HomeMy WebLinkAbout2006-08-15; City Council; 18693; ESTABLISHMENT OF EMS PARAMEDIC NURSE COORDINATORCITY OF CARLSBAD - AGENDA BILL
AB# 18,693
MTG. 8/15/06
DEPT. HR/FIRE
Establish New Management Classification
of Emergency Medical Services (EMS)
Paramedic Nurse Coordinator and
Amending the Management Salary
Structure.
DEPT. HEAD«^cT/^>
CITY ATTY. <&*
CITY MGR. UA— -
RECOMMENDED ACTION:
Adopt Resolution No. 2006-239 approving the new management classification of
Emergency Medical Services (EMS) Paramedic Nurse Coordinator and amending the
Management Salary Structure.
ITEM EXPLANATION:
This position was approved in the 2006-2007 budget to address staffing needs of the Fire
Department. The addition of this position will allow the Fire Department to administer State-
mandated Quality Improvement and Quality Control service delivery requirements; ensure that the
Fire Department Emergency Medical Services (EMS) operations are in full compliance with
existing County and State mandates, including HIPPA requirements; more closely supervise and
manage EMS-related contracts; and enhance the Fire Department's ability to monitor and mitigate
Emergency Operations personnel injuries and exposures. This position will absorb EMS related
duties currently handled by Emergency Operations Personnel on over-time and address compliance
requirements that are not currently being addressed.
BACKGROUND
The current distribution of EMS related duties has evolved over time. Internally, numerous Fire
Department personnel of all ranks are performing certain aspects of the EMS Paramedic Nurse
Coordinator related duties. These individuals, mostly working on over-time, are focused on only
one or two specific aspects of EMS delivery. Externally, the Fire Department has a limited contract
with Tri-City Medical Center to provide mandated EMS-related continuing education. Supervision
of the EMS program is currently performed by a Battalion Chief, under direction of the department
Division Chief.
Over time there has been a shift in Quality Assurance/Quality Improvement compliance
responsibilities from the base hospital to individual Fire Departments. Additionally, individual Fire
Departments have had to assume the responsibility of stocking and distributing pharmaceuticals and
supplies, previously performed by the hospital. Both of these responsibilities carry significant
liability.
The increase in the scope, liability and complexity of EMS related duties, in addition to an overall
increase in EMS call activity, have contributed to the need for a dedicated, appropriately trained
professional to assume EMS duties for the City of Carlsbad. This additional position will allow the
Fire Department to continue to provide the highest level customer service and quality EMS services
to the community.
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Based on the analysis and comparison of duties to comparable classifications in other agencies in
our salary survey market, staff's recommendation is to place the EMS Paramedic Nurse Coordinator
in the Management Salary Schedule at Grade 5, $74,600 - $102,600.
Staff recommends and submits for City Council approval that the above changes be reflected on the
Management Salary Structure as proposed on Attachment A to the attached Resolution.
FISCAL IMPACT:
The fiscal impact is approximately $ 130,500, which includes salary and benefits associated with
this position. Funds for these costs were included in the 2006-2007 Fire Department budget.
ENVIRONMENTAL IMPACT:
EXHIBITS:
1. Exhibit 1: Resolution No. 2006-239
Attachment A: Management Salary Structure
Attachment B: Emergency Medical Services (EMS) Paramedic Nurse Coordinator
DEPARTMENT CONTACT: Rebecca Melillo, 760-602-2442, rmeli@ci.carlsbad.ca.us
FOR CITY CLERKS USE ONL Y.
