Agenda 06/10/2014 Item #16E 6 6/10/2014 16.E.6.
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to execute an Interlocal Agreement for
an Advanced Life Support Partnership between Collier County and the Golden Gate Fire Control
and Rescue District.
OBJECTIVE: To provide quality and cost effective fire rescue and emergency medical
services to the residents of the Golden Gate District and Collier County.
CONSIDERATION: In an effort to enhance emergency medical services through a continued
partnership between Collier County and the Golden Gate Fire Control and Rescue District, this
Agreement provides for Golden Gate District firefighter/paramedics or a Firefighter/Emergency
Medical Technician to work and train on a County ambulance and County paramedic/firefighters
to train with Golden Gate District personnel.
FISCAL IMPACT: There is no Fiscal Impact associated with this action.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality, and
requires majority vote for approval. CMG
GROWTH MANAGEMENT IMPACT: None.
RECOMMENDATION: That the Board of County Commissioners approves the Interlocal
Agreement between Collier County and the Golden Gate Fire Control and Rescue District for an
Advanced Life Support Partnership and authorizes the Chairman to execute the Agreement.
PREPARED BY: Maria Franco, Administrative Assistant, Emergency Medical Services —
Admin.
Attachment: Interlocal Agreement
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.6.
Item Summary: Recommendation to approve and authorize the Chairman to execute an
Interlocal Agreement for an Advanced Life Support Partnership between Collier County and the
Golden Gate Fire Control and Rescue District.
Meeting Date: 6/10/2014
Prepared By
Name: FrancoMaria
Title:Administrative Assistant, EMS Operations
5/20/2014 10:54:59 AM
Approved By
Name: KopkaWalter
Title: Chief-Emergency Medical Services,EMS Operations
Date: 5/20/2014 11:1 1:11 AM
Name: pochopinpat
Title: Administrative Assistant,Administrative Services Division
Date: 5/20/2014 11:45:33 AM
Name: SummersDan
Title: Director-Bureau of Emergency Services,Bureau of Emergency Services
Date: 5/20/2014 2:10:07 PM
Name: PriceLen
Title: Administrator-Administrative Services,Administrative Services Division
Date: 5/28/2014 11:15:53 AM
Name: GreeneColleen
Title: Assistant County Attorney, CAO General Services
Date: 5/28/2014 11:23:44 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 5/28/2014 4:03:15 PM
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Name: KimbleSherry
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 5/30/2014 12:12:39 PM
Name: OchsLeo
Title: County Manager, County Managers Office
Date: 6/1/2014 3:52:44 PM
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INTERLOCAL AGREEMENT
ADVANCED LIFE SUPPQRT PARTNERSHIP
BETWEEN COLLIER COUNTY AND GOLDEN GATE FIRE CONTROL AND
RESCUE DISTRICT
THIS INTERLOCAL AGREEMENT, made and entered into this day of
2014, by and between the Board of County Commissioners, Collier County, Florida, a political
subdivision of the State of Florida, (hereinafter "COUNTY") and the GOLDEN GATE FIRE
CONTROL AND RESCUE DISTRICT, an Independent Special District of the County of Collier,
State of Florida, created under Chapter 61-2032, Laws of Florida, and its potential successor, the
Greater Naples Fire and Rescue District, (hereinafter "GOLDEN GATE").
PURPOSE
The purpose of this Interlocai Agreement is to provide quality and cost effective fire rescue and
emergency medical services to the residents of the GOLDEN GATE district and Collier County. The
recognition and utilization o f existing and future personnel skills, qualifications and resources is in
the interest and benefit of both agencies and the public we serve.
WITNESSETH
WHEREAS, GOLDEN GATE and COUNTY seek to enhance emergency service further through a
continued partnership;and
WHEREAS, the Advanced Life Support (hereinafter "ALS") partnership provides for an
GOLDEN GATE Firefighter/Paramedic or a Firefighter/Emergency Medical Technician to work and
train on a COUNTY Advanced Life Support Transport ambulance providing Paramedic/Firefighter
duties and/or basic life support EMT duties; and
WHEREAS, The ALS partnership provides for a COUNTY Paramedic/Firefighter to work and
train on an GOLDEN GATE Fire-Rescue unit providing firefighting and paramedic duties;and
WHEREAS, GOLDEN GATE 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 GOLDEN GATE agree as follows:
SECTION I: DEFINITIONS
1.1 ALS means treatment of life-threatening medical emergencies through the use of
techniques such as endotracheal intubation, the administration of drugs or intravenous
fluids, cardiac monitoring,and cardiac defibrillation by a qualified person, pursuant to rules
of the COUNTY Medical Director(hereinafter"OMD").
