(Jason Ziter volunteered by Jim Kellogg to take minutes, so my apologies if names are incorrect.)

Meeting Opened at 1835 by Deb Barron

Attendance:

• Allison Rimmer             VARS                          R

• Sean Collins                 Essex Rescue                         R

• Jason Ziter                    Colchester Rescue            A (Fill in clerk)

• Jim Kellogg                  EJFD                           R

• Al Barber                     CC Fire Chiefs            R

• Chris McCarthy            Hinesburg Fire / FR            R Treasurer

• Arliene Torre                Richmond Rescue            R

• Dr. Weimersheimer            FAHC / MED CONT            R

• Dr. Keller                     FAHC ED / FACT            Guest

• Gordy Lewis                FAHC / FACT            Guest

• Jason Marshall            Charlotte Fire Rsq            R

• Gil Helmken                 FAHC ED RN             R

• Tara Pacy                     FAHC ED Head RN            R

• Mike Richard               BFD                             R

• John Poulin                   Shelburne Rescue            R

• Lee Jones                     Richmond Rescue            R Policy & Procedures

• Anna Johnson               UVM Rescue             R

• Matt Murphy                UVM Rescue             R

• Jessica Gagne               SMRS                          R

• Amy Wasielewski            SMRS                          R

• Ray Scollin RN            FACT                          Guest

• Kirsten Jaquith            FAHC / Radio Room            R

• Stephen Mattison            MBFD                         R

• Scott Flieger                 Colchester Rescue            A

Introductions:

Arlene Torre introduced Chris McCarthy as the new treasurer.

Ray Scollin RN, FAHC, Nurse Coordinator for F.A.C.T

Matt Murphy UVM Rescue, New D.O.

Anna Johnson UVM Rescue, New T.O.

Dr. Ray Keller FAHC, Medical Director for F.A.C.T.

Gordy Lewis FAHC, Executive Director

1^st – Sean Collins (Essex Rescue)

2^nd – Jim Kellogg (EJFD)

1. EJFD is testing for the First Responder class on Saturday May 10^th, and is in need of volunteers to help with practicals.
2. Colchester Rescue will be hosting a “Day Time” training in their new training room on May 31^st, subject will be OBGYN Emergencies (? Dr. Jill Jertson presenting)
3. Essex Rescue will be doing some MCI trainings in the next few months to prepare for A LOT of events coming up at the Champlain Valley Expo.  If interested in attending please call Essex Rescue.

 Treasurers Report:  For a full, complete list of moneys please contact Chris McCarthy.

Merrill Lynch Account $3,263.99

Dist Checking Account $13,213.85 (equip. $6,318.29, dues $1,790.08 total $8108.37

Tuition-Modules $-81.00, Tuition B&I $5,186.48 total $5105.48)

Medical Direction: Dr. Weimersheimer

Combi-Tube pilot classes should be starting by the end of May.  Dates TBA

(Greg Thweat commented that they would like to see large numbers of people in the classes to get people on line.)

DNR Protocol:  The MD’s and other agencies are having a meeting within the next week to try and finish items.  Hoping to be on line by next month(ish).

Dr. W would like squads to hand in what style or type of QA-QI is done after a call to know how and when to hold QA-QI meetings at the hospital level.

EMT-I Protocols:  Would like to add a few more meds to the intermediate skills.  Meds are Thiamine, Nitro, ASA, & Glucagon.  We would still continue with our current meds.

Question was raised if this would have to go before legislature.  Greg T. advised that it would go before a “Rules Committee.”

Construction – Please be patient, they are working on the problems with the busses blocking the ambulance entrance, if something happens please inform Kirsten so she can contact security.

The new ambulance entrance should be open for a while. (? Duration ?)

ED: Gil Helmken

1.      PLEASE, PLEASE, PLEASE be patient when you bring patients into the ED.  They are getting more and more busy now that the summer is coming.  If you have a patient that needs some immediate attention and a nurse has not come to your room, please seek the Charge RN or have the secretary page the Charge RN.

Remember that the ED staff may be switching patients around to accommodate yours, thus the reason for a delay in the nurse getting to you.

If you have another call and need to leave, please seek the Charge RN if no one has come to your room and give report to the Charge RN.

Dr. Keller would like the staff to work on a way to expedite the patient reporting from EMS staff to the ED staff.  A reminder to squads who have a longer transport time not to hold off on their updates to the ED until they are a few minutes out.  This goes for squads who may be close to the hospital as well. The more time the ED has to prepare the quicker a turn over can be.

