public safety committee - 02 sep 2021 - agenda - pdf

Sawyer County

Agenda

Public Safety Committee Meeting

Thursday, September 2, 2021 @ 9:00 AM

Assembly Room/Virtual Meeting

Page

1. CALL TO ORDER

a.

To view or participate in the virtual meeting from a computer, iPad, or Android device please go to https://zoom.us/j/97074807611. You can also use the dial in number for listening only at 1-312-626-6799with the Webinar ID: 970 7480 7611. If additional assistance is needed please contact the County Clerk's Office at 715-634-4866 prior to the meeting. If you are on a computer, click the "Raise Hand" button and wait to be recognized. If you are on a telephone, dial *9 and wait to be recognized.

2. CERTIFICATION OF COMPLIANCE WITH THE OPEN MEETINGS LAW

3. MEETING AGENDA

4. PUBLIC COMMENTS

5. CONSIDER APPROVAL OF MINUTES FROM PREVIOUS MEETING 4 - 5

a. 8.5.21 Public Safety Minutes DRAFT

6. CIRCUIT COURT REPORT

a.

Judge's Report

b.

Courthouse Remodel Update

7. CLERK OF COURT'S OFFICE REPORTS 6 - 7

a. Clerk of Court Public Safety Report - Sep 2021

8. DISTRICT ATTORNEY'S OFFICE REPORT

9. CHILD SUPPORT DEPARTMENT REPORT

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lynn.fitch

Revised

10. SHERIFF'S DEPARTMENT REPORT 8 - 10

a.

Communications Center Report

Aug 2021 Radio PS Committee report 11 - 13

b.

Patrol Report

SWSO Patrol Report Aug 2021 Summary 14 - 17

c.

Communication Systems Specialist Report

Communications Center Report 18 - 19

d.

Jail Report

August 2021 Jail Report 20 - 21

e.

Animal Control Report

Animal Control Officer Calls from 08.022.021 thru 08.31.2021

11. CORONER'S REPORT

12. EMERGENCY MANAGEMENT DEPARTMENT REPORT 22

a. Sept 2nd 2021 Emergency Management Report

13. CRIMINAL JUSTICE COORDINATING COUNCIL UPDATE

14. AMBULANCE SERVICE DEPARTMENT REPORT 23

a.

September Report

Sept 2021 Ambulance Report 24 - 26

b.

Aging Report

Aging by Agency and Current Payer - Aug 8-29 27 - 32

c.

Ambulance Response Policy

1) EMS Inter-Facility Transports

2) EMS Provider Operational Plan - Wisconsin Department of Health Services

15. FUTURE AGENDA ITEMS

16. CORRESPONDENCE, REPORTS FROM CONFERENCES AND MEETINGS, OTHER MATTERS FOR DISCUSSION ONLY

DISCLAIMER:

A quorum of the County Board of Supervisors or of any of its committees may be present at this meeting to listen and observe. Neither the Board nor any of the committees have established attendance at this meeting as an official function of the

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Board or committee(s) or otherwise made a determination that attendance at the meeting is necessary to carry out the Board or committee’s function. The only purpose for other supervisors attending the meeting is to listen to the information presented. Neither the Board nor any committee (other than the committee providing this notice and agenda) will take any official action with respect to this noticed meeting.

Copy sent via email to: County Clerk and News Media. Note: Any person wishing to attend whom, because of a disability, requires accommodation should call the Sawyer County Clerk’s Office (715.634.4866) at least 24 hours before the scheduled meeting so appropriate arrangements can be made.

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Minutes of the August 5th meeting of the Sawyer County Public Safety Committee Of the Sawyer County Board of Supervisors Assembly Room; Sawyer County

Voting Committee Members Present: Others Present: Nate Dunston Chair: James Schlender Tom Hoff Marge Kelsey Ron Buckholtz -Vice Chair Alex Butterfiled Louise Ladenthin Ed Peters Lynn Fitch Sherry Shelton Dale Schleeter Doug Mrotek Chuck Van Etten – Virtual Greg Ripczinski

Jeff Johnson Joe Sajdera

Call to Order –Chair James Schlender called the meeting to order at 9:00 am. Roll Call taken. Quorum was met. Certification of Compliance with the open meeting law was met. Meeting Agenda Public Comment – Louise Ladenthin Minutes from Previous Meeting – A motion was made by Mr. Buckholtz to approve the minutes of the July 1, 2021, meeting; second by Mr. Schleeter noting a correction be made to read “Mr” Schleeter instead of “Ed” Schleeter in the motion to approve the June minutes. Motion carried without negative vote. Circuit Court Report – Mr. Hoff presented an update regarding ongoing meetings with Venture Architects and Miron Construction on the courthouse remodeling project. A design schematic was presented to the Courthouse Construction Ad Hoc Committee on the morning of August 5th. The Ad Hoc committee approved the schematic to move forward to the Public Works Committee and County Board meeting. This will allow the drawings to go to the next phase which is developing the budget for the plan. Clerk of Court Report – A written report was provided. Ms. Kelsey advised that the yearly restitution report showed that the County was able to send out over $49,000 in victim restitution this year, significantly more than the $22,000 sent out the previous year. The increase is accredited to dedicated collections within the office. District Attorney’s Office Report – Sheriff’s Department Report – Sheriff Mrotek stated that the County has not experienced a single fatal car crash to date, despite the busy summer. The office continues to have lots of communication with hound and bear hunting groups to try to reduce nuisance calls. Communication Center Report – Chief Sajdera reported that dispatch is short one full-time employee, and they have had an influx of 911 hang-up calls, representing approximately 6% of total calls. Patrol Report – Lieutenant Ripczinski advised that there were 1356 calls this month, up by 300 calls over last month. A large number of the calls were the 911 hang-ups. They are seeking applicants for a part-time patrol position. Jail Report – Lieutenant Johnson advised that jail numbers have been increasing and pre-sentence incarcerations are the highest they’ve been in a while. The Dodge Correctional facility is now taking inmates and we transported inmates to that facility last week. The jail staff is short one full-time male position and are looking for part-time help, as well.

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Animal Control Report – A written report was provided. Ms. Shelton reported having responded to a rising number of wild life calls, as the DNR hasn’t been available or appear to no longer be responding to these types of calls. Jail Tour – A county board member tour of the jail will be available at 6:00 pm on August 19th prior to County Board meeting. Coroner’s report – A written report was provided. Emergency Management Department Reports – A written report was provided. Criminal Justice Coordinating Council Update – The CJCC committee did not meet in July and the next meeting is August 11, 2021, at 12:00 pm. Ambulance Service Department report – A written report was provided. Mr. Hoff will refer the ambulance stationing concern brought up in public comment to corporate counsel to begin reviewing policy on coverage options. Fire Protection Services Report – Ambulance coverage policy Meeting Date/Time – The next meeting of the Public Safety Committee will be Thursday, September 2, at 9:00 am in the Assembly Room. Meeting adjourned at 9:34 am Minutes recorded by Lynn Fitch, County Clerk

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CLERK OF CIRCUIT COURT

Phone (715) 634-4887 ~ FAX (715)638-3297

CLERK OF COURT DEPUTY CLERKS

Marge Kelsey

Sari L Torstenson

10610 Main Street Terri J Roeske

Suite #74 Leslie Strapon

Hayward, WI 54843 Lisa Turnbull

Caryn Gorney

Clerk’s Report for September 2021 Public Safety Committee:

Jury trials currently scheduled for September:

