HomeMy WebLinkAboutReso 1979-9491(_ ~ .
Form No. 342
Revm 3/7~
RESOLUTION N0. 9491
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Hartsc
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RESOLUTION OF THE CITY ~, COUNCIL OF "THE CITY 0~" CHULA
VISTA, APPROVING AGREEll~~[[ENT BETWEEN THE CITY OF CHULA
VISTA AND HARTSON'S AM~ULANCE SERVICE, INC., DBA BAY
CITIES AMBULANCE TO PROVIDE PARAMEDIC SERVICES TO THE
CITY OF CHULA VISTA ANID SPECIFIED ADJACENT AREAS
AND AUTHORIZING TEiE MAS~OR 'I'O EXECUTE SAID A1REEMENT
The City Council of the City of Chula Vista does hereby
e as follows:
NOW, THEREFORE, BE IT k2ESOLVED that that certain agreement
n THE CITY OF CHULA VISTA, a municipal corporation, and
n's Ambulance Service, Inc}, dba Bay Cities Ambulance, to
e paramedic services to the City of Chula Vista and specified
nt areas,
the 8th day of February' , 19 79 a copy of
is attached hereto and incorporated herein, the same as though
set forth herein be, and tl~e same is hereby approveda
BE IT FURTHER RESOLVED that the Mayor of the City of Chula
be, and he is hereby authoxiZed ar~d directed to execute said
lent for and on behalf of tie City of Chula Vistar
iced by ' Approved as to form by
Lane Cole, City Manag
,~4~-~° ~
George Lindberg, City Atto~
ADOPTED AND APPROVED by the CITY COUNCIL of the CITY 0~` Cf~ULA
VISTA CALIFORNIA, this 8th day of February 19 79 by
the f 1lowinr vote, to-wit:
AYES:I Councilmen Gillow, Slott, Cox, Egdahl, Hyde__
NAYES ~: Counc Llmen None
ABSENfi': Councx.lmen None
AT'TES
City Clerk "
STATE OF CALIFORNIA)
COUNT OF SAN DIEGO ss.
CITY F CHULA VIS'TAj
~'Iayor of the City of Chula Vista
I, , City Clerk of the City
of C la Vista, California, DO ~iEREBY CERTIFY that the above is a full,
true nd correct cony of Resolution No. and that the same has
not een amended or repealed. DATED_ __
City Clerk
AGREEMENT TO PROVIDE PARAMEDIC
SERVICES TO THII: CITY OF CHULA VISTA
AND SPECIFIED ADJACENT AREAS
This greement is made and entered into this 8th day of February ,
1979, by and between the City of Chula Vista, a municipal corporation, herein-
after called "City/Contractor" and Hartson's Ambulance Service, Inc., DBA Bay
Cities Ambulance, a corporation, hereinafter called "Sub-Contractor".
W I T N E S S E T H
EREAS, the County of San Diego 'has responsibility for ensuring the
deliv ry of quality emergency medical, services; and
HEREAS, the City/Contractor has'', been designated by the County to supply
subje t services; and
,JHEREAS, Sub-Contractor possessed professional qualifications to provide
specified contingent services;
OW, THEREFORE, the parties do mutually agree as follows:
Term - This Agreement shall commence upon execution of this document
and e~Ctend two (2) years unless otherwise stipulated below.
Page 1 of 8
~'9/
Administration - City/Contractor designates the City Manager,
276 F urth Avenue, Chula Vista, Califprnia 92010, or his designated repre-
sentative to administer the Agreement,on behalf of the City/Contractor.
ub-Contractor designates Robert.. L. Hartson, President, Hartson's
Ambul nce Service, Inc., DBA Bay Cities Ambulance, 4318 47th Street, San Diego,
CA 92115, or his designated representative to administer this Agreement on
behalf of the Sub-Contractor.
11 reports, proposals, letters,'notices and/or other correspondence
shall be sent to the attention of the designated representatives at their
respe tive addresses.
Service Area - Responses to Calls for emergency medical assistance
shall be made in a territory consisting of the incorporated limits of the
City pf Chula Vista, the City of Imperial Beach, and the boundaries of the
Bonita-Sunnyside Fire Protection District and the Montgomery Fire Protection
Dist ict. Total service area equals 8pproximately thirty-six (36) square
miles and includes some 125,000 residents.
4. City/Contractor Furnished Eq~ipment and Services - Subject to per-
formance by the Sub-Contractor in a manner acceptable to the City/Contractor,
City Contractor as an agent of the County agrees to provide to the Sub-Contractor
the ollowing:
A. One Mobile Intensive Cary Unit (hereinafter MICU) and certain
items of medical equipment described by -~ on Attachment B.
B. Necessary communication equipment to operate the paramedic
service as described by t'~ on Attachment B.
