VTEMSD#3 Board Meeting Agenda for August 11, 2005

St. Michael’s College, Tarrant Center, Hall of Fame room @ 1842, those in attendance:

BOARD MEMBERS	REPRESENTATIVE	ALTERNATE
Burlington Fire Dept/Chair		Mike Richard
Champlain Valley Expo
Charlotte Rescue
Colchester Center Volunteer FD
Colchester Rescue
Essex Fire Dept	Howard Rice, Jr.
Essex Junction Fire Dept	Jim Kellogg
Essex Rescue	Karen Danaher
FACT	Lisa Whittemore
FAHC	Gilbert Helmken
FAHC Medical Direction	Wendy James
Grand Isle Rescue	Deborah Baron
Hinesburg Fire Dept	Chris Putnam	Al Barber
Huntington Fire Dept
IBM Rescue	Lee Jones
Lamoille Ambulance Service	Richard Harmon
Malletts Bay Fire Dept	Allison Loebs
Milton Rescue/Vice Chair	Darren Adams
Richmond Rescue	Medora Plimpton
Shelburne Rescue	Cindy Cowles	Pete Munsell
South Burlington Fire Dept	Doug Brent
South Hero Rescue	Rae Patrick
St. Michael's Rescue	Leslie Lindquist
UVM Rescue		Stacy Salerno
Vergennes Area Rescue Squad
Vermont Air Nat'l Guard FD	Jim Laskarzewski
Williston Rescue	Scott Jacobs
VISITORS
EFD/Training Coordinator
St. Mike's Rescue/Clerk	Kate Soons
IREMS		Jackie Goss
Chitt.Co.Regional Planning	Toby Dusha
VT Homeland Security	John Marcus

Resource Committee	Admin Committee

INTRODUCTIONS (Adams)

Medora Plimpton, Richmond Rescue Training Officer and Board Representative

APPROVAL OF MINUTES (Adams)

· Not published, as of this date.

CORRESPONDENCE (Adams)

· None

TREASURY (via email from McCarthy)

District #3 - Account Summary
Checking Account:
	CLASSES		284.83
	DUES		3878.46
	EQUIPMENT		5957.08

		TOTAL	10120.37
Merrill Lynch:			3,176.53


TOTAL ASSETS			13296.90

MEDICAL DIRECTION (James)

· Review of Bylaws

(Note: the following nine bylaw topics were presented by Dr. James with some discussion from the Board. No changes are in effect as of this date. Effective dates will be clearly communicated following distribution of bylaw/protocol changes.)

o Quarterly report of ALS interventions

§ Reporting system will become available at FAHC shortly for use by all VTEMSD#3 services

o Transportation of Medical/Traumatic Arrest

§ Add blunt trauma indication for non-transport

o IV Protocol

§ Off-line age cut off will go down to age 5 years.

§ On-line age 5 years and less.

§ Normal saline 0.9% for everything but burns; Lactated Ringers for burns. Discuss start time.

§ Indications for saline lock and IV – see list

o EMS Rules state medication policy is needed (storage, QA, etc.). Individual systems for monitoring are acceptable. Report current system to Dr. James by November 1, 2005.

o Medication administration error or adverse outcome reporting policy.

o Combi-tube protocol redundant.

o C-Spine Immobilization protocol being reviewed. Unsure of fate –

o Pulse oximetry to EMT-Basic level use

o Local medical advisors and QA assessors for AED are to be approved by District Medical Advisor. Consider bylaw revision. Two new attendings in ED willing to help.

· QA/QI system purchase for Radio Room in November 2005. Offer is for services without QA/QI monitoring systems may use FAHC system (multilicense software for use by all). More to follow.

· Body substance exposure – encourage patient to be transported to FAHC for blood draw. (Brent)Would it be possible to have FAHC Infection Control Practitioners meet with VTEMSD#3 service Infection Control Officers? (James) Will check.

FAHC (Helmken)

Feedback regarding new ED –
- (Richard) Some issues with construction personnel
- (Goss) Cleaning between patients
- (James) How about timeliness of orders? (Matthews) We’re waiting a while and then we get them on arrival.
(Helmken)
- Short transport times and short ETAs are difficult to deal with – as before. The charge RN used to be able to sign in EMS patients that arrived with very short notice. New communication within larger ED is mostly via text pages – this does make bed assignments more challenging. The “sick – not sick” determination is the most important decision with the new segregated ED.
- (James) What about categorizing patients, prioritizing?
- (Soons) Scene updates are critical for high priority patients – have any available medical provider call in updates early.
- (Danaher) Inter-agency transfers taking up lots of air time. (Helmken) Will check-
- (Helmken) EMS space currently is temporary – new space is under construction!
- (Brent) I have come in three times – and the ED staff is doing a great job; very impressive!
- (Helmken) EMS has been great during the transition – thanks.

TRAINING

(Soons/Goss) EMT-I course is a go – we will be in contact with participants.
(Putnam) First Response course still in planning phases.
(Kellogg) Chittenden County Fire School – offering EMS skills refresher course – load/go rapid ex, CPR and NIMS. September 10-11 at Essex High School; www.chittendencountytraining.com
(Plimpton) Upcoming DHART training …. will advise…open to all

RESOURCE MANAGEMENT (Adams)

CCRPC (Dusha)
- Current project timeline completion 8/31/05
  - Critical infrastructure protection report will be continued into next timeline.
  - Resource document will continue to be updated periodically
  - Exercises – finalizing after action reports. Only drawback is that there is no authority to effectuate change.
  - Redbird Exercise 7/23/05 – review distributed to Board members. After action meeting is 8/23/05 at BIAP, 1800 hrs, upstairs Hamilton Room; senior officers for participating agencies should attend – limited space.
- Upcoming project timeline begins 9/01/05
  - Emergency Operations Plans at town level; assist communities in developing plans.
  - Emergency Operations – 3-page guide
- State of Vermont is required to develop a statewide strategy for the implementation of NIMS. In draft form, to date. Training will be coordinated through the Police Academy and Fire Academy. Concern expressed to State regarding omission of EMS providers, again.
HSU (Marcus)
- New positions – will discuss next month.
MCI (Adams) Great attendance by EMS - >90 providers and 8 ambulances! Excellent! (Laskarzewski) This includes planning phase, too – great job!

ADMINISTRATION (Soons)

Will work with Dr. James on bylaw review.

PUBLIC INFORMATION (Adams)

No report.

OLD BUSINESS (Adams)

None heard

NEW BUSINESS (Adams)

(Putnam) Request waiver of rules for member of service who is certified as a FR-ECA with modules 1-2. Modules 1-2 will expire when his current certification expires. Unless he takes the EMT-B or re-takes modules 1-2, he will lose the ability to provide AED and oxygen. Member is Hinesburg Police Chief and he responds to many daytime calls. He attends training regularly, has held EMS certifications in the past, and would like to take the EMT-B course in the future – but has not been able to. Lots of discussion regarding use of module system within the State, PAD, law enforcement use of AED and waiving rules in general. Motion to support a waiver of EMS rules for one year extension of module expiration with understanding of good faith intention to complete those modules (James/Kellogg). No further discussion. Motion approved.

Motion to adjourn meeting (Laskarzewski/Rice) at 2010. Motion approved.

Next meeting Thursday September 8, 2005 at 1830 St. Michael’s College Tarrant Center Hall of Fame Room.

Respectfully submitted,

Kate Soons, Clerk

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Last updated: August 30, 2005