Date Judge # of Days

New Cases filed from 07/29/2021 – 08/23/2021

31 Felony (CF)

26 Misdemeanor (CM)

12 Criminal Traffic (CT)

113 Traffic & Forfeiture citations (TR & FO)

34 Civil, Small Claims, Family/Paternity & Transcript of Judgments

(CV, SC, FA & PA)

9/8/2021 2636 1

9/8/2021 2636 2

9/9/2021 2636 2

9/9/2021 2636 2

9/13/2021 2636 3

9/20/2021 2636 1

9/20/2021 2636 1

9/20/2021 2636 1

9/20/2021 2636 1

9/20/2021 2636 1

9/30/2021 2124 1

9/30/2021 2124 1

• SAWYER. COUNTY

---

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Receipt history comparison for REVENUE collected through SDC (State Debt Collection)

and TRIP/DOR (Tax Intercept):

08-01-2021 to 08-23-2021 = $17,994.13

08-01-2020 to 08-31-2020 = $7,397.09

Wage Income Assignment receipted from DOC: 08-01-2021 thru 08-23-2021 = $ 598.40

(Note: This is in addition to the Court Ordered Obligations owed that DOC is already collecting

from prison inmates.)

Respectfully submitted by,

Marge Kelsey

Clerk of Court

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Sawyer County Communications System Specialist – July 2021 PS Committee Report

1.) Sawyer County Microwave – The aspects of moving to a microwave completely owned and

operated by Sawyer County has been researched. A planned microwave would encompass a link

from the Courthouse to the Tower site near the casino. It would then spur or branch off to two

sites locally and a third site down to Pipestone. From Pipestone it would branch off to Moose

Lake, Meteor, and Winter. Finally, from Moose Lake it would go towards Loretta/Draper and

allow connection with the main radio sites. This system would also allow internet to be passed

through to help provide high speed internet to locations that need it for county usage (Hwy, EM,

etc.)

Cost for these sites and equipment would be in the $60,000-$70,000 range approx. and could be

leased over a three year period or purchased outright. This would then eliminate the need for IP

backhaul or connectivity from ISP/telephone companies. The assurance that ISP/telephone

companies made for the connections has deteriorated over the last few years. When the

ISP/telephone companies have been asked about the quality they have since returned

responses of this is the best we can provide.

2.) Connors Lake/DNR partnership possibility – The DNR is looking for possibilities or options with

the Connors Lake Site. This is an old DNR fire tower, on WI State Land, that is no longer

structurally safe to be used for any purposes. Currently the DNR has a repeater for the DNR park

down in that area. Sawyer County many years ago placed two antennas on the structure and has

been providing a shelter (outdoor style radio cabinet) for the DNR repeater as part of the

agreement. Sawyer County had planned to use that site but with the changes and on/off again

aspect of the tower status it has never been populated.

The DNR has suggested a partnership with Sawyer County in looking at the current fire tower

being taken down and Sawyer County funding the cost of an approx. 180ft tower at the site.

Sawyer County would be guaranteed antenna space on that tower for the life of the tower.

Right now depending on construction, type, and setup of a tower life expectancy could range

from 30 to 50 years depending. IN turn the DNR would provide the needed radio shelter,

Generator, Power, and take on FULL responsibility for the tower maintenance as part of this

deal. The DNR has done this with another county in Wisconsin and is interested in seeing if

Sawyer County would like to have a meeting on the topic.

3.) WISCOM Busy within the last week – It was reported that within the last week, while deputies

were responding to a car accident, that a couple of them received ‘BUSY’ while attempting to

key-up. Upon receiving this notification I checked with the State of Wisconsin (WISCOM) who

checked the Hayward tower and radio ID’s. No reported issues came back with the towers or

radio ID’s. They did find that 120 key-ups did occur on the SWLAW1 talkgroup in one hour. This

is approx. one keyup every 30 seconds. Factoring in the average length of a transmission is

approx. 15 to 20 seconds (with some being shorter or longer) it is possible deputies were trying

to keyup over one another.

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No other reports from other WISCOM users or agencies were received and this appears to be an

isolated incident. If this sort of situation was to occur again it is advisable to have dispatch notify

me right away in order to do real time checking.

4.) WISCOM RFI – WISCOM will be sending out RFP notices within the next couple of weeks for

submission by radio manufacturers for moving forward with WISCOM 2.0 (as it is being

referred). This will be a migration from VHF to 800 MHz for the entire state and has caused

some concerns for many users in the state who are in VHF user areas. While the RFP will cover

infrastructure and consoles it will NOT cover subscriber units (mobiles, portables, and base

stations). Subscriber equipment Sawyer County would need to purchase dual band radios. This

would be for both mobile and portable radios in order to allow for operation on the WISCOM

System as well as interoperability with Price, Rusk, Barron, Washburn, Burnett, and Parts of

Douglas and Bayfield Counties. This is due to the fact that the surrounding counties are VHF and

not 800 MHz system users.

As of todays pricing for budget figures the cost of a mobile radio, dual band, with installation

would be approx. $5,000. While the pricing for budget figures the cost of a portable radio, dual

band would be approx. $3,500. Based on a rough estimate of 100 ID’s (50 mobile/50 portable)

per department $250,000 for mobiles and $175,000 for a total of $425,000 in this case. This

does NOT factor in the additional tower locations that would be needed for coverage. 800 MHz

has less coverage than VHF and with three VHF sites in the county not providing sufficient

coverage the cost could well be over $2,000,000.00 for sites and upgrade radio equipment for

Sawyer County alone.

This is really based upon law enforcement users and not factoring EMS, Hwy, Transit, and Fire

Department subscriber costs. This is also impacted by the fact that no projection of grant

funding is known at this time to help offset costs.

5.) CIP – With the information about WISCOM looking to move to 800 MHz in the next three to five

years the CIP (Captial Improvement Project) has been worked on to reflect a migration off of

WISCOM for agencies, increase towers used, and increase channels used.

As of this point Sawyer County will utilize six towers for channels for Law Enforcement, Paging,

Fire/EMS, and Other Sawyer County radios users. With the five year plan with an approx. cost of

$1,200,000.00 (project actual cost might be less) it would increase the county to the following

for radio coverage: 8 towers sites in total; Law Enforcement = 2 channels, Paging, Fire/EMS = 2

channels, OPS = 3 county wide channels for all users, Hwy = 1 channel (four sites only), and

Transit = 1 channel (four sites only).

A slight delay in the exact numbers and plan has occurred due to the DNR item as listed above

which greatly impacts the one site and microwave linking.

6.) Additional work – Update radios with new firmware, and set-up programming of new radio.

Assisted with power issue with newly assigned squad. Assisted in radio ID for new LCO

Conservation squads.

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Submitted by: John Kruk – Contracted Communications System Specialist for Sawyer County

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SAWYER COUNTY SHERIFF'S OFFICE DOUG1AS D. MROTEK - S ti ER.Ir- F JOSEPHE.SAJDERA- CHIEF DEPUTY

August 24, 2021

Patrol Report- Attached.

• Patrol calls volume did drop from last month's report, June '21 was 1067, July '21 with 1356, while Aug'21 is 965. Which is also a decrease from Aug '20, which was 1159.

• Our deputies, in addition to our task force partners, have continued the HYE, under the WI BOTS seatbelt grant. Specifically, Sawyer County Deputies in this period have issued ll.. Citations for traffic offenses, Q_ written warnings and 1 Non-Traffic Citation. For Aug 2021 there have been 12 Total Crashes,! with Personal Injury, and Q Fatalities in our Counfy.

