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Agenda 06/22/2010 Item #16F 4 Agenda Item No. 16F4 June 22, 2010 Page 1 of 11 EXECUTIVE SUMMARY Recommendation to approve providing written formal notice to terminate the Advanced Life Support Partnership Interlocal Agreement with North Naples Fire Control & Rescue District in 90 days. OBJECTIVE: To obtain BCC approval to provide written formal notice to terminate the Advanced Life Support Partnership Interlocal Agreement with North Naples Fire Control & Rescue District (NNFD) in 90 days CONSIDERATIONS: The initial three year tenn of the ALS Engine Program Interlocal Agreement between the Board of County Commissioners and the North Naples Fire Control and Rescue District is scheduled to expire on September II, 2010. The termination provisions in the Agreement allow the governing board of either party to provide written notice of intent to terminate with 90 days advanced notice. The current Agreement has been essentially inactive since October 2009 as a result of the District's refusal to comply with critical elements of the Agreement. The Medical Director's attempts to renegotiate with NNFD's administration for a successor A,,'reement have failed. Furthennore, NNFD has applied to the County for a Certificate of Public Convenience and Necessity (COPCN) in an effort to create a self. governed Emergency Medical Services system. This application is currently under County staff review. In addition, a Blue Ribbon Committee has been organized to examine current pre-hospital system deployment and response protocols. Any future interlocal agreements should be deferred until the Committee's final recommendations are considered. FISCAL IMPACT: There is no financial impact. LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County Attorney's Office and is legally sufficient for Board action-SRT. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action. RECOMMENDATION: That the Board of County Commissioners direct staff to provide fonnal notice to the North Naples Fire Control & Rescue District of its intent to tenninate the Advanced Life Support Partnership Interlocal Agreement. PREPARED BY: Dan Bowman, Deputy Chief, Emergency Medical Services Item Number: Item Summary: Meeting Date: Agenda Item No. 16F4 June 22, 2010 Page 2 of 11 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 16F4 Recommendation to approve providing written formal notice to terminate the Advanced Life Support Partnership Interlocal Agreement with North Naples Fire Control & Rescue District in 90 days. 6122120109:00:00 AM Prepared By Jeff Page Bureau of Emergency Services Chief ~ Emergency Medical Services Date EMS Operations 6/9/20104:02:36 PM Approved By Jeff Page Bureau of Emergency Services Chief - Emergency Medical Services Date EMS Operations 6/9/20104:04 PM Approved By Dan E. Summers Bureau of Emergency Services and Emergency Management Director of Emergency Services Date Bureau of Emergency Services and Emergency Management 619120104:21 PM Approved By Scott R. Teach County Attorney Deputy County Attorney Date County Attorney 6/10/20108:20 AM Approved By OMS Coordinator County Manager's Office Date Office of Management & Budget 6/10/20108:45 AM Approved By Jeff Klatzkow County Attorney Date Approved By 6/10/201010:10 AM Sherry Pryor Office of Management & Budget ManagemenU Budget Analyst, Senior Date Office of Management & Budget 6/10/20103:31 PM Approved By Leo E. Ochs, Jr. County Managers Office County Manager Date County Managers Office 6114/20104:14 PM ., Retn: CLBRK TO THB BOARO INTBROFFICB 4TH FLOOR BXT 1140 4071556 OR: 4281 PG: l1~enda Item No 16F4 momo in the OFFICIAL RBCOROS of COLLIBR COUNTY, FL RBtu,1:a~~23 ~~1~'OO 09/13/2007 at 10:58AN DWIGNT B. BROCK, CLBRK copfi~- g,OO INTERLOCAL AGREEMENT ADVANCED LIFE SUPPORT PARTNERSHIP BETWEEN COLLIER COUNTY AND NORTH NAPLES FIRE CONTROL AND RESCUE DISTRICT THIS INTERLOCAL AGREEMENT, made and enlered into this ~ day of ~ 2007 ("Effective Date"), by and between Ihe Board of County Commissioners, Collier County, Florida, a political subdivision of the State of Florida, (hereinafter called the "COUNTY") and the NORTH NAPLES FIRE CONTROL AND RESCUE DISTRJCT. an Independent Special District created under Chapter 61.2032, Laws of Florida, and operating pursuant