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APPROVED 26 October 2015
Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 1
EMS SUBCOMMITTEE ON TRAUMA
MEETING MINUTES
Thursday, 13 August 2015
Scheduled: 10:00 AM – 12:00 PM Georgia Public Safety Training Center
1000 Indian Springs Dr., Room 106 Forsyth, GA
CALL TO ORDER Mr. Courtney Terwilliger called the August meeting of the EMS Subcommittee on Trauma to order and established quorum at the Georgia Public Safety Training Center in Forsyth, GA. at 10:12 AM.
SUBCOMMITTEE MEMBERS PRESENT SUBCOMMITTEE MEMBERS ABSENT Courtney Terwilliger, Chair & GA Trauma Commission Vic Drawdy – GA Trauma Commission Paul Beamon – Region Four Lee Oliver – Region Five Blake Thompson – Region Six Jimmy Carver – Region Seven Brandon Fletcher – Region Eight Dr. Jeff Nicholas – GA Trauma Commission (Conference Line)
David Moore – Region Nine Randy Pierson – Region One Chad Black – Region Two Pete Quinones – Region Three Huey Atkins – Region Ten
Amend vendor contracts: No pre-payment to vendors for goods or services Mr. Pettyjohn stated on or about July 8th or 9th we received an email from Teresa MacCartney, the States CFO, and Director of the Office of Budget and Planning, in that was a memo, please see pages 1 of the handouts, bullet point 3. Pages 1 – 2. Handouts attached Some of the contracts GAEMS, Inc., the Preparedness Foundation and EMS region 1 fall under this rule. Working with Ms. Abston we requested a conference call with OPB.
OTHERS REPRESENTING Jim Pettyjohn Kim Littleton (Conference Line) Cathy White Dewayne Joy (Conference Line) Keith L. White William Riner Kristal Smith
Georgia Trauma Commission, Staff GAEMS GAEMS CHOA Rockdale Fire Rural Metro Region Five RTAC
APPROVED 26 October 2015
Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 2
On July 22nd 2015 we had the conference call with Ms. Teresa MacCartney and a Representative of the State Accounting Office, Ms. Kris Martins. We asked our questions and they were very adamant on their part this could not be done, it is not policy. They stated Georgia funds cannot be used to prepay vendors for services and goods not yet delivered and documentation is needed that the work is complete, and that some of our contracts would need to be amended. Mr. Pettyjohn contacted Ms. Martins after the conference call to request documentation of the reference made referring to the policy that Georgia funds cannot be used to prepay vendors for services and goods not yet delivered, I will be speaking to our legal counsel and I would like to have a copy of this policy. Ms. Martins stated she would have to get back to me. Page 3, Attached I contacted Ms. Monica Sullivan regarding our contracts and asked what we need to do to make sure our contracts are in compliance or where do we go from here to amend these contracts. Page 4, Attached Mr. Pettyjohn stated I express to the AG’s office we felt we had built in a strong residual fund tracking mechanism, a program progress report all based on the results of the Warren Averett report we had with GAEMS Inc., a couple of years ago. We felt very strong in understanding as to where the funds went and how they were spent. We also felt we had the support of the law department in following this direction as well. Based on this we developed the contract using the same boilerplate for the Preparedness Foundation who is the recipient of the EMS stakeholder funding for FY 2015 together with the Region 1 DART program and the training they are doing. Mr. Pettyjohn continued to report on July 23rd, 2015 I received an email from the State Accounting Officer, Mr. Alan Skelton providing several references in State policy where prepayment is not accepted. Page 5 – 8, Attached. Mr. Pettyjohn stated Ms. Sullivan from the AG’s office has referred me to Mr. Alkesh Patel with the contracts division of the AG’s office and since 24 July 2015 we have been working with Mr. Patel and Ms. Sullivan to resolve these contract issues. Mr. Pettyjohn stated there was no change to funding, no change to the deliverables, we are still on target, and the only thing that has changed is we cannot prepay for goods and services. Mr. Terwilliger stated what this means for the EMS community is that we are on hold, until all of this is done. Mr. Terwilliger continued that this is not the first time we had a contact that was not paid upfront, some of you remember the laptops grant for 1.28 million dollars. Mr. Pettyjohn asked whom the grant was from. Mr. Terwilliger stated it was with the Department of Community Health. Mr. Terwilliger continued what will happen now is you will purchase the equipment, send in the affidavit showing that purchase, we will invoice the Trauma Commission, they will send it to DPH for payment and then the money will be sent out. Mr. Drawdy asked as representatives of our regions what is the best thing to go back and tell everyone, to get their invoices in?
