december 2017 wla agenda - western lane ambulance district · accounting or financial analysis,...

WESTERN LANE AMBULANCE DISTRICT

REGULAR BOARD MEETING

December 28, 2017

REGULAR BOARD MEETING AGENDA

CALL TO ORDER

ROLL CALL

Approval of the Regular Board Meeting Minutes for the Month of

November 30, 2017. (Action)

Public Comment:

This is the opportunity for the public to speak to the Board of Directors on any item not

on the Agenda. The maximum time for public comment will be 30 minutes and three

minutes will be allotted for each speaker.

New Business: Attachments: Office Manager Job Description Agenda Bill Office Manager Job Description Finance Attachments:

See Attachments for Additional Information: November 2017 Financials

November 2017 Transaction listing (discussion and action)

CHIEF/DIRECTOR’S REPORT: See Attachments for Additional Information: OPS MANAGER REPORT: See Attachments for Additional Information:

MW, 12/22/17

CORRESPONDENCE:

Future Agenda Business: The next regularly scheduled board meeting will be held on

Thursday, January 25, 2017 at 12:00 pm.

EXECUTIVE SESSION (IF NEEDED) ORS 192.660.

Director Comments

ADJOURNMENT

Approved ____________

2

12/22/17

WESTERN LANE AMBULANCE DISTRICT REGULAR BOARD MEETING

November 30, 2017

DIRECTORS PRESENT: MIKE WEBB CINDY RUSSELL DICK CHILDS RICK YECNY LARRY FARNSWORTH

DIRECTORS ABSENT:

OTHERS PRESENT: Matt House, Jim Langborg, Karin Guy, Jim Dickerson, Ali Gharib, Zach Werner, Charlie York, Darrek Mullins, Rob Chance, Ben Taylor, Danielle Hanson, John Harder, David Rossi, Ronnie Pearson, Zach Werner, and Mark Brennan with the Siuslaw News.

PUBLIC COMMENT: None.

NEW BUSINESS: Director Farnsworth discussed the Board Policy Review whereby Operations Chief, Chief Director & staff can request assistance from Board members who have skills to assist with various tasks, e.g., analyzing data. A standard of governance which can appropriately respond to requests for accounting or financial analysis, contract negotiations. Director Webb noted a policy re-write will be conducted soon. Chief Director Langborg suggested working at both Board policies and create identical policies between the two Boards. Director Farnsworth also suggested for that there be better & timely communication to all Board members. That the communication comes from the Chief Director to Board President Webb who then can communicate with the other Board Directors. Director Webb suggested Chief Director go to the Board to avoid creating a public meeting. Chief Director Langborg offered to provide a weekly update. Director Webb suggested he sent to all Board Directors but remove the ability to “reply to all” so as not to create a Board meeting.

APPROVAL OF MINUTES: Director Farnsworth made a Motion to approve the minutes as written for October 26, 2017. Director Russell seconded the Motion. Roll Call with Motion passing unanimously.

FINANCE/HR REPORT: Ross Schultz, Interim Admin Manager, who arrived Tuesday afternoon, has just begun reviewing the finances. The October financials did not include the payroll but he was able to determine that the total payroll liability to be approximately $128,000 which one is added in, shows that we are within budget on payroll. Other departments and sub sections are also well within budget. Director Yecny requested that the revised October statement be provided prior to the next Board meeting. Ross will provide it next week. Director Webb requested that the EFTS also be reported on the Transaction Report, but the Deposits do not need to be shown. He also requested that the billing system provide information on the A/R trending, and would like an A/R Aging Report. Director Yecny also asked for the A/R Aging trends. Director Yecny noted that no checks were issued during one week in October which coincided with Karin Guy’s five day absence for knee surgery.

TRANSACTION REPORT: Director Yecny made a Motion to approve the transaction list. Director Farnsworth abstained since he is a Vendor. Director Russell seconded the Motion. Roll Call with Motion passing unanimously.

CHIEF/DIRECTOR’S REPORT: Chief Director Langborg discussed the following: 1. Strategic Plan notes are in progress of being developed 2. Seismic Grant: met with architect last week, expect to start in January at WLAD facility. 3. Administrative practices review involved several consultants, some who have already provided

reports. As a result, several recommendations such as how we document and how we process financial procedures will be implement by the interim manager, Ross. Chief Director also asked Ross to provide suggestions for improvement. Ross has met with Admin Team to re-delegate duties, and the plan will be presented at this evening Advisory Committee meeting.

