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Minutes 12/12/1986 0 % EMS ADVISORY COUNCIL MEETING MINUTES Dec. 12, 1986 To order at 01000 Hrs. Present: Doug Greenfield, Mr. Kevin O'Donnell, Doug Cameron, Diane Flagg, Sally Moore, Reps: Helen Ortega, Pat Hedrich, Randy Carroll, Jorge Aguilera Alts: Melitta Beakbane Guests: Pat Maahs, Rich D'Orazio, Kim Lark Substituting Sec. for Sue LeMay is Helen Ortega. OLD BUSINESS Training Instructor position still open to this date. Interviews soon and hopefully filled by third week of January. GGFD-504's window has been fixed. Determined nozzle bottled oil is unobtainable per ARA. Radio in Truck #8 still a problem, will hopefully get a new radio soon. A new one was installed re- cently but same old "Cut Out" problem. Still working on Mutual Aid Policy with Hendry County- meanwhile please still adhere to memo referring clearing response with 525. National Paramedic Registry Test date set for January 31, 1986, cost $40.00 which will be paid by EMS. Study materials should include DOT Manual, no list of complete ref. material available yet. Call Randy Carroll for questions. New Diesel Truck should be here March 1987- Issue of Dopplers for units still on the table for debate as we are accumulating info. 1 1/4" abbos for #14 & #16 sizes will be obtainable again soon. They are on order through NCH,YEAH! NEW BUSINESS Discussed possible aquisition of a transderm pacer. Determined cost prohibitive and issue dropped. Sally Moore announced she has been working towards revamping of med boxes with preloaded or Bristoject meds instead of ampules and vials, this comes due to strong suggestion by HRS. to Streamline Paramedics time drawing up meds. This will take some thought and time so a committee will assist Sally; Brian Mackenzie, Jorge Aguilera and Rancy Carroll. Issue of D/C BLS or ALS on road brought up. Remember use Med. 7 so there is a tape- Ch. 1 just won' t cut it! Since we are in full season swing now important to be conscious-if you pick up a baby team at airport,(leaving your cot at airport) then please use spare cot at ER upon dropping off team at NCH. You are not to stay 10-6 at NCH! These teams take minium 2 hrs. to complete work up for babies. If there is a problem contact 525. Page 2 Remember on Supply Order receiving days to rotate old and new stock! Beware of the counter behind sofa at 505--? Some padding might be added to avoid head injuries! Carpet at Immokalee 505 living room needs cleaning or better yet replacement with a low pile like bedroom, this will be explored. Phones at 505 now have lights on them and now several people request touch tone phone for private line (657-2141) so that credit cards can be used for long distance charges. Remember Policy Memo #86-68, EVOC MANDATORY RETAKES after signal 4 in county vehicle? Well 3 people in the last 10 days have earned that privledge--- be careful at fuel pumps. Do not attempt a u-turn around outer edge- Doug Greenfield warns that another incident will cause us to have to refuel at County Barn to avoid these problems. Only 503 and 504 will have oleum cards. Entry level for EMT'S/ Medics discussed at length again. Mr. Kevin O'Donnell present and states that when "turn over is low, salaries are low, when re- cruitment is down, entry levels are increased. He is currently working on a new system, we should hear about sometime towards the end of December.We will wait! For your info: Medic of 4 yrs. county service -$20,500.00 Medic of 2-3 yrs. county service-$20,500.00 Medic of 1 yr. county service-$19,364.00 Medic at entry level-$19,178.00 A request for easier to read station maps, Doug Cameron suggests a piece of magnifying laminated plastic be placed over each station map. A good suggestion, to be considered. Please still refer to Medivac Memo concerning 506 usage. Also be advised 506 will respond to Marco and Immokalee.for emergency calls. When turning over a patient to 506 please provide patient info. plus what treatments you gave. Suggested by Rich D'Orazio 506's status be announced at each a.m. roll call at 0830. It will be effective immediately. Please note memo on Pheonix Award and criteria to meet for award; posted at all stations. Request for new C-Collars again--discussed and dropped. Engineering Dept. working on safe method for our units to transport with IVACS. Any suggestions please write down and turn into Advisory Council. Problems with 2 Man crews in Immokalee will be discussed at a workshop on December 19th, 10:00 a.m. at headquarters. Please attend! Page 3 Tentatively this will be new rotation: 501 504 503 505 507 502 510 Truck #8 and #9 are now in Immokalee permanently. It has also been requested by 525's that 505/510 expedite calls time spent at NCH--fuel--HQ-- not necessary. Gas up in Immokalee to get around Oxygen fills 3 extra "D" cylinders will be sent out to 505 station, and drop your 10-43(Paperwork) at 501's station for pick up. The season is upon us people--we need to cut down on time in town--thanks! NCH Security requested tht we always keep left lane at ER open for drive thru. Out of County transports will be handled by 506 or 508(if ALS). 504 will go only if time not per- mitting to call in off duty crew. 508 In-service 9:OOa.m -6:OOp.m Monday - Friday until April 1, 1987(BLS) The beginning of December EMS began providing shift coverage and a county vehicle for Paramedic students to attend school. This will be allowed for up to 3 students per year. Mr. Kevin O'Donnell states he will attend AC meetings from now on, and that he will also begin riding ALS units in an effort to better familiarize himself with EMS employees and problems. 550's equipment left at NJJCC is their problem-- also problems with 550 not knowing how to operate their stretcher or know where NCH is was discussed. . . Again, if you have a problem with NCHC staff, write it down and place in Dr. Zinn's box at NCH. He will handle it! If there is a APCOR at your station turn it into HQ. STATE NEWS: 1) As of yet no state trust $10-12. 2) Trauma legislature bill coming soon. 3) We are now designated high risk for $50,000. But unknown effective date of coverage! 4) Possibility of seperate certifications in BTLS, PALS, etc. required in future by HRS! 5) Brevard County case regarding "Bill of Rights" Medic involved in wrongful death case could not be fired due to Medical Director Decert- ification--due to poor definition of Paramedic License vs. Medical Endorsement Three Paramedic vacancies still open. Effective immediately Immokalee Clinic will be closed on Saturdays! OH NO! Training Officer interviews Dec. 22, 1986 three people to be considered-- Meeting adjourned 1300 Hrs. Respectfully, Helen Ortega