1.2 BLS "Basic life support"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, administration of a
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subcutaneous injection using a premeasured auto injector of epinephrine to a person suffering an
anaphylactic reaction, and other techniques described in the Emergency Medical Technician
Basic Training Course Curriculum of the United States Department of Transportation.The term
"basic life support"also includes other techniques which have been approved and are performed
under conditions specified by rules of the department or the OMD.
1.3 BCC refers to the Collier County Board of Commissioners.
1.4 Ia I'O means a Field Training Officer; a certified paramedic recognized by the OMD as
having sufficient skill and experience to train and direct medical providers in working
under the approved medical protocols.
1.5 OA/OI 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.
1.6 PCR means the Patient Care Record which chronicles the medical treatment of the patient.
1.7 MOU refers to a Memorandum of Understanding between agencies.
1.8 Permitted means a non-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.
1.9 Non-Permitted refers to any response vehicle that is not required by State Statute to be
permitted,but is authorized by the OMD.
1.10 EMCC refers to the Golden Gate Emergency Medical Care Coordinator.
1.11 OMD refers to the Collier County Office of the Medical Director.
NRCTION II: COUNTY'S RPpONS!BTLTTY
The following specific services, duties, and responsibilities will be the obligation of the COUNTY:
2.1 The COUNTY will provide through the County's Emergency Medical Services (EMS)
Department and the OMD; medical direction, medical protocols, training and quality
assurance on a countywide basis.
2.2 The COUNTY will maintain at least one (1) ALS transport ambulance staffed by
GOLDEN GATE and the COUNTY under the Board of Commissioners' authority pursuant to
the current Chapter 401.Fla. Stat. and Chapter 64.1, Fla. Admin. Code in GOLDEN GATE as
a first-due apparatus on all medical,rescue and fire incidents.
2.3 The COUNTY, as a licensed provider of advanced life support under Chapter 401,Fla. Scat and
Chapter 64J, Fla Admin. Code, will permit a minimum of two (2), GOLDEN GATE fire
apparatus or response vehicles as non-transporting ALS vehicle(s) under the COUNTY EMS
license for the purpose of enhancing 911 medical responses.
2.4 The COUNTY will permit additional vehicles as non-transporting ALS vehicles,as identified in
2.3 and mutually agreed upon, under the COUNTY EMS license during the term of this
Interlocal Agreement.
2.5 The COUNTY EMS Department will provide one (1) Paramedic/Firefighter to GOLDEN
GATE 365 days per year, 24 hours per day to be utilized on fire apparatus vehicle(s)located in.
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GOLDEN GATE and permitted as ALS non transporting unit under the Board of County
Commissioner's authority pursuant to Chapter 441, Fla. Stat. and Chapter 64J, Fla. Admin.
Code.
2.6 Pursuant to Chapter 401,Fla. Stat. and Chapter 64J,Fla. Admin. Code, GOLDEN GATE may
operate any of their permitted and/or non-permitted ALS vehicles or apparatus as a BLS
responder when a paramedic does not staff the vehicle
SECTION III: GOLDEN GATE'S RESPONSIBILITY
The following specific services, duties, and responsibilities will be the obligation of GOLDEN GATE:
3.1 GOLDEN GATE will provide through GOLDEN GATE Fire Rescue District; Incident
Comm and,incident safety direction, fire rescue standard operating guidelines and training on a
regional basis.
3.2 GOLDEN GATE will maintain a minimum of two (2) ALS apparatus, permitted by the
COUNTY, as referenced in Section 2.3. These units) will be designated within the County
Sheriffs 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
fire operation in accordance with the COUNTY's Emergency Medical Dispatch protocol as an
emergency medical response and/or fire suppression vehicle.
3.3 GOLDEN GATE will comply with medical protocol, equipment standards, and will fully
participate in medical training and quality assurance programs in accord with the COUNTY.