4. Citizen complaint via the police department which resulted in the Chief Director meeting with the Police Chief and discussing the issues with payroll and taking appropriate steps. Director Farnsworth inquired if the complaint was substantiated. Chief Director stated that no current or former employee is being investigated, nothing was done unethically illegally nor intentionally. Chief Director has as that a timekeeping process be implemented by January 1, 2018 for both Districts.

General discussion where Director Yecny asked if Chris Mahr’s audit is complete and if any issues were found. Chief Director stated approximately 90% complete, and no issues were found in either District. Director Webb wanted to ensure that Ross has no restraints and has a lot of freedom to create processes. Chief Director replied that they are closely communicating to ensure they are on the same page, and Chief Director is actively engaged in the process. Director Webb wanted to ensure that the processes that need to happen are happening.

OPERATIONS MANAGER: Matt House discussed the following topics: 1. Call volume was up by 52 for October, but annual total is down by 200. 2. ImageTrend was discussed as how the dispatch calls create a patient record 3. Darrek Mullins will be implementing OperativeIQ on January 1, 2018 which is the inventory

program. 4. MIH Chris Martin has started working. His workflow is being established by the ED Resource person.

The three initial metrics are: decrease of re-admits within 30 days; decrease in non-transport calls, and decrease in Emergency room visits.

5. EMT Basic training: the State exam is on December 10, 2017, the training started with 17 people and now have 16.

CORRESPONDENCE: Chief Director Langborg mentioned the annual movie night which is open to Directors. Matt House reminded the Directors about the awards banquet dinner on December 8, 2017.

FUTURE BUSINESS: Board confirmed the next Board meetings to be held on December 28, 2017 at Noon, both held at SVFR Station 1, with lunch provided.

DIRECTOR COMMENTS: Director Farnsworth requested that there is PERS training. Chief Director replied that there is a plan to do the training this year. Director Yecny inquired about the bid info in the Board packet, and Matt House clarified that it is for replacing the carpet with linoleum, and the bids came under budget. No other comments from the Directors.

The Regular Board Meeting was adjourned at 12:35 PM by Board President Mike Webb.

Respectfully submitted by,

Karin Guy, Administrative Assistant Recording Secretary

AGENDA ITEM SIUSLAW VALLEY FIRE AND RESCUE

SUBJECT/ITEM: Office Manager Job Description

FOR AGENDA OF: December 28.2017

DIVISION OF ORIGIN: Administration

ACTION REQUESTED: Review and approve

BUDGET IMPACT

EXPENDITURE REQUIRED:

AMOUNT BUDGETED:

APPROPRIATION REQUIRED:

N/A N/A N/A

Summary:. Attached is a DRAFT job description for the position of Office Manager.

Background and Statement of the Issue: To fill the Office Manager position, a job description must be approved. The attached DRAFT job description is scaled down considerably, in comparison to the Administrative Division Chief job description. The SVFR Board approved this job description on 12/20/2017.

Recommended Actions:Approve the proposed job description and direct the Chief/Director to begin filling the position.

IGA – SVFR/ WLAD SECTION NUMBER:

OPERATIONS AND PROCEDURES MANUAL EFFECTIVE DATE: 01/25/2017

DIVISION TITLE: ADMINISTRATIVE POLICIES – JOB DESCRIPTIONS REVISION DATE: 12/15/2017

SECTION TITLE: OFFICE MANAGER REVIEWED DATE:

DRAFT

Classification: Administration Position Title: Office Manager Reports to: Chief / Director Pay Class: Salary Exempt

JOB SUMMARY Under the direction of the Chief / Director, directs, manages, supervises, and coordinates all finance, human resource, and general administrative support activities of both Districts.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as required;

1. Maintains detail knowledge of all accounting information and software for the two

districts and the consolidation of them in accordance with the IGA.

2. Supervises all administrative staff in accordance with District Policy and procedures.

3. Maintains a cheerful public image. Works to make the Admin Department responsive to

District Staff, Districts Boards and Citizens.

4. Is the Administration Representative at all board meetings and other related functions.

5. Tracks and manages all district Cash. Reports to management and the Board on the

Districts financial status of both Districts.

