VTEMSD#3 Board Meeting Agenda for December 8,2005

St. Michael’s College, Tarrant Center, Hall of Fame room @ 1830

INTRODUCTIONS (O’Neil)

Paul Arthaud, Rescue Chief for Charlotte Volunteer Fire & Rescue, Inc., with Brian Best, Training Officer CVFRS

APPROVAL OF MINUTES (O’Neil)

Motion to approve minutes as posted (Ziter/Jones). Motion approved.

CORRESPONDENCE (O’Neil)

From Becca Webb, VTEMS I/C, regarding FR-ECA modules – no class currently in session, considering proposal for a Module I course.
From Chief Ken Morton, Williston FD, regarding the proposed response list.
From Chief Ron Mack, Richmond Rescue, regarding the proposed response list.

TREASURY (McCabe)

Treasurer’s report
- Merrill Lynch $3,176.53
- Checking $9,093.98, with a deposit of ~$2,500 pending

VTEMSD#3 post office box – in progress
Motion to accept treasurer’s report (Brent/Adams). Motion approved.

MEDICAL DIRECTION (James/Wolfson)

Any and all requests for medical direction’s signature should be obtained at the monthly District #3 Board meeting. Please do not leave any forms at FAHC-ED.
Offering training for needle stick exposures in the field; TO’s discuss at January 12^th Training Committee meeting
Pulse oximetry for EMT-B’s to be discussed with VT EMS Office
(O’Neil) Where are we on the issue of patients who expectorate on EMS providers? (James) We are waiting to hear from the State’s Attorney to prosecute as assault.
(Cowles) Spinal protocol – where does documentation go? (James) For real time communication, leave one copy with the patient’s chart for the provider; for QA/QI, leave another copy in the ED Comm Center with the pink EMS sheet. By the way, I have never seen one. There is a great study of c-spine injury and pre-hospital assessment out of Maine (given to Ziter for TO’s.).

FAHC (Helmken)

No report

TRAINING (Ziter)

Course updates

FR-ECA (Webb) – no report
FR-ECA (Putnam) – 9-10 students, going well
EMT-B (Malone) – just completed, 15/16 will be eligible to test
EMT-B (Ziter) – going well, first exam recently
EMT-I (Malone) – just completed also, not sure what numbers completed

Course proposals
- (James) Is there a possibility of another EMT-I Transition? (Ziter) We can consider. (Malone) Not able to combine EMT-Intermediate Refresher with Transition at the upcoming VT EMS Conf.
- (Malone) EMT-B Refresher Course proposed, same format as last fall, coordinated by Chris McCarthy, $165 includes materials and lunches. Motion to approve the spring 2006 EMT-B Refresher as presented (Brent/Ziter). Motion approved.
Upcoming trainings opportunities
- Spring ’06 EMT-B applications accepted tonight
- Wilderness EMT Module has 10 – 6 slots left
- January 5^th at 1900 Colchester Rescue, Dr. Wolfson will give lecture on Smoke Inhalation. RSVP to Colchester Rescue 655-3555.
Certification/recertification issues
- (Ziter) EMT-B & -I certification testing: Saturday January 14, 2006. More specific information will be posted on the list serv. Remember, if your service has candidates testing, please send qualified evaluators to assist.
- (Ziter) EMT-B recertification dates for March will be announced in January. (Putnam) Could two different nights of the week be offered? (Ziter) We can consider. Each service should send two qualified evaluators. Last November, a live EpiPen was used on a patient model. Be careful.
Equipment
- (Ziter) Equipment that has been ordered is slowly coming in.
- (Malone) Equipment maintenance and replacement proposals:
  - Proposal from Laerdal to revamp (2) intubation manikins and up to (10) CPR manikins for ~$2352. Motion to approve expenditure of up to $2500 to recondition ~12 CPR/airway manikins (Brent/Jones). Motion approved.
  - Request to spend $1500 with Boundtree to replace disposables and other odds/ends (ex.- Sam splints). Motion to approve expenditure of up to $1500 with Boundtree for miscellaneous supplies (Ziter/Kellogg). Motion approved.
(O’Neil) New CPR curriculum? (Ziter) Roll-out is in March. More information to follow. Need to contact your defibrillator manufacturer as to how to adjust the AED analysis process.

