Tinian Health Center has one (1) medical referral staff who coordinates patient evacuation to the Commonwealth Health Center in Saipan. Two (2) other employees are cross-trained alternates. They are on On-Call status after clinic hours and will be available in a short notice whenever there is an emergency. The current mode of transfer is by the airplane carrier, Star Marianas and/or the US Coast Guard. Depending on the severity of the patient’s case, the doctor or the nurse on-call accompanies the patient during transport.