6. Responsible for the creation and management of both District’s budget.

7. Ensures the general administrative support needs of both Districts are met.

SUPERVISION: Works under the direction of the Chief / Director. Supervises up to 5 FTE’s, professional and part time. May also manage some contract employees as needed.

COMPETENCY: To perform the job successfully, an individual should demonstrate the following competencies:

Analytical - Designs and implements improved work flows and procedures.

Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget. Customer Service - Responds promptly to customer needs; Responds to requests for service and assistance. Communication - Ability to communicate effectively in English in oral and written form. Ability to read, analyze, and interpret common financial and technical journals, financial reports, policies, and procedural and legal documents. Speaks clearly and persuasively in positive or negative situations; Demonstrates group presentation skills. Teamwork - Balances team and individual responsibilities. Maintains a positive attitude under stressful conditions. Delegation - As a lead to employees and volunteers, delegates work assignments; sets expectations and monitors delegated activities. Quality Management - Looks for ways to implement a “continual improvement strategy”. Cost Consciousness - Works within approved budget. Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time. Planning/Organizing - Plans, organizes and prioritizes work. Safety and Security - Observes, and ensures subordinates observe, safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses, and ensures subordinates use, equipment and materials properly. Adaptability - Manages competing demands. Computer Skills: Ability to operate a personal computer. Knowledge of current software applications related to the functions and operations of a finance department. Detail knowledge of word processing, spreadsheet, and database software. Ability to navigate and utilize the Internet.

EDUCATION and/or EXPERIENCE: Four-year degree in business, accounting or finance from a regionally or nationally accredited university is highly desired. Four years similar work experience is highly desired. Any combination of education, work experience, or training that demonstrates the ability to successfully fill the needs of this position.

PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Employee may be required to lift up to 25lbs to perform the job duties.

Requirements: Candidate must sign a contract with the fire district agreeing to be a non-tobacco user. Candidate must have a current Oregon Driver's License and be insurable by the Fire District. Candidate must agree to and pass a District drug test.

3:42 PM

12/21/17 Western Lane Ambulance District

Transaction List by Date November 2017

Type Date Num Name

Bill Pmt -Check 11/02/2017 17945 Airgas USA, LLC

Bill Pmt -Check 11/02/2017 17946 Arrow International Inc.

Bill Pmt -Check 11/02/2017 17947 Brian's Automotive

Bill Pmt -Check 11/02/2017 17948 Century Link

Bill Pmt -Check 11/02/2017 17949 Charter Communications

Bill Pmt -Check 11/02/2017 17950 Coastal Paper & Supply Inc

Bill Pmt -Check 11/02/2017 17951 Emergency Integrated Software, Inc

Bill Pmt -Check 11/02/2017 17952 Henry Schein Inc

Bill Pmt -Check 11/02/2017 17953 Life Map Assurance Company

Bill Pmt -Check 11/02/2017 17954 Matt House

Bill Pmt -Check 11/02/2017 17955 NEMSMA

Bill Pmt -Check 11/02/2017 17956 ORCOTech

Bill Pmt -Check 11/02/2017 17957 Pacific Source Administrators

Bill Pmt -Check 11/02/2017 17958 Sean Campbell

Bill Pmt -Check 11/02/2017 17959 Siuslaw Valley Fire & Rescue

Bill Pmt -Check 11/02/2017 17960 West Coast Media Group

Bill Pmt -Check 11/08/2017 17961 HGE Inc.


Bill Pmt -Check 11/09/2017 17963 Centurion Medical Products

Bill Pmt -Check 11/09/2017 17964 City of Florence City Hall

Bill Pmt -Check 11/09/2017 17965 County Transfer & Recycling

Bill Pmt -Check 11/09/2017 17966 Florence Welding & Machine Shop

Bill Pmt -Check 11/09/2017 17967 Harrang, Long, Gary & Rudnick P.C.

Bill Pmt -Check 11/09/2017 17968 Les Schwab, Inc


Bill Pmt -Check 11/09/2017 17970 Personnel Concepts

Bill Pmt -Check 11/09/2017 17971 Siuslaw Glass & Mirror

Bill Pmt -Check 11/09/2017 17972 Siuslaw News

Bill Pmt -Check 11/09/2017 17973 Special Districts Insurance Services

Bill Pmt -Check 11/09/2017 17974 Stericycle

Bill Pmt -Check 11/09/2017 17975 Systems Design

Bill Pmt -Check 11/09/2017 17976 The Register Guard

Bill Pmt -Check 11/09/2017 17977 Vend West Services Inc.

