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Agenda 09/15/2009 Item # 6C Agenda Item No. 6C September 15, 2009 Page 1 of 5 COLLIER COUNTY OFFICE OF THE COUNTY MANAGER 3301 East Tamiami Trail · Naples, Florida 341 J 2 · (239) 252-8383. FAX: (239) 252-4010 September 2, 2009 Chief Doug Dyer East Naples Fire Control and Rescue District 4798 Davis Boulevard Naples, FL 34104 Re: Public Petition Request to Discuss Allegations Made Against East Naples Fire Control and Rescue District by Dr. Robert Tober Dear Chief Dyer: Please be advised that you are scheduled to appear before the Collier County Board of Commissioners at the meeting of September 15, 2009, regarding the above referenced subject. _. Your petition to the Board of County Commissioners will be limited to ten minutes. Please be advised that the Board will take no action on your petition at this meeting. However, your petition may be placed on a future agenda for consideration at the Board's discretion. If the subject matter is currently under litigation or is an on-going Code Enforcement case, the Board will hear the item but will not discuss the item after it has been presented. Therefore, your petition to the Board should be to advise them of your concern and the need for action by the Board at a future meeting. The meeting will begin at 9:00 a.m. in the Board's Chambers on the Third Floor of the W. Harmon Turner Building (Building "F") of the government complex. Please arrange to be present at this meeting and to respond to inquiries by Board members. If you require any further information or assistance, please do not hesitate to contact this office. Sincerely, ~~~~~, Leo E. Ochs, Jr. ....z::~ Deputy County Manager LEO/jb cc: Jeffrey Klatzkow, County Attorney Dan Summers, Bureau of Emergency Services _. Agenda Item No. 6C September 15, 2009 Page 2 of 5 Request to Speak under Public Petition Si:.P - i. 2009 Please print Name: Chief Doua Over Address: 4798 Davis Blvd NaDIes. FL 34104 Phone: {239)774-7111 Date of the Board Meeting you wish to speak: SeDtember 15. 2009 Must circle yes or no: Is this subject matter under litigation at this time? Is this subject matter an ongoing Code Enforcement case? Yes/~ Yes~ Note: If either answer is "yes", the Board will hear the Item but will have no discussion regarding the Item after It Is presented. Please explain in detail the reason you are requesting to speak (attach additional page if necessary): I would like to soeak to the Board of County Commissioners reqardina the investiaation launched by East NaDles Fire Control and Rescue District into cheatina .../ alleaations made aaainst East NaDles Fire District personnel by Dr. Rober Tober and Collier County EMS staff. The investiQation was comDleted by Berrv, Day & McFee, P.A.. The findinos have been orovicled to each of the CountY Commissioners on JulY 24, 2009. Please explain in detail the action you are asking the Commission to take (attach additional page if necessary): The East NaDIes Fire Control and Rescue District is reauesting that the Board of County Commissioners direct the County Mana98r to conduct an investiaation into the conduct of Dr. Robert Tober in reference to his cheatina alleaationslaccusations. his interactions and communications with the fire districts. the fact that h, is utilizing Collier County EMS staff for Office of the M~ical Director administration. and has Dr. Tober been actina within the scooe of the Board direction in his dealing~ with the fire districts and the media since the inceotion of the Office of the Medical Director. In addition. an investiaation of Collier County EMS staff reference their conduct reaardina cheatino alleaationslaccusations. their interactions and communications with the fire districts, the fact that they are beina utilized as Office of the Medical Director administration. and if Collier County EMS staff are acting within the .CODe of the Board direction. Subseauently, the East NaDles Fire Control and Rescue District woutdlike the auestions answered that are orovided with this oetition. Agenda Item No. 6C September 15,2009 Page 3 of 5 . ,'. 1.) Is it in the best interest of public safety to limit Fire/Paramedics to simple basic life support? What are the disadvantages, if any, to fire operating on equal levels with E.M.S.? 2.) Is there any risk to public health by taking medications off fire trucks and only allowing Collier Emergency Management Service to provide medications upon their arrival? 3.) Are Fire/paramedics adequately trained to provide emergency care beyond basic life support .~ services? 4.) Is there a benefit to the public to allow Fire to operate in conjunction with E.M.S. and on equal terms as recommended by the 2007 E.M.S. Master Plan? 5.) Why would the outside expert suggest Fire and E.M.S. work together in the lengthy 2007 Master Plan if Dr. Tober is correct in all of his assertions? 6.) Is it accurate that fire -rarely if ever- does anything but provide basic life support? '--. 3S Berry, Da~McFee, P.A. . 2670 Airport Road South . Naples, Florida 34112 . 239-775-2255 . Fax 239'775-315~ Agenda Item No. 6C September 15, 2009 Page 4 of 5 7.) Is it accurate to say that most advanced life support is given during the transport phase of an emergency call? 8.) Would it be of any benefit to the citizens of Collier County to enhance Fire/Paramedics life support training? 9.) Who is responsible for Fire training and what steps have been taken to assure Fire/paramedics are proficient in the administration of emergency services? 10.) will the cooperation between E.M.S. and fire result in a more fiscally responsible system? '- 11.) Is it medically and factually accurate to say: ~if fire only did basic life support with the addition of opinephrine, benadryl, atopine, and amiodrone that the community would be served equally as well as if they operated on an equal level with County E.M.S.?- 12.) Are the citizens of Collier County better served by some form of consolidation of services? If so, what is the best format available? 13 .) Do the last 20 months of data possessed by Dr. '- Tober confirm that Fire Paramedics rarely, if ever, 36 Berry, Daye,McFee, P.A. · 2670 Airport Road South · N~s, Florida 34112 · 239-775-2255. Fax 239-775-3159 Agenda Item No. 6C September 15, 2009 Page 5 of 5 ,-. use unsupervised ALS skills? Why has this data not been released with any of Dr. Tober's correspondence? 14.) How many emergency calls where Fire responds without the necessary medications or training where the patients suffer catastrophic results are deemed medically acceptable casualties? vs. What actual data is there to support the medical conclusion that Fire is not trained or qualified to administer medications and perform services beyond basic life support? Dr. Tober is a highly qualified, nationally recognized, emergency service provider. He has proven his high level of competency on many' projects. Dr. Tober's qualifications are not in dispute. What is apparent is that his ability to work in conjunction with Fire is non-existent. It is also apparent this will likely not change. All of these problems pose issues well beyond this report. They are, however. issues that must be addressed to assure public confidence in our emergency services. '---.. 37 Berry, Day&McFee, P.A. .2670 ^lrport Road South . Naples, Florida 34112 . 239-775-2255 . fax 239-775-3159