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HomeMy WebLinkAbout820352.tiff RESOLUTION RE: APPROVE AGREEMENT ADDENDUM BETWEEN THE WELD COUNTY AMBULANCE SERVICE AND THE WELD COUNTY GENERAL HOSPITAL AND AUTHORIZATION FOR CHAIRMAN TO SIGN THE SAME 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, on the 29th day of March, A. D. , 1982 , the Board of County Commissioners did approve an agreement between the Weld Ambulance Service and the Weld County General Hospital, and WHEREAS, on April 20th, 1982 , the Board was presented an agreement addendum, and WHEREAS, the Board did consider the agreement addendum which reads as follows : The Hospital agrees : 1. To pay the Ambulance Service $4 , 280 . 00 each month for two (2) employees per shift (except in emergency situations) , excluding time for lunch periods and time for Ambulance Service activities including all educational and training activities. Ambulance personnel will also check out for all other Amublance activities such as training, maintenance activities and all other activities related to Ambulance business , and WHEREAS, the Board of County Commissioners deems it advisable to approve said amendment addendum, attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado that said agreement addendum, between the Weld County Ambulance Service and the Weld County General Hospital be, and hereby is approved. BE IT FURTHER RESOLVED by the Board that the Chairman is authorized to sign said agreement addendum. The above and foregoing Resolution was , on motion duly made and seconded, adopted by the following vote on the 5th day of May, A. D. , 1982 . LHR366 820352 PAGE 2 - AGREEMENT ADDENDUM BETWEEN THE WELD COUNTY AMBULANCE SERVICE AND THE WELD COUNTY GENERAL HOSPITAL AND AUTHORIZATION FOR CHAIRMAN TO SIGN THE SAME BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ` yyc Jghn T. Martin, Chairman Excused date signed Chuck Carlson, Pro Tem Norman Carlson E cused W. Kirby �r " K. Steinmark ATTEST cQ,�� ,y,„,. ...s o Weld County0Clerk and Recorder and _Clerk to the Boa BC U ��� ccc��� eputy County C erk / APPR D AS TO FORM: / County Attorney DATE PRESENTED: MAY 10 , 1982 WELD COUNTY GENERAL HOSPITAL WELD COUNTY AMBULANCE SERVICE AGREEMENT ADDENDUM The Hospital agrees: 1 . To pay the Ambulance Service $4,280.00 each month for two (2) employees per shift (except in emergency situations) , excluding time for lunch periods and time for Ambulance Service activities including all educational and training activities. Ambulance personnel will also check- out for all other Ambulance activities such as training, maintenance activities and all other activities related to Ambulance business. MAY DATED at Greeley, Colorado this 5th day of xXX, 1982 Richard H. Stenner Administrator Weld County General Hospital John T. Martin U Chairman Board of Weld County Commissioners mEmoRAnDum 11161Ilik To THE BOARD Date 4-30-82 COLORADO From THE CLERK TO THE BOARD'S OFFICE Subject: AGREEMENT BETWEEN WELD COUNTY AMBULANCE SERVICE AND THE WELD COUNTY GENERAL HOSPITAL On March 29, 1982, the Board approved said agreement and directed the Chairman to sign same. We sent the agreement to the hospital for Mr. Stenner's signature. He signed the agreement and it has been placed on record with your resolution. Mr. Stenner also sent to us an agreement addendum that he would like the Chairman to sign. Please compare the original agreement with the agreement addendum. We will place said agreement addendum on your agenda scheduled for May 5, 1982, for consideration. If you have any questions please notify us immediatley. THANK YOU, C. V WELD COUNTY GENERAL HOSPITAL WELD COUNTY AMBULANCE SERVICE AGREEMENT ADDENDUM The Hospital agrees : 1 . To pay the Ambulance Service $4,280.00 each month for two (2) employees per shift (except in emergency situations) , excluding time for lunch periods and time for Ambulance Service activities including all educational and training activities. Ambulance personnel will also check- out for all other Ambulance activities such as training, maintenance activities and all other activities related to Ambulance business. DATED at Greeley, Colorado this day of April , 1982 Richard H. Stenner Administrator Weld County General Hospital 6, John T. Martin Chairman Board of Weld County Commissioners RESOLUTION RE: APPROVAL OF AGREEMENT BETWEEN THE WELD COUNTY AMBULANCE SERVICE AND THE WELD COUNTY GENERAL HOSPITAL AND AUTHORI- ZATION FOR CHAIRMAN TO SIGN THE SAME 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 Weld County Ambulance Service is interested in educational opportunities that may be available at the Weld County General Hospital and desires to utilize standby time of ambulance attendants at said hospital, and WHEREAS, an Agreement between the Weld County Ambulance Service and the Weld County General Hospital has been prepared and submitted to the Board of County Commissioners for approval, and WHEREAS, the Board, after studying said Agreement, deems it advisable to approve the same. NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado that the Agreement between the Weld County Ambulance Service and the Weld County General Hospital be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board of County Commissioners that the Chairman of the Board 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 29th day of March, A.D. , 1982. BOARD OF COUNTY COMMISSIONERS ATTEST: �:'-<,:- WELD COUNTY, COLORADO to Weld County Clerk and Recorder ) , and Clerk to the Board Joh T Martin hair an B37 : _ 0 /e Deputy Coun Cou �y�a$� erk � Chuck Carlso , Pro-Tem � e At't?170VED AS TO FORM: Norman Carlson ABSENT County Attorney W. Kirby AI ne K. S e nmark DATE PRESENTED: 3/31/82 � ' AGREEMENT THIS AGREEMENT is made and entered into this 29th day of March , 1982, by and between the WELD. COUNTY AMBULANCE SERVICE, department of Weld County, Colorado, hereinafter referred to as "AMBULANCE SERVICE" and WELD COUNTY GENERAL HOSPITAL, hereinafter referred to as "HOSPITAL". WITNESSETH: WHEREAS, Weld County Ambulance Services desires to utilize standby time of ambulance attendants in the medical institution, and WHEREAS, the Regional Health Plan has recommended ambulance service by dispatched from hospitals, and WHEREAS, Weld County General Hospital is interested in cooperating with Weld County Ambulance Service to make provisions :or dispatching ambulances from the Hospital as a means to assist in providing high quality ambulance services to the area, and WHEREAS, the Ambulance Service is interested in educational opportunities that may be available in the Hospital. NOW, THEREFORE, for and in consideration of the promises and mutual agreements contained herein, the Ambulance Service and the Hospital enter into the following conditions: The Ambulance Service agrees: 1. To provide two persons assigned to the Hospital for work assignments on the 8:00 a.m. to 4:00 p.m. shift and two persons en the 4:00 p.m. to midnight shift and two persons on the midnight to 8:00 a.m. shift seven days per week. 2. To designate one person in charge of ambulance personnel for each shift. Hospital personnel will report daily work requests for ambulance personnel to the ambulance in charge person. 3. To provide paging and communication systems and equipment for its employees when requested by the Hospital. • 4. To maintain adequate Workmen's Compensation, malpractice and liability insurance to cover its employees while engaged in Hospital activities and to furnish the Hospital with certification of such insurance. AMBULANCE CG .ACT Page 2 5. To comply with all rules, regulations and directives of the Hospital. 6. To perform only those duties and activities assigned to ambulance personnel by the Head Nurse of the Emergency Department or the Emergency Department Physician in accordance with Hospital Policies, Rules and Regulations, Protocols, Directives, and Procedures. Duties assigned are included in the attached Addendum. 7. Agrees to indemnify and hold harmless the hospital from any liability caused by any employee of Weld County Ambulance Service including any amounts expended by Weld County General Hospital for attorney's fees or court costs. 8. To pay the Hospital $350.00 each month for the rent of garage space. The Hospital agrees: 1. To pay the Ambulance Service $4,280.00 each month for two (2) employees per shift (except in emergency situations) . 2. To provide parking facilities for ambulance vehicles on call. 3. Priority of attendants is to ambulance responsibilities. Both parties agree: That the Hospital will not be responsible for the full salary of ambulance personnel. The duty assignments will have to provide for interruption and quick departure and the first responsibility of ambulance personnel will be to fulfill the obligations of the Ambulance Service. That the Hospital may refuse the services of any individual ambulance attendant. That this Agreement may be amended at any time by written endorsement hereto, agreed to and signed by both parties. That• this Agreement shall be for the period of January 1, 1982, through December 31, 1982. That this Agreement shall be subject to cancellation by either party giving the other party written notice sixty (60) days prior to the cancellation date. (Weld County General Hospital, 16th Street at 17th Avenue, Greeley, • Colorado; Weld County Ambulance Service, 1502 Hospital Road, Greeley, Colorado.) A'1EULANCE. CONTRACT Page 3 That it is. expressly understood that Weld County Ambulance Service is an independent contractor and shall be solely responsible for its actions and those of its employees. This contract is not assignable without the written consent of Weld County General Hospital. DATED at Greeley, Colorado this 79th day of March 1982. Richard H. Stenner, Administrator WELD COUNTY GENERAL HOSPITAL ii . Chairman BOARD OF WELD COUNTY COMMISSIONERS 6i . ..D COUNTY GENERAL HOSPIT, WELD COUNTY AMBULANCE SERVICE AGREEMENT ADDENDUM DUTIES AND ACTIVITIES ASSIGNED TO WELD COUNTY AMBULANCE PERSONNEL AT WELD COUNTY GENERAL HOSPITAL PURPOSE : To develop and improve the skills and knowledge of the Ambulance personnel by providing the clinical exposure and continued education obtained through the various aspects of Emergency Patient Care . To function as an active member of the nursing staff providing direct care for the safety and comfort of the patient . 1 . Weld County Ambulance personnel are primarily and directly responsible to the Weld County Ambulance Service . 2. In the Emergency Department , the Ambulance personnel receive daily work assignments from the Head Nurse, physician or Nursing personnel on duty. 3. One of the Ambulance personnel will attend the regular Emergency Depart- ment meetings and relay pertinent ED information to all WCAS staff. Personnel who have successfully completed the EMT and Paramedic Course and ha•- e the ability and training as verified by the Director of the Ambulance Company may perform the following skills under the direction and supervision of the nurse and/or physician . However, it is understood that ambulance calls take priority over the following : 1 . Takes and records vital signs and brief medical history on assigned patients . 2. Gives verbal reports to nurses and/or physicians , on assigned patients .. 3. Completes hospital diagnostic requests . 4. Completes admission information on Emergency Department patients in the absence of the clerk. 5 . Registers patients in the log book in = e absence of the ward clerk . 6. - Performs all duties of the orderly in his absence. 7 . Answers Emergency Department phones ant refers calls to appropriate physician . or nurse. 8. Is familiar with the location of and able to utilize appropriate Emergency Department equipment , including the taking of EKG ' s when requested and needed by Hospital persoruiel . 9 . Assists other Emergency Department personnel with stocking and supplies of the Department . AGREEMENT ADDENDUM Page 2 10 . Assists other Emergency Department personnel with cleaning of instruments and securing supplies from Central Supply and in general clean-up of area . 11 . Responds to in-house or Emergency Department code arrests and handles cardiac massage or ventilation as requested by the code leader. 12 . Recognizes common fractures and utilizes proper techniques in splinting. 13 . Cares for all open or closed wounds and hemorrhage . 14. Recognizes signs and symptoms of medical emergencies and the compli- cations due to trauma , e . g . shock, respiratory distress , MI , etc . May institute life support measures until physician control can be established . 15. Cleans and irrigates lacerations and assists the physician with suturing . 16. Assists with initial treatment of burn patients . 17. Performs eye irrigations . 18. Catheterizes patients . 19 . May star; IV fluids and/or draw venous samples . 20. Paramedics may administer drugs by the oral , IM, sub-Q and IV tubing route . 21 . Assists with application and removal of casts. 22. Operates the Poisindex for poison control and refers all poison calls to nurse or physician . 23 . When bringing in patients from the field , the Ambulance personnel who attended the patient will remain with the patient until released by the physician or nurse . 24 . One Ambulance personnel and one Nursing personnel will work with a critical patient in the Emergency Room leaving other staff to care for the rest of the patients . Their responsibilities shall continue until the patient is delivered to CCU/ ICU . 25. Any time that the patient load in the Emergency Dept . requires more personnel than is available in the ED, the ED charge nurse or EDP may contact the office crew or 4th call crew for immediate assistance. 26 . There is an ambulance supervisor on call at all times . If any problem arises concerning WCAS or its personnel , the Supervisor shall be notified immediately by the ED staff or hospital administration . Hello