Bill Pmt -Check 11/09/2017 17978 WECO

Bill Pmt -Check 11/09/2017 17979 The Register Guard

Bill Pmt -Check 11/09/2017 17980 Vend West Services Inc.

Bill Pmt -Check 11/15/2017 17981 Access


Bill Pmt -Check 11/15/2017 17983 Cascade Health Solutions

Bill Pmt -Check 11/15/2017 17984 Central Lincoln PUD

Bill Pmt -Check 11/15/2017 17985 Copier Doctor

Bill Pmt -Check 11/15/2017 17986 Enerspect Medical Solutions LLC

Bill Pmt -Check 11/15/2017 17987 HGE Inc.


Page 1 of 4

3:42 PM



Bill Pmt -Check 11/15/2017 17989 RICOH USA, Inc.

Bill Pmt -Check 11/15/2017 17990 Siuslaw News

Bill Pmt -Check 11/20/2017 17991 Borg Industries

Bill Pmt -Check 11/20/2017 17992 Civilla Walker

Bill Pmt -Check 11/20/2017 17993 Coastal Fitness

Bill Pmt -Check 11/20/2017 17994 Custom Micro Interactive

Bill Pmt -Check 11/20/2017 17995 Life Map Assurance Company

Bill Pmt -Check 11/20/2017 17996 Rick's Custom Caps

Bill Pmt -Check 11/20/2017 17997 Rufus McElrath

Bill Pmt -Check 11/22/2017 17998 VOYA Deferred Comp

Bill Pmt -Check 11/28/2017 17999 Century Link

Bill Pmt -Check 11/28/2017 18000 Citi Card-Costco

Bill Pmt -Check 11/28/2017 18001 Galls Inc.

Bill Pmt -Check 11/28/2017 18002 Heceta Self Storage


Bill Pmt -Check 11/28/2017 18004 Passageways

Bill Pmt -Check 11/28/2017 18005 Rick's Custom Caps

Bill Pmt -Check 11/28/2017 18006 Verizon Wireless

Bill Pmt -Check 11/28/2017 18007 WECO

Page 2 of 4

3:42 PM



Memo Account Credit

O2 and air 0020 · General Checking 422.84

needles 0020 · General Checking 1,380.00

vehicle maintenance 0020 · General Checking 1,048.00

Local and long distance 0020 · General Checking 366.87

November internet 0020 · General Checking 135.99

cleaners 0020 · General Checking 114.15

October 2017 hosted faxing 0020 · General Checking 44.60

general medical supplies 0020 · General Checking 1,173.73

Life, disab ins for Nov 2017 0020 · General Checking 1,401.75

Monthly Cell Phone Reimbursement 0020 · General Checking 50.00

Membership 0020 · General Checking 195.00

IT services agmnt 0020 · General Checking 1,600.00

Nov 2017 FSA 0020 · General Checking 312.50

IT for Camera 0020 · General Checking 165.00

For November 0020 · General Checking 11,022.00

Monthly website maintenance 0020 · General Checking 87.50

WLAD Parking Facility 0020 · General Checking 3,867.00

O2 and air 0020 · General Checking 213.76

Catheter securement system 0020 · General Checking 766.47

water & sewer 0020 · General Checking 390.66

garbage 0020 · General Checking 112.85

Weld SS tray 0020 · General Checking 40.00

General advice on IT contract 0020 · General Checking 288.00

Ops 2 tires & rims 0020 · General Checking 2,084.24

Oct 2017 FSA -original invoice was $512.50 0020 · General Checking 257.00

Safety board updates 0020 · General Checking 588.39

Door hinge 0020 · General Checking 76.00

Board notice & online edition 0020 · General Checking 50.98

Dec health & dental premiums, and Doug & Tom's back billing 0020 · General Checking 36,782.50

Medium box disposal 0020 · General Checking 44.65

Oct Billing, 201 transports 0020 · General Checking 4,109.77

VOID: 1 yr Register Guard subscription - entered OLD amount 0020 · General Checking

VOID: prior credit on books was taken instead of true/current credit 0020 · General Checking