3.4 GOLDEN GATE will maintain all medical run reports in an OMD approved records system and
will handle them in a manner consistent with County operating guidelines, Federal, and State
laws.
3.5 GOLDEN GATE will ensure all GOLDEN GATE personnel providing medical care maintain
all state and federally required licensure. Records shall be maintained by GOLDEN GATE and
available to the COUNTY upon request.
3.6 GOLDEN GATE will provide one (1) Firefighter/Paramedic or Firefighter/Emergency Medical
Technician to the COUNTY 365 days per year, 24 hours per day to be utilized on the ALS
transport unit assigned to COUNTY.
3.7 GOLDEN GATE will provide at least one liaison as an Emergency Medical Care Coordinator
(hereinafter"EMCC"), approved by the OMD to function as a Training Officer/Supervisor for
GOLDEN GATE Paramedic and EMT training. The EMCC shall work with COUNTY EMS
Training staff to enhance the BLS and First Responder Program by assisting in teaching per the
annual published in-service schedule. If the GOLDEN GATE cannot logistically attend ESC
training,they may teach OMD approved curriculum at remote sites provided:
• The OMD approved EMCC attends all in-service classes taught at the ESC in order to insure
the training liaison is kept up to date on protocol changes, trends in local treatment, case
reviews,etc.and can more effectively communicate the material in context to their agency's
personnel.
• The EMCC use only curriculum pre-approved by the OMD for medical training. In the case
of regularly scheduled County in-service, the approved curriculum will be provided the
month after the conclusion of scheduled in-services at ESC.
3.8 GOLDEN GATE will designate an OMD approved representative as a Quality Assurance
member to participate in Quality Assurance.
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3.9 GOLDEN GATE may provide additional non-permitted ALS vehicles when paramedic staffing
permits.
3.10 GOLDEN GATE may provide additional medical equipment and advanced service with the
approval of the COUNTY.
3.11 GOLDEN GATE shall be responsible for replacing expendable medical supplies and for the
cost of repair and maintenance of all ALS equipment supplied by the COUNTY, not on County
staffed vehicles.
SECTION IV:MUTUAL CONVENANTS
4.1 The COUNTY and GOLDEN GATE will provide each other's department employees similar
training and internship programs as would be provided for a COUNTY or GOLDEN GATE
employed Firefighter/Paramedic or Firefighter/EMT.
4.2 Necessary qualifications for both GOLDEN GATE and COUNT Y
firefighter/paramedics will be cooperatively developed and defined within the ALS
Operational Plan,and OMD's Paramedic Qualification/Certification Matrix.
4.3 The COUNTY and GOLDEN GATE 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 may be changed
by mutual written consent between the Chief of GOLDEN GATE or his designee and
COUNTY's County Manager or his designee(e.g.Chief of EMS).
4.5 NOTIFICATION OF EXPOSURE TO INFECTIOUS DISEASES: In the event that Collier
County EMS Department is notified of an exposure to infectious disease, EMS shall notify
GOLDEN GATE Infectious Control Officer or EMCC so they may take appropriate action.
Upon notification, the treatment procedures shall be the responsibility of GOLDEN GATE In
the event that GOLDEN GATE is notified of an exposure to infectious disease, GOLDEN
GATE shall notify the EMS Infectious Control Officer or BC 80 so they may take appropriate
action.
,SECTION V: OPERATING PROCEDURES
5.1 GOLDEN GATE Firefighter/Paramedics and Firefighter/Emergency Medical Technicians will
meet the same requirements and perform at the appropriate medical protocol as defined by the
OMD, standard operating procedures, quality assurance program, general orders and chain of
command as employees of the COUNTY EMS Department.
5.2 GOLDEN GATE Firefighter/Paramedics shall be certified to perform as ALS Engine Paramedics
under current medical protocol. The COUNTY EMS Medical Director shall regularly evaluate
the skills of GOLDEN GATE Paramedics for consideration of expanding the medical protocol
under which they perform.
5.3 The COUNTY EMS Department Paramedic/Firefighters will meet the same requirements
and perform under the same fire specialized response protocols, standard operating procedures
and chain of command as employees of GOLDEN GATE.
