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1977-05-25; City Council; 5085; Paramedic Contract County of San Diego
CITY OF CARLSBAD J� AGENDA BILL NO. �Q g� Initial: Ad Dept.Hd. X-7. DATE: May 25, 1977 II'' C . Atty l)r& DEPARTMENT: Fire C. Mgr. Subject: PROPOSED PARAMEDIC CONTRACT — ;�; CITY OF CARLSBAD AND COUNTY OF SAN DIEGO Statement of the Matter It is required that a contract with the County of San Diego to provide paramedic services within the City of Carlsbad be executed. The contract establishes guidelines for both the City of Carlsbad and the County of San Diego. The Carlsbad Fire Department is in agreement with these guidelines and recommends that the contract be adopted. Exhibit 1. Proposed Contract (Agreement) 2. Resolution No.�� _ Recommendation If Council concurs,, it is recommended that the Council adopt Resolution Not:_j/��Jauthorizing the execution of the proposed contract. Council action 6-7-77 Resolution #5109 was adopted, approving the agreement and authorizing the Mayor to execute same. E IS �y 4- � a© ss - " z • O yx lxulo � C1 ii1 11 Z n _ 1 Eii - Y1•�JY... 3'16icL,•°�s- �7.Y '""' I � i , 11r it h lt' •y,�� �� 1 Mt y1.1 1f�1, IN 1111111 r ■lf ll,l7 :' il.'i �'�o,;cc� ���". '�5•'� -,. , �P+I:,��iil���aw tr�..g N ,�,� DEPARTAiFNT OF PUBLIC HEALTH D111fCTU11401/N P. PN7CP, M O.• MP N. 7600 PACIFIC HIGHWAY SAN OIEGO CA 92101 0>r t`V •41C NCA{.TN f� � �' (236-2237) r, May 19, 1977 rt .. City of Carlsbad 2960 Pio Pico Drive Carlsbad, California 92008 PROPOSED CONTRACT FOR PROVISION OF PARAMEDIC SERVICES Attached is the proposed critract for provision of paramedic services within the City Limits of the City of Carlsbad. Please complete pages 1 and 2 (Sections 1 and 2) on all copies. Upon receipt of three (3) copies signed by your representative, the contract will be processed to the County Civil Service Commission and the Board of Supervisors for final approval. A fourth copy is enclosed for your retention. We would appreciate return of the contract within ten days. Please contact Sylvia Micik, M.O., Chief of Emergency Medical Services Division, 236-3666, should you have any questions regarding this contract. Respectfully, HN R. PHILP, M.D. Director of Public Health JRP-RRS:blj Attachment in quadruplicate Serving all of the incorporated and unincorporated areas of San Diego County III RESOLUTION NO. 5109 2 _ A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPROVING 3 AN AGREEMENT BETWEEN THE CITY OF CARLSBAD AND THE COUNTY OF SAN DIEGO, FOR THE COUNTY 4 OF SAN DIEGO TO PROVIDE. PARAMEDIC SERVICES WITHIN THE CITY OF CARLSBAD AND AUTHORIZING 5 1 THE MAYOR TO EXECUTE SAID AGREEMENT. 611 The City Council of the City of Carlsbad, California, does 711 hereby resolve as follows: 8 'l 9 10 11 c 12 a m co 1.3 ' U a oo�Z 14 z� co 15 m V�J Iti wU zz B 16 Z V ^ Vf >Q a 17 V 18 19 20 21 22 23 24 25 26 27 28 1. That that certain agreement between the City of Carlsbad and the County of San Diego, for the County of San Diego to provide paramedic services within the City of Carlsbad, a copy ; of which is attached hereto marked Exhibit "A" and made a part I ,� hereof, is hereby approved. 2. That the Mayor of the City of Carlsbad is hereby authorized and directed to execute said agreement for and on behalf of the City of Carlsbad. PASSED, APPROVED AND ADOPTED at a regular meeting of the City Council of the City of Carlsbad, California, held on the 7th day of June , 1977 by the following vote, to wit: AYES; Councilmen Frazee, Lewis, Packard, Skotnicki and Councilwoman Casler NOES: None ABSENT: None R BERT C. FRAZEE, MayQt ATTEST: r IGA T E. ADAMS, City Clerk (SEAL f • ' EXHIBIT "^ to RESOLUTION NO. 5109 CITY OF CARLSBAD 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 THIS AGREEMENT is entered into this 7th _ day of ,N June. 1977 _, by and between the COUNTY OF SAN DIEGO, a political subdivision of the State of California, hereinafter 1./referred to as "County", and the CITY OF CARLSBAD, hereinafter referred to as "Contractor". W I T N E S S E T H: WHEREAS, the County is expanding its emergency medical services system to include,a paramedic program as authorized under the liedworth-Townsend Paramedic Act and has received federal support for this program under the Public Health Servic:e'of the United States Department of Health, Education and Welfare -Grant No. 09-H-000581-02-0 MS H36-C; and WHEREAS, Contractor possesses the appropriate professional qualifications to provide paramedic services; and WHEREAS, the Contractor has been designated by the County to perform the subject services; NOW THEREFORE, the parties do mutually agree as follows: page 1 of 9 I • I Section 1. AGREEMENT PERIOD This Agreement shall commence on' and continue until terminated. Section 2. ADMINISTRATION County designates the Director of Public Health, 1600 Pacific Highway (A-21), San Diego, California 92101, or his/her designated representative to administer the Agreement on behalf of the County. The Contractor designates the • , or his/her desig-, hated representative to administer this Agreement on behalf of the Contractor. All reports, proposals, letters, notices, and/or other correspondence shall be sent to the attention of the designated representatives at their respective addresses. Section 3. SCOPE OF SERVICES Contractor shall provide paramedic services within the LIMITS OF THE CITY OF CARLSBAD. Section 4. CRITERIA Contractor shall have overall responsibility for • the development and operation of paramedic'services in accordance with the County criteria described in Attachment A. Dane ? oe 9 Section 5. COUNTY FURNISHED EQUIPMENT AND SERVICES Subject to the performance by the Contractor in a manner acceptable to the County, County agrees to. provide to the Contractor the following: A. Certain items of medical equipment described by * on Attachment B. B. Necessary communication equipment i=o operate the paramedic service as described by * on Attachment B. C. Replacement and maintenance of communication equipment. Section 6. CONTRACTOR FURNISHED PERSONNEL, EQUIPMENT AND REPORTS Subject to performance in a manner acceptable to l the County, Contractor agrees to: A. Maintain and operate one fully equipped, supplied and manned MICU available for providing paramedic services seven days a week, twenty-four hours per day, on a year-round basis in accordance with criteria established by San Diego Cn;,nty. B. Staff the MICU with at least two paramedics at all times. For purposes of this Agreement, paramedics shall be individuals certified by the County's Health Officer to operata as paramedics in page 3 of 9 C. San Diego County pursuant to Section 1480 et seq• of the Health and Safety Code, C. Provide aTl medical equipment items for one MICU described bye*„ in Attachment B. D. Maintain and replace, as needed, all medical equipment items contained in Attachment B. E. Insure that all certified paramedics complete the continuing education required by the County. F. Submit reports in accordance with Section 19. Section 7. OTHER CONTRACTOR RESPONSIBILITIES Contractor further agrees to: A. Provide+suitable protected facilities for housing the MICU ambulance. B. Maintain the MICU ambulance in a fully operational condition. C. Develop mutual aid agreements for providing ambulance service in the area in the event . the ambulance is not operable, or away from the area of responsibility. D. Notify the Division of Emergency Medical Services immediately whenever any condition exists which adversely affects providing satisfactory ambulance service. Section 8. INDEPENDENT CONTRACTOR