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185 <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 start/end 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 @ 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 />