Resolution 492-1991
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James R. Paros
Public Safety Division
RESOLUTION NO. 492
- 1991
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AUTHORIZING THE SUBMISSION OF
GRANT APPLICATIONS TO THE FLORIDA DEPARTMENT OF HEALTH
AND REHABILITATIVE SERVICES, OFFICE OF EMERGENCY
MEDICAL SERVICES, TO FUND THE ACQUISITION OF EQUIPMENT
TO BE UTILIZED IN THE CONTINUING PROFESSIONAL EDUCATION
PROGRAM AND DIRECTING THE EXECUTION OF SAME BY THE
PROPER COUNTY AUTHORITIES.
WHEREAS, The Florida Department of Health and Rehabilitative
Services, Office of Emergency Medical Services is accepting
applications for Emergency Medical Services (EMS) Matching Grant
funds, and
WHEREAS, the grant is for the period beginning on January 1, 1992
and ending on June 30, 1993; and
WHEREAS, the total grant application is for $ 29,698.00, with a
50% match requirement; and
WHEREAS, the $ 14,849.00 match requirement would be included in
the district budget request for Fiscal Year 1993, as follows,
Lower and Middle Keys District- $ 3,917.50; District 6- $ 10,931.50;
and
WHEREAS, the continuing professional education project if
awarded and accepted, will be used to purchase training equipment for
Lower and Middle Keys District and District 6; now therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA AS FOLLOWS:
1. That said Board has been notified of the availability of
matching grant program funds from the Florida Department of Health
and Rehabilitative Services, Office of Emergency Medical Services.
2. That the Monroe County Department of Emergency Medical
Services is hereby authorized to submit applications for grant funds
to the Florida Department of Health and Rehabilitative Services,
Office of Emergency Medical Services, to improve and expand Monroe
County's EMS systems.
3. That said Board hereby directs the execution of the grant
applications by the proper County Authorities.
"
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4. That this Resolution shall become effective immediately upon
adoption by the Board and execution by the Presiding Officer and
Clerk.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida at a regular meeting of said Board held on the
20th day of November, A.D. 1991.
Mayor Harvey
Mayor Pro Tern London
Commissioner Cheal
Commissioner Jones
Commissioner Stormont
YES
YES
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
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Mayor
(Seal)
AttestDANNY La. ~OillAGE, Clerk
Approved as to form and legal
sufficiency.
~.~~JtAP-,t!
Cler
BY~~
~ At orne Office
ID Code to be Assigned by State EMS Office: M2 _ _ _
Florida Department of Health and Rehabilitative Services
Office of Emergency Medical Services (EMS)
MATCHING GRANT APPLICATION
1. Legal Name of
Agency/Organization: Board of County Commissioners, Monroe County, Florida
Name and Title of
Grant Signer: Wilhelmina Harvey, Mayor/Chairman
Mailing 5192 Overseas Highway
Address: Marathon, FL 33050 County: Monroe
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
2, Name and Title of
Contact Person: James R. Paros, Director, Public Safety Division
Mailing 5192 Overseas Highway
Address: Marathon, FL 33050
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
3,
Legal Status of
Agency/Organization: (Check only one)
Private Not for Profit (you must provide copy of certificate)
Private for Profit X Public
Your f'1SCal year:
10/01 09/30
BEGINS
ENDS
4. Agency/Organization's Federal
Tax, Identification Number nine digits VF ~ ~ ~ ~ ~ ~ ~ ~ ~
5, Application Status: (Check only one)
Thi. ia the continuation of a project already funded by the atate EMS matching grant program.
X
Thi. i'!!Q1 the continuation of a project already funded by the state EMS matching grant program.
