Body: Council Type: Document Meeting: Regular Date: January 24, 2013 Collection: Documents Municipality: Frontenac County
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FPS Supervisor Meeting January 24, 2013 , 8:00 am The Frontenac Room, 2069 Battersea Road, Glenburnie, On
AGENDA Page 1.
WELCOME
ADDITIONS/DELETIONS TO THE AGENDA
APPROVAL OF PREVIOUS MINUTES
3-7
Meeting minutes from the November 9, 2012 Supervisor Meeting.
DELEGATIONS
ONGOING BUSINESS a) Supervisory Shift Envelopes - QA Crew Check (TF) b) Deployment Plan Updates - All c) New Equipment Standards - All d) OPP and CACC sit in Schedules - (GC/JB/IF) e) FPS P&P Updates and Game Plan - (JD/GC) f) PM/PO New Template/Vehicle POS Update - (OPS/Sups) g) Strategic Planning Update (JD)
BUSINESS ARISING a) New Drug Stocking Process (GC) b) Ornge Stretcher - (TF/GC)
NEW BUSINESS a) Acceptance of “Freebies” (PC) b) QA Processes for iMedic (GC)
8-9
c) New Drug Expiry Checking Process (GC/TF) d) New Form for Supervisor Drug Count (GC/TF) e) Email Protocol - (PC) f) Recognition Pins (PC)
Page 1 of 9
Draft
Page 8.
CHIEF’S REMARKS
HEALTH AND SAFETY
ROUNDTABLE DISCUSSION OF ISSUES
DATE AND TIME OF NEXT MEETING
ADJOURNMENT
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AgendaItem#3•
MINUTES OF THE FPS SUPERVISOR MEETING November 9, 2012
A regular meeting of the Council of the County of Frontenac was held in the Frontenac Room of the County Administrative Office, 2069 Battersea Road, Glenburnie on Friday, November 9, 2012 at 8:00 AM 1.
WELCOME Attendance In attendance: Paul Charbonneau, Chris McBain, Lisa Moreland, Todd Fisher, Mark Podgers, Jeff Burgess, Jennifer Dawson, Gale Chevalier, Richard Russell, Ingmar Freitag, Carolyn Whitworth, Kathryn Aldrich, Dave Herrington Regrets: Michael Van Hartingsveldt, Sally Kane
ADDITIONS/DELETIONS TO THE AGENDA There are no additions or deletions to the agenda.
APPROVAL OF PREVIOUS MINUTES Meeting Minutes for May 3, 2012 Minutes of May 3rd were approved by Mark Podgers and seconded by Richard Russell.
DELEGATIONS
ONGOING BUSINESS a) Supervisory Shift Envelopes - QA Crew Check (TF) Richard thought that we were going to redo the shift envelopes. The new envelope is in development. Performance Standards is going to get together with Operations to come up with a plan to present to Paul to keep the checks random.
Regular Meeting of Council Minutes November 9, 2012 -8:00 AM
Meeting minutes from the November 9, 2012 Supervisor
Page 3 of 9
AgendaItem#3•
b) Deployment Plan Updates - All The list that we had has been narrowed down to a manageable change. It is obvious that there are certain pressures in certain stations. Paul has requested that a deployment meeting and a PRU meeting be scheduled. He is hoping that we can make extensive changes that can be left in place for a year commencing in January. Chris suggested changing the location for the PRU now to 02 Base since 03 Base is constantly covering standby’s for 02 Base. It was agreed that we could try this. The annual budget for fuel is in the red. We need to take better stats from our mileage. Repairs are also on the rise. There needs to be a mindset change/culture shift. Less than 2% of patients need transport to hospital. Part of the discussion at the deployment meeting needs to be how best to manage the mileage and repairs. c) New Equipment Standards - All The Uniform and Equipment meeting was cancelled so there is no update at this point. Todd and Gale have started to put together a plan for the next meeting. There have been questions about getting a Mercedes Benz ambulance. We are not interested in them as there are serious issues with their functionality. Other municipalities that purchased them have had to resort to using their previous ambulances. d) OPP and CACC sit in Schedule - All The certifications are going well. Gale, Jeff and Ingmar still need to get certified and they will see if they can schedule something shortly. e) FPS P&P Updates and Game Plan - JD/GC The P&P review that has been ongoing is not progressing as per the original schedule. Paul, Gale and Todd are going to work on a new plan to ensure that everything gets reviewed and that the Supervisors are included with changes to the content. f) Logistics Casual Update - TF (2 min) Although there is no one in the part time logistics position, we are going to keep it in the budget as we are paying for the position through individual contracts for services rendered. At this point, we will continue status quo. g) Medication Shortage - TF (5 min) This is a carry-over from the last meeting. There is still a worldwide shortage on drugs. Hastings helped us by supplying us with some Lidocaine. The Lidocaine supply has changed so Gale has asked for suggestions of where we can store them. Any other ideas should be forwarded to Gale.