to chapter 191, Florida Statutes, and its codified charter provided for in Chapter 99.450, Laws of Florida, and its successors, (hereinaftcr "NORTH NAPLES"). PURPOSE The purpose of this Interlocal Agreement is to provide quality and cost effective fire rescue and emergency medical services to the residents of NORTH NAPLES and COUNTY. The recognition and utilization of existing and future personnel skills, qualifications and resources is in the interest and benefit of both agencies and tbe public we serve. WITNESSETH WHEREAS, NORTH NAPLES and COUNTY seek to enhance emergency medical services further through a continued partnership; and WHEREAS, the Advanced Life Support (hereinafter "ALS") Partnership provides for an NORTH NAPLES FirefighterlParumedic and/or FirefighterlEmergency Medical Technician, (hereinafter "EMT"), to work and train on a COUNTY ALS Transport Unit providing fIrefIghter / paramedic duties andlor basic life support EMT duties; and WHEREAS, the ALS Partnership provides for a COUNTY ParamediclFirefighter to work and train on an NORTH NAPLES Fire-Rescue unit providing firefIghting and paramedic duties; and WHEREAS, NORTH NAPLES and COUNTY work cooperatively to assure appropriate response of sufficient emergency medical resources. NOW, THEREFORE, in consideration of Ihe above premises, and the mutual covenants, tenns, and provisions contained herein, the COUNTY and NORTH NAPLES agree as follows: SECTION I: DEFINITIONS 1.0 ALS means treatment of life-threatening medical emergencies through the use of techniques such as endotracheal intubation, the administration of drugs or intravenous fluids, telemetry, cardiac monitoring, and cardiac defIbrillation by a qualifIed person, pursuant to rules of the COUNTY Medical Director 1.1 BLS means treatment of medical emergencies by a qualifIed person through the use of techniques such as patient assessment, cardiopulmonary resuscitation (CPR), splinting, obstetrical assistance, bandaging, administration of oxygen, and other techniques which have been approved and are performed under conditions specified by rules of the COUNTY Medical Director. 1.2 FTO means a Field Training Officer, who is a certified paramedic recognized by the COUNTY Medical Director as having sufficient skill and experience to train and direct medical providers in working under the approved medical protocols. 1.3 QALQ! means a Quality Assurance/Quality lmprovement, which is the COUNTY Medical Director approved program that assesses and monitors the medical perfonnance of Paramedics and Emergency Medical Technicians. 1.4 PCR means the Patient Care Record that chronicles the medical treatment of the patient. 1.5 MOU means a Memorandum of Understanding between the COUNTY and NORTH NAPLES. OR: ~~~fa ~rJt ~il~6 15Jge 4 of 11 1.6 Licensed means a non-transporting ALS fire apparatus and rapid response vehicle operating under the A LS license issued to COUNTY Emergency Medical Services (hereinafter "EMS") Department for the purpose of enhancing 911 medical responses. I. 7 Non-licensed means any response vehicle that is not required by State Statute to be licensed, but is authorized by the COUNTY Medical Director. SECTION II: COUNTY'S RESPONSIBILITY The following specific services, duties, and responsibilities are the obligation of the COUNTY: 2.0 The COUNTY will provide through the County's EMS Department, medical direction, medical protocols, training and quality assurance to NORTH NAPLES personnel at no cost to NORTH NAPLES. 2.1 The COUNTY will maintain at least one (I) ALS transport unit staffed by the COUNTY under COUNTY's authority pursuant to the current Chapter 401. Fla. Sial. and Subtitle 64E-Z, Fla. Admin. Code) at NORTH NAPLES Station 44 as a first-response apparatus on all medical incidents. 2.2 The COUNTY, as a sole licensed provider of advanced life SUpp0l1 under Chapter 401. Fla. Sial. and Subtitle 64E-2, Fla. Admin. Code, shall license a total of seven (7) NORTH NAPLES fire apparatus or response vehicles as non-transporting ALS vehicle(s) under the COUNTY EMS license for the purpose of enhancing 911 medical responses. 