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2022 COVID-19 Impact Report

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.
2f59240171e345aea9dfe058f8d67dee Atlantic  
2f59240171e345aea9dfe058f8d67dee Bergen 
2f59240171e345aea9dfe058f8d67dee Burlington 
2f59240171e345aea9dfe058f8d67dee Camden 
2f59240171e345aea9dfe058f8d67dee Cape May 
2f59240171e345aea9dfe058f8d67dee Cumberland 
2f59240171e345aea9dfe058f8d67dee Essex 
2f59240171e345aea9dfe058f8d67dee Gloucester 
2f59240171e345aea9dfe058f8d67dee Hudson 
2f59240171e345aea9dfe058f8d67dee Hunterdon 
2f59240171e345aea9dfe058f8d67dee Mercer 
2f59240171e345aea9dfe058f8d67dee Middlesex 
2f59240171e345aea9dfe058f8d67dee Monmouth 
2f59240171e345aea9dfe058f8d67dee Morris 
2f59240171e345aea9dfe058f8d67dee Ocean 
2f59240171e345aea9dfe058f8d67dee Passaic 
2f59240171e345aea9dfe058f8d67dee Salem 
2f59240171e345aea9dfe058f8d67dee Somerset 
2f59240171e345aea9dfe058f8d67dee Sussex 
2f59240171e345aea9dfe058f8d67dee Union 
2f59240171e345aea9dfe058f8d67dee 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?
9e7445e8eed64ff3894f9f7f955e5763 Yes 
9e7445e8eed64ff3894f9f7f955e5763 No 
If you have had COVID-19 personnel deaths, have you reported them to the NJDOH / ESF 8 desk?
9e7445e8eed64ff3894f9f7f955e5763 Yes 
9e7445e8eed64ff3894f9f7f955e5763 No 
Resources
What other resources does your department forecast may become critical?
2f59240171e345aea9dfe058f8d67dee NONE 
2f59240171e345aea9dfe058f8d67dee Personal Protective Equipment (PPE) 
2f59240171e345aea9dfe058f8d67dee Medical Supplies 
2f59240171e345aea9dfe058f8d67dee Support Personnel 
2f59240171e345aea9dfe058f8d67dee Other (please list resource) 
Has your agency utilized, or are they currently utilizing, any of the following waivers?
2f59240171e345aea9dfe058f8d67dee NONE 
2f59240171e345aea9dfe058f8d67dee BLS Triage to Home 
2f59240171e345aea9dfe058f8d67dee ALS Triage to Home 
2f59240171e345aea9dfe058f8d67dee Out of State BLS Provider 
2f59240171e345aea9dfe058f8d67dee Expired EMT Re-Entry - COVID19 
2f59240171e345aea9dfe058f8d67dee Authorization for Paramedics to Work in Hospital Setting 
2f59240171e345aea9dfe058f8d67dee Inactive to Active Paramedic 
2f59240171e345aea9dfe058f8d67dee Expired Paramedic Re-Entry - COVID19 
2f59240171e345aea9dfe058f8d67dee Executive order of One Paramedic Pronouncement 
2f59240171e345aea9dfe058f8d67dee Paramedics administering Vaccine