While it is important to note that Police Medics are civilian employees of the police department, they do have additional equipment and powers when compared to other paramedics. Most Police Medics carry handcuffs and pepper spray, and all Police Medics are issued bulletproof vests. Unlike other paramedics, Police Medics are often placed directly into police situations, including many violent situations that most paramedics would stage away from until the scene was secure. The volunteer fire departments and private ambulance companies who work public 911 contracts in Nassau rely on the Police Medics to handle all violent patients, including psychiatric patients, criminals who require medical treatment, prisoners in need of medical treatment (from the county holding cells or the county jail), and others. Unlike its neighboring municipalities, all psychiatric patients in Nassau go to the hospital by ambulance, due to the county having Police Medics on duty 24/7. In Suffolk or NYC, more violent or dangerous patients would often be taken by police cars instead.