Subcommittee Minutes 01/16/2013 Mnigglinri
MAR 1 4 2013
January 16,2013
TAY°
MINUTES OF THE
PUBLIC SAFETY AUTHORITY
MEDICAL DIRECTOR SUBCOMMITTEE MEETING
Naples, Florida, January 16, 2013
LET IT BE REMEMBERED, that the Collier County Medical Director
Subcommittee in and for the County of Collier, having conducted business
herein, met on this date at 12:00 PM in REGULAR SESSION at Growth
Management Division—Planning and Regulations, 2800 North Horseshoe
Drive, Naples, Florida, with the following members present:
Chairman: Dr. Robert Tober, Collier County Medical Director
Dr. Todd Bethel, Active ER Physician
Dr. Jeffrey Panozzo, Medical Director—COPCN Holder
Dr. John Zelahy, Active ER Physician y- ✓
District 1
District 2
(Non-Voting) Participants: District 3
Bobby Allen, Paramedic, Collier County EMS Districts ✓
Justin Gibson, Paramedic, Outside Collier County EMS District 5
David Mennini, EMT, Collier County EMS
Jose Santana, EMT, Outside Collier County EMS
ALSO PRESENT: Walter Kopka, Director, EMS Operations
Wayne Watson, Division Chief, EMS
Dr. Doug Lee, Collier County EMS Medical Director
Maria Franco, Administrative Assistant, EMS
Tabatha Butcher, EMS Battalion Chief
( Date:
Item#:
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Copies to:
January 16,2013
Any persons in need of the verbatim record of the meeting may request a copy of the
audio recording from the Collier County Communications and Customer Relations
Department.
1. CALL TO ORDER AND PLEDGE OF ALLEGIANCE
The meeting was called to order by Dr. Tober at 12:00 pm.
The Pledge of Allegiance was recited.
2. AGENDA AND MINUTES
a. Approval of Today's Agenda
A motion and second was made to approve the January 16,2013 Agenda
and November 30,2012 Minutes as submitted. Motion carried
unanimously, 4-0.
b. Approval of the November 30,Meeting Minutes—Addressed 2 a.
3. NEW BUSINESS
a. Mission Statement for the Subcommittee
Discussion was made on a Mission Statement and it was decided Members
could write recommendations for the Mission Statement to be submitted and
reviewed at the next meeting.
b. Quality Assurance(QA)Review System and Techniques
A brief discussion on Quality Assurance Review Systems
The need for a transparent view to monitor the system:
- Seek a uniform way to create same reports from EMS and Fire
System; both use the same identical software.
- How EMS monitors the ALS activity of each of its medics trying to
figure out when people are not getting enough actual patient exposure.
- Putting back to training officer.
- What kind of patient exposure happens in the different zones?
- What is done to focus on training?
- What kinds of patient experiences are happening in each paramedic's
profile?
c. Protocol Discussion
Discussion took place on Protocols and it was decided to review and discuss
whether to have separate protocols on the following:
1) Stroke
A special meeting will be held to discuss a Stroke Protocol to be setup by
Staff to include NCH and Physicians Regional Neurologists on January 29
or 30 at 6:00 pm.
Speaker
Dr. Eric Eskioglu suggested using the Stroke Protocol from Lake County.
2) Ventricular Assistant Device(VAD)
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January 16,2013
Wayne Watson noted Staff distributed the CCEMS Presents 2009
Protocol DVD which included a Summary Sheet for the subcommittee to
review at November 30,2012 meeting.
A VAD Protocol is in process of in-servicing EMS.
Dr. Tober noted Dr. Telano's Group assisted on the VAD Protocol.
3) Sepsis
It was noted Sepsis is covered within the Shock Protocol.
Staff will provide a copy of"Pre-hospital Sepsis Protocol Suggestions"to
review at the next meeting.
4) Carbon Monoxide
The current Carbon Monoxide Protocol is combined with cyanide, smoke
inhalation,carbon monoxide and cyanide kits.
It was noted Collier County EMS does not own CO Monitors, some fire
departments have them.
Discussion on Protocols will continue at the next meeting.
4. GENERAL DISCUSSION
A suggestion was made to add a discussion regarding Law Enforcement and EMS
and ERs. Dealing with intoxicated patients;the use of the Baker Act;patients
arrested being brought to ER and left to ER to deal with.
Dr. Tober directed Maria Franco to request someone from Law Enforcement to
attend the next meeting. He suggested members send their ideas or questions be
sent to Maria Franco.
5. ESTABLISH NEXT MEETING DATE
The next meeting will be held on March 13,2013 at 12:00 pm.
6. ADJOURNMENT
There being no further business for the good of the County,the meeting was
adjourned by order of the Chair at 1:00 P.M.
PUBLIC SAFETY AUTHORITY
MEDICAL DIRECTORS SUBCOMMITTEE
Dr.Ro ert To ler ' hairman
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January 16, 2013
These Minutes were approved by the Board/Committee on 3" 1 2 I 3
as presented x OR as amended
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