Fuel card usage 0020 · General Checking 904.73

1 yr Register Guard subscription 0020 · General Checking 343.20

water in lounge 0020 · General Checking 116.10

shred bin 0020 · General Checking 88.00

oxygen 0020 · General Checking 75.70

Pre-employment C Martin 0020 · General Checking 456.50

Electricity 0020 · General Checking 507.65

coper mntc agmnt 0020 · General Checking 62.95

HeartStart defib w/battery and case 0020 · General Checking 2,745.96

seismic grant 0020 · General Checking 2,836.50

FSA balance - underpmt on prior invoices 0020 · General Checking 485.00

Page 3 of 4

3:42 PM



copier read 0020 · General Checking 28.76

S'News Annual Plan renewal 0020 · General Checking 76.00

Board shirts 0020 · General Checking 170.70

Patient Refund 0020 · General Checking 110.38

Nov gym fees, plus back billing of 2 mos for M Baker 0020 · General Checking 689.00

CAD Integration 0020 · General Checking 2,000.00

Life, disab ins for Dec 2017 0020 · General Checking 1,398.96

Patches for vests 0020 · General Checking 156.75

Patient Refund 0020 · General Checking 291.67

Deferred Comp Interest, Acct# VBO363 0020 · General Checking 1,636.69

Local and long distance 0020 · General Checking 348.94

Janitorial supplies, transfer meal 0020 · General Checking 140.51

uniforms 0020 · General Checking 401.24

storage rent for Dec 0020 · General Checking 210.00

HRE Member fees for Nov 2017 0020 · General Checking 312.50

OnBoard Professional program, 1 year, 20 subscribers, split with SVFR 0020 · General Checking 1,800.00

Vest patch for Doug 0020 · General Checking 9.00

EPCR wi fi 0020 · General Checking 782.26

Fuel card usage 0020 · General Checking 987.48

Page 4 of 4

Chief/Director’s Report December 2017

Prepared by Jim Langborg

1

Chaplain Program Coordinator

Please see the Chaplain Program Manager’s report for information about this program.

Board Portal Software

We have completed a test run for this month and hope to have full access to Board

Members by January. I will keep you posted as we make progress on this project.

California Strike Teams

Both crews have returned from California. They are in good spirits and good health. The

experienced they gained was invaluable. Matt and I have discussed finding ways to get

our Medic Crews involved in out of District mobilizations to create opportunities for them

to gain experience working at large incidents.

Time Keeping Software and Other Payroll Administrative Updates

We continue to work on implementing the new time keeping software and creating a

long-term plan to implement the recommendations made by the consultants.

Employee Resignations

Julie Brown resigned in late November. We are currently filling the Admin position with

an Interim Office Administrator and working on plans to fill the position.

EMT Class

The EMT Class has wrapped up and the students are waiting to take their National

Registry Written Exam. I will keep you posted, as they become certified.

District Activities and Social Events

Both Districts have had multiple holiday related events to include Christmas Parties and

a holiday movie that was well attended by members of SVFR, FPD and the USCG. On

December 12th the District sponsored a Toys for Tots event at Station-1. The event was

held in conjunction with the US Marines, USCG, Florence PD, and Western Lane

Ambulance. Over 230 children received toys. Boa was the lead on this project and did

great job. On December 16th, the SVFR assisted the Soroptimists with their annual

holiday food basket and toy give away.

Chief/Director’s Report December 2017

Prepared by Jim Langborg

2

Board Policy Review

The SVFR Board has been briefed on the Ambulance District Board’s desire to review

and update their Board of Directors policies. They were also informed that Staff

recommends this would be a good time to review and update the Fire Board’s policies’

and create a similar set of policies. Staff also recommended that each Board appoint

two members to an ad hoc committee for the purpose of updating the policies. I

recommend making these appointments in January and create a committee meeting

schedule.

WLAD BOARD MEETING OPERATION MANAGER’S REPORT

December 2017

Western Lane Ambulance District Board Meeting

Operations

1. Combine runs from November with HighPlains and ImageTrend

November, we ran an increase total number of calls and an overall increase in all transports,

transfers down by one and refusals down compared to last year. YTD, we are slightly behind last

year totals.

2016 2017 Difference 911 Response, transports 153 195(IT) +42 Transfers 35 34(IT) -1 Specialty Care Transport 0 2(IT) --- 911 Response, No patient transported 59 55(IT) -4 Total call volume 248 255(IT) +7

2. ImageTrend updates. What informational reports would Board like to see monthly?

3. Operative IQ, inventory software management. December, we started training on implementing

the daily check off portion of the software.

