FINAL

 

 

 

STATE BOARD OF EMERGENCY MEDICAL SERVICES

OHIO DEPARTMENT OF PUBLIC SAFETY

BOARD MEETING MINUTES

WEDNESDAY, JULY 16, 2003

 

Chaired by:  Mark Resanovich, Chair

 

Board Meeting Date and Location:  July 16, 2003 at the Ohio Department of Public Safety, 1970 West Broad Street, Columbus, Ohio, 43218

 

Board Members in Attendance:  Mr. Raymond Walendzak, Mr. Joseph Toth, Mr. Carl Jordan, Mr. Mark Marchetta, Dr. Richard Fratianne, Dr. Andrew Hawk, Dr. William Rogers, Mr. Mark Burgess, Mr. James Holcomb, Mr. David Fiffick, Ms. Kathryn Haley, Ms. Charlene Mancuso, Mr. Martin Mace, Mr. Mark Mankins, and Ms. Nancy Dragani.

 

Board Members Absent:  Mr. Curtis Chandler, Dr. William Cotton, and Ms. Darla Cooper

 

Staff Members in Attendance:  Gary F. Joseph, Ellen Owens, Richard Rucker, Heather Reed, John Kennington, Tim Erskine, Mike Glenn, Rick Heironimus, Doug Orahood, Brian Pfeffer, Michaele VonVille-Feuillerat, Diane Walton, Melissa Vermillion, Gary Whited, Carol MacDowell, Debbie Scott, Megan Byrnett, and Brenda Shaffer

 

Guest and Public Attendance:  Carolyn Lingel, Alfie Jones, Ken Baldwin, Howard Prager, and Linda Gleaues

 

Mr. Resanovich called the July 16, 2003 Board meeting to order at 10:03 a.m. and thanked everyone for attending.

 

Roll Call

Mr. Raymond Walendzak                 Here

Mr. Joseph Toth                                Here

Mr. Carl Jordan                                 Here

Mr. Mark Resanovich                                    Here

Mr. Mark Marchetta                           Here

Dr. Richard Fratianne                                   Here

Dr. Andrew Hawk                              Here

Dr. William Rogers                           Here

Mr. Mark Burgess                             Here

Mr. Curtis Chandler

Mr. James Holcomb                         Here

Mr. David Fiffick                                Here

 

Ms. Kathryn Haley                             Here

Dr. William Cotton

Ms. Charlene Mancuso                    Here

Mr. Martin Mace                                Here

Mr. Mark Mankins                             Here

Ms. Darla Cooper

Ms. Nancy Dragani                           Here

 

REVIEW AND APPROVAL OF THE JUNE 18, 2003 BOARD MEETING MINUTES

ACTION:       Motion to approve the June 18, 2003 Board minutes.  Fratianne first.  Rogers second.  None opposed.  Motion approved.

 

OPEN FORUM

Howard Prager, from the Barberton Fire Department, addressed the Board regarding his EMT-Basic certification; he has also filed a complaint with EMS.  Mr. Prager explained that he has been a member of the Barberton Fire Department since 1984 and went through his initial training for EMT-Basic.  Mr. Prager said he recently learned that his card lapsed in September 1996.  Under the current reinstatement rule, he is required to re-train; however, he asked that the Board allow him to take a refresher course and test instead.  Mr. Prager claimed that he has maintained his continuing education requirement.

 

EMS has not received a renewal application for Mr. Prager since 1996; the last document on file is his refresher test, which was taken at the completion of his bridge course in 1997.  Mr. Prager stated that his prior chief had always filled out the renewal paperwork and maintained the cards in the department files; Mr. Prager never received anything at his home.  The Board asked if they could apply the former reinstatement rule, which would allow Mr. Prager to take a refresher course and test; Legal advised against this.  The Board stated that Mr. Prager’s case was the first of its kind to come before the Board.  A lengthy discussion ensued regarding EMS policies on renewal and renewal responsibilities, in general.

 

ACTION:       Motion to allow Mr. Prager three opportunities to retest for the reinstatement test for EMT-Basic.  Rogers first.  Toth second.  Hawk, Fiffick, Holcomb opposed.  Resanovich abstained.  Motion approved.

 

CHAIR REPORT

*      Operation Lifesaver

Mr. Resanovich reported that Operation Lifesaver is scheduled for August 12th at 2:00 p.m. at Norfolk Southern Corporation Buckeye railroad yard.  This is a closed session; however, the state coordinator has invited any Board member to attend.  Anyone who is interested should contact Ellen Owens.

 

 

 

 

*      State Medical Director

Mr. Resanovich stated that four RFQ’s were received for the State Medical Director position, which were reviewed by the Selection Committee and the committee arranged to interview two applicants.  One of the physicians removed his RFQ; however, the other applicant was interviewed.  Mr. Resanovich asked for a motion that the RFQ be sent for execution for J. D. Polk, D.O. as the State Medical Director for EMS.

 

ACTION:       Motion to forward the RFQ for J. D. Polk, D.O., as State Medical Director to Director Kenneth Morckel for approval.  Rogers first.  Fiffick second.  None opposed.  Motion approved.

 

Dr. Fratianne added that Dr. Polk is one of the most outstanding doctors he has ever met in terms of knowledge of EMS and critical care transport.  Mr. Resanovich asked the Board secretary to send a letter to Dr. Polk on behalf of the EMS Board congratulating Dr. Polk and welcoming him as the new State Medical Director.  Mr. Walendzak and Mr. Resanovich also added that a certificate of appreciation would be presented to Dr. Drstvensek at the August Board meeting.

