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t ^ <br /> October 10, 1994 <br /> 6 ^ <br /> EMS STRATEGIC PLANNING STEERING COMMITTEE <br /> CURRENT STATUS OF MEDICAL SUBCOMMITTEE RECOMMENDATIONS <br /> FOOTNOTES TO COST-NUMBER OF PEOPLE AFFECTED MATRIX <br /> Page 1 - Prevention/Public Health Education <br /> 1. American Red Cross has increased the number of CPR provider <br /> and instructor courses in Orange Co. The American Heart <br /> Association numbers have remained fairly constant. This is most <br /> likely a reflection of the 1994 changes in course curriculum and <br /> the time it is taking to retrain the current instructors <br /> 2 . Orange Co. Emergency Management has begun to have <br /> announcements'-on local access TV. They are working with the <br /> county social services offices to educate their clients on the <br /> use of 911. They have designated one communicator and one EMT-P <br /> as outreach educators, and respond to requests for educational <br /> programs in such places as the public schools. <br /> 3 . Non-emergency, convalescent transport has been contracted to a <br /> private ambulance provider. This has actually resulted in a cost <br /> savings to the county, rather than the original estimate of being <br /> a high-cost item. The issues of transport for other patients that <br /> request emergency services but turn out not to actually need an <br /> ambulance transport has not been totally addressed. The EMS <br /> Medical director is working on guidelines for non-emergent <br /> transports. <br /> Page 2 - Training and Staff Development <br /> 4 . On hold, pending State OEMS approval. Pilot projects have been <br /> done in other counties. <br /> 5. Hazmat training is in progress. Other fire training has not <br /> yet been scheduled. The training calendar is full at this time, <br /> but the need for "cross-training" of EMS/Fire personnel has been <br /> recognized by County Emergency Management. <br /> 6. Funding issue has not been totally resolved. Orange Co. Is <br /> currently covering most expenses. The EMS Division of the Dept. <br /> Of Emergency Medicine is not yet fully funded. However, <br /> continuing education in EMS is well planned and ongoing. It is <br /> being coordinated by the EMS Nurse liaison from UNC Hospitals. <br /> 7 . There has been a small increase in time spent in the Emergency <br /> Dept. by EMS personnel. There has not been time spent in EMS by <br /> ED staff due to scheduling/staffing difficulties. <br /> 8 . Due to a full training calendar there has been no effort to <br /> coordinate or plan integration of training among the various <br /> segments of the system. <br /> 9 . Vehicle maintenance training is in progress. Some work has <br /> been done on maps, but more is needed. No progress on rest. <br /> ,,4 <br />