5.4 The ALS Operational Plan, Attachment A, may be revised by mutual written consent between
the Chief of the GOLDEN GATE Fire Rescue and COUNTY's County Manager or his
designee (e.g. Chief of EMS). Such revisions must not conflict with the terms and standards set
n
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forth in this Agreement.
5.5 Permitted and non-permitted ALS vehicles, programs personnel or details may be
developed and implemented by joint agreement and in cooperation between
GOLDEN GATE and COUNTY. Such resources may not conflict with the standards
set forth in this agreement.
5.6 GOLDEN GATE and COUNTY EMS will recognize the respective ranks and abilities o f
assigned personnel.
5.7 All discipline and investigations leading to discipline will be handled by the respective
employing agency.
5.8 GOLDEN GATE and COUNTY will utilize Command Staff and assets for logistical,
support, and operational needs for national,state and local emergencies.
5.9 The State of Florida recognized Incident Management System (IMS) is the standard for
emergency operations. GOLDEN GATE shall assume command and control of all incidents
where GOLDEN GATE is the Authority Having Jurisdiction. In all instances where GOLDEN
GATE has established command, COUNTY EMS shall assume responsibility for, and be in
charge of,patient care.
5.10 The COUNTY and GOLDEN GATE will share statistical data.
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6.1 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 will have jurisdiction of medical issues concerning appropriate patient care.
3. GOLDEN GATE will have jurisdiction of fire/rescue issues concerning operations and
safety.
4. Conflicts involving patient care issues will be resolved through a QA/QI.process.
5. Should conflicts arise that are irresolvable, 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 VII:AGREEMENT TERI .
7.1 The Interlocal Agreement shall remain in full force and effect from the date first above written
and shall terminate after written notice of termination.
72 This Interlocal Agreement shall be reviewed and renegotiated as necessary after three (3) years.
Absent termination or amendment to this Interlocal Agreement, the term of this Interlocal
Agreement will automatically renew in (3) three year periods. Nothing within this 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
COUNTY and GOLDEN GATE.
7.3 Either the COUNTY or GOLDEN GATE may terminate this Interlocal Agreement after
providing written notice of its intent to terminate at least ninety(90)days in advance of the date
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of termination.
In the event that the COUNTY's Medical Director determines that the GOLDEN GATE failure to
fulfill any of the obligations under this Agreement adversely affects or may adversely affect the
medical needs of the patient and/or responder safety, EMS may provide written notice to GOLDEN
GATE of its intent to recommend that the BCC terminate this Agreement. BCC consideration of
termination of this Agreement must occur at the next available regular meeting of the BCC.
Advance notice of the BCC meeting date and agenda item must be provided to the Medical
Director and GOLDEN GATE. Unless otherwise determined by the BCC at the meeting, the notice
of intent to recommend that the BCC terminate this Agreement shall be deemed to be fully
sufficient and to have commenced the(90) ninety day notice period. In the alternative, the BCC at
the meeting may, after receiving information from the Medical Director and GOLDEN GATE,
terminate this Agreement without further action or notice to GOLDEN GATE. Nothing in this
Agreement shall limit the authority of the Medical Director as set forth in the Florida Statutes and
the Florida Administrative Code.
In the event that the DISTRICT's Fire Chief determines that EMS failure to fulfill any of the
obligations under this Agreement adversely affects or may adversely affect the needs of the
GOLDEN GATE citizens and/or responder safety, GOLDEN GATE may provide written notice to
COLLIER COUNTY of its intent to recommend that the Board of Fire Commissioners(hereinafter
"GGFD") terminate this Agreement GGFD consideration of termination of this Agreement
must occur at the next available regular meeting of the GGFD. Advance notice of the GGFD
meeting date and agenda item must be provided to the EMS Chief and Collier County. Unless
otherwise determined by the GGFD at the meeting, the notice of intent to recommend that the
GGFD terminate this Agreement shall be deemed to be fully sufficient and to have commenced the
(90) ninety day notice period. In the alternative, the GGFD at the meeting may, after receiving n
information from the Fire Chief and GGFD, terminate this Agreement without further action or
notice to COLIER COUNTY, Nothing in this Agreement shall Iimit the authority of the Fire
Chief as set forth in the Florida Statutes and the Florida Administrative Code.
