The Operations Division is responsible for the day to day activities that constitute a true EMS system. Collin Sommerfeld, Chief of Operations, four (4) Shift Supervisors and four (4) Assistant Supervisors, ensure the safety and well being of all patients requiring emergency transport in East Baton Rouge Parish.

EMS Field Operations consists of thirteen (13) transport units operated from twelve (12) substations around the parish or county. Eleven (11) of these units are the primary response units that operate twenty-four (24/7) hours a day. Two power units operate during peak call hours for 12-hour shifts to help with the call volume. EMS units are staffed with a minimum of two EMT-Paramedics that work rotating twelve hour shifts. Primary units have shift change at 7 a.m. and 7 p.m. The power shifts work non-rotation shifts that are set at 7 a.m. to 7 p.m. Crews on the primary units rotate stations, in the parish and switch between day and night shifts every month.

There is a Field Supervisor and an Assistant Supervisor assigned to each shift. The Supervisors are responsible for all daily operations of the shift and work twelve hour shifts. The Supervisors are part of the Administrative Staff and are also available to respond to calls in ALS equipped suburban's.