Region I Emergency Medical Services Council
SheridanCountyEMS, Hoxie, Kansas
February 17, 2010
David Stithem, Region Chair, called the February 17, 2010 meeting of the Region
I EMS Council to order at . John Miller, Kansas
Board of EMS
member and Norton County Commission, and Brandon Payne, Trego County EMS Director and new Council member, were welcomed.
The minutes of the December 16, 2009 Council meeting were presented and discussion
followed. Motion for approval as written was made by Pat Conrad with second by
Mickie Helberg. Motion carried.
The financial report was presented and motioned for approval
by Jayne Holle. Kenneth Gatlin provided motion second. Discussion noted the
trauma scholarship check entry. Motion carried.
Scope of Practice:A history of Senate Bill 262 and the potential changes in scope of
practice was presented. The Bill has caused some concern. The transition
process has some uncertainty associated with it yet at this point. Some
rightfully feel they may not be able to meet the requirements to transition at
their current certification level and are concerned they may lose ability to
perform some of the patient care procedures they currently provide. This could
adversely affect patient care in their communities. Of most concern is the
transition from the EMT-I and EMT-I/D to the AEMT. Various options were
discussed. Disallowing new EMT-I
courses and certification, but allowing current EMT-I
certified attendants to retire out was suggested. Giving more years for the
transition at the AEMT level or adding the IV module to the EMT similar to the LPN IV module were other options
The new national guidelines are designed to allow for flexibility in teaching
methods. Distance learning and competency based education may be options we
need to explore. Kansas
is not alone in this, as the national picture shows everyone facing these same
The Region has
supported this process and will support a regional effort to get this
accomplished. We will have the meeting in August with Jon Friesen to explain
the process for a program director or educator submitting paperwork for the
transition courses. The concept of guidelines versus curriculum was discussed.
There will no longer be the National DOT curriculum. The guidelines that have
been developed offer instructor flexibility in the educational process. They
allow for evidence based changes to be made without recreating an entirely new
curriculum as would have to be done now. Deb Kaufman asked interested educators
contact her regarding their feelings on Kansas
developing a set of Kansas guidelines versus Kansas curriculum for
the certification levels.
encouraged education as a means of understanding the process. He urged
educators and administrators to study the transition documents off the link at
the Kansas Board of EMS website.
Pat Conrad made a
motion to continue to support the passage of Senate Bill 262. Kerry McCue
seconded motion. Discussion added we support as much time as possible to
accomplish the EMT-I/AEMT
transition. Motion passed.
Trauma Committee: Deb Kaufman referred the Council to the NW KS Trauma Council minutes at http://www.kstrauma.org/nw_council.htm.
Fliers for the trauma ITV program are available at the back table. She thanked
all the EMS
services who responded regarding the time (
to ) the programs will
be held. Services received a trauma education needs assessment survey asking
about educational courses needed. We are hoping everyone completed the survey.
Rosanne Rutkowski provided a
Trauma Program & Registry Update. A grant application has been submitted to
KDOT to assist with funding the Trauma Registry/EMS
Prehospital Data Collection interface. Dr. James Haan, Via Christi, has
volunteered to chair the trauma registry policy committee.Another grant from the Christopher Reeve Foundation`s
Trauma Education department was applied for. The application requests funding
for TNCC, ATLS, and PHTLS scholarships with priority for award identified as CriticalAccessHospitals and rural EMS agencies.
A KDOT Safe-Teen
driving program is up-coming. Look for a report on it in the March meeting
minutes. Please schedule May
5, 2010 for the trauma general membership meeting at HaysMedicalCenter from 10:00 a.m. -
NW Region Homeland Security Council:
http://www.ksready.gov/NWKRC_Minutes.shtmlDeb Kaufman directed the Council to the minutes at the website. This was
their re-organization meeting for the next two years of the Homeland Security
Council. Tami Wood, the NW Regional Hospital Coordinator will serve as Chair.
Deb Hays from Phillipsburg
and representing KDEM is Vice Chair, and Deb Kaufman remains Secretary. We
heard possible project proposals. We meet again March 9, 2010 and will be hearing at least two
more project proposals. At that meeting, we will be making a decision on our
The 800 MHz radios, 1 per service, have been purchased. Following purchase of
the remaining radio equipment, training and testing will be scheduled.