6, Type of Project: (Check only one):
X
Communicationa Continuing Profeuional Education (medical director mull .iin Item 15a)
EmelJency Transport Vehicle. Public Education
System Evaluation/Quality Auurance Research
MedicallRelCue Equipment (sijnature. requ.ired for Itema ISb and ISc)
Doe. your project include the purchase of any communications equipment?
yes
X
No
HRS Fonn 1767, March 89
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For both the need and outcome statements: include numeric data the time frame for the data
the data source, and the target population and geographic area. ' ,
7, Need Statement (use only the space below): According to training records for the
period of October 1990 through October 1991, Monroe County provided training and
continuing education to 116 EMTs and Paramedics from Monroe County EMS and Tavernier
and Key Largo Volunteer Ambulance Corps'. The training records go on to show that ther
are not enough audio-visual equipment and classroom aids available to handle the
increased enrollment numbers we have been experiencing. Monroe County also lacks the
more technologically advanced ALS training equipment necessary for training.
8, Outcome Statement (use only the space below):
Between January 1991 and December 1992, the classroom improvement and equipment outline
will allow Monroe County EMS and Key Largo and Tavernier Volunteer Ambulance Corps' to
increase class enrollment by up to 50% and offer more technologically advanced
continuing education training to the EMS providers of Monroe County. Reports verifying
the number of EMS providers enrolled and variety of courses conducted will be upheld
by our records for each training facility.
9, Research Projects Only:
If you arc not conducting a research project. akip thia item and go to Item 10.
If you are conducting a research project. attach at the end of the application concise atatementa of the hypotheaia deaignlmcthod instrumc .. thod
10 rote t h b' . . . . . n.... me a
p c uman au ~ecta. any hl1lllatlOns involving the study. research instruments. forma and listings of other relevlInt studiea.
10, Work Activities, Objectives and Time Frames (Use only the space below):
Bid, purchase and install training and audio visual equipment within 1-3 months after
grant begins. Then, using Monroe County EMS and Key Largo Volunteer Ambulance Corps
training records, we will compare the number of EMS providers enrolled in the entry
level and continuing education courses offered. The same records will evaluate the
curriculum of the EMS continuing education programs.
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6A. State Plan Goal, Objective, and Improvement and Expansion:
State EMS Plan Goal: Identify in the space below the specific goal and its page number in the FY 1991-93 state
EMS plan, which your project will help accomplish. Describe how your project addresses this goal.
Training and Evaluation
Goal 1: Establish a uniform standard for providing continuing education to
emergency medical services personnel. (Page 25)
We will be able to expand the current curriculum offered through our Monroe County
training centers by the use of enhanced training equipment and upgraded classroom
aids. The improved audio visual equipment will enable us to increase our class size
and thereby provide continuing education to a larger number of EMS personnel.
State EMS Plan Objective: Identify in the space below the specific objective and its page number in the state plan,
which your project will help accomplish. Describe how your project will address this objective.
Objective 1.1: By December 1991, develop standards for instructor qualifications,
equipment and physical facilities for providers of emergency medical services
continuing education training. (Page 25)
By improving the quality of our training facilities and purchasing technologically
advanced ALS training equipment, we will be able to train and provide continuing
education to a greater number of EMS personnel. The use of the ALS Trainer will
allow our personnel to participate in much more realistic code practice thereby
increasing their skill level and helping them to reduce their actual scene time
during a real code.
~provement and Exp?nsion of Prehospital EMS, Describe in measurable terms, how your project will both
Improve and expand prehospltal EMS.
Currently we do not have any of this technologically advanced "hands on" ALS training
equipment available in Monroe County. With the purchase of two ALS Trainers, we will
be able to offer ongoing training and testing to 100% of the EMS personnel in Monroe
County during the period of the grant. The wide screen TV will enable us to offer
training videos and give us the ability to project EKG tracings when used in
conjunction with the ALS Trainer. We will be able to test large groups on cardiac
rhythm recognition. This increased and improved training will upgrade the skill level
of Monroe County's EMS personnel and will enhance the quality of care provided to the
public.