• In comparison: June 2021 * July: 2021 * and Aug 2020 UTC Citations: 39 55 91 Written Warnings: 18 9 26 NTC Citations: 11 9 4 ________ ___ _ ,. __ _____________________________________ , .. ______________ ....,. .. _________ ..,

Total Crashes*: 33 Personal Injury*: 10 Fatalities*: 0

Total Crashes to date: Total Crashes from 2020:

28 26 11 8 0 1

181 Crashes 48 Personal Injury Q_Fatalities 305 Crashes 86 Personal Injury 11 Fatalities

*Because of date ranges from time of reporting to final reporting of the months to DOT, it reflects higher final numbers than those previously reported to Public Safety.

• We are still seeking new applicants for part-time patrol positions. Of those prospective applicants last month, one has advanced past the intial stages of hiring and has accepted a conditional offer of hire from us, and tentatively planned to start Field Training in midSeptember. A second applicant in still in the background phase of selection.

• We recently assisted the Seely Lions Club with Pre Fat Tire, along wi:h the Radisson Harvestfest and will be assisting the annual Exeland Troutfest, Labor Day weekend.

~ed,

~-in-sk_i ____ _

Sawyer County Sheriffs Dept. Patrol Administrator

------ --15880 FIFTH STREET • POST OFFICE BOX 567 · HAYWARD, ·WI 54843 • SAWYERCOUNTYGOVoRG

ADMIN FAX

715-634-4858 715-634-1309 DISPATCH

715-634-5213 JAIL FAX

715-634-9120 715-634-3845

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Sawyer County Sheriff's Office Total CAD Calls Received, by Nature of Call

Nature of C11ll Total Calls Received 0/,1 gf Total 911 HANGUP 92 9.53 ACCIDENT DEER VS CAR io 1.04 ACCIDENT INJURY 9 0.93 ACCIDENT PROPERTY DAMAGE 18 J.87 ONLY ALARM 28 2.90 ANIMAL 39 4.04 ASSIST OTHER AGENCY 18 1.87 ASSIST CITIZEN 15 1.55 ATV Complaint 3 0.31 BATTERY 1 0.10 BOND VIOLATION 1 0.10 BUILDING/AREA CHECK 9 0.93 BURGLARY 7 0.73 CAMP GROUND CHECK ~9 1.97 CARBON MONOXIDE 0.10 CHILD ABUSE NEGLECT 2 0.21 CHILD CUSTODY 2 0.21 CIVIL MATTER 3 0.31 CRIMINAL DAMAGE TO 6 0.62 PROPERTY DEATH INVESTIGATION 5 0.52 DISABLED VEHICLE 22 2.28 DISTURBANCE 26 2.69 DNR COMPLAINT 2 0.21 DOMESTIC DISTURBANCE 8 0.83 DRIVING COMPLAINT 28 2.90 DRUG COMPLAINT 12 1.24 EMS REQUEST 38 3.94 Extra Patrol Request 2 0.21 FIRE ALARM 2 0.21 FIRE REQUEST 2 0.21 FIREWORKS .6 0.62 FRAUD 7 0.73 GAS DRIVE OFF ·9 0.93 GUNSHOT COMPLAINT 6 0.62 HARASSMENT 6 0.62 HIT AND RUN 2 0.21 INTOXICATED DRIVER 2 0.21 INTOXICATED PERSON 0.10 JAIL COMPLAINT 25 2.59 JUV ALCOHOL 3 0.31 JUVRUNAWAY 1 0.10 JUVENILE ISSUE 6 0.62

rpcdtccr.x I 08/24/21

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Total CAD Gaffs Received, by Nature of Gaff Page 2 of 2

Nature of Call Tota l Calls Recei ed % o{Tot!JI KEEP PEACE 5 0.52 LITTERING 2 0.21 MISSING ADULT 1 0.10 MISSING JUVENILE 1 0.10 NEIGHBOR DISPUTE 2 0.21 NOISE COMPLAINT 4 0.41 NON LICENSED DRIVER 0.10 OBSTRUCTING 2 0.21 OWi ARREST 3 0.31 PAPER SERVICE ATTEMPT 54 5.60 PARKING COMPLAINT . 4 0.41 PORNOGRAPHY 1 0.10 RECOVERED PROPERTY 2 0.21 REPOSESSION 1 0.10 ROAD HAZARD 13 1.35 SEXUAL ASSAULT 3 0.31 STABBING 1 0.10 SUICIDALPERSON 11 1.14 SUSPICIOUS PERSON, 55 5.70 CIRCUMSTANC SUSPICIOUS VEHICLE 7 0.73 THEFT 12 1.24 THEFT FROM A VEHICLE 0.10 THEFT OF VEHICLE 6 0.62 THREAT 6 0.62 TRAFFIC PURSUIT 0.10 TRAFFIC STOP 181 18.76 TRESPASS 9 0.93 TRAFFIC STOP ATV 1 0.10 UNWANTED SUBJECT 18 1.87 VEHICLE RUNOFF 2 0.21 VIOLATION OF RESTRAINING 2 0.21 ORDER WALK AND TALK 0.10 WANTED PERSON 12 1.24 WARRANT CHECK 5 0.52 WATER INCIDENT 2 0.21 WELFARE CHECK 29 3.01

Total reported: 965

Report Includes: All dates between 'I 0:00:01 07 /27 /21' and · 10:00:00 08/24/21', All nature of incidents, All cities, All types, All priorities, All agencies matching 'SWSO'

rpcdtccr.xl 08/24/21

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SAWYER COUNTY SHERIFF'S OFFICE DOUGIAS D. MROTEK - s 1-1 ER I r- F JOSEPH E. SAJDERA - C 1-1 IE F DEPUTY

August 26, 2021

Sawyer County Communications Center

Trainees Forren and Barthel are still in the training process and both doing well. Dispatch has received four applications and will be inviting selected applicants in for shadows in the near future.

We currently have one full time dispatch opening and will look at posting the position once our two trainees have completed training.

We have received concerns from emergency responders regarding damaged/faded/missing fire number signs and the difficulties locating some addresses when responding. We will be meeting with Land Records to discuss the issue.

Total Number of phone calls received : July 2021 - 5,158 July 2020 - 5,712

Calls for Service (CAD): July 2021 - 2,006 July 2020 - 2,219

Cory Sulley Dispatch Supe,visor

15880 FIFTH STREET ' POST OFFICE BOX567 ' HAYWARD, WI 54843 • SAWYERCOUNlYGOV.ORG

ADMIN FAX

715-634-4858 715·634-1309 DISPATCH

715-634·· 5213 JAIL FAX

715-634··9120 715-634-3845

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Sawyer County Sheriffs Office Total CAD Calls Received, by Nature of Call

