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HomeMy WebLinkAbout20121061.tiff RESOLUTION RE: APPROVE EMPLOYEE LEASE AGREEMENT FOR JED SWANK AND AUTHORIZE CHAIR TO SIGN - BANNER HEALTH, DBA NORTH COLORADO MEDICAL CENTER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Employee Lease Agreement for Jed Swank, between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, and Banner Health, dba North Colorado Medical Center, commencing May 7, 2012, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Employee Lease Agreement for Jed Swank between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, and Banner Health, dba North Colorado Medical Center, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of April, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:�� } Sean P. Conw.. , Chair ( 3 Weld County Clerk to the Board IE Za 0 ate' s will/'m F. Garci �o-Te BY: W. �i..�:.�f ���►� �% Deputy CI k to the Bo.� B;f�,l�.•�t�; se*. arbara Kirkmeyer tqa TO FORM: 1 t \ / David E. Long u At orney c{�ov �4 S G�-Qcuia ChuJ Dougl Rademacher Date of signature: 5 Ori9 4a aruu ety; CA Q-3.q-Ia d3-/d 2012-1061 BC0043 EMPLOYEE LEASE AGREEMENT THIS EMPLOYEE LEASE AGREEMENT (this "Agreement) is entered into as of the signature dates set forth below, to be effective as of the 7th day of May, 2012 (the "Effective Date"), by and between BANNER HEALTH, an Arizona nonprofit corporation d/b/a NORTH COLORADO MEDICAL CENTER ("Banner"), and the County of Weld, a political subdivision of the State of Colorado, by and through the Board of County Commissioners of the County of Weld ("County") RECITALS WHEREAS, Banner operates North Colorado Medical Center, an acute care hospital located in Greeley, Colorado ("Hospital"); and WHEREAS, Hospital is acquiring an ambulance service from the County pursuant to an Asset Purchase Agreement and will operate such services as a unit of the Hospital ("Unit"); and WHEREAS, Banner seeks to staff the Unit with an experienced paramedic/emergency technician and more specifically the following named employee, Jed Swank ("Leased Employee"); and WHEREAS, the County desires to maintain the Leased Employee as its employee; and WHEREAS, Banner desires to lease the Leased Employee from the County to provide services as a paramedic/emergency medical technician for the Unit. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agree as follows: 1. County Obligations. 1.1 Pursuant to the terms of this Agreement, County shall lease to Banner the Leased Employee to provide the services, as more particularly described on Exhibit A, attached hereto and incorporated herein, to the Unit on a full time basis on days and at times mutually agreed to by the parties, subject to the limitations set forth in Exhibit A. 1.2 Except as specifically provided in Article 2 below, the Leased Employee shall be hired and employed by County, subject to County's job classifications, compensation rates, payroll schedules, benefit plans and personnel policies. 2. Rights and Obligations of the Parties Regarding Employment Relationship. 2.1 County, as the employer of Leased Employee, shall be responsible to make all payments, to provide all insurance, to withhold all amounts, and to do those things required by law to be done by an employer. 1 C:\Documents and Settings 3egesick\Local Settings Temporary Internet Files\Convent Outlook\M4M2CSX8\Final Employee Lease Agreement 4-23-12 Swank doe 2.2 Banner, as the lessee of the Leased Employee, shall be responsible for the following relative to the Hospital: (a) establishing requirements for skills or training necessary for employment eligibility of the Leased Employee; (b) compliance with work place laws and regulations, including Occupational Safety and Health Administration regulations, Environmental Protection Agency regulations and any state and/or local equivalent, the provisions of the Americans with Disabilities Act ("ADA") that impose any obligations for physical compliance or facilities modification at a worksite, professional and facility licensing requirements and governmental contracting provisions, and all safety, health and work environment laws, regulations, ordinances, directives and rules for work place safety imposed by controlling federal, state and local governments, the workers' compensation insurance carrier and/or safety program requirements; and (c) compliance with Section 414(o) of the Internal Revenue Code (avoidance of certain pension and non-pension employee benefit requirements) except as provided in Section 3.3(a) below. 