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.
eaf96ee78d1b48eaaff68ba01300f085 Atlantic  
eaf96ee78d1b48eaaff68ba01300f085 Bergen 
eaf96ee78d1b48eaaff68ba01300f085 Burlington 
eaf96ee78d1b48eaaff68ba01300f085 Camden 
eaf96ee78d1b48eaaff68ba01300f085 Cape May 
eaf96ee78d1b48eaaff68ba01300f085 Cumberland 
eaf96ee78d1b48eaaff68ba01300f085 Essex 
eaf96ee78d1b48eaaff68ba01300f085 Gloucester 
eaf96ee78d1b48eaaff68ba01300f085 Hudson 
eaf96ee78d1b48eaaff68ba01300f085 Hunterdon 
eaf96ee78d1b48eaaff68ba01300f085 Mercer 
eaf96ee78d1b48eaaff68ba01300f085 Middlesex 
eaf96ee78d1b48eaaff68ba01300f085 Monmouth 
eaf96ee78d1b48eaaff68ba01300f085 Morris 
eaf96ee78d1b48eaaff68ba01300f085 Ocean 
eaf96ee78d1b48eaaff68ba01300f085 Passaic 
eaf96ee78d1b48eaaff68ba01300f085 Salem 
eaf96ee78d1b48eaaff68ba01300f085 Somerset 
eaf96ee78d1b48eaaff68ba01300f085 Sussex 
eaf96ee78d1b48eaaff68ba01300f085 Union 
eaf96ee78d1b48eaaff68ba01300f085 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?
e86244b347454971a9719694391ff475 Yes 
e86244b347454971a9719694391ff475 No 
If you have had COVID-19 personnel deaths, have you reported them to the NJDOH / ESF 8 desk?
e86244b347454971a9719694391ff475 Yes 
e86244b347454971a9719694391ff475 No 
Resources
What other resources does your department forecast may become critical?
eaf96ee78d1b48eaaff68ba01300f085 NONE 
eaf96ee78d1b48eaaff68ba01300f085 Personal Protective Equipment (PPE) 
eaf96ee78d1b48eaaff68ba01300f085 Medical Supplies 
eaf96ee78d1b48eaaff68ba01300f085 Support Personnel 
eaf96ee78d1b48eaaff68ba01300f085 Other (please list resource) 
Has your agency utilized, or are they currently utilizing, any of the following waivers?
eaf96ee78d1b48eaaff68ba01300f085 NONE 
eaf96ee78d1b48eaaff68ba01300f085 BLS Triage to Home 
eaf96ee78d1b48eaaff68ba01300f085 ALS Triage to Home 
eaf96ee78d1b48eaaff68ba01300f085 BLS Crewmember Requirements 
eaf96ee78d1b48eaaff68ba01300f085 MICU Crewmember Requirements 
eaf96ee78d1b48eaaff68ba01300f085 SCTU Crewmember Requirements 
eaf96ee78d1b48eaaff68ba01300f085 Unlicensed Vehicle 
eaf96ee78d1b48eaaff68ba01300f085 Out of State BLS Provider 
eaf96ee78d1b48eaaff68ba01300f085 BLS Certification Extension 
eaf96ee78d1b48eaaff68ba01300f085 Expired EMT Re-Entry - COVID19 
eaf96ee78d1b48eaaff68ba01300f085 Authorization for Paramedics to Work in Hospital Setting 
eaf96ee78d1b48eaaff68ba01300f085 ALS Certification Extension 
eaf96ee78d1b48eaaff68ba01300f085 Inactive to Active Paramedic 
eaf96ee78d1b48eaaff68ba01300f085 Expired Paramedic Re-Entry - COVID19 
eaf96ee78d1b48eaaff68ba01300f085 Executive order of One Paramedic Pronouncement