5/2/1989 - Laserfiche WebLink

Home Browse Search

BOOK F A R- 61 --0 TO: James Chandler County Administrator FROM: Doug Wright, Director Emergency Management Services DATE: April 26, 1989 SUBJECT: AMENDMENT OF INDIAN RIVER SHORES CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY FOR EMS ALS SERVICE AUTHORIZING AN INTERNAL CERTIFICATE UNDER THE COUNTY ADVANCED LIFE SUPPORT LICENSE REFERENCE: Indian River County Ordinance 87-66, as amended and Chapter 401, Florida Statues It is respectfully requested that the information contained herein be given formal consideration by the Board of County Commissioners at the next regular scheduled meeting. DESCRIPTION AND CONDITIONS: On May 24, 1988, the Indian River County Board of County Commissioners approved a Certificate of Public Convenience and Necessity for the Town of Indian River Shores to provide EMS emergency service at the Basic Life Support level. On December 20, 1988,,the Board of County Commissioners ap- proved a proposal wherein the County would assume management and operational control of the Advanced Life Support service with a single focus of management within the Department of Emergency Management Services. An Advanced Life Support' license was obtained from the Florida Department of Health and Rehabilitative Services for Indian River County and all EMS providers within the County were issued an internal certificate operating under the auspices of the ALS license. The Town of Indian River Shores now requests an internal Certificate of Public Convenience and Necessity to provide EMS ALS service with the understanding that all protocols, poli- cies, procedures, ordinances, and statutes must be followed at all times. ALTERNATIVES AND ANALYSIS The Town of Indian River Shores currently has on staff three paramedics and sufficient EMT's to staff the emergency trans- port vehicle 24 hours per day. Per diem paramedics will be hired by the Town to fill any vacant shifts that occur for various reasons. A new emergency transport vehicle purchased by the Town has been equipped for ALS service and all necessary medical supplies required per Rule 1OD-66 is in place. The Chief Paramedic has certified the vehicle and equipment as meeting state and county specifications. The Medical Director has agreed to assume medical control for the pre -hospital EMS service. It is felt that this is appro- priate and necessary since the EMS service will be operating under the authority of the County Advanced Life Support li- cense. The EMS Director will monitor the run sheets and review the day to day operations to assure compliance with the quality assurance program and adherence to medical protocols as well as standing orders. The alternative is to provide the EMS ALS service from the IRCVAS Beach Station for the populace of Indian River Shores. 34