2.3 The COUNTY will provide the initial ALS equipment and medical supplies to all County recognized NORTH NAPLES' licensed ALS fire apparatus staffed 365 days per year, 24 hours per day stationed at the following locations: I. Engine (Ladder) 40, t44I Pine Ridge Road, Naples 2. Engine 42,7010 lrnrnokalee Road, Naples 3. Engine (Ladder) 43, 16325 Vanderbilt Drive, Bonita Springs 4. Engine (Tower) 44, 8970 Hammock Oak Drive, Naples 5. Engine 45, 1885 Veterans Park Drive, Naples 6. Engine 46, 3410 Pine Ridge Road, Naples 7. Engine 47, 2795 North Airport-Pulling Road, Naples 2.4 The COUNTY will license additional vehicles as non-transporting ALS vehicles, which have been mutually agreed upon, under the COUNTY EMS license during the tenn of this InterIocal Agreement. The COUNTY Medical Director shall authorize non-licensed ALS response vehicles upon receipt of written notification by NORTH NAPLES. 2.5 The COUNTY EMS Department will provide one (I) ParantedicfFirefighter to NORTH NAPLES 365 days per year, 24 hours per day to be utilized on fife apparatus vehicle(s) located at NORTH NAPLES Station 44 that has been licensed as an non-transporting vehicle(s) under COUNTY's authority pursuant to Chapter 401, Fla. Sial. and Subtitle 64E-2, Fla. Admin. Code. 2.6 As pursuant to Chapter 40 I, Fla. SIal. and Subtitled 64E-2, Fla. Admin. Code. NORTH NAPLES may operate any of their licensed and/or non-licensed ALS vehicles or apparatus as a BLS responder when a paramedic does not staff the vehicle. 2.7 The COUNTY recognizes that NORTH NAPLES may substitute any licensed or non-licensed non- transporting ALS vehicle in accordance with chapter 64-E2.007, Fla. Admin. Code SECTION Ill: NORTH NAPLES' RESPONSIBILITY The following specific services, duties, and responsibilities will be the obligation of NORTH NAPLES: 3.0 NORTH NAPLES will provide Incident Command, incident safety direction, fire rescue standard operating guidelines and training to COUNTY personnel at no cost to the COUNTY. 3.1 NORTH NAPLES will maintain seven (7) ALS apparatus, licensed and equipped by the COUNTY, at locations referenced in Section 2.3. These unit(s) will be designated within the County Sherriffs Office Computer Aided Dispatch (CAD) program to automatically respond to medical incidents with, or in place ot~ an ALS transport unit committed to a previous medical, rescue or fife operation in accordance with the COUNTY's Emergency Medical Dispatch protocol as an emergency medical response and/or fife suppression vehicle. Agenda Item No. 16F4 OR: 4281 J~~2~a~1 3.2 NORTH NAPLES will comply with medical protocol, and will participate in medical training and quality assurance programs in accord with the COUNTY. 3.3 NORTH NAPLES will provide one (I) FirefighterlParamedic or FirefighterlEMT to the COUNTY 365 da}, pel' yeaI', 24 houl's per day to be utilized on the ALS transport unit assigned to COUNTY Station 44. 3..1 NORTH NAPLES may provide at least one (I) MOU Training Coordinator, approved by the COUNTY Medical Director. to function as a Field Training Officer (FTO)/ Supervisor for NORTH NAPLES Pal'amedic and ElvlT training. 3.5 NORTH NAPLES will designate a COUNTY Medical Director approved Quality Assurance member to pal'ticipate on the COUNTY ALS Non-Transport Quality Assurance Committee. 3.6 NORTH NAPLES may pl'ovide additional non-licensed ALS vehicles when paramedic staffmg permits, 3.7 NORTH NAPLES may provide additional medical equipment and advanced service with the apPl'oval of the COUNTY. 3.8 NORTH NAPLES shall be responsible fol' replacing expendable medical supplies and for the cost of repair and maintenance of all ALS equipment supplied by the COUNTY that are not located on County staffed vehicles. SECTION IV: MUTUAL CONVENANTS 4.0 The COUNTY in coordination with NORTH NAPLES will be responsible for verifying that NORTH NAPLES Firefightel'/Paramedics and/or FirefighterlEMTs meet all requirements for State licensure and recertification as FIOl'ida Certified Paramedics and/or EMTs. NORTH NAPLES in coordination with the COUNTY will be responsibie for verifying that the COUNTY ParamediclFirefighters meet all rcquil'ements for IicensuI'e and recertification as required by law (e.g., Florida Statutes, Florida Administrative Code, and rules and I'egulations of the Division of State Fire Mal'shall's Bureau of Fire Standal'ds and Training.) 4.1 The COUNTY and NORTH NAPLES will provide each other's department employees similar training and internship programs as would be provided for a COUNTY or NORTH NAPLES employed Fil'etightel'IPal'amedic or FirefighterlEMT. 