THURSTON COUNTY MEDIC ONE EMERGENCY MEDICAL SERVICES COUNCIL EMERGENCY SERVICES CENTER/EOC AGENDA February 21, 2018, 3:30 PM I. CALL TO ORDER/ROLL CALL II. III. IV. APPROVAL OF AGENDA PUBLIC PARTICIPATION REVIEW AND APPROVAL OF MINUTES A. EMS Council - January 17, 2018 B. Ops Committee - February 1, 2018 (Informational only) V. COMMITTEE REPORTS A. Operations Committee Ops Chair or Representative B. West Region EMS Council WREMS Representative C. Staff Report VI. OLD BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. Nominations Committee Fell/Cooper Report B. EMSC Officer Elections McPhee Election C. VII. NEW BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. Opioid Epidemic Hardin Discussion B. Rescind Vehicle Accident Review Policy Hardin Approve C. Regional EMS and Trauma Care Council Apps (Cooper/Kirkbride) Anne Benoist Approve D. ER Diversion & Hospital Designation Wright Discussion E. F. VIII. IX. PUBLIC PARTICIPATION GOOD OF THE ORDER X. ADJOURNMENT Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388 K:\Adminstration\Committees\EMS Council\EMSC Meetings\2018\Agendas\2 EMSC February 21, 2018 Agenda.doc
Thurston County Medic One Emergency Medical Services Council Regular Meeting Medic One Office January 17, 2018 4A PRESENT: ABSENT: EXCUSED: GUESTS: STAFF: Margaret McPhee, Greg Wright, Jim Cooper, Frank Kirkbride, Tom Fell, Harry Miller, John Ricks, Tom Oliva, Cody Colt, Paul Perz, Lenny Greenstein Larry Fontanilla Rena Merithew, Stan Moon, Gary Edwards Chris Clem, Meredith Hutchins, Chief Steve Brooks, Russell Lutz, Chief Scott LaVielle Kurt Hardin, Anna Lee Drewry, Sandra Bush, Joy Miller CALL TO ORDER/ROLL CALL C h a i r M c P h e e called the r e gu l a r meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM. Roll was recorded by staff. I. APPROVAL OF AGENDA MSC Chair McPhee asked to move the Open Public Meetings Act Training to the last item under New Business, and Kurt Hardin asked to add Chief Brooks to New Business so he can provide a synopsis of the Amtrak train derailment. (Cooper/Kirkbride) move to approve the agenda as amended, and this carried unanimously. II. IV. PUBLIC PARTICIPATION Chair McPhee asked for good stories about Roger McMaster and the group shared. Roger s memorial service will be January 20 th at 1:00pm. REVIEW AND APPROVAL OF MINUTES A. EMS COUNCIL November 15, 2017 MSC (Cooper/Kirkbride) move to approve the minutes and this carried, with Chair McPhee, Tom Oliva, Lenny Greenstein and Cody Colt abstaining. B. OPERATIONS COMMITTEE December 7, 2017 & January 4, 2018 (Informational Only) V. COMMITTEE REPORTS A. OPERATIONS COMMITTEE: No report. B. WEST REGION: Hardin reported: 1) WREMS conference will take place in March, in Ocean Shores. 2) There was discussion about MIN/MAX, however there are no significant changes. 3) There was discussion regarding RCW 17.21 which allows response agencies to take someone with behavioral health issues directly to a behavioral health facility instead of to an Emergency Department. There will be more to follow on this, as no action was taken. 4) WREMS is working on a strategic plan. 5) DOH notified stakeholders they are changing WAC 246.976, sub-sections 10-300, 330-400, 800, 920, 960, and 970. Changes are expected to be finalized by June 2019. C. STAFF REPORT: This was included in the packet. Frank Kirkbride asked about the 5 new units. Hardin said the units are still being prepared, and new gurneys should arrive in February. Tumwater s two units that were scheduled to be picked up in June, are ahead of schedule and should be ready in March or April. Paul Perz asked about the patient documenting software. Safety pad is what Medic One currently uses, which has been recently purchased by another company, therefore staff will be creating an RFP and this should go out in February. Hardin also reported Medic One s need to replace their EMT training vehicle, so departments who are receiving a surplus vehicle have been asked to donate a vehicle to Medic One. VI. VII. OLD BUSINESS NEW BUSINESS A. Assign Strategic Planning Steering Committee Chair McPhee announced the following members will be a part of