Resolution 495-1991
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James R. Paros
Public Safety Division
RESOLUTION NO.
495
- 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 MEDICAL/
RESCUE EQUIPMENT AND DIRECTING THE EXECUTION OF SAME BY
THE PROPER COUNTY AUTHORITIES.
WHEREAS, The Florida Department of Health and Rehabilitative
Seryices, 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 $ 145,600.00, with a
50% match requirement; and
WHEREAS, the $ 72,800.00 match requirement would be included in
the district budget requests for Fiscal Year 1993, as follows, Lower
and Middle Keys District - $ 11,000.00; District 5 - $ 28,730.00;
District 6 - $ 33,070.00; and
WHEREAS, the medical/rescue equipment project if awarded and
accepted, will be used to purchase adyanced medical patient
assessment and monitoring equipment for the Lower and Middle Keys
District, District 5 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.
4. That this Resolution shall become effective immediately upon
adoption by the Board and execution by the Presiding Officer and
Clerk.
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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
YE'"S
YE'"S
YE'"S
YE'"S
(Seal)
Attest: DANNY L. l(OLHAGE, Clerk
~~~.1~/
Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
\_, ~ll .J..\, -........~/
B '-J..J.,.~ --LJ ~-v:. . """-~..... _..-
y ,
Mayor
Approved as to form and legal
sufficiency.
In Code to be Assigned by State EMS Office: ~ _ __
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 Corrmissioners, !bnroe County, Florida
Name and Title of
Grant Signer: Mayor Wilhelmina Harvey, Mayor/01ainnan
Mailing 5192 OVerseas Highway
Address: Marathon, Fl. 33050 County: ~nroe
Telephone Number: (305) 289-6002 SunCom Number: 472-6002
2. Name and Title of
Contact Person: Janes R. "Reggie" Paros, Public Safety Director
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)
Your f"lSC8l year:
10/01 Oqno
BEGINS ENDS
Private for Profit
-X.
Public
4. Agency/Organization's Federal
Tax Identification Number nine digits VF --2. -L L L -iL --0.... .l- ...L -9....
S. Application Status: (Check only one)
Thi. i. the continuation of a project already funded by the .tate EMS matching grant program.
-X. Thi. i.!!2l the continuation of a project already funded by the .tate EMS matching grant program.
6. Type of Project: (Check only one): .
Communicatiolll Continuing ProfelSional Education (medical director mull lign Item ISa)
Emcl'Jency Tranaport Vehicle. Public Education
Syltcm Evaluation/Quality Auurance RelCarch
......x.. MedicallReacuo Equipment (signature. requ.ired for Items ISb and ISc)
Doe. your project include tho purchase of any communicationa equipment?
yes
x
No
HRS Fonn 1767. March 89
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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.
Transportation
, t
Goal 1: Provide advanced life support ground ambulance coverage for all Florida s
citizens and visitors. (page 29)
The addition of both standardized and more advanced medical equ~pment on the EMS
pre-hospital transport units in Monroe County will enable us to provide a higher level
of care in the field and will decrease the amount of time until definitive medical
treatment is provided to the cardiac patient at the receiving facility.
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 1.3: By March 1994, establish advanced life support services in all counties
not currently operating at that level of service. (Page 30)
This additional advanced medical equipment which includes 12 lead transmission capabil ty
in the field will allow Key Largo and Tavernier Volunteer Ambulance Corps to advise a
patients cardiac status from the scene thereby alerting the receiving faCility prior
to EMS arrival. A cardiac response team can be assembled with appropriate medical
treatment available upon EMS arrival at the hospital. This early intervention will
greatly enhance a cardiac patients chances for a more positive prognosis.
Finally, we will purchase equipment that will improve standardization with and between
the three (3) providers to enhance treatment capabilities and reduce pre-hospital
care time.
Improvement and Expansion of Prehospital EMS. Describe in measurable terms, how your project will both
improve and expand prehospital EMS.