FPS Supervisor Meeting November 9, 2012 -8:00 AM
Meeting minutes from the November 9, 2012 Supervisor
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AgendaItem#3•
h) PM/PO New Template/Vehicle POS - OPS/Sups (4 mins) Todd and Chris have a meeting scheduled with Bensons and want to address the PO system. They would like to look at an electronic way to track repairs. Todd has specifically requested that the Supervisors get their work orders done punctually as he is having some issues working through the invoices. He is also going to request that Bensons mail their receipts so they can be received at county the way the rest of the invoices are done. This way, they are less likely to be missed. Paul indicated that we are over budget on repairs. He is currently working with finance on a 6 vs. 4.5 year lifecycle on ambulances. The 6th year we are paying over 30K in repairs per ambulance. We would realize a savings of over 250K a year to get rid of our ambulances on an earlier cycle. This will be discussed further in the budget discussion. 6.
BUSINESS ARISING
NEW BUSINESS a) Storage Boxes in 4381 and 4391 (JB) It was suggested that we have key boxes in trucks 4381 and 4391 that have a complete set of keys for the fleet. Paul and Todd are going to discuss this further offline. It was also suggested that we remove the ALS bags from these vehicles as Todd and Michael are the only people that have ALS. It was agreed and they will be removed immediately. b) Pelican Tripod Light added to 4381 and 4391 (JB) Pelican is remote access lighting system (tri-pod) you can carry and set up. Jeff had previously suggested removing it from the ESU and putting it in 4353. So far this is working out very well and we may want to look at it for some of our other trucks. However, the cost is $900 per unit. c) Shower Room for Supervisors at Fortune Cr. (JB) There is a shower room at 00Base so it was decided one is not needed at 08Base. d) New drug stocking process (GC) Gale asked if there have been any issues with the new way we are distributing drugs. The Supervisors feel that it is working well. The only time that it can be dicey is late in the shift but everyone feels comfortable continuing on status quo. e) Office Supplies (PC) Paul recently signed off on credit card expenses that had office supplies on them. He wanted to remind everyone that the credit card is for emergency supplies and travel only. There is a process for ordering office supplies through the office that realize a significant savings vs. buying retail so please ensure that supplies are ordered through the office.
FPS Supervisor Meeting November 9, 2012 -8:00 AM
Meeting minutes from the November 9, 2012 Supervisor
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AgendaItem#3•
f) Fall Cleaning - JD (3 Min) From November 15 - December 15 there will be a fall cleaning in the office. Everyone chose an avatar that will be put on labels with their initials. When a person cleans out a drawer etc., they are to place one of their stickers on the item they cleaned. They will then have a ballot entered into a draw for a prize!! g) Rob’s Away - (TF) Rob is away for two weeks. It is going to fall to the supervisors to cover for him. Please keep an eye on the stock. If something needs to be replaced, please do it or let someone know. Rob is working on a new legend for 08 Base and will be continuing with that when he returns. h) Deployment Feedback - TF This was covered under ongoing business. i) Benson’s and Work orders - TF This was covered under ongoing business. j) Ornge Stretcher - TF The acting manager of Ornge called Gale to discuss the fact that their deck is not set up for putting wheels on the stretcher after the patient is loaded. They wondered if there was any way of leaving an extra stretcher at KGH. Todd is going to check with KGH to see if we can leave a second stretcher there. Paul asked what they do in Ottawa when they have to cross the road. Do they have wheels on? Gale will ask them and Gale and Todd will continue to work on this. 8.