Said vehicle and/or equipment may be declined by Sub-Contractor if approved
subs itutes are otherwise obtained.
i. Sub-Contractor Furnished Personnel and Equipment - Subject to perform-
ante
in a manner acceptable to the City/Contractor, Sub-Contractor agrees to:
Page 2 of 8
~~~
A. Maintain and operate at least one (1) fully equipped and supplied
MICU available for providing paramedic services seven (7) days a
week, twenty-four (24) hours per day on a year-round basis. Said
operations shall be in accordance with County Criteria for Mobile
Intensive Care Services (A~tachment A).
B. Staff at least one (1) Mobile Intensive Care Unit (MICU) with at
least two (2) paramedics, seven (7) days a week, twenty-four (24)
hours a day on a year-round basiso
For purposes of this Agreement, paramedics shall be individuals
certified by the County's klealth Officer to operate as paramedics
in San Diego County pursuarpt to Section 1480 et. seq, of the State
Health and Safety Codeo
C. Insure that all certified paramedics complete continuing education
as required by the County ~f San Diego.
~I
Do Acquire, maintain and replace all medical equipment items for
t~.+o (2) MICUs as described jn Attachment 6.
E. Provide all medical equipment items for two (2) additional
ambulances as described byl,** in Attachment B.
60l
Other Sub-Contractor Responsibilities - Sub-Contractor further agrees
,----
to:
A. Maintain the MICU ambulances in a fully operational condition.
B. Notify the City/Contractor immediately whenever any condition
exists which adversely affects providing satisfactory ambulance
service.
Page 3 of 8 R
9~
7. Compensation and Fee Schedulie - This is a no-cost Agreement and
City Contractor will make no reimbursements as a result thereof. Charges for
ambu ance services shall conform with Chula Vista City Council Resolution
No. 062. In addition, an additional! charge of $50 per patient may be
made whenever any or all of the follgwing paramedic procedures and/or
equi ment are utilized:
A. Cardipversion
B. Defibrillation
C. EKG Monitoring
D. Esophageal Airway
E. External IV or Injectio-~
F. Nasogastric Tube
G. Nasotracheal Suctioning)
H. Magi l l Forceps
I. Mast Suit
J. Rotating Tourniquet
K. Venipuncture ',
Billing shall be made directly to persons utilizing the service(s) and
Cit /Contractor will in no way act a~ collection agent.
8. Independent Contractor - Sub-Contractor is, for all purposes arising
i
out of this Agreement, an independentt Contractor, and no employee or agent of
Sub Contractor is, for any purpose art~ising out of this Agreement, an employee
of he City/Contractor.
rq~
Page 4 of 8
1
prey
ind
9. Interest of Sub-Contractor ~ Sub-Contractor covenants that he
~ntly has no interest, including', but not limited to, other projects or
pendent contracts, and shall not acquire any interest, direct or indirect,
which would conflict in any manner o~ degree with the performance of services
required to be performed under this Agreement. Sub-Contractor further covenants
tha in the performance of this Agreement no persons having any such interest
shall be employed~or retained by SubtContractor under this Agreement.
10. Modifications and Extensions - The Agreement may be modified at any
tim by the written consent of the parties. This document, however, fully ex-
pre ses all understandings of the parties concerning the matters covered
her in. No addition to or alteration of the terms of this Agreement, and
no erbal understanding of the parties, its officers, agents or employees,
shall be valid unless made in the form of a written amendment to this Agree-
men ,and duly approved and executed'by the parties' authorized representatives.
11. Property Title - Title to e'pcpendable property whose cost was borne
in hole by the County of San Diego 'finder this Agreement will remain vested
in he County upon termination of th~iis Agreement.
12. Assignability - The Sub-Conttractor shall not assign any interest in
the Agreement, and shall not transfer any interest in the same without prior
wri ten consent of City/Contractor hereto.
13. Termination and Default - i
A. This Agreement may be tjerminated for any reason by either
party giving sixty (60) days' ti~rritten notice to other
party's designated representative, except as defined in
"13.B" and "14"below.
page 5 of 8
'9/
B. City/Contractor may terminate this Agreement for default upon
five (5) days' written notice if Sub-Contractor breaches this
Agreement or if Sub-Contractor refuses or fails to timely perform
any of its duties underl,this Agreement.
14. Indemnity - Sub-Contractor I!agrees to indemnify and hold harmless
City Contractor, its officers, agents,and employees from and against al] loss
or e pense (including costs and attorney's fees) due to bodily injury, personal
injury, professional/medical malpract',ice, including death at any time resulting
they from, sustained by any person orspersons or on account of damages to
prop rty, including loss or use thereof, arising out of or in consequence of
the erformance of this Agreement, prpvided such injuries to persons or
dama es to property are due or claime~'d to be due to negligence of the Sub-
Cont actor, its officers, agents or employees. Sub-Contractor shall have
Work rs' Compensation coverage for its employees under this Agreement.
