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Agenda 12/14/2021 Item #16E 6 (BA for Emergency Medical Services for the ppurchase and installation of Stryker Power Load locking cot system)12/14/2021 16.E.6 EXECUTIVE SUMMARY Recommendation to approve a $146,777.39 budget amendment for Emergency Medical Services Project/Motor Pool Fund 491 for the purchase and installation of Stryker Power Load locking cot systems into the fleet of ambulances. OBJECTIVE: To improve the safety of patients and field personnel and meet the standards of the American Ambulance Association (AAA). BACKGROUND: On 11/14/17, The BCC approved the standardization of Stryker Power Cots. Stryker is the only authorized service agent for parts and service for Stryker Power Cots and Stair Chairs. The decision to move away from manual to powered stretchers was based on safety mechanic advantages such as reduce risk of injuries, to the crew as well as the patient. The most recent American Ambulance Association (AAA) standards requires the purchase and installation of a more robust stretcher locking system than what EMS currently has. The traditional systems are no longer accepted. As of 2021, EMS had a mixture of stretcher systems in their fleet which was less than ideal to function with the upgraded locking system, as it forces crews to go back and forth between the manual and powered system. EMS is in the process of purchasing eleven (11) more power stretchers which will finish the standardization process that was started in 2017 and provide a uniform system throughout the fleet. CONSIDERATIONS: Collier County EMS has a fleet of 43 ambulances, 26 front line units and 16 reserve units for seasonal deployment, special events and backups for maintenance. Each ambulance is equipped with a stretcher to move patients. EMS budgeted in FY22 for this Power Load Project, including installation that totals over one million dollars. With the unexpected purchase of the remaining eleven (11) stretchers to complete the fleet, this leaves EMS capital budget short in the amount of $146,777.39 which is needed to fund the Power Load Project that was budgeted for in FY22. FISCAL IMPACT: A Budget Amendment in the amount of $146,777.39 is needed for Project 50236 EMS Trust, funds are available in EMS Project Fund 491 reserves. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues and requires majority vote for Board approval. -JAK GROWTH IMPACT: There is no Growth Management Impact resulting from this action. RECOMMENDATION: To approve a budget amendment for Emergency Medical Services to be able to meet the standards of the American Ambulance Association (AAA) by purchasing and installing Power Load locking systems into the fleet of ambulances. PREPARED BY: Erin Cook, Accounting Supervisor, Emergency Medical Services Packet Pg. 2120 16.E.6 12/14/2021 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.6 Doe ID: 20654 Item Summary: Recommendation to approve a $146,777.39 budget amendment for Emergency Medical Services Project/Motor Pool Fund 491 for the purchase and installation of Stryker Power Load locking cot systems into the fleet of ambulances. Meeting Date: 12/14/2021 Prepared by: Title: Accounting Technician — Emergency Medical Services Name: Erin Page 11/17/2021 11:48 AM Submitted by: Title: Division Director - EMS Operations — Emergency Medical Services Name: Tabatha Butcher 11/17/2021 11:48 AM Approved By: Review: Emergency Medical Services Agenda Clerk Preview Office of Management and Budget County Attorney's Office Office of Management and Budget Office of Management and Budget County Manager's Office Board of County Commissioners Tabatha Butcher Director Review Michael Cox Agenda Clerk Preview Debra Windsor Level 3 OMB Gatekeeper Review Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Laura Wells Additional Reviewer Susan Usher Additional Reviewer Sean Callahan Level 4 County Manager Review Geoffrey Willig Meeting Pending Completed 11/17/2021 11:57 AM Completed 11/18/2021 8:11 AM Completed 11/18/2021 8:31 AM Completed 11/18/2021 9:49 AM Completed 11/18/2021 10:49 AM Completed 12/04/2021 3:52 PM Completed 12/06/2021 8:49 AM 12/14/2021 9:00 AM Packet Pg. 2121