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BOOK C93 PAGE25 Since staff had earlier advised the residents that the program could be implemented for a total of $23,000, refunds and checks' will be returned to residents on an equitable basis by the Campaign Coordinator. The proposed program is now before the Board of County Commissioners for consideration and approval as is deemed appropriate. ALTERNATIVES AND ANALYSIS Staff has prepared the EMS EMT/D Protocols required to implement the program in Indian River County on the basis the project is to be regularly reviewed for possible implementation on a county wide basis, VV in the future. The protocols have been submitted to the state for review and approval as required by Chapter 401, Florida Statutes.. The program can be implemented on a gradual basis over the next few years and subsequent stations will not require the amount of funding to put the first unit in service. Essentially, the program consists of enhancing the training of the fire service first responders and improving existing equipment now being utilized by Emergency-- Medical Technicians. The planned project would require additional intense training for the emergency first responders. Staff has put in final form the following for implementation of the project: Developed standards for data collection and analysis as to project goals and objectives; Developed the specialized training program for the project and prepared to initiate immediate training of selected EMTs; Amended existing medical protocols regarding the use of an automatic defibrillator and prepared enhanced EMT standing orders; Developed a mechanism for interval testing of EMT's to ensure continued competency and skill proficiency demonstrations; and Amended current methods of medical control which would include routine reporting and medical review of each incident of application through the quality assurance program now in place. Since the residents have donated to the campaign with the objective of implementing the program in a very timely manner, staff seeks the authority to waive bids for the 'medical equipment referenced above and purchase the items from the lowest and responsible vendor on an emergency basis. Implementation of the program by May 15, 1991, can be accomplished if this recommendation is approved by the Board. George Shaw and other residents from the South Beach area will be in attendance at the scheduled meeting on April 16, 1991, with funds in the amount of $23,000 to be turned over to the County at that time if the program is approved. Many residents from this area have donated to this campaign and the citizens mentioned above gave copious time to raise the funds for this project they sorely want a year earlier than it would be available if normal processes were followed. There is absolutely no doubt that this program will be of significant value to the EMS system in this county and many lives will be saved as well as serious injuries will be minimized due to quick and competent attention by emergency services personnel. 46