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HomeMy WebLinkAboutReso 154-1983 · RESOLUTION NO. 154-83 CITY COUNCIL, CITY OF SOUTH SAN FRANCISCO, STATE OF CALIFORNIA A RESOLUTION AUTHORIZING EXECUTION OF AN AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND THE CITY OF SOUTH SAN FRANCISCO (PARAMEDIC AGREEMENT) BE IT RESOLVED by the City Council of the City of South San Francisco that: 1. Execution. Execution of an Agreement between the County of San Mateo and the City of South San Francisco to provide for a Program utilizing mobile intensive care paramedics pursuant to Senate Bill 125 (California State Senate, Statutes of 1980) is hereby authorized, and a copy of said Agreement is attached hereto as Exhibit "A". 2. Signatures. The Mayor is authorized to execute said Agreement on behalf of the City and the City Clerk attest his signature thereto. I hereby certify that the foregoing Resolution was regularly introduced and adopted by the City Council of the City of South San Francisco at a regular meeting held on the 19th day of October , 1983, by the following vote: AYES: Councilmembers Ronald G. Acosta, Mark N. Addiego, Emanuele N. Damonte, Gus Nicolopul os; and Roberta Cerri Tegl ia NOES: No ne ABSENT: None ATTEST: City Clerk EXHIBIT "A" TO RESOLUTION NO. 154-83 AGREEMENT WITH T}{E ~CITY OF SOUTH SAN FRANCISCO FOR THE PROVISION OF A PROGRAM UTILIZING MOBILE INTENSIVE CARE PARAMEDICS PURSUANT TO SB125 (STATUTES OF 1980) i THIS AGREEMENT, made and entered into as of this ~-0~ day of ~&~ ~1983, by and between the COUNTY OF SAN MATEO, a political sub-division of the State of California, hereinafter called "County"; and the CITY OF SOUTH SAN FRANCISCO, a municipal corporation, hereinafter called "Contractor". W I T N E S S E T H: WHEREAS, Statutes of the State of California provides that any county may conduct a program which provides services utiliz- ing Mobile Intensive Care Paramedics for the delivery of emer- gency medical care to the sick and injured at the scene of an emergency, during transport to a general acute care hospital until care responsibility is assumed by the regular staff of the general acute care hospital, and during training within the facilities of a participating general acute care hospital which has the approval of the County Health Officer or his designee to participate in the program and WHEREAS, County desires that Contractor participate in such paramedic program; and NOW, THEREFORE, AND IN CONSIDERATION OF THE FOREGOIN~ PREMISES' AND THE MUTUAL COVENANTS HEREIN CONTAINED, IT IS AGREED AS FOLLOWS: CENTRAL RECORDS /--~i/1 1. DEFINITIONS . A. Advanced Life ~uPDort (ALS): Medical care provided to critical care patients by Paramedics. B. Alternate General Acute Care Hospital: "Alternate General Acute Care Hospital" means an accredited general acute care hospital. C. Basic Life SuPDor.t (BLS): Basic medical care and ! elementary care. D. County Health Officer: "County Health Officer" means the duly appointed and acting Health Officer of the County of San Mateo or his designee. E. Emerqenc¥ Department: "Emergency Department" means any department or separate area within a general acute care hospital which is staffed and equipped to provide emergency medical care to the sick or injured on a continuous 24-hour basis. F. Base HosDital: "Base Hospital" means the designated Hospital for paramedic/MICN communication. G. Mobile Intensive Care Paramedic: "Mobile Intensive Care Paramedic" (hereinafter designated as "Paramedic") means a person who has been certified as a Mobile Intensive Care Para- medic by the County Health Officer of the County of San Mateo. H. Mobile Intensive Care Unit: "Mobile Intensive Care Unit" (hereinafter designated as "Unit") means the emergency vehicle staffed by two certified Mobile Intensive Care Paramedics and all necessary equipment to provide basic and advanced life support care to the sick or injured at the scene of medical - 2 - emergencies or.during transport to a general acute care hospital subject to guidance, instruction and communication from the Base Hospital within the language and intent of the Paramedic Act and the terms of the Agreement. I. Paramedic Act: "Paramedic Act" means Emergency Medical Services System and the pre-hospital Emergency Medical Care Personnel Act, Division 2.5 of the ~ealth and Safety Code, Section 1797 et seq. J. Medical Supplies: "Medical Supplies" means those drugs, solutions, equipment, and adjuncts used for patient treat- ment upon direct order of a physician or Mobile Intensive Care Nurses enumerated in SB125 (Statutes of 1980). K. "Transportation