2.3 Banner and County shall both have responsibility for, and shall cooperate with each other in regards to, the following: (a) Compliance with employment and benefit laws, including Title VII of the 1964 Civil Rights Act and any state equivalent acts, the Age Discrimination in Employment Act and any state equivalent acts, the Employee Retirement Income Security Act, except as provided by Section 2.2(c) above, the Fair Labor Standards Act and any state wage and hour acts, the provisions of the ADA and any state equivalent acts that impose requirements on a covered employer, except as provided by Section 2.2(b) above, the Federal Drug Free Workplace Act and any state and/or local equivalent, and the Family and Medical Leave Act of 1993; and (b) Implementation of policies and practices relating to the operations of the Unit. 2.4 Nothing in Sections 2.1, 2.2 or 2.3 above shall be construed to require Banner or County to provide any of the matters referred to therein except as provided by law or as otherwise specifically provided by this Agreement. 2.5 County shall make all hiring and firing decisions, establish and pay all wages, salaries and compensation, including all determinations regarding the retention, promotion, demotion, awarding of bonuses and salary adjustments, and be responsible for all other matters affecting the terms and conditions of the employment of the Leased Employee. 2.6 For the purposes of this Agreement, determination of responsibility for situations not set forth and not contemplated herein shall be made by mutual agreement of Banner and County. 2 C\Documents and Settings\egesick\Local Setlings\temporary Internet Files\Content Outlook\M4M2CSXe\Flnal Employee Lease Agreement 4-23-12 Swank doc 2.7 Banner and County agree that, for purposes of coverage under the exclusive remedy doctrine of the Colorado workers' compensation law, Banner and County are co- employers. 2.8 Banner shall notify County of any performance problems with the Leased Employee and shall cooperate with County's human resources department in addressing such performance issues. If the problems in performance are not rectified through County's personnel processes, County shall upon Banner's reasonable request, remove and replace the Leased Employee with an alternate Leased Employee suitable to Banner. A new leased employee shall be approved by Banner prior to beginning to provide services at the Unit. Banner may terminate this Agreement under Section 6.2 (c) if a suitable replacement leased employee is not available. 3. Fees and Amounts Payable to County. 3.1 Compensation for Leased Employee. As compensation for the services provided by Leased Employee, Banner shall pay County according to the terms set forth on Exhibit A attached hereto and incorporated herein by this reference. 4. Insurance. 4.1 Workers' Compensation Insurance. (a) County agrees to maintain, as required by law, workers' compensation insurance for Leased Employee. (b) Banner agrees to maintain, as required by law, workers' compensation insurance for all Banner employees and independent contractors who are not Leased Employee. 4.2 Banner Insurance Requirements. Banner shall keep in full force and effect at all times during the term of the Agreement, professional liability and comprehensive general liability insurance covering the operations of the Hospital, including, but not limited to, where applicable, products, completed operations, contract, broad property damage, premises liability, independent contractors, and personal injury, with minimum limits of One Million and no/100 Dollars ($1,000,000.00) per occurrence and Three Million and no/100 Dollars ($3,000,000.00) in the annual aggregate. Banner may self-insure for any coverages required under this Agreement where such self insurance is not precluded by law. 5. Mutual Indemnity. 5.1 Banner Indemnification. Banner hereby agrees to indemnify, defend and hold County harmless from and against any and all liability, expense (including court costs and attorneys' fees) and claims for damage of any nature whatsoever, whether known or unknown and whether direct or indirect, as though expressly set forth and described herein, that County may incur, suffer, become liable for or that may be asserted or claimed against County arising from or relating to the acts, including illegal or negligent acts, errors or omissions, and statutory violations, of Banner in its performance under this Agreement. 3 C\Documents and Settings\egesick\Local Settings\Temporary Internet Files\Content Outlook4M4M2CSX84Fmal Employee Lease Agreement 4-23-12 Swank.doc 5.2 County Indemnification. To the extent allowed by law, County hereby agrees to indemnify, defend and hold Banner harmless from and against any and all liability, expense (including court costs and attorneys' fees) and claims for damage of any nature whatsoever, whether known or unknown and whether direct or indirect, as though expressly set forth and described herein, that Banner may incur, suffer, become liable for or that may be asserted or claimed against Banner arising from or relating to the acts, including illegal or negligent acts, errors or omissions, and statutory violations, of County in its performance under this Agreement. 