15. Affirmative Action - City/Contractor and any subcontractors performing
unde this Agreement shall comply with the Affirmative Action Program for
Vend rs, as set forth in Article III ;(commencing at Section 84) of the San
Dieg County Administrative Code. A copy of this Affirmative Action Program
is i cluded as Attachment C.
Page 6 of 8
~9/
1Q.
Records - Sub-Contractor shall maintain accurate books and accounting
recor s relative to this Agreement. such books and records shall be open for
inspe tion and/or copying at any reasonable time by the City/Contractor's
desig ated representative(s), the Audjtor of the County of San Diego, or
their designated representatives.
lh. Reports -
A. Sub-Contractor shall comply with the ambulance report system
of San Diego County by I~ompleting a Prehospital Report Form
on every call made by t~,he MICU or ambulances.
B. Sub-Contractor shall by responsible for submission of
completed Prehospital deport Forms on the first and fifteenth
pa
of every month to the:
rtment If Public Health
Depa ¢
County of Sin Diego
Division of'iEmergency Medical Services (D-222)
1375 Pacifi Highway
San Diego, California 92101
fig. Attachments - The following attachments incorporated herein are
of this Agreement: ',
A. San Diego County Emerglency Medical Services Criteria for
P~tobile Intensive Care 'Services (revised 8/22/78).
8. P~1edical and communication items to be provided in each f~1ICU.
C. Affirmative Action Prdgram for Vendors.
I w_ I Page 7 of 8
~//
execut
N WITNESS 1JHEREDF, the parties hive caused this Agreement to be duly
ed by their duly authorized representatives.
HARTSDN'S AMBULANCE SERVICE, INC.
~' DBA BAY CITIES AMBULANCE
{~ '~ , ~~
Robert L. Hartson, President
CITY OF CHULA VISTA
BY
Lane F. Cole, City Manager
Page 8 of 8
"9~
ATTACHMENT "A"
SAN DIEGO COUNTY
EMERGENCY MEDICAy SERVICES CRITERIA
FOR
MOBILE INTENSIVE CARE SERVICES
1. Criteria for Agency Approval to Provide
Paramedic Services
2. Criteria for Selection of Base Station
Hospital
3. Mobile Intensive Care Physician
Certification
4. Mobile Intensive'Care Nurse Certification
5. Criteria for the~Designation of a Mobile
Intensive Care Unit
6. Medication List
7. Guidelines for Selection of Paramedic
Trainees
8. Paramedic Certiflication Criteria
9. Paramedic Challenge Criteria
(Rev. 8/22/78)
~l
SAN DIEGO COUNTY
CRITEP.IA FOR AGENCY APPROVAL TO
PROVID~ PARA~~DIC SERVICES
1. Offer 24-hour, 365-day service.
2. Agree to provide sufficient manpower to have two paramedics
assigned to each Mobile Intensive Care Unit (MICU) at all
times.
3. Be selected by a loyal jurisdiction as the agency to pro-
vide paramedic services for a set geographical area within
that jurisdiction.*
4. Agree to a7~ide by Cdunty Paramedic Program Criteria.
5. P.gree to respond to '',emergency calls, or to situations in
which a medical emergency may occur.
6. Insure that a first ,responder and a backup system of basic
life support will be available to the MICU's.
7. Enter into mutual aid agreements with adjoining paramedic
units.
8. Provide for a planned maximum response time of 15 minutes
in rural areas and l',0 minutes in urban areas.
9. Insure that paramedic services will continue to be pro-
vided as stipulated for a minimum of two years following
certification.
10. Cooperate with the County in the provision of field
internship locations for future classes.
11. Agree to participate'in community education programs to
teach the public access to paramedic service and CPR.
12. Agree to orient first responder agencies to paramedic
functions and role.
13. Designate Paramedic coordinator(s) for the agency.
*Local Jurisdiction: Cities, districts authorized to provide
emergency medical services.
(Rev. 8/22/78) 1-1
SAl1 DLEGO COUNTY
CRITERIA FOiR SELECTION OF
BASE STATION HOSPITAL
2
41
> be designated as a base station hospital, the following
-iteria must be met:
Must be classified and r~,emain classified at least as a
Basic Emergency Medical' Service (Title 22, California
Administrative Code).
Have the approval of both administrative and medical staffs
of the hospital. '
Procure operational radio and biomedical communications
equipment specified by Slan Diego County.
Accept responsibility fdr replenishing medical supplies
and equipment expended Ly the mobile units during the
treatment of a patient w'ho is transported to the hospital.
Agree to cooperate with'',San Diego County in gathering
statistical data on patients from mobile intensive care
units and maintain accurlate patient care records, ensuring
patient confidentiality,' on all MICU runs. Complete patient
disposition reports.