Areas": The geographical area of the City and County of San Francisco that includes hospitals which are designated as receiving hospitals, and that area of San Mateo County, bounded by the County limits to the east, west, and north, and Chope Hospital to the south, with Chope Hospital being included within the transportation area. 2. PROGRAM: SCOPE: UNIT PERSONNEL AND OPERATIONS: UNIT EMERGENCY SERVICES TRANSPORTATION: HOSPITAL EMERGENCY SERVICE: A. General Operation: Contractor agrees to conduct a paramedic program in accordance with the practices and procedures established by the County Health Officer or his designee, and will adhere to said practices and procedures in performance of the responsibilities assumed pursuant to this contract. Con- tractor shall provide paramedics who will, within the unit service areas, specified in paragraph 3B below: (1) Deliver - 3 - emergency medical care to the sick and injured at the scene of an r- _ · emergency; (2) Deliver emergency medical care to the sick and injured during transport to the hospital or alternate general acute care hospital when delivery of said care during transport is required by the condition of the sick or injured person; (3) Follow communication standards as jointly agreed to by County and Contractor; (4) Deliver emergency medical care to the sick or injured while in the emergency'department of hospital or alter- nate general acute care hospital until care responsibility is assumed by the regular staff of the hospital or alternate general acute care hospital; (5) Deliver emergency medical care to the sick and injured during training within the facility of the spon- soring hospital or alternate general acute care hOspital. 3. SERVICES A. Transportation: With respect to all patients re- quiring either advanced life support services (ALS) or basic life support (BLS) services, Contractor shall provide medical treat- ment at the scene, as well as transportation to the appropriate hospital as determined by the Base Hospital. Transportation will not be provided if (a) it is determined by the paramedics that such transportation is not necessary; (b) the patient refuses such transportation or (c) transportation is requested to a hospital located outside the transportation area. In the event that the patient requests transportation to a hospital outside the transportation area, Contractor will transfer said patient to a County unit. If after receiving medical care at the scene of _ an emergency, a patient refuses transport, the patient shall be - 4 - requested to execute a form indicating that he or she refuses , further treatment. In the event patient refuses to execute said waiver, the patient's refusal to sign shall be witnessed and documented by two (2) ambulance personnel. For any patient not transported by Contractor, transportation of such patient to the appropriate hospital will be provided by County, who will respond to calls within fifteen (15) minutes in eighty percent (80%) of all calls. With respect to both BLS and ALS cases, County shall provide all required services if the Contractor's unit is una- vailable (hereinafter called Backup Services). To initiate such services by the County, Contractor shall call County Communications. B. Unit Service Areas: The service area for delivery of both BLS and ALS emergency medical care to the sick and injured at the scene of an emergency shall be the City of South San Francisco, specifically Census Tract 6017-6026, except that pro- visions of services to patients from freeways in the Census Tract 6017-6026 will be limited to the following areas: Southbound 101 from Linden Avenue at Airport Boulevard to San Bruno Avenue including the San Bruno Avenue off ramp and westbound 380 to the E1 Camino, Southbound 280 from Westborough Boulevard to San Bruno Avenue and northbound 280 from Westborough Boulevard to Hickey Boulevard. In addition, Contractor shall provide services in Census Tract 6001, Brisbane, except that services in Census Tract 6001 will be limited to those occasions when County Units 11, 12 and 13 are out of service, which shall be determined by County - 5 - Communications. Contractor shall not respond to any emergency call outside of its area(s) of responsibility under this Agree- ment unless specifically requested by County Communications or unless specifically set forth in mutual aid agreements. C. Fees for Service: In all cases where Contractor is called upon to provide backup Paramedic services, or in cases of response to County areas, the rates which Contractor charges shall be at the County's