HomeMy WebLinkAboutRES 18-005RESOLUTION NO. 18-005
BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to execute an Agreement
between the City of Beaumont and City Ambulance Service to provide supplemental
response to the City of Beaumont Emergency Medical Services System in the event no
City ambulance units are available or a patient is to be transported to a medical facility
other than those facilities to which Beaumont EMS can transport. The Agreement is
substantially in the form attached hereto as Exhibit "A" and made a part hereof for all
purposes.
The meeting at which this resolution was approved was in all things conducted in
strict compliance with the Texas Open Meetings Act, Texas Government Code, Chapter
551.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 9th day of
January, 2018.
City of Beaumont Public Health
Emergency Medical Services
Guidelines to Provide Supplemental Response to the
City of Beaumont Emergency Medical Services System
City Ambulance Service agrees to respond, when requested by the City of Beaumont Emergency
Medical Services (BEMS) communications center ("Fire Alarm"), to emergency calls in the
following circumstances:
1. When no City ambulance units are available to respond, OR
2. When the patient is to be transported to a medical facility other than those facilities to
which Beaumont EMS can transport (outside the City limits or non-acute care
facilities, for example).
The City of Beaumont and City Ambulance Service agree that the specific operational
parameters of this agreement will be documented in a separate "Operational Procedures"
document, and that document is attached as Exhibit "A" and included in this agreement by
reference.
1. City Ambulance Service will provide the City of Beaumont EMS a copy of their
Protocols, signed by their Medical Director.
2. City Ambulance Service will provide a copy of the patient care report (PCR) to the
City of Beaumont EMS Clinical Supervisor, either by fax or direct delivery, within 24
hours of the time the call was cleared.
City Ambulance Service agrees that, when responding to an emergency call at the request of the
City of Beaumont EMS, City Ambulance Service shall:
Only respond with a unit which is appropriately staffed, equipped, and authorized. to
provide (preferred) paramedic -level care, and have in their possession a City of
Beaumont Ambulance Drivers Permit, issued by the City of Beaumont Emergency
Medical Services (EMS) Division.
2. Notify Fire Alarm if the estimated response time of City Ambulance Service unit will
exceed 12 minutes.
3. Notify Fire Alarm by the Unit Driver or Dispatcher of City Ambulance Service if at
any time you are running emergency traffic inside the city limits of the City of
Beaumont and the route you are taking.
City Ambulance Service agrees that the unit and personnel responding to an emergency call at
the request of the City of Beaumont EMS will:
1. Follow the direction and orders of Fire Alarm, AND
2. Communicate directly with Fire Alarm on Beaumont EMS primary or Beaumont Fire
primary channels (afthe direction of Fire Alarm);
a. Regarding the unit's status AND
b. Location (as per the "Operational Procedures" document) AND,
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EXHIBIT "A"
City of Beaumont Public Health
Emergency Medical Services
3. Follow the direction and orders of the on -scene Incident Commander and Beaumont
EMS personnel.
City Ambulance Service will charge the patient as per their normal procedures. There will be no
exchange of monies between City Ambulance Service and the City.
City Ambulance Service agrees to allow, at the discretion of the ranking Beaumont EMS
paramedic on the scene, a Beaumont EMS paramedic to assume or maintain control of patient
care. At the discretion of the ranking Beaumont EMS paramedic, a Beaumont EMS paramedic
may accompany the patient to the hospital in City Ambulance Service ambulance unit. In this
situation, the Beaumont EMS paramedic shall be operating under the authority and protocols of
the Beaumont EMS medical director.
City Ambulance Service's EMS personnel will assist the Beaumont EMS paramedic within the
scope of their authorization under their medical director. City Ambulance Service will charge the
patient for their services as per usual procedure.
City Ambulance Service agrees to indemnify, hold and save harmless the City of Beaumont and
its officers and employees from all claims and liability for damages to any person for personal
injuries or personal injuries resulting in death due to the acts or omissions of Guardian
Ambulance Service, its agents or employees occasioned by or in connection with the
performance 'of services pursuant to this agreement caused by any source whatsoever,. expressly
including claims arising from the alleged negligence of the city, its officers or employees.
This agreement shall commence upon signing and be cancelled by either party as described
below.
Either party may terminate this agreement with thirty (30) days advance written notice.
Additionally, the City may unilaterally terminate the agreement with no advance notice should
such termination be in the best interest of the public's safety and welfare.
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CITY OF BEAUMONT
By:
Signature of Authorized Official
Date
Kyle Hayes
City Manager
City of Beaumont
801 Main Street, Ste. 300,
Beaumont, TX 77701
409-880-3716
kyle.hayes@beaumonttexas.gov
City of Beaumont Public Health
Emergency Medical Services
CITY AMBULANCE SERVICE
By:
Signature
Date
Printed Name and Title
Address
City, State, Zip
Telephone Number
E-mail Address for Official Correspondence
Page 3 of 7
Rollover Rotation Agreement
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City of Beaumont Puhlic Health
Emergency Medical Services
1112-m-W.YN CINEVIFUH119WRai1;��
I. Dispatching Procedures for Utilization of Private Ambulances
A. "Rollover" Response — Emergency call, any priority, when no BEMS ambulance is
available.
1. Dispatch first responder if appropriate per protocol/procedure.
2. Dispatch BEMS Shift Commander (501) if appropriate per protocol/procedure.
Otherwise, simply notify the Shift Commander.
a. Shift Commander will respond at his/her discretion.
b. The Shift Commander will no longer respond to ALL rollover events, but IS
to be notified.