Have a County-Certified ',Mobile Intensive Care Physician or
Mobile Intensive Care Nurse available at all times to com-
municate immediately wi~h the Mobile Intensive Care Paramedic
in the field.
Appoint a MIC Physician 'to be in charge of overall direction
and coordination of units and satellite hospitals.
Appoint a Hospital Staff Physician as Paramedic Project
Liaison Officer.
9. Appoint a Mobile Intensive Care Nurse as Paramedic Clinical
Training Coordinator.
10. Agree to provide clinicall facilities for supervision,. and
instruction as part of ~.he paramedic core training course
and paramedic continuing education requirements approved
by the County Certifying Officer.
11. Agree to provide a minimum of four hours per month of
formal tape review for MIC Physicians, Nurses, and Paramedics.
ev. 8/22/78) 2-1
9~
12. Appoint a Base Station Committee to meet monthly, r4ember-
ship shall be composted of one voting representative from
each of the following
A. Each Area Receiving Hospital (exclude if also a
Base Station Hospital)
B. Each Area Paramedic Service Provider.
C. The Base Station MIC Physician (see Item 7 above).
D. The Base Station MIC Nurse (see Item 9 above).
E. Base Station Admlinistrator.
F. Each Area FirstjP.esponder (Exclude if also a paramedic
service or ambulance provider).
G. Each Ambulance Pjrovider (Exclude if also a paramedic
service provider)
Representatives of ~,he following agencies should also attend
meetings as non-voting technical advisors:
A. U.C.S.D. EMS Training Division.
B. San Diego County Emergency Medical Services.
C. A Paramedic from] each Paramedic Service Provider,
unless representing "B" above.
D. Representatives'from the Public.
13. Enter into a contract with the County of San Diego to
provide services utilizing certified mobile Intensive
Care Paramedics.
14. Agree to communicatq all patient medical management infor-
mation to receiving ',hospital when patient in the field is
directed to that ho~!pital.
15. Accept such Countywide protocols for paramedic procedures
as are approved by the County Health Officer.
16. Agree to provide orientation regarding Mobile Intensive
Care to appropriate'~employees of the hospital.
17. Participants in Emercency Medical Services area planning:
a) Clinical Conditions (trauma, cardiac, etc.), b) Disaster
Planning, and c) Direct patients to facilities in accordance
with the Area's Plan.
Criteria for Selection
(Rev. 8/22/78) 2-2 of Base Station Hospital
SAN DIEGO COUNTY
MOBILE INTENSIVE CARE PHYSICIAN CERTIFICATION
s
I
c
A
B,
(R~
imply with American College of Emergency Physicians (ACEP)
:andards for certif ication land recertification for Mobile
itensive Care (MIC) Physicians when such standards are de-
:loped and implemented.' Until that time, the. following
-iteria will be in effect.
Requirements for Certification:
1. Be an emergency. department physician practicing
in a Base Station Hoispital.
2. Be certified in Advanced Life Support by the
American Heart Association.
3. Observe on a paramed~.c unit for a minimum of
four paramedic, respo#~ses.
4. Attend orientation program on San Diego County
paramedic system by 1$ase Hospital MIC Physician
or Nurse Coordinator,
Recertification
1. Certification will b~ valid for two years.
2. Physician must attend 16 hours per year of
continuing education relative to paramedic
functions. (Tape reviews, paramedic or MIC
Nurse teaching.)
'v. 8/22/78)
3-1
4/
SAN DIEGO COUNTY
MIC NURSE CERTIFICATION CRITERIA
I. Basic Requirements for Certification:
A. Candidate must Abe a current California Registered
Nurse ,
B. Candidate must be a permanent employee of either:
1. A Base Stat~lon Hospital, assigned
a. Full-time in a paramedic receiving
area, o
b. Part-tide with a minimum of 16 hours
per weep in a paramedic receivinq area,
or
c. In a critical care area and attend a
monthlyl,orientation including eight
hours ofi Emergency Room assignment
with specific emphasis on acutely ill
patients'„ or
d. To a critical care area and monitor
and/or participate in at least two MICU
radio calls per month, or
e. As param~~edic nurse coordinator
2, The Paramedic Training Office
C. Candidate must pass a written MICU exam with a minimum
of 80o knowledge,in all areas,*
D. Candidate must o~serve paramedic functions on a minimum
of eight paramedic responses.
E. Candidate must attend are orientation to Base Station
responsibilities:.
II: Recertification:
A. Candidate must a~hnually attend 16 hours of continuing
education relati~e to paramedic functions. Eight hours
of this requirement may be fulfilled at formal tape
review.
B. It is recommended. that the candidate respond with an
MICU to a minimum of four emergency calls every six
months.