CHIEF’S REMARKS a) Budget 2013 There is a severe pressure on our budget for 2013. The budget is currently sitting at 5.5% and that won’t be approved. Our revenue will be reduced because of the new L&A station. There will be a loss of 100K a year because of calls we lose and calls we have to pay them for. There is also a Collective Agreement wage increase and OMERS shows a significant increase of 1%. The new eACR (including add-ons for key performance indicators) has been approved for 2013 at 50K and Council approved the rent for the new base. Paul and Marion are currently working on a number of strategies to make the budget work including taking 500 hours out of public relations (we will pay for 2 events), reduced training, changing vehicle amortization from 6 to 4.5 years and looking at cost containment through examining staffing levels versus staffing patterns. The budget will be presented to the Finance Committee before it goes to council.
FPS Supervisor Meeting November 9, 2012 -8:00 AM
Meeting minutes from the November 9, 2012 Supervisor
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AgendaItem#3•
HEALTH AND SAFETY a) Flagging The field report came in from the Ministry and it was two pronged. The first piece was focused on what we are doing as FPS. The second part was focused on what the Province is doing. The Ministry is being very understanding about the Provincial piece since they understand we cannot fix that part of the process. We are implementing our process immediately. It is a three step approval process. The documents can be found on the company drive at S:\1Frontenac Paramedic Services\Flagging. There is an expectation that there will be many requests in the beginning. Keep in mind that Peterborough only has 3 flags and Durham only has 4 flags for the entire region. It is also not possible to flag people for several reasons. It is address related only. The FPS system will be in play until the Ministry program starts. They have been directed to have their new policy and guidelines ready by next week which would mean we could have Council approval by November 21st.
STRATEGIC PLANNING Strategic Planning is important so we have our direction for the future. Right now County has a 50 year plan with sustainable action items. The FPS piece is the Para medicine project launch. Our next step with par medicine is a wellness clinic on the island, likely in conjunction with the foot care clinic. In addition to the overarching document, council has been brought into strategic planning. The last session they did produced 8 key areas although they remained unofficial at that time. At the end of the month, they are doing a new strategic session and it would be prudent to have our strategic plan key points in place for the meeting. We will need to schedule the meeting before the 27th. [At this point, the group reviewed the Strategic Plan Document, revised content and rated the top 3 items in each grouping]
ROUNDTABLE DISCUSSION OF ISSUES After the incident with the 4123, Todd would like to remind everyone that there are a lot of deer out there this year. Be aware.
DATE AND TIME OF NEXT MEETING Next meeting will be held on Thursday, January 24th at 8:00AM in the Frontenac Room.
ADJOURNMENT This meeting was adjourned at 11:13 a.m.
FPS Supervisor Meeting November 9, 2012 -8:00 AM
Meeting minutes from the November 9, 2012 Supervisor
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AgendaItem#7•