5.3 Scope of Indemnification. Banner and County expressly agree that the indemnification provisions of this Agreement shall not be limited to claims, expenses, or liabilities for which one of them is severally liable, but shall also apply to claims, expenses and liabilities for which Banner and County are jointly and concurrently liable. In such event, if either of them advances funds in connection with a claim, expense or liability that is subject to this Section 5.3 in excess of its pro rata share, such party shall be indemnified by the other party hereto for such excess amounts. 6. Term and Termination. 6.1 Term. This Agreement shall be for a term of thirteen (13) months from May 7, 2012 to June 6, 2013. The term of this agreement is intended to conclude approximately when Leased Employee is eligible for retirement under County's Retirement System on May 28, 2013. Banner's intent is that Leased Employee will be offered employment with Banner upon the termination of the Agreement, unless this Agreement is previously terminated pursuant to Section 6.2 (c) or Section 2.8 herein. 6.2 Termination for Cause. Either party may terminate this Agreement at any time for cause, which shall be defined as, and limited to, the following defaults by the other party: (a) Liquidation; Bankruptcy. The defaulting party shall apply for, or consent to, the appointment of a receiver, trustee or liquidator of all or a substantial part of its assets, file a voluntary petition in bankruptcy, make a general assignment for the benefit of creditors, file a petition or answer seeking reorganization or arrangement with creditors, or take advantage of any insolvency, or if any order, judgment or decree shall be entered by any court of competent jurisdiction on the application of a creditor or otherwise adjudicating such party bankrupt or approving a petition seeking reorganization of such party or appointment of a receiver, trustee or liquidator of such party, or of all or a substantial part of its assets, and such order, judgment or decree shall continue unstayed and in effect for sixty (60) calendar days after its entry. (b) Nonpayment of Fee. County may terminate this Agreement if Banner fails to pay a fee payment to County within ten (10) days of its due date and fails to cure the nonpayment within five (5) days after County has given Banner written notice of the failure to perform. (c) Breach Related to the Leased Employee. Banner may terminate this Agreement immediately by written notice to County for the failure of the Leased Employee to perform the services set forth in Exhibit A or fail to meet the requirements set forth in Section 2.8 above. Before invoking termination under this Section Banner shall give County thirty days (30) to cure the breach related to the Leased Employee, provided that County provides a qualified substitute during the cure period and there is no disruption of services to Banner. Banner shall have no obligation to provide a cure 4 C\Documents and Settings\egesick'rocal Settings\Temporary Internet Flo\Content Outlook'M4M2CSXe\Final Employee Lease Agreement 4-23-12 Swank doc period when in its reasonable determination services at the Unit are likely to be materially impaired or disrupted by a breach of this Section 6.2(c). (d) Breach Other Than Nonpayment of Fee. A failure by the defaulting party to perform any material obligation required hereunder, if such default shall continue for thirty (30) calendar days after the giving of written notice from the non-defaulting party specifying the nature and extent of such default, or, if the breach cannot reasonably be cured in thirty (30) days, if the breaching party has not acted diligently, or subsequently acted diligently, to attempt to cure the breach within the thirty (30) day period following notice from the non-defaulting party. If the parties disagree as to the existence of a breach or, whether the breach has been cured, the parties shall use their good faith efforts to resolve the dispute through negotiation. 6.3 Effective Date of Termination. The effective date of the termination of this Agreement shall be as follows: (a) termination under Sections 7.2(a) and (c) shall be effective automatically and immediately upon the giving of written notice of termination by the non- defaulting party; and (b) termination under Section 7.2(b) and (d) shall be effective upon the conclusion of the last notice period. 