Contractor is, for all purposes arising out of this Agreement, an independent Contractor, and no employee of Contractor is, for any purpose arising out of this Agreement, an employee of the County. page 4 of 91 Section 9. IVEREST Of CONTRACTOR Contractor covenants that Contractor presently has no interest, including but not limited to, other projects or independent contracts, and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance i of services required to be performed under this Agreement. Contractor further covenants that in the performance of this Agreement no persons having any such interest shall be employed or retained by Contractor under this Agreement. Section 10. COMPENSATION S This is a no -cost agreement. County will make no t; • reimbursements as a result of this Agreement. p' Section 11. MODIFICATIO;IS AND EXTENSIOUS f The Agreement may be modified at any time by the written consent of the parties. This document, however, fully expresses all understandings of `< the parties concerning the matters covered herein. No addition to or alteration of the terms of this Agreement, and•no verbal understanding of the parties, its officers, agents or employees, shall be valid unless made in the form of a written amendment to this Agreement, and duly approved and executed by the parties' authorized representatives. page 5 of 9 Section 12. PROPERTY TITLE Title to expendable and ;non -expendable property whose cost.was borne in whole by County ender this Agreement ~•rill remain vested in the County upon termination of this Agreement. Section 13. ASSIGNABILITY The Contractor shall not assign any interest in the Agreement, and shall not transfer any interest in the same without prior written consent of County thereto. Section 14. TERMMINATION AND DEFAULT A. This Agreement may be terminated for any reason by either party giving sixty (60) days' written notice to other party's designated representative, except as defined in "14.B" and "15" below. B. County may terminate this Agreement for default upon five (5) days' written notice if Contractor breeches this Agreement or if Contractor refuses or fails to timely perform any of its duties under this Agreement. Section 15. TERMINATION OF NEU AWARD , In the event of termination prior to .tune 3G, 1977, by NEW of subject award with County, funding provided to Contractor under Vi s Agreement shall likewise terminate at such time. In the event of such termination, County shall immediately inform Contractor's representative by telephone and confirm such termination in writing. Section 16. INDEMN ITY Contractor egrees to indemnify acid hold harmless County, its officers, agents, and employees from and against all loss or expense (including costs and attorney s fees) due to bodily injury, personal injury, professional/medical malpractice, including death at any time resulting therefrom, sustained by any person or persons or on account of damage to property, including loss of use thereof, arising out of or in consequence of the performance of (` this Agreement, -provided such injuries to persons or damages to property are due or claimed to be due to negligence of -the Contractor, its officers, physicians, agents or employees. Contractor shall have workers' compensation coverage for its employees under this Agreement. Section 17. AFFIRMATIVE ACTION Contractor and any subcontractors performing under this Agreement shall comply with the Affirmative Action Program for Vendors, as set forth in Article III (commencing at Section 84) of the San Diego County Administrative Code. A copy of this Affirmative Action Program for Vendors ►•gill be furnished upon request. page 7 of 9 .Section 18. RECORDS Contractor shall maintain accurate books and accounting records relative to this Agreement. Such books and