2004 Agency Interview Survey

Oregon Office of Rural Health

( toll free) 866-674-4376

1. What is your agency's name?

2. What is your name ?

3. What is your title?

4. What is your phone number?

3-digit area code and number

- / -

5. What is your email address?

6. What is your rank/position?

 Chief Recruitment Supervisor

 Other:

7. What is your certification level? Do not choose more than two of the following

 Fire Fighter First Responder

 EMT Basic EMT Intermediate

 EMT Paramedic Other

8. Which of the following best describes your agency? Select one

 Paid agency Volunteer

 Mixture (Both paid and volunteer)

 Private Industry

9. Are you a 9-1-1 public response agency?

 Yes No

10. How many personnel work in your agency (total, including non emergency and emergency staff)?

11. What duties do your emergency response personnel typically perform for your agency? Select all that apply

 EMS Fire
 Other (If other, describe in box below.)

1.
2.

12. What is your primary funding source? Select one

 Public Private Tax Levy

 Subscription Service Other:

13. Please complete the following chart to most accurately describe your agency type.

YES / NO
Fire Agency /  / 
EMS Agency /  / 
Transport Agency /  / 
Non Transport Agency /  / 

14. Do personnel at your agency have access to conflict resolution or mediation services?

 Yes  No

15. What commitments do you require of personnel in addition to training? Check all that apply

 Monthly Continuing Education  Call Schedule

 Residency Requirements

 Other:

16. Please complete the following chart to most accurately describe your current staffing level.

Number of
Paid Staff / Number of
Non Paid Staff
Basic EMT
Intermediate EMT
Paramedic EMT
First Responder EMT
Driver
Other

17. Please complete the following chart for the past 12 months.

Number of Newly Certified / Number of Recertified
Basic EMT
Intermediate EMT
Paramedic EMT
First Responder
Other

18. Does your agency have a recruitment and retention plan?

 Yes  No

19. Does your agency work cooperatively with other agencies to recruit personnel?

 Yes  No

If yes go to Number 20; if no go to Number 21.

20. What activities did you engage in with other agencies to recruit personnel? Check all that apply  Shared costs  Media campaign

 Combined training Other:

21. How much does your agency spend on recruiting activities per year?

 $0-$99 $100 - $499

 $500-$999$1,000 or more

22. What are the five most successful methods your agency uses to recruit personnel?

1.
2.
3.
4.
5.

23. What are the five major recruiting barriers for your agency?

1.
2.
3.
4.
5.

24. To what extent does each one of the following Agency factors contribute to your agency's ability to retain personnel? Minor Major

Factor Factor

Factors / 1 / 2 / 3
Lack of emotional support from agency coworkers
Effort is not valued by agency
Personality issues at agency
Lack of respect from physicians
Lack of respect from nurses
On-call expectations
Lack of opportunity to participate at agency
Lack of independence
Must also be a firefighter
Must participate in firefighting
Response location
Response time requirements
Lack of internal structured training program
Sufficient similarly certified EMS personnel
Lack of adequate EMS equipment
Amount of critical incident stress
Poor critical incident stress debriefing
Physical demands of EMS work
Shortage of personnel for backup
Health and/or safety hazards
Legal liability
Lack of leadership

25. To what extent does each one of the following Personal factors contribute to your agency's ability to retain personnel?

Minor Major

Factor Factor

Factors / 1 / 2 / 3
Lack of support from non-agency employer
Difficulty getting time off from employer for emergency calls
Lack of support from non-agency coworkers
Out of pocket expenses to volunteer
Employment schedule/shift work
Time commitment at agency
Lack of wage/salary compensation during call time
Transportation issues interfere with agency participation
Child/Elder care issues interfere with agency participation
Family obligations other than child/elder care interfere with agency participation
Lack of family support interferes with agency participation
Community not supportive of EMT to participate with agency
Personal health interferes with agency participation

26. To what extent does each one of the following Education/Training factors contribute to your agency's ability to retain personnel?

Minor Major

Factor Factor

Factors / 1 / 2 / 3
Availability of education
Location for education/training not convenient
Lack of transportation interferes with education/training
Cost of education/training interferes with education/training
No opportunity to use advanced education
Child/Elder care issues interfere with agency participation
Family obligations other than child/elder care interfere with education/training
Family not supportive of EMT pursuing education/training
Community not supportive of EMT pursuing education/training
Community not supportive of EMT participating with agency
Personal health interferes with education/training

27. What are the three most successful methods your agency uses to retain personnel?

1.
2.
3.

28. To what extent does each one of the following factors contribute to the local community college's inability to meet needs for training?

Minor Major

Factor Factor

1 / 2 / 3
Classes not conveniently located
Lack of quality instruction
Class scheduled at wrong time of year
Class times not convenient
Cost
Other (Describe):

29. What method(s) do you use to obtain continuing education for your EMTS?

1.
2.
3.
4.
5.

30. Please indicate your order of preference for the following types of educational opportunities. Rank from most preferred = 9 to least preferred = 1

Rank
(1-9) / Type of educational opportunity
Hands on skills practice
Classroom
Video
Interactive televideo
Internet
CD or DVD
Correspondence
DHS EMS Mobile Training Unit
Other (please name):

31. What does your agency pay for to become qualified to work or to volunteer?

Yes / No
Initial education
Testing fees
Initial certification
Recertification
Continuing education

32. Does your agency pay for training outside your agency after initial certification?

 Yes  No

33. Please complete the following chart for personnel training to become certified in the following categories.

Number of Personnel Currently in Training
Basic EMT
Intermediate EMT
Paramedic EMT
First Responder
Other (Describe)

34. How far is your agency willing to have personnel travel for certification education/training?

 1-15 minutes 15-30 minutes

 30-45 minutes 45- 60 minutes

 1-2 hours 2 or more hours

35. How far is your agency willing to have personnel travel for continuing education/training?

 1-15 minutes 15-30 minutes

 30-45 minutes 45- 60 minutes

 1-2 hours 2 or more hours

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