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HomeMy WebLinkAboutMinutes - October 5, 2021 SSLODI CITY COUNCIL SHIRTSLEEVE SESSION CARNEGIE FORUM, 305 WEST PINE STREET TUESDAY, OCTOBER 5, 2021 An Informal Informational Meeting ("Shirtsleeve" Session) of the Lodi City Council was held Tuesday, October 5, 2021, commencing at 7:00 a.m. Present: Council Member Hothi, Council Member Khan, Council Member Kuehne, Mayor Pro Tempore Chandler, and Mayor Nakanishi Absent: None Also Present: City Manager Schwabauer, City Attorney Magdich, and City Clerk Cusmir Fire Chief Ken Johnson provided a PowerPoint presentation regarding the Advanced Life Support (ALS) program. Specific topics of discussion included the Fire Department's role in emergency medical services (EMS), ALS response within four minutes, EMS symbol - the Star of Life, Basic Life Support versus ALS, current state of EMS in San Joaquin County, community benefits, one- time costs, full-burden cost for implementation, on-going costs, process, and deployment. Chief Johnson addressed questions asked by Council Member Kuehne regarding the costs associated with adding paramedic staff to every fire engine as well as a medical director and nurse. Chief Johnson also spoke about the value added. Chief Johnson spoke about the number of firefighters that are currently paramedics on staff. Council Member Kuehne said that he supports the concept of adding three paramedics to staff every year for four years. Chief Johnson spoke about potential grant opportunities. Chief Johnson answered questions asked by Council Member Hothi regarding the process of getting the proposed plan in place. Mayor Nakanishi voiced his support for the proposal. Staff will move forward with a proposal to present to Council. None. No action was taken by the City Council. The meeting was adjourned at 7:56 a.m. A. Roll Call by City Clerk B. Topic(s) B-1 Receive Presentation Regarding Lodi Fire Department Transitioning to Advanced Life Support Program (FD) C.Comments by Public on Non-Agenda Items D.Adjournment ATTEST: Jennifer Cusmir City Clerk 1 Lodi Fire Department Advance Life Support Program CHIEF KEN JOHNSON Fire Department’s role in Emergency Medical Services The Lodi Fire Department responded to 6,954 calls for service in 2020, many of which were related to EMS. 3,576 calls for service were reported as EMS related where our firefighters performed Basic Life Support (BLS) skills. This number can be misleading. Every call has some level of an EMS component. The Fire Department was often first on scene providing BLS care while waiting for an ambulance. 3576 2135 13 1966 1422 24 41 EMS - First on scene EMS Assist with care EMS Rescue EMS Good Intent EMS Support EMS Miscelaneous Good Intent Calls ALS Response within FOUR minutes Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend beyond Basic Life Support (BLS). It is used to provide urgent treatment to cardiac emergencies such as cardiac arrest, stroke, myocardial infarction, and other conditions. High-quality cardiopulmonary resuscitation and early defibrillation should be performed within the first 3-4 minutes of a patient experiencing sudden cardiac arrest. The American Heart Association recommends ALS be performed within the first 8 minutes of sudden cardiac arrest or another cardiac emergency for the patient's best chance of survival. BLS versus ALS? Basic Life Support Basic Assessment CPR Basic Airway Management Patient Extrication Basic Shock Management Bleeding Control Administer Oxygen Spinal Immobilization Automatic external defibrillator (AED) Joint and Long-bone stabilization Advanced Life Support Advanced Assessment Complete Use of a Defibrillator Advanced Airway Skills Intravenous Therapy Medication Delivery Pain Management Management of Large Scale Incidents (MCI) Advanced Triage Capabilities Advanced Scope of Pre-Hospital Medical Treatment. Current State of EMS in San Joaquin County Fire Department (non-transport) ALS Providers in San Joaquin County. Ripon Fire District South San Joaquin County Fire Authority (Tracy) Stockton Fire Department Lathrop-Manteca Fire District Fire Department (non-transport) BLS Providers in San Joaquin County. Clements Fire District Collegeville Fire District Escalon Fire District Farmington Fire District French Camp-McKinley