 

*      Medical Oversight Committee Action Items

At the July Board meeting a question was posed concerning the use of Valium and Versed for the Intermediate curriculum under the scope of practice as to what medications intermediates may administer.  It was noted at the July Board meeting that Valium is becoming less available.  After much discussion by the committee, it was agreed that Lorazepam, which is on the list, should be used as an alternative to Valium.  It is the recommendation of the committee not to add Versed to the list of medications for the use of intermediates.

 

ACTION:       Motion to not add Versed to the list of medications for the Intermediate curriculum.  Burgess first.  Rogers second.  None opposed.  Marchetta abstained.  Motion approved.

 

Mr. Resanovich commented that Mr. Marchetta gave a very good presentation to the Medical Oversight Committee on the use of CPAP and BIPAP.  After discussion by the committee, it is recommended that CPAP and BIPAP be added as an airway procedure for the EMT-P under specific medical direction.  Also, a training outline will be offered and a sample protocol for the use of those devices. 

 

ACTION:       Motion to add CPAP and BIPAP as an airway procedure in the scope of practice for the EMT-P under specific medical direction.  A training outline and sample protocol will be offered for the use of those devices.  Fratianne first.  Marchetta second.  None opposed.  Motion approved.

 

 

 

 

The committee also discussed the administration of Narcan by the ET tube for the intermediate.  The general consensus by the Medical Oversight Committee was that this should not be approved.

 

ACTION:       Motion to not approve the administration of Narcan by the ET tube for the intermediate.  Burgess first.  Walendzak second.  None opposed.  Motion approved.

 

Mr. Resanovich said the final item discussed at the Medical Oversight Committee was the intubation for current intermediates; guidelines say intermediates can only intubate if the patients are pulseless and apneic.  The committee would like to change that so that the intermediate can intubate an apneic patient. 

 

ACTION:       Motion to approve intermediates to intubate apneic patients.  Burgess first.  Toth second.  None opposed.  Motion approved.

 

Finally, Mr. Resanovich indicated that due to the lengthy committee meeting and the fact that the committee would like to have the new State Medical Director’s input, the white paper was not written.  This topic will be addressed at the next Medical Oversight Committee meeting.

 

The Board went into Executive Session for the purpose of discussing the Executive Director position at 10:50 a.m.

 

Roll Call for Executive Session

Mr. Raymond Walendzak                 Here

Mr. Joseph Toth                                Here

Mr. Carl Jordan                                 Here

Mr. Mark Resanovich                                    Here

Mr. Mark Marchetta                           Here

Dr. Richard Fratianne                                   Here

Dr. Andrew Hawk                              Here

Dr. William Rogers                           Here

Mr. Mark Burgess                             Here

Mr. Curtis Chandler

Mr. James Holcomb                         Here

Mr. David Fiffick                                Here

Ms. Kathryn Haley                             Here

Dr. William Cotton

Ms. Charlene Mancuso                    Here

Mr. Martin Mace                                Here

Mr. Mark Mankins                             Here

Ms. Darla Cooper

Ms. Nancy Dragani                           Here

 

The Board returned from Executive Session at 11:15 a.m.

 

ACTION:       Motion to grant authority to the Executive Director Selection Committee to submit to Director Morckel, after the initial interviews, a list of three candidates for the Executive Director position with the understanding that the EMS Board will have authority to ratify that nominee.

Rogers first.    Burgess second.  None opposed.  Resanovich, Walendzak, Mancuso, Cotton, and Fiffick abstained.  Motion approved.

 

STAFF REPORTS

*      CE Sites, Rick Heironimus

 

Recommendation of Continuing Education Site Approvals

Renew Site Without Reservation

 

Program Name

 

 

County

 

Approval 

       #

 

 

Berne Twp Fire Department

 

Fairfield

 

2017

Courtesy Ambulance CE Program

Licking

 

2023

Franklin Twp Fire Department

 

Franklin

 

2020

Harlan Twp Fire & Rescue

 

Warren

 

2021

 

ACTION:       Motion to renew above continuing education sites.  Burgess first.  Mace second.  None opposed.  Motion approved.

________________________________________________________________________

 

Recommendation of Continuing Education Site Approvals

New CE Site Applicants – No Provisions

 

Program Name

 

 

County

 

Address

 

 

Lubrizol Corporation                                               Lake                            29400 Lakeland Blvd.

                                                                                                            Wickliffe         44092

                                                                                                            440-347-2319

                                    Program Coordinator:  Charles Bartel

                                    Medical Director:  Carol Cunningham

 

Provisions:    No provisions noted at this submission

 

 

 

 

 

 

 

 

Auglaize County Haz-Mat EMS                   Auglaize

   Education Program                                                                                   Wapakoneta    45895

                                                                                                            419-738-2014

                                    Program Coordinator:  Jeffrey A. Orphal

                                    Medical Director:  Juan Torres Cordero, M.D.

 

Provisions:    No provisions noted at this submission

 

 

Poland Fire Department                              Mahoning                     111 S. Main Street

                                                                                                            Poland            44514

                                                                                                            330-757-8268

                                    Program Coordinator:  Christopher Jones

                                    Medical Director:   Victor McKee

 

Provisions:    No provisions noted at this submission

 

 

Brickner