HomeMy WebLinkAboutAgenda PacketCITY OF NEWPORT BEACH
CIVIL SERVICE BOARD AGENDA
Council Chambers - 100 Civic Center Drive, Newport Beach 92660
Monday, September 11, 2017 - 5:00 PM
Civil Service Board Members:
Roberta Fesler, Chair
Robyn Grant, Vice Chair
Jane Della Grotta, Board Member
Howard Herzog, Board Member
Sharon Wood, Board Member
Staff Members:
Barbara J. Salvini, Human Resources Director/Secretary to the Board
Andrew Maiorano, Deputy City Attorney
Traci Mackinen, Administrative Assistant to the HR Director
The Civil Service Board meeting is subject to the Ralph M. Brown Act. Among other things, the Brown Act requires that
the Civil Service Board agenda be posted at least seventy-two (72) hours in advance of each regular meeting and that the
public be allowed to comment on agenda items before the Board and items not on the agenda but are within the subject
matter jurisdiction of the Civil Service Board. The Chair may limit public comments to a reasonable amount of time,
generally three (3) minutes per person.
The City of Newport Beach’s goal is to comply with the Americans with Disabilities Act (ADA) in all respects. If, as an
attendee or a participant at this meeting, you will need special assistance beyond what is normally provided, we will
attempt to accommodate you in every reasonable manner. Please contact Barbara Salvini, Human Resources Director, at
least forty-eight (48) hours prior to the meeting to inform us of your particular needs and to determine if accommodation
is feasible at (949) 644-3256 or bsalvini@newportbeachca.gov.
NOTICE REGARDING PRESENTATIONS REQUIRING USE OF CITY EQUIPMENT
Any presentation requiring the use of the City of Newport Beach’s equipment must be submitted to the Human
Resources Department 24 hours prior to the scheduled meeting.
I.CALL MEETING TO ORDER
II.ROLL CALL
III.FLAG SALUTE
IV.PUBLIC COMMENTS
Public comments are invited on agenda and non-agenda items generally considered to be
within the subject matter jurisdiction of the Civil Service Board. Speakers must limit comments
to three (3) minutes. Before speaking, we invite, but do not require, you to state your name for
the record. The Civil Service Board has the discretion to extend or shorten the speakers’ time
limit on agenda or non-agenda items, provided the time limit adjustment is applied equally to all
speakers. As a courtesy, please turn cell phones off or set them in the silent mode.
V.CONSENT CALENDAR
APPROVAL OF CIVIL SERVICE BOARD MEETING MINUTESA.
1.APPROVE MINUTES FOR THE AUGUST 7, 2017, REGULAR MEETING
Waive reading of the subject Minutes, approve as written and order filed.
File: Draft Minutes of 08-07-2017
VI.CURRENT BUSINESS
UPDATE AND POSSIBLY TAKE ACTION TO SET CLOSED HEARING DATES A.
September 11, 2017
Page 2
Civil Service Board Meeting
FOR DISCIPLINARY APPEAL HEARING (CIVIL SERVICE, POLICE
EMPLOYEE)
ORAL REPORTSB.
1.CITY-WIDE AND HUMAN RESOURCES MATTERS - Barbara J. Salvini,
Human Resources Director
2.FIRE DEPARTMENT MATTERS - Jeff Boyles, Assistant Fire Chief
3.POLICE DEPARTMENT MATTERS - Jonathan Stafford, Deputy Director of
Police Services
File: Fire Department Handout
VII.BOARD/COMMITTEE/COMMISSION ANNOUNCEMENTS OR MATTERS WHICH
MEMBERS WOULD LIKE PLACED ON A FUTURE AGENDA FOR DISCUSSION,
ACTION OR REPORT (NON-DISCUSSION ITEM)
VIII.ADJOURNMENT
DraftCITY OF NEWPORT BEACH CIVIL SERVICE BOARD MINUTES
Council Chambers
100 Civic Center Drive
Monday, August 7, 2017
Regular Meeting
5:00 p.m.
I.CALL MEETING TO ORDER
Vice Chair Fesler called the meeting to order at 5:01 p.m.