Jason Ziter suggested maybe going to a Priority based update or a Status Class.  This may help in deciding which patient to move inside the ED, or if patients can go to Triage instead of strait to a room.

Remember… Please be patient with the ED staff when they are busy, we are a team that needs to work together.

           2.      EMS Picnic will be from 11-2 at the Trinity Campus

Lee E-Mailed proposed changes in the By-Laws about the Training Chair.

Discussion was had to whether the position should be an appointed one or elected with a sub committee.

Lee will E-Mail the proposed wording for the new By-Law.

911: No Report

TRAINING: Greg T.

1.      Combi-Tube:  Checking with the EMS office to see how many students they can have per class.  The intent the District would like is to get as many through the class as soon as possible.  Greg is understanding that there must be a State Rep. and an MD is needed at each class.  Greg will be checking into that.  Each squad needs to have their service agreement signed for the pilot before people can attend the class.  Dr. W. will be speaking with the other Attendings to get their support for the classes.  They are still looking at the option of including the Combi-Tube in the new “I” classes.

Service agreements need to be sent into the EMS office to Mike O’Keefe.  Once someone has taken and passed the class, they are good to go with the Combi-Tube if they have the equipment on their ambulances.  Services must also have an Airway Trainer so in squad practice can be done.  Each squad must have a Combi-Tube coordinator.

2.      EMT B&I Classes are finished.  There were 60 “B” students who tested and 15 “I” students.  There was 1 practical failure and 4 written failures in the “I” class.  Pat Malone was not there to comment on the “B” class results.

3.      EJFD’s class is testing on Saturday May 10^th.

4.      Tele-Health will be May 23^rd @ the Spear St. Center.

5.      Re-Certs will be October 17^th & 22^nd, Peter Kibel (?sp) will be Directing those.

 OLD BUSINESS:

A new clerk is needed for the board meetings.  This position does not have to be a board member, it can be any squad member.  Squads are encouraged to ask squad members if anyone is interested to come to the next district meeting.  They would like to vote at the next meeting.

 NEW BUSINESS:

1.      Arlene Torre was presented with a plaque for her years of service to the district as Treasurer. 

2.      Ray Scollin from FAHC – F.A.C.T. stated that the hospital is applying for their own EMS Ambulance license.  They are applying for a Paramedic level license.  The Paramedic / RN relationship is a national standard for care in critical transports.  FACT is dedicated to the high quality of patient care and by the hospital taking over would allow that to be more efficient.  Their roles will remain the same as they are except for doing the intra-facility transports from Fanny Allen campus to the Medical Center campus.  All emergent transports will be done the way they have been ( St. Mikes Rescue from Fanny Allen & UVM Rescue from UHC Campus).  FACT’s roles will not change they will just now be there own service instead of contracting the ambulance and employees from Lamoille Ambulance.  Capt. Richards from BFD asked how QA would be done, and wanted to make sure that there would be no oversight because FACT is now hospital based (i.e. The correct EMS staffing on the ambulance coming out of the ED).  Dr. Keller advised that nothing would change.  QA has been a very important role in FACT’s history, and is a very well run program.  The only difference is now all the Ambulance (truck) would be monitored by FAHC and EMT-I’s or P’s would be hospital employees. 

Dr. Weimersheimer stated that he would still be the ultimate medical control of EMT’s with FACT.  They are looking to go on line in the time frame of August or so.  There will be the required “Public Notice” in the Press Republican.  If there are any questions Ray Scollin RN said you can contact him at FAHC (use the ED number) or you can page him at 351-9162.  Deb Barron asked that there would be more of a FACT presence at the district meetings.  Gordy Lewis and Ray Scollin stated that would not be a problem.

                         3.      Capt. Mike Richards said that BFD has located data cards for the ZOLL’S at “Med Tec”

And said to speak with Ted Rainey for a saving so $602.20 / pair.

                         4.      Sean Collins (Essex Rescue) would like the district to think about ways squads can deal
                         and what kind of special services are needed with obese patients.

REMINDERS: Please have your service agreements in for the Combi-Tube as soon as possible.  Watch for the e-mail from Lee Jones for By-Law changes regarding Training Committee Chair.

Meeting called to close @ 1952 by 1^st Amy Wasielewski, 2^nd Sean Collins

Respectfully Submitted, Jason A. Ziter Colchester Rescue / Hinesburg C.P.D.

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Last updated: May 20, 2002