Agenda 09/15/2009 Item # 6D
Agenda Item No. 60
September 15, 2009
Page 1 of 12
COLLIER COUNTY
OFFICE OF THE COUNTY MANAGER
3301 East Tamiumi Trail. Naples, Florida 34112. (239) 252-8383. FAX: (239) 252-4010
September 2, 2009
Commissioner Thomas Cannon
East Naples Fire Control and Rescue District
4798 Davis Boulevard
Naples, FL 34104
Re: Public Petition Request to Discuss a Workshop Between the East Naples Fire
Control and Rescue District Commissioners and the Board of County
Commissioners to Renegotiate the "Interlocal Agreement Advanced Life Support
Partnership
Dear Commissioner Cannon:
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.
Sincere~ ....
~~ ~~~
~ ~
Leo E. Ochs, Jr. rv~
Deputy County Manager
LEO/jb
cc: Jeffrey A. Klatzkow, County Attorney
Dan Summers, Bureau of Emergency Services
...-......
Agenda Item No. 6D
September 15, 2009
Page 2 of 12
Request to Speak under Public Petition
SEf' - L 2009
Please print
Name: Commissioner Thomas Cannon
Address: 4798 Davis Blvd Naoles, FL 34104
Phone: (239)774-7111
Date of the Board Meeting you wish to speak: Seotember 15.2009
Must circle yes or no:
Is this subject matter an ongoing Code Enforcement c.e?
yes@
Yes~
Is this subject matter under litigation at this time?
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 reaarding
schedulina a worbhoo between the East NaDlas Fire Control and Rescue District
Commission and the Board of County Commissioners to reneaotiate the "Interlocal
Aareement Advanced Life Suooort Partnershio".
Please explain in detail the action you are asking the Commission to take (attach additional
page if necessary):
I am reauesting that the Board of County Commissioners schedule a workshOD between the
East Naoles Fire Control and Rescue District Commissioners and the Board of County
Commissioners to reneaotiate the "Interlocal Aareement Advanced Life Suooort
Partnershio" .
,-"
Retll:
CLBRK TO 1ftB BOARD
IHTBROPPICB .TH PLOOR
BIT 7240
. Agenda Item No. 6D
4071555 OR: 4281 PG: 1125sePtem~:;~53 ~~~~
RBCORDED in th! OFFICIAL RBCORDS of rOLLIBR tauNTY, YL
09/13/2007 at 10:58AK DWIGHT B. BROCr, CLBRK RBC PBI
COPIBS
86.50
10.00
~ERLOCALAGREEMEN~
AnV ANCED LIFE SUPPORT PARTNERSHIP
BETWEEN COLLIER COUNTY AND EAST NAPLES FIRE CONTROL AND RESCUE DISTRIct
TInS INTERLOCAL AGREEMENT, made and entered into this ~ day Of~p+ 2007, by and
between the Board of County Commissioners, Collier County, Florida, a political subdivision of the State of Florida,
(hereinafter called the "COUNTY") and the EAST NAPLES FIRE CONTROL AND RESCUE DISTRICT, 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 2000-444, Laws of Florida, and its successors,
(hereinafter "EAST 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 the EAST NAPLES district and Collier County. The recognition and utilization of
existing and future personnel skilIs, qualifications and resources is in the interest and benefit of both agencies and
the public we serve,
WITNESSEm
WHEREAS, EAST NAPLES and COUNTY seek to enhance emergency service further through a continued
partnership; and
WHEREAS, the Advanced Life Support (hereinafter "ALS") partnership provides for an EAST NAPLES
Firefigbter/Paramedic and/or FirefighterlEmergency Medical Technician. (hereinafter "EMr'), to work and train on
a COUNTY Advanced Life Support Transport Unit providing fll"efighter / paramedic duties and/or basic life support
EMT duties; and
WHEREAS, the ALS partnership provides for a COUNTY Paramedic:IFirefighter to work and train on an EAST
NAPLES Fire-Rescue unit providing firefigbting and paramedic duties; and
WHEREAS, EAST NAPLES and COUNTY work cooperatively to assure appropriate response of sufficient
emergency medical resources;
NOW, THEREFORE, in consideration of the above premises, and the mutual covenants, terms, and provisions
contained herein, the COUNTY and EAST NAPLES agree as follows:
SECTIONI:DEFUNrnONS
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 .EIQ means a Field Training Officer; a certified paramedic recognized by the 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 Quality Assurance/ Quality Improvement which is the Medical Director approved program
which assesses and monitors the medical performance of Paramedics and Emergency Medical Technicians.