6.4 Regulatory Termination. If, prior to the expiration of the term of this Agreement, any federal, state or local regulatory body, including, but not limited to, the Centers for Medicare and Medicaid Services, the Department of Health and Human Services ("HHS"), or the Internal Revenue Service determines that this Agreement is illegal or jeopardizes Banner's tax exempt status or otherwise materially affects either party's business, then the affected party shall give the other party such notice as is reasonable in the circumstances and shall make available a reasonable period within which to cure. If no cure is implemented by the parties, then Banner, in its sole discretion may terminate this Agreement with such notice as is reasonable under the circumstances. 6.5 Amendments and Early Terminations. Both parties acknowledge and agree that this Agreement may not be amended prior to the first (1st) anniversary of the Effective Date, or more than once during any twelve (12) month period thereafter, unless the terms of such amendment do not change the terms of this Agreement in any material respect and the compensation for items or services provided hereunder is not changed at all. If this Agreement is terminated prior to the first (1st) anniversary of the Effective Date for any reason, the parties may not enter into a successor agreement for the same items or services provided hereunder prior to the first (1st) anniversary of the Effective Date unless such successor agreement contains the same terms and compensation as are set forth in this Agreement. 7. Representations and Regulatory Provisions. 7.1 Conflict of Interest Disclosure. County represents and warrants that County and/or any of its officers, directors, employees, partners, members, owners or shareholders is related to, affiliated in any way with, or employs (or otherwise has a compensation interest with) any officer, director of Banner, or any employee of Banner charged with administering, approving or enforcing this Agreement. 7.2 No Exclusion. County represents that neither it nor any of its members, shareholders, officers, directors or personnel providing services under this Agreement have been excluded from participation in any federal or state Medicare, Medicaid or any other third- 5 C\Documents and Settings kgesick'Local Settings\Temporary Internet Files\Content Outlook\M4M2CSXt\Final Employee Lease Agreement 4-23-12 Swank dot party payor program and that no such action is pending. County shall immediately notify Banner if such action is threatened, proposed or taken. If, at any time, County or any of its shareholders, employees, independent contractors or agents have been excluded as described above, then, at its discretion, Banner may immediately terminate this Agreement upon written notice to County. 7.3 Access to Records for Government Inspection. County agrees until the expiration of four (4) years after the furnishing of services to be provided under this Agreement, to make available, upon request, to the Secretary of HHS, to the Comptroller General of the United States of America, or to any of their duly authorized representatives, this Agreement and the books, documents and records that are necessary to certify the nature and extent of reimbursable costs under the Medicare laws. If County carries out any of the agreements under this Agreement through a subcontract with a value or cost of Ten Thousand and no/100 Dollars ($10,000.00) or more over a twelve (12) month period with a related organization, such subcontract shall contain a requirement identical to that set forth in the preceding sentence. 7.4 Compliance with Regulations and Policies. County shall comply with all standards applicable to the services described in this Agreement, including, but not limited to, the standards of (a) the Joint Commission on the Accreditation of Healthcare Organizations, (b) federal, state and local governmental laws, rules and regulations, and (c) third party payors. Whenever providing services or goods pursuant to this Agreement on Hospital premises, County and its employees and agents shall comply with and observe all Banner rules and regulations concerning conduct on Hospital premises. If any of the services or goods provided under this Agreement are services or goods for which Banner may, directly or indirectly, obtain compensation or reimbursement from any governmental health program (e.g., Medicare, Medicaid, or TRICARE), County shall comply with all government reimbursement requirements as specified by Banner and shall assist Banner in completing necessary documents and records for reimbursement 7.5 Medicare Fraud and Abuse. Notwithstanding any unanticipated effect of any of the provisions herein, neither party shall intentionally conduct itself under the terms of this Agreement in a manner to constitute a violation of the Medicare and Medicaid Fraud and Abuse Provisions (42 U.S.C. Sections 1395 nn(b) and 1396h(b)), including the Medicare and Medicaid Anti-Fraud and Abuse Amendments of 1977 and the Medicare and Medicaid Patient and Program Protection Act of 1987 (42 U.S.C. Section 1320 a-7 et seq.) or any other applicable federal, state or local law, rule, or regulation. 