*See note at bcttom of page 4-2,
(Rev. 8/22/78) 4-1
C. Qualified candidates.. must pass a written recertifica-
tion exam every two years, with a minimum of 800
knowledge in all areas.*
III1
Revocation of Certification:
A. If for any reason an,individual fails to meet the
criteria for a period of three months, said certifi-
cation may, be revoke by the County Health Officer.
B. Certification may be ', questioned at any time for any
of the following rea~ons:
1. Inadequate clinical knowledge
2. Lack of proficienc~y with technical skills
3. Lack of judgment'or responsibility
4. Inability to mee~+ recertification
requirements
C. Certification may bequestioned by an involved party,
but investigation procedure must be initiated by a
representative of thq Base Hospital, the Training
Agency, or the County Health Officer.
D. Procedure for investigating certification shall be as
follows:
1. Party initiating ',action shall submit a
~~~ritter~ request flor investigation including
all pertinent dat',a (facts, dates, names, wit-
nesses, etc.) to ''..the County Health Officer.
2. County Health Off~,icer shall inform subject
of the proceedingjs and request any informa-
tion pertinent td the claim.
3. County Health Off'',icer shall call a panel of
three, one of whom shall be a member of the
EMS Training Offijce, to review all material
and employ whatevler testing devices deemed
necessary to reac'~h a conclusion. The person
being considered ',for decertification should
have an opportunil,ty to speak and to appear
before the panel.
4. The panel shall mike written recommendation of
the decision to the County Health Officer. -
5. The County Health Officer will notify Base
Hospital and subject. Health Officer will
contact the persom lodging the complaint.
*I the event of failure of an MIC Nurse exam, candidate may be
a lowed to repeat exam following additional study. Exam may
n t be repeated a second time within 12 months. A minimum of
8 o is the required pass level on repeat exams.
/9/
5) Provide sufficient clear floor space
(not less'', than 18 inches) on one side
of the stretcher to allow a person to
perform Cardiopulmonary Resuscitation
(CPR) whi'',le kneeling
6) Provide an inside height of at least
54 inches.
4. Be operated by a, private or public agency authorized
by the County Health Officer to provide MICU services.
(Rev. 8/22/78) 5_2 Criteria for Designation
of a MICU
SAN DIEGO COUNTY
GUIDELINES FOR THE
SELECTION 'OF PARAMEDIC TRAINEES
1. Candidate must be employed by, or have a commitment for
emplo~~nent by an agency authorized to provide paramedic
services.
2. Candidate must enter training voluntarily and be willing
to commit 100% time'',to the training program.
3. Candidate should hate at least one year experience in the
provision of emergency care in the prehospital setting or
current EMT-I Certificate.
4. Candidate must be recommended by current employer.
5. Candidate must be a',high school graduate or produce a GED
Certificate.
6. Candidate must have at least Advanced American Red Cross
First Aid Training.)
7. Candidate must be in good health and must comply with the
physical requirements of the employing agency.
8. Candidate must have ',the elementary skills to communicate
orally and in writing.
9. Candidate must hold 'a current CPR card.
10. Candidate must pass ',preliminary screening by the San Diego
County EMS Training~Office for elementary skills in reading,
comprehension, and arithmetic.
11. Candidate must pass an oral examination by San Diego County
EMS Training Off ice ',which evaluates motivation, reasoning,
and potential to suGCeed in the training program.
(Rev. 8/22/78) 7-1
MEi)IC.1TIOi] i_IS'I'
effective 3/1/76 (1/25/78 Rev.)
DRUG
minophyllin
tropine
enadryl
alcium Ch1o ide
extrose, 50%
opamine
pinephrine
lucola
nderal
nstant Gluco e
pecac
suprel
susprel Inha ant
3S1X
.idocaine
[orphine Sul_ate
arcan
itroglycerin
itocin
odium Bicarb note
alium
J Solutions
finger's Lact to
o De~arose/td ter
ilt Poor Alb min
IND7 ~ATIO;~~
bronchospasm
brad_ycardias
organophosphate
poisonings
allergic reactions
asystole
electro-mechanical
dissociation
diabetics
unconsciousness
seizure of unknown
origin
hypotension
asystole, severe
bradyarrh_ythmias
bronchospasm
alert diabetics
supraventricular
tachycardias
diabetics
drug overdose
(alert patient)
heart blocks
bronchospasm
pulmonary edema
ventricular
irritability
pre IV insertion
pain- MI,burns;
pulmonary edema
narcotic & unlcno"m
overdoses
unconsciousness
angina
post-partum
hemorrhage
acidosis
DOSAGE ROUTE
250-500m~/ IV drip/20 min.
