Emergency Medical Services Board Meeting

October 5, 2005

 

 

 

Board Members Present:                    Bureau Staff:

Joe Covelli                                             Marianne Peck

Steve Bane                                             Brian Litza

Brenda Fellenz                                       Cathy Etter

Troy Haase                                            Bruce Gordon

Cal Lintz

Ken Johnson

Steve Teale

Travis Teesch

Mark Fredrickson

Gloria Murawsky

Tracy Aldrich

 

Board Members Excused:

Keith Wesley

 

Others in Attendance:                        Representing:

Ann Peggs                                            PFFW

Brian Reynolds                                      Milwaukee County EMS Council

Fred Hornby                                          Bell Ambulance

Tom Thrash                                          Antigo Fire

Ted Tautges                                          Wausau FD

Jeff Ropicky                                          Curtis Ambulance

Mike Jankowski                                    Franklin FD

Sue LaFlash                                          DPH-EMSC

Jerry Miller                                           LifeQuest-Mobile Healthcare Alliance

Kyle Marohl                                          Plymouth Ambulance

Tom Fennell                                          Gold Cross-Mayo Medical Transport

Tracey Froiland                                     State HRSA Leadership/Thedacare

Judy Jones                                            Luther Hosp Eau Claire/NWRTAC Coord

Matt Hurtienne                                      Kenosha FD

John Duffy                                            Fond du Lac FD

Jeff Jensen                                           Zoll, Advocates for EMS

Steve Metz                                           MPTC/ Brooks Ambulance

Sandy Johnson                                      St Josephs Hosp-Marshfield

Don Kimlicka                                        St Clares Hosp-Weston

Robert Stedman                                    Waukesha County Tech College

Mary Austin                                          Monroe Clinic

Laura Ahola                                          UW EMS Program

Beth Natter                                           Mercy Hosp-Janesville

Barb Kuska                                          Beloit Memorial Hosp

Vickkie Zeitlow                                     Mid State Tech College

Larry Knuth                                          Paratech Ambulance

Michael Fraley                                      Howard Young Medical Center

 

1.      Welcome and Introductions: Chair Steve Bane called the meeting to order at 10:00am at the Stoney Creek Inn, Mosinee, WI. Steve welcomed everyone and asked the audience to introduce themselves.

 

2.      Approval of August 2005 Meeting Minutes:  No minutes were available for review. This will take place during the December 2005 meeting.

 

3.      Committee Updates:

 

EMS Partners: Cal Lintz, committee chair reported the following meeting topics:

 

            Report:  This committee will be retiring from ‘active duty’ and in the future will meet PRN if needed.

 

            Report: The EMS Advisory Board committees have been reorganized and will announcement of new members will take place after the vote later in this meeting.

 

            Report: Vickkie Zeitlow, MSTC Program Chair- The EMS On-line Education Ad hoc committee is working on ideas and plans for the WTCS to be involved in offering on-line education. A meeting will be held December 16, 2005 at Mid State Tech College to address the education of the educators.

 

EMS Education: Gloria Murawsky, committee chair reported the following meeting topics:

 

Report: WI Scope of Practice document was reviewed by the committee. After a few changes to the Intermediate and Paramedic Scopes, all five levels of WI EMS Provider Scope of Practice documents were recommended for approval by the Board. A motion was made by Gloria Murawsky, seconded by Travis Teesch to approve the WI Scope of Practice documents as the official documents representing the five WI Provider levels. Motion carried.

           

            Report: Gloria reported the EMT-Basic Curriculum revision is moving along nicely. The ad hoc committee continues to review and complete this document. The committee recommended adding a change to the clinical component by being    more specific to what should be accomplished during the clinical rotation. The documents should be in DRAFT form by the December 2005 meeting with the final document available for the February 2006 meeting. The goal is to have the completed document available for the Instructor/Coordinator conference February  23-24, 2006.

 

            Report: An ad hoc committee will be meeting to discuss the EMT-Basic refresher curriculum once the EMT-Basic curriculum is completed.