Nature of Call Totl!l Culls Reci;:i NI °ll• o( ]))t:11

911 HANGUP 228 11 ,37 ACCIDENT DEER VS CAR 17 o.~ ACCIDENT INJURY 6 0.30 ACCIDENT PROPERTY DAMAGE 31 1.5 ONLY ALARM 49 2.44 ANIMAL 76 3.79 ASSIST OTHER AGENCY 17 0.85 ASSIST CITIZEN 28 1.40 ASSIST MOTORIST 6 0.30 ATV Complaint 9 0.45 BATTERY 3 0.15 BOND VIOLATION 2 0.10 BUILDING/AREA CHECK 22 1.10 BURGLARY 11 0.55 CAMP GROUND CHECK 18 0.90 CHILD ABUSE NEGLECT l 0.05 CHILD CUSTODY 6 0.30 CIVIL MATTER 12 0.60 CRIMINAL DAMAGE TO 12 0.60 PROPERTY DEATH INVESTIGATION 7 0.35 DISABLED VEHICLE 28 1.40 DISORDERLY CONDUCT 3 0.15 DISTURBANCE 43 2.14 DNR COMPLAINT 7 0.35 DOMESTIC DISTURBANCE IO 0.50 DRIVING COMPLAINT 50 2.49 DRUG COMPLAINT 11 0.55 EMS REQUEST 196 9.77 EMS TRANSFERALS 7 0.35 EMS TRANSFER BLS 16 0.80 Extra Patrol Request 3 0.15 FIRE ALARM l 0.05 FIRE REQUEST 25 1.25 FIREWORKS 10 0.50 FOUND ITEM 3 0.15 FRAUD 11 0.55 GAS DRIVE OFF 19 0.95 GUNSHOT COMPLAINT 4 0.20 HARASSMENT 8 0.40 HIT AND RUN 5 0.25 Information Call 64 3.19 INTOXICATED DRIVER 7 0.35


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Total CAD Calls Received, by Nature of Call Page 2 of 3

Nature of CaU T la al s Rccdv •d •t~ 2fTol 11I INTOXICATED PERSON 10 0.50 JAIL COMPLAINT 44 2.19 JUV ALCOHOL 3 0.15 JUVRUNAWAY 2 0.10 JUVENILE ISSUE 14 0.70 KEEP PEACE 10 0.50 LITTERING 3 0.15 LOCKOUT 1 0.05 LOST ITEM 4 0.20 MENTAL HEALTH 1 0.05 MISSING ADULT 6 0.30 MISSING JUVENILE 2 0.10 NEIGHBOR DISPUTE 5 0.25 NOISE COMPLAINT 10 0.50 NON LICENSED DRIVER 6 0.30 OBSTRUCTING 1 0.05 ORDNANCE VIOLATION 1 0.05 OWI ARREST 5 0.25 PAPER SERVICE ATTEMPT 64 3.19 PARKING COMPLAINT 7 0.35 PERSON WITH GUN 3 0.15 PORNOGRAPHY 1 0.05 POWERLINE ISSUE 3 0.15 PROBATION VIOLATION 4 0.20 RECOVERED PROPERTY 8 0.40 ROAD HAZARD 26 1.30 ROBBERY 1 0.05 SEXUAL ASSAULT 5 0.25 SPECIAL DETAIL I 0.05 STABBING 2 0.10 SUICIDALPERSON 4 0.20 SUSPICIOUS PERSON, 80 3.99 CJRCUMSTANC SUSPICIOUS VEHICLE 23 1.15 THEFT 34 1.69 THEFT FROM A VEHICLE 2 0.10 THEFT OF VEHICLE 11 0.55 THEFT RETAIL 3 0.15 THREAT 10 0.50 TRAFFIC PURSUIT 1 0.05 TRAFFIC STOP 353 17.60 TRANSPORT 1 0.05 TRESPASS 13 0.65 TRAFFIC STOP ATV 15 0.75 TRAFFIC STOP BOAT 5 0.25 UNWANTED SUBJECT 26 1.30 VEHICLE RUNOFF 7 0.35 VIOLATION OF RESTRAINING 2 0.10 ORDER WALK AND TALK 0.05


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Total CAD Calls Received, by Nature of Call

NaJ.urc of Coll WANTED PERSON WARRANT CHECK WELFARE CHECK

Total reported: 2006

Report Includes:

Paga 3 of 3

Total

51 2.54

All dates between '00:00:00 07/01/21' and '23:59:59 07/31/21 ', All nature of incidents, All cities, All types, All priorities, All agencies


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SAWYER COUNTY SHERIFF'S OFFICE OOUGIAS D. MROTEK - SHE RI FF JOSEPH E. SAJDERA- CHIEF DEPUTY

August 2021 Jail Report

Average Daily Population Total: Females: Males:

Average Probation incarceration: Average Pre-Sentence incarceration: Average Sentenced incarceration:

August 87.73 21.01 66.71

30.75 (35%) 40.48 (46%) 16.50 (19%)

Currently on Electronic Monitoring: 4 Currently being housed in Barron Co: 11

*Numbers are as of 8/26/2021

YID 87.50 18.02 69.48

15880 FIFTH STREET • POST OFFICE BOX 567 • HAYWARD, WI 54843 • SAWYERCOUNlYGOV.ORG

ADMIN FAX 715-634-4858 715-634-1309

DISPATCH I JAIL FAX 715-634-5213 715-634-9120 715-634-3845

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SAWYER COUNTY JAIL Daily Population Report

Date: Prepared By:

Location

Secure Wing Huber Wing Total in Facility Hospital Other Jails Monitor Total Adults Juvenile Detention Total Assigned

08/24/21 Hochrein 353

PRISONER LOCATION

Sawyer Boarders Total Inmates 35 0 35 25 0 25 #REFI

60 0 60 1 0 1

11 0 11 4 0 4 76 0 76 0 0

76 0 76

REASON FOR INCARCERATION

Status BAG Over .04% Cash Bond Hold for Other County New Arrestee Awaitiing Court Pending Revocation P&P ljold Only Sentenced Inmate Sitting off Pay or Stay Warrants Writ for Court Drug Court Hold LCO Court Hold 90 Day Payable Hold Convicted Awaiting Sentencing Caseworker Hold (Juv) Temporary Physical Custody (Juv) TOTAL

RACE

Whjte (Including Hispanic) Native Black Asian Other TOTAL

Male Female TOTAL

Code BAG CB oc AC REV HOL SEN WAR WRI DC LCO 90D GAS CWH TPC

29 44 3 0 0 76

In Cou_nty 46 15 61

:Total Inmates 0

32 0 2 0 16 12 0 0 0 1 4 9 0 0

76

GENDER

NOTES I ELECTRONIC MONITOR: DUANE . MILLER, GARY QUADERER, KEVIN PETERSON, MATHEW ANDERSON BARRON COUNTY: MATTHEW JACKSON, JAMES PLUCINSKI, KEITH HOLMES, MICHAEL BLACKDEER, KENNETH QUADERER, BRANDON HILL, JOSHUA QUADERER, WILLIAM FOWLER, MARI ISHAM, JOSEPH BLACKDEER, BRYCE CRONE. BAYFIELD COUNTY: JERRY CHESELSKI.