II.ROLL CALL – All Board Members present
Civil Service Board Members
Roberta Fesler, Vice Chair
Jane Della Grotta, Board Member
Robyn Grant, Board Member
Howard Herzog, Board Member
Sharon Wood, Board Member
Staff Members:
Barbara J. Salvini, Secretary to the Board/HR Director
Andrew Maiorano, Deputy City Attorney
Traci Mackinen, Administrative Assistant to the HR Director
Vice Chair Fesler introduced new Board Members Howard Herzog and Jane Della
Grotta.
III.FLAG SALUTE –Led by Board Member Grant
Board Members Della Grotta and Herzog shared general biographical information about
themselves.
IV.CHAIR/VICE CHAIR ELECTIONS FOR 2017/2018
Board Member Grant nominated Board Member Fesler for Chair. There were no other
nominations.
The closing of nominations was moved by Board Member Wood and seconded by Board
Member Grant.
Board Member Grant advised that Board Member Fesler has had a long service with the
Board. She is extremely capable and qualified to chair the Board.
Board Member vote for nomination of Board Member Fesler to Chair:
AYES: Fesler, Della Grotta, Grant, Herzog, Wood
NOES: None
ABSTAIN: None
ABSENT: None
Staff congratulated Board Member Fesler as the new Chair.
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 2 of 7
Board Member Wood nominated Board Member Grant for Vice Chair. There were no
other nominations.
The closing of nominations was moved by Chair Fesler and seconded by Board Member
Herzog.
Board Member vote for nomination of Board Member Grant to Vice Chair:
AYES: Fesler, Della Grotta, Grant, Herzog, Wood
NOES: None
ABSTAIN: None
ABSENT: None
Staff congratulated Board Member Grant as the new Vice Chair.
The Board recessed at 5:07 p.m. and reconvened at 5:12 p.m.
V. PUBLIC COMMENTS
Jim Mosher remarked that he had difficulty understanding why Civil Service Board
hearings involving the review of discipline of City employees in the civil service system are
shrouded in secrecy. With such hearings closed to the general public, it is difficult for the
public to know if justice is being served. Mr. Mosher noted the Board is following the rules
in holding a closed hearing; however, he did not necessarily agree with the rules.
VI. CONSENT CALENDAR
A. APPROVAL OF CIVIL SERVICE BOARD MEETING MINUTES
1. APPROVE MINUTES FOR THE JUNE 5, 2017, REGULAR MEETING.
Chair Fesler and Board Member Wood confirmed they had listened to the recording of the
June 5 meeting and are prepared to vote on the minutes of such meeting.
Board Member Wood revised the last bullet under “Fire Department Matters” should reflect
that the Fire Department purchased two drones, one of which will be used to search for
missing swimmers. On page 4, the second bullet should begin "On June 1".
Motion made by Board Member Grant, seconded by Board Member Wood, to approve
the minutes as amended. Motion carried.
AYES: Fesler, Grant, Wood
NOES: None
ABSTAIN: Della Grotta, Herzog
ABSENT: None
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 3 of 7
VI. CURRENT BUSINESS
A. FIRE DEPARTMENT PRESENTATION OF PLAQUE TO FORMER 2016-2017 CSB
CHAIR MAIQUAL TALBOT
Acting Assistant Fire Chief Jeff Boyles appreciated Mr. Talbot's service to the City and his
dedication and commitment to Public Safety and presented him with a plaque in
recognition of his time served on the Civil Service Board. The leather shield on the plaque
represents his attendance at Fire Ops 101.
B. DISCUSS AND POSSIBLY TAKE ACTION ON THE SEPTEMBER 2017 REGULAR
MEETING DATE DUE TO THE LABOR DAY HOLIDAY
Human Resources Director Salvini noted the Labor Day holiday falls on September 4,
2017, which is the regular date for the Civil Service Board meeting. The Civil Service
Rules and Regulations state the meeting shall be held on the next succeeding Wednesday
or on a date and time agreed to by the Board. The next succeeding Wednesday is
September 6. If the Board wishes to hold the meeting on the subsequent Monday, it needs
to vote for Monday, September 11, 2017.
Board Member Herzog indicated he could not be present on September 6 or September
11 so he did not have a preference for either date.
Motion made by Vice Chair Grant, seconded by Board Member Wood, to hold the Civil
Service Board meeting on Monday, September 11, 2017. Motion carried.