4.2 Necessal'Y qualifications for both NORTH NAPLES and COUNTY fuefighterlparamedics will be cooperatively developed and defined within the Collier County Fire Chiefs' Association (CCFCA) Firefightel' Cross Training Program, and Collier County Medical Director's Paramedic QualificationlCertification Matrix. 4.3 The COUNTY an~ NORTH NAPLES will work cooperatively to identify and request appropriate grants in order to improve the operations and service capabilities of both departments. 4,4 The operational decision to change the location of either apparatus assignment identified in sections 2.3 or 3.3 may be changed by mutual written consent between the Chief of the NORTH NAPLES FIRE or his designee and COUNTY's County Manager or his designee (e.g, Chief of EMS). SECTION V: OPERATING PROCEDURES 5.0 NORTH NAPLES FirefighterlParamedics and FirefighterlEMTs will meet the same requirements and perform at the appropriate medical protocol as defined by the COUNTY Medical Director, standard operating procedures, quality assurance program, general orders and chain of command as employees of the COUNTY EMS Department. 5.1 NORTH NAPLES Firefighter/Paramedics shall be certified to perform as ALS Engine Paramedics under current medical protocol. The COUNTY Medical Director shall regularly evaluate the skills of NORTH NAPLES Paramedics for consideration of expanding the medical protocol under which they perform. 5.2 The COUNTY EMS Department ParamedicIFirefighters will meet the same requirements and perform under the same Fire specialized response protocols, standard operating procedures and chain of command as employees of NORTH NAPLES. 5.3 The ALS Partnership Operations Plan, Attachment A, may be revised by mutual written consent between the Chief of NORTH NAPLES and COUNTY's County Manager or his designee (e.g. Chief of EMS). Such r~\'isions must not conllictlVith the terms and standards set forth in this Interlocal Agreement. 5,4 Lic~nsed and non-licensed ALS vehicles, programs, personnel or details may be devetoped and implcmented by joint agreement and in cooperation between NORTH NAPLES and COUNTY. Such resources may not conflict with the standards set forth in this lnterlocal Agreement. Agenda Item No. 16F4 OR: 4281 J~g~2Jii38 5.5 NORTH NAPLES and COUNTY EMS will recognize the respective ranks and abilities of assigned personnel. 5.6 All discipline and investigations leading to discipline will be handled by the respective employing agency. 5.7 NORTH NAPLES and COUNTY EMS will utilize Command Staff and assets for logistical, support, and operational needs for national, state and local emergencies. 5.8 The State of Florida recognized Incident Management System (IMS) is the standard for emergency operations. NORTH NAPLES shall assume command and control of all incidents where NORTH NAPLES is the agency having jurisdiction. In all instances where NORTH NAPLES has established command, COUNTY EMS shall assume responsibility for, and be in charge of, patient care. 5.9 The COUNTY and NORTH NAPLES will jointly develop medical recordkeeping procedures and share statistical data. SECTION VI: RESOLUTION OF CONFLICTS 6.0 If the two governing entities' standard operating procedures, chain of command or any other unforeseen circumstances come into conflict, issues will immediately be decided in the following manner; I. First and foremost by the medical needs of the patient and responder safety 2. The COUNTY EMS will have jurisdiction of medical issues concerning appropriate patient care. 3. NORTH NAPLES will have jurisdiction of fire/rescue issues concerning operations and safety. 4. Conflicts involving patient care issues will be resolved through a QA/QI process. 5. Should conflicts arise that are unresolvable, the chain of command within each department will come together in an attempt to resolve those issues at the equivalent levels of each department and in unison move up the chain of command as necessary. SECTION VII: AGREEMENT TERM 7.0 This Interlocal Agreement supersedes the agreement titled "Interloca! Agreement Advanced Life Support Engine Partnership, between the NORTH NAPLES and COUNTY" dated April 26, 2005. 