records shall be open for inspec- tion and/or copying at any reasonable time by the County's designated representative(s), the Auditor of the County of San Diego, HEW, or their designated representatives. Section 19. REPORTS A. Comply with the ambulance report system of San Diego County by completing a Pre -hospital Report Form on every call made by the MICU or ambulances. B. Contractor shall submit completed Pre -Hospital Report Forms on t•he first and fifteenth of every month to the: Department of Public Health County of San Diego Division of Emergency Medical Services 1375 Pacific High -..ray San Diego, California 92101 Section 20. ATTACHMENTS The following attachments incorporated herein are part of this Agreement: A. Criteria for Agency appr,val to provide paramedic services. Q. Medical and communication items to be provided in each MICU. ^L age 8 of 9 i IN WITNESS 14HEREOF the parties have caused this Agreement to be duly executed by their duly authorized representatives. CITY OF CARLSBAD _ 3 By ' Robert C. Frazee, M,4yor ti COUNTY OF SAN DIEGO By t Clerk of the Board of Supervisors The Civil Service Commission has made the determination required by -Section ' 78.1 of the Charter of the County of San Diego regarding the employment of f an independent Contractor to provide services pursuant to the Agreement, by Action of 1976 "0 t EC Uif COui;IY Co .... — BY E'• !i � ,a�s ���o 9 of -9 c, ATTACHMENT A CRITERIA FOR AGENCY APPROVAL TO PROVIDE PARAMEDIC SERVICES 1. Offer 24-hour, 365-day service. 2. Agree to provide sufficient manpower for 24-hour service. i 3. Be selected by a local jurisdiction as the agency to provide paramedic services for that jurisdiction.* 4. Agree to abide by County Paramedic Program Standards. 5. Agree to respond only to emergency calls. 6. Insure that a back-up system of basic life support will be availabl to the Mobile Intensive Care Units. 7. Enter into mutual aid agreements with adjoining paramedic units. 8. Guarantee a maximum response time of 15 minutes in rural areas and 10 minutes in urban areas. 9. Agree to continuing education responsibilities as established by the program. 10. Insure that paramedic services will continue to be provided as i stipulated for a minimum of two years following certification. 11. Submit a feasible plan of promotability (vertical ladder) to provide incentive for paramedics to -remain in'the program. 12. Cooperate with the County in the provision of field internship locations for future classes. * local jurisdiction -- cities, districts authorized to provide emergency medical services. A-r ATTACHMENT B CODE: * - Provided•by Division of Emergency Medical Services ** - Provided by Paramedic Agency *** - Provided by Base Hospital(oz�*j -MEDICAL AND COMMUNICATION ITEMS TO BE PROVIDED IN EACH MICU ** 1. ABS Trauma Box ** 2. Hand Operated, self -inflatable, bag and mask for ventilation ** 3. Backboard (Spine Board Set Short) ** 4. Bandage Scissors ( 7 1/4" Stainless) ** 5.. Bedding -Top Sheet (Perma Prest White) ** 6. Bedding-Botton Sheet (Perms ?rest White) ** 7. Bedding -Pillow (Perma Prest White) ** B. Bedding -Pillow (Cot Ambulance) ** 9. Bedding -Blanket (Cot blanket - medium grey) *10. Blankets - Disposable (optional) **11. Blood Pressure Cuff - Adult **12. Blood Pressure Cuff - Pediatric *13: Defibrillator (combination scope and defibrillator) *14.. Drug Box , **15. Electrodes (Long Term 4 electrodes per pkg.) **16. Electrodes Wires (40" Long Life) **17. Esophageal Airway (Kit) **18. flare Traction Splint - Adult **19. Hare Traction Splint - Pediatric **20. Hemostats (Kelly 5 1/2" Straight) n Minimum T per vehicle 2 each 1 each 1 each 2 each 1 set 1 set 1 set 2 each 2 each 1 Pkg 1 each 1 each 1 each 1 each i box '2 sets 2 each 1 each 1 each 2 each Carlsbad (Rev. 5/77) B- I roo _ Minimum .