456d8 ALS Certification Extension 
0b0349e27fde4ccf85f4533663e456d8 Inactive to Active Paramedic 
0b0349e27fde4ccf85f4533663e456d8 Expired Paramedic Re-Entry - COVID19 
0b0349e27fde4ccf85f4533663e456d8 Executive order of One Paramedic Pronouncement