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Agenda - 12-13-2011 - 8e
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Agenda - 12-13-2011 - 8e
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Last modified
2/21/2012 1:10:17 PM
Creation date
12/9/2011 1:00:12 PM
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BOCC
Date
12/13/2011
Document Type
Agenda
Agenda Item
8e
Document Relationships
Minutes 12-13-2011
(Linked From)
Path:
\Board of County Commissioners\Minutes - Approved\2010's\2011
ORD-2011-047 Budget Ordinance Amendment #5-B - Study for EMS Services & E911 Communication Center
(Linked From)
Path:
\Board of County Commissioners\Ordinances\Ordinance 2010-2019\2011
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6 <br />To address the growing need to provide upgraded service to the northern and western areas of <br />Orange County, the department needs to establish stations strategically located to adequately <br />serve the community. Stations should be established north of US 70 and in the southwest area <br />of Orange County to address rising response times. Whenever practical, new stations should be <br />co-located with VIPER tower locations to share backup generation systems, safe traffic access. <br />Not including the land cost, a station is estimated to cost between $500,000 and $600,000. The <br />attached map indicates general areas where stations should be placed to best serve the <br />County. The limited roadway system in the rural areas necessitates the distribution of stations <br />to adequately deliver acceptable response times while partnering with first responders for their <br />immediate basic care skills. <br />An adequate matrix of stations allows for system flexibility to address call surges, crew and unit <br />transfers supporting personnel development and sufficient resources to accommodate MCIs <br />and disaster event response. Further, placing additional units in strategic locations helps to <br />reduce response times to allow for fire departments to clear medical scenes, provide assistance <br />necessary during fires, evacuations, extended events, hostage situations and mass gatherings. <br />Growth of the system allows for backup capability to provide for first responder support and <br />protection as necessary during fires, evacuations, extended even#s, hostage situations and <br />mass gatherings. <br />Equipment Needs <br />The department has very limited capabilities to manage a multi-casualty incident (MCi) or <br />significant surge in activity with current equipment. A 1990 converted delivery truck has been <br />used in the past as a hazardous materials/command unit, but its extended wheelbase and <br />mechanical and electrical issues make it difficult to use. Current trends in the Indus#ry are to <br />design multi-use (MCI/Rehab/Evacuation) capable units to handle multiple uses. <br />In the event EMS had to treat 25-50 trauma patients as would be seen at a school bus accident, <br />the department would be hard-pressed to safely or effectively accommodate this need. <br />Concurrent with the need to "treat" trauma victims, as the population ages more events <br />surrounding nursing and assisted care facilities will be experienced. Whether to cool or heat <br />evacuees or rehabilitate first responders at all types of events, a replacement of the <br />department's multi-purpose vehicle is warranted. Cast is estimated at $50,000 for converting <br />(re-tasking) an older F450 ambulance. <br />Cardiac monitor-defibrillators currently in the department's fleet are rapidly nearing their life <br />expectancy. In 1999, Orange County paramedics were trained to record and interpret 12 lead <br />electrocardiograms and to thus recognize acute heart attacks. Medtronic Lifepak 12s were <br />purchased and have since been the standard of care. These units are 12 years old and must <br />be replaced within the next 12-18 mon#hs. The Medtronic Lifepak 12's are no longer <br />manufactured and are replaced by the newer model Lifepak 15's, which cost approximately <br />$36,000 each to provide excellent standards of patient care. These monitors allow paramedics <br />to monitor critical vital signs during treatmen# and transport. The entire fleet of fourteen (14) <br />needs to be replaced and an additional six (6) should be added to accommodate additional <br />medic units and the increasing numbers of spacial events. At the current per unit cost, the total <br />would be $720,000. <br />Laptops are used to record patient data at the scene; securely submit patient reports; and <br />incorporate Global Positioning System (GPS) "reckoning" #or responding units. Units must be <br />
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