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RESOLUTION
RE: APPROVAL OF AGREEMENT BETWEEN THE WELD COUNTY AMBULANCE
SERVICE AND THE NORTH COLORADO MEDICAL CENTER AND
AUTHORIZATION FOR CHAIRMAN TO SIGN
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
education opportunities that may be available at the North
Colorado Medical Center and desires to utilize standby time of
ambulance attendants at the 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 further terms and conditions are as stated in
the agreement, a copy of which is attached hereto and incorporated
herein by reference, 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, Colorado, that the agreement between
the Weld County Ambulance Service and North Colorado Medical
Center be, and hereby is , approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and
hereby is, authorized to sign said agreement.
840651
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 19th day of
December, A.D. , 1984 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: { l iattimA1 in./ WELD COUNTY, COLORADO
Weld County Cgerk and Recorder -77,94-1.,"„c____
and Clerk to the Board Norman Carlson, Chairman
BY: L Q Q fra ) i JacUuelineSED T E OF SIGNING (AYE)
Johnson, Pro-Tem
Deputy County Clerk
APPROVED AS TO FORM: eneeR. Bran ne e
r CYrGck Carlson
County Attor eye ))7��
J n T. Martin
NORTH COLORADO MEDICAL CENTER
WELD COUNTY AMBULANCE SERVICE
AGREEMENT
THIS AGREEMENT is made and entered into this 17th day of December, 1984, by and
between the WELD COUNTY AMBULANCE SERVICE, department of Weld County, Colorado,
hereinafter referred to as "AMBULANCE SERVICE" and NORTH COLORADO MEDICAL CEN-
TER, hereinafter referred to as "MEDICAL CENTER" .
WHEREAS, Weld County Ambulance Service desires to utilize standby time of
ambulance attendants in the medical institution , and
WHEREAS, the Regional Health Plan has recommended ambulance service be dis-
patched from hospitals, and
WHEREAS, "MEDICAL CENTER" 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 Medical Center.
NOW, THEREFORE, for and in consideration of the promises and mutual agree-
ments contained herein, the Ambulance Service and the Medical Center enter into
the following conditions:
The Ambulance Service agrees:
1. To designate one person in charge of ambulance personnel for each
shift. Medical Center 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 em-
ployees when requested by the Medical Center.
3. To maintain adequate Workmen ' s Compensation, malpractice and liability
insurance to cover its employees while engaged in Medical Center activities and
to furnish the Medical Center with certification of such insurance.
4. To comply with all rules , regulations, and directives of the Medical
Center. Failure of an individual to comply may result in termination of that
individual ' s service at the Medical Center.
5. 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. The flight
paramedic will be available in the Emergency Department from 8:00 a.m. to 11 :59
p.m. to perform those duties and activities as outlined in the addendum or as-
signed by the head nurse, charge nurse, flight nurse or physician in accordance
with Medical Center policies, rules, and regulations, protocols , directives ,
and procedures.
6. Agrees to indemnify and hold harmless the Medical Center from any lia-
bility 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 permit storage of helicopter supplies and equipment in part of the
Medical Center garage provided to the Ambulance Company.
8. 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.
9. To allow Emergency Department nurses to participate in ambulance trips
for training purposes.
AGREEMENT - NCMC/WELD COUNTY AMBULANCE SERVICE
Page Two
The Medical Center agrees:
1. To pay the Ambulance Service $6,988.00 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 , direc-
tors, agents, servants, and employees from losses which may be presented or in-
itiated by any person or persons for property damage or bodily injury, includ-
ing death, directly resulting from any helicopter accident which may occur dur-
ing helicopter operations under this contract.
4. To indemnify, save, and hold harmless Weld County, its officers, dir-
ectors, agents, servants, and employees from losses which may be presented or
initiated by any person or persons for bodily injury, including death or pro-
perty damage arising out of malpractice, error or mistake in the rendering of
or failure to reender any medical , surgical , dental or nursing service or treat-
ment conducive to health or of a professional nature, or the furnishing or dis-
pensing of drugs or medical or dental or surgical supplies , appliances or equip-
ment, in connection with helicopter services under this contract.
