Thousand Islands Emergency Rescue Service (TIERS) provides the residents of Clayton and Orleans Townships with the highest level of professional emergency medical care available, with on-duty paramedic-level responders available 24/7.
TIERS responds to medical emergencies immediately, providing expertise and a level of care typically found only in larger urban areas.
TIERS operates four fully-equipped ambulances stationed in Clayton.
Working in tandem with the Town of Clayton Fire Department, TIERS personnel respond to medical emergencies on the islands within the two townships.
To reduce the incidence of medical emergencies, TIERS performs in-home check-up visits with patients and conducts in-home safety assessments.
To improve the health, well-being, and safety of residents of the two townships it serves, TIERS provides medical education and training opportunities.
TIERS provides mutual aid emergency response to the neighboring townships and inter-facility transportation services for hospitals in the region.
TIERS will be recognized regionally and statewide for excellence and as a model agency for the delivery of the highest possible levels of emergency medical service in a rural setting.
TIERS’s mission and vision are reflected in five core values that we hold as very important and that guide our everyday actions and decision-making.
Quality of Emergency Care
Above all else, we are a provider of emergency medical care and the quality of that care is what we value most. When we say the patient’s life is our mission, we mean that we will always provide the highest quality emergency care possible. In short, quality care is job one. We strive always for excellence, to be thoroughly professional, and to be the best when dealing with medical emergencies. On-going training and continuous quality improvement of our emergency care processes and procedures help ensure the delivery of state-of-the-art quality emergency care.
We value each and every patient as a unique individual. In addition to addressing a patient’s physical needs during a medical emergency, we focus on their mental and emotional well-being as well. This means treating them with respect and compassion and preserving their dignity. Every member of every crew practices a variant of the golden rule: treating each patient as they themselves would want to be treated and how they would want their own family members treated.
Naturally, patient safety is of paramount importance, but equally so is the safety of our crews and colleagues. No injured or ill person is ever saved if the rescue personnel themselves become injured or incapacitated. Following proper safety procedures and taking precautions keeps an emergency situation from becoming worse. As a consequence, considerable organization effort and training are focused on safety issues.
The delivery of high-quality and timely emergency medical care requires a coordinated team effort, with team members knowing their defined roles in terms of preparedness, safety, and patient care. Being part of a team requires everyone to be responsible for making the organization welcoming and supportive. It means having high expectations of one another and being confident that those expectations will be met with professionalism. Exhibiting respect, integrity, cooperation, collaboration, and good communication are central to excellent teamwork. Good teamwork also means taking collective pride in how we present ourselves to the public.
As a community-based, government-supported, non-profit, and charitable organization, TIERS has a value proposition with the people it serves: providing the best emergency medical care possible at the lowest possible cost. It is everyone’s job to control costs while assuring that patient care is not compromised. Cost containment means that the organization must focus on its core mission and avoid being all things to all people.