May 18, 2011

CALL TO ORDER 7:00 pm

ROLL CALL

x Mr. Anderson x Mr. Brotzman x Chief Lutz
x Mr. Bartlett x Mr. Takacs x Mr. Long
- Mr. Britton x Mr. Wayman x Mr. Szeman

MINUTES:

MINUTES of: 04/20/11 Regular Session

Motion by: Mr. Bartlett, Seconded by: Mr. Anderson to approve.
ROLL CALL: All Ayes

BILLS AND PAYROLL:

Bills ($25,835.68) and payroll ($158,048.75) totaling $183,884.43 are motioned for acceptance and payment.

Motion to approve as presented by: Mr. Wayman, Seconded by: Mr. Anderson

Mr. Bartlett inquired about check #4090 dated 5/11/11 for Lowes Commercial Service. Mr. Long and Chief Lutz explained that this equipment is for the POD program and would be reimbursed by Lake County Health Department in the near future.

ROLL CALL: All ayes

OPENING PUBLIC PORTION:

Mr. Brotzman welcomed those in attendance. No Comments.

COMMITTEE REPORTS:

BUILDINGS: Nothing to report

FULL TIME LABOR MANAGEMENT: Nothing to report.

PART TIME LABOR MANAGEMENT: Nothing to report.

OLD BUSINESS:

Nothing to report

NEW BUSINESS:

Resolution #11-26 Architectural Firm Selection for Master Plan: Chief Lutz reported that the top four architectural firms have been identified as:

1) App Architecture- Englewood, OH

2) Moody Nolan, Inc.- Columbus, OH

3) Poggemeyer Design Group- Bowling Green, OH

4) LDA Architects- Cleveland, OH

Motion by: Mr. Anderson, Seconded by: Mr. Bartlett

Discussion: Mr. Szeman explained that once the board approves this resolution, he will contact App Architecture and commence contract negotiations. Should said negotiations fail, he will petition the Fire Board to try and resolve conflict issues. Should App Architecture and the Fire Board not reach agreeable terms, Mr. Szeman will repeat the process with the runner up, Moody Nolan, Inc.

ROLL CALL: All ayes

CHIEF’S REPORT:

1) Inspections : Monthly report included in Board packet. Chief Lutz reported that Inspector John Kloski will be going on medical leave as of 5/25/11 and will be out for a minimum of 4-6 weeks. Lutz has arranged for John to complete some work from his home.

2) Personnel Changes: Chief Lutz reported that part time FF/Paramedic Tony Fellenstein has accepted a full time position with the Mentor Fire Department and will be replaced in our Full Time Shifted Calendar (B shift) by FF/Paramedic Eddie Chernisky. Fellenstein will continue with MFD as part of the Fire District roster for shift sign ups.

Lutz advised that a couple more of our part time staff are also in the running for full time positions elsewhere. Due to the new LH Transport program, we will be increasing our manning from 10 to 12 in the near future. As a result, we are actively seeking additional part time personnel (8-10) and are currently conducting testing and scheduling interviews.

3) Master Plan Building Project: Chief Lutz asked Mr. Szeman to generate the appropriate letters advising the remaining architectural firms of the board’s decision to initiate contract negotiations with App Architecture. Mr. Szeman committed to drafting said letter, and will contact App Architecture to introduce himself and schedule the necessary meetings.

4) Monthly Incident Reports: Year-to-date, there have been 1188calls (683 EMS, 11 working fires).

5) Lake Health Emergency Department Addition (Madison): Chief Lutz reported that the new ED addition will open June 7, 2011. He also reported that the “Day in the Life” exercises held on Tuesday, May 17th were, in his opinion, successful and helpful and he encouraged those who participated to share their comments.

Mr. Bartlett agreed and stated that he appreciated the opportunity to familiarize himself with the layout of building and how MFD would operate within the system. He stated that there are a few equipment “bugs” that will need to be worked out, but thought overall it was a good dry run.

Lutz advised that MFD Non-Emergency Transports will begin on June 7th.

6) New Hire Physicals/MFD Annual Physicals: Chief informed the Board that henceforth all new hire and current personnel annual physicals will now be conducted at the Perry Medical Clinic instead of at Lake Madison.

7) Ambulance Opticom Equipment: Chief Lutz reported that our “Red” squads, # 2142 & 2152, are currently without Opticom equipment. Commercial Truck & Fleet Services is working on getting this low profile equipment installed, but Lutz asked that everyone keep this in mind when encountering these vehicles at intersections. Mr. Bartlett asked if another vendor might have the necessary equipment and Chief Lutz committed to following up on the issue.

8) Geneva Fire: Chief Lutz informed the Board that Chief Doug Starkey from Geneva Fire met briefly with himself and Tony Long to discuss sharing resources on Madison Fire District’s eastern border. Chief Lutz has contacted Mr. Szeman to ascertain and review concerns as this preliminary discussion includes the possibility of a joint venture. Per Mr. Long, Geneva Township is currently contracted through Geneva City.