the steering committee; Frank Kirkbride (chair), Greg Wright (vice-chair), Margaret McPhee, Stan Moon, Brian VanCamp, Paul Perz, John Ricks, Eileen Swarthout, Steve Brooks, and John Wood. Chair McPhee also asked Lennie Greenstein if he would like to participate on this committee and Lennie will oblige. B. Budget Committee The Budget Committee had their first meeting; however due to scheduling issues in Outlook, three members were not at the meeting so there will be a catch-up meeting January 22 nd at 1:30. The second meeting will be on February 21 st at 1:30. An ER&R Schedule will be developed for 2019-2020. k:\adminstration\committees\ems council\emsc meetings\2018\minutes\1 emsc minutes january 17.docx Page 1 of 2
4A C. Appoint Nominations Committee Tom Fell and Jim Cooper will be on the Nominations Committee and will report at the February EMSC meeting. D. Ambulance Licensing (Cooper/Kirkbride) move to approve ambulance licensing for AMR and Olympic, and this passed unanimously. E. Amtrak Derailment Chief Steve Brooks provided a synopsis of the Amtrak derailment. There will be a debriefing on Friday, January 19 th from 1:00 3:00 pm, at Capital Christian Center, on the corner of Martin Way and College St. F. Open Public Meetings Act Training Staff was unable to enlarge the video for the big screen so this will be rescheduled, or the link will be emailed to the Council for their viewing. VIII. IX. PUBLIC PARTICIPATION None GOOD OF THE ORDER 1) Chief Wright asked Chief Brooks to talk about the tragic loss of a Lacey Firefighter that took place Christmas Eve/Day. Chief Brooks thanked everyone for their support in this loss and how we need to watch for signs of suicidal thoughts among those we work with. Crystal was one of the cause champions of the girl s camp that was conducted jointly at the regional training center last summer. Lacey plans to continue this in her honor and memory. 2) Anna Lee said EMT course applications have gone out and they are now fillable forms which should simplify the process because the applicant can fill out the form and email it back. Applications are due back by January 26 th. 3) Dr. Tom Fell was attending a family get together in Winthrop and one of the family members fell backwards on her head and was unconscious for about a minute. Dr. Fell was impressed that Medic One service exists in Winthrop and other places. 4) Hardin said he is trying to schedule a discussion on the opioid epidemic for February s EMSC meeting. 5) Hardin said Medic One has had some BLS staff out recently due to deaths in the family. Anna Lee s mother and Erin s father passed away. X. ADJOURNMENT (Perz/Cooper) move to adjourn the meeting at 4:32 PM, and this carried unanimously. k:\adminstration\committees\ems council\emsc meetings\2018\minutes\1 emsc minutes january 17.docx Page 2 of 2
4B THURSTON COUNTY MEDIC ONE OPERATIONS COMMITTEE ~ MEETING MINUTES MEDIC ONE OFFICE February 1, 2018 PRESENT: Greg Wright, Steve Brooks, Tony Kuzma, Larry Fontanilla, Brian VanCamp, Wendy Rife, Alex Christiansen, Mark Gregory, Scott LaVielle, Keith Flewelling, Kathy Pace, Stewart Mason ABSENT: Dave Pearsall, John Wood EXCUSED: GUESTS: STAFF: Mike Buchanan, Les Robinette, Amy Larson Kurt Hardin, Anna Lee Drewry, Sandra Bush, Alan Provencher I. CALL TO ORDER/ROLL CALL Chair Wright called the regular meeting of the Operations Committee to order at 2:00 PM. Staff recorded roll. II. III. IV. APPROVAL OF AGENDA MSC VanCamp asked to add Surplus Vehicles to Old Business, Hardin asked to add Opticon and Opioid Epidemic to Old Business, and Fontanilla asked to add ER Diversion & Hospital Designation to New Business. (LaVielle/Brooks) move to approve and this carried unanimously. PUBLIC PARTICIPATION None REVIEW AND APPROVAL OF MINUTES 1. Operations Committee January 4, 2018 MSC (LaVielle/Brooks) moved to approve, and this carried unanimously. 2. EMS Council (informational only) January 17, 2018 V. COMMITTEE REPORTS A. WEST REGION None B. SUBCOMMITTES 1. Equipment Committee (EqC) Defer report to MCI report. 