Fire District Liberty Fire District Linden Peters Fire District Lodi Fire Department Manteca Fire department Mokelumne Fire District Montezuma Fire District Thornton Fire District Waterloo Morada Fire District Woodbridge Fire District. What is the Community Benefit? Community Benefit of a Fire Based ALS Program Increase in the level of EMS while waiting for an ambulance Better Care for ALL of our citizens City Support Services Critical Care for job related injuries Tactical Paramedics TEMS TEAMS –Partnership with Lodi Police Department Rescue Task Force Special Events ALS care for our Firefighters (Rehab, Injuries, Medical Conditions) One-Time Costs Start up costs ALS EMS SUPPLIES $54,000 Defibrillators (5) $200,000 Training Equipment $25,000 Labeling Apparatus $3,000 Paramedic School $13,500 Full Burden Cost for Implementation Phased Implementation (Year One) 3 Paramedics $348,953 6 Paramedics $618,005 9 Paramedics $887,058 12 Paramedics $1,231,910 On Going Costs Phased in implementation 3 Paramedics $181,350 6 Paramedics $282,800 9 paramedics $384,250 12 Paramedics $486,500 12 Paramedics ensures that there will be one Paramedic on each of our four Engine Companies twenty-four hours a day, seven days a week. LFD would have four paramedics every day. The goal would be to increase that to eight on duty each day, two paramedics on each engine company. Retrieved from Emergency Rescue 51 -Bing images On going Costs Continued Paramedic Incentive Pay Negotiated Benefit between the City and Lodi Professional Firefighters. Medical Director Sub-contracted Physician for oversite and the procurement of medical supplies and medications. ($10,000 per year) EMS Specialist Part-time RN ($75,000) Contracts for services ECG Monitor Maintenance Lucas Device Maintenance Oxygen Service Comparable City Incentive Stockton 6% -9% Tracy 13% Consumnes $750 per month Vacaville 12% Fairfield 10%, 7.5%, 5% Roseville 17% How we get there TRAINING Apply for an Assistance for Firefighters Grant (AFG) for paramedic training. •Tuition and Books •Overtime to attend school •Cover costs for backfilling open positions during the paramedic training. •The goal is to initially train twelve (12) members with a long term goal of thirty(30) paramedics, two (2) on each Engine Company. BUDGET PROCESS •Requesting funds for one time purchases of equipment. •Requesting an increase in funds of EMS supplies. •Request an add-pay for fire department staff that provide paramedic services. •Request for a full time budget analyst position. •Request for a part time CQI Nurse. ACCREDITATION •National registry Paramedic Accreditation. •California State Emergency Medical Service Authority Certification. •San Joaquin County Emergency Medical Services Authority. Deployment Phase One •Engine 2 –Staffed with one paramedic on each shift. •Engine 3 -Staffed with one paramedic on each shift. •Engine 1 –Staffed with one paramedic on each shift. •Engine 4 –Staffed with one paramedic on each shift. Phase Two •Engine 2 –Staffed with two paramedic on each shift. •Engine 3 -Staffed with two paramedic on each shift. •Engine 1 –Staffed with two paramedic on each shift. •Engine 4 –Staffed with two paramedic on each shift. Lodi Fire Department Advance Life Support Program CHIEF KEN JOHNSON Fire Department’s role in Emergency Medical Services The Lodi Fire Department responded to 6,954 calls for service in 2020, many of which were related to EMS. 3,576 calls for service were reported as EMS related where our firefighters performed Basic Life Support (BLS) skills. This number can be misleading. Every call has some level of an EMS component. The Fire Department was often first on scene providing BLS care while waiting for an ambulance. 