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HomeMy WebLinkAbout5.570 Original Contract 5. SiD " PORT ANGELES MEDIC I / PRIVATE CARRIER OPERATIONAL PROCEDURES AGREEMENT This Agreement is entered into this -<{.tA.day of '1Vtv, J1~ , 2003, by and between the City of Port Angeles (City) and Olympic Ambulance Serv~ympic Ambulance or private carrier). WHEREAS, since May, 1988, the City and Olympic Ambulance have been cooperating in providing emergency medical services within the City of Port Angeles in compliance with an Operational Procedures Agreement and the City's Ambulance Business License Ordinance, Ch. 5.08 of the Port Angeles Municipal Code (P AMC); and WHEREAS, the 1988 Operational Procedures Agreement needs to be updated to incorporate changes in the Ambulance Business License Ordinance and changes in the protocols and procedures that the parties agree are appropriate; and WHEREAS, Olympic Ambulance has requested the City to be able to utilize the City's paramedics for out-of-town ambulance transports based upon medical necessity and the unavailabihty of Olympic Ambulance's paramedics; NOW, THEREFORE, in consideration of the above representations and the agreements set forth herein, the City and Olympic Ambulance hereby agree as follows: 1. Cooperation Agreement. The CIty and Olympic Ambulance will cooperate fully in providing emergency medical services (EMS) within the City of Port Angeles in compliance with the protocols and procedures set forth herein and in Chapter 5.08 PAMC. 2. Definitions. The terms used in this Agreement shall have the same meanings as set forth in Ch. 5.08 P AMC. 3. General Rule. As a general rule, the City's Medic I program responds and provides service to all EMS calls for patients within the City, including transportation to the OlympIC Medical Center (OMC), if the patient is determined by the emergency room physician, either by direct communication or adopted protocol, to require advanced life support services. If the Medic I patient does not require advanced life support, the private carrier, if available, transports the patient to OMC. All transports from OMC to designations in and out ofthe City are provided by the private carrier. G \Legal_ Backup\AGREEMENTS&CONTRACTS\medlcI agr wpd Page 1 of5 4. Periodic Audits. To ensure the parties are complying with the terms of thIS agreement, periodic audits will be conducted ofthose Incidents where patients were released to the private carrier for transport. Periodic audits will be conducted by the County's Medical Program Director andlor a representative of the Port Angeles Fire Department and shall include the full cooperation of Olympic Ambulance and its employees, including City paramedics hired by Olympic Ambulance, consistent with legal requirements pertaining to patient confidentiality. 5. Dispatch and Radio Communication Procedures. a. Emergency medical dispatching services will be provided as set forth herein by the emergency communications center operated by the Port Angeles Police Department (PenCom). b. Port Angles Medic I units will be dispatched on all emergency requests for medical aid received within the City of Port Angeles, except that for requests for basic life support (BLS) transports from nursing homes to OMC, the private carrier will be dIspatched. c. Dispatching the private carrier to calls requesting Medic I services within the City shall only be done at the request of Medic I personnel, except for BLS nursing home calls. d. Olympic Ambulance is hereby authorized to operate two mobile radio units under the Port Angeles Fire Radio Service KNGD 464, 154.220mHz. This authority may be withdrawn by the City without cause and is subject to the following conditions: (i) Communications shall be only for emergency purposes and then solely to facilitate the response, including patient care and transportation, by the City's Medic I program and the Clallam County Rural Fire Protection District No. 2 (District 2) EMS response. (ii) Communication is authorized between Olympic Ambulance mobiles and Port Angeles Fire and Medic I units and District 2 EMS units. No communication is authorized between Olympic Ambulance mobiles except in emergency conditions. (iii) Communications shall be brief and professional in nature. PenCom shall be addressed as "dispatch". Ambulances shall identify themselves as "Olympic Ambulance". G \Legal_Backup\AGREEMENTS&CONTRACTS\medlcI agr wpd Page 2 of 5 (iv) Authorization is limited to two land mobile FCC accepted radios, maximum of 50 watts mput, installed in ambulances operating in the Port Angeles and District 2 area. (v) Olympic Ambulance agrees to hold the City of Port Angeles harmless and defend the City against any claims or suits that may arise out of or be caused by or be connected with the use of the fire radio service frequency as provided under the authorization set forth herein. 