How do you handle Crisis Calls ??

I'm an ER nurse in a small hospital and one of my responsibilities is coordinating the doctors and nurses that are on call when a patient comes in. The answering service we are using is a complete waste. Sometimes they don't make the calls immediately, sometimes they call home and neglect the pager or cell numbers that I have supplied to them on numerous occasions... Also, if I page doctors in the hospital, they don't always hear me, so I waste valuable time looking up their individual pager numbers. Anyway, I'm sure others in this group know exactly how muddled this can get. The administrators use a service called MessageBlaster to inform us about meetings. i was wondering if anyone knows if this is a reliable site for crisis calls, because I cannot afford mistakes similar to the ones I am experiencing currently.

JP
~~~ It's so hard when I have to, and so easy when I want to.~~~