3576 2135 13 1966 1422 24 41 EMS - First on scene EMS Assist with care EMS Rescue EMS Good Intent EMS Support EMS Miscelaneous Good Intent Calls ALS Response within FOUR minutes Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend beyond Basic Life Support (BLS). It is used to provide urgent treatment to cardiac emergencies such as cardiac arrest, stroke, myocardial infarction, and other conditions. High-quality cardiopulmonary resuscitation and early defibrillation should be performed within the first 3-4 minutes of a patient experiencing sudden cardiac arrest. The American Heart Association recommends ALS be performed within the first 8 minutes of sudden cardiac arrest or another cardiac emergency for the patient's best chance of survival. BLS versus ALS? Basic Life Support Basic Assessment CPR Basic Airway Management Patient Extrication Basic Shock Management Bleeding Control Administer Oxygen Spinal Immobilization Automatic external defibrillator (AED) Joint and Long-bone stabilization Advanced Life Support Advanced Assessment Complete Use of a Defibrillator Advanced Airway Skills Intravenous Therapy Medication Delivery Pain Management Management of Large Scale Incidents (MCI) Advanced Triage Capabilities Advanced Scope of Pre-Hospital Medical Treatment. Current State of EMS in San Joaquin County Fire Department (non-transport) ALS Providers in San Joaquin County. Ripon Fire District South San Joaquin County Fire Authority (Tracy) Stockton Fire Department Lathrop-Manteca Fire District Fire Department (non-transport) BLS Providers in San Joaquin County. Clements Fire District Collegeville Fire District Escalon Fire District Farmington Fire District French Camp-McKinley Fire District Liberty Fire District Linden Peters Fire District Lodi Fire Department Manteca Fire department Mokelumne Fire District Montezuma Fire District Thornton Fire District Waterloo Morada Fire District Woodbridge Fire District. What is the Community Benefit? Community Benefit of a Fire Based ALS Program Increase in the level of EMS while waiting for an ambulance Better Care for ALL of our citizens City Support Services Critical Care for job related injuries Tactical Paramedics TEMS TEAMS –Partnership with Lodi Police Department Rescue Task Force Special Events ALS care for our Firefighters (Rehab, Injuries, Medical Conditions) One-Time Costs Start up costs ALS EMS SUPPLIES $54,000 Defibrillators (5) $200,000 Training Equipment $25,000 Labeling Apparatus $3,000 Paramedic School $13,500 Full Burden Cost for Implementation Phased Implementation (Year One) 3 Paramedics $348,953 6 Paramedics $618,005 9 Paramedics $887,058 12 Paramedics $1,231,910 On Going Costs Phased in implementation 3 Paramedics $181,350 6 Paramedics $282,800 9 paramedics $384,250 12 Paramedics $486,500 12 Paramedics ensures that there will be one Paramedic on each of our four Engine Companies twenty-four hours a day, seven days a week. LFD would have four paramedics every day. The goal would be to increase that to eight on duty each day, two paramedics on each engine company. Retrieved from Emergency Rescue 51 -Bing images On going Costs Continued Paramedic Incentive Pay Negotiated Benefit between the City and Lodi Professional Firefighters. Medical Director Sub-contracted Physician for oversite and the procurement of medical supplies and medications. ($10,000 per year) EMS Specialist Part-time RN ($75,000) Contracts for services ECG Monitor Maintenance Lucas Device Maintenance Oxygen Service Comparable City Incentive Stockton 6% -9% Tracy 13% Consumnes $750 per month Vacaville 12% Fairfield 10%, 7.5%, 5% Roseville 17% How we get there TRAINING Apply for an Assistance for Firefighters Grant (AFG) for paramedic training. •Tuition and Books •Overtime to attend school •Cover costs for backfilling open positions during the paramedic training. •The goal is to initially train twelve (12) members with a long term goal of thirty(30) paramedics, two (2) on each Engine Company. BUDGET PROCESS •Requesting funds for one time purchases of equipment. •Requesting an increase in funds of EMS supplies. •Request an add-pay for fire department staff that provide paramedic services. •Request for a full time budget analyst position. •Request for a part time CQI Nurse. ACCREDITATION •National registry Paramedic Accreditation. •California State Emergency Medical Service Authority Certification. •San Joaquin County Emergency Medical Services Authority. Deployment Phase One •Engine 2 –Staffed with one paramedic on each shift. •Engine 3 -Staffed with one paramedic on each shift. •Engine 1 –Staffed with one paramedic on each shift. •Engine 4 –Staffed with one paramedic on each shift. Phase Two •Engine 2 –Staffed with two paramedic on each shift. •Engine 3 -Staffed with two paramedic on each shift. •Engine 1 –Staffed with two paramedic on each shift. •Engine 4 –Staffed with two paramedic on each shift.