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Emergency Medicine

Orange City Area Health System Emergency Medicine/Ambulance

Our team of paramedics and EMTs are on call 24/7. In addition, it’s a comfort to know that our very own physicians are the doctors you will see in our Emergency Room. Top quality care … close to home. Our team works closely with our own family medicine doctors to offer 24/7 access to skilled, compassionate care. The ambulance squad is part of the hospital, at the ready and committed to our Core Values. Call 9-1-1 for emergencies.

How about becoming part of the story?

We are looking for people to join our EMS squad as EMTs or drivers. Our team of dedicated professionals work together and support each other as they serve our communities.

  • We pay tuition for the EMT certification course and all continuing education. EMT class starts in September.
  • Choose your on-call hours.
  • $12.14/hour for calls/runs.
  • Benefits: IPERS retirement and more!

Click here to view our EMT openings as well as other positions available at Orange City Area Health System.

“AT THE END OF THE DAY you may go home wondering if it was all worthwhile. But later … when that little kid you thought wasn’t going to make it gives you a hug … or the teenager you did CPR on gives you a high five … or the little elderly lady points you out in the grocery store and says ‘You saved my husband’s life!’ … there truly is no better feeling. These are the stories that drove me to work in EMS.”
–Cedric Franken, Paramedic

Our ER entrance is adjacent to our ambulance bay.

They still make house calls

– by Alan Laird, MD
Chief Medical Officer and family physician
In a previous column (in our HealthLines newsletter) I had discussed the evolving technology associated with medical care. In the not too distant future we will probably see a return to the house call by a physician, but it will be done over a computer or a smart phone. Yet, there are several medical professionals who still make “in person” home visits and will continue doing so into the future. These include nurses, CNA’s, therapists and social workers involved with Home Health and Hospice. And there is still another group. I would like to highlight them today. These are members of our local and area ambulance crews. Most all of these members are volunteers. This means they give of their time willingly with little to no pay. They include Drivers, Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Advanced Emergency Medical Technicians (AEMTs) and Paramedics. Each of these has their own set of skills and knowledge base. They require specific areas of training and demonstration of ability. Briefly, each of these includes:

Drivers – specially trained in emergency vehicle operations and cardiopulmonary resuscitation (CPR).

EMRs – provide immediate lifesaving care to critical patients while awaiting further emergency medical system response to the scene.

EMTs – provide basic emergency medical care and transportation for critical and emergent patients.

AEMTs – provide basic and some advanced emergency medical care and transportation for critical and emergent patients.

Paramedics – primary focus is to provide advanced emergency medical care for critical and emergent patients.

Each of these individuals have taken classes, passed tests, demonstrated skills and committed to continuing education to be able to provide care. They have invested personal time, and often personal finances, to receive this training and ongoing education.

Let’s also consider what they have committed themselves to. If a 911 call comes in, it doesn’t matter what the weather is like outside, whether it is night or day or if they had other things planned; they have committed to drop everything and responded to the call. They don’t say, “We’ll drop by around 2pm.” They don’t ask, “Were you doing something stupid? Because if you were, I’m not coming.” (Which might have been something my dad would’ve said to me.) They come to the scene, even though weather, hazards or road conditions may put them at risk as well.They may also spend significant time away from their job or family, not just getting the patient to the emergency room, but providing further care in the emergency room or transporting the patient to the next level of care if required (Sioux City, Sioux Falls, Omaha, Iowa City and possibly beyond).

Because they are the first to touch the patient and then hand off that patient’s care to others, there is rarely time for thank you’s or recognition of the care they have provided. They often do this work at odd hours and in difficult situations. Please also consider that the five services that receive their medical direction from the OCAHS hospital (Orange City, Alton, Granville, Hospers and Paullina) handled roughly 1000 calls combined in 2015.

So if you know somebody serving in one of these positions, please be sure to thank them. Even if you never have to call for their help, it is good to know there are committed people in these positions available to help their neighbors. Please also consider if you’re being called to serve in one of these positions. Without teams of many people, we won’t have these services available in our communities. Consider how difficult it would be to get the needed treatment in the time of emergency without your local ambulance team. Be sure to support them.

Should you feel you’re being called and have the ability to serve in one of these positions, please ask any member of your local team, or call 712-737–5244 and talk with one of our team members. We can always use one more person. There is often financial support for training and testing. While electronics and technology may advance the scope and efficiency of medical care, there will always be a need for one human being to come to the aid of another. Our local ambulance teams are a shining example of answering that need.

Orange City Area Health System is a comprehensive health system encompassing four family medicine clinics, sports medicine clinic, behavioral health clinic, award-winning hospital, birth center, surgical center, radiology and laboratory services, occupational health services, specialty outreach services, physical and aquatic therapy, home health and hospice, a retirement community, and a senior care center. The health system campus – designed with privacy and total healing as its foundation – is situated on 37 acres, including a pond with fountain, a healing garden, and a field of prairie grasses and wild flowers adjacent to the PuddleJumper Trail.

A team of 19 family medicine providers, along with dedicated nurses, medical specialists, and 500 support staff, are committed to serving the region with the Core Values of Integrity, Commitment to Excellence, Dedicated Colleagues, and Extraordinary Customer Experience. Orange City Area Health System has been named one of the Top 20 Critical Access Hospitals in the nation, one of “50 Critical Access Hospitals to Know” in the U.S., and a Women’s Choice Award recipient for Outstanding Patient Experience.



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