 

Report: Cathy Etter, WI EMS Section Paramedic Coordinator- discussed the Intermediate to Paramedic Transition course.  Due to a priority to other commitments, no one has stepped forth to offer to write a new curriculum for this course. A compromise was suggested. Cathy recommended that an I99 student wishing to transition to the Paramedic level be allowed to take a paramedic course and attend 100% of all classroom didactic and practical skill time. Credit will be given for a portion of clinical time completed during the I99 course. Total hours must be 665 for the course. This should include a minimum of 390 hours in the clinical and field setting and a minimum of 275 in classroom. Additionally, the required skills component of the clinical setting will be adjusted to give partial credit for some skills completed during the I99 course. This document is available from the WI EMS Section. A motion was made by Travis Teesch, seconded by Ken Johnson to approve this Transition course as detailed. Motion carried.

 

            Report: Rural Health Flex Grant:  Cathy Etter reported the committee has not met.

 

EMS Policy and Practice Committee: Travis Teesch, committee chair reported on the following meeting topics:

 

            Report: Travis announced the committee discussed priorities and set time frames and goals for meeting those.

 

            HFS 110: Travis reported the committee will be reviewing HFS 110 for revision. This will be the top priority of the committee. Discussions will begin in November at a meeting to be determined for the committee. The goal is to have the recommendations completed by the June 2006 meeting.

 

            Verification of Alternative Learning hours: In anticipation of the EMT-Basic refresher Continuing Education changes, the committee will develop a form for verification of hours to be used by EMS services. This should be completed by August 2006.

 

7 digit phone number: Concerns were raised regarding advertising of 7 digit phone numbers for ambulances. In the 2001 NHTSA State of Wisconsin Reassessment Report the Bureau was encouraged to take appropriate actions to disallow seven digit telephone numbers advertising for emergency ambulance service access where 9-1-1 is available. The committee will discuss it further at a future meeting.

 

 

            EMD: The committee will do a survey on locations currently using EMD for future recommendations.

 

            Trans 309: This document is due for review. The committee will work with the DOT and invite EMSC to participate in discussions.

 

            Narcotic Log Book: In light of recent circumstances, the committee feels minimum guidelines for a narcotic log book is needed. Members of the committee will bring examples log books and will develop guidelines for the use and storage of narcotics for EMS services.

 

MARK I Kits: The committee is asking PAC to review again the guidelines for the administration of the MARK I Auto Injector. They would like to see if EMT’s of any level could administer the MARK I kit to patients as well as to themselves. Motion was made by Travis Teesch, seconded by Gloria Murawsky recommending this change. Motion carried.

 

FAP: Travis reported that the formula developed by the committee and approved by the EMS Advisory Board needed to clarify that the 1/3 allocation for EMT’s should include licensed EMT’s of any level, not just Basic EMT’s. A motion was made by Travis Teesch, seconded by Cal Lintz to clarify this language. Motion carried.

 

EMS Information Enhancement: Ken Johnson, committee chair reported on the following:

 

            Report: The committee did not meet this month, but will resume once the new State Run Report Data Collection system is in place. ‘Image Trend’ was awarded the state contract for their product.  Train the trainer sessions are being planned for November 2005 through February 2006.

 

EMS Injury and Illness Prevention: Brenda Fellenz, committee chair reported on the following meeting topics:

 

            Report: Discussion regarding a variety of ways to promote Injury & Illness Prevention with EMS was discussed. Linda Hale, DHFS Injury Prevention representative presented information during the committee meeting. She advised that information is currently available through her office, including a resource manual. Brenda stated the committee’s priority remains the collaboration between EMS and Public Health issues.

 

            EMS-C: Linda reported that EMS-C will be hosting a meeting in the spring and suggested EMS become involved. Information is available through EMS-C.

 

            Trauma: Marianne Peck, WI EMS Section State Trauma Coordinator- Marianne reported on the Statewide Trauma program and the 9 RTAC’s.