3. Dispatch next rotation private ambulance service. The dispatcher shall ask if a
Paramedic unit is available. If so, dispatch that unit. If not, move to the next
private company in rotation.
a. The private unit should communicate with Fire Alarm on EMS Channel #1.
At the dispatcher's discretion, the private ambulance may be assigned to
another channel (Fire Channel #1, for example). The private unit should
notify Fire Alarm via radio of the following intervals:
(1) Responding to call. The private unit will state from what location they
are responding.
(2) Arriving at scene.
(3) Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
(4) Arrival at destination (at this point, the unit can be "cleared" from the
call).
(5) If the patient is not transported; the disposition of the patient (refusal,
etc.) should be entered into the CAD notes by the dispatcher.
4. If the first service contacted does not have a unit available:
a. Dispatch the EMS Shift Commander, if not already done so, AND
b. Contact the next -up rotation private company.
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City of Beaumont Public Health
Emergency Medical Services
EXHOrr "A" (cont')
5. Within 24 hours of the transport, the private unit will send, by fax or hand
delivery, a copy of the transport run to the Clinical Supervisor of Beaumont
EMS.
B. "Referral" Responses — BEMS unit is requesting private ambulance to transport to
alternative destination)
1: For "referral" calls, the private ambulance will respond non -emergency (Priority
3), unless expressly requested by the on -scene EMS personnel.
2. Ascertain if the patient has a specific preference for a private ambulance. If so,
dispatch that service.
3. If the patient does not have a preference, dispatch the next rotation private
ambulance service. The dispatcher shall ask if a paramedic unit is available. If
so, dispatch that unit. If not, move to the next private company in rotation.
4. The private unit will communicate with Fire Alarm via EMS Channel #1 and
advise Fire Alarm of the following intervals:
a. Responding to call. The private unit will state from what location they are
responding.
b. Arriving at scene.
C. Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
d. Arrival at destination (at this point, the unit can be "cleared" from the call).
e. If the patient is not transported; the disposition of the patient (refusal, etc.)
should be entered into the CAD notes by the dispatcher.
f. Responding "emergency traffic'. at any time in the city limits and their
route.
5. Within 24 hours of the transport, the private unit will send, by fax or hand
delivery, a copy of the transport run to the Clinical Supervisor. of Beaumont EMS
C. "Posting" Responses — Private ambulance is being brought into BEMS system for
coverage.
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City of Beaumont Public Health
Emergency Medical Services
EXHIBIT "A" (cont')
1. When the BEMS system is reduced to only one available ambulance unit ("level
I"), Fire Alarm shall contact a private ambulance service and request that they
provide a paramedic -level ambulance for deployment into the BEMS system.
2. The private services will be contacted for this assignment based upon
geographical need and "rotation." For example:
a. If the BEMS system's geographical deployment need is for a unit for the
south district of the city, then Fire Alarm will contact a provider which is
stationed in the south district.
b. This provider will be selected from among the other services stationed in
that area based upon a rotation system.
3. The private service will only deploy paramedic -level ambulances for posting
assignments.
4. Once placed on "post," the assigned private ambulance shall notify Fire Alarm
via radio of their availability and location.
a. The private ambulance may post anywhere within the given geographical
sector of the city.
b. The private ambulance shall continuously monitor the assigned radio
channel for a response assignment from Fire Alarm until released from post
by Fire Alarm.
5. If needed for a response assignment, the private ambulance will be dispatched
directly by Fire Alarm via an alert tone.
a. The private ambulance will continue to communicate directly with Fire
Alarm as specified in the procedures developed for "Rollover" responses.
6. Should the private service need the posted private ambulance for a "private call"
or transfer, the private service or -the private unit will notify Fire Alarm of their
need to leave post. Unless Fire Alarm has an impending response assignment for
that unit, the unit will be released from post for the "private call" or transfer.
7. Once dispatched to a response assignment, the private ambulance will adhere to
all policies and procedures as implemented for other "Rollover" responses.
8. Private ambulance units, on a rotation basis among the companies operating
within the sector of interest, will continue to be utilized to maintain the BEMS
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City of Beaumont Public Health
Emergency Medical Services
EXHIBIT "A" (cont')
system at "level -2" until two BEMS units become available. Once two BEMS units
are available, the private ambulance(s) can be released from post.
D. Rotation
The rotation list will be updated annually or on as needed bases.
2. This list is subject to change at the discretion of the Public Health Director.
3. Private ambulance responses will be rotated among the listed agencies in turn.
4. If an agency is contacted but cannot respond, that agency will go to the bottom of
the rotation.
II. Operational Procedures
A. If a private ambulance encounters a medical emergency in the City, the private
ambulance must notify the City dispatch center of said emergency as soon as practical.
The private ambulance personnel shall render appropriate medical care to the
patient(s).
B. Private ambulances may not respond to medical emergencies in the City, except when
specifically requested to do so by the City dispatch center. Should a private
ambulance service receive a call requesting an ambulance response to a medical
emergency, the private ambulance service must immediately notify the City dispatch
center of the nature and location of the call.
C. Requesting for assistance from the City of Beaumont EMS.
1. The ranking city EMS paramedic or officer or, when applicable, the Incident
Commander as authorized by the EMS Manager of the city, on the scene of a
medical emergency in the city has the responsibility and authority over all
aspects of the medical operations and medical care at the incident. This authority
includes, but is not limited to, assigning patient care and transport
responsibilities, and directing the transport destination of patients.
2. City of Beaumont EMS ambulances may only transport patients to hospitals
within the city limits, except when specifically, authorized to transport elsewhere,
by the Public Health Director or the City EMS Manager, or their designees.
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