7.4 The terminating 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 VIII: INSURANCE
8.1 GOLDEN GATE and COUNTY shall maintain insurance in the minimum amounts and types
required by Florida State Statues.
8.2 GOLDEN GATE 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.
8.3 To the extent permitted by law and as limited by and pursuant to the provisions of Florida
Statutes, Section 768.28 GOLDEN GATE 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 GOLDEN
GATE or the COUNTY when it would not otherwise be responsible.
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SECTION IX: MISCELLANEOUS
9.1 This Interlocal Agreement shall be governed by and construed under the laws of the State of
Florida. In the event any Iitigation is instituted by way of construction or enforcement of
the Interlocal 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.
9.2 It is understood that this Interlocal Agreement must be executed by both parties prior to
GOLDEN GATE and COUNTY commencing with the watt, services, duties and
responsibilities described heretofore.
9.3 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
Section 163.01 (2), Fla Stat. The COUNTY shall file said agreement as soon as practicable
after approval and execution by both parties.
[Remainder of page intentionally left blank,signature page to follow]
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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.
AI TEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E.BROCK,CLERK COLLIER COUNTY,FLORIDA
BY:
,Deputy Clerk Tom Henning,
Chairman
Approved as to form and legality
Veen M. Greene
Assistant County Attorney
ATTEST: GOLDEN GATE FIRE CONTRO/ 'die'i RE UE DISTRICT
'
�! BY:
111 if
`t /
Chairman 1
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ATTACHMENT A
COLLIER COUNTY EMERGENCY MEDICAL SERVICES I FIRE DEPARTMENT AND
GOLDEN GATE FIRE CONTROL AND RESCUE DISTRICT
ALS OPERATIONAL PLAN
REFERENCE: ALS Program Interims] Agreement, , 2014
PURPOSE: To provide quality and cost effective fire rescue and emergency medical services to
the residents of GOLDEN GATE (GGFD) 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.
I. 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. Department of Health Emergency Medical Services Paramedic Certification;
iii. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter
64.1;
iv. Collier County Medical Director's Paramedic Certification/Qualification Matrix
Rescue Paramedic and;
v. Collier County Fire Chiefs'Association Firefighter Cross Training Certification.
b. GGFD Firefighters utilized on the County Medic ambulance 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. Department of Health Emergency Medical Services Emergency Medical
Technician or Paramedic Certification;
iii. Emergency Vehicle Operator Certification in accordance with F.A.C. Chapter
64.1 and;
iv. Collier County Medical Director's Orientation, as referenced in the Collier
County Medical Director's Paramedic Certification/Qualification Matrix,
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c. At least one GGFD Firefighter/Paramedic utilized on permitted GGFD 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);
ii. Department of Health Emergency Medical Services Emergency Medical
Technician or Paramedic Certification and;
iii. Collier County Medical Director's Paramedic Certification/Qualification
Matrix Engine Paramedic Certification or above.
e. SCHEDULING AND POSITION ASSIGNMENTS
i. The COUNTY and GGFD Chiefs or their designee, must approve all Exchange
Program participants.
ii. The COUNTY Battalion Chief 82 and GGFD Battalion Chief 70 will consult
openly in order to assure continuity and efficiency.
iii. The COUNTY will continuously provide GGFD with one [I] COUNTY
Paramedic/Firefighter as qualified within Section I. a. for use on a designated
ALS apparatus or vehicle.
iv. GGFD will continuously provide the COUNTY with one [1] GGFD Firefighter
Paramedic or a Firefighter/ Emergency Medical Technician as qualified
within Section I.b.for use on the appropriate designated apparatus or vehicle.
v. Exchange Program participants will participate in appropriate on-duty training,
station duties and unit assignments in accordance with assignment and rank.
vi. It is recognized by COUNTY and GGFD that harmonious and productive
relationships between all personnel are necessary.Teamwork and cooperation is
encouraged and expected.
vii. Applicable COUNTY and/or GOLDEN GATE policies, practices, procedures,
standard operating guidelines, general orders, protocols and/or applicable
Bargaining Unit Contract language will be observed.