4. Mobile integrated healthcare update.

5. Training report in appendix. Training committee update.

6. Fleet / Maintenance report.

7. EMT Basic class update.

8. New flooring to be installed starting January 2nd.

9. Financial Hardship request: two for one patient= $843.12

10. Jones Fire Conflagration reimbursement for personnel and vehicle paid to WLAD

11. Emergent Large Vascular Occlusion (ELVO) Case

Chief/Director’s

Attachments

December 2017 Chaplain Program Coordinator’s Report Prepared by Lori Severance, LCSW

Chaplain Program Update:

In the past month, the following tasks have been completed for the SVFR Chaplain Program:

- A Volunteer Chaplain Task Book has been developed to accompany the Chaplain Training

Manual that was completed last month.

- A booklet entitled “First Responder Resilience and Health” has been developed to address the

issue of first responder stress. This booklet has been distributed to WLAD and Florence Police

Department as well as SVFR.

- A meeting is scheduled for Friday, December 8 with Sgt. Greg Rice of Lane County Sheriff’s

Department and Tony Miller (SVFR Fire Fighter) to discuss Lane County Sheriff’s Department’s

very successful Peer Support Program. Ideas regarding what works and what doesn’t work will

be brought back for discussion with WLAD and Florence Police Department representatives, as

we continue attempts to set up a tri-agency Peer Support program for first responders in

Florence and outlying areas.

- Several recruitment activities have been conducted this month in an attempt to find new

volunteer chaplains (to be interviewed after the holidays in January 2018), due to the

resignation of one of our four chaplains.

Monthly Chaplain hours: Crisis responses: 6 Total hours: 12

Community/Support Services: Total hours: 9

Trainings: Total hours: 4

OPS Manager

Attachments

Response Mode to Scene

Response Mode To Scene (eResponse.23) Number of Runs Percent of Total RunsNon-Emergent 195 76.47%

Emergent (Immediate Response) 55 21.57%

Emergent Downgraded to Non-Emergent 4 1.57%

Non-Emergent Upgraded to Emergent 1 0.39%

Total: 255 Total: 100.00%

Transport Mode from Scene

Disposition Transport Mode From Scene (eDisposition.17) Number of Runs Percent of Total RunsNon-Emergent 130 50.98%

114 44.71%

Emergent (Immediate Response) 9 3.53%

Emergent Downgraded to Non-Emergent 2 0.78%


Runs by Response Disposition

Disposition Incident Patient Disposition (eDisposition.12) Number of Runs Percent of Total RunsPatient Treated, Transported by this EMS Unit 140 54.90%

ALS Interfacility 33 12.94%

Patient Treated, Released (per protocol) 22 8.63%

Assist, Public 17 6.67%

Canceled (Prior to Arrival At Scene) 12 4.71%

Patient Evaluated, No Treatment/Transport Required 8 3.14%

Patient Treated, Released (AMA) 8 3.14%

Canceled on Scene (No Patient Contact) 4 1.57%

Patient Treated, Transported by Law Enforcement 3 1.18%

Interfacility - CCT 2 0.78%

Assist, Agency 1 0.39%

BLS Interfacility 1 0.39%

Patient Dead at Scene-No Resuscitation Attempted (Without Transport) 1 0.39%

Patient Dead at Scene-Resuscitation Attempted (Without Transport) 1 0.39%

Patient Treated, Transported by Private Vehicle 1 0.39%

Standby-No Services or Support Provided 1 0.39%


Runs by Response Request

Response Type Of Service Requested (eResponse.05) Number of Runs Percent of Total Runs911 Response (Scene) 232 90.98%

Interfacility Transport 16 6.27%

Medical Transport 3 1.18%

Public Assistance/Other Not Listed 3 1.18%

Standby 1 0.39%


Runs by Responding Unit

Response EMS Unit Call Sign (eResponse.14) Number of Runs Percent of Total RunsMedic 2 129 50.59%

Medic 5 74 29.02%

1 of 2 Printed On: 12/04/2017 04:26:02 PM

Call Summary Report

Medic 4 33 12.94%

Medic 9 18 7.06%

Medic 1 1 0.39%


Report Filters

is between '11/01/2017' and '11/30/2017'

is in 'Western Lane Ambulance '

is in '911 Response (Scene),Interfacility Transport,Medical Transport,Public Assistance/OtherNot Listed,Standby'

is in 'ALS Interfacility,Assist, Agency,Assist, Public,BLS Interfacility,Canceled (Prior to ArrivalAt Scene),Canceled on Scene (No Patient Contact),Interfacility - CCT,Patient Dead at

