Provides paramedic level care for multiple communities in Rockingham County (NH) as an intercept based paramedic. Provides clinical support for Emergency Department as Expanded Scope Paramedic allowing additional skills to be performed in the ED setting. Author of proposal for prehospital airway CQI as a precursor to Rapid Sequence Intubation implementation. Provided CQI review of patient care reports on a monthly basis. Recommended and implemented equipment accountability and readiness system. Assisted in administration of service related NHTEMSIS functions. Functions as a member of in hospitalwide Rapid Response Team responding to calls for assistance with patients in distress.

Provided primary paramedic level care for twenty-five communities in and around Middlesex County CT. Provided clinical support for Emergency Dept. Preceptor for Paramedic Students from multiple Paramedic Training Programs & EMT-I/Paramedic personnel attached to CT State Police Emergency Services Unit. Additional responsibilities included maintenance of Monitor/Defibrillator/Pacemaker equipment, & statistical analysis of system performance. Assisted with maintenance & programming of emergency lights, sirens, pagers, radios. Liaison between EMS Dept & local EMS, fire, & law agencies in Service Area providing continuing education, public relations, & maintenance dialogue between BLS personnel & ALS personnel. Author of training programs for the use of Epinephrine Autoinjector & Combitube by BLS personnel & Morgan Lenses, Combitube & Atrovent by Paramedic personnel. Proposed & helped develop Acute Coronary Syndrome Task Force to improve prehospital care & continuity of care for ACS.

President of an independent consulting firm specializing in EMS and Macintosh based technology. Provides technical support on demand for all Macintosh based technology. Provided Macintosh Windows integration services. Developed and implemented proposal to establish first ALS ambulance service in Honduras to meet U.S. standards. Established and maintained Internet based mailing lists for Connecticut based EMS providers, Connecticut EMS Coordinators, and Connecticut Prehospital Trauma Life Support Instructors. Still maintain mailings lists as a service to the EMS community even though business has closed.

Provide instruction and precepting to paramedics currently enrolled in paramedic training programs. Precept graduate paramedics who are candidates for authorization or re-authorization through the New Haven Sponsor Hospital Program. Provide written evaluation of students/candidates and actively assist the MIC Medical Directors and EMS Coordinators in the granting of medical authorization for MIC field personnel. Serve as faculty and instructor for New Haven Sponsor Hospital educational programs.

Provide basic and advanced life support for emergency and non-emergency requests for ambulance service in the greater New Haven area. Work closely with law enforcement, fire/rescue agencies, and other ALS and BLS agencies to provide continuity of efficient and high quality care. Comply with EMS Medical Protocols, policies, and CME attendance requirements. As needed work in training division to support and provide training in Critical Care Transport, PreHospital Trauma Life Support, Driver Training, New Employee Orientation. Serve on committees with the purpose of Quality Improvement/Quality Assurance, New Technologies, computer integration, and Training.

Responsibilities include the coordination of all phases of FireScan, a microprocessor based fire protection system condition monitoring system. Sole provider of customer service, education, technical support, R&D, installation, & compliance to applicable fire codes as FireScan Coordinator. Research of engineering topics & production of training & informational publications for internal & external use. Authored Engineering Guidelines & Technical Bulletins regarding fluid velocity in sprinkler piping, electrical classification of power generating equipment, fire protection of turbine generator bearings, low pressure carbon dioxide fire protection systems, alternatives to halon 1201 in areas containing sensitive equipment, & interpretation of statutes regarding installation & use of backflow preventers in CT & OH. Co-authored a Company Training Program on roof inspection & determination of wind uplift pressures for use by field engineers including preparation for publication & training.

Primary EMS provider to the North and West sectors of the City of Waterbury, and the town of Watertown; paramedic provider for seven other communities in the upper Naugatuck Valley area. Acted as paramedic preceptor for students from UConn Medical Center and Mattatuck Community College paramedic programs. Precepted MedStar EMT-Intermediate candidates from various training programs. Proposed and assisted in development of a revised protocol for the management of SVT which resulted in the addition of Verapamil (1988) and Adenosine (1991). Proposed and assisted in development of a revised protocol for the treatment of asthma which resulted in the addition of nebulized Alupent (1989).

Provided UHF EMS communication coordination for EMS/Rescue agencies and hospitals in Region V, including the dispatch and coordination of paramedic service and intercepts for the Greater Waterbury Area. Receive emergency requests for, dispatch, and provide continuing support, communications and coordination for five fire departments and six EMS agencies. Receive and appropriately route emergency requests received through Enhanced-911 and standard telephone service.

Provided primary paramedic level care for twenty-five communities in and around Middlesex County CT. Provided clinical support for Emergency Dept. Preceptor for Paramedic Students from multiple Paramedic Training Programs & EMT-I/Paramedic personnel attached to CT State Police Emergency Services Unit. Additional responsibilities included maintenance of Monitor/Defibrillator/Pacemaker equipment, & statistical analysis of system performance. Assisted with maintenance & programming of emergency lights, sirens, pagers, radios. Liaison between EMS Dept & local EMS, fire, & law agencies in Service Area providing continuing education, public relations, & maintenance dialogue between BLS personnel & ALS personnel. Author of training programs for the use of Epinephrine Autoinjector & Combitube by BLS personnel & Morgan Lenses, Combitube & Atrovent by Paramedic personnel. Proposed & helped develop Acute Coronary Syndrome Task Force to improve prehospital care & continuity of care for ACS.