7.6 Compliance with HIPAA. Under the Health Insurance Portability and Accountability Act of 1996, Banner is required to comply with the Standards for Privacy of Individually Identifiable Health Information contained in 45 C.F.R. Parts 160 and 164, Subparts A and E (the "Privacy Rule") and the Standards for Security of Electronic Protected Health Information contained in 45 C.F.R. Part 164, Subpart C, ("Security Rule") as of their respective effective dates and as amended. If this Agreement must be amended to secure such compliance, the parties shall meet in good faith to agree upon such amendments. If the parties cannot agree upon such amendments, then either party may terminate this Agreement upon thirty (30) days prior written notice to the other party. 7.7 Corporate Compliance. County and the Leased Employee shall cooperate with any corporate compliance program now or hereafter instituted by Banner. 6 C\Documents and Settingskgeskk\Local Settings\Temporary Internet Files\Content.Outlook\M4M2CSX8\Final Employee Lease Agreement 4-23-12 Swankdoc 7.8 Compliance with Health Testing and Immunization Policies. County will assure Leased Employee's compliance with Banner's health policy and requirements. 7.9 Confidentiality. To the extent allowed by law, County shall keep confidential all knowledge, information and documents entrusted to its care by Banner. For the purposes of the Colorado Open Records Act, Leased Employee shall not keep in his custody, or provide to County for its custody and keeping, any documents provided to Leased Employee by Banner. Leased Employee shall not disclose any knowledge, information or documents entrusted to him by Banner to any person, firm or corporation other than the person, firm or corporation designated by Banner. Knowledge, information and documents entrusted by Banner to Leased Employee may include, but are not limited to, the names of vendors and the terms and conditions (including financial information) with vendors, the names of patients and the terms and conditions (including financial information) of agreements with or for the benefit of patients and all medical records and information. The provisions shall survive the termination of this Agreement. 7.10 Ownership of Information and Materials. County shall, upon expiration or any earlier termination of this Agreement, ensure that the Leased Employee deliver to Banner all written data and information generated by or for Banner in connection with the services provided by Leased Employee to Banner hereunder. Such data and information and all such documents shall at all times be the property of Banner. 8. Miscellaneous Provisions. 8.1 Notices. Any notice required to be given under this Agreement shall be in writing, and shall be deemed delivered when personally delivered or three (3) days after the same is sent by certified mail, postage prepaid as set forth below, subject to the right of either party to change said address or addresses by written notice of such new address to the other party. If to Banner: Banner Health d/b/a North Colorado Medical Center 1801 16'" Street Greeley, Colorado 80631 Attn: Chief Executive Officer with a copy to: Banner Health 1801 16th Street Greeley, Colorado 80631 Attn: Legal Department If to County: County of Weld P. O. Box 758 Greeley, Colorado 80632 8.2 Counterparts. This Agreement may be executed in one or more copies or counterparts, each of which when signed shall be an original, but all of which together shall constitute one instrument. 7 C.\Documents and Settings\egesick'Local Settings Temporary Internet Files Content Outlook311441312CSXMFmal Employee Lease Agreement 4-23-12 Swank doe 8.3 Entire Agreement. The provisions of this Agreement and any exhibits hereto and any writing signed by the party to be charged contemporaneously herewith constitute the entire agreement between the parties, and supersede any prior negotiations, understandings or agreements. 8.4 Modifications. This Agreement may be amended, modified or otherwise changed only upon the written consent of the parties. 8.5 Third Party Rights. This Agreement shall not be construed as conferring upon any third party any right or benefit and any and all claims that may arise hereunder may be enforced solely by RMR or by Banner. 8.6 No Assignment. No party may assign its rights or delegate its obligations under this Agreement without the prior written consent of the other party. 8.7 Governing Law. This Agreement shall be governed by Colorado law, excluding the choice of law rules thereof. 8.8 Documents; Necessary Acts. Each of the parties shall execute and deliver all documents, papers, and instruments and perform such other acts as may be necessary or convenient to carry out the terms of this Agreement. 