7.1 This Interlocal Agreement shall remain in filii force from the Effective Date and shall tenninate pursuant to sections 7.2 or 7.3. 7.1 This Interlocal Agreement shall be for a term of three (3) years. Ninety (90) days prior to the expiration of the tcrm, it shall be reviewed and renegotiated as necessary. Absent termination or amendment to this Interlocal Agreement, the term of this Interlocal Agreement will automatically renew in three (3) year periods. Nothing within this lnterlocal Agreement shall preclude review and amendment of any provision within the three (3) year period or successive renewal periods when such amendment is mutually agreed to in writing by the COUNTY and NORTH NAPLES. 7.3 Either the COUNTY or the NORTH NAPLES may terminate this Interlocal Agreement after providing wrinen notice of formal action by its governing board of its intent to terminate this Interlocal Agreement at least ninety (90) days in advance of the date of termination. 7.4 In the event that the COUNTY's Medical Director determines that NORTH NAPLES failure to fulfill any of the obligations under this Inlerlocal Agreement adversely affects or may adversely affect the medical needs of the patient and/or responder safety, the COUNTY Medical Director may provide written notice to NORTH NAPLES of its intent to recommend that the COUNTY BCC terminate this Interlocal Agreement. The COUNTY BCC's consideration of termination of this lnterlocal Agreement shall occur at the next available regular meeting of the eOUNTY BCC that is at least two (2) weeks from the written notification by the COUNTY Medical Director to NORTH NAPLES of its recommendation of termination. Two (2) weeks advance notice of the BCC meeting date and agenda item must be provided to NORTH NAPLES. Nothing in this Agreement shall limit the authority of the Medical Director as set forth in lhe Florida Statutes and the Florida Administrative Code. 7.5 The terminating party must also provide the non-terminating party's representatives with an opportunity to consult with the terminating party's representatives regarding the reason(s) for termination during the notice periods provided in Section V II of this Agreement. OR: Af2~1 ~J~ ~~ i~~ ~ge 7 0~1'1 SECTION VlII: I:o-lSURANCE 8.0 NORTH NAPLES and COUNTY shall maintain insurance in the minimum amounts and types required by Florida State Statues. 8.1 NORTH NAPLES and COUNTY agree that either party may be self-insured on the condition that all self- insnrance must comply with all State laws and regulations and must meet with the approval of the other party to this lnterlocal Agreement. 8.2 To the extent permined by law and as limited by and pursuant to the provisions of Florida Slatules, Section 768.28, NORTH NAPLES and COUNTY agree to hold harmless the other, their employees and agents against any and all claims and/or damages by or behalf of any person, employee or legal enlity arising from their respective negligent acts pursuant to this agreement that allows employees of the other to occupy and ride in each other's vehicles. Nothing is intended to alter either party's immunity in tort or otherwise impose liability on NORTH NAPLES or the COUNTY when it would not otherwise be responsible. SECTION IX: MISCELLANEOUS 9.0 This Interlocal Agreement shall be governed by and constmed under the laws of the State of Florida. In the event any litigation is instituted by way of construction or enforcement of the Inter local Agreement, the party prevailing in said litigation shall be entitled to collect and recover from the opposite party all court costs and other expenses, including reasonable Anorney's fees. 9.1 It is understood that this Interlocal Agreement must be executed by both parties prior to NORTH NAPLES and COUNTY commencing with the work, services, duties and responsibilities described heretofore. 9.2 Prior to its effectiveness, this Interlocal Agreement and any subsequent amendments shall be filed with the Clerk of Courts for the Circuit Court for Collier County pursuant to FS 163.01 (II). The COUNTY shall tile said agreement as soon as practicable after approval and execution by both panies. IN WITNESS WHEREOF, the panies hereto have caused this lnlerlocal Agreement to be executed by their appropriate officials, as of tile date first above written. 