APPROVED 26 October 2015
Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 3
Mr. Terwilliger stated yes, but Ms. Littleton is working on a letter to explain to everyone what is happening and how to process going forward. Mr. Pettyjohn stated he spoke to Ms. Littleton earlier in the week how this will impact agencies it may take up to 30 days to process their payment and could Ms. Littleton address this in the letter being sent out. Extrication Courses Mr. Fletcher reported to the group on the progress of the extrication course. There were three train-the-trainer courses and they were very well received. This course produced instructors at the Opts level, the next steps would be the technician level course where they deal with advance stabilization, and there has been a tremendous amount of interest in this at the instructors level. Also they finish up with a provider level certificate that responds to hybrid, electrical, and alternative fuel vehicles. I cannot teach that but it would be a certification at the provider level. Update on work with Georgia Southern Mr. Terwilliger reported he met with Georgia Southern on Tuesday 11 August 2015 they have setup 5 or 6 focus groups that will do the SWOT analysis. Mr. Pettyjohn asked if that was the FY 2014 funds. Mr. Terwilliger stated yes. Mr. Pettyjohn stated the contract would need to be amended so that the funds could come over. Mr. Terwilliger stated we are waiting on that contract from them. Mr. Pettyjohn stated it would be good to have that contract so we can add this to the next amendment. Update on PHTLS/ITLS/TCCC Courses Ms. Littleton updated the group on the PHTLS/ITLS/TCCC courses. For the FY 2014 funds there were 13 PHTLS/ITLS classes scheduled, 4 completed, 1 going on right now. We have been asked to add an Emergency Pediatric Care course using the FY 2014 funds. MOTION #1 EMS Subcommittee 2015-08-01: I make the motion to approve to allow services that receive a grant to provide PHTLS/ITLS to substitute an Emergency Pediatric Care Course.
MOTION BY: BLAKE THOMPSON SECOND BY: JIMMY CARVER
VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, nor abstentions.
GEMSIS update Mr. Terwilliger reported we conducted 4 meetings with the stakeholder group that we invited to Macon. With the help of Mr. Keith Wages were able to get Dia Gainor, Executive Director of the National Association of State EMS Officials and Dr. Clay Mann, NEMSIS Principal Investigator, University of Utah School of Medicine, also Dr. O’Neal spoke. We had a full day meeting at GPSTC, we were able to use the capture equipment, and this is now being transfer to vimeo. In September the new learning management system should be up and running and we will be able to put some of this on that system.
APPROVED 26 October 2015
Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 4
Mr. Pettyjohn stated before we go forward I would like to bring to the EMS subcommittee’s attention that in the FY 15 funds you asked for and received over $80,000 for EMS re-design, $55,000 for Triage System and $20,000 for EVOC that is not in that contract, they are being held back until a proposal is written. Mr. Pettyjohn asked Mr. Terwilliger where they are with the Triage System. Mr. Terwilliger stated they are working on some issues with other state entities on Triage Tags. Mr. Terwilliger stated Mr. Pierson would like to use residual funds to buy shirts for the DART members. Mr. Oliver asked if they would wear these for response. Mr. Terwilliger stated during response and any function they might have. Mr. Oliver stated he did not feel it would be good for them to be out of their normal uniform. MOTION #2 EMS Subcommittee 2015-08-02: I make the motion to approve residual funding from DART to be used to purchase shirts for the DART team.
MOTION BY: JIMMY CARVER SECOND BY: BLAKE THOMPSON
VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, and one abstention (Lee Oliver).
Mr. Fletcher asked if the minutes from the last meeting have been approved. APPROVAL OF MINUTES MOTION #3 EMS Subcommittee 2015-08-03: I make the motion to approve the minutes from the 15 May 2015 EMS Subcommittee Meeting as written.
MOTION BY: BLAKE THOMPSON SECOND BY: VIC DRAWDY
VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, nor abstentions.
