HomeMy WebLinkAbout830551.tiff RESOLUTION
RE: APPROVAL OF AGREEMENT BETWEEN THE WELD COUNTY AMBULANCE SERVICE AND THE
NORTH COLORADO MEDICAL CENTER 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, the Weld County Ambulance Service is interested in educational
opportunities that may be available at the North Colorado Medical Center and
desires to utilize standby time of ambulance attendants at said hospital, and
WHEREAS, the North Colorado Medical Center desires to use Weld County
paramedics for medical flight duty, and
WHEREAS, an Agreement between the Weld County Ambulance Service and the
North Colorado Medical Center 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 Commissioners of
Weld County that the Agreement between the Weld County Ambulance Service and
the North Colorado Medical Center 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 2lstday of November, A.D. , 1983.
1„
BOARD OF COUNTY COMMISSIONERS
ATTEST l u ° WELD COUNTY, COLORADO
Weld County Clerk and Recorder EXCUSED
and Clerk to the Board .--� Chuck Carlson, Chairman
EXCUSED
Jo n Martin, Pro Tem
/Deputy County Clerk.
Approved s to form: 'Gene Brantner
C -217 '_ - � NormNorm Carlson
County Attorney
(.:23cque 'ne J son
DAY FILE: November 21, 1983
_3 ' � - -.^'� 830551
AGREEMENT
THIS AGREEMENT is made and entered into this 21st day of November, 1983,
by and between the WELD COUNTY AMBULANCE SERVICE, department of Weld County,
Colorado, hereinafter referred to as "AMBULANCE SERVICE" and NORTH COLORADO
MEDICAL CENTER, 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, "Hospital" desires to use "Ambulance Service" paramedic for
medical flight duty, 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 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.
2. To provide paging and communication systems and equipment for its
employees when requested by the Hospital.
3. 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.
4. To comply with all rules, regulations and directives of the
Hospital.
5. 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.
6. 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 North Colorado Medical Center for attorney's fees or
court costs.
7. To provide one paramedic per shift 24 hours a day, seven days a week
for medical flight duty on the Air Life medical helicopter service. A
paramedic would be available from 8:00 a.m. to 2:00 a.m. for emergency
department staffing.
8. To permit storage of helicopter supplies and equipment in part of
the Medical Center garage provided to the Ambulance Company.
9. To provide Workmen's Compensation insurance for Weld County
Ambulance Company employees at all times when they are assigned to flight
duties related to this contract.
10. To allow emergency department nurses to participate in ambulance
trips for training purposes.
The Hospital agrees:
1. To pay the Ambulance Service is $6,267.00 monthly for paramedic
flight services
2. To provide a pocket pager for the paramedic assigned to flight duty.
3. To indemnify, save and hold harmless Weld County, its officers,
directors, agents, servants, and employees from losses which may be presented
or initiated by any person or persons for property damage or bodily injury,
including death, directly resulting from any helicopter accident which may
occur during helicopter operations under this contract.
4. To indemnify, and hold harmless Weld County, its officers,
directors, agents, servants, and employees from losses which may be presented
or initiated by any person or persons for bodily injury, including death or
property damage arising out of malpractice, error or mistake in the rendering
of or failure to render any medical, surgical, dental or nursing service or
treatment conducive to health or of a professional nature, or the furnishing
or dispensing of drugs or medical or dental or surgical supplies, appliances
or equipment, in connection with helicopter services under this contract.
5. To provide parking facilities for ambulance vehicles on call and
garage space.
6. Priority of attendants is to ambulance responsibilities other than
flight duty paramedic.
7. To provide workmen's compensation coverage and salary for nurses
riding in ambulances for training purposes.
8. To provide a sleeping room for the flight paramedic.
9. To provide the Ambulance Service employees work assignments in the
emergency department on an as—needed basis and for educational purposes.
10. To indemnify, save and hold harmless Weld County, its officers,
directors, agents, servants, and employees from losses which may be presented
or initiated by any person or persons for actions which may occur while
paramedics are assigned duties in the Emergency Department on an as needed
basis and for educational purposes.
Both parties agree:
That the Hospital will not be responsible for the 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, 1984, through
December 31, 1984.
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. (North Colorado Medical Center, 1801 16th Street, Greeley,
Colorado; Weld County Ambulance Service, 1502 Hospital Road, Greeley,
Colorado.)
NORTH COLORADO MEDICAL CENTER
WELD COUNTY AMBULANCE SERVICE
AGREEMENT ADDENDUM
DUTIES AND ACTIVITIES ASSIGNED TO WELD
COUNTY AMBULANCE PERSONNEL AT NORTH COLORADO MEDICAL CENTER
PURPOSE:
To develop and improve the skills and knowledge of the Ambulance
personnel by providing the clinical exposure and continued education obtained
through 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
Department meetings and relay pertinent ED information to all WCAS staff.
Personnel who have successfully completed the EMT and Paramedic course
and have 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 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 the absence of the ward clerk.
6. Performs all duties of the orderly in his absence.
7. Answers Emergency Department phones and 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 personnel.
9. Assists other Emergency Department personnel with stocking and
supplies of the department.
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
complications 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 start 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 Department 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.
25. 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.
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 North
Colorado Medical Center.
DATED at Greeley, Colorado this 21st day of November, 1983.
'-'Richard H. Stenn r, Administrator
NORTH COLORADO MEDICAL CENTER
rman
BOARD OF WELD COUNTY COMMISSIONERS
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