BVAC operates using Duty Crews which are on call on a scheduled basis. There are two shifts every day. The day shift runs from 7am to 7pm and the night shift runs from 7pm to 7am. The hourly commitment for a member is one 12-hour shift during the week and two 12-hour shifts a month on weekends. Exceptions are made for members who are still minors and are attending school. Their commitment is one 3-hour shift from 7pm to 10pm one night a week and regular weekend shifts. When multiple ambulance requests occur or additional help is needed, a request is made for off duty members.

BVAC ambulances are operated with a minimum of two EMTs on the crew. A crew is composed of a Crew Chief, at least one senior member, and optionally, one or more probationary members. This year we are piloting a program that allows EMT students to ride as observers at the discretion of the crew chief but the students are not allowed to render patient care.

The Operational aspects of BVAC are handled by the line officers. The line officers are the Captain, 1st Lieutenant, and 2nd Lieutenant. All line officers must be crew chiefs and have been a member of the Corps for at least one year.

BVAC ambulances are generally dispatched by the Bergenfield Police Department. The dispatchers will also dispatch at least one police officer to the scene. If the emergency is considered life-threatening, the dispatchers will also contact MICCOM to dispatch an ALS unit to the scene.