1. ,\f{\ r..110' f),~ .', '''; /1).. BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA ,~~~ '1/II/D7 By: J ( .'---'> Jennifer A. Bel. io Assistant County Anorney NORTH NAPLES FIRE CONTROL AND RESCUE DJSTRIG-T- -------- G--~ ~ . -~ ') ~ -~;- - Uhfis~mblffilo, airm~n L - 'l~/O , 41818 Ite~ ~~: ~6 OR. ~age1dl~1 .-\TTACH:\IDIT A COLLIER COt:~TY EMERGENCY MEDICAL SERVICES I FIRE DEPARTMENT AND NORTH NAPLES FIRE AND RESCUE DEPARTMENT ALS PARTNERSHIP OPERATIONS PLAN REFERENCE: ALS Program Interlocal Agreement, ~, 2007 PURPOSE: To provide quality and cost effective fire rescue and emergency medical services to the residents of NORTH NAPLES (NNFD) and Collier County (COUNTY). The recognition and utilization of existing and future personnel skills, qualifications and resources is in the interest and benefit of both agencies and the public we serve. t. QUALIFICATION REQUIREMENTS a. COUNTY ParamediclFirefighters utilized on designated fire apparatus must maintain the following valid and current qualifications: I. Florida Bureau of Fire Standards and Training Celiificate of Compliance for Minimum Standards (Firefighter II); ii. Florida Bureau of Emergency Medical services and Community Health Resources Paramedic Certification; iii. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter 64E; iv. Collier County Medical Director's Paramedic Certification/Qualification Matrix Rescue Paramedic and; v. Collier County Fire Chiefs' Association Firefighter Cross Training Certification. b. NNFD Firefighters utilized on the County Medic unit must maintain the following valid and cunent qualifications: i. Florida Bureau of Fire Standards and Training Certificate of Compliance for Minimum Standards (Firefighter II); Ii. Florida Bureau of Emergency Medical services and Community Health Resources EMT or Paramedic Certification; Ill. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter 64E and; OR: 12~1 ~~1l i~~~ IV. Collier County Medical Director's Orientation, as referenced in the Collier County Medical Director's Paramedic Certification/Qualification Matrix c. At least one NNFD Firefighter/Paramedic utilized on licensed NNFD ALS apparatus or vehicle must maintain the following valid and current qualifications; 1. Florida Bureau of Fire Standards and Training Certificate of Compliance for Minimum Standards (Firefighter II); II. Flodda Bureau of Emergehcy Medical services and Community Health Resources Paramedic Certification and; 111. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter 64E and; iv. Collier County Medical Director's Paramedic Certification/Qualificatiori Matrix Engine Paramedic Certification or above. d. NNFD Firefighter/Paramedics utilized in non-licensed apparatus or assignments must maintain the following valid and current qualifications; I. Florida Bureau of Fire Standards and Training Certificate of Compliance for Minimum Standards (Firefighter II); ii. Florida Bureau of Emergency Medical services and Community Health Resources Paramedic Certification and; 111.. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter 64E and; IV. CoIlier County Medical Director's Paramedic Certification/Qualification Matrix Engine Paramedic Cettification or above. 2. SCHEDULING AND POSITION ASSIGNMENTS a. The COUNTY and NNFD Chiefs or their designee, must approve all Exchange Program participants. b. The COUNTY Battalion Chief 80 and NNFD Battalion Chief 40 will consult openly in order to assure continuity and efficiency. c. The COUNTY will continuously provide NNFD with one [I] COUNTY Paramedic/Firefighter as qualified within Section l.a. for use on a designated ALS apparatus or vehicle. d. NNFD will continuously provide the COUNTY with one [I] NNFD Firefighter as qualified within Section l.b. for use on the appropriate designated apparatus or vehicle. e. Exchange Program participants will participate in appropriate on-duty training, station duties and unit assignments in accordance with assignment and rank. OR: A42nS1 iJ~ i~ f. It is recognized by COUNTY and NNFD that harmonious and productive relationships between all personnel are necessary. Teamwork and cooperation is encouraged and expected. g. Applicable COUNTY and/or NORTH NAPLES policies, practices, procedures, standard operating guidelines, general orders, protocols and/or applicable Bargaining Unit Contract language will be observed. 