Scene-No Resuscitation Attempted (Without Transport),Patient Dead at Scene-Resuscitation Attempted (WithoutTransport),Patient Evaluated, No Treatment/Transport Required,Patient Refused Evaluation/Care (WithoutTransport),Patient Treated, Released (AMA),Patient Treated, Released (per protocol),Patient Treated, Transported by LawEnforcement,Patient Treated, Transported by Private Vehicle,Patient Treated, Transported by this EMS Unit,Standby-NoServices or Support Provided'

Incident Date:

Agency Name (Dagency.03):

Response Type Of Service Requested (Eresponse.05):

Disposition Incident Patient Disposition (Edisposition.12):

2 of 2 Printed On: 12/04/2017 04:26:02 PM

Call Summary Report

CURRENT YEAR 2017 PREVIOUS YEAR 2016614 763178 21215 2119 2717 27

240 2636 6

1,089 1,319

November Totals 255

1,344 1,319

Incident Response Summary for Western Lane Ambulance DistrictFor period 07/01/2017 Through 11/30/2017

Current Year Previous Year

Type of Incident In Jurisdiction Outside Totals In Jurisdiction Outside

EMS911 Response, TransportTransferStandby911 Response, Canceled En Route911 Response, No Patient Contact911 Response, No Patient TransportSpecialty Care Transport

Grand Totals

* denotes that the incident occured within the selected jurisdiction, but no units from that jurisdiction responded

Printed on 12/04/2017 at 14:34:52

The FireManager for Windows




EMS

EMS 100.0%

Total: 100.0%

Total Incidents by Category

Current Year

EMS

EMS 100.0%

Total: 100.0%


Previous Year


Printed on 12/04/2017 at 14:34:52



0

200

400

600

800

1000

1200

1400

EMS

1,0

89

1,3

19

#Current Year#Previous Year

Two Year Comparison


Printed on 12/04/2017 at 14:34:52


100%

EMS

#In Jurisdiction

#In Jurisdiction - NoUnits

#Outside Jurisdiction

JurisdictionCurrent Year


Totals

Page 1 of 4



Totals

100.0%

100.0%

of 4



CURRENT YEAR PREVIOUS YEAR1,497

410414547

57025

2,635

November calls in ImageTrend 255

2,890


Printed on 12/04/2017 at 14:31:06 Page 1 of 4

3,058

Grand Totals 3,058

911 Response, No Patient Transport 595Specialty Care Transport 15

911 Response, Canceled En Route 61911 Response, No Patient Contact 55

Transfer 509Standby 39

Totals

EMS911 Response, Transport 1,784





Type of Incident In Jurisdiction Outside Totals In Jurisdiction Outside Totals



EMS

EMS 100.0%

Total: 100.0%


Current Year

EMS

EMS 100.0%

Total: 100.0%


Previous Year





0

400

800

1200

1600

2000

2400

2800

3200

EMS

2,6

35

3,0

58

#Current Year#Previous Year

Two Year Comparison




100%

EMS

#In Jurisdiction

#In Jurisdiction - NoUnits

#Outside Jurisdiction

JurisdictionCurrent Year

of 4


December 2017 Training Report

Target Solutions topics for the month are Hematology and Fleet Program Legal Considerations for

Emergency Vehicle Operators

QRT this month was Pediatrics, Obstetrics, and Gynecology. I have completed the curriculum and

schedule for QRT classes in 2018.

I have completed PALS instructor criteria and now can begin recertifying others. Darrek and I are

qualified to instruct PALS and ACLS. I recertified George, Ben, Aaron, Tom, and Doug on 12/17 in ACLS.

The EMT class has come to an end. We began with seventeen, fifteen of them were cleared to take

their state practical/psychomotor exam, with fourteen of them doing so. Overall, the class did not

perform as well as we hoped for with only eight passing. Three of the six that failed need to retest in

one station while the others need a full retest. One person that needs a total retest barely made

minimum attendance requirements after having to make up several hours. The other two were

completely unexpected.

