MONOC ALS Division

MONOC’s Advanced Life Support Division (ALS) was started in 1985 to provide a higher level of emergency medical service to the community in conjunction with municipal volunteer first aid squads throughout Monmouth and Northern Ocean Counties. This service grew slowly to a system in which seven Mobile Intensive Care Units (MICU) were strategically stationed throughout the two counties to provide rapid response to all life threatening emergencies. Early on, these units were dispatched by the dispatch centers in the respective counties served. This was ultimately changed to allow the MONOC Dispatch Center to more efficiently dispatch the units via redundant radio communication with portable and mobile radios, Nextel cellular phones and GPS technology. This allows for the closest appropriate unit to be automatically selected and sent to the emergency.

In 2003, through an agreement with St. Barnabas Health Care System’s (SBHCS), MONOC acquired five additional MICUs, encompassing the remainder of Ocean County. In 2004, through yet another merger with the remaining SBHCS hospitals, MONOC acquired their remaining six MICUs in Northern New Jersey. This increased MONOC’s ALS coverage area to Union, Essex, and Hudson Counties. In 2005, Passaic Beth Israel Medical Center became a member of MONOC, adding two additional MICUs and coverage in Passaic, and Bergen Counties.

All of MONOC’s forty ALS vehicles are licensed by The New Jersey Department of Health and Senior Services Office of Emergency Medical Services. In addition to what is carried on Basic Life Support units (BLS), the MICUs are all fully equipped with cardiac monitoring equipment, medication, advanced airway equipment, and staffed with two certified Mobile Intensive Care Paramedics (MICP). MICPs are certified after approximately two years of intensive training which expands on the training level of the Emergency Medical Technician (EMT). Skills include: advanced invasive medical procedures such as intubation, intravenous medication administration, chest decompression, intraosseous infusion, cardiac monitoring and pacing. All of this takes place under the direction of a medical control physician, who has the ability to monitor the patient’s status through state of the art telecommunications equipment, and direct contact with the MICP; essentially bringing the emergency department to the patient. MONOC currently employs approximately 250 Paramedics who report to 17 different locations throughout New Jersey.

In 2007, MONOC’s ALS units responded to 77,393 requests for service.