Frontenac Paramedic Services Monthly Vehicle Check - Medication Expiry Report Must be completed on the 15th day of the month and submitted in the shift envelope. Date: //_________ Vehicle_______Paramedic #1 __Initial Paramedic #2_________________Initial
Symptom Relief/SR ASA (81 mg/tablet) Dimenhydrinate (Gravol)(50mg/ml) Diphenhydramine (Benedryl)(50mg/ml) Epinepherine 1:1000 (1mg/ml) Glucagon Nitroglycerin(0.4mg/spray) Oral Glucose (15G/dose) Saline Nebules Ventolin - MDI (100mcg/puff) Ventolin Nebules (2.5mg/ml) ALS Bags #1
QTY
8 2 2 10 2 2 2 2 2 10 QTY
Adenosine(6mg/2ml) Adenosine(12mg/2ml) ASA(81mg/Tablet) Atropine 1:10000 Pre-Load (1mg/10ml) Dimenhydrinate (Gravol)(50mg/ml) Diphenhydramine (Benedryl)(50mg/ml) Dopamine(400mg/250ml) Epinepherine 1:1000 (1mg/ml) Epinepherine 1:10000 (1mg/ml) 50% Dextrose(25G/50ml) Glucagon (1 unit) Oral Glucose (15G/dose) Lidocaine(20mg/ml) Pre-Load Lidocaine Spray c/w nozzles
2 2 8 2 2 2 1 10 6 2 1 2 3 1
NaCL 0.9% (500ml)
2
NaCL 0.9% (1000ml) Naloxone (Narcan)(0.4mg.ml) Nitroglycerin(0.4 mg/spray) Sodium Bicarbonate (50mEq/50ml) Ventolin-MDI (100mcg/puff) Ventolin Nebules (2.5mg/ml) Xylometazoline 0.1% Midazolam (10mg/2ml) Fentanyl (100mcg/2ml) Morphine(10mg/1ml) Lasix (40mg/ml)
2 5 2 1 10 1 1
Expiring
@ Month End
ALS Bag #2
QTY
Expiring
@Month End
Expiring
@ Month End
2 2 8 2 2 2 1 10 6 2
Adenosine(6mg/2ml) Adenosine(12mg/2ml) ASA(81mg/Tablet) Atropine 1:10000 Pre-Load (1mg/10ml) Dimenhydrinate (Gravol)(50mg/ml) Diphenhydramine (Benedryl)(50mg/ml) Dopamine(400mg/250ml) Epinepherine 1:1000 (1mg/ml) Epinepherine 1:10000 (1mg/ml) 50% Dextrose(25G/50ml)
Expiring
Glucagon (1 unit) @ Month End Oral Glucose (15G/dose)
1 2 3 1 2 2 5 2 1 10 1 1
Lidocaine(20mg/ml) Pre-Load Lidocaine Spray c/w nozzles NaCL 0.9% (500ml) NaCL 0.9% (1000ml) Naloxone (Narcan)(0.4mg.ml) Nitroglycerin(0.4 mg/spray) Sodium Bicarbonate (50mEq/50ml) Ventolin-MDI (100mcg/puff) Ventolin Nebules (2.5mg/ml) Xylometazoline 0.1% Midazolam (10mg/2ml) Fentanyl (100mcg/2ml) Morphine(10mg/1ml) Lasix (40mg/ml) CABINETS
5 5 5 3 QTY
Burn Kit Defib Pads - Adult Defib Pads - Peds Obs Kit
2 2 2 2
Notes or Non-Medication Expiry List:
5 5 5 3
S:\1Frontenac Paramedic Services\Templates\Drugs\Monthly Vehicle Drug Check
c) New Drug Expiry Checking Process (GC/TF)
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AgendaItem#7•
Frontenac Paramedic Services Monthly Logistics Check - Medication Expiry Report *Must be completed on the 15th day of the month and submitted in the shift envelope. Date: //_________ Bulk Store
4800
Station#: _______ Name: _________________Initial ____
Expiring @ Month
End
Symptom Relief/SR
Expiring @ Next
Expiring @ Next Month
Month End (45 Days) End (75 Days)
ASA (81 mg/tablet) Dimenhydrinate (Gravol)(50mg/ml) Diphenhydramine (Benedryl)(50mg/ml) Epinepherine 1:1000 (1mg/ml) Glucagon (1 unit/ml) Nitroglycerin (0.4mg/spray) Oral Glucose (15G/dose) Saline Nebules (10ml) Ventolin - MDI (100mcg/puff) Ventolin Nebules (2.5mg/ml) Adenosine (6mg/2ml) Adenosine (12mg/2ml) Atropine 1:10000 Pre-Load (1 mg/10ml) Dopamine (400mg/250ml) Epinepherine 1:10000 (1mg/ml) 50% Dextrose (25G/50ml) Lidocaine (20mg/ml) Pre-Load Lidocaine Spray c/w nozzles NaCL 0.9% (500ml) NaCL 0.9% (1000ml) Naloxone (Narcan)(0.4mg.ml) Sodium Bicarbonate (50mEq/50ml) Xylometazoline 0.1% Midazolam (10mg/2ml) Fentanyl (100mcg/2ml) Morphine (10mg/1ml)
S:\1Frontenac Paramedic Services\Templates\Drugs\Monthly Logistics Drug Check
c) New Drug Expiry Checking Process (GC/TF)
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