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APPLICANT ~tate
CATEGORIES li:f~ ~l)ictd ~:g TOTAL
11, Salaries and Benefits:
a. New positions. Do Not Write
In Thil Area
N/A
b. Existing/In-Kind Positions
Do Not Wrilc Do Not Wrilc
In Thil Area In Thil Area
N/A
TOTALSAL~andBENEllTS
12. Expenses Do Not Write
a, New Expenses In Thil Area
N/A
b, Existing/In-Kind Do Not Write Do Not Wrilc
In This Area In This Area
N/A
TOTAL EXPENSES
(Attach additional pages if needed)
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APPLICANT ~tate
CATEGORIES ~:tJb ~Ki~ ~~ TOTAL
ate
13. Equipment:
a, New equipment. Do Not Write
(2) laerdal Advanced ALS Trainers 7,835,00 In Thi. Area 7,835,00 15,670.00
(1) 3'5" TV Monitor 1,149,50 1,149.50 2,299.00
(1) VCR 215,00 215.00 430.00
(1) Slide Projector & Accessories 635,30 635,30 1,270.60
(1) Projection Equipnent Table 93,50 93.50 187,00
(1) Life Size Torso (Anato~) 455,00 455,00 910,00
(2) Student Computer Terminals 2,500,00 2,500.00 5,000.00
Computer Software (Training) 750,00 750,00 1,500.00
(1) Copier 1,000,00 1,000,00 2,000,00
(1) laser Pointer 97,50 97,50 195.00
(2) Corkboards (4x8 ) 118.20 118.20 236,40
b. Existing/In-Kind Equipment
Do Not Wrilc Do Not Write
In This Area In Thi. Area
N/A
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TOTAL EQUIPMENT COSTS
14,849.00 0,00 14,849.00 29,698,00
14. Financial Summary - Total of salaries
and benefits, expenses, and equipment,
all combined.
$ $ $ $
=1~~8j.2:.Q.0 0.00 14L849.00 29,698.00
==:z====== ==-=-==== =========
Cash The above figure The above figure The above figure
Match must be equal must equal the must equal the
Grand to or les. than the sum of the the sum of the
Tolal the cash match two preceding preceding three
Grand Tolal columna columna
. .
(Attach additIonal pages if needed)
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15. Medical director's signatures: Skip this item if your project is nQ! a Medical Rescue
Equipment or Professional Education Project.
a, ProCessional Education
All continuing education described in this application is developed and conducted
with my inp nd approval.
11/;5/1/
Date .
Dr. Sandra Schwemmer
l\ledical Director's Printed Name
b. Medical Equipment Projects:
I hereby accept authority and responsibility for the use of Medical Anti-Shock
Trousers <MASl), Esophageal Obturator Airways (EO As) semi-automatic and automatic
defibrillators, ALS equipment identified in Chapter 10D-66, F,A.C" and equipment not
identified in Chapter 10D-66, F'.A.C.
l\ledical Director's Signature
Date
l\ledical Director's Printed Name
c. I hereby acknowledge that the applicant responds routinely to rescue or medical
incidents under written agreement with my licensed EMS system.
l\ledical Director's or Authorized Person's Signature
Date
Printed Name
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15, Medical director's signatures: Skip this item if your project is J1Q1 a Medical Rescue
Equipment or ProCessional Education Project.
a, ProCessional Education
All continuing education described in this application is developed and conducted
with my input and approval.
~
. "./.-~
Me cal ~irector's ~ignature ') ('v...?
Michael Stary
Date
Medical Director's Printed Name
"
b. Medical Equipment Projects:
I hereby accept authority and responsibility Cor the use oC Medical Anti-Shock
Trousers (MASn, Esophageal Obturator Airways (EO As) semi-automatic and automatic
defibrillators, ALS equipment identified in Chapter lOD-66, F.A.C., and equipment not
identified in Chapter 10D-66, F.A.C.
Medical Director's Signature
Date
Medical Director's Printed Name
c. I hereby acknowledge that the applicant responds routinely to rescue or medical
incidents under written agreement with my licensed EMS system.
Medical Director's or Authorized Person's Signature
Date
Printed Name
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APPLICATION ITEM 16 (signature required)
REQUEST FOR MATCHING GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
Governmental Agency and Non-profit Entity ONLY
In accordance with the provisions of paragraph 401. 11 3 (2)(b) , F.S., the undersigned hereby requests an EMS matching
grant distribution (advance payment) for the improvement and expansion of prehospital EMS.
