August 3, 2005
Board Members present: Bureau Staff:
Steve
Bane Meg Taylor
Tracy
Aldrich Dan
Williams
Brenda
Fellenz Cathy Etter
Troy
Haase Marianne
Peck
Cal Lintz Dr. Bruce Gordon
Steve
Teale Ann Moses
Travis
Teesch
Joe Covelli
Gloria Murawsky
Mark Fredrickson
Keith Wesley
Board
Members Excused: Dr. Ken Johnson
Others
in Attendance: Representing:
Barb Kuska Beloit Memorial Hospital
Allen Hefter PFFW
Todd Van Langen West Bend Fire Dept.
Jan Beyer UW EMS Program
Don Kimlicka Sparta Area Ambulance
Judy Jones Luther – Eau Claire
Fred
Hornby Bell
Ambulance
Steve
Pilsner Wausau Fire Department
Suzanne
Martens Sheboygan
Co EMS
Larry
Knuth Paratech Ambulance
Beth
Natter Mercy Hospital – Janesville
Bob
Nack Fox Valley RTAC Coordinator
Tom
Fennell Mayo Medical Transport
Keith
Kesler Douglas County Emergency Management
Jan
Victorson Bayfield County Emergency Management
Laura
Ahola U.W.
Hospital
John
Duffy Fond du lac Fire Department
Tim
Hillebrand Dane
County EMS
Carrie
Meffert Dane
County EMS
Brian
Reynolds Milwaukee Fire Department
Mike
Jankowski Franklin
Fire Department
Susan
LaFlash DHFS
- EMS for Children
Dawn
Wolfcale Northeast Wisconsin Technical
College
John
Kramer Delavan
Rescue
Jeff
Jensen Advocates for EMS & Zoll Medical
Linda
Hale DHFS – Injury Prevention
Chair,
Steve Bane called the meeting to order at 10:00 AM at the Crowne Plaza,
Madison. Steve asked everyone in
attendance on the Board and the audience to introduce him or herself.
Motion by Teesch, seconded
by Aldrich to
approve the June 2005 Board minutes. Motion
carried.
The Standing Committees gave their reports. Included in each standing committee report was a report from any ad hoc committees that are assigned to the standing committee.
1.
The
main committee did not meet.
EMS
Partners ad hoc: Cal Lintz, committee chair
stated that the committee reviewed and discussed the following issues:
1.
Status
of HFS – 113. Dan advised that the process is moving according to schedule and
that the EMS office is getting significant contacts from services wishing to
participate in the new advanced skills.
2.
Dan
advised that the department is reviewing the RFB applications and will be
selecting a vendor very soon.
3.
Travis Teesch, Chairman/Policy and Practices Committee reported on committee
actions from 7/14/05 meeting specific to (1) the proposed formula for FAP
funds, and (2) the proposal to extend EMS licensure for EMT-Basic to 4-year
cycle with 48 hours refresher training.
Document will be prepared by WI EMS Section
detailing the language and intent of the abovementioned proposals.
4.
Ken Sternig reported Ad-Hoc Committee for Distributive Learning Announced tentative one-day workshop in December, 2005 to discuss
technical aspects of distributive learning for audience of EMS training
administrators and EMS educators
Gloria Murawsky reported that:
1.
EMT-B Curriculum Review:
Dan mentioned that at this point the only thing needed is core
content changes and the format of the curriculum (such as WIDS) can wait. For time sake it was suggested a small ad-hoc
to go through the EMT-B core content to pull out items that should be part of
the refresher. An ad-hoc was
established consisting of Gloria Murawsky, Troy Haase, Brian Reynolds, Mike
Jankowski, Steve Teale and Nicky Symons. Steve asked if the optional advanced
skills should be in general refresher. It was felt that they would not since
not all services will use the same equipment.
2. Scope of Practice: Gloria handed out the scope of practice lists for review. Several changes were made to the first responder and EMT-Basic scopes to keep continuity between levels. Suggestion was to change all mouth to mouth, nose, stoma, etc to basic airway maneuvers. Also automated BP will be removed from approval required to extra training needed. It was decided to add another star line. The new scope will show ** for extra training needed and *** as approval and extra training needed.
Question on manual defibrillation was raised as why it is still there. It was mentioned by Steve that this was due to a hardship of some services. Hemorrhage control list will be revised to have consistency between levels. Tracy raised questions on Nitro and Epi as to training & approval. Dan mentioned that it will probably become part of the curriculum and therefore will not require the approval and extra training if this happens. Suggestion to revise the Albuterol and Atrovent listings to state “unit dose” and remove “combined”, also to separate Epi auto-injector and manually drawn Epi. It was felt that administration of manually drawn Epi should require extra training and approval.