. Out of County I Monitor 1Total

10 4 1 0

11 4

60 . 16 76

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The following are complaints addressed by the Sawyer County Animal Control Officer 08/02/2021 thru 08/31/2021: Animal At Large(Aggressive):T Hayward, Sand Lk (2) Animal At Large: C Hayward, Lenroot, C Hayward, T Hayward, Bass Lk, Hunter, C Hayward, C Hayward, C Hayward (9) Dog Bite/Exposure: Spider Lk, Sand Lk, Draper (3) Cat Bite/Exposure: T Hayward (1) Dog Locked in Car: C Hayward, C Hayward, C Hayward, C Hayward (4) Barking Dog (Public Nuisance): V Couderay, V Couderay (2) Companion Pet Neglect/Abuse: Livestock Neglect/Abuse: T Radisson Inadequate/No Shelter: C Hayward, T Hayward (2) Abandoned Animal: T Hayward, Meteor (2) Dead Animal: C Hayward(turtle) Puppy Mill: Lost Dogs: C Hayward, C Hayward, T Hayward, Bass Lk, Round Lk, T Radisson, Round Lk (7) Found Dogs: C Hayward, C Hayward, Lenroot, C Hayward, Round Lk, C Hayward, T Hayward, Sand Lk, Sand Lk, Meteor(2) (10) Lost Cats: C Hayward, C Hayward (2) Found Cats: C Hayward (1) Impounded: 10

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Citations:4 Other: MOST CALLS REQUIRED AT LEAST ONE FOLLOW-UP (LICENSING OR CONDITIONS REQUIRING IMPROVEMENT) Female from Polk Co(brought cat w/chopped off tail), neglected dog(tot LCO), Packs of aggressive dogs(Daycare area-referred to LCO), report of neglected/deceased animals in and around cages-Ojibwa), dog got out of yard(attempted to attack pit bull)C Hayward, attempted to assist placement w/exotics, dogs, fish, and birds from deceased home/C Hayward, pet goose bit female/C Hayward, two German shepherds at large(Daycare area-tot LCO) Revenues generated for sold dog licenses 12/14/2019 thru 08/31/2020 12/14/2020 thru 08/31/2021 $29,213.00 (revenues) $20,395.00 (revenues) 2351 licenses sold 2007 licenses sold 314 w/late fees 145 w/late fees

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September 2nd, 2021, Public Safety Committee Report

• Participated in the Multi-county Hazmat Exercise with Enbridge on August 26th • Completed the 2022 EMPG and EPCRA State grants that funds 50% of my wages and benefits. • Completing the last items for the 2021 EMPG and EPCRA State Grants • Seeing an increase in PPE request with the Delta surge • Looking forward to retirement

Meetings and Trainings Attended:

• WEM regional Meeting • Fire Association • Traffic Safety • Public Health • Air Force Lost(down) Plane/SAR incident training

SAR Members: • Presented at Hayward Library • Security at World Champion Lumber Jack event • Assisted Sheriff Dept with missing elderly person • Expanded search on cold case

Submitted: 08/24/21 Patricia Sanchez, CEM Sawyer County Emergency Manager SCSAR Coordinator

EMERGENCY GOVERNMENT 5116N Crawford St Winter, WI 54896

715-634-2004 [email protected]

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__________________________________________________________________________________________________ Monday, August 30, 2021 To: Public Safety

Subject: September Ambulance Report Staffing:

• Opens Positions: Full-time 1 Medic, 1 AEMT, 1 EMT o Recruiting continues to be challenging. A large amount of regional EMS

openings. Operations:

• Our new medical protocols have been approved. • Had two people attend tactical EMS training Aug 8/26-8/28.

Events: • CHEQUAMEGON MTB EVENT – 2 Ambulances September 18

COVID Related: • Hospitals are starting to see high volume of inpatients. • Advised that PPE will be getting hard to obtain again.

Call Volume:

As of 8/29.

2021911 Transfer HAMH RUSK PARK LMC SPOONER ASHLAND OTHER

January 179 58 237 32 22 0 4 0 0 0 58February 137 48 185 28 19 0 1 0 0 0 48March 119 41 160 20 19 0 2 0 0 0 41April 118 52 170 25 25 0 2 0 0 0 52May 121 45 166 27 15 2 1 1 2 0 48June 149 50 199 16 25 2 3 1 0 3 50July 159 27 186 9 14 1 2 1 0 0 27August 165 33 198 7 19 1 2 2 1 1 33

2020911 Transfer HAMH RUSK PARK LMC Spooner Ashland Other

January 148 60 208 37 15 2 1 3 1 1 60February 149 64 213 35 23 1 1 2 2 0 64March 111 58 169 27 27 1 0 2 1 0 58April 125 52 177 22 26 1 2 1 0 0 52May 129 52 181 21 22 0 6 3 0 0 52June 152 65 217 30 18 0 9 4 2 2 65July 204 80 284 42 27 0 4 6 1 0 80August 180 76 256 34 31 0 7 3 1 0 76

10610 Main Street, Suite 58. - Hayward, WI 54843 Phone 715-638-3458

Fax 715-634-6862 Email [email protected]

Nate Dunston Sawyer County Ambulance Director

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Aging by Agency and Current PayerCurrent PayerFinancial Class

Current Payer Name0 to 30

Days31 to 60

Days61 to 90

Days91 to 120

Days121 to 150

Days151 to 180

Days181+ Days Payer Total

Sawyer County AmbulanceAUTO ALL STATE INSURANCE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($2,114.00) ($2,114.00)AUTO GEICO $0.00 $0.00 $0.00 $1,412.10 $0.00 $0.00 $0.00 $1,412.10AUTO Holden Auto Insurance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,504.50) ($1,504.50)AUTO LIBERTY MUTUAL $1,321.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,321.80AUTO STATE FARM INS - Atlanta Georgia $0.00 $0.00 $395.10 ($46.20) ($14.00) $0.00 $0.00 $334.90AUTO STATE FARM- AUTO $0.00 $0.00 $0.00 $0.00 $1,529.70 $0.00 $0.00 $1,529.70AUTO WISCONSIN MUTUAL $0.00 $0.00 $1,372.20 $0.00 $0.00 $0.00 $0.00 $1,372.20COLLECTIONS OUTSIDE COLLECTIONS $0.00 $400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $400.00COLLECTIONS OUTSIDE COLLECTIONS $11,900.66 $20,284.64 $19,788.80 $0.00 $958.65 $300.00 $305,976.27 $359,209.02

COLLECTIONSOUTSIDE COLLECTIONS AND SDCCOLLECTIONS

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38,067.41 $38,067.41

COLLECTIONS SDC-WI $22,760.61 $22,641.97 $25,840.09 $0.00 $0.00 $0.00 $42,922.00 $114,164.67COLLECTIONS SDC-WI $0.00 $400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $400.00COMMERCIAL AARP $95.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $95.42COMMERCIAL AARP $1,193.70 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,193.70COMMERCIAL AETNA $1,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($129.50) $870.50COMMERCIAL American Continental Ins $0.00 $126.88 $0.00 $0.00 $0.00 $0.00 $0.00 $126.88COMMERCIAL AMERICAN REPUBLIC INSURANCE $443.61 $0.00 $744.46 $0.00 $0.00 $0.00 $0.00 $1,188.07COMMERCIAL AVERA $0.00 $0.00 $400.00 $0.00 $0.00 $0.00 $0.00 $400.00COMMERCIAL BANKERS LIFE & CASUALTY $0.00 $107.24 $0.00 $0.00 $0.00 $0.00 $666.11 $773.35COMMERCIAL BCBS FEDERAL EMPLOYEE PLAN $373.89 $97.27 $172.04 $3,072.70 $0.00 $0.00 $1,223.10 $4,939.00COMMERCIAL BLUE CROSS BLUE SHIELD ANTHEM BCBS $7,976.79 $3,487.52 $598.00 $4,389.01 $0.00 $1,864.60 $14,548.20 $32,864.12COMMERCIAL CHAMPUS TRICARE FOR LIFE $388.08 $0.00 $0.00 $321.24 $176.73 $0.00 $1,796.40 $2,682.45COMMERCIAL DEAN HEALTH PLAN $0.00 $0.00 $2,061.00 $0.00 $0.00 $0.00 $0.00 $2,061.00COMMERCIAL Equitable Life & Casualty Insurance $250.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $250.00COMMERCIAL GROUP HEALTH CCOP SC WI $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,654.10 $3,654.10COMMERCIAL GROUP HEALTH COOP EAU CLAIRE $3,279.90 $4,696.75 ($833.02) $0.00 $0.00 $0.00 $0.00 $7,143.63COMMERCIAL HEALTH NET INS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $150.00 $150.00COMMERCIAL HEALTH PARTNERS $3,366.00 $0.00 $0.00 $0.00 $1,586.40 $0.00 ($2,041.00) $2,911.40COMMERCIAL HEALTHEOS $0.00 $0.00 $0.00 $1,357.50 $0.00 $0.00 $0.00 $1,357.50COMMERCIAL HUMANA $0.00 $3,580.60 $0.00 $0.00 $0.00 $0.00 ($1,000.00) $2,580.60COMMERCIAL ICare $0.00 $400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $400.00