8: The Kansas ESF8 Response plan KDHE has developed was
circulated. We have until late April to comment on the plan. There are areas of
concern. The Council was asked to review. If you have items that you feel need
to go out to the ESF8 partners, or
questions from those other health organizations, let Deb Kaufman know. We will
try to share information through our Homeland Security partners.
Council feels it is important the representatives to the EDTF are representing
Regional Councils, associations, or answer to the Board. David Stithem was
instructed to respond to the questions generated by our letter to the Board
David Stithem reported on the February Board meeting
Planning and Operation:
Transportation had a license request that had been denied due to 2-way
communication. The service wanted to use Nextel. After discussion, there
is the possibility of it being a backup system. The president stated they
will purchase the required radios. They have one stretch van and two
public transportation vans. They are available 24 hours a day. Fleetwood
will withdraw their request for a hearing and the Board will stop the
order of denial to keep the application open. Med-act requested Fleetwood
get medical protocols approved by the local medical society. There was an
executive session for 20 minutes. No motions were made following the
session. The committee recommended working with area ambulance services
and the medical society to approve protocols.
Brown with the Kansas Traffic Safety Resource Office presented ``Safety
Breaks`` education program they have developed. The education is targeted
to 4th through 8th grade classes. A demo of the
video game style education can be viewed at www.kansaschallenge.altec.org
to time constraints, there were no committee reports given.
A report was given
was stated to be a clean-up bill. (suggest we read language)
was the Homeland Security bill with a hearing scheduled for Feb 11th.
After discussion about some potential language problems, the bill was
recommended to be pulled.
is the background check bill. It had a hearing that day, and it did pass
deals with subpoena powers for the Board.
deals with fines. These 2 bills will have some language changes and move
is the Scope bill. The hearing was the day before. There was a request
from the audience to keep the EMT-I
but not allow any more classes. The committee was also requested to
continue dialog with KMS and the nursing society to keep on top of
EIG funding will drop $50,000 to $250,000. There is a potential 10% across
the board cut if the sales tax does not pass.
SB332 or HB2287, BEMS may have to pay approximately $40,000 to receive
their fee funds.
were 63 applications for the KRAF funds, for a total requested of
$2,418,277. There will be between $470,000 and 480,000 available. The
committee will meet February 25-26, 2010 in Salina and again on March 27, 2010 so
the recommendations can be presented to the Board at the April meeting.
Joe Megredy and/or JR Behan will be on the review committee.
Alexander and Robert Waller presented an Executive Summary on proposed
infectious disease statutes. The proposals deal with exposure and testing
of a patient in an instance of possible exposure.
met January 19, 2010. The ``hours`` were corrected to say ``clock hours``
in 109-5-1 to be consistent. The ``validity and reliability`` was removed
from 109-11-1. Also removed were the requirement for QA with a field
training entity and the requirement to maintain documents to prove
competency on ALL skills and
the requirement to have evaluation by sponsoring organization and
communities of interest. No changes were made to 109-11-3, 109-11-4 or
109-11-6. These regs were waiting on 109-11-0 to
109-5-3 is the distance education regulation. The ability for long-term
program providers to use distance learning under their program providers
The survey of the ICs was presented. There was a 40% response. Thirty of
the respondents met the requirements and are interesting in being a
mentoring educator. Twenty-six did not meet the requirements, but would be
interested. Fifteen do not meet the requirements and do not want to. Three
meet the requirements but do not want to be a mentoring educator.
The Educator Proposal was requested to be held until the next legislative
The makeup of the EDTF will be reviewed at the April BEMS meeting.
There are no new tasks for the EDTF at this time. The committee will
continue to work on the educator proposal.
than 3820 attendants renewed. 695 expired. For educators, 232 renewed and
100 expired. These numbers have changed since the meeting.
were eight exam sites in December.
was a variance request from a TO who wanted to become an IC without a
course. He has not responded to the request for additional information.
Variance can only be granted for 30 days per legal council. The request
requested permission to offer a hybrid course for TO/TO II/IC. Carman
Allen recommended approval of the request. She received 18 letters of
support. The committee recommended approval. It may be possible to take
only the TO or the TO II portion.
Scope Implementation is on schedule. Carman Allen reported on the four
recommendations. They are 1) to enable an evaluation of competency for the
and AEMT to be signed off by the Medical Director and the Educator. 2) The
educator is providing transition courses will sign an Integrity Statement
to ensure they understand their roles and responsibilities in the process.