AYES: Fesler, Della Grotta, Grant, Wood
NOES: None
ABSTAIN: Herzog
ABSENT: None
C. UPDATE AND POSSIBLE ACTION TO SET CLOSED HEARING DATES FOR
DISCIPLINARY APPEAL HEARING (CIVIL SERVICE, POLICE EMPLOYEE)
Deputy City Attorney Maiorano reported a Civil Service employee has requested an
appeal hearing in a disciplinary matter. A legal advisor to the Board and attorneys for both
the City and the employee will be present at the hearing. Staff suggests the Board reserve
the dates of November 6, 7, 14, and 15 for the hearing. The hearing shall begin at 9:00
a.m., recess between noon and 1:30 p.m., and continue from 1:30 p.m. to 4:30 p.m. until
completed.
Motion made by Board Member Wood, seconded by Board Member Della Grotta, to set
the hearing dates for November 6, 7, 14, and 15, 2017, beginning at 9:00 a.m. Motion
carried.
AYES: Fesler, Della Grotta, Grant, Herzog, Wood
NOES: None
ABSTAIN: None
ABSENT: None
D. ORAL REPORTS
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 4 of 7
1. CITY-WIDE AND HUMAN RESOURCES MATTERS – Barbara J. Salvini, Human
Resources (HR) Director
HR Director Barbara Salvini reported:
The Employee Service Awards were held on June 15. Senior IT Apps Analyst Faz
Kiatkwankul was named Employee of the Year. The Local Coastal Program
Implementation Committee received the Team Work award.
Faz Kiatkwankul, Shaun Tormey, Rebecca Lightfoot, and Susie Digiovanna
graduated from the Cal State Fullerton Leadership Development for Public
Agencies Program in July. Staff will begin accepting nominations for the next class
later in the month.
Human Resources is offering two sessions of Substance Abuse Awareness
training to all employees on August 22.
The City's annual Health Fair is scheduled for September 20, from 10:00 a.m. to
1:00 p.m. in the Community Room.
Recruitment for the Community Development Director position is coming to a
close. City Manager Kiff has completed second interviews, and a decision should
be made in the near future.
An agreement with the Association of Newport Beach Ocean Lifeguards (ANBOL)
has been adopted by the City Council. The term of the Memorandum of
Understanding (MOU) is July 1, 2017 through June 30, 2021.
In response to Vice Chair Grant's questions, Director Salvini advised that funds are
allocated for four employees to attend the Leadership Development program each fiscal
year. Employees from any department can apply to attend the program. Vice Chair Grant
felt it was important to have leadership training for employees.
In reply to Chair Fesler's inquiries, Director Salvini indicated graduation from the
Leadership Development program is acknowledged on the employment application and is
factored into the applicant's complete package. A portion of the program is held during
business hours, and a portion is completed outside of business hours. She had not heard
of any complaints from applicants not selected for the program.
2. FIRE DEPARTMENT MATTERS – Justin Carr, Fire Battalion Chief
Fire Battalion Chief Carr reported:
The Fire Department purchased two drones, one of which will be used in the
Lifeguard Department. The Fire Department will use the second drone. A member
of the Fire Department is a licensed drone operator and is interested in expanding
opportunities to use the drone.
The Fire Department hired Erika Rivera as administrative assistant to the Chief.
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 5 of 7
Fire Chief Duncan will speak at the monthly Speak Up Newport meeting on August
9.
Fire personnel are assisting with fires active in San Luis Obispo, Santa Barbara,
and Mariposa. Two Fire personnel are working as fire line medics.
Station 3 participated in Camp 911 at the Newport Beach Country Club.
On July 25, a car accident at San Miguel and Pacific View resulted in a fatality.
Five candidates passed the Captain's promotion exam. Two candidates will be
promoted soon.
Five probationary firefighters recently took the eight-month test and did well.
The Engineer probationary testing was held on July 7.
The C.E.R.T. team held a class for administrators, teachers, and staff at Sage Hill
High School and Harbor Courts; staffed community booths at the summer concert
series; and participated in the Police Department's National Night Out event.
For July 2017, Emergency Medical Services received 1,119 total dispatches, 942
of which were medical aid. Total medic transports to the hospital was 653.
The Fire Department hosted a Significant Other Survival (S.O.S.) workshop.
There has been a recent outbreak of Hepatitis A in San Diego and Santa Cruz
Counties.
All recent customer satisfaction surveys have been positive.