1.4 PCR means the Patient Care Record which chronicles the medical treatment of the patient.
1.5 MOU means a Memorandum of Understanding between agencies.
Agenda Item No. 6D
OR: 4ZS~te~~~~~1~8~
1.6 Licensed means a Don-transporting ALS fire apparatus and rapid response vehicle operating under the ALS
license issued to COUNTY Emergency Medical Services Department (hereinafter "EMS") for the purpose
of enhancing 911 medical responses,
1.7 Non-licensed means any response vehicle that is not required by State Statute to be licensed. but is
authorized by the Medical Director,
SEcnON n: COUNTY'S RESPONSIBILITX
The following specific services, duties, and responsibilities will be the obligation of the COUNTY:
2.0 The COUNTY will provide through the County's Emergency Medical Services (EMS) Department;
medical direction, medical protocols, training and quality assurance to EAST NAPLES personnel at no cost
to EAST NAPLES.
2.1 The COUNTY will maintain at least one (1) ALS transport unit staffed by the COUNTY under
COUNTY'S authority pursuant to the current Chapter 401. Fla. Stat. and Subtitle 64E-2, Fla. Admin.
Code) at EAST NAPLES Station 22 as a first-response apparatus on all medical incidents, .
2.2 The COUNTY, as a sole licensed provider of advanced life support under Cbapter 401. Fla. Slat. and
Subtitle 64E-2, Fla. Admin. Code, will license a total of two (2) EAST NAPLES flI'C 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 an County recognized
EAST NAPLES licensed ALS fire apparatus staffed 365 days per year, 24 hours per day stationed at the
following locations:
1. Engine 20, 4798 Davis Blvd., Naples
2. Engine 23,6055 Collier Blvd., Naples
2.4 The COUNTY will license additional vehicles as non-1ransporting ALS vehicles, which have been
mutually agreed upon, under the COUNTY EMS license during the term of this Interlocal Agreement. The
COUNTY Medical Director shall authorize non-licensed ALS response vehicles upon receipt of written
notification by EAST NAPLES.
2.5 The COUNTY EMS Department will provide one (1) Paramedic/Firefighter to EAST NAPLES 365 days
per year, 24 hours per day to be utilized on tire apparatus vehicle(s) located at EAST NAPLES Station 23
that has been licensed as an non-transporting ALS vehicle(s) under COUNTY'S authority pursuant to
Chapter 40 I, Fla. Stat. and Subtitle 64E-2, Fla. Admin. Code.
2.6 As pursuant to Chapter 401, Fla. Stat. and Subtitled 64E-2, Fla. Admin. Code, EAST NAPLES may
operate any of their licensed andlor non-licensed ALS vehicles or apparatus as a BLS responder when a
paramedic does not staff the vehicle.
2.7 The COUNTY recognizes that EAST NAPLES may substitute any licensed or non-licensed non-
transporting ALS vehicle in accordance with chapter 64-E2,001, Fla. Admin. Code.
SECTION ill: EAST NAPLES' RESPONSIBILITY
The following specific services, duties, and responsibilities will be the obligation of EAST NAPLES:
3.0 EAST 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 EAST NAPLES will maintain two (2) ALS apparatus, licensed and equipped by the COUNTY, at locations
referenced in Section 2.3. These unites) will be designated within the County Sherriff's Office Computer
Aided Dispatch (CAD) program to automatically respond to medical incidents with, or in place of, 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 andlor fire suppression vehicle.
3.2 EAST NAPLES will comply with medical protocol, and will participate in medical training and quality
assurance programs in accord with the COUNTY.