Presentation Region 5 RTAC Ms. Smith gave a brief description of The School Response Program. The School Response Program is designed to enable “non-traditional” lay responders (school administrators, coaches, teachers) to render immediate, potentially life-saving medical aid to injured students or co-workers while they await the arrival of professional responders. Region 5 would to extend the current Region F Healthcare Preparedness Coalition School Response Program to all high schools within Region 5. This program is currently being rolled out in Healthcare Coalition F counties, six of which are located in EMS Region 5. Please see attached slides. Mr. Pettyjohn asked Ms. Smith if there are requirements by the state of Georgia for teachers or some staff members of a high school to be trained in CPR. Ms. Smith stated there are no requirements but there are a handful of personnel in the schools that are.
APPROVED 26 October 2015
Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 5
Mr. Drawdy asked have you received the funding from the Trauma Commission. Mr. Pettyjohn stated the hospital received those funds. Proposed use of residual funding FY 2015/Begin Discussion on FY 2016 Funding Initiatives Please see the attached spreadsheet. The items listed at $1.00 are the items the EMS Subcommittee feel might need to be funded. The $1.00 serves as a placeholder and not a real amount. MOTION #4 EMS Subcommittee 2015-08-04: I make the motion we support concept on CHOA education on child abuse but the subcommittee feels this should be supported from other funding sources.
MOTION BY: JIMMY CARVER SECOND BY: BLAKE THOMPSON
VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, and one abstention.
Meeting was adjourned at 12:52 pm with no date set for the next meeting. Minutes crafted by: Lisa McDowd
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Subject: Policy requestDate: Wednesday, 22 July 2015 at 15:51:12 Eastern Daylight TimeFrom: Jim Pe?yjohnTo: sao_reporCng@sao.ga.govCC: Walker, Lisa, Dena Abston
Good afternoon Kris,
Thank you for taking my follow-up call.
I have placed two of our vendors on notice that we may need to renegotiate contract invoicing conditions. I have also placed a hold on approving all invoices that may be out of compliance with Ms. MacCartney’s memo dated 08 July 2015 (revised): “It is not the policy of this state to make a payment to a vendor prior to the delivery of goods and services. Accordingly, agencies are not allowed to make cash payments to vendors prior to receipt of goods or services.”
I plan to visit with legal counsel tomorrow after you send me the policy the above quoted statement references. We will refer the two vendor contracts in question as well as the governing policy to counsel with a request to assist us in bringing those contracts into compliance.
Your support is greatly appreciated.
Regards,
Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410 Chickamauga AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: jim@gtcnc.org
This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.
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Monday, 03 August 2015 at 08:11:50 Eastern Daylight Time
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Subject: Re: Invoice Purchase Order Reminders -‐ Follow-‐upDate: Thursday, 23 July 2015 at 13:54:52 Eastern Daylight TimeFrom: Jim PeGyjohnTo: Monica Sullivan
Monica,
Attached is the executed GAEMS Inc. FY 2014 agreement that resulted from Law Department counsels' reviews and edits.
Based on those reviews and sign off, if you will, I developed an understanding that the concepts of pre-paying for some deliverables and admin fees, strong program progress reporting procedures and residual funds tracking were acceptable concepts and compliant with state policies. Based on information Mr. Skelton provided below, I now fear that is not the case.
With that “understanding" as a guide, I developed the FY 2015 GEMSPF, Inc agreement and the FY 2015 NWGEMSS agreement using similar language as the GAEMS Inc. FY 2014 agreement. Both of those executed agreements are also attached.
Please note I have not included in this email any of the Exhibit 4 Excel files of these agreements. I will email those to you when you need.
Jim
Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410 Chickamauga AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: jim@gtcnc.org
This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.
From: Jim PeGyjohn <jim@gtcnc.org>Date: Thursday, 23 July 2015 at 13:09To: "Skelton, Alan" <Alan.Skelton@sao.ga.gov>Cc: "MacCartney, Teresa" <Teresa.MacCartney@opb.georgia.gov>, "MarUns, Kris" <Kris.MarUns@sao.ga.gov>
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Subject: Re: Invoice Purchase Order Reminders -‐ Follow-‐up
Thank you Mr. Skelton for this information.
I will share this with legal counsel and we will work to bring our contracts into compliance.