# Per Vehicle ** 21. Laryngoscope - Hook -on -handle I each ** 22. Laryngoscope - Adult (curved stainless Steel blade, size 4) 1 each ** 23. Laryngoscope - Adult (straight chrome blade, size 4) 7 each ** 24. Laryngoscope - Child (straight chrome blade, size 3) 1 each ** 25. Laryngoscope - Infant (straight chrome blade, size 2) 1 each * 26. Mast Suit (Standard Anti -shock Airpants) 1 each ** 27. Oral Airways (Package of six assorted sizes) 1 package ** 28. Resuscitator - (with aspirator) 1 each ** 29. Rotating Tourniquets 1 set ** 30. Sandbags (assorted sizes) 1 set ** 31. Scoop Stretcher 1 each ** 32. Splints: Instaform Vacuum (Set of 5 individual splints) 1 set ** 33. Splint: Instaform Vacuum —Hand Pump 1 each ** 34. Splint: Instaform Vacuum Velcro Straps: 1" x 18"; 1" x 24"; 1" x 30"; 1" x 36" 1 each ** 35. Splint Instaform Vacuum -- Repair Kit 7 each ** 36. Stethoscope 2 each ** 37. Thermometer - Oral 2 each ** 38 Thermometer - Rectal 2 each ** 39. Magill Tonsil Forceps 1 each ** 40: Adhesive Tape (1/2" x 10 yards) 2 rolls ** 41. Adhesive Tape (1" x 10 yards) 2 rolls ** 42. Adhesive Tape (2" x 5 yards) 2 rolls ** 43. Alcohol Swabs (100 swabs per box) 1 box ** 44. Armboard: Long 6 each ** 45. Armboard: Short 6 each r Carlsbad (Rev. 5/77) t f Minimum � per Vehicle ** 46. Bandages: A. 4" x 4" - Sterile 1 box B. 5" x 9" 2 trays C.. Gauze Rolls - 4" x 5 yards - Kerlix, Kling 2 packages D. Elastic Bandages (3" x•5 yards) 1 box E. Eye Patches (oval eye pads) 1 box F. Triangular Bandages f l package G. Bandaids (3/4" x 311) 1 box ** 47. Bite Sticks 1 box ** 48. Burn Sheets 1 box ** 49. Cardboard Splints - Arm 6 each ** 50. Cardboard Splints - Leg 6 each ** 51. Cardboard Splints - Combination 12", 18", 24" splints 1 package (optional) 1 ** 52. Cotton Applicators 1 box ** 53. Cold Packs - Kwik Kold 2 boxes ** 54. Electrode Paste "EKG Sol" 2 bottles ' ** 55. Emesis Basin (optional) 6 each ** 56. Gloves (sterile) 2 each *** 57. I.V. Administration Sets: Plexitron Hacrodrip 12 each Plexitron Microdrip 6 each Plexitron Microdrip with Volutrole 6 each *** 58. Nasogastric Intubation Set-up, 18 fr. 43" 1 each *** 59. Needles: I.V. Scalp Vein - 19 Gauge 8 each I.Y. Scalp Vein - 21 Gauge 6 each I.V. Scalp Vein - 23 Gauge 6 each Carlsbad (Rev. 5/77) B' 3 Non -disposable Items I.V. Cannula - Medicut - 18 G I-V. Cannula - Medicut - 16 G IA. Cannula - Medicut - 20 G I.M.21GxI" S.C. 23 G. x 3/8" Vacutainer Needles 21 G. x 1" ** 60. O.B. Kit ** 61. Oxygen Mask (Clear Vinyl with 84" Tube) ** 62. No-e Prongs (Nasal Cannula Vinyl with Tube) ** 63. Connective Tubing (Oxygen Soft Plastic Tubing 84") ** 64. Penlights - Disposable ** 65. Razors ** 66. Scalpels ** 67. Suction Catheters (14 fr.) ** 68..Tourniquets ** 69. Urinal (optional) ** 70. Bedpan (optional) *** 71. Vacutainer Holders *** 72. Vacutainer Tubes Communications• ** I. Handie Talkie * 2. Mobile Radio (presently in service) * 3. CDR Telemetry Radio and Battery Charger Carlsbad (Rev. 5%77) Minimum it per Vehicle 8 each 6 each 6 each 6 each 4 each 4 each 2 each. 3 each 3 each 6 each 2 packages 2 each 2 each 3 each 2 each 1 each 1 each 2 each 6 each 1 each 1 each 1 each B- 4 June 16, 1977 John R. Philp, M.D. Director of Public Health 1600 Pacific Highway San Diego, CA 92101 Enclosed are the three (3) copies of the contract between the County of San, Diego and the City of Carlsbad with regard to Paramediee.Service, as you, requested. They are fully executed by the City of Carlsbad. A1so enclosed is the fourth copy which you indicated' was for our files. tie would appreciate having the app'roOH ate individuals execute this copy and then returned to us in order that we may have a completely executed copy for our files. Thank you. NORA K. GARDIHER Deputy City Clerk NKG:ar Enclosures (4)