COUNCIL ACTION; APPROVED
DENIED
CONTINUED
WITHDRAWN
AMENDED
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CONTINUED TO DATE SPECIFIC
CONTINUED TO DATE UNKNOWN
RETURNED TO STAFF
OTHER - SEE MINUTES
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RESOLUTION NO. 2006-239
A RESOLUTION OF THE CITY COUNCIL OF THE
1 CITY OF CARLSBAD, CALIFORNIA, ADOPTING
« THE CLASSIFICATION AND AMENDING THE
MANAGEMENT SALARY STRUCTOR FOR
3 EMERGENCY MEDICAL SERVICES (EMS)
PARAMEDIC NURSE COORDINATOR
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g WHEREAS, it is recommended that the new management position of Emergency
7 Medical Services (EMS) Paramedic Nurse Coordinator is established to meet the City need to
° provide quality emergency medical services; and
9 WHEREAS, the data represented in the classification study warrants the initiation of
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the management classification, Emergency Medical Services (EMS) Paramedic Nurse
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Coordinator, and utilization of existing funds budgeted for this management classification.
13 NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
14 Carlsbad, California, as follows:
15 1. That the above recitations are true and correct.
16 2 The Emergency Medical Services (EMS) Paramedic Nurse Coordinator
17 classification, Attachment B, attached hereto and made a part thereof, is hereby approved.
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3. That the City Council adopts the revised Management Salary Structure to
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include Emergency Medical Services (EMS) Paramedic Nurse Coordinator in Grade 5, as
2i described in Attachment A, attached hereto and made a part thereof.
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PASSED, APPROVED AND ADOPTED at a Regular Meeting of the City Council
of the City of Carlsbad on the 15th day of August, 2006, by the following vote:
AYES: Council Members Lewis, Hall, Kulchin, Packard, Sigafoose
NOES: None
ABSENT: None
M. WOOD, City Clerk
Attachment A
JOB TITLE
Management Salary Structure (Base Pay)
FY 2006-07
GRADE MINIMUM MARKET RANGE
Administrative Services Director
Assistant City Manager
Community Development Director
Fire Chief
Police Chief
Public Works Director
Assistant City Attorney
Deputy Public Works Director
Finance Director
Fire Division Chief
Human Resources Director
Information Technology Director
Library Director
Planning Director
Police Captain
Recreation Director
Assistant Finance Director
Assistant Library Director
Assistant Planning Director
Building & Code Enforc. Manager
City Communications Manager
Deputy City Attorney
Deputy City Engineer
Economic Dev & Real Est Manager
Fire Battalion Chief
Fire Marshal
Housing & Redevelopment Director
Information Technology Manager
Police Lieutenant
Public Works Manager
Emergency Medical Services (EMS)
Paramedic Nurse Coordinator
Facilities Superintendent
Finance Manager
Geographic Info. Systems Manager
Human Resources Manager
Municipal Projects Manager
Park Development Manager
Parks Superintendent
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$110,700
$96,200
$81,000
$74,600
$127,200 - $160,500
$110,200 - $137,600
$93,100 - $117,500
$83,800 - $102,600
Management Salary Schedule 9-27-05.xls
Attachment A
JOB TITLE
Management Salary Structure (Base Pay)
FY 2006-07
GRADE MINIMUM MARKET RANGE
Police Communications Manager
Principal Planner
Recreation Services Manager
Risk Manager
Senior Civil Engineer
Cultural Arts Manager
Construction Manager
Deputy Library Director
Environmental Progams Manager
Housing Program Manager
Public Information Officer
Records Manager
Senior Accountant
Senior Management Analyst
Video Production Manager
Emergency Preparedness Coordinator
& Training Officer
Management Analyst
Principal Librarian
Public Works Supervisor
Aquatic Supervisor
Assistant City Clerk
Associate Analyst
Benefits Administrator
Gallery Coordinator
Media Services Specialist
Recreation Area Manager
Secretary to City Attorney
Secretary to City Council
Secretary to City Manager
Community Coordinator
Management Assistant
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$61 ,600
$54,800
$48,800
$44,400
$69,300 - $84,700
$61 ,500 - $75,200
$55,000 - $67,100
$50,100 - $61,000
Management Salary Schedule 9-27-05.xls
Attachment B
CITY OF CARLSBAD
CLASS SPECIFICATION
JOB TITLE; EMERGENCY MEDICAL SERVICES (EMS) PARAMEDIC
NURSE COORDINATOR
DEPARTMENT: FIRE
BASIC FUNCTION:
Under general supervision of the Division Chief of Emergency Operations, performs duties
related to Emergency Medical Services including; training, monitoring, evaluation, procurement,
inventory control, quality control, quality improvement, billing, legal/regulatory compliance,
public education, and training records.
