Item D20BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: August 20, 2003 Division: County Administrator
Bulk Item: Yes X No
Department: Fire Rescue
AGENDA ITEM WORDING: A Resolution of the Board of County Commissioners of Monroe
County, Florida authorizing the Monroe County Fire Chief to execute a Memorandum of
Understanding for use of Registered Nurses between Fisherman's Hospital and Monroe County Fire
Rescue on behalf of the BOCC of Monroe County.
ITEM BACKGROUND: Occasionally patients require transportation to other hospitals outside of
Monroe County for medical consultation and treatment not available at Fisherman's Hospital. Since
private secondary transport services may not be available in emergency situations, it is necessary for
the Hospital to seek resources to assist in interfacility patient transfers by ground and air. The Hospital
and Monroe County Fire Rescue desire to enter into an agreement in order to facilitate the participation
of the nurse during occasional interfacility critical care patient transfers.
PREVIOUS REVELANT BOCC ACTION: None.
CONTRACT/AGREEMENT CHANGES: None.
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: $ 0.00 BUDGETED: Yes No
COST TO COUNTY: $ 0.00
SOURCE OF FUNDS: N/A
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: County Atty Yes
FIRE CHIEF APPROVAL:
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
DISPOSITION:
Revised 1/03
• "9�c* '
RobertsJames L.
Included X To Follow Not Required
AGENDA ITEM #
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Board of County Commissioners
RESOLUTION NO. -2003
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA AUTHOR=NG THE MONROE COUNTY FIRE
CHIEF TO EXECUTE A MEMORANDUM OF UNDERSTANDING FOR USE OF
RE61STERED NURSES BETWEEN FISHERMEN'S HOSPITAL AND MONROE
COUNTY FIRE RESCUE ON BEHALF OF THE SOCC OF MONROE COUNTY.
WHEREAS, Monroe County Fire Chief, on behalf of the Board of County Commissioners
Monroe County, desires to execute a memorandum of understanding with Fishermen's Hospi
regarding the use of registered nurses in interfacility air and ground transfers; and
WHEREAS, the Board of County Commissioners desires to have the Chief execute such
memorandum on behalf of the Board; now, therefore
BE IT RESOLVED THAT THE BOARD OF COUNTY COMMISSIONERS OF MONR
COUNTY, FLORIDA hereby authorizes the Monroe County Fire Chief to execute, on behalf of -
Board of County Commissioners of Monroe County a Memorandum of Understanding for Use
Registered Nurses Between Fishermen's Hospital and Monroe County Fire Rescue. A copy of
memorandum is attached to this Resolution and made a part of it.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, F
at a regular meeting of said Board held on the 20th day of August, 2003.
Mayor Spehar
Mayor Pro Tem Nelson
Commissioner McCoy
Commissioner Neugent
Commissioner Rice
(SEAL)
Attest: DANNY L.KOLHAGE, Clerk
By
Deputy Clerk
jdresFireChief
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
Mayor/Chairperson
MONROE COUNTY ATTORNEY
14p T ORM:
RO N. WOLFE
CHIEF SSIS r, UN ATTORNEY
Date
JUL-29-03 09:21 FROM:MONROE COUNTY ATTY OFFICE ID:30S292Jb1b rri,r. ,si-t
Memorandum of Understanding for Use of Registered Nurses
Between Fishermen's Hospital and Monroe County Fire Rescue
Fishermen's Hospital of Marathon, Florida (hereinafter referred to as "the Hospital") and
Monroe County Fire Rescue (hereinafter referred to as "Fire Rescue" or "MCFR'),
recognize that occasionally patients require transportation to other hospitals outside of
Monroe County for medical consultation and treatment not available at Fishermen's
Hospital. Since private secondary transport services may not be available in emergency
situations, it is necessary for the Hospital to seek resources to assist in interfacility patient
transfers by ground and air. The Hospital and MCFR desire to enter into this agreement
in order to facilitate the participation of the nurse during occasional interfacility critical
care patient transfers, subject to the following terms and conditions.
The Hospital shall maintain a group of registered nurses trained to manage the
care of critically ill or injured patients during interfacility air or ground transfers.
The Hospital will make every effort, but not guarantee 24/7 availability of a
transport nurse. These nurses shall have completed flight nurse orientation to the
satisfaction of the Monroe County Sheriffs Aviation Unit commander. On the
first day of each January, April, July, and October the Hospital's Director of
Nursing shall provide an updated roster of critical care flight nurses to the
Aviation Unit commander who shall verify that each member listed is current
with training required for helicopter operations. The Aviation unit commander
shall sign off on the roster and forward copies to the Monroe County Fire Chief s
office, who will forward it to the MCFR Medical Director.
2. During patient interfacility transfers, the Hospital's nurse shall operate under the
medical direction of the transferring physician and shall administer care subject to
the sending physician's orders. During ground or air transfers, the MCFR
paramedic shall assist the nurse in rendering appropriate care to the patient, but
will have ultimate authority with regard to command decisions surrounding the
mission. During air transfers, the helicopter pilot shall have ultimate authority in
all matters relative to aircraft safety and flight operations.
3. The Hospital assumes all risk associated with the nurse's participation during air
and ground transfers. The flight nurse remains an employee of Fishermen's
Hospital and all issues of compensation due the nurse rest with the Hospital.
4. Secondary interfacility transfers will be done on a case by case basis depending
upon resources available and consultation with MCFR Medical Director. This
memorandum of understanding does not commit MCFR to perform interfacility
transfers beyond the capability of personnel and equipment resources, as MCFR
has the primary responsibility of emergency response in the community.
5. Either paw may terminate this agreement with Afteen days' written notice to the
other panty.
6. This agreement is in effect on the date indicated by the last signatory listed below -
Agreed:
Fire Chief, Monroe County Fire Rescue Date
Medical Direct r, Wonroe County Fire Rescue Date
V I P Ifi 14 1 4A /) O
Director of Nursing, Fishermen's Hospital rDat
hief Executive Officer, Fishermen's Hospital Date