6. Emergency Response Protocols a. Medic I personnel shall determine if the private carrier is to respond code to any EMS call within the City received by PenCom. b. The private carrier may use vehicle-mounted infrared signal emitters to acquire emergency lane control when responding code on Medic I requested calls within the City or when responding code to or from an EMS call outside the City. 7. Medical Protocols a. To expedite patient care, Medic I personnel may request the private carrier to be dispatched to any EMS call within the CIty, when Medic I personnel determine that it is reasonably likely that the patient requires only BLS services. (An example of this situation would be if PenCom were to report that the patient has a sporting injury such as a possible fractured wrist.) Alternatively, Medic I personnel may wait until they have arrived at the scene and have performed a basic examination before requesting a private carrier to the scene for BLS transport. Medic I personnel will transport BLS patients only after verifying that the private carrier is not available, or that the patient originates from Harborcrest, Ediz Hook, or areas west of the airport, or that the patient is at an event or activity where the City's reserve medic unit is providing standby service. b. Medic I personnel may request a private carrier to respond code to any request for Medic I services in the City if Medic I personnel determine that a delayed response by Medic I personnel could be detrimental to the patient's condition or if the gravity of the incident could exceed the resources of the Medic I program. The private carrier will transport ALS Medic I patients only after Medic I personnel have made such a request. G \Legal_ Backup\AGREEMENTS&CONTRACTS\medlcI agr wpd Page 3 of 5 8. Transportation Protocols a. Once the private carner has committed to transporting a BLS patient (i.e. taken medical control of the patient), the private carrier will not be released from the call to answer calls outside the City until the private carrier has cleared from the patient. b. It is expected that the private carrier, when requested for BLS transport, shall be on the air withm two minutes from tIme of tone out. If the private carrier is unable to be enroute within a reasonable period of time as determined by Medic I personnel at the scene, Medic I personnel will prepare to transport BLS patients to OMC. Once the patient has been placed on a Medic I gurney, no transfer will be allowed. The private carrier will keep PenCom advised when the private carrier is unavailable for response or if a delayed response will occur. 9. Use of City Paramedics for Out-of-Town Transports. The City agrees to allow Olympic Ambulance to temporarily hire off-duty City paramedics for out-of-town transports. City paramedics hired by Olympic Ambulance will be employees of Olympic Ambulance and not considered in any way to be City employees during the out-of-town transport. 10. Hold Harmless. Olympic Ambulance shall defend, indemnify, and hold harmless the City, its officers, officials, and employees, and volunteers against and from any and all claims, injunes, damages, losses, or suits, including attorneys fees, arising out of or resulting from the acts, errors, or omissions of Olympic Ambulance or its employees, including City paramedics hired by Olympic Ambulance, in the performance of this Agreement. 11. Insurance. Olympic Ambulance shall procure and maintain for the duration of the Agreement insurance against claims for injuries or damage to property, which may arise from or in connection with the performance of this Agreement, with the following insurance limits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of $1 ,000,000 per accident. 2. Commercial general liability insurance with limits of not less than $1,000,000 for each occurrence and $2,000,000 general aggregate. 3. Professional liability insurance with limits of no less than $1,000,000 per claim. 12. Term. The term of this Agreement shall commence on the date of execution of this Agreement and continue untIl terminated by either party giving to the other party one G \Legal_Backup\AGREEMENTS&CONTRACTS\medlcI agr wpd Page 4 of5 year's written notice. Subsequent to termination, each party shall have the nght to assert any legal or equitable position available to them under the laws of the State of Washington, as if the parties had not previously entered into this agreement. 13. Parties Benefitted. This Agreement is entered into for the benefit of the parties to the Agreement only and shall offer no benefits, direct or implied, on any third persons. DATEDthis <-ItA... dayof~Jt~L ,2003. OLYMPIC AMBULA.NCES, INe. CITY OF PORT ANGELES / - ~~ ---bY: Glenn Wiggins, Mayor ~o~~~,j)~~_ attest: Beck. on, City Clerk approved as to form: ;' ! )-1. /' I t, ' , " " . G \Legal_Backup\AGREEMENTS&CONTRACTS\medlcI agr wpd Page 5 of5 ,. 5. 