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Operational Guidelines MARCO ISLAND THREE MEMBER TEAM The Collier County Emergency Medical Services (EMS) Department and the Marco Island Fire Department share a common goal of serving the community. A single Paramedic vehicle response to medical emergencies reduces the risk of accidental injury or death to community members and provides a cost effective response to emergency medical calls utilizing existing EMS and fire department personnel. OPERATIONAL GUIDELINES Staffing - EMS Paramedic Unit, Medic #4, will be staffed twenty-four hours a day, seven days a week, with a three member team consisting of two EMS personnel and one Marco Island Fire Department personnel. Dispatch Procedures by the Collier County Sheriffs Office - Unchanged Communication Procedures - When dispatched to a medical emergency, the Marco Island Fire Department shall cancel and advise Control that Medic #4 will handle. If Medic#4 is already committed to a call or out of zone, the Marco Island Fire Department shall respond as dispatched. The status of Medic #4 is known immediately by unit dispatched by Control. Response Procedures Medical Emergency: Any incident involving the illness or injury of victims. EMS Medic #4 will be the only vehicle to respond to all medical illness or injury incidents in the Marco Island Fire District. Exclusion: Dual response of the EMS Department and Marco Island Fire Department will occur if Medic #4 is already committed to an incident or if the incident reference is "motor vehicle accident". Fire Emergency: Any incident involving a confirmed fire or hazardous material spill. Dual response of the EMS Department and the Marco Island Fire Department will occur. EMS colleagues will provide firefighter rehabilitation, patient care and other assistance as needed, consistent with current protocols. Medical Incident Operations - Incident operations and command is the responsibility of the senior EMS Paramedic on each EMS medic unit under the direction of the EMS Supervisor. Marco Island Fire Department personnel assigned to Medic #4, shall fulfill the responsibilities of an Emergency Medical Technician and may operate under the guidelines of EMS General Order #93-01 if qualification requirements are met. Daily Operations - The EMS/Fire personnel assigned to Medic #4 shall complete the daily operational responsibilities consistent with EMS standard operating procedures. Station Responsibilities - EMS colleagues will be responsible for the cleaning of the EMS day room, EMS bunk room and EMS apparatus bay. The kitchen will be shared, with cleaning following each use. Station cleaning responsibilities of fire department personnel continue as assigned by shift commander. Physical Fitness - The use of the physical fitness equipment will be shared by the EMS Department and the Marco Island Fire Department. The fire department fitness trainer shall assure personnel are properly trained prior to use of fitness equipment. Vehicle Maintenance - All vehicle maintenance will be the responsibility of the respective agency. Training - Participation in formalized training activities of mutual benefit is encouraged. The EMS supervisor and the fire department shift commander shall be notified to assure that participation does not conflict with other assigned responsibilities.