RESOURCE MANAGEMENT (Adams)

Committee met tonight at 1730
(Butkis) Response List
- Underhill was listed mistakenly; area leaders met to examine the exact areas of response. All leaders signed memorandum of agreement for this response; and agree to revisit this topic in the near future for re-assessment. (Lindquist) Now we need to update our response list? (Butkis) Yes. And for clarification, the actual response list is not changing from the format that was presented last month. Again, there will be a grace period to provide ample warning period for dispatch.
- Williston – Chief Morton has proposed a response list for Williston (see list). Again, we also agreed that we should reassess as needed.
- (Adams) Interstate 89 issues – (Morton) Concern about the response line being drawn at the rest areas; maintain line either at Johnson or French Hill. Whomever is responding, Williston Fire Department EMS should be notified. Chief Soons from St. Mike’s echoed these concerns as well. Looking for same protocol, dispatch WFD. (Adams) Another request, exit 15 is the line for SBFD and SMR, change back to south end of Winooski Bridge.
- Motion to accept changes to Williston, as presented; accept the wording changes for Underhill, as presented; accept the changes for I-89 Winooski Bridge line; accept the changes for I-89 in Williston, as presented (Brent/Kellogg).
  - Discussion re: Winooski Bridge I-89: (Lindquist) Winooski Fire covers the bridge. (O’Neil) Actually, this was changed to the municipal line, in the middle of the bridge. (Brent) Currently, north and inclusive of the bridge is SMR, south of bridge is SBFD.
MCI/CCRPC (Dusha)
- (Baron) GIRS second rig not in airport response. Table to committee
- (Dusha) CCRPC
  - Updates to Rapid Response Plans for all committees, new for Town of Richmond, reviewing eight others. Key to include verbiage for the adoptions of NIMS/NRP.
  - LEPC is conducting an upcoming annual evening meeting.
  - After action report for agencies can be picked up tonight
  - ’06 contract for statewide exercise grant period will include a series of table tops and functional exercises by county…details to come
  - (Adams) On behalf of everyone in VT EMS District #3, we would like to express our sincere appreciation to Toby Dusha for his efforts to further organize our response to MCI and emergency preparedness. <Cake served>
LEPC (Barber)
- CRA is doing the exercises….two tabletops and one functional. Table of contents as to what the exercises will be – at LEPC meetings…will bridge info to District
- PDA program: letter of agreement will go out; PDA will remain property of the LEPC because it is a grant.
- VCOM - VT Communications Project - 20’ presentation in January
HSU/Grants (Adams/Jenkins)
- Jenkins unable to attend today

ADMINISTRATION (Soons)

Policies
- Medication Policy (James) - Most are in, only a few are inadequate. Need to have a policy or SOP that clearly delineates security of meds, etcetera. Additionally, what would your service do if there were a discrepancy discovered? Many of the plans submitted are missing this. In order to move forward to other drugs, we need to demonstrate safe & secure systems in place.
- EMT-Intermediate (1990 vs. 2003) Policy – not discussed
- Out of Service Quarterly Report Policy – not discussed
- Annual License Review Policy – new draft pending to address
  - non-certified members listed on license
- Quarterly Reporting for ALS Interventions and OOS Reports, beginning January 1, 2006:
  - January – March, due at April meeting
  - April – June, due at July meeting
  - July – September, due at October meeting
  - October – December, due at January meeting
All licenses eventually received, reviewed for completion and submitted with the appropriate signatures to VT EMS prior to the due date. Motion to accept license renewal applications as reviewed by District #3 License Review Committee (Jones/Brent). Motion approved.
District website policy index – not discussed.

PUBLIC INFORMATION (Ziter)

Need to assemble ad hoc members to begin discussing this topic next month.
Consider:
- Each service hosting a free CPR class
- PSA – commercial again?
- Organize the Church Street event – get involved with Kid’s Day!
(O’Neil) What is the theme for this year? (Ziter) Not certain yet.
EMS Week 2006 is May 14-20, 2006
http://www.acep.org/webportal/Advocacy/EMS/EMSWeek/default.htm

OLD BUSINESS (O’Neil)

None heard

NEW BUSINESS

(O’Neil) Approached by Dr. Uphold as Chair of the District, to be involved in process to establish a more supported medical direction role. Process – all docs interested have been asked to apply. Will include paid time for this important role. Long overdue. Stay tuned. (James) I will be interviewing. (Adams) Are we represented? (O’Neil) I have been asked and accepted. Please feel free to contact me.
(Baron) Our ambulance did go down to LA. Mayor and his daughter are coming for a visit next weekend. A cruiser from Grand Isle county also went down.
(James) Very impressive resuscitations recently – most impressive, call with update that dead, but found with pulse

Motion to adjourn at 1933 (Brent/Jones).

Next meeting Thursday January 12, 2006 at 1830.

Respectfully submitted,

Kate Soons, Clerk

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