3.3 EAST NAPLES will provide one (1) Firefighter/Paramedic or FirefighterJEMT to the COUNTY 365 days
per year, 24 hours per day to be utilized on the ALS transport unit assigned to COUNTY Station 22.
Agenda Item No. 60
OR: 42~e~b~lt~~~
3.4 EAST NAPLES may provide at least one (I) MOU Training Coordinator, approved by the COUNTY
Medical Director, to function 8S a Field Training Officer (FTO)/ Supervisor for EAST NAPLES Paramedic
and EMT training.
3.5 EAST NAPLES will designate a COUNTY Medical Director approved Quality Assurance member to
participate on the COUNTY ALS Non-Transport Quality Assurance Committee.
3.6 EAST NAPLES may provide additional non-licensed ALS vehicles when paramedic staffmg permits.
3.7 EAST NAPLES may provide additional medical equipment and advanced service with the approval of the
COUNTY.
3.8 EAST NAPLES shall be responsible for 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 EAST NAPLES will be responsible for verifying that EAST NAPLES
FirefighterlParamedics and/or Firefighter/EMTs meet all requirements for State licensure and
recertification as Florida Certified Paramedics and/or EMTs. EAST NAPLES in coordination with the
COUNTY will be responsible for verifYing that the COUNTY ParamediclFirefighters meet all
requirements for licensure and recertification as required by law (e.g., Florida Statutes, Florida
Administrative Code, and rules and regulations of the Division of State Fire Marshall's Bureau of Fire
Standards and Training.)
4.1 The COUNTY and EAST NAPLES will provide each other's department employees similar training and
internship programs as would be provided for a COUNTY or EAST NAPLES employed
FirefigbterlParamedic or FirefighterlEMT.
4.2 Necessary qualifications for both EAST NAPLES and COUNTY firefighter/paramedics will be
cooperatively developed and defined within the Collier County Fire Chiefs' Association (CCFCA)
Firefighter Cross Training Program, and Collier County Medical Director's Paramedic
Qualification/Certification Matrix.
4.3 The COUNTY and EAST 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 b~ changed by mutual written consent between the Chief of the EAST NAPLES FIRE or his
designee and COUNTY's County Manager or his designee (e.g. Chief of EMS).
SECTION V: OPERATING PROCEDURES
5.0 EAST NAPLES FirefighterlParamedics and Firefighter/EMTs 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 EAST NAPLES FirefighterlParamedics shall be certified to perform as ALS Engine Paramedics under
current medical protocol. The COUNTY Medical Director shall regularly evaluate the skills of EAST
NAPLES Paramedics for consideration of expanding the medical protocol under which they perform.
5.2 The COUNTY EMS Department Paramedic/Firefighters will meet the same requirements and perfonn
under the same Fire specialized response protocols, standard operating procedures and chain of command
as employees of EAST NAPLES.
53 The ALS Partnership Operations Plan, Attachment A, may be revised by mutual written consent between
the Chief of EAST NAPLES and COUNTY's County Manager or his designee (e.g. Chief of EMS). Such
revisions must not conflict with the tenns and standards set forth in this Interlocal Agreement.
5.4 Licensed and non-licensed ALS vehicles, programs, personnel or details may be developed and
implemented by joint agreement and in cooperation between EAST NAPLES and COUNTY. Such
resources may not conflict with the standards set forth in this Interloca! Agreement.
5.5 EAST 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.
Agenda Item No. 60
Se,ptember 15, 2009
OR: 42til Pti~e 1 t2~
5.7 EAST NAPLES and COUNTY will utilize Command Staff and assets for logistical, support. and
operational needs for national, state and local emergencies.
5.S The State of Florida recognized Incident Management System (lMS) is the standard for emergency
operations. EAST NAPLES shall assume command and control of all incidents where EAST NAPLES is
the agency having Jurisdiction. In aU instances where EAST NAPLES has established command,
COUNTY EMS shall assume responsibility for, and be in charge of, patient care.
5.9 The COUNTY and EAST 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:
1. 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. EAST NAPLES will have jurisdiction of tire/rescue issues concerning operations and safety.