We will be starting a formal staff training process on the first of the month, most will be hands-on but I

have been putting some Power Point presentations together to supplement.

Chris has been doing some training with the crew, as well as going on some 911 calls. I asked him to

review our protocols as a priority for getting on the units, as well as familiarization with kits/equipment

and SOGs/PPs. He’s been really great and helpful.

Darrek has been training the crews on Operative IQ for truck checks going live next month.

Vehicle Maintenance Report November 2017

Medic 9 – Replaced EGR valve under turbo and sent vehicle to dealer for forced regeneration of DPF.

Ops 2 – New tires and wheels.

Vehicle Report November 2017

Beginning Odometer Ending Odometer Miles Fuel MPG

Medic 1 0 0

Medic 2 12578.3 13899.1 1320.8 190.1 7

Medic 4 314160 318027 3867 220.84 18

Medic 5 155279 156038.2 759.2 101.7 7

Medic 9 61868 64626 2758 133.79 21

Rescue 10 8061 8061 0 0 0

Dist. Vehicle 45063.3 45455.8 392.5 23.64 17

Total: 9097.5 670.07

12/8/17

19

14;36 2

ND

14:57 23

Ischemic Stroke t-PA/Endovascular Intervention

Case Sharing Form

Patient Demographics

Patient Name:

LSW Date: LSW Time:

DOB:

EMS: ✔ Walk-in:

EMS Provider:

911 Call Date: 911 Call Time:

Hospital

ED MD: ED

RN:

Neurologist:

Pharmacist:

NIHSS: ED Arrival:

Clock Time Mins. from Door Goals

ED MD Arrival: ≤ 10 minutes

Neurologist Arrival/Beam In: ≤ 20 minutes

IV t-PA Bolus: ≤ 45-60 minutes

Waltraut Hofman 6/22/34

13:30

Western Lane County and LifeFlight

Katherine Swank

Parker-Leigh Evans, Adam Woldt

Michael Wilder

Gwendolyn Athman

14:34

3

Ischemic Stroke case sharing form.pdf 080117

Intervention

Interventionalist:

Anesthesiologist:

Cath Lab Staff:

Clock Time Mins. Goals

ELVO Alert

ED Arr to Groin Puncture:

Groin to 1st Thrombectomy Att

Groin to Revascularization:

LSW to Revascularization:

TICI Score:

≤ 90 minutes

≤ 30 minutes

≤ 60 minutes

≤ 30 minutes

≥2b

Hospital Stay:

Discharge Disposition:

DOD:

NIHSS: mRS:

Discharged to:

This document is not part of the patient medical record. Information within this document is privileged and

confidential under ORS 41.675 relating to quality assurance and/or medical staff physicians.

Ms Hoffman was out on a hike today with her husband when she collapsed with left sided paralysis and right-sided gaze deviation.She was life flighted from the field directly to Riverbend Hospital where she was found to have right MCA syndrome. Her NIH strokescale was 19. There was no family accompanying her and there was no contact information for family, so two physician consent wasobtained for IV TPA and thrombectomy. Her noncontrast head CT demonstrated ASPECTS score 10 with a hyperdense right MCA.CT angiogram of the head and neck showed occlusion of the right carotid terminus and proximal right MCA. She had moderatecollaterals on delayed phase imaging. She was taken to cath lab emergently after IV TPA was started. Thrombectomy resulted incomplete recanalization of her right internal carotid and right middle cerebral arteries. She had the return of movement in her left armand leg on the table During hospitalization, she had new onset of AF. This is felt to be the cause of her stroke.

Michael Wilder

Andrew Rushton

Steve Vedder, Brent Maher, Ryan Turnipseed, Zachary Winter

14:49

15:10 36

15:26 16

15:36 26

2 hours and 6 minutes

3

MODIFIED RANKIN SCALE (MRS)

Score Description

0 No symptoms at all

1 No significant disability despite symptoms; able to carry out

all usual duties and activities

2 Slight disability; unable to carry out all previous activities,

but able to look after own affairs without assistance

3 Moderate disability; requiring some help, but able to walk

without assistance

4 Moderately severe disability; unable to walk without

assistance and unable to attend to own bodily needs without

assistance

5 Severe disability; bedridden, incontinent and requiring

constant nursing care and attention

6 Dead

12/13/17

3

Home

december 2017 wla agenda - western lane ambulance district · accounting or financial analysis,...

Documents