3. First Responder Modules: The modules developed by an ad-hoc group in 2001 were handed out for review. Steve mentioned that he is not sure if the information still applies well to the first responder as they were based off the EMT-Basic training. Gloria mentioned she will clean up the modules by the end of the week and send to all committee members. Members will need to get any suggestions and/or changes to Gloria within 2 weeks. One change made was to remove the name “Combitube” and replace it with “dual lumen non-visualized airway”.
Travis Teesch reported on the committee meeting,
which included:
1.
Chairperson
Travis reviewed the motions that were made at the July meeting. In order to clear up the motion regarding
FAP Funding, he asked for a motion to move the $200,000 dollars that had been
shifted from the general fund to the training fund back to the general fund to
restore that funding level to the previous $3588 dollar base amount for each
service.
2.
Chairperson
Teesch re-read the motion from the July 14 meeting “...to use the following
weighted formula for use in distributing the previous training allocation
funding which is $800,000: 1/3 – population, 1/3 – number of EMS licensed
personnel, 1/3 – service call volume.”
After discussion and questions, Dan Williams stated that his office
would need to clarify in information sent to the services that the 1/3 of the
roster numbers should be basic EMT’s only.
The information will also state that each EMT-Basic must declare their
primary department so that they appear on only one roster. With these clarifications, the committee
affirmed that they still approved the motion as passed in July.
3.
The
EMS office will also develop a uniform set of skills check-off lists that the
services will be expected to use as verification that the provider has
demonstrated competency during the retraining period. This will be done after the core skills have been defined.
Steve Teale pointed out that
services will need to be reminded of their responsibility for record keeping with the changes in
continuing education for re-licensure.
The Bureau will need to develop a form so that all services use the same
format for documenting training according to Dan. Dan also pointed out that it is, always has been, and will
continue to be an individual’s responsibility to maintain their own
license. Therefore, each individual
should be encouraged to maintain their own accurate records.
1. The committee did not meet.
Brenda Fellenz
reported on the following committee meeting actions.
1.
Public Health Data Collection:
Each
Committee member contacted public health agencies in their local counties and
reported the data collected regarding the current and potential working
relationship between public health and EMS. There were various levels of
activity between EMS and the local Public Health offices, ranging from very
little to completely involved. The committee then outlined the following
strengths and areas of concern.
What is working well with EMS & Public Health?
Ø
Bioterrorism
Ø
Injury Prevention
Ø
Interest in working
together
Ø
Hospital Injury
Prevention
What are the obstacles for EMS & Public Health?
Ø
Finances
Ø
Independence of each
agency
Ø
Turf protection
Ø
Lack of understanding
Ø
Bureaucracy
Ø
EMS resources are being
cut
What are the opportunities?
Ø
EMS is an excellent human
resource for disaster/crisis planning
Ø
EMS council/alliance
with public health
Ø
Partnership with public
health
Ø
Partnership with
programs
Ø
Development of a list of
resources for each agency
SYSTEMS MANAGEMENT.
1.
EMS Protocol for
Ambulance Transports to Free-Standing ERs – Step 1:
·
Completed
the final language for generic EMS protocols for referencing guidelines
specific to the transport of patients to free-standing emergency rooms
·
The
categories formatted into these EMS protocols will include (1) a glossary of
DEFINITIONS, (2) the PURPOSE of the document, (3) a POLICY STATEMENT for the guidelines used of determining
destination choice and (4) the EXCLUSION
CRITERIA with
declarative explanations
·
The
final document will be reviewed by the Committee at the October 4th,
2005 meeting for submission to the WI EMS Advisory Board for final approval
·
If
approved by the Board, the WI EMS Section will prepare a “package” of documents
to supplement these guidelines including (1) WI Chapter 118 – Trauma Care, (2)
WI EMS Section Position Statement on Hospital Destination dated 1997, and (3)
guidelines for establishing free-standing ERs from the WI Bureau of Quality
Assurance
CQI
Committee did not meet.
Disaster
1.
The committee did not meet.
Susan La Flash handed out National performance measures that were released 7/2005.
The
interfacility Transport guidelines should be completed at the September PAC
meeting and will then be sent out to several groups, including the Board for
final comment.
Medical
Director Report.
The Medical Director discussed several areas that he
was currently working on.
Marketing committee involvement. Communications
movement to for EMD education.
STAC
Report.
Marianne reported that the Legislature and the
Governor had approved funding for the Trauma System that will begin July 1,
2006. This was a tremendous effort on many people’s part and everyone that sent
letters of support should be congratulated on a job well done.
Dan advised the Board that the Board that no new EMS legislative issues were being discussed at this time.
Most items have been reported on
previously.
Resumes for those interested
in committees must be submitted by September 2, 2005. The open positions will
be voted on and appointed at the October meeting.
Agenda item
# 7 Other Board Related Issues.
The Board offered a special thanks to the WEMSA
Board for their letter of support for the Trauma System.
Agenda item #10 Adjournment.
Motion by Covelli, second by
Teesch, to adjourn. Motion carried. Meeting adjourned at 11:10 AM.