 

EMS Systems: Cal Lintz, committee chair reported on the following meeting topics:

 

Free Standing ED’s: A packet was developed as a reference tool for the WI EMS Section to provide to EMS Services who transport patients to free standing ED’s in their service area. The packet includes appropriate State Statutes and Rules governing EMS and Free Standing ED’s, as well as a checklist for providers to use when discussing transports to the ED with the ED’s Administration. Motion was made by Cal Lintz, seconded by Travis Teesch to approve the packet for use. Motion carried.

 

            EMS Provider Handbook: Cal reported that the committee will be reviewing the current EMS Provider Handbook and will be making recommendations for changes and updates to the WI EMS Section office. This will be a long term project.

 

            Future Projects: Cal reported on a few short term projects the committee will be reviewing. These include the changes to HFS 110, EMD, FAP formula and the impact to EMS Services, and the Statewide Trauma Care System.

 

EMS-C: Susan LaFlash, DHFS EMS-C, reported that National EMS-C measures are now available for review. They are working on a grant at this time for changes in EMS-C. Susan also stated they would be interested in working with the committees on the Trans 309 revisions. She reported on the EMS-C conference, which is scheduled for March 2006 at the Monona Terrace.

 

PAC: Dr Charles Cady was not present. A brief report was given by Dr Gordon and Cathy Etter. The King LT airway was approved as a non-visualized airway device for EMT-Basic and above upon completion of appropriate training. The SA Combi-tube is to be used on anyone between 4 feet & 5 feet tall. There is no age limitation for the use of the SA Combi-tube.

 

State Medical Directors’ Report: Dr. Gordon reported that he would like to work on a statewide EMD program. The Medical Director’s course is nearly completed. It should be available on line once we know who the host will be.

 

State Trauma Report: No report.

 

Legislative Issues: No report

 

Disaster:  Report by Steve Bane; Committee met and it was explained how the Disaster committee will become an Ad Hoc of EMS & Public Health.  Discussion was held on projects that should be worked on, including: State wide Triage Tag/System, it’s understood that other groups may already be working on this and we should identify them and work with them.  Develop a template to assist in the review of Emergency Preparedness Plans.

 

 

State Office Issues:  Cathy reported on behalf of the EMS Section.

 

Old/New Business:

 

  1. EMS Advisory Board Retreat: The Board held a retreat last month. It was decided to rename the committees to include the word “EMS” before each title.  The new committee names will be:

 

A motion by Troy Haase, second by Ken Johnson to approve the restructuring and renaming of the committees. Motion carried.

 

A motion by Joe Covelli, second by Troy Haase to approve the committee chairperson’s. Motion carried.

 

  1. Mass Casualty Trailers: Steve would like the Board to know where the trailers might be located throughout the state. This task will be assigned at a future meeting.
  2. Statewide Triage Tag & System: Steve suggested the Board assist with the development of a statewide system for triaging, including triage tags. Cathy advised the Board that the RTAC Coordinator’s began this process and the WEEPP Training addresses this issue. Further discussion will occur at a future meeting.
  3. Committee Reports: Committees will now have a template to use for generating agenda’s and committee reports. This should help with uniformity of reports for the future. All committees are now required to submit committee reports to Dan within 15 days of the meetings. An agenda will be created at the end of each committee meeting for the next meeting.
  4. Name Tags: The Section is creating name tags for each committee member to help identify the member to the audience.
  5. Committee Make up: Each committee will now have a chair, vice-chair and recording secretary.  
  6. Selection of new Committee members: A ballot of those individuals seeking selection to a committee was presented to the EMS Advisory Board members for review. Steve accepted nominations from the floor. These names were added to the ballot. After the vote, the following new committee members were elected to a 2 year term:

 

Motion by Gloria Murawsky, second by Ken Johnson to accept the newly elected committee members. Motion carried.

 

Other Board Related issues:   None

 

Adjournment:  Motion by Travis Teesch, second by Troy Haase to adjourn. Motion carried.