2. Mass Casualty Incident (MCI) Committee LaVielle reported: MCI and Equipment Committee met January 18, 2018 to discuss the Amtrak derailment and overall how the DMCC went. Highlights of the discussion included the deployment of back up medic units, different types of triage tags, colored MCI canopies, water proof MCI bags, etc. There was also discussion about the possible need for an additional MCI trailer. MCI and Equipment Committee will meet again March 15, 2018. 3. Training Advisory Committee (TAC) None 4. Transportation Resource Utilization Committee (TRU) None, committee will meet sometime in the first quarter. 5. Staff Report Staff report was included in the packet. Hardin mentioned a couple of items; 1) the RFP for the patient charting system is complete and will go before the BoCC February 6 th. 2) Medic Units should be ready the end of February or beginning of March. VI. OLD BUSINESS A. EMS Council Action Report Wright reported: The Strategic Planning Committee has been formed. The plan will most likely become a 20 year plan. B. Surplus Vehicles VanCamp asked for an update on the availability of the surplus vehicles. Hardin explained the vehicles will be available once the new units are in place. Medic One will be surplusing 5 vehicles, not 7, as Medic One needs one for training and one for reserve. Staff will bring the vehicle surplus list to the March Ops meeting. C. Private Ambulances with Opticon - Thurston County Public Works has had fear of Opticon causing traffic congestion. Hardin asked AMR & Olympic Ambulance how often they ran code each day and on the average 2 ops february minutes 2018
AMR is less than once per day and Olympic is less than twice per day. Hardin will speak to the Public Works Director. D. Opioids Dr. Fontanilla, Kurt Hardin and Ben Miller-Todd attended a Law & Justice Council meeting and one of the biggest questions at the meeting was why aren t EMT s carrying Narcan. Opioid overdose makes up less than 1% of ALS calls. Dr. Fontanilla still believes Narcan should remain with ALS because in our system we have the ability to titrate Narcan, and EMTs currently carry the antidote for opioid overdose which is a bag valve mask. Dr. Fontanilla is drafting a letter to providers explaining his strategy, and VanCamp suggests he copy all law enforcement jurisdictions. 4B VII. NEW BUSINESS A. Nominations Committee Chief LaVielle and Kathy Pace solicited for nominations on January 25 th and the only nominations were Greg Wright for Chair and Brian VanCamp for Vice Chair. B. Operations Committee Officer Election Chair Wright opened the floor for nominations of Vice Chair. No other nominations were made so Vice Chair VanCamp was unanimously voted to continue as Vice Chair. (Brooks/Fontanilla) move to close the nominations and this carried unanimously. Vice Chair VanCamp opened the floor for nominations of Chair. No other nominations were made so Chair Wright was unanimously voted to continue as Chair. (Brooks/Fontanilla) move to close the nominations and this carried unanimously. C. ER Diversion & Hospital Designation A situation recently developed where providers found both Capital Medical Center (CMC) and Providence St. Peters in divert. The MPD and staff have met with CMC and St. Peters and will meet again this next Monday, in an effort to come up with a solution so there will always be an ER open unless there is a catastrophic situation, which would drive a DMCC activation. There is a proposed thought to limit diversions to 4 hours in a day, which is being recommended to the leadership at CMC and St. Peters. The other issue is the bed capacity at St. Peters and CMC during flu epidemics, for example, and how do we approach that in the future for the community. Dr. Fontanilla said a useful discussion that came out of the meeting was Situational Awareness and how do we get that awareness to the providers. The most promising solution is Active 911, which would provide a county-wide process for announcing hospital diversion status. As things currently stand if both hospitals go into divert status, and a DMCC has not been activated, patients will be transported to St. Peters. Chief Brooks asked what the longer range plan for overall growth in capacity in our community is, and how will we deal with the proposed increase in population in our future? Is there a plan for expanding capacity? Private ambulance companies are providing interfacility transports as far north as Everett and as far south as OHSU, due to bed capacity issues in Thurston County. Dr. Fontanilla said there is a document from the 1980s that specifies St. Peters as the base station. He would like this codified again, with the recommendation to maintain St. Peters as the base station. Hardin said this will be discussed with the Prosecuting Atourney s Office to determine if that is needed and/or the appropriate process for review/action. Wright requested the group s guidance on informing the EMSC via a report at their next meeting. The group concurred that it is a subject that should be on the EMSC s radar. The Diversion Work Group will provide Chief Wright with data so he can provide a report to the EMSC. VIII. GOOD OF THE ORDER Chief VanCamp presented an article from On Scene, a newsletter from the International Fire Chiefs Association, regarding hands only CPR. IX. ADJOURNMENT - (LaVielle/Brooks) move to adjourn at 3:11 PM, and this carried unanimously. 2 ops february minutes 2018 Page 2 of 2
EMSC STAFF REPORT FOR 02/21/2018 5C ALS Update: BLS Update: TFD Medic Units are now scheduled to be delivered at the end of February/early March. The RFP has been published as of 2/12/2018 and will conclude for review on 2/26/2018. We are shooting for 04/01/2018 implantation initiation date with the awarded vendor. Cradle Point modems have been approved by the BoCC, and they are ordered. Delivery of the final 8 gurneys is scheduled to take place 2/18/2018. The 2018-1 EMT Class will begin February 26 th, at Station 95. The pre-requisite CPR Course will be held on February 10 th. Thirty-eight applications were received. CPR program: There will be a chest compression only instructor class on February 26 th at Medic One. Notice to all interested personnel went out on February 7 th. The instructor/evaluator workshop was held January 27 th and 28 th. A total of 60 applications were received. There were 51 attendees: 22 are new Instructors and are in the process of completing the Instructor Task Book objectives. Twentynine are endorsed as evaluators.
Medic One POLICY 7B I. POLICY NUMBER: 1 II. POLICY TITLE: Vehicle Accident Review III. EFFECTIVE DATE: August 1984 IV. RELATED POLICIES: V. AUTHORIZATION REFERENCES: RCW: WAC: VI. SCOPE: VII. VIII. DEFINITIONS: POLICY PURPOSE: To establish guidelines for review of any vehicle accident involving a Thurston County Medic One owned vehicle. IX. POLICY STATEMENT: A. The contracting fire services shall each maintain a Safety Committee for the review of accidents involving Paramedic personnel. Under the sponsorship of the respective fire chief, the Safety Committee shall review Medic One related motor vehicle accidents, and accordingly file a report with the Medic One Director. Paramedics involved in motor vehicle accidents are responsible to their respective departments for their driving actions. B. The Medic One Director will be responsible for the filing of accident reports to the Prosecutor s Office. The Medic One Director will require accident statements from Medic One personnel and contracting agency personnel in order to comply with insurance requirements. The Medic One Director shall file an accident report with the EMS Council. C. The EMS Council shall review and comment on motor vehicle accidents involving Medic One personnel and contract agency personnel. One aspect of the review process is to assess the work of the respective fire service s Safety Committee for completeness and equity. X. ATTACHMENTS: RECORD OF ACTION: Adopted Date: Signature: Chairperson, Emergency Medical Services Council RECORD OF ACTION: Amended Date: Signature:
Chairperson, Emergency Medical Services Council 7B RECORD OF ACTION: Rescinded Date: Signature: Chairperson, Emergency Medical Services Council K:\Adminstration\Policies\9 - FORMS, DEFINITIONS, ETC\POLICY TEMPLATE - REV OCT 2016.docx
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