July 2017 Marine Operations statistics:
First Aid/Medical Calls 792
Preventatives 36,408
Rescues 1,318
Total Calls 65,809
The third anniversary of Lifeguard Ben Carlson's death occurred on July 6.
The Junior Lifeguard program hosted a hot dog dinner, participated in the
California Surf Lifesaving Association Regional Junior Lifeguard competition, and
held the Monster Mile.
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 6 of 7
Board Member Della Grotta stated the Junior Lifeguard program is the best program in
Newport Beach. The program helped her sons in many aspects of their lives.
In reply to Board Member Herzog's question, Battalion Chief Carr indicated the Fire
Department participates in the County's September 11 memorial service and observes a
moment of silence in the morning. Station 8 sometimes places 343 flags on the lawn to
signify the 343 firefighters who perished.
In response to Chair Fesler's query, Battalion Chief Carr reported a busy July 4 weekend,
but there were no significant calls for service.
3. POLICE DEPARTMENT MATTERS – Jonathan Stafford, Deputy Director of
Police Services
Deputy Director Jonathan Stafford reported:
He welcomed Board Members Herzog and Della Grotta on behalf of Chief Lewis
and the Police Department.
Between 6:00 p.m. on July 3, and 6:00 a.m. on July 5, the Police Department made
only 62 arrests. Most of the arrests were alcohol related. This is half the number
of arrests made in 2013 and continues a five-year trend of decreasing arrests.
On August 4, Deputy Chief Dennis Birch graduated from the Executive Leadership
Institute at the Drucker School of Management at Claremont Graduate University.
National Night Out was held August 1 at Bonita Canyon Sports Park with displays
of vehicles and equipment, the Mounted Enforcement Unit and K-9 Unit, and
games and activities for children.
Several hiring processes are nearly final. One Cadet has a start date with the
Police Department. One Community Service Officer has an interview in the next
week. Two part-time Dispatchers have received conditional job offers.
Two Recruits will graduate the Police Academy on August 24. A third Recruit has
reached midterm, and two more have just begun the Academy.
In July, the Police Department had 10,810 CAD events, an increase from 8,977 in
June 2017. July 2017 had an increase of 335 events over July 2016.
Through August 1, 2017, Part I crime is up 35 crimes. The two main drivers are
residential burglary and theft/larceny.
In response to Board Member Wood's inquiry, Deputy Director Stafford advised that most
medical emergency calls are not included in CAD events.
DraftAugust 7, 2017, NB Civil Service Board Minutes
Page 7 of 7
VII. CIVIL SERVICE BOARD ANNOUNCEMENTS OR MATTERS WHICH MEMBERS
WOULD LIKE PLACED ON A FUTURE AGENDA FOR DISCUSSION, ACTION OR
REPORT (NON-DISCUSSION ITEM)
Vice Chair Grant reiterated the Fire Chief's attendance at the Speak Up Newport event on
August 9 and urged the public and staff to attend.
VIII. ADJOURNMENT
There being no further business to come before the Civil Service Board, the meeting was
adjourned at 5:48 p.m.
The agenda for the Regular Meeting was posted on Thursday, August 3, 2017, before 5:00 p.m.,
on the City’s website, public counter in the Human Resources Department (Bay A2) and in the
Meeting Agenda Binder located in the entrance of the City Council Chambers at 100 Civic Center
Drive.
Prepared by:
Traci Mackinen, Administrative Assistant to the HR Director
City of Newport Beach
Approved by:
Roberta Fesler, Chair
Civil Service Board 2017/2018
"By Your NBFD EMS Division" AUGUST 2017
['1ii; ____________ N __ B __ F __ D __ H __ A __ P __ P __ E __ N __ I N __ G __ s ____________ ~]
TIP Activations: We have had 31 TIP activations since Jan 2017.
Nice work on activating the volunteers! They have assisted us with a
distraught pet owner whose pet died; a displaced elderly person from
a fire, a couple in distress over a miscarriage, and multiple death
situations with distraught family members.
HIE at NBFD: NBFD completed
the HIE Pilot -and were so
successful, it will now be offered
to other OC fire departments!!
We were first in the nation and
blazed the trail for other
departments to follow in. NBFD
has been testing the ability of
EMS to search, access,
download from and upload to -a
Health Information Exchange
(HIE) network!. Patient
allergies, medications and
diagnosis/outcome data are
being downloaded into our
ePCR and our ePCR is going
directly into their medical record.
