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Nebulized Albuterol A letter from the EMS agency physician medical director supporting the request and indicating an understanding of their role in the quality assurance process (click here). Medical Director Verification Form (DOH-4362) (click here). Written policies and procedures for the storage and maintenance of Nebulized Albuterol that are consistent with applicable Regional and State protocols. These policies and procedures shall include, but not necessarily be limited to the following: Didactic and psychomotor objectives for training of authorized users including who will be authorized to conduct this training Documentation and attendance records of the training of authorized users A defined quality assurance program, including appropriateness review by the EMS agency and physician medical director; Written policies and procedures for storage of the Nebulized Albuterol, Notice to the EMS agency physician medical director of the use of the Nebulized Albuterol, and Requirements for documentation when the Nebulized Albuterol is used for patient care These items must be submitted to STEMS no less than three weeks prior to the next scheduled WREMAC meeting for approval. If you encounter any problems or need an additional help please feel free to reach out to me and I will help you through the process at stems@sthcs.org .

Mental Health Awareness Month and the 988 Lifeline May is Mental Health Awareness Month, an important reminder that mental health is just as important as physical health. Across our communities, many individuals and families continue to face challenges related to stress, anxiety, depression, substance use, and emotional wellbeing. No one should feel they have to face those challenges alone. The 988 Suicide & Crisis Lifeline is available 24 hours a day, 7 days a week, providing free and confidential support for anyone experiencing a mental health crisis, emotional distress, or concerns related to substance use. By simply calling or texting 988, individuals can connect directly with trained counselors who are there to listen, support, and help guide them to resources. Sometimes the most important thing we can do is help spread awareness and remind people that support is available. Please take a moment to share this important resource within your organizations, workplaces, families, and communities. EMS Week 2026: Improving Outcomes, Together This week, Alicia and I had the opportunity to attend the New York State EMS Council meeting in Saratoga Springs, where EMS leaders from across New York State came together to discuss emerging issues, statewide initiatives, and the future of emergency medical services. As we return home, we also look forward to celebrating National EMS Week, May 17–23, with this year’s theme, “Improving Outcomes, Together.” EMS Week is an opportunity to recognize and thank the EMS professionals who serve our communities every day with dedication, compassion, and professionalism. Whether responding to emergencies, supporting patients during difficult moments, or working behind the scenes to strengthen systems of care, EMS providers continue to make a tremendous impact across our region. Several appreciation events are planned throughout the Southern Tier this week: Allegany County: Daily free treats beginning Monday, May 18, along with a picnic lunch on Friday, May 22, from 11:00 a.m. to 6:00 p.m. in the ambulance bay area at Jones Memorial Hospital Cattaraugus County: EMS Appreciation Cookouts at Olean General Hospital on Tuesday, May 19, and Thursday, May 21, from 3:00 p.m. to 6:00 p.m. Chautauqua County: BBQ lunch on Monday, May 18, from 11:00 a.m. to 2:00 p.m. in the Sherman Parking Lot at UPMC Chautauqua Chautauqua County: EMS Awards Ceremony on Thursday, May 21, at 6:00 p.m. in the UPMC Chautauqua Auditorium, with snacks provided. To all EMS providers across our region, thank you for the care you provide, the sacrifices you make, and the commitment you continue to show each and every day. Your work truly matters, and our communities are stronger because of you.

Prevention in Action This week, we’re continuing to see the impact of meeting people where they are—especially when it comes to prevention. May is Bicycle Safety Month, our team is working through Safe Kids Southern Tier New York to get helmets into the hands of local children and families. With support from a recent grant, we’ve secured 40 helmets that will be distributed along with hands-on education to ensure proper fit and use. It’s a simple step, but one that can significantly reduce the risk of serious injury. This work reflects what we strive to do every day—combine education, access, and community partnership to create safer environments across our region. In rural communities like ours, prevention isn’t just important—it’s essential. I want to thank Lindsey and our partners who help make this work possible and to the families who continue to engage with us. Small actions, done consistently, make a real difference. Building the Workforce Pipeline One of the most important investments we can make in rural healthcare is in the people who deliver it. This week, we’re continuing to strengthen our EMS and healthcare workforce pipeline—supporting both new and existing providers across the Southern Tier. Through our training programs, partnerships, and ongoing education, we’re not just filling gaps—we’re building long-term capacity for our communities. In a region where access can be limited by distance, workforce matters. EMS providers are often the first point of care, and having well-trained, supported professionals in place directly impacts outcomes. From entry-level training to advanced certification, we are focused on creating opportunities that keep talent local and prepared. This work doesn’t happen in isolation. It takes coordination, strong partnerships, and a shared commitment to doing things the right way. I am thankful to Alicia for the support she gives our program agency, instructors, and providers who continue to step up and invest in the future of care in our region.

Strong Financial Stewardship – Thank You I’d like to recognize and thank Ed Bysiek of BYSIEK CPA, PLLC in Olean, NY for presenting our 2025 audit. We are pleased to share that we received a clean, unmodified audit opinion, confirming that our financial statements are presented fairly and in accordance with accepted accounting standards. In addition, the audit found no material weaknesses, no significant deficiencies in internal controls, and no compliance issues—an important reflection of the strength and consistency of our financial operations. I also want to recognize Colleen for her ongoing commitment to ensuring we meet all requirements and maintain strong accounting practices. Her attention to detail and consistency play a critical role in keeping us on track and audit-ready at all times. This work may not always be visible, but it is essential to maintaining transparency, accountability, and trust in everything we do. Building Our Workforce – EMT-B Academy Progress We continue to make strong progress with our EMT-B Academy. Ellie Strade, Program Assistant, has been leading coordination efforts, including applicant outreach, scheduling and conducting interviews, organizing applicant data, and working with partners to finalize our initial class roster and next steps. In addition, Ellie recently completed the NAEMSE Instructor Level 1 course and passed the exam with a perfect score. This is a great accomplishment and continues to build our training strength as we grow and refine the Academy. She will also be completing her New York State Certified Instructor Coordinator (CIC) internship during this year’s Academy, which will further support our instruction while helping to develop the next generation of EMS providers. This is exactly what it looks like to invest in our workforce the right way—developing both the program and the people who help lead it. Thank you to Ellie and everyone involved in supporting this work and moving the Academy forward.