8.9 Corporate Authority. The individuals executing this Agreement on behalf of, or as a representative for, a corporation or other person, firm, partnership or entity, represents and warrants that he or she is duly authorized to execute and deliver this Agreement on behalf of the corporation, person, firm, partnership or other entity and that this Agreement is binding upon the entity in accordance with its terms. 8.10 Non-Waiver: Breach. Any waiver of any term and condition hereof must be in writing and signed by the party against whom it is sought to be asserted. A party's neglect or failure in any case or circumstance to require performance of the other party's obligations or to enforce its rights in the event of a breach by the other party shall not affect such party's right to enforce such rights and obligations in any other case or circumstance. A waiver of any individual term or condition shall not be construed as a waiver of any other term or condition or, unless so provided in such written waiver, of the term or condition thereby waived in the event of a future or continuing breach by the other party, except in the particular circumstances in or for which such waiver was provided. 8.11 Severability; Invalidity of Any Provision. Nothing contained in this Agreement shall be construed so as to require the commission of an act contrary to law, and whenever there is any conflict between any provision of this Agreement and any present statute, law, ordinance or regulation contrary to which the parties have no legal right to contract, the latter shall prevail. In such event, and in any case in which any provision of this Agreement is determined by a court of competent jurisdiction to be in violation of a statute, law, ordinance, or regulation, the affected provisions shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law and, insofar as possible under the circumstances, to carry out the purposes of this Agreement. 8.12 Force Maieure. Neither party shall be liable nor deemed to be in default for any delay or failure in performance under this Agreement or other interruption of service or employment deemed resulting, directly or indirectly, from acts of God, civil or military authority, 8 C\Documents and Settings\egesick\Local Settings\Temporary Internet Files\Content Outlook'M4M2CSX8\Final Employee Lease Agreement 4-23-12 Swank.doc acts of public enemy, war, accidents, fires, explosions, earthquakes, floods, failure of transportation, machinery or supplies, vandalism, strikes or other work interruptions beyond the reasonable control of either party. However, both parties shall make good faith efforts to perform under this Agreement in the event of any such circumstances. 8.13 Survival. Any covenant or provision herein that requires or might require performance after the termination or expiration of this Agreement, including, but not limited to, indemnities, confidentiality, settlement of accounts, and records retention and access, shall survive any IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the signature dates set forth below, to be effective as of the Effective Date. BANNER HEALTH d/b/a North Colorado COUNTY OF WELD Medical Cent By: By: (7// Name: 'c� 15v1`n� Name: Sean P. Conway Title: Title: Chair, Board of Weld County Commissione Date: tilt 51/Z Date: APR 2 3 2012 9 C\Documents and Settings\egeslck\Local Settings\Temporary Internet Files\Content Outlook\14M2CSXe\Final Employee Lease Agreement 4-23-12 Swank doc 670/.02 -/dlv, EXHIBIT A The compensation Banner shall pay County for the services of the Leased Employee shall be at the rate of Seven Thousand Eight Hundred and Eighty-Nine and 60/100 Dollars ($7,889.60) per month. This sum includes salary and benefits. Banner shall pay such monthly amount by the 10`h day of the following month. The Parties agree that the Leased Employee will attempt to limit any Paid Time Off during the term of this Agreement. Any requests for Paid Time Off by Leased Employee are subject to the approval of Banner. Such approval will not be unreasonably withheld. Leased Employee shall conduct services including but not limited to the following: Perform Advanced Life Support (ALS) Emergency Medical Care in the pre-hospital setting. Essential Duties and Functions: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. • Receive calls from dispatchers, responds verbally to emergency call, reads maps, may drive ambulance to emergency site, uses most expeditious route, and observes traffic ordinances and regulations. • Determines nature and extent of illness or injury, takes pulse, blood pressure, visually observes changes in skin color, makes determination regarding patient status, establishes priority for emergency