Regards,
Jim
Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410 Chickamauga AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: jim@gtcnc.org
This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.
From: "Skelton, Alan" <Alan.Skelton@sao.ga.gov>Date: Thursday, 23 July 2015 at 12:30To: Jim PeGyjohn <jim@gtcnc.org>Cc: "MacCartney, Teresa" <Teresa.MacCartney@opb.georgia.gov>, "MarUns, Kris" <Kris.MarUns@sao.ga.gov>Subject: Invoice Purchase Order Reminders -‐ Follow-‐up
Jim PeGyjohn, I understand that you had a call with SAO and OPB on Monday to discuss the recent memo concerning invoices and purchase orders. I also understand that you have some concerns with the secUon of the memo that precluded agencies from prepaying vendors. More specifically, it states that “it is not the policy of the state to make a payment to a vendor prior to the delivery of goods or services. Accordingly, agencies are not allowed to make cash payments to vendors prior to receipt of goods or services.” While I cannot point you to a policy that uses those words verbaUm I can point to you mulUple references in statute and policy which support this statement and reaffirm the concept that agencies are not allowed to prepay for goods or services. These reference include, but are not limited to:
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prepay for goods or services. These reference include, but are not limited to:
STATE OF GEORGIA ACCOUNTING PROCEDURES MANUAL SECTION: THREE – ACCOUNTING PROCEDURES TOPIC: EXPENDITURES AND OPERATING EXPENSES hGp://sao.georgia.gov/sites/sao.georgia.gov/files/imported/vgn/images/portal/cit_1210/14/57/1731917753-‐8-‐1%20Expenditures-‐Expenses.pdf
Governmental Funds -‐ Modified Accrual Basis of AccounYngUnder the modified accrual basis of accounUng, it is not sufficient for an economic event to have occurred for an event to effect the operaUng statement but, in addiUon, the related cash flow must occur within a short-‐enough Ume frame for the event to have an effect on current spendable resources. In other words, expenditures are required to be recorded when a financial event is expected to draw upon current financial resources. In pracUce, most State expenditures should be recognized when the goods and services have been received since sufficient funds normally are available at fiscal year-‐end to liquidate operaUng liabiliUes.Encumbrance accounts are budgetary accounts which record only commitments; therefore, encumbrances do not meet GAAP expenditure recogniUon criteria. Encumbrances under the modified accrual basis of accounUng are disclosed as a reservaUon of fund balance (328000 account series). Only when the actual goods and services are received should expenditures and related liabiliUes be recorded. Proprietary Funds, Fiduciary Funds, Component Units and Government-‐Wide Statements – Accrual Basis of AccounYngUnder the accrual basis of accounUng, expenses are recorded rather than expenditures. Expenses are defined as oullows of assets or the incurring of liabiliUes (or combinaUon of both) resulUng from delivering or producing goods, rendering services, or carrying out other acUviUes that consUtute the organizaUon's ongoing major operaUons. Expenses recorded in these funds should be consistent with those of a commercial enterprise. Under the accrual basis of accounUng, transacUons and events are recognized as expense when they occur regardless of when the related cash flows take place. These funds report both current and long-‐term liabiliUes that are expected to be paid from the fund. However, in pracUce, as is the case for the modified accrual basis funds, normal operaUng expenses should be recognized when goods/services have been received. Examples of transacUons which are presented within the fund financial statements in a manner which differs from the modified accrual basis include; variances in the manner of presenUng long-‐term liabiliUes, capital assets, certain bond related costs and the presentaUon of depreciaUon expense. DepreciaUon expense should be recorded within the accrual basis funds as an operaUng expense and closed along with other operaUng expenses directly to net assets in a manner similar to the procedures used by commercial enterprises regardless of the source of funds used to purchase the asset.