HIE searches will remain a
permanent option for us to perform.
Another New Ambulance/Autoloader: It looks like we will
another new ambulance (with an Autoloader) in 2018!
Rehab Trailer: A Rehab Trailer is in the budget for 2018.
More Monitors: We have ordered two new monitors, at the price of $35k each, to
increase our backup cache. With special events, taking monitors out of service for
repairs and putting PAU's in service, we were running too lean.
Narcotics: Trialing of the new Pharmlogs continues. Medics,
please log in and give it a try. We need your feedback on the
system. A new policy will be coming out to reflect the new way of
accounting for narcotics.
1 I Page
"By Your NBFD EMS Division" AUGUST 2017
Kardex: When was the last time you looked on the County EMS
website or Kardex (it is on the iPad) to review procedures we do not
do all the time? The Kardex has BLS and ALS procedures,
medications, algorithms, etc.
Do you know where your Safe Surrender Kit
Is? Recently, another OC Fire Department had
an infant surrender to them. This brings the
total to four in the last two years. Ensure you
and your crew know where your kit is located in
your station. A Target Solutions assignment will
be forthcoming. No Slmnll'. No Bl:nnc. No Name~.
-rl.. ·::;',JA
O
..-.:• ,. _l~l(/!«-· Thank you to all those who help maintain our
extensive EMS equipment inventory and
supplies -Andy Janis (Gurneys and Stair
Chairs), Brian Mahnken (Monitors), Adam Novak (iPads), Michael
Kimoto (AED's), Ryan Callinan (Auto Pulse), Ryan Bullock
(Apparatus) and Bryan Carter (Medical Supplies). Thank you also to
those at each station who order medical supplies and keep the
stockrooms organized!
[FIREFIGHTER BEHAVIORAL HEAL TH]
Newport Beach Fire Peer Supporters include Ron Gutierrez, Matt
Ambrose, Jeremiah Martin, Casey Blythe, Joe Harrison, Matt Reis and
Chad Duncan. Tommy Van Andel will be joining --,,,,__o::::.-' _I I=
the team soon, after initial training. In June, we t;Ja~:..'.:happy~
hosted advanced training for multiple oc fire -~...e,tr l!J·k?ott'-rt;ri
agencies, PD and Lifeguards. Next up is policy ""=I '--:::;:rt.'r"'--
development, countywide training on what a i"'""""Y
Peer Supporter is and what they do. After the program is developed a bit
more, flyers will be coming out on our Peer Support team. Confidentiality is
the hallmark of the program, and we are working to develop the program
around that foundation.
On July 22, NBFD hosted an event at Station 7 for spouses/significant others of firefighters. The class was really
the first of its kind and hopefully helps those who you go to home to understand your jobs and how it can affect
home life.
California Professional Firefighters (CPF) has partnered with Cal-Chiefs to form a Firefighter Behavioral Health
Task Force. I am honored to say I was chosen to be a part of that task force! More to come on that endeavor.
21P age
"By Your NBFD EMS Division" AUGUST 2017
OC/OCEMS HAPPENINGS
Policy Updates: The MCI Fire Annex is being updated to reflect current practice and
ICS. The Ribbon system for triaging high numbers of victims will also be added to the
policy. Tags are not going away, they will be placed on patients before they leave the
scene, after initial triage with the Ribbons.
More OCEMS updates will be coming out in October 2017. Stay tuned ... Two changes:
Narcan is added to EMT Scope and we do not automatically suction a newborn
anymore. Only if airway is blocked do we use the bulb syringe. Keep the peds BVM
mask handy on all field deliveries, all the way to the hospital.
A New Kid in Town! OCEMT is a private school located in Lake Forest and run by
paramedics. OCEMS has approved the school as a Paramedic School! Their first class
starts this fall.
Push Dose Epi: Push Dose Epi was given successfully to a dialysis
patient in shock by an OC paramedic.
[ NBPD]
Newport PD is carrying Narcan for Opioid overdoses -training in progress. Document
use by PD on your ePCR. PD is required to call in Fire after Narcan is administered, and
they cannot take a suspect directly to jail after Narcan administration without a paramedic
eval first.
Reminder: It is not in Paramedic or EMT Scope of Practice to administer Narcan to
canine officers should they go down from an opiate overdose. Doing so can result in
loss of your certification.