prevailing Paramedic ambulance rates. When back-up is provided to the City of South San Francisco by another County contractor, charges for paramedic service shall be at the same rate as South San Francisco Fire Department rates. D. Communication: When County receives a call for emergency medical service within the service area of this Agreement from other than Contractor itself, it shall notify Contractor by calling South San Francisco Fire Communication. Contractor shall provide such services in accordance with this Agreement. Contractor shall be responsible for the provision of emergency medical services within the service area in all cases, unless and until County has been notified by Contractor to pro- vide backup services. E. Equipment: Throughout the life of this Agreement, Contractor shall provide and maintain in good order the types and quantities of equipment specified in this section. It is further understood that any and all equipment, and permits for this use, will be provided by Contractor at its expense. Contractor shall: - 6 - 1. Furnish and equip ambulances as required by San Mateo County and California Highway Patrol. 2. Equip all ambulances with such other equipment and supplies as may be prescribed by County's Director of ~ealth Services or his authorized agents, who may require other items in addition to the foregoing or in lieu thereof, subject to the appropriation of funds within a reasonable time. 3.. Operate and maintain all ambulances and equipment in a manner which will not endanger lives or' property and in accordance with all state, federal, and local laws and ordi- nances; and policies, regulations, and resolutions consistent with the Agreement. F. Personnel: Throughout the life of this Agreement, Contractor shall employ Paramedics who meet or exceed the re- quirements specified in this section. Contractor shall: 1. Staff each ambulance with at least one (1) driver and one (1) attendant, both of whom shall be at least eighteen (18) years old, neat, well-groomed and clean, of good moral character, and physically and mentally capable of performing the duties required of them. 2. Staff each ambulance with personnel who meet or exceed the following requirements: a. All ambulance personnel shall have success- fully completed a course of instruction in closed-chest cardio- pulmonary resuscitation adhering to the standards Of the American Heart Association, local chapter thereof, or the American Red - 7 - Cross, local chapter thereof. Further, all ambulance personnel shall carry on their person a current certificate of completion of such training. b. All ambulance drivers and attendants shall be currently certified by the San Mateo County Health Officer as Paramedics and shall carry on their person current proof of such certification. 3. Ensure that all ambulance personnel successfully complete not less than the minimum hours of refresher training required by the policies set by the Director of Health Services, or his designee. All such training shall be approved in advance by County's Director of Realth Services or his designee. 4. Contractor shall designate an individual to be responsible for compliance with this Agreement and for communications with the County. 4. PRACTICES AND PROCEDURES: County shall: (a) Establish practices and procedures for use in the Paramedic Program to assure liaison with Base Hospital staff, Paramedics, training institutions, and alternate general acute care hospitals. (b) Establish practices and procedures for the pre- hospital emergency care to assure uniform county-wide standards for emergency medical care. (c) Review the function and results of the Paramedic Units including, but not limited to, quality of medical care provided. -- 8 -- (d) Establish practices and procedures to assure the quality of Paramedic continuing education. (e) Review the medical supplies used by the Paramedic Units and make recommendations for additions, deletions or modifications. (f) If transportation is desired beyond transportation area, the patient will be transferred to another County Paramedic Contractor. 