3) Convene an additional task force to discuss the transition of the
initial courses. And 4) Move the AEMT from a state exam to the national
It may also be possible to use the Train the Trainer for an educator
workshop if educator workshop hours are requested and granted by the
Allen discussed substantially equivalent and what type of hours could be
used to count toward the total hour requirements when trying to gain
certification with non-Kansas credentials. Specifically, it was asked if
CEUs could be used. Carman Allen also asked if the DOT refresher could be
considered. Recommendations will be put together and mailed to the
committee went into 2 10-minute executive sessions.
first case was previously held over. A consent agreement had been sent
out. A new agreement has been signed by the city and is ready for the
committee to sign. It involved staffing issues. The service has now been
staffed 24/7 for the last four months. The agreement requires 6 more
months of oversight. The agreement was approved.
case involved an application with a felony. The committee received four
letters of reference. There were originally three felonies. The applicant
has been released from probation. The committee moved to allow the
applicant to move forward.
was also an application with felonies. The applicant had four felonies and
spent time in prison. He still owes money for restitution. He is not
currently employed. The first motion to deny until restitution is made did
not pass. The motion to move forward with the certification process
an application with a felony. A letter was presented from the national
registry stating they would allow certification. The applicant spent time
in prison, and has been off parole since 2003. The committee moved to
allow the applicant to move forward.
was a new case number for former cases that had been closed. The case had
been reopened at the request of another service involved. The hospital
records were not available unless subpoenaed. The autopsy report was
available. There was no new information. The case was closed again.
Full Board Meeting, February
minutes were approved.
motion was made to approve the Fleetwood agreement from the planning
the investigations report, the Sedgwick County EMS
director stated the comment made by one of the applicants with a felony
from the previous day`s case stating he had
employment waiting with Sedgwick County EMS
education committee will be scheduling interviews with the RFP vendors
prior to the April meeting.
GCCC hybrid IC course was approved.
variance request for the IC without a course was denied.
Board voted to withdraw SB 211 from the legislative package.
Cornelius was presented a plaque for her years of service to the state.
She retires March 5, 2010 after 30 years of service with various state
The AG`s office is having a Board orientation program at
the Memorial Building on April 23, 2010. It will run from 9:00 – 12:00 and
is free of charge.
House spoke of a grant she received for Shadow Buddies. She received 36
cases of them. A form was handed out with information on how to order
For more information, visit http://www.shadowbuddies.org/rescue-buddy-program
The Pediatric Symposium will be April 22, 2010 in Wichita,
April 23, 2010 in Olathe,
and April 24, 2010 in Hays. Registration is on Kansas Train. Registration
deadline is April 15, 2010.
HeartlandPark wants in-house EMTs and
paramedics at their race facility. Representatives wanted to know if they
will be permitted to do this. Dr. Allin wants to work with Camille Nohe, staff and HeartlandPark
on this issue. It will be on the April agenda.
were held. The current positions were retained.
was an executive session for 10 minutes at 10:35. The sessions were
extended multiple times until 11:55. Following the executive sessions, the
motion was made to accept Robert Waller`s
resignation effective immediately. The motion passed unanimously.
Correspondences and Other Meetings:
Kerry McCue reported
from his interoperable communications meeting. He reminded services to consider
the situation that will be up-coming with narrow banding radios. Some of
the radios can be reprogrammed, but some of the older radios are going to have
to be replaced. Pager will need to be checked also.
Deb Kaufman reminded service directors of service license renewals coming up.
Medical protocols and ambulance equipment lists will require approval by the
local medical society, or if that does not exist, the medical staff at the
hospital to which you most frequently transport patients. Deb Kaufman has a
meeting with the president of the Northwest Kansas Medical Society and will
communicate the results of that meeting with the other ten services listed as
being located within the listed society.
Gary Winter reported he had received a thank you note from G.G. Launchbaugh for
the award of the EMS
We do put the date of the next meeting on the Region I
website. The next meeting is April
Kerry McCue moved to
adjourn. Jeff Miller seconded. Motion passed.
Deb Kaufman, Secretary
(These minutes are
pending Council approval.)
at this Meeting:
Daniel Reese, David Stithem, Deb Kaufman, Jayne Holle, Jeff Miller, Ken Gatlin,
Ken Tharman, Kerry McCue, Letitia Keenan, Michelle Helberg, and Patrick Conrad.