[LEGAL HAPPENINGS ]
Americare filed a lawsuit in Federal Court against multiple OC fire agencies last year.
That lawsuit was dismissed "With Prejudice" in Federal Court. That was a good thing, as
the ruling was in Fire's favor. Americare is now appealing that ruling with the Ninth Circuit
of Appeals and taking us all back to court again. The major premise of their lawsuit, and
what we are fighting, is Americare's challenge of our right to provide exclusive 911
transport services within our City.
31 Page
"By Your NBFD EMS Division" AUGUST 2017
[ STATE HAPPENINGS~
New EMT Regulations: EMSA issued new EMT Regulations, which includes adding
Narcan administration, Epi pen administration and basic Tactical Medicine training.
Tactical Casualty Care Training Guidelines have been approved by EMSA.
Wireless 911 Routing Status Update: Cal OES oversees the routing of all 911 calls
statewide, and is attempting to address a big issue. In California, there are 28.5 million
911 calls per year. Of those, 85% are from wireless phones.
Existing 911 telephone infrastructure was built and designed in the ?O's based on landline
calls (known location of the caller; phone number corresponding to a physical billing
address). The best that the State's existing infrastructure can accommodate for wireless
phone location is the location of the cell tower for the call (if the cell tower is programmed
correctly). Most of today's wireless phones are capable and do transmit location data
(UBER App anyone?). However, the State's infrastructure is not capable of accepting the
data and it is not in the App format.
Accurate location of 911 calls from mobile callers is still years out, as phone vendors need
to redesign the chip, then the next generation 911 infrastructure can be built around that.
CalOES
OO't'ElNO•·i DFrlCl g,-(NUOINC:TS(R'IICt:S
41 Page
"By Your NBFD EMS Division" AUGUST 2017
2017 -1st and 2nd Qtr
In the first six months of 2017, our overall call volume is remaining
relatively stable compared to this same time in 2016.
• Jan-June 2016 call volume: 5,596
• Jan-June 2017 call volume: 5,625
Jan -June 2017 Patient Stats: Based on Documentation
• Total Cardiac and/or Respiratory Arrest patients, including DOA's 90
• Total injured trauma patients requiring a designated Trauma Center 82
• Total STEMI patients requiring designation to a Cardiovascular
Receiving Center 56
• Total Stroke patients designated to a Stroke Center 64
• % ROSC on working, medical full arrests documented 54%!
• Avg unit notified to enroute in minutes 3.50
• Avg unit enroute to arrive at scene in minutes 5.09
• Avg unit arrived on scene to left scene in minutes 12.83
• Avg unit left scene to arrive at destination in minutes 9.40
• Avg unit arrived at destination to unit back In service in minutes 15.14
• Number of runs 5,411
Summary: These averages come from 5,422 ePCR's completed from
Jan-June 2017. Most ePCR's are done by ALS transporting units. The
average length of a call, from dispatch to BLS, is 46 min. Please
remember to hit all appropriate times on your ePCR.
51 P a g e
"By Your NBFD EMS Division" AUGUST 2017
[ QI/EPCR/DOCUMENTATION]
AMA vs Tx and Release: Careful, these patients can legally be high
risk. Have the patient sign an AMA should they be doing something but
they are not (i.e., refusing transport, a treatment, a specialty destination,
etc.) Mark the correct AMA type under Disposition. A patient who
receives a 12 lead, a medication, Blood Glucose check, or placed on the
monitor, etc. and refuses transport gets an AMA, not a Release.
A Release is only for the patient who is so minor you are very
comfortable saying they do not need to go to the hospital via an
ambulance, or possibly at all. Mark the "Release" disposition only if they
are not an AMA, but are being released in the field. Persons receiving a
Release still meet the definition of a patient and need an ePCR
completed.
A person in police custody can still sign an AMA. Make BHC for any
complicated, high risk, questionable AMA. BRUE or patients receiving a
12 lead who sigh out AMA also need BHC.
I AMA -Patient Refused
Evaluation/Care/ Accepts Transport
RELEASE -No Treatment/Transport
Required
BHC -AMA -with Base Hospi tal Con tac
AMA -Patient Ref used Evaluation/Care
and T ranspor t
AMA -P atient Re f uses T r a n sport/
Accepts Evaluation/Ca re
PDF View: View your PDF before posting! Things look different when
you see your chart completed . It is the same view OCEMS, lawyers, the
hospital and I will see. All names on the ePCR are legally responsible
for what is documented.