II. COMMUNICATION AND DISPATCH
a. COUNTY and GGFD staff will 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 (EMD) Models shall be
designed to assure the initial response of appropriate ALS permitted apparatus.
ii. COUNTY and GGFD chief officers will utilize available GGFD permitted resources
to assure ALS coverage is continuously maintained within GOLDEN GATE.
iii. COUNTY and GGFD chief officers will assure permitted and non-permitted ALS
assets will respond to out-of-district emergencies or coverage when identified by
CAD as the closest available ALS unit.
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b. Applicable COUNTY and/or GOLDEN GATE policies, practices, procedures, standard
operating guidelines, general orders, protocols and/or applicable Bargaining Unit Contract
language will be observed.
III. DOCUMENTATION
The first arriving permitted and non-permitted ALS unit will document each patient
contact in an OMD approved Patient Care Report(PCR). Collier EMS utilizes electronic
reporting as its primary PCR system but in the event the GOLDEN GATE does not have
on scene electronic reporting capability, handwritten reports may be utilized until
electronic reporting can be completed.The PCR 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
EMT certificate numbers. Some specific call types may require additional documentation
(such as Release/Competency forms for patient sign outs) as specified by protocol and
EMS documentation standards.When ALS units arrive at the same time,the PCR will be
completed by the transporting unit. Shift PCRs are to be collected in a secured envelope
with completed coversheet and submitted to the appropriate EMS representative daily.
ii. Before the end of shift, an accurate and complete OMD approved electronic report (E-
PCR) will be transmitted for each patient contact 100% of the time. All medical
procedures performed by the personnel assigned to the response will be fully
documented. "CHART"format with documented"BSI" is required.
iii. Prior to 0900hrs, or as call volume permits, the GOLDEN GATE Battalion Chief or
designee must fax or email a complete ALS Staffing Report to Battalion Chief 80's
office. If staffing changes are made during the shift,an updated report will be provided to
Battalion Chief 80 prior to or at the end of shift to reflect staffing changes. Battalion
Chief 80 will provide a complete EMS Staffing report to the GOLDEN GATE Battalion
Chiefs office.
IV. QUALITY ASSURANCE
GOLDEN GATE will appoint an OMD 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 PCRs.
ii. GOLDEN GATE will adhere to QA standards of the OMD and provide quarterly reports
reflecting the monitoring guidelines employed by the County.
iii. Patient care concerns may be found outside of report monitoring and may be reported by
either agency or allied personnel such as hospital staff;deputies,etc.Concerns should be
made in writing to a QA Committee member via the Quality Assurance Review Form
whenever possible and including pertinent specific details.
iv. The OMD will review all potential malpractices and make recommendations for follow
up with call participants and future treatment or training guidelines. Feedback will be
.-� provided to both the complainant and the treating paramedic by the QA committee upon
the resolution of the issue.
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v. At the discretion of the OMD or designee, routine or informational QA Review with
GOLDEN GATE personnel may be handled entirely by the GOLDEN GATE member.
The member shall review and complete all paperwork with the GOLDEN GATE
personnel and return all necessary documentation to the ALS Non-Transport QA
Committee within thirty[30] calendar days.
vi. In the event the OMD 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.
V_ TRAINING
i.
The GOLDEN GATE Training person(s) is qualified to instruct GOLDEN GATE
firefighter paramedics or EMTs Medical Director approved in-services, certifications,
classes,etc. utilizing preapproved curriculum
ii. Any curriculum taught by the GOLDEN GATE EMS Training person(s) must be
submitted with a complete student roster to the OMD in order to qualify for COUNTY
accreditation. In addition, the EMS Training Officer will accurately record continuing
education hours of any personnel completing their training and provide those records to
the COUNTY quarterly. GOLDEN GATE will provide to the State Fire College
appropriate approved training documentation for recognized State approved fire classes.
VI. MUTUAL COVENANT
i. GOLDEN GATE will provide a Firefighter/ Paramedic at least fifty percent (50%) of
shifts to staff an EMS ambulance. The remaining shifts will be staffed by an GOLDEN
GATE Firefighter/Emergency Medical.Technician.
ii. GOLDEN GATE Firefighters /Paramedics will staff an EMS ambulance for a 24 hour
shift at least every forty-five(45)calendar days.
iii. Monthly reports will be provided to the COUNTY by GOLDEN GATE which reflects
GOLDEN GATE personnel,dates and hours in which they staffed an EMS ambulance.
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