DISTINGUISHING CHARACTERISTICS;
The EMS Paramedic Nurse Coordinator is a professional, non-sworn, management position.
KEY RESPONSIBILITIES;
Develop, implement, conduct and certify Paramedic and Emergency Medical Technician (EMT)
training and continuing education.
Evaluate skills and knowledge of Paramedic personnel via ride-along evaluations and skills
testing.
Procure, inventory, and distribute medical supplies and Pharmaceuticals.
Collect, audit and analyze EMS related data and make recommendations for service delivery
improvement.
Represent Carlsbad Fire Department on state, local and regional boards/committees and with
Base Hospital.
Ensure adherence to County Protocols and accepted standards of care.
Provide timely and accurate data documentation to regulatory bodies.
Facilitate EMS transport billing, coordinating with patients, vendors, insurance providers and
other City departments.
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Conduct threshold incident reviews for EMS-related activities including but not limited to; CPR,
restraint use, treatment release, and medical refusal documentation.
Ensure EMS system compliance with HIPPA and other related regulations.
Serve as a resource to the Medical Unit Leader on local and regional Mass Casualty Incidents
(MCI's) and drills.
Administer an EMS public education program.
Serve as a technical specialist on EMS delivery for the City's Emergency Operations Planning,
report to EOC to support local and regional incidents.
QUALIFICATIONS;
Knowledge of:
Standard practices and procedures of emergency medical care, basic and advanced life
support standards and care delivery systems.
Applicable federal, state and local ordinances, laws, rules and regulations, codes and
standards.
Adult teaching principles, curriculum development, training methods, and test
development.
Nursing procedures applicable to the EMS program.
Ambulance transport systems and billing.
Emergency command procedures such as: Incident Command Systems (ICS),
Standardized Emergency Management Systems (SEMS) and National Emergency
Management Systems (NIMS).
Ability to:
Develop, review, coordinate, schedule and deliver education programs.
Interpret, apply and ensure compliance with federal, state, local and department laws,
regulations and policies.
Establish and maintain effective working relationships with Fire Department personnel,
other agencies, and members of the general public.
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Maintain skill base to perform all patient care skills that are required of paramedics and
EMT's.
Communicate clearly and concisely, both orally and in writing.
Develop and deliver written and oral presentations.
EDUCATION AND EXPERIENCE:
Bachelor's Degree or its equivalent from an accredited college or university with major
course work in nursing, education or a related field. Course work in public health is
highly desirable.
REQUIRED LICENSE AND CERTIFICATION;
Possession of a Registered Nursing license issued by the California Board of Registered
Nurses.
Possession of a Mobile Intensive Care Nurse (MICN) certification issued by the County
of San Diego, Division of Health and Human Services Agency, EMS Division is
preferred.
Possession of or ability to obtain an Advanced Cardiac Life Support instructor
certification.
PHYSICAL CHARACTERISTICS;
Require physical condition that will allow a minimum to moderate level of lifting,
bending, stooping and walking. May be exposed to loud noises, hazardous materials,
limited visibility, and the presence of victims of death and/or dismemberment. May
require long periods of standing and use of fingers and hands as well as exposure to
computer screens. Ability to verbally communicate as well as visual acuity to read and
interpret information.
OTHER CHARACTERISTICS;
Must have willingness and ability to: work variable shifts including weekends and
evening hours as required and attend meetings and training activities. Incumbent will
wear a uniform.
This is an at-will management classification.
DATE APPROVED
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