4. Conflicts involving patient care issues will be resolved through a QAlQI 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 Vll: AGREEMENT T~
7.0 This InterlocaJ Agreement supersedes the agreement titled "Interlocal Agreement Advanced Life Support
Partnership between Collier County and the EAST NAPLES Fire Control and Rescue District" dated June
26,2007.
7.1 This Interlocal Agreement shall remain in full force from the Effective Date and shall terminate pursuant to
sections 7.2 or 7.3.
7.2 This Interlocal Agreement shall be for a term of three (3) years. Ninety (90) days prior to the expiration of
the term, it shall be reviewed and renegotiated as necessary. Absent tennination or amendment to this
Interlocal Agreement, the term of this Interlocal Agreement will automatically renew in three (3) year
periods, Nothing within this Interlocal 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 COUNlY and EAST NAPLES.
7.3 Either the COUNTY or the EAST NAPLES may tonninate this Interlocal Agreement after providing
written notice of fonnal 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 the EAST NAPLES failure to fulfill any
of the obligations under this InterlocaJ 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
EAST NAPLES of its intent to recommend that the COUNTY Bee terminate this Interlocal Agreement.
The COUNTY BCe's consideration of termination of this Interlocal Agreement shall occur at the next
available regular meeting of the COUNTY BeC that is at least two (2) weeks from the written notification
by the COUNTY Medical Director to EAST NAPLES of its recommendation of termination. Advanced
notice of the BCC meeting date and agenda item must be provided to EAST NAPLES. Nothing in this
Agreement shall limit the authority of the Medical Director as set forth in the Florida Statutes and the
Florida Administrative Code.
7.5 The tenninating 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 VII of this Agreement.
SECTION VIll: INSURANCE
Agenda Item No. 6D
OR: 42rtP&p~I~2;
8.0 EAST NAPLES and COUNTY shall maintain insW'allce in the minimum amounts and types required by
Florida State Statues.
8.l EAST NAPLES and COUNTY agree that either party may be self-insured on the condition that all self-
insurance must comply with all State laws and regulations and must meet with the approval of the other
party to this Interlocal Agreement.
8.2 To the extent permitted by law and as limited by and pursuant to the provisions of Florida Statutes, Section
768.28 EAST 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 entity 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 EAST NAPLES or the COUNTY when it would not otherwise be responsible.
SECTION IX: MISCELLANEOUS
9.0 This Interlocal Agreement shall be governed by and construed under the laws of the State of Florida. In the
event any litigation is instituted by way of construction or enforcement of the InterlocaI 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 Attorney's fees.
9.1 It is understood that this Interlocal Agreement must be executed by both parties prior to EAST NAPLES
and COUNTY commencing with the work, services, duties and responsibilities described beretofore.
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 (IT). The COUNTY shall
file said agreement as soon as practicable after approval and execution by both parties.
IN WITNESS WHEREOF. the parties hereto have caused this Interlocal Agreement to be executed by their
appropriate officials, as of the date first above written.
~...o.c
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BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
BY\~~II/D)
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Approval as to'f6~ 1J.I1~legal
Sufficiency:
EAST NAPLES FIRE CONTROL AND RESCUE
::r-- ~-
Thomas G. Cannon, Ch~
Agenda Item No. 60
~1Plember 15, 2009
OR ~ 4,tU PG~e 'pBC2
ATTACHMENT A
COLLIER COUNTY EMERGENCY MEDICAL SERVICES I FIRE DEPARTMENT AND
EAST NAPLES FIRE AND RESCUE DEPARTMENT
ALS PARTNERSHIP OPERATIONS PLAN
REFERENCE:
ALS Program Interlocal Agreement, .s~p* II . 2007
PURPOSE: To provide quality and cost effective flre rescue and emergency medical
services to the residents of EAST NAPLES (ENFD) 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.