61 Page
"By Your NBFD EMS Division" AUGUST 2017
Wall Time -Time the patient is off-loaded from your gurney: We are measuring Patient Offload
Times (Wall Time)!! Finally, there is way to do this. Patient care is considered handed over to hospital
staff when they are off-loaded from the gurney. In order to track these times, please do the following:
• Ensure Arrival Time at hospital is recorded accurately
• "Transferred Patient Care" is considered the time the patient is off-loaded from your gurney.
Charting:
•!• PROCEDURES:
I Disposition
Destination
9-1-1 IFT Report
Odometer
Valuables
Dest. Radio Freq.
Yesterday
+1 min +Smln
·1 min ·Smln
1 2 3
4 s 6
7 8 9
I 0 :
[ Back I Clear ]
Response Times
II II I [el [o)
BHCTlrne: C_J[:~:: J 0
[celvlng FaTCntact: 10]
En Route Facility: [ -.JL -~J ~ [o]
r riv1:_d~acilitt l-~;/
~--1 -J~JI
Destination Patient Transfer: [ --1L 1fajf!J
Finished:
II l!~~J [0
Unit Cancelled: I H ·10 1
o Document procedures under Medical Devices or Procedures
o ETC0-2: Document readings, even if they are zero
•!• MEDICATIONS:
o Watch documentation for route, dose
o "Push Epi" documentation is only for documentation of Push Dose Epi
•!• DOCUMENTATION:
o Using A + OxO? Alert but oriented to "O"? Just document OxO and leave out the "A"
o Watch spelling/auto correct in the narrative
• "Patient stated she took mess for her chronic back pain"
• "Haitian stated .... "
o Overall improvement in narratives!! Way to go!
71 Page
"By Your NBFD EMS Division" AUGUST 2017
Reminders on Full Arrests:
• Document under Primary or Secondary Impression if a Cardiac or Respiratory Arrest
occurs at any time during a call. Cardiac Arrest (Traumatic, Medical), Obvious Death,
etc.
• Document ROSC if a pulse is obtained at any time during the call, even if you lose it.
_J
I C/C/ Impression >
!Treat/ Response >
I Injury >
Injury Detail > ---------
Cardiac Arrest >
! Cardiac Arrest ... >
Stroke >
STEMI
I Narrative
. '
! RUN INFO v
! PT. INFO/HX v
! ASSESS/ TREAT A
! C/C / Impression >
! Treat/ Response >
! Injury
Injury Detail
Cardiac Arrest
I Cardiac Arrest ... >
Stroke
STEM!
• ELITE FIELD
Cardiac Arrest Detail
Not Attempted-DNR I Orders I I
Not Attempted-Signs of ClrculnUon
Cardiac Rhythm on Arrival at Destination:
r~· F_ind_va_lue_. ____ _._I ~]f Iii )[ 0 J
Date/Time Resuscitation Discontinued: I I,--------. r0J ti ~------~
Reason CPR/Resuscitation Discontinued:
DNR 1 [ Base Hosplt: Order l ( O )
Obvious Signs of Death
Physically Unable to Perform
• ELITE FIELD
Cardiac Arrest Detail
Other EMS Professional (not part of dispatched response)
First Monitored Arrest Rhythm of the Patient:
Any Return of Spontaneous Circulation:
No Yes, At Arrival at the ED
Yes, Prior to Arrival at the ED I
81 Page
"By Your NBFD EMS Division" AUGUST 2017
Fire Company Personnel: Do not use "Primary Patient Caregiver" button unless you are on a Medic
Van. It creates issues with who did procedures and can look like an EMT placed an airway or gave
medications. Primary Patient Caregiver name automatically populates in Procedures. Use "Fire
Company Personnel" to avoid that documentation error. Watch "Crew Member" name under
procedures as well. Ensure it is the correct person.
I Incident Info >
!Crew Info >
! Incident Address > ---,-"----~
I Response In for... >
r Primary Patient Caregiver
Fire Company
Personnel (Firefighter, c..,,,...,,..,...,...,. r ........ , ..,,,..,,
Ambulance Driver
Ambulance [ Other (Student Attendant Ride-Along, etc.)
Alcaraz, Debbie
1 1 C Repeat Last
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