20m1. D5W volutrole
0.5-1.Omg. IV Push
2mg. (may repeat) IM, IV Push
25-50 mg. IM, IV Push
1 GI`;/lOml. IV Push; IC
25 gms/50m1. IV Push
status epilepticus
severe an>:iety reaction
precardioversion
200-400mg./250m1. DSi~ IV drip (titrate to B/P)
0.5-lmg. ,(lOml. IV Push, IC
', 1:10,000)
', 0.3m1. of 1:1,000 SQ
~ 7 oz. Bottle p,o.
(75gms.)
1-4mg.(0.5mg. increments) IV Push (titrate to pulse)
1/2 tube (12.5gms.) between gum and cheek
15-30m1. p.o.~
1-2mg./250-500m1. D5W IV drip (titrate to pulse)
1-2 breaths inhalation
20-80mg. (up to 200mg.) IV push
50-100mgg IV Push
1-2gm/250-500m1. DSTJ IV drip
0.1 cc intradermal
2-15mg, in 2mg. increments IV Push
', 5-15mg. IM
0.4mg. (may repeat) IV Push, IM
0.4mg (gr. 1/150) sublingual
'' 3-10 u. IM
10-20 u./500m1. D5W iV drip
i m%a/kg X 2 dcses, IV Push
then 1 mEq /l:g q 10 min.
2.5-20mo. (up to 40mg.) IV Push
(in small increments)
?`liscellaneous
~OOOml. Bag Ammonia Ampules- i to 2 deep inhalations
50-500m1. Bag ?Formal Saline for Irri€ation (1000m1.)
12.5 gms/50m1. Bottle Antibiotic Ointment (Polysporin)
Disinfectant (Zenherin or I3etadine)
Liquid Deterhent (Pl~isohe::)
X75; reviscc? 1/76
~rrectc~:] '/7
~viscd <<i 77 (Licio~aine-?:cute)
~~ -.
,_, _ ,
SAN DIEGO COUNTY
PARAMEDIIC CHALLENGE CRITERIA
The purpose of the Paramedic Challenge Exam process is to
establish a list, which is renewed annually, of individuals
eligible for employment and potential certification as a
Mobile Intensive Care (1~IC) Paramedic within San Diego
County.
I. Candidate Qualifications:
A. Must meet all requirements of Section 1102(a)
(1) (C) of Title ',13, California Administrative
Code, which prohibits sex offenders, narcotics
users,~alcohol abusers, felons, etc., from
operating an ambulance.
B. Must be qualified paramedic (meeting standards
of HEW-DOT Curriculum).
C. An individual failing the San Diego County Chal-
lenge Examination may repeat this examination
only if documentation of additional paramedic-
level education 'is submitted with the registra-
tion questionnaire. The EMS Training Office
will review applications on an individual basis
to determine eligibility for reexamination.
D. Candidates who axe eligible for employment, but
fail to obtain a' commitment for employment dur-
ing the time frame of the eligiblity list, must
retake the Chall',enge Exam to remain eligible
for employment.
E. A Challenge fee may be charged to each candi-
date to recover costs of providing the chal-
lenge process. ';Such fee to be established by
the organization conducting the examination.
II. Candidate Certificatlion:
Certification as a S!~n Diego County MIC Paramedic will be
contingent upon:
A. Demonstration of',competency in paramedic-level
knowledge and sk',ills on a four-part written
exam, a practical) exam, and an oral exam.
Each section must be passed with at least 800
in order to proceed to other exam sections,
and
(Rev. 8/22/78) 9-1
B. Certification may b~ questioned at any time for any of
the following reasons:
1. Inadequate clinical knowledge
2. Lack of proficiency with technical skills
3. Lack of judgment; or responsibility
4. Inability to meet recertification requirements
C. Certification may bel questioned by any involved party,
but investigation procedure must be initiated by a
representative of th;e Base Hospital, the Training
Agency, or the Count',y Health Officer.
D. Procedure for investigating certification shall be as
follows:
1. Party initiating action shall submit a
written request for investigation, including
all pertinent dajta (facts, dates, names,
witnesses, etc.) to the Cour_ty Health Officer.
2. County Health Officer -shall inform subject
of the proceedings and request any informa-
tion pertinent to the claim.
3. County Health Officer shall call a panel of
three, one of :ahem shall be a member of the
Training Aaenc;%,' to review all material and
employ ;ahatever'testing devices deemed neces-
sary to reach a decision. The person being
considered for decertification should have
an opportunity to speak and to appear before
the panel.
4. The panel shall rake a written recommendation
to the County Health Officer.
5. Tl:e County Health Officer will notify Base
Hospital, sponsofing agency, Training Agency,
and the individu«1 involved. Health Officer
will contact thelperson lodging the complaint.