Chief Starkey also stated that he is interested in purchasing a used engine and inquired whether Madison Fire District is interested in selling any of their older vehicles. Chief Lutz advised the Board that we have 2 older Darley engines that are not currently utilized. He reminded them that we own 4 engines and are scheduled to purchase a new/replacement vehicle in 2014. Lutz asked the board to consider the request and asked their permission to continue talking about options.

Mr. Long reminded the Board that the Master Plan suggests that we should be servicing areas east of our current district limit. The plan advocates that Madison have a station at Bennett and Chapel or Dock and Rt. 20, and Long commented that these preliminary discussions with Geneva actually fit in with possibilities spelled out in the Master Plan. He stated that many elements will need to be worked out but that cost estimates could be obtained from App Architecture if the Board is interested in addressing this possibility.

By general consensus of the Board, Chief Lutz will continue talks with Geneva Fire regarding the aforementioned topics.

9) Lucas 2 CPR Equipment: Chief Lutz reported that Madison Fire District responded to 360 Full Arrests calls in the last 8 years which averages 48/year, 3.9/month, and impacts all ages (17-93). The goal of CPR is to optimize the blood flow to the heart and the brain and to maximize the return of spontaneous circulation. American Heart Association Standards call for 100 compressions per minute at a depth of 2 inches. Lutz stressed the importance of maintaining this standard when performing CPR to achieve best results, however, studies show that manual CPR is difficult to perform because it causes rapid mental and physical fatigue within the first 2 minutes. Lutz also reported on other factors that interrupt effective CPR which include; 1) changes in chest wall compliance during resuscitation; 2) prioritizing ventilation (new standards); 3) hallways and stairways when transferring a patient to and from the squad; 4) soft surfaces; 5) traveling in squad; and 6) other situations where the patient is a “moving target”.

Lutz presented new CPR technology that performs an optimal CPR procedure constantly and without the usual interruption throughout the transport process. Lutz requested that the District purchase (3) Lucas 2 Automatic Heart Massage Units (battery operated) @ $13,500 each for (2) front line squads and (1) transport squad. Yearly maintenance for these units will be added to the Life Pak-15 agreement with Physio-Control ($4,000/year).

Motion by: Mr. Anderson Seconded by: Mr. Bartlett ROLL CALL: All ayes

10) Glidescope Airway Management Equipment: Chief Lutz explained the process by which an airway is established in patients who require assistance with breathing. He demonstrated various equipment used for this process and explained that it is usually very difficult and causes stress on a Paramedic because most are “blind insertions”. The most effective process requires EMS personnel to insert a breathing tube into the patient’s trachea, past the vocal cords and other obstructions to keep the airway open.

Chief Lutz reported that MFD responded to 780 calls over the past 8 years (97/year, 8/month) where airways were required (Trauma patients, Unconscious patients, Cardiac Arrest, COPD, Drug Overdose, Respiratory Arrest , Myocardial Infarction, and Respiratory Distress). In 86 of the 780 calls, crews were unsuccessful in establishing an airway. 330 patients were treated using Bag Valve Masks which are not as effective as C-PAP (103 calls) or Oral Endotracheal Tubes (172 calls) because any obstruction will cause the air to be blown back out of the mouth.

Lutz presented the battery operated Glidescope (Ranger) which makes intubating much easier because the scope and monitor allows EMS personnel to see into the patients trachea as they insert the breathing tube which takes away the guessing game of whether the tube is fully inserted. This tool will greatly increase the success rate while reducing the average insertion time from 1+ minutes to 20 seconds. He asked that the Board purchase three units for the (2) frontline squads and (1) transport squad at a cost of $9,007.00 each.

Motion by: Mr. Takacs, Seconded by: Mr. Wayman

ROLL CALL: All ayes

CLOSING PUBLIC PORTION:

No comments.

Other Items:

Mr. Brotzman reminded everyone to attend the Opening Ceremony of the new Lake Health Emergency Department to be held on June 1st 4:00 pm at the Madison Campus, 6250 North Ridge Road.

Per Chief Lutz, public tours of the new ED will be conducted as follows:

May 25th- 2 pm – 4 pm and 6 pm – 9 pm
May 26th- 10 am – 12 pm and 2 pm – 4 pm
May 27th- 10 am – 12 pm and 2 pm – 4 pm

Mr. Brotzman also reminded everyone of the June 15th Fire Board meeting at 7:00 pm.

Motion requested to adjourn to Executive Session to discuss personnel and vehicle issues.

No regular business to follow.

Motion by: Mr. Wayman, Seconded by: Mr. Bartlett

ROLL CALL: All ayes @ 7:54 pm

Executive Session adjourned @ 8:22 pm