Payment To:
Board of County Commissioners, Monroe County, Florida
Legal Name of Agency/Organization
5192 Overseas Highway
Marathon, Florida 33050
Address
(City)
(State)
SIGNATURE:
Printed Name:
(Zip)
ATTEST: DANNY L. KOLHAGE, CLERK
Authorized Official By
TE: November 20, 1991
Title: Mayor
Deputy Clerk
SIGN AND RETURN WIlli YOUR MATCHING GRANT APPLICATION TO:
Department of Health and Rehabilitative SeIVices
Office of Emergency Medical SeIVices (HSTM)
EMS Matching Grants
1317 Winewood Boulevard
Tallahassee, Florida 32399-0700
Matching~rant Amount:$
Approved By:
For Use Only by Department of Health and Rehabilitative Service.,
Office of Emergency Medical Service.
Grant ID Code:
Date:
Signature, Title, State EMS Grant Officer
State Fiscal Year:
Amount: $
Oroanization Code
60-20-60-30-100
~
HS
Ob;ect Code
Federal Tax ID V F:
Grant Beginning Date:
---------
Ending Date:
By
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17, ASSURANCES AND APPLICATION SIGNATURE (Applications without an appropriate signature
for this item will not be considered for funding):
Certification of Standards Statement
r
I, the undersigned, certify that if granted funds under Chapter 401, Part II, F.S.; as amended, all applicable regulations and
standards wiII be adhered to including: Chapter 401, F.S.; Chapter 100-66, F.A.C.; Minimum Wage Act; Title VI of the
Civil Rights Act of 1964 (42 ISC 20000 et. seg.); DHEW Regulation (45 CFR Part 80); Rehabilitation Act (Sec 504);
DeveIopmentaIIy Disabled Assistance and BiII of Rights of 1975 (p.L. 95-602) as amended by Title V of the
Comprehensive Rehabilitative Services Amendments of 1978: Confidentiality; Human Rights; Habilitation Plans;
Employment of the Handicapped; Services for Persons Unable to Pay.
Statement of Cash & In-Kind Commitment
I, the undersigned, certify that cash and in-kind match will be available during the grant period and used in direct support
of this grant project. State and federal funds wiII not be used for matching requirements, unless specified by law. No costs
or third-party in-kind contributions count towards satisfying a matching requirement of a department grant if they are used
to satisfy a matching requirement of another state or federal grant. Cash, salaries, fringe benefits, expenses, equipment,
and other expenses as listed on this application shall be committed and used for the department's final approved project
during the grant period.
Acceptance of Tenns and Conditions
Acceptance of the grant tenns and conditions in Appendix C of the booklet, "Florida Emergency Medial Services Matching
Grant Program 1992-93", by the Department of Health and Rehabilitative Services is acknowledged by the grantee when
funds are drawn or otherwise obtained from the grant payment system.
Disclaimer
I, the undersigned, hereby certify that the facts and information contained in this application and any follow-up documents
are true and correct to the best of my knowledge, information, and belief. I further understand that if it is subsequently
determined that this is not correct, the grant funded under Chapter 401, Part II, F.S.; Chapter 100-66, F.A.C.; as amended
by Chapter 85-167, Laws of Florida, may be revoked, and any monies erroneously paid and interest earned will be
refunded to the department with any penalties which may be imposed by law or applicable regulations.
Notification of Award~
I understand the availability of the notice of award will be advertised in the Florida Administrative Weekly, and that 30
calendar days after this Florida Administrative Weekly advertisement I waive any right to challenge or protest in anyway
the decisions to award grants.
Signature of Authorized Grant Signer
(Individual Identified in Item 1)
November 20, 1991
ATTEST: DANNY L. KOL~~~E, CLERK
B :
NOTE:
Please check to insure that all required signatures have been ~ade for Items 15, 16, and 17.
8y
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