(~ev. 8/22/78)
8-3 Paramedic Certification
Criteria
~4/
SAN DIEGO COUNTY
PAF.AhZEDIC CERT'',IFICATION CRITERIA
I
Base Requirements for Ce',rtification:
A. Successful completion of the San Diego County Paramedic
Training Program, or
B. Successful completion of the San Diego County Paramedic
Challenge process
C. Employed by an agency which has contracted with the
County of San Diego''to provide paramedic services
Recertification: '
A. In order to qualify 'f or recertification, the candidate
must complete all of the following each year:
*l. t;'ork on a Mobils Intensive Care Unit at least
80 hours every month, or participate in a min-
imum of 50 medial r-uns every month.
I
2. Accrue at least ,five hours of clinical exper-
ience every three months, beginning the month
of graduation. A maximum of two hours every
three months car be accrued at a hospital
other than the assigned Base Station Hospital
if prior permission is given by both hospitals.
3. Accrue at least two hours of tape review at the
assicrned Base Hospital during ten of the 12
months, beginning the month of graduation.
4. P.ttend at least'18 hours of related continuing
education classes per year, at least eight hours
of which must b~ classes offered by the Training
Office. (This means that ten of the 18 hours
can be accrued from outside sources, as long as
they are parame~ic-related; although, it is
acceptable to get all 18 hours from the Training
Office if desired . )
The Training Office will offer monthly classes of
four hours eachion subjects requested by the certi-
fied paramedics', the base hospitals, or the train-
ing staff. Thel,schedule will be prepared a year
in advance, but the topics ~-gill be chosen about
three months in advance to accommodate requests.
~Or show satisfactory equivalent to excuse vacation or illness.
(~ev. 8/22/78) 8- 1
/4/
5. Perform to the satisfaction of the Base
Hospital, the sponsoring agency, and the Para-
medic Training Office. Each candidate must have
at least twp satisfactory field evaluations
on file annually in order to qualify for re-
certification. Field evaluations can be com-
pleted by either the training staff or the MIC
Coordinators at the Base Hospitals.
B. Recertification will be required every two years in the
months of Marchand September. Those graduating the
first six months of the year will recertify in March,
and those graduating the last six months of the year
will recertify in September.
1. If a candidate fails any .part of the recerti-
fication exam, he/she must be retested on that
part within one month, and will be retested on
the entire exam again one year from that time.
Following successful performance at that time,
the individual will again be placed on a two-
year recertification schedule.
2. If a candidate fails. more than one section on
the initial',recertification exam, or fails any
retake exam,', the records will be forwarded to
the Appeals 'and Review Committee, which will
determine wi~ether that individual must be
formally retrained or should be decertified.
3. If an individual is shown to lack competence in
any given area as demonstrated by failure on any
exam or part of an exam, that individual shall
not perform I,in a paramedic capacity until such
time as compjetency is again demonstrated on a
repeat exam.'
C. It will be the riesponsibility of each individual para-
medic to preparelfor the exam by self-study and attendance
at appropriate lecture sessions.
D. Candidates vaho gjualify and successfully pass the recerti-
fication exam wi',11 be recertified by the County Health
Officer.
III. Decertification:
A. If for any
Continuing
for a perm
revoked by
(Rev. 8/22/78)
reason the individual fails to meet the basic
Education requirements for recertification
~d of 'three months, certification may be
the Cr~unty Health Officer.
8-2 Paramedic Certification
Criteria
B. Employment by an agency authorized to provide
MICU service within 'SS an Diego County, and
C. Successful completion of a field internship of
no less than 72 hour's and no more than 480 hours,
during which the can',didate must demonstrate compe-
tency in each of the areas defined as necessary
for the paramedic role.