57D,')... PORT ANGELES MEDIC I / PRIVATE CARRIER OPERATIONAL PROCEDURES AGREEMENT This Agreement is entered into this I d:f:"llay of ~OO 1, by and between the City of Port Angeles (City) and Olympic Ambulance Service, In'b4plympic Ambulance or private carrier). WHEREAS, since May, 1988, the City and Olympic Ambulance have been cooperating in providing emergency medical services within the City of Port Angeles in compliance with an Operational Procedures Agreement and the City's Ambulance Business License Ordinance, Ch. 5.08 of the Port Angeles Municipal Code (PAMC); and WHEREAS, the 1988 Operational Procedures Agreement needs to be updated to incorporate changes in the Ambulance Business License Ordinance and changes in the protocols and procedures that the parties agree are appropriate; and WHEREAS, Olympic Ambulance has requested the City to be able to utilize the City's paramedics for out-of-town ambulance transports based upon medical necessity and the unavailability of Olympic Ambulance's paramedics; NOW, THEREFORE, in consideration ofthe above representations and the agreements set forth herein, the City and Olympic Ambulance hereby agree as follows: 1. Cooperation Agreement. The City and Olympic Ambulance will cooperate fully in providing emergency medical services (EMS) within the City of Port Angeles in compliance with the protocols and procedures set forth herein and in Chapter 5.08 PAMC. 2. Definitions. The terms used in this Agreement shall have the same meanings as set forth in Ch. 5.08 P AMC. 3. General Rule. As a general rule, the City's Medic I program responds and provides service to all EMS calls for patients within the City, including transportation to the Olympic Medical Center (OMC), if the patient is determined by the emergency room physician, either by direct communication or adopted protocol, to require advanced life support services. Ifthe Medic I patient does not require advanced life support, the private carrier, if available, transports the patient to OMC. All transports from OMC to designations in and out of the City are provided by the private carrier. F \AGREEMENTS&CONTRACTS\medlcI agr.wpd Page 1 of 5 4. Dispatch and Radio Communication Procedures. a. Emergency medical dispatching services will be provided as set forth herein by the emergency communications center operated by the Port Angeles Police Department (PenCom). b. Port Angles Medic I units will be dispatched on all emergency requests for medical aid received within the City of Port Angeles, except that for requests for basic life support (BLS) transports from nursing homes to OMC, the private carrier will be dispatched. c. Dispatching the private carrier to calls requesting Medic I services within the City shall only be done at the request of Medic I personnel, except for BLS nursing home calls. d. Olympic Ambulance is hereby authorized to operate two mobile radio units under the Port Angeles Fire Radio Service KNGD 464, 154.220mHz. This authority may be withdrawn by the City without cause and is subject to the following conditions: (i) Communications shall be only for emergency purposes and then solely to facilitate the response, including patient care and transportation, by the City's Medic I program and the Clallam County Rural Fire Protection District No. 2 (District 2) EMS response. (ii) Communication is authorized between Olympic Ambulance mobiles and Port Angeles Fire and Medic I units and District 2 EMS units. No communication is authorized between Olympic Ambulance mobiles except in emergency conditions. (iii) Communications shall be brief and professional in nature. PenCom shall be addressed as "dispatch". Ambulances shall identify themselves as "Olympic Ambulance". (iv) Authorization is limited to two land mobile FCC accepted radios, maximum of 50 watts input, installed in ambulances operating in the Port Angeles and District 2 area. (v) Olympic Ambulance agrees to hold the City of Port Angeles harmless and defend the City against any claims or suits that may arise out of or be caused by or be connected with the use ofthe fire radio service frequency as provided under the authorization set forth herein. F.\AGREEMENTS&CONTRACTS\medlcI agr.wpd Page 2 of 5 5. Emergency Response Protocols a. Medic I personnel shall determine if the private carrier is to respond code to any EMS call within the City received by PenCom. b. The private carrier may use vehicle-mounted infrared signal emitters to acquire emergency lane control when responding code on Medic I requested calls within the City or when responding code to or from an EMS call outside the City. 6. Medical Protocols a. To expedite patient care, Medic I personnel may request the private carrier to be dispatched to any EMS call within the City, when Medic I personnel determine that it is reasonably likely that the patient requires only BLS services. (An example of this situation would be if PenCom were to report that the patient has a sporting injury such as a possible fractured wrist.) Alternatively, Medic I personnel may wait until they have arrived at the scene and have performed a basic examination before requesting a private carrier to the scene for BLS transport. Medic I personnel will transport BLS patients only after verifying that the private carrier is not available, or that the patient originates from Harborcrest, Ediz Hook, or areas west of the airport, or that the patient is at an event or activity where the City's reserve medic unit is providing standby service. b. Medic I personnel may request a private carrier to respond code to any request for Medic I services in the City if Medic I personnel determine that a delayed response by Medic I personnel could be detrimental to the patient's condition or if the gravity of the incident could exceed the resources of the Medic I program. The private carrier will transport ALS Medic I patients only after Medic I personnel have made such a request. 