CENTRAL REGION EMS AND TRAUMA COUNCIL
AGENDA for September 10, 20142:00pm
King County Medic One
2:00
Call to Order and Introductions: 2pm, Chris Martin.
2:05
Review & Approval of Minutes: Move: Celeste, Second: Barb.
2:08 Report of the Chair: Designation process nearly complete. Tony Bledsoe hit
the ground running. Mike Lopez’ position filled by Catie Holstein, pre-hospital
background. Tim Orcutt filled Mary Roeder’s position.
2:10
2:15
Financial Report
Local and State Committee Updates
Psychiatric Patient Care Task Force Update – Celeste Etherington. June 19
meeting. Common terminology/glossary circulating trough EMS community. Circulated
by Byron. Tri-fold brochure. Map on the back. Input in re: south border of map, going to
change to reflect Seattle city limits. Action: Rachel will send out tri-fold. Sheriff’s
transport policy now fits our algorithm. Hopeful that this will be carried to downtown
Seattle police area. Court rulings: illegal to board psychiatric patients. Fall-out with
defense attorneys. Deputy prosecuting attorney: successful stay of mandate was
issued. Stay until 12/26/14. No info yet in re: how defense will react to this decision. For
most hospitals, it’s business as usual. We’re still taking care of patients that need help.
Rachel: invite someone from county to talk about what’s going on (deputy
prosecuting attorney?). Jay Inslee has earmarked $30M to open up more beds.
Incentive to get started. NWHCRN has psy-start: online tool used for disaster triage of
patients with mental health issues. Next meeting is October 17 from 1-2:30pm. Rachel:
send email invite. Joellen Watson is no longer in her position. We don’t know who will
take her place.
King County EMS – Jim Fogarty: presenting unit analysis to MSAC. Looks at
units, response times. Rural response times starting to get a little long. Vashon Island
Fire/Rescue: may consolidate operations with King Co. Medic One. Vashon: BLS, King
Co: ALS. Services won’t change-just the employer. Unit leaves island once every 2.7
days (when patient needs to leave the island). Bob Berschauer: change in min/max?
Jim: no, 26 units, still 26 units. Smaller agencies more difficult to manage. Vashonisland community, not much of an alternative. Financially neutral;
operationally/medically an improvement. Annual report up on website. Cardiac arrest
survival rate at 62.5%. Check and Inject program: removal of auto-inject epi pens (huge
cost to county), piloting project to draw up epi instead of auto-inject. So far, EMTs are
open to it, no safety issues. Training seminars: Winter weather seminar: Oct 16.
Kcregionalwws.eventbrite.com. Ebola/emergency plan review at Seatac, by invite
only, 9/23, hosted by Public Health, Port of Seattle FD. Contact Jim for invite. Rachel:
Central Region by units? Or agencies? 5 ALS providers publicly funded. Will discuss
in regional plan.
EMAC – Jim Fogarty. EMAC submits, gets grants approved, application.
Training, planning, mitigation, emergency management. EM community has to report
to state, preparedness report for region 6 is ready. Rachel: forward to council
members.
DOH –Eva Rooks: Mike Smith. Emergency Preparedness. Retiring Sept. 30.
Position unlikely to be filled. Katie on board. Tim in the field. Steering committee: 201517 strategic plan. Regions doing 2015-17 plan, will discuss at RAC meeting next week.
Chris: Group of us will meet with rep from office of insurance commissioners, with
purpose of educating them about trauma systems and why it’s important to keep
patients in our trauma systems. GH transfer of patients to VMMC instead of keeping
them at Overlake. Office of ins. Commissioners will take complaints, but not from
patients. We believe that’s wrong. Anyone who wants to sit can come- Sam Arbabi put
together a presentation, right after steering committee meeting. Eva: will document be
available? Chris: yes, Tony has a copy. Next Weds, around 2. Karen: this should be a
strategy in next regional plan. Insurance companies are dictating where patients can
and can’t go.
Rehabilitation TAC-Laura Crooks- No Updates
2:30
DUI Blood Draws
Annie Kirk, Target Zero Task Force
Sgt. Robert Constant, Kent PD, Law Enforecement Liaison to Target Zero Task
Force
Program Manager, PHSKC, Injury/Violence, Target Zero manager. Funded by
WA traffic safety commission. Lt. Doug Kruger- Redmond. Robert: Kent. Annie
runs traffic safety programs in King Co. Works with LE agencies on multijurisdictional projects. Impaired driving top priority areas. Over 3600 DUI arrests
in King County alone. Not all DUI. Concerns on behalf of staff in re: blood draws?
LE: prevention. Team effort. Contention: when 502 was passed, many
provisions put cart before the horse. LE struggled with trying to implement
training. McNeely ruling: officer said he didn’t need a breath test, decided to
draw blood over exigency circumstance b/c of dissipation. Supreme Court: you
should get a warrant, but states can decide. Previous DUI- blood draw is
automatic. Some hospitals said we won’t do it w/o warrant, some said they
would. Officer has consensual blood draw, approval hit or miss, often depending
upon head nurse. Increasing expectation form medical facilities for warrants.