5. COUNTY ANNUAL REPORT: Contractor shall cooperate with the County by providing reasonably necessary reports, data and information, and permit- ting surveys of Paramedic facilities necessary to assist County in compiling and making such annual reports to the Legislature and to the State Department of Health as required by Health and Safety Code, Section 1797.0 et seq. 6. RESPONSIBILITY OF THE PARTIES: A. It is understood and agreed that neither County nor any officer, agent or employeelthereof, shall be responsible for any damage or liability incurred by reason of anything done or omitted to be done by any officer, agent, or employee of Con- tractor in connection with performance of this Agreement. B. It is understood and agreed that neither Contractor nor any officer, agent or employee thereof, shall be responsible for any damage or liability incurred by reason of anything done or omitted to be done by County and its officers, agents and employees, in connection with performance of this Agreement. - 9 - C. In the event of concurrent negligence of Contractor, its officers and/or employees, and County, its officers and/or employees then the liability for any and all claims for injuries or damages to persons and/or property which arise out of the terms and conditions of this Agreement, shall be apportioned under the California theory of comparative negligence'as established presently, or as may be hereafter modified. 7. SERVICES TO COMPLY WITH APPLICABLE LAWS: All services provided pursuant to this Agreement shall be in strict compliance with existing State, Federal, and local laws, ordinances, and regulations, and with all resolutions, practices and procedures approved by the County Health Officer, applicable to such services. 8. CONTRACTOR EMPLOYER OF PARAMEDIC: It is agreed and understood by County and Contractor that the Paramedics are the employees of Contractor and not the employees of County and, as such, Paramedics are not entitled to any compensation or employee benefits afforded to employees of County. 9. NOTICES: All notices, demands or other writings to be given, made or sent under this Agreement, or which may be so given or made or sent to any party hereto to the other, shall be deemed to have been duly given or made or sent when made in writing and deposited in the United States Mail, registered and postage prepaid, and addressed to the respective parties as follows: COUNTY OF SAN MATEO County Health Officer 225 West 37th Avenue San Mateo, CA 94403 CITY OF SOUTH SAN FRANCISCO Fire Department 33 Arroyo South San Francisco, CA 94080 CENTRAL RECORD. The address to which any notice, demand or other writing may be given or made or sent to any party may be changed upon written notice given by such party as above provided. 10. TERM OF AGREEMENT: The term of this Agreement shall be from the first day of March 1983 through the thirtieth day of June, 1985. Either party may terminate this Agreement by giving thirty (30) days' written - notice to the other party. IN WITNESS WHEREOF, the parties hereto, first being duly authorized, have executed this Agreement as of the date and year first above written. ATTEST: Deputy Clerk Of 'Said Board COUNTY OF SAN MATEO By - Ch~.irman Board of ~upervisors ATTEST: 0834211 A1 CITY OF SOUTH SAN FRANCISCO .- RESOLUTION NO. BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA RESOLUTION AUTHORIZING EXECUTION OF AGREEMENT WITH THE CITY OF SOUTH SAN FRANCISCO AND THE COUNTY OF SAN MATEO RESOLVED, by the Board of Supervisors of the County of San Mateo, 'State of California, that WHEREAS, ther& has been presented to this Board of Super- visors for its consideration and acceptance an agreement, refer- ence to which is .hereby made for further particulars, whereby the City of South San Francisco Fire Department agrees to provide Advanced Life Support Services within the City of South San Francisco; and WHEREAS, this Board has been presented with a form of such Agreement and said Board has examined and approved same as to both form and content and desires to enter into same: NOW, THEREFORE, IT IS HEREBY DETERMINED AND ORDERED that the Chairman of this Board of Supervisors be, and he is hereby authorized and directed to execute said Agreement for and on behalf of the ~ounty of San Mateo, and the Clerk of this Board shall attest his signature thereto. 08331196-A1 AYES. and in £avor of said reao&ution: Supecvisors: K.. JACQUELINE SPEIER ' JOHN M. WARD ANNA G. ESHO0 , ARLEN. GREGORIO . WXLLZA~ ,a._ .scam'mcHER Nolls'an~ against said resolution: Supezvtaorst .. _ NONR Absent Supezvisors: NONE ARLEN GREGORIO Chairman, Board o~ Supervisors County o£ San Mateo State o£ CallEornia EUNICE M. BRECHT DeputY'dl-erk o£ said -Board Supervisors STATE OF CALIFORNIA COUNTY OF SAN MATEO EUNICE M. BRECHT, Deputy Clerk of the Board of Supervisors, does hereby certify that the above and foregoing is a full, true and correct copy of Resolution No. :~,~~. entered in the minutes of said Board. In Witness Whereof, I have hereunto set my hand and the seal of said Board this 20th day of December , 1983 ,, -