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2

Current PayerFinancial Class


Days31 to 60

Days61 to 90

Days91 to 120

Days121 to 150

Days151 to 180


COMMERCIAL LCO $6,379.38 $726.11 $0.00 $214.68 $400.00 $0.00 ($1,646.96) $6,073.21COMMERCIAL LIBERTY MUTUAL $1,848.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,848.90COMMERCIAL MEDICA $0.00 $145.70 $1,653.30 $58.61 $0.00 $0.00 $3,060.20 $4,917.81COMMERCIAL MEDICA PRIME SOLUTION $2,104.84 $851.68 $1,439.40 $0.00 $0.00 $0.00 $50.00 $4,445.92COMMERCIAL MEDICO CORP $0.00 $0.00 $114.86 $268.22 $0.00 $0.00 $0.00 $383.08COMMERCIAL MHS HEALTH WI $0.00 $0.00 $1,825.80 $0.00 $0.00 $0.00 $0.00 $1,825.80COMMERCIAL MUTUAL OF OMAHA $0.00 $611.14 $114.63 $0.00 $0.00 $0.00 $0.00 $725.77COMMERCIAL Network Health $0.00 $0.00 $0.00 $0.00 $3,749.10 $0.00 $0.00 $3,749.10COMMERCIAL Network Health $0.00 $1,044.10 $0.00 $0.00 $0.00 $0.00 $0.00 $1,044.10COMMERCIAL New Era Life Insurance $0.00 $109.32 $0.00 $0.00 $0.00 $0.00 $0.00 $109.32COMMERCIAL New Era Life Insurance $0.00 $109.09 $0.00 $0.00 $0.00 $0.00 $0.00 $109.09COMMERCIAL NEWERA $138.66 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $138.66COMMERCIAL OCC Claims Processing-Minneapolis $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,256.73) ($1,256.73)COMMERCIAL PHYSICIANS MUTUAL $115.33 $520.82 $373.61 $417.93 $0.00 $0.00 $0.00 $1,427.69COMMERCIAL QUARTZ HEALTH $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,766.60 $2,766.60COMMERCIAL SANFORD HEALTH $0.00 $0.00 $0.00 $0.00 $0.00 $1,496.10 $0.00 $1,496.10COMMERCIAL SECURITY HEALTH PLAN $8,596.20 $15,069.44 $9,001.23 $37,267.40 $7,338.70 $31,541.70 $106,019.71 $214,834.38COMMERCIAL SECURITY HEALTH PLAN $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,248.30 $1,248.30COMMERCIAL SIERRA HEALTH AND LIFE INS CO $2,023.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,023.20COMMERCIAL THRIVENT FINANCIAL $0.00 $0.00 $265.76 $0.00 $0.00 $0.00 $0.00 $265.76COMMERCIAL TRICARE EAST - REGION CLAIMS $0.00 $0.00 $2,094.60 $0.00 $0.00 $0.00 $0.00 $2,094.60COMMERCIAL TRICARE WEST $644.69 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $644.69

COMMERCIALUCARE INDIVIDUAL & FAMILY PLANS +FAIRVIEW PLANS

$0.00 $0.00 $0.00 $0.00 $0.00 $9,173.60 $0.00 $9,173.60

COMMERCIAL UMR $0.00 $1,212.42 $2,683.87 $0.00 $3,321.00 $0.00 ($1,628.87) $5,588.42COMMERCIAL UNITED AMERICAN $0.00 $236.52 $0.00 $0.00 $0.00 $0.00 $0.00 $236.52COMMERCIAL UNITED HEALTHCARE $5,501.40 $400.00 $0.00 $0.00 $0.00 $1,002.10 $2,793.89 $9,697.39COMMERCIAL UNITED WORLD LIFE $0.00 $0.00 $0.00 $0.00 $219.58 $0.00 $0.00 $219.58COMMERCIAL VA $0.00 $2,159.70 $0.00 $0.00 $0.00 $0.00 $0.00 $2,159.70COMMERCIAL VA-MINNEAPOLIS $1,903.50 $4,413.90 $5,909.10 $6,368.30 $4,546.20 $0.00 ($3,979.85) $19,161.15COMMERCIAL VHA Office of Community Care $0.00 $0.00 $0.00 $0.00 $1,227.30 $0.00 $0.00 $1,227.30COMMERCIAL WEA TRUST $0.00 $177.08 $0.00 $0.00 $0.00 $0.00 $1,483.00 $1,660.08COMMERCIAL WEA TRUST $3,174.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,174.00COMMERCIAL WPS $152.90 $422.14 $0.00 $0.00 $0.00 $0.00 $0.00 $575.04P

ag

e 2

5 o

f 32

Current PayerFinancial Class


Days31 to 60

Days61 to 90

Days91 to 120

Days121 to 150

Days151 to 180


FEDERAL PROGRAM CHAMPVA $0.00 $0.00 $0.00 $162.23 $218.39 $151.51 $0.00 $532.13MEDICAID MEDICAID $4,884.83 ($23,220.67) $2,051.83 $3,844.87 $35,660.62 $13,446.60 $63,587.92 $100,256.00MEDICAID MEDICAID $97.50 $0.00 $0.00 $0.00 $400.00 $0.00 $702.10 $1,199.60MEDICAID HMO GROUP HEALTH MEDICAID $0.00 $1,290.30 $0.00 $0.00 $0.00 $0.00 $0.00 $1,290.30MEDICAID HMO GROUP HEALTH MEDICAID $2,334.40 $2,544.90 $0.00 $141.89 $0.00 $0.00 $6,374.47 $11,395.66MEDICAID HMO MANAGED HEALTH SERVICES $1,569.90 $0.00 $5,155.20 $5,816.70 $1,271.40 $4,411.30 $10,438.00 $28,662.50MEDICAID HMO SECURITY HEALTH PLAN BC $0.00 $1,317.60 $0.00 $0.00 $0.00 $0.00 $79,703.80 $81,021.40MEDICAID HMO UNITED HEALTHCARE BC $0.00 $0.00 $0.00 $0.00 $0.00 ($1,027.56) $0.00 ($1,027.56)MEDICARE MEDICARE- NGS $32,189.70 $16,388.01 $11,253.07 $33,145.40 $10,647.20 $6,161.32 $73,816.83 $183,601.53MEDICARE RAILROAD MEDICARE $0.00 $0.00 $0.00 $0.00 $0.00 $1,277.70 $7,497.50 $8,775.20MEDICARE HMO HUMANA GOLD $0.00 $0.00 $0.00 $0.00 $0.00 $1,380.60 ($876.09) $504.51MEDICARE HMO SECURITY HEALTH PLAN ADVOCARE $16,143.50 $37,359.12 $6,648.00 $31,947.00 $8,318.10 $14,384.90 $13,413.58 $128,214.20MEDICARE HMO UNITED HEALTHCARE MEDICARE SOL $0.00 $1,544.40 $0.00 $1,267.20 $0.00 $0.00 $782.06 $3,593.66MEDICARE HMO WISCONSIN PHYSICIANS SERVICE $0.00 $0.00 $289.50 $0.00 $0.00 $0.00 $0.00 $289.50PRIVATE BARNES AMBULANCE SERVICE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,349.24 $1,349.24PRIVATE BARNES AMBULANCE SERVICE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,347.91 $1,347.91PRIVATE BIRCHWOOD AMBULANCE SERV $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $500.00 $500.00PRIVATE PRIVATE (SELF PAY) $44,692.52 $76,070.20 $137,409.90 $41,273.86 $52,366.92 $251,005.31 $547,440.69 $1,150,259.40PRIVATE PRIVATE (SELF PAY) $1,500.00 $3,141.00 $400.00 $3,069.90 $0.00 $5,668.20 $12,177.73 $25,956.83VETERANSADMINISTRATION