Disparity is frustrating for LE. Need blood draw asap b/c alcohol metabolizes
and dissipates. Unsure what rate for marijuana is. So far, it’s been seen that it
dissipates very quickly. Prevention issue- many of the impaired are repeat
offenders, we hope to hold them accountable. Different requirements are fine,
as long as it’s the same across the board. If some discussion needs to happen w/
legal teams, they can contact Annie or Robert. Nurses can fill out form to keep
them from having to go to court. All officers have this form. NW hospital has
their own copy of the form. Lab techs at NW draw blood- no ED staff used.
Mobile impaired driver teams now include phlebotomists to help with the
workload. Exigency circumstance. Exigency asked for if the driver is about to go
into surgery/receive medication. Usually happens in the field, sometimes in
hospitals. 30 minutes to obtain warrant if judge responds to call. (i.e. if patients
are about to go into surgery). Colleen: every facility has a policy. Not an issue of
not understanding, why, but that there’s a disconnect between floor staff
knowing own hospital policy. Robert: request policy at nurse’s station. Next
steps: staff will take back to hospitals. Rachel- send contact info for Annie and
Robert to council to forward to ED Managers. ED Manager contact/number
list to send to Annie and Robert.
2:50 Fall Prevention Workgroup Proposal Update: budget $38,700 proposed at last
meeting. King County EMS should hire person. New budget $54,000. 900 hours/20
hrs/wk. Chris: fits into injury prevention. Karen: what would the form look like for ED?
Prescription hand-out for patient. Alan can share referral paperwork/form. Rachel:
contact Alan to get rx form. Jen: large print brochure? Share this as best practice at
hospital TAC meeting? Alan could come to hospital TAC in November. Kathy
Williams: Mary Borges, falls prevention person at DOH, could attend? From 56% to
82% reduction in falls for patients who received. Bob: motion to fund at $54,000.
Second: Matt Gau. All in favor, none opposed. Alan will send reports to Rachel.
3:00 Hospital Diversion Report: Bill Norton. Anne Newcombe was going to take
conversation to NWHCRN. Casey will email Anne. Are we the only county that has a nodivert policy? Historically, we were the county with the biggest problem with divert.
3:10 Prehospital Training Grant Discussion/Approval: Barb- take $5000 from EMS
week budget to make total $10,000. Lila second. Rachel: follow up with Bellevue and
Northshore.
3:25 Update on plan to address identified pediatric emergency care issues (Goal 3,
Objective 4), discuss priorities. Emails about how to meet goals, not a lot of end
product. John Herbert, pediatric preparedness in EMS, ED. Lila: access to online EMS
curriculum. Director of pediatric EMS at Harborview, Dr. Mary King.
- Broselow color coding of meds for paramedic units: Seattle Medic One- having
colors coded with meds, goal to improve time to epi, critical meds for paramedic
providers. Mary will work on proposal. Lila would bring to council.
- EMS Online modules for independent learning. Mary recorded a couple, croup,
upper airway obstruction, cardiac arrest. Train the trainer/John Herbert. Looking
at best practices throughout the country. PEPS- national paramedic pediatric
training.
- Review of standardized EMS curriculum for pediatric patients Rachel: f/u with
Lila
4:00 Good of the Order andAdjourn: Mark: EMS and Trauma Conference.
ALNW/Harborview. Registration still open. Can attend either or both.
Approval of Minutes
___________________________________________
Signature
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Date
Central Region EMS Council Newsletter
WSHA Report (www.wsha.org):
Newsletter page of the WSHA website wsha.org/newsletters/cfm.
State DOH Meeting Dates
CSC
-
9-17-14, 9:30-2:00pm Centerpoint Conference Room, Kent
Cost TAC
-
9-25-14, 9 a.m. to 11 a.m., teleconference
Hospital TAC/Trauma Medical Directors
-
9-17-14, 8 am - 9:30 am DOHKent Room 307
Injury Prevention and Violence Prevention Teleconference
-
9-25-14 10am
Pediatric TAC
-
9-17-14 2:30-5:30pm, DOH Kent Room 307
Prehospital& Wemsis
-
Wemsis 10-14-14 8:00am-10:00am DOH-Tumwater Rm 158
Prehospital 10-15-14 10:00am-2:oopm DOH Tumwater Rm 158
Regional Advisory Committee
-
9-16-14,11:00am-3:00pm, DOH Kent Room 307
Trauma Nurse/Registrar Network
-
10-23-14, 9am-4:30pm, Tacoma General Hospital. Video Conferencing
Available.
Trauma Medical Directors: See Hospital TAC
WASHINGTON STATE COMMUNITY PARAMEDIC CONFERENCE
November 4&5 SeaTac. www.washingtonfirechiefs.org
NORTHWEST HEALTHCARE RESPONSE NETWORK (NWHRN.ORG)
PLANNING & TRAININGS:
 2014 Pediatric Disaster Readiness Workshop-September 19 Renton