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JAN 10 1989 <br />Tourniquets 13 ea.) <br />Butterfly or scalp vein'needles (6 ea.) <br />IV Cannulae (8 ea.) <br />Micro drip sets (3 ea.) <br />Macro drip sets (3 ea.) <br />Needles (6 ea.) <br />1 ML Syringes (2 ea.) <br />2.5 ML to 6 ML Syringes (6 ea.) <br />10 ML to 20 ML Syringes (4 ea.) <br />Total cost for one ALS Kit <br />Total cost for two ALS Kits <br />(without drugs or medications) <br />BOOK 75 ,AGE568 <br />17 <br />60 <br />135 <br />12 <br />21 <br />4 <br />1 <br />3 <br />3 <br />$16,282 <br />$32;,'.564 <br />The drugs and medications required for, the ALS kits as required <br />by Rule 10D-66, Florida Administrative Code totals $80.00. There <br />are additional drugs and medications which are not required by the <br />above referenced rule, but are recommended by the Medical Director. <br />These drugs total approximately $100.00 in cost. The total drugs <br />for one ALS kit totals $180.00 and extended for two kits the price <br />would be $360.00 <br />The total amount requested for two ALS including drugs and medica- <br />tions is $32,924. <br />There will also be some costs involved in upgrading the current <br />BLS ambulances to ALS status in terms of equipment for items such <br />as airway bags, 747 boxes, etc. For the seven (7) vehicles, it <br />is anticipated that approximately $1,000 will be required for each <br />vehicle or $7,000 for the total of the vehicles which will be util- <br />ized in the ALS service. <br />The total amount requested for the two ALS kits with drugs and medi- <br />cations as well as the ambulance upgrade costs from BLS to ALS <br />status totals $39,924. <br />RECOMMENDATION <br />Staff recommends that the Board of County Commissioners approve <br />the emergency purchase of the ALS equipment and waive the bidding <br />requirements for the purchase of two (2) ALS kits, drugs, and up- <br />grading of BLS ambulances to ALS status so the required permits <br />can be obtained from HRS. Emergency expenditure authority in the <br />amount of $39,924 is requested. This action is necessary if the <br />service- is to be implemented by the target date of February 1, <br />1989. There remains a substantial amount of work to be completed <br />and approval of this request will provide staff the needed emergency <br />purchasing authority to equip and bring the ALS service on line <br />in a timely manner. <br />The Indian River Memorial Hospital is coopekating in this endeavor <br />and transfer of funds to the County for start up of the ALS service <br />is anticipated by February 1, 1989. <br />Some discussion arose about the emblems on the insignia and <br />the possibility that the symbol for the heart may be changed <br />slightly. <br />Director Wright then introduced Mr. Jimmy Judge who has been <br />selected to be the Chief Paramedic for the ALS Service. He <br />advised that Mr. Judge has substantial background, and they <br />36 <br />