STATE OF GEORGIA ACCOUNTING PROCEDURES MANUAL SECTION: THREE – ACCOUNTING
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STATE OF GEORGIA ACCOUNTING PROCEDURES MANUAL SECTION: THREE – ACCOUNTING PROCEDURES TOPIC: ACCOUNTS PAYABLE, INTERGOVERNMENTAL PAYABLES, CONTRACTS PAYABLE, PAYROLL/WITHHOLDINGS PAYABLE AND BENEFITS PAYABLE hGp://sao.georgia.gov/sites/sao.georgia.gov/files/imported/vgn/images/portal/cit_1210/31/37/1403271153-‐2-‐1%20AP-‐Intergov-‐Contracts-‐etc.pdf
State organizaUons included in the AppropriaUons Act must account for payables in conformity with both the State’s budgetary basis of accounUng and GAAP. Significant variances between GAAP and the State’s budgetary basis are discussed below. Governmental FundsUnder the modified accrual basis of accounUng it is not sufficient for an economic event to have occurred for an event to effect the operaUng statement but, in addiUon, the related cash flow must occur within a short-‐enough Ume frame for the event to have an effect on current spendable resources. In other words, expenditures are required to be recorded when a financial event is expected to draw upon current financial resources. In pracUce, payables for normal operaUng expenditures should be recognized when the goods and services have been received. Encumbrance accounts are budgetary accounts which record only commitments;therefore, encumbrances do not meet GAAP expenditure recogniUon criteria. Encumbrances under the modified accrual basis of accounUng are disclosed as a reservaUon of fund balance. Only when the actual goods and services are received should expenditures and related liabiliUes be recorded. Proprietary Funds, Fiduciary Funds and Component UnitsTransacUons and events under the accrual basis of accounUng are recognized as expense when they occur regardless of when the related cash flows take place. These funds report both current and long-‐term liabiliUes that are expected to be paid from the fund. Normal operaUng expenses are recognized as expense when the goods and services have been received and neither encumbrances nor net assets restricted for encumbrances are disclosed on the operaUng statement or statement of net assets.
Georgia Procurement Manual Chapter 7, SecYon 7.5:
“The state enUty must not pay for goods or services which have not been accepted by the state enUty (i.e., the supplier has failed to deliver goods, equipment or services which conform to the contract requirements). In the event the supplier has failed to perform, payment should be withheld pending state enUty saUsfacUon with the supplier’s progress. The costs incurred by the supplier must be in accordance with the terms of the contract, including any contract rate schedule. The following subsecUons detail addiUonal policy governing the payment process.”
OCGA reference regarding payments to contractors and subcontractors:
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§ 13-‐11-‐3. Contractors' and subcontractors' enUtlement to payment: Performance by a contractor or subcontractor in accordance with the provisions of his or her contract and the saUsfacUon of the condiUons of his or her contract precedent to payment enUtles such person to payment from the party with whom he or she contracts.
As for applicability of this informaUon to the Commission, I have included the following excerpt from statute which I believe indicates that the Commission is subject to such policies and memos issued by SAO….
§ 50-‐5B-‐4. ObligaYons of state government organizaYons with respect to the state accounYng officer
(a) As used in this chapter, the term "organizaUon of state government" shall mean, without limitaUon, any agency, authority, department, insUtuUon, board, bureau, commission, commiGee, office, or instrumentality of the State of Georgia. Such term shall not include any enUty of local government, including, but not limited to, a county, municipality, consolidated government, board of educaUon, or local authority, or an instrumentality of any such enUty.
(b) All organizaUons of state government and all officers, agents, and employees thereof shall conform to and comply with the rules, regulaUons, policies, procedures, and forms devised, promulgated, and installed by the state accounUng officer.
I believe these example above provide clear evidence that the concept of recording expenditures/exposes and paying a vendor prior to the receipt of goods/services is not a new concept and it is well entrenched in state policy. If you have any follow-‐up quesUons, please feel free to give me a call.
Alan SkeltonState Accounting Officerwww.sao.ga.gov404-657-4138 (office)770-274-9758 (cell) ______________________________________________________________________________________________________________________________________________________The information contained in this message may be CONFIDENTIAL and is for the intended addressee only. Any unauthorized use, dissemination of the information, or copying of this message is prohibited. If you are not the intended addressee, please notify the sender immediately and delete this message.
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8/17/15
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School Response
Immediate Care for the Injured Training Module
Purpose • Emergencies happen -
tornadoes, fires, floods or acts of violence.
• No one wants to think about such disasters, but being prepared for an emergency can help.
• This training is designed to enable you to render immediate, potentially life-saving medical aid to injured students or co-workers while you await the arrival of professional responders.
Program Highlights • Public high schools located in
the counties served by EMS Region 5 and Health-care Coalitions F and H are eligible to participate in the School Response Program.