3. COMMUNICATION AND DISPATCH a. COUNTY and NNFD staff will assure all personnel operate on the appropriate radio frequency, unit identifier dispatch and zone coverage protocol in accordance with Computer Aided Dispatch (CAD) and the CCFCA Communications Manual. Designated assignments are outlined as follows: i. Medical Director app!'Oved Emergency Medical Dispatch (EMD) Models shall be designed to assure the initial response of appropriate ALS licensed apparatus. ii. COUNTY and NNFD chief officers will utilize available NNFD licensed resources to assure ALS coverage is continuously maintained within NORTH NAPLES. HI. COUNTY and NNFD chief officers will assure licensed and non-licensed ALS assets will respond to out-of-district emergencies or coverage when identified by CAD as the closest available ALS unit. b.Applicable COUNTY and/or NORTH NAPLES policies, practices, p!'Ocedures, standard operating guidelines, general orders, protocols and/or applicable Bargaining Unit Contract language will be observed. 4. DOCUMENT A nON a. The first arriving licensed and non-licensed ALS unit will document each patient contact in a hand written Patient Care Report (PCR). The PCR must record any notations f!'Om on-scene patient treatment, patient identifying data completed and collected prior to transfer of patient care, AR number, Dispatch times, and crew signatures with State paramedic or EMT license numbers. When ALS units arrive at the same time, the PCR will be completed by the transporting unit. Shift PCRs are to be collected in a secured envelope with completed coversheet and submitted to the appropriate ElvIS representative. b. Before the end of shift, an accurate and complete EMS2000 report will be electronically transmitted for each patient contact 100% of the time. All BLS/ALS procedures performed by the personnel assigned to the ALS response will be fully documented. "CHART" format with documented "BSI" is required. A~'1..ndi Item No. 16F4 *** OR: 1t,8 ~~~~2n~ *** c. Prior to 0900hrs, or as call volume permits, Battalion 40 or designee must fax or email a complete ALS Engine Staffing Report to Battalion 81's office. An updated report will be provided to Battalion 81 prior to or at the end of shift to reflect staffing changes during that tour. Battalion 81 will fax a complete EMS Staffing report to Battalion 40's office. 5. QUALITY ASSURANCE a. ~NFD will appoint a Medical Director approved "Quality Assurance (QA) member to participate on the ALS Non-Transport Quality Assurance Committee, and will be granted privileges to enable them to review their department's EMS 2000 PCRs. b. At the discretion of the Medical Director or designee, routine or infonnational QA Review may be handled by the NNFD member. The QA Committee will provide the member with appropriate documentation detailing the area of interest. The member shall review and complete the material with the NNFD personnel and return all necessary documentation to the ALS Non-Transport QA Committee within thirty [30] calendar days. c. In the event the Medical Director orders remediation, the QA member shall be present understanding that confidential medical information will be discussed. If a significant issue is identified by the QA Committee, the EMT or Paramedic may be immediately prohibited from providing patient care until all processes are completed. 6. TRAINING a. N?-JFD will appoint a Medical Director approved "EMS Training person(s)" to work as an adjunct for the Collier County EMS Training Center so to instruct NNFD personnel in pre-hospital medicine and protocol. b. The NNFD Training person(s) is qualified to instruct NNFD firefighter paramedics or EMTs Medical Director approved in-services, certifications, classes, etc. c. Any curriculum taught by the NNFD EMS Training person(s) must be submitted with a complete student roster to the Medical Director in order to qualify for County accreditation. In addition, the EMS Training person(s) will be granted privileges to EMS 2000 to accurately record continuing education hours of any personnel completing their training. d. NNFD will provide to the State Fire College appropriate approved training documcntation for recognized State approved fire classes. O:.E.\IS-VI::!)S I .'1