7. Transportation Protocols a. Once the private carrier has committed to transporting a BLS patient (i.e. taken medical control of the patient), the private carrier will not be released from the call to answer calls outside the City until the private carrier has cleared from the patient. b. It is expected that the private carrier, when requested for BLS transport, shall be on the air within two minutes from time of tone out. If the private carrier is unable to be enroute within a reasonable period of time as determined by Medic I personnel at the scene, Medic I personnel will prepare to transport BLS patients to OMC. Once the patient has been placed on a Medic I gurney, F \AGREEMENTS&CONTRACTS\medlcI agr wpd Page 3 of 5 no transfer will be allowed. The private carrier will keep PenCom advised when the private carrier is unavailable for response or if a delayed response will occur. 8. Use of City Paramedics for Out-of-Town Transports. a. Medical Necessity and Unavailability of Other Paramedics. The City agrees to allow Olympic Ambulance to use City paramedics for occasional out-of- town transports, provided that such use shall be based on medical necessity and the unavailability of other paramedics and shall be in accordance with the provisions of Section 8 of this Agreement. b. Request. On such occasion as justified by medical necessity and the unavailability of other paramedics, Olympic Ambulance may request through PenCom that the City provide a paramedic for an out-of-town transport. PenCom will contact the Port Angeles Fire Department (Fire Department) to determine in its sole discretion if an off-duty paramedic is available and will notify Olympic Ambulance accordingly. The Fire Department will contact the off-duty paramedic and will direct the paramedic when and where to report. c. Equipment and EMT. Olympic Ambulance shall provide at least the minimum equipment requested by applicable State of Washington regulations for ALS ambulances. In addition to the City's off-duty paramedic, Olympic Ambulance shall provide an emergency medical technician who is familiar with the equipment and its location. d. Payment. Olympic Ambulance shall reimburse the City for the off-duty paramedic's services at the paramedic's overtime rate including benefits. Payment shall be calculated from the time of arrival at the ambulance until the ambulance returns and is put back in service. The City shall invoice Olympic Ambulance, setting forth the actual service time and all-inclusive hourly rate per paramedic used. Olympic Ambulance shall remit payment to the City within 20 calendar days after the invoice is mailed. The City shall be solely responsible for allocating the paramedic's pay and benefits, including withholding of federal income tax and social security and any and all other employee benefits. e. Employment Status. During the transport service, the paramedic will continue to be a City employee and to function under the Clallam County patient care protocol and the policies and procedures of the Fire Department. f. Liability. Olympic Ambulance shall defend, indemnify, and hold harmless the City, its officers, officials, and employees, and volunteers against and from any and all claims, injuries, damages, losses, or suits, including attorneys fees, arising out of or resulting from the acts, errors, or omissions of Olympic F .\AGREEMENTS&CONTRACTS\medlcI.agr.wpd Page 4 of 5 ~' .~ Ambulance or the City or the City's paramedics in the performance of this Agreement. g. Insurance. Olympic Ambulance shall procure and maintain for the duration of the Agreement insurance against claims for injuries or damage to property, which may arise from or in connection with the performance of this Agreement, with the following insurance limits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of $1 ,000,000 per accident. 2. Commercial general liability insurance with limits of not less than $1,000,000 for each occurrence and $2,000,000 general aggregate. 3. Professional liability insurance with limits of no less than $1,000,000 per claim. 9. Term. The term ofthis Agreement shall commence on the date of execution ofthis Agreement and continue until terminated by either party giving to the other party one year's written notice. Subsequent to termination, each party shall have the right to assert any legal or equitable position available to them under the laws of the State of Washington, as if the parties had not previously entered into this agreement. 10. Parties Benefitted. This Agreement is entered into for the benefit of the parties to the Agreement only and shall offer no benefits, direct or implied, on any third persons. DATED this fAt..- day of ~~ ' 2001. CITY OF PORT ANGELES . ( r , I approved as to form: ;, '" " F \AGREEMENTS&CONTRACTS\medlcI agr wpd Page 5 of 5