(R~v. x/22/78)
%y~
9-2 Paramedic Challenge
Crite~~ia
ATTACHP1ENT B
Page 1
*S~pLIED BY EMERGENCY p1EDICAL SERVICES
Non-}Disposable Items
1. ABS Trauma 13ox
2. IIackboard (spine boar d', set short)
3, Defibrillator (combinakion scope
and defibrillator)
4. Drug Rox
5. Hare traction splint ('adult)
6. Hare traction splint (;pediatric)
7, Mast Suit (received} (,Standard anti-shock
airpants)
8. Resuscitator - Robert Shaw with aspirator
9, Scoop stretcher
10. Splints: Instaform Vacuum (set of 5
individual splints)'
11. Splint: Instaform Vacuum-hand pump
12. Splint: Instaform Vacuum Velcro straps:
1"x18"; 1"x24"; 1"x~0"; 1"x36"
13. Splint Instaform Vacuum-Repair Kit
ications:
1. Handie Talkie •
2. Mobile Radio
3. COR telemetry Radio and Battery Charger
X19/
Minimum ~l
Per vehicle
2 each
1 each
1 each
1 each
1 each
1 each
1 each
1 each
1 each
1 set
1 each
1 each
1 each
1 each
1 each
1 each
**S~PPI;IED BY BAY CITIES A.~tBULANCE
-9/
ATTACNi9ENT B
• Page 2_
Piinimum ~>f
Non-Disposable Items ' per Vehicle
1. Ambu Bag (Laerdal Resu;~sci Folding Bag
II complete with c'~ase) 1 each
2. Bandage Scissors (7 1/~+" Stainless) 2 each
3. Bedding top-sheet ' 1 set
4. Bedding-bottom sheet ' 1 set
5. Bedding-pillow case 1 set
6. Bedding- pillow (cot a bulance) 2 each
7. Bedding- blanket (cot ~lanket - med. gray) 2 each
8. Blan}cots - Disposable (KCD disposablanket) 1 package
9. flood pressure cuff - adult 1 each
10. Oral Airways (package of six assorted
sizes) 1 package
11. Bite sticks - Ipistick', 1 box
12. Burn sheets ~ 1 box
13. Cardboard splints - co#nbination 12", 18",
24" splints 1 package
14. Cotton applicators 1 box
15. Cold Packs - Kwik Kold'', 2 boxes
16. Emesis basin (disposal;) 6 each
17. Gloves (sterile) 2 each
18. OB Kit ~ ~ 2 each
19. Oxygen Mask (clear Vinyl with 84" tube) 3 each
20. Nose prongs (nasal cant~ula vinyl with
tube) '~ 3 each
21. Connective tubing (Oxygen soft plastic
tubing 84") ' 6 each
22. Urinal 1 each
23. Bedpan ', 1 each
ATTACHf1EWT B
Page 3.
~~~~* (&
'91
SUPPLIED BY AMBULANCE SERVICE OR BASE STATION HOSPITAL, AS APPLICABLE:
Minimum /I
Non-Disposable Items per vehicle
1. Blood pressure cuff - pediatric 1 each
2. Electrodes (long term 4 electrodes
per package) ', 1 box
3. Electrode LJires (40" lgng life) 2 sets
4. Esophageal airway (Kit) 2 each
5. hemostats (1:e11y 5 1/2'! straight) 2 each
6. Laryngoscope - Hook on ',handle 1 each
7. Laryngoscope - Adult Carved stainless
steel blade, size /~ 1 each
8. Laryngoscope - Adult (straight chrome
blade, size 4) 1 each
9. Larynogoscope - child straight chrome
blade, size 3) 1 each
10. Laryngoscope - Infant straight chrome
blade, size 2) ' 1 each
11. Rotating tourniquets 1 set
12. Sandbags (assorted sines) 1 set
13. Stethoscope (Bard Parker Duosonic) 2 each
14. Thermometer - Oral - 2 each
15. Thermometer - rectal ~ 2 each
16. Magill Tonsil Forceps ', 1 each
17. Adhesi~~e tape (1/2"x la yards) 2 rolls
18. Adhesive tape (1"x 10 yards) 2 rolls
19. Adhesive tape (2"x 5 yajrds) 2 rolls
20. Alcohol Swabs (100 swabs per box) 1 box
21. Armboard: Long ' 6 each
22. Armboard: Short 6 each
23. Bandages: ',
> - a. 4"x4" - sterile 1 box
b. 5"x9" ', 2 trays
c. Gauze Rolls - 4"x5 'yards - Kerlix,
. Kling 2 packages
d. Elastic Bandages (31"x5 yards) 1 box
e. Eye patches (oval eye pads) 1 box
f. Triangular bandages. 1 packages
g. Bandaids (3/4" x 3"''~,) 1 box
24. Cardboard Splints - Arun 6 each
25. Cardboard Splints - leg, 6 each
26. Electrode Paste "EKG So',1" 2 bottles
27. IV Administration Sets:'. Plexitron
Macrodrip 12 each
Plexitron ~{icrodrip'' 6 each
Plexitron riicro dri~ with Volutrole 6 each
28. Nasogastric Intubation Set-up 18fr. 45" 1 each
29. Needles:
IV scalp vein - 19 gauge 8 each
IV scalp vein - 21 gauge 6 each
IV scalp vein - 23 gauge 6 each
IV cannula - medicut - 18G 8 each
IV cannula - medicut - 16G 6 each
IV cannula - medicut - 20 6 each
-B
General Community Hospital -2
Non-Disposable Items - continued
Needles:
z r i 21 G x 1"
S.C. 23 G. x 3/8"
Vacutainer Needles 21 G. x 1"
30. Penlights - disposable
31. Razors
32. Scalpels
33. Suction catheters (14~r.)
34. Tourniquets (1/2" Penrose Tubing)
35. Vacutainer Holders
36. Vacutainer Tubes
~9/
.ATT~.CHtiENT 3
Page 4
tiinimum ~1
per vehicle
6 each
4 each
4 each
2 packages
2 each
2 each
3 each
2 each
2 each
6 each