The additional advanced medical equipment will allow Monroe County EMS, Key Largo
and Tavernier Volunteer Ambulance Corps to standardize their medical equipment,
bring systems up to standard and provide optimal pre-hospital treatment in the field.
No caridac patients in Monroe County, at this time, have the availability of 12 lead
EKG transmission from the field. The purchase of a base unit for Mariners Hospital
and transmitting modules for the ALS vehicles in Key Largo and Tavernier will enable
us to provide this service to 100% of the cardiac patients requesting our services in
these districts.
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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): Monroe County EMS, Key Largo and Tavernier
Volunteer Ambulance Corps provide pre-hospital and inter-hospital ALS service. From
October 1990 through October 1991 run reports show a total of 3,251 transports,358 of
which were cardiac related cases. A lack of advanced medical equipment has hindered
our ability to assess, monitor and transmit complete information on these patients to
the receiving facility. In addition, without standardized equipment, response of the
receiving facility is delayed, thus compromising the patients treatment.
8. Outcome Statement (use only the space below): The requested equipment would allow Mon oe
County EMS, Tavernier and Key Largo Volunteer Ambulance Corps to provide optimum ALS
care in the field and would greatly decrease the time until definitive medical treat-
ment is initiated at the receiving facility. Training for ALS personnel at all facilities
would be provided. The run reports would make it possible to verify how often this
advanced equipment was used in the year following the grant, January 1992 through
December 1992.
9. Research Projects Only:
If you are not conducting a rellCllrch project, skip this item and '0 to Item 10.
If you are conducting a research project, attach at the end of the application concise state menta of the hypothesis, design/method, inauumenta, methods
to protect human subjects, any limitations involving the study, research instruments, fonna and lillin,s of other relevant studies.
10. Work Activities, Objectives and Time Frames (Use only the space below):
1) Research and develop specifications for the various items - One to two months after
grant begins.
2) Request for proposals, evaluations, recommend vendors, issue purchase orders, accept
delivery of equipment - Three to four months.
3) Inspect, accept and place equipment as appropriate - Five to eight months
4) Revise protocols and provide inservice training - Nine to twelve months.
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APPLICANT ~tate
CATEGORIES ~~ 'Rial)ictd = TOTAL
11. Salaries and Benefits:
a. New positions. Do Not Write
In Thia Area
0 0 0
b. Existing/In-Kind Positions
Do Not Write Do Not Write
In This Area In This Area
.
0 0 0 0
TOTALSAL~andBENEBT~
0 0 0 0
12. Expenses Do Not Write
a. New Expenses In This Area
Training : 16 pararredics - 12
lead EKG flbfules @ $140.00 each
1.120.00 1,120.00 2,240.00
b. Existing/In-Kind Do Not Write Do Not Write
In This Area In This Area
0 0 0 0
TOTAL EXPENSES 1.120.00 0 1,120.00 2,240.00
. .
(Attach additIonal pages if needed)
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APPLICANT ~tJtte
CATEGORIES ~:tJh ~Ki~ ~3: TOTAL
ate
13. Equipment: ,
,
a. New equipment. Do Not Write
In Thil Area
(5 ) lwDnitor/Defibrillator/Pacer
Combination Units @11,000.00 27,500.00 27,500.00 55,000.00
(5) 12-Lead EKG MJdules with Base
Station and MJdems 28,250.00 28,250.00 56,500.00
(6 ) Pulse Oxi1reters with Printers
@2,660.00 7,980.00 7,980.00 15,960.00
(3 ) Semi-Automa.tic Defibrillators
@4,500.00 6,750.00 6,750.00 13,500.00
(2) Patient Airway CC>2 Detector 1,200.00 1,200.00 2,400.00
@1,200.00
b. Existing/In- Kind Equipment
Do Not Write Do Not Write
In Thil Area In Thil Area
TOTAL EQUIPMENT COSTS
71.680.00 71,680.00 143,360.00
14. Financial Summary - Total of salaries
and ~nefits, expenses, and equipment,
all combined.