VETERANS ADMINISTRATION $1,336.50 $0.00 $1,788.00 $2,756.10 $0.00 $0.00 $1,447.80 $7,328.40

WORKERS COMP ADAM LASALLE $1,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,200.00WORKERS COMP AEGIS CORPORATION $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1,032.30) ($1,032.30)WORKERS COMP ARCH INSURANCE COMPANY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($400.00) ($400.00)WORKERS COMP CBCS $1,242.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,242.00WORKERS COMP CLAIMS MANAGEMENT INCORP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($361.05) ($361.05)WORKERS COMP SENTRY INSURANCE $2,985.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,985.00Total $2,622,707.21Grand Total $2,622,707.21

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2

Inter-facility Transports

Purpose: To assure that we are providing inter-facility transports in a safe manner from one facility to another.

Policy: Sawyer County EMS has a primary responsibility to staff the 911 service area with a Paramedic ambulance, legally inter-facility transports are secondary in priority to 911 coverage. The purpose of this policy is to define the appropriate use of EMS personnel utilized curing an inter-facility tlansfer,

This policy addresses the appropriate transfer of a patient by amJulance with an emergency medical condition, who has been stabilized by the transferring facility, accepted by the receiving facility and transported with appropriately qualified personnel. Prior to initi3ting any transfer, the transferring physician has the responsibility to perform a medical screening exam to determine if the patient has an emergency medical condition, stabilize (if possible) and prepare the patient for the transfer.

Transfers occur with the expectation that the reasonably anticipated risks and complications en-route shall be non-existent to minimal, but may be adequately handled by trrnsport team personnel

Prehospital providers that participate in inter-facility transfers raust follow written these written guidelines and have appropriate training for the particular type of patient tlaey will encounter. At all times operate within your scope of practice and training as approved by Medica_ Direction.

!fa hospital or clinic determines the patient is in need of inter-facility transport, the hospital shall call the Sawyer County paramedic who will arrange for the proper level :rew and equipment.

Transferring Physician/Facility: 1. Shall stabilize the patient within the capacity of the facility. 2. Perform a risk/benefit analysis of transfer. 3. Determine the mode of transfer based on patient acuity, dis:ance and weather conditions in

consultation with the receiving facility physician and EMS. 4. Determining the medical needs of the patient during transfE:r and the medical qualifications/level of the ~

personnel required to meet that need, 5. Recognizing and respecting the limitations of the provider'~ scope of practice, which means: ...,_

a. Not requiring a higher level of care from these pErsonnel than is defined by scope. b. Recognizing the need for specialty transport services: i.e. Neonate transport team. c. Assuring medical control physician may be reached by radio or phone during the transport.

Modes and Level of response: 1. The physician can request a response mode:

a. Emergency Response= If a patient at a health fac:lity has an emergency medical condition which needs to be evaluated or stabilized by a ph r1sician atthe receiving hospital in a rapid manor. Does not always mean lights and siren, orly an immediate response.

b. Non-emergency Response= A request for transport of a patient who does not have, or is not perceived to have, an emergency condition but needs ambulance transport to a higher level facility or for a procedure not currently available at the local hospital or clinic,

2. The level of response will be determined by the attending p 1ysician at the facility. The physician can request one of three levels of care: EMT, Advanced EMT, and Paramedic/Critical Care Paramedic.

3. Sawyer County EMS employees Registered Nurses, They mc.y operate to the Paramedic level of service, or if CEN or Critical Care certified to that level of service as determined by the Medical Director(s).

S:rwyr.r County [lv1S BACK TO INDEX ~ I

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INTERFACIL!TY CONTINUED ... EMT /Medic Instructions:

1. Once at the hospital, obtain a verbal patient report from a11appropriate hospital staff, complete an interfacility transport form (see forms section).

2. Collect the patient's records for the receiving hospital, incl.1ding any x-ray /CAT scan CD/MRI being transferred with the patient. Patient belongings being tran;ported (encourage family members to take belongings. Document what you accept and where it is left.at receiving hospital).

3. Collect a face sheet, PCS form, and insurance card and if n~essary have the patient sign the ABN. 4, Obtain and document a set of vitals prior to leaving the facility. 5. Transferring Physician remains medical control until recei-1ing facility signs PCR. 6. Document the patient's condition during transport. If patiET1t1s condition deteriorates or there is a

significant change, consider ALS intercept or diverting to t:le closest hospital. 7. Call in report to the appropriate receiving hospital.

ALS Monitorin(;! durio(ittransport: All patients being transported shall have an appropriate level of monitoring:

1. Continuous EKG monitoring if Paramedic or CCP transfer is ordered. 2. Intermittent measurement: Rate, Pulse rate, Continuous mtmitoring by pulse oximetry, Blood pressures,

etc. 3. Intubated patients receiving mechanical support ofventila:ion should have airway pressure monitored.

If a transport ventilator is used, it should have alarms to injicate disconnects or excessively high airway pressures. End tidal and wave form monitoring required.

4. A medical record documenting the patient's status and ma,agement during the transport is required.

Minimum e<wioment durini: transport: 1. All Sawyer County Ambulances are equipped per state reg.1lations with sufficient levels of stock for

transfers. All Staff shall be trained on all equipment within their scope of practice. Paramedics, CCP and RN's shall be knowledgeable on the use and trouble-shoothg of IV pumps, ventilators, etc.

2. Guidelines recognizes that even with anticipation ofpatien: needs during transport, situations will arise that cannot be foreseen. In this event, transport personnel :1re to initiate care based upon the written order while seeking consultation with on-line medical control and/or requesting an appropriate level intercept or diverting to an appropriate facility.

3. EMS Providers must assure the patient conditions fall with n their scope of practice or arrange for a higher-level provider to take the transfer. If patient conditi:ms warrant additional staff on the transfer for sufficient care of patient, the duty officer shall arrange fDr more appropriate staff.

4. EMS must document all vital signs and interventions/cond tion changes of patient performed by staff, 5. Training for the Sawyer County EMS is conducted by WisCJnsin Indian head Technical College, and

medical direction physicians. 6. On-line Medical Control is provided by the Hospital Emergency Room Physician.