care, renders appropriated emergency care (based on competency level); may administer intravenous drugs or fluid replacement as directed by physician adviser or established protocol. • Must be capable of utilizing all advanced life support equipment and be knowledgeable and competent in the use of advance airway and pharmacological skills. • Assists in lifting, carrying, and transporting patients to ambulances and to medical facilities. Reassures patients and bystanders, avoids mishandling patient and undue haste, searchers for medical identification emblems to aid in care. Extricates patient from entrapment, assesses extent of injury, uses prescribed techniques and appliances, radios dispatcher for additional assistance or services, provides lights rescue if required, provides additional emergency care following established services protocols. • Complies with regulations in handling deceased, notifies authorities, and arranges for protection of property and evidence at scene. Determines appropriate facility to which 10 C\Documents and Settings\egesick\Local Settings\Temporary Internet Files Content Outlook'44M2CSX8\Flnal Employee Lease Agreement 4-23-12 Swank.doc patient will be transported, reports nature and extent of injuries or illnesses to that facility, asks for direction from hospital physician or emergency department. Observes patient en route and administers care as directed by physician. Identifies diagnostic signs that require communication with facility. Assists in removing patients from ambulances and into emergency facility. Reports verbally and in writing observations about and care of patient at the scene and en route to facility, provides assistance to emergency staff as required. • Replaces supplies, sends used equipment for sterilization, checks all equipment for future readiness, maintains ambulance in operable condition, ensures ambulances cleanliness and orderliness of equipment and supplies, decontaminates vehicle interior, determines vehicle readiness by checking oil, gas, water in battery and radiator, and tire pressure, maintains familiarity with all specialized equipment. • Participates on a daily basis in the continuous quality improvement program at the ambulance service Unit. • Advises superiors of known and/or anticipated problems. Qualifications Education: High school graduation or equivalent. Successful completion of an Emergency Medical technician — Paramedic training program approved by the Emergency Medical Services Division of the Colorado Department of Health. Achievement of passing scores on the practical and written certification examinations. Experience: Two years experience as or in a position equivalent to Emergency Medical Technician or any equivalent combination of education and experience. Necessary Special Requirements: • Current Driver's License (with good driving record) • Current Colorado State Emergency Medical Technician Paramedic Certificate • Current Certificate of Completion for Advanced Cardiac Life Support • Current Certificate of Completion for Basic Life Support • Current Pediatric Advanced Life Support/PEPP • Neonate Resuscitation Program completion or the ability to obtain within the first year. Meets all state and county qualifications as determined by statutes, rules, regulations, and ordinances, etc. Other Necessary Requirements: Required Knowledge, Skills and Abilities: Must be 21 years of age. Ability to communicate verbally, via telephone and radio equipment; ability to lift, carry and a balance up to 125 pounds (250 with assistance); ability to interpret written, oral and diagnostic form instructions, ability to 11 C.\Documents and Settings\egesick\Local Settings\Temporary Internet Files\Content.OutlookVn44M2CSXt\Flnal Employee Lease Agreement 4-23-12 Swank.doc use good judgment and remain calm in high-stress situations, ability to be unaffected by loud noises and flashing lights, ability to function efficiently throughout an entire work shift without interruption, ability to calculate weight and volume ratios, ability to read English language manuals, and road maps; accurately discern street signs and address numbers, ability to interview patient, family members, and bystanders, ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such, ability to converse in English with co-workers and hospital staff as to status of patient. Good manual dexterity, with ability to perform all tasks related to high quality patient care. Ability to walk, bend, stop, and crawl on uneven terrain, and the ability to withstand varied environmental conditions such as extreme heat, cold and moisture. Ability to work in low light and confined spaces. 12 C\Documents and Settings\egesick\Local Saongs\Temporary Internet Filee\Content.Omlook\M4M2CSX8\Final Employee Lease Agreement 4-29-12 Swank doc Hello