$ $ 0 $ $li~.?gQ =.,0=0
= J~ ,,~,.o.9,: go c:z::==c=== ).f,,~Q.o_..QQ
Cash The above figure The above figure The above figure
Match must be equal must equal the must equal the
Grand to or leu than the IUm of the the IUm of the
Total the cash match two precedina precedina three
Grand Total columna columna
. .
(Attach addlhonal pages if needed)
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t5. Medical director's signatures: Skip this item if your project is nat 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.
Medical Director's Signature
Date
Medical Director's Printed Name
"
b. Medical Equipment Projects:
I hereby accept authority and responsibility for the use of Medical Anti-Shock
Trousers (MAST), Esophageal Obturator Airways (EOAs) semi-automatic and automatic
defibrillators, AlS equipment identified in Chapter lOD-66, F.A.C., and equipment not
identified in Chapter lOD-66, F.A.C.
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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" 15. Medical director's signatures: Skip this item if your project is W!l a Medical Rescue
Equipment or ProCessional Education Project.
a. ProCessional Education
All continuing education described in this application is developed and conducted
with my inp.ll~pnd approval.
Me[lfcal 'Director's Signature
Date
Medical Director's Printed Name
b. Medical Equipment Projects:
I hereby accept authority and responsibility Cor the use oC Medical Anti-Shock
Trousers (MASU, Esophageal Obturator Airways (EOAs) semi-automatic and automatic
defibrillators, AlS equipment identified in Chapter lOD-66, F.A.C., and equipment not
identified in Cpr lOD-66, F.A.C.
11/15/91
Date
Dr. Sandra Schwemmer
1.1edical Director's Printed Name
c. I hereby acknowledge that the applicant responds routinely to rescue or medical
incidents under wl7itfell agre~ent with my licensed EMS system.
Medical Dlrector's or Authorized Person's Signature
Date
Printed Name
17
/'
APPLICA nON ITEM 16 (signature required)
REQUEST FOR MATCHING GRANT DISTRIBUTION (AnV ANCE 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:
Rr=rn of rnnnty C"rmrn; ssioners. MJnroe Countv. Florida
Legal Name of Agency/Organization
5192 ~TC""~~'::: HighWrlY
Address
Marathon, FL 33050
(City)
(State)
(Zip)
DANNY L. KOLHAGE, CLERK
ATTEST:
" ..... " Authorized Official By
SIGNATURE:~"".~TE: November 20, 1991
Printed Name: Wilhelmina Title: Mrlyor
Deputy Clerk
SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO:
Department of Health and Rehabilitative Services
Office of Emergency Medical Services (HSTM)
EMS Matching Grants
1317 Winewood Boulevard
TaIIahassee, Florida 32399-0700
For Use Only by Department of Health and Rehabilitative Servicea,
Office of Emergency Medical Services
Matching Grant Amount:$
Approved By:
Grant ID Code:
Date:
Signature, Title, State EMS Grant Officer
State Fiscal Year:
Amount: $
Oraanization Code
60-20-60-30-100
~
HS
Obiect Code
Federal Tax ID V F:
Grant Beginning Date:
---------
Ending Date:
By
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Dat.
17. ASSURANCES AND APPLICATION SIGNATURE (Applications without an appropriate signature
for this item will not be considered for funding):
/
Certification of Standards Statement
\
~.
I
I
I, the undersigned, certify that if granted funds under Chapter 401, Part II, F.S.; as amended, all applicable regulations and
standards will be adhered to including: Chapter 401, F.S.; Chapter lOD-66, F.A.C.; Minimum Wage Act; Title VI of the
Civil Rights Act of 1964 (42 ISC 2000D et. seg.); DHEW Regulation (45 CFR Part 80); Rehabilitation Act (See 504);
Developmenmlly Disabled Assistance and Bill 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 will 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.
AcceDtance of Tenns and Conditions
Acceptance of the grant terms 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.
Disclaim~r
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 10D-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 Awards
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 ~O, 1991
Date
ATTEST: DANNY L. KOLHAGE, CLERK
By:
NOTE:
Please check to insure that all required signatures have been l!lade for Items 15, 16, and 17.
By
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