END

Sawyer County EMS BACK TO INDEX 48

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INTERFACILITY TRANSPORT REQUEST:

The Sawyer County EMS Paramedic will need to know: Patient age and sex, diagnosis and treatments being performed and what is needed/monitored en-route, level and priority below, and destination.

END

ALS (Advanced Life Support) Paramedic I Nurse Transport

Sawyer County EMS

u,,:t, bl •/C:1ili nl p1irio1n LN111~pocby CCP ct:rlifl ,d l'·mrowdlr crew,

✓ lnt11ba1. ~ljVen tOHt'Q1r pl'itl _l 1 · ✓•. I Jnstahl~~ n,rc11:.l /R,q)'l 1·1Hor , 1w sc.·vt,1'1! 1>11 11 p. Uet\ ✓ Monit~11· Bln11d ~ -I Mont or en sl, 1Jl 1m1ll1itlJ.f.'! ncdica t•d W lnf11 lorl~

i4aute pritients wrth a llii,lier potential <JJ.fldetel'io,1atfon eni,o.ute • PCS fonm fIBQrJli'RE/lJ~

Unstable patient transport by A:LS certlfled Paramedic crew: ✓ Intubated patients ✓ Cardiac monitoring/External Pacing ✓ Monitor antibiotic, medication infusions, Blood ✓ Advanced airway procedLres ✓ Pain control. • Acute patients with a po:ential of deterioration en route • PCS orm RE UIRED

Stabl.e patient tran~ort by, Emej'~ney. Ntedleal l 'echril cli:l n crew:

✓ Basic air;,way (Oxygen µno suct,io nln&:) ✓ IV monitor()[ NS (no methations) ✓ :ll:dvanced firSt aid skills'/ _qulpment ✓ tfo aardiac rnonl forfng ne_ aed

Rol1~tri · unn1~~ r ofp'1tle1 fo r :.pei:J:¼lty c Te l'l'r le. ting, t 110th r fao[lily. _

• Stable patients with 110 £O'tential of deteriol'atlon enroute :.- PCSJof'm required an~

Patien~ siynsABN /1rm ,for 6M~' crew: before transpaT<t. ~

Patl epr can Ambulate

:.- Heturn to nursing homes, 11111 L hav e PCS ctimp hHed prior to lT.:inspr; rL ,. If No MeJical Nect-ssi ty ls"" tal)l!shetl on Lhe PCS Corin for

Amblil :rncc lrai'1spor l, rhecosc may he billed to patient. • Sta_ble patients with no r:,otential of deterioration enroute ,. PCS form reqµired an~

Patient signs ABN J'c.nn for EMS crew before transport.

, No ABN for transports bqc/, to Hayward Jfec.i lth Services (Va lley Nursing Home]

BACK TO INDEX ,19

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Mutual Aid

Sawyer County EMS Requesting Mutual Aid from Other Agencie.: There are times when ambulances from outside the Sawyer Couaty EMS coverage area are needed: 1. All Sawyer County ambulances are used and additional ambulances are needed at that

same scene 2. All Sawyer County ambulances are already on separate call;; or out of service 3. Sawyer County EMS staffing is limited

Dispatch must be notified when mutual aid is desired. The crew 111ust specify the name ofth0 ambulance service desired. Typically, the nearest ambulance service is preferred. However, others may be requested based on resources available and required levels of training.

Department coverage area to stand-by for other calls or respons~ to the scene to free up one of our crews. The crew must specify to Dispatch where the ambulance should stage or respond. Generally, if the out of service time for Sawyer County is anticipated to be more than thirty min-1tes, the mutual aid ambulance should stage at the Sawyer County EMS stafun

In mass-casualty situations or more-complex situations beyond those described above, it is the responsibility of the Duty Officer/Lead EMT on a run to determine which addit:onal ambulance services are needed based on closest department and their staffing and runs at the time needed.

The Duty Officer shall thank and release the assisting units as socn as possible.

Sawyer County EMS Responding Outside the Normal ServiceArea:

Any time Sawyer County EMS is requested by another service to -espond out of our service area to assist them at a scene or stage at their station to cover their service area we :ntend to respond based on the following guidelines:

Mutual aid requests for Sawyer County EMS will be filled based oo available resources and personnel. Our primary goal is to ensure adequate emergency medical service ccverage to our own public service area (PSA).

The Duty Officer shall establish a Paramedic level on call crew for our PSA first. Mutual aid calls get the next highest level crew available,

Our crews shall return as soon as released by requesting agency.

END

S,1wyer County EMS BACK TO INDEX ~,2

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Mandatory Medical Director Notification

Certified providers operating within Sawyer County EMS syste,1 practice under the authority of the Medical Director. As such, any incident which potentially has a• adverse or negative impact on the patient or system must be immediately reported to the Medical Direct(Jr, or in their absence his/her designee as soon as practical after the completion of the call.

The Medical Director is to be notified when any of the followin 5 occurs:

1. Pediatric Arrest or death. 2. Mass Casualty Incident (MCI). 3. Critical Incident Stress Debriefing (CISD) 4. Performed advanced procedures 5, Pericardiocentesis. 6. Surgical Airway, (Any attempt) 7. Rapid Sequence Induction. (RSI, Unable to secureairw~) 8. Injuries of personnel (that are transported to hospital) 9. System certified provider who has operated outside of !:.is/her level of certification and/or training.

END

Multi-Casualty Incident/MCI Plan

PURPOSE: The purpose of this plan is to provide guidance to a:nbulance and first responder services to ensure the capability of providing triage and transportation for at least 500 adult and pediatric patients per million population. (Pediatric patients usually account for 20%,ofthe total.)

Definition of a Mass Casualty Incident: An incident with multiple casualties that overwhelms the resources of Sawyer County EMS. An MCI cannot be defined by a set numbe:- of casualties. Due to variations in actual and potential resources (e.g., ambulances, EMT staffing, supplies, et.) and the nature ofan incident (e.g., natural disaster, haz-mat, MVC, etc.), the number of casualties will vary

MCI training will take place bi-annually. Sawyer County EMS maintains a supply of disaster supplies at the station and on ambulances able to respond to a SO person casu3lty situation. The service participates in county wide training and drills to maintain readiness.

Sawyer County EMS has adopted the full plan from the State of Wisconsin EMS Advisory Board EMS Special Operations Committee dated 10/2010, The entire plan can be found in the forms section at the end of this manual.

END

S;:wyer County ,MS BACK TO INDEX

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In addition to the responsibilities under s. DHS 110.34, an ambulance service provider licensed to provide interfacility transports shall satisfyall of the following requirements:

(1) The ambulance service provider shall ensure that interfacility transports do not interfere with its responsibility to provide 9-1-1 emergencyresponse in its primary service area, if it is also licensed as a 9-1-1 provider.

(2) The ambulance service provider shall assure proper staffing for interfacility transports based on the acuity of the patient, the orders of thesending physician and the staffing requirements in s. DHS 110.50.

(3) The ambulance service provider shall not use mutual aid agreements to cover its primary service area while providing interfacilitytransports.

(4) If the ambulance service provider is licensed as both a 9-1-1 provider and interfacility provider, the provider shall have a minimum of oneambulance for 9-1-1 emergency response and one ambulance for interfacility transports, unless the ambulance service provider has acoverage agreement with a neighboring ambulance service provider that will be able to provide one 9-1-1 ambulance for each primaryservice area.

DHS 110.38 Interfacility Transports

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https://www.dhs.wisconsin.gov/ems/licensing/operational.htm#dhs-110-38-interfacility-transports

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