Vermont Emergency Medical Services

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VTEMSD#3 Board Meeting Minutes for July 13, 2006

St. Michael’s College, Tarrant Center, Hall of Fame room 

Meeting called to order at 1841 by Chief O’Neil.  In attendance were:

 INTRODUCTIONS (O’Neil)

• From FAHC ED, Lindsay Biladeau – : nursing student participating in a summer internship program with Gil Helmken,RN, she is observing other aspects of professional nursing in the form of committee activity
• From Huntington Fire Department First Response, Earl Dionne, who will serve as the representative to the Board
• From Shelburne Rescue, Linda Goodrich, the new chief of service

APPROVAL OF MINUTES  (O’Neil)

• Attendance correction – Beth Thomas was on a different continent
• Title correction – IMAT = Incident Medical Assistance Team
• Motion to approve June ’06 minutes with corrections (Kellogg/Phelps).  Motion approved.

CORRESPONDENCE (O’Neil)

• None

 TREASURY (Danaher) 

• Treasurer’s report:
  • Checking $9,610.87, no change in other accounts.
• District Dues – Bills will be mailed to all District #3 services soon with transport services contributing $120 and first response services contributing $60.

 MEDICAL DIRECTION (James) 

• Online Medical Direction access follow up
  • Clarification re: IV fluid bolus.  Any off line IV also qualifies for 500 cc bolus of normal saline.  Questions have arisen about whether or not an IV can be initiated.  Many times, the patient already met off line criteria.  Follow the protocol.
  • (Soons) The IV protocol has been updated to reflect this clarification.  Motion to approve revised IV protocol as presented to Dr. James (Jones/Ziter).  Motion approved.
• 12-Lead EKG project
  • Working on technical issues with TSP/UVM.
• Code 3 Committee
  • Survey due today to Craig Butkus.
• Duty to act:  when you are dispatched to a call, you have a duty to respond.  Do not delay response to confirm your service’s position within the response matrix.  If you come upon the scene of an incident, and you are not doing anything, you have a duty to act.  (Jones) What if you have a critical patient on board?  (James) You take care of the patient you have and summon another EMS service.
• (Ziter) Is there any interest in a District-wide First Response form?  (Soons) Table to Resource Committee – Butkus to follow up. 

FAHC (Helmken) 

• Apology regarding bloody equipment in lockers.  Environmental services staff are continuously turning over, frequently short staffed, and often times a language barrier exists. 
• Please use the hospital access road at all times.  This road is easily accessed from Williston Road.  Please do not use East Avenue for code 3 transports.    Excessive and unnecessary use of sirens on East Ave is aggravating residents.   
• Statewide Pandemic Flu drill at the end of July.  VDH testing other hospitals and satellite clinics to prevent contamination of FAHC.  (Jaquith) Plan is to shift flu patients to FAH.  As part of the plan, the ED Comm Center will be calling each service to ascertain if a second ambulance could be staffed, in the event of a true outbreak.
• (Plimpton) Could use a new mop bucket and broom.

• (Jaquith) FYI, secure recycle bin has been removed twice from the EMS reporting room.

• (Lindquist) Please do not idle ambulances outside doors to ED.  (O’Neil) Actually, it’s against the law to leave any vehicle idling unnecessarily.

TRAINING (Ziter) 

• Course updates

• FR-ECA (Webb)
• EMT-I - July 27^th entrance exam – starts 8/28th
• Course proposals
  • EMT-B Refresher (Soons/McCarthy), 9/9 & 10/14 from 0830-1700, and 9/27 & 10/25 from 1800-2200; $150/participant includes materials, lunches & breaks.  Questions – Chris McCarthy at vabirom@aol.com or katesoons@adelphia.net.  Completed applications with payment to IREMS (656-3489).  Motion to approve EMT-B refresher course as presented (Adams/Thomas).  Motion approved.
• Upcoming trainings opportunities
  • Cambridge is hosting a First Responder Course, on Tuesdays & Thursdays from 1830-2130, start date 8/1/06.  Contact Jason Ziter, ziterj@msn.com
  • EMT-B once weekly apps due August meeting, then open to out of District.  Oct-March
  • (Plimpton) Can course schedules be posted?
  • Colchester Rescue Thurs 8/3 1900 Hazmat refresher RSVP to Ziter.
  • Colchester Rescue Thurs 9/7 1900 Sgt. Roy “Drug Recognition” (SxS to be aware of when patients are recreationally using or abusing drugs)
• Certification/recertification issues - none

RESOURCE MANAGEMENT (Adams)

• MCI
  • Tag week went well, few hiccups, but that’s the point.  Issues resolved immediately.  More data next meeting.
  • Pandemic Flu Exercise 07/06 – see FAHC
• HSU/Grants (Jenkins) – Jenkins not present
  • (Adams) Departments have rec’d info re: grants.  Deadlines are end of this month.  Quick turn around.  RFPs will be responded to by 30-45 days.  Very slim pickings with greater competition.  Need to fit into their wish list.  (O’Neil) MCI, swift water, other task oriented trailer.  Lion’s share to state for communication project, which purportedly will benefit all responders.  HRSA awarded VDH $$ for emergency preparedness – where is this $$ being used?
  • NIMS – all responders may complete training online.
• Other tasks will be updated next month
• IMAT at CVE (James) Utilized at the Champlain Valley Exposition recently.  There is now a flier and there will be an educational component for area responders.

ADMINISTRATION (Soons) 

• Outstanding quarterly reports (ALS):  Essex FD, FACT (1^st/2^nd), Huntington FD (1^st/2^nd), IBM, South Burlington FD (1^st/2^nd), South Hero (1^st/2^nd), UVM).  
• Next round of quarterly reports due at October meeting 10/12/06.
• VTEMSD#3 Contacts – not discussed
• ASA/D50/Glucagon – regarding discussion last month about specifics of orders, should this be contained in one document?  (yes)  Clerk to publish.

PUBLIC INFORMATION (Ziter) 

OLD BUSINESS  (O’Neil)

• District goals reviewed and discussed.  Items will be reorganized by standing committee and distributed for committee discussion.

NEW BUSINESS (O’Neil) 

• (Phelps) Bad accident recently in District #7 involving an ambulance.  Driver did a great job, and saved the lives of everyone.  EMS personnel sustained serious injuries from flying equipment.  Everything in the back of the ambulance is now bolted down.  The shoulder straps were not attached to the stretcher and the patient came out the stretcher.  We can all learn from this event.

Motion to adjourn at ~1940 (Ziter/Lindquist).  Motion approve.  Next meeting 8/10/06, same location, at 1830.

Respectfully submitted on 8/7/06, 

Kate Soons

Clerk

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Last updated: December 13, 2006