1. QUALIFICATION REQUIREMENTS
a, COUNTY Paramedic/Firefighters utilized on designated fire apparatus 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;
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. ENfD Firefighters utilized on the County Medic unit must maintain the following
valid and current qualifications:
Agenda Item No. 60
September 15, 2009
OR: 4281 ~eF!3F
i. Florida Bureau of Fire Standards and Training Certificate of Compliance for
Minimum Standards (Firefighter II);
11. Florida Bureau of Emergency Medical services and Community Health
Resources EMT or Paramedic Certification;
lll. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter
64E and;
iv. Collier County Medical Director's Orientation, as referenced in the Collier
County Medical Director's Paramedic Certification/Qualification Matrix
c. At least one ENFD Firefighter/Paramedic utilized on licensed ENFD ALS apparatus
or vehicle must maintain the following valid and current qualifications;
i. Florida Bureau of Fire Standards and Training Certificate of Compliance for
Minimum Standards (Firefighter II);
11. Florida Bureau of Emergency Medical services and Community Health
Resources Paramedic Certification and;
Hi. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter
64E and;
iv. Collier County Medical Director's Paramedic Certification/Qualification
Matrix Engine Paramedic Certification or above.
d. ENFD Firefighter/Paramedics utilized in non-licensed apparatus or assignments 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. Florida Bureau of Emergency Medical services and Community Health
Resources Paramedic Certification and;
lll. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter
64E and;
iv. Collier County Medical Director's Paramedic Certification/Qualification
Matrix Engine Paramedic Certification or above.
2. SCHEDULING AND POSmON ASSIGNMENTS
a. The COUNTY and ENFD Chiefs or their designee, must approve all Exchange
Program participants.
b. The COUNTY Battalion Chief 80 and ENFD Captain 20 will consult openly in order
to assure continuity and efficiency.
c. The COUNTY will continuously provide ENFD with one [IJ COUNTY
ParamediclFirefighter as qualified within Section 1.a. for use on a designated ALS
apparatus or vehicle.
Agenda Item No. 6D
OR: 4 2~rePG;~ Y1 ~~
d. ENFD will continuously provide the COUNTY with one [lJ ENFD 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.
f. It is recognized by COUNTY and ENFD that harmonious and productive
relationships between all personnel are necessary. Teamwork and cooperation is
encouraged and expected.
g. Applicable COUNTY and/or EAST 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 ENFD staffwill 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 approved Emergency Medical Dispatch (E~) Models shall
be designed to assure the initial response of appropriate ALS licensed
apparatus.
ii. COUNTY and ENFD chief officers will utilize available ENFD licensed
resources to assure ALS coverage is continuously maintained within EAST
NAPLES.
liL COUNTY and ENFD 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 EAST NAPLES policies, practices, procedures,
standard operating guidelines, general orders, protocols and/or applicable Bargaining
Unit Contract language will be observed.
4. DOCUMENTATION
a, The first arriving licensed and non-licensed ALS unit will document each patient
contact in a hand written Patient Care Report (peR). The peR must record any
notations from 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 EM! license numbers. When ALS units arrive at
the same time, the peR will be completed by the transporting unit. Shift PCRs are to
Agenda Item No. 6D
September 15, 2009
OR: 4281 r&~ 11~3Y
be collected in a secured envelope with completed coversheet and submitted to the
appropriate EMS 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 BLSI ALS
procedures performed by the personnel assigned to the ALS response 'Will be fully
documented. "CHART" format with documented "BS1" is required.
c. Prior to 0900hrs, or as call volume permits, Captain 20 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
Captain 20's office.
5. QUALITY ASSURANCE
a. ENFD 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 informational QA
Review may be handled by the ENFD 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 ENFD 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. ENFD 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 ENFD
personnel in pre-hospital medicine and protocol.
b. The ENFD Training person(s) is qualified to instruct ENFD firefighter paramedics or
EMTs Medical Director approved in-services, certifications, classes, etc.
c. Any curriculum taught by the ENFD 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
Agenda Item No. 6D
*** OR: 42~j,Pt~~t1l~~~~**
EMS 2000 to accurately record continuing education hours of any personnel
completing their training.
d. ENFD will provide to the State Fire College appropriate approved training
documentation for recognized State approved fire classes.
07-EMS-oDOSll2