• School Response Bags are
designed for mass casualty events in which EMS response may be delayed or when immediate first aid might be warranted.
• Bags can also be used for less critical incidents.
= counties with School Response trainers
Program Highlights • Bags will include ten bleeding
control modules and eight first aid modules.
• Schools are to train at least ten employees in the use of the bag's contents, basic management of airway and breathing, CPR, and hemorrhage control.
• Training designed for “non-
traditional” lay responders to enable them to render medical aid while they await the arrival of professional responders.
Response Bag - Components
10 Bleeding Control Modules 8 First Aid Modules 4 Pairs of Trauma Shears 4 10”x30” Trauma Dressings 30 Pairs of Gloves (various sizes) 10 Casualty Care Cards 6 Emergency Status Cards (2 sets)
Bleeding Control Modules SWAT-T Tourniquet
Pair Nitrile Gloves
Laerdal CPR Face Shield
2 - 5” x 9” ABD Pads
2 - 3”x5yds Roller Gauze
Combat Medic Reinforcement Tape
Triangle Bandage
2 - Ziploc Bags
Immediate Action Card
First Aid Modules 2 - Pkgs of 2 Sterile 3” x 3” Gauze pads
2 - 2” x 3” Non-Adherent Pads
1 - 5” x 9” ABD Pad
1 - Triangle Bandage
8 - 1” x 3” Fabric Adhesive Strips
6 - Knuckle Bandages
2 - 3” x 5yds Roller Gauze
1 - 1” x 5yds Cohesive Wrap
2 - ½” x 2½yds Waterproof Tape
Individual Response Kits (IRK) SWAT-T Tourniquet
Pair Nitrile Gloves
CPR Face Shield
2 - 5” x 9” ABD Pads
2 - 3”x5yds Roller Gauze
Combat Medic Reinforcement Tape
Triangle Bandage
2 - Ziploc Bags
Trauma Shears
Immediate Action Card
Scope of Training • This course is not a comprehensive
First Aid or CPR course.
• It’s designed to address two primary causes of preventable death in trauma – ventilatory and circulatory compromise.
• We will focus on basic management
of airway and breathing, control of bleeding, and other basic life saving interventions.
8/17/15
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Prioritizing Care
STEP 4: CHECK FOR BLEEDING Find and control bleeding.
STEP 3: CHECK BREATHING Check to see if the person is breathing.
STEP 2: CHECK RESPONSE Check whether the person responds.
STEP 1: ASSURE SAFETY Check for DANGER for you and/or the injured person.
Prioritizing Care:
Questions?
FY15 FY2016Description Percentage of Funding Available FundsEMS UCC Audit Procedures Cost $0
Total Allocation (20% of available funding for stakeholders) $2,728,300 2,767,002.00AVLS Support $379,185 570,748.00
Available for Stakeholder Distribution $2,349,115 $2,056,516 2,344,604.00FY14 FY15 suggested %
Leadership Course 4.3% $100,951 $100,951 4.30% 100,951.00Equipment Grants 65.6% $1,540,324 0.00%
EMR/EMT 5.4% $126,189 $126,000 5.36% 126,000.00EMS Uncompensated Care 0.0% $0 0.00%
GEMSIS Support 0% $0 $20,800 0.89% 26,000.00Vehicle Grant 0% $0 0.00%EMS Redesign 3.4% $80,761 $80,761 3.44%
0% $0 0.00%Triage System 2.4% $55,523 $55,523 2.36% 55,523.00
Scholarships: EMS Advancement 0% $0 0.00%PHLTS/ITLS/EPC 4.7% $111,046 $109,300 4.65% 121,300.00
Regional Training 0% $0 0.00%EVOC 0.9% $20,190 $20,190 0.86% 1.00
Extrication 0% $0 0.00% 1.00Telemedicine 0% $0 0.00% 1.00
Child Seat Tech 2.4% $56,532 0.00%Additional AVLS 0% $0 0.00% 1.00
DART $102,036 4.34%0.00%
Region One Training Pilot $40,700 1.73%0.00%
Totals for Stakeholder Distribution Current Total $656,261Remaining fund balance
Funds Remaining $1,692,854
FY 2015 EMS Stakeholder Distribution Discussion
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