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3 <br /> R-4. Assess Fire Department capabilities to meet BLS First Responder response time <br /> objectives. <br /> R-5a. Schedule and implement Fire Department, Medical First Responder initiative which <br /> includes performance objectives. <br /> R-5b. Staff and equip four (4) EMS Quick Response Vehicles (QRV's) for assignment, <br /> initially, 12hours/day, 7 days/week with shift startlend times to be determined by EMS. <br /> The Workgroup recommends combining R-4, R-5a, and 5b into one recommendation. A <br /> working group, comprise of Emergency Services staff, representatives from Chief's Council, <br /> representatives from South Orange Rescue Squad and the County Medical Director is directed <br /> to discuss these issues and bring back a recommendation to the Emergency Services <br /> Workgroup by January, 2013. <br /> R-6. Staff & equip six (3) 12 hour/7 day ALS ambulances at appropriate staging/base <br /> facility locations within (1) Zones 1 & 2, (2) Zones 7 & 5, and (3) Zones 6 & 8. <br /> The Workgroup recommends that EMS staff and the County's Medical Director prepare a <br /> detailed 5 year implementation schedule for recommendation R-6 and brings back a <br /> recommendation to the Emergency Services Workgroup by December 11, 2012. <br /> R-7. Hire a Paramedic Level Shift Supervisor a@ 24/7. <br /> The Workgroup recommends hiring 4 new Paramedic Level Shift Supervisor positions <br /> immediately. The Study recommends 5.1 position for a 24/7 Shift Supervisor, but Emergency <br /> Services staff recommended only 4 position. This is recommended to be funded in the current <br /> fiscal year, at an estimated annual cost of$267,500. <br /> R-8. Prepare a detailed Space Needs Assessment that addresses the essential building <br /> and site requirements to accommodate a stand-alone, functional, code compliant EMS <br /> base facility that can serve as a prototype for all future facilities. <br /> R-9. Identify a minimum of nine (9) strategic locations, preferably no less than one (1) <br /> location within each major zone previously identified, for the potential location in each of <br /> a future EMS base. <br /> R 10. The County should purchase/obtain identified sites (and/or buildings) for <br /> development. <br /> R 11. Procure EMS base planning and design services. <br /> R 12. Advertise, bid, and commence construction on designated EMS base facilities. <br /> The Workgroup recommends tabling recommendations R-8, R-9, R-10, R-11 and R-12. EMS <br /> staff is directed to proceed with a space needs assessment while simultaneously exploring the <br />