Vermont Emergency Medical Services

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District Board Minutes

VTEMSD#3 Board Meeting Minutes for March 10, 2005

FAHC – Fanny Allen Campus; Board Room

Called to order at 1832

INTRODUCTIONS (O’Niell):

• Heather Friend – UVM Rescue introduced Kimm Pishvanov, Training Officer
• Chip Brooks – MBFD Lt. in charge of First Response

APPROVAL OF MINUTES:

            Doug Brent, Leslie Lindquist

            No Changes

CORRESPONDENCE (O’Niell):     

• Public apology from Mike O’Niell to FAHC personnel / employee’s for the tone of last months meeting.  Not directed at personnel.

TREASURY (McCarthy):

Checking Acount:

            Classes -313.32

            Dues                3,919.21

            Equipment        6,960.95

            Total               10,566.84

Merrill Lynch:               3,155.10

Total Assests:                        13,721.94

MEDICAL DIRECTION (Dr. James / Wolfson):

• No word on Grant
• Wants all services to verify that all members riding on the ambulance are up to date and certified.  All services need to make sure that they meet state ruled minimum staffing with certified personnel.  (Sited EMS Rules 8.4)
• District needs to set up a QA / QI for medications being used within the district.  (Sited EMS Rules 8.6)
• Blunt Trauma Protocol:  If services have questions in regards to a Traumatic Arrest they should contact Medical Direction immediately via Radio / Phone.  Services should not be say they have a “Trauma Alert.”  That is decided by an Attending and radio room protocol.
• Dr. James read a letter about the relationship that the district has with the hospital and Medical Direction.  Agencies need to keep in mind of the benefits that the hospital offers along with the fact that ALL EMS providers operate under their MD License.  It is the Medical Directors Insurance as well.  The relationship between the hospital and the district agencies needs to be on a cooperative and professional level, and if there are issues they need to be brought to light and resolved.

FAHC (Helkin / Jaquith):

• Jaquith – Patients identified to be taken to triage should go via wheel chair.  Wheel chairs will be brought out to the ambulance bay for EMS services to use for patients going to triage.
• Jaquith – Updates via phone or radio should include a full set of VITAL signs … this includes a respiratory rate
• Leslie Lindquist – Who does EMS give report to in triage?
• Gil Helmkin – Reports are to be given to the Triage Nurse, you may have to wait a couple of minutes, but be patient … they will listen to your report.  If triage is busy and your patient is OK to be left with a written report to the triage nurse, that is fine too.
• Darren Adams – When giving radio report, can the EMS service identify if there patient can go to triage?
• Jaquith – Yes, if they don’t go to triage its probably because there was room for the patient to go right into a room
• Tara Pacy – Please give feedback and information if you feel your patient needs to go directly to a room and not to triage.  Speak with the charge nurse about this.
• Tara Pacy – New ED is scheduled to open July 13 / 14 area.  EMS will get an open house tour prior to the new ED opening.  There will be a practice day “Day in the life” for the new ED to make sure things are on the up and up.
• Jackie Goss – Has heard through the EMS grape vine that some ED staff are not allowing the flow for appropriate patient information transfer.
• Gil Helmkin – Will check into Jackie’s comments.

TRAINING (Ziter):

• Updates on all courses:

- EMT I ’03 Transition Course to begin in April, application deadline is March 15, 2005.

- EMT I ’03 Course going well, on the down hill side of things.  Will be testing in May.

- EMT B (Tuesday) Wrapping up the course, scheduled to test in May

- EMT B (Mon – Wed) Going well.  Will be testing in May

• Testing Dates:

-         Re-cert; March 21 & 23 @ Rowell, UVM 1830

-         EMT I, B, I Trans written, May 9, 2005

-         EMT I, B, I Trans practicals, May 11, 2005 

• Course Request:

-         Webb: Modules class, location to be determined.

-         Ziter: Question brought forth to determine if Modules course is still needed with the district.  Out of the last modules course taught over the last 18 months there were only 5 that tested for the EMT-B.

-         Webb: This course offers the non-traditional student a way to take the program.  Student who are part of the fire department who need to make fire trainings as well as modules courses.  The course also allows for students that are still in high school to take the program.

-         Ziter:  This course needs to follow the district guidelines for students that are still in school.  Students in high school need to have their parents, guidance counselor and a mentor from the sponsoring agency involved in the program.

-         Webb: I am their mentor

-         Ziter: The course fee is too low.

-         Thweatt:  This course was designed to go over a longer period (up to 18 months to 2 years) then the traditional EMT course, due to the needs of the students involved in the program.

-         Malone:  Modules course needs to follow district guidelines for a district sponsored course

-         Webb: This program works for many services in the district for Fire and EMS agencies.  There may be small numbers but the program works.

-         Ziter: Table discussion for a training meeting and discuss it more there. 

            Greg Thweatt: Congratulations to Jason Ziter for completing the New England Council of EMS Instructor Coordinator program.

 RESOURCE MANAGEMENT (Adams):

-         Adams:  no report

-         Ski:  Sometime in July there will be a full scale MCI drill at the airport.  Dates to be announced at the April meeting.  Has been to a drill in Portland, ME and going to one in Bangor, ME.

-         Deb Baron:  MCI drill in May in the Grand Isle area.  There will also be a Haz-Mat Decon class in April, taught by Chris Herrick.  Contact Deb with questions. 

ADMINISTRATION (Soons):

-         Soons:  Getting with Greg to go over admin needs with the district website.

-         Administration meeting in April before district boards. 

PUBLIC INFORMATION (Ziter):

-         EMS Week: May 15-21

-         EMS Day on the Church Street Market Place, Saturday May 21, 2005 from 10:30 – 1600.  Any service interested in participating please contact Jason Ziter. 

OLD BUSINESS (O’Niell): 

NEW BUSINESS (O’Niell):

-         Nominating Committee: Doug Brent, Keara Cahill and Jason Ziter.  Anyone interested in a District position please contact one of the above members.

 Meeting adjourned at 1945 (Shea, Jones)

Minutes submitted by Jason Ziter

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Last updated: May 31, 2005