5. To provide parking facilities for ambulance vehicles on call and gar-
age 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 rid-
ing in ambulances for training purposes.
8. To provide a sleeping room for the flight paramedic.
9. To provide the Ambulance Service employees the opportunity to increase
skills and training requirements through patient care in the Emergency Depart-
ment.
10. To indemnify, save, and hold harmless Weld County, its officers, dir-
ectors, 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 Medical Center 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 Medical Center may refuse the services of any individual ambulance
attendant.
That this Agreement shall be for the period of January 1, 1985, through De-
cember 31, 1985.
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 80631 ; Weld
County Ambulance Service, 1502 Hospital Road, Greeley, Colorado 80631 .)
Cz -
Richard H. Stenner, Administrator Chairman
NORTH COLORADO MEDICAL CENTER BOARD OF WELD COUNTY COMMISSIONERS
DATE: ( 2- P� - y j DATE: /-- /,;' ; /k/z-z
NORTH COLORADO MEDICAL CENTER
WELD COUNTY AMBULANCE SERVICE
AGREEMENT ADDENDUM
DUTIES AND ACTIVITIES REQUIRED OF THE FLIGHT PARAMEDIC ON DUTY AT NORTH COLO-
RADO MEDICAL CENTER:
1. Is primarily responsible to Air Life and the Emergency Department per-
sonnel .
2. Completes the flight checklist at the beginning of every day shift.
3. Restocks the helicopter after every flight and documents any equipment
missing and its location.
4. Is responsible for all paperwork associated with first responder
flights, to include documentation of follow up, and will submit the paperwork
to the flight nurse on that flight for review and disbursement. All paperwork
must be submitted prior to the end of that shift.
5. Complies with established Air Life dress code as described in the pol-
icy.
DUTIES AND ACTIVITIES ASSIGNED TO THE FLIGHT PARAMEDIC AND WELD COUNTY AMBU-
LANCE PERSONNEL AT NORTH COLORADO MEDICAL CENTER:
PURPOSE: To function as an active member of the professional staff pro-
viding 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 will receive
work assignments from the charge nurse.
3. One of the Ambulance personnel will attend the regular Emergency De-
partment staff meetings and relay pertinent E.D. information to all WCAS
staff.
4. Obtains vital signs and a brief history on assigned patients, docu-
ments this information and name on the chart, and reports to the nursing
staff.
5. Endorses patient to the charge nurse when leaving the department.
6. Performs transport of patients in the absence of an orderly.
7. Assists other E.D. personnel with cleaning of instruments, securing
supplies and in general clean up of area.
8. Responds to inhouse code arrests , primarily on the night shift, and
handles cardiac massage or ventilation as requested by the code leader.
9. Answers E.D. phones in a professional manner and does not give medical
advise or poison control information.
10. When bringing in patients from the field, the Ambulance personnel who
attended the patient will remain with the patient until released by the phy-
sician or nurse.
11 . Any time that the patient load in the E.D. requires more personnel
than is available in the E.D. , the charge nurse or physician may contact the
office crew for immediate assistance after the on call E.D. personnel have been
utilized.
AGREEMENT ADDENDUM - NCMC/WCAS
Page Two
12. Performs the following skills as delegated by the nursing staff and
physicians:
a. splinting fractures
b. wound care
c. initial burn care
d. eye irrigations
e. catheterizations
f. intravenous therapy
g. venapunture
h. cast applications and removal
i. administers drugs (IM, IV, sub-q) , if authorized in the field to
include tetanus immunizations.
13. There is an ambulance supervisor on call at all times. If any prob-
lems arise concerning WCAS or its personnel , the supervisor shall be notified
immediately by the ED staff or the Medical Center 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 Colo-
rado Medical Center.
DATED at Greeley, Colorado this 17th day of December, 1984.
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Richard H. Stenner, Administrator
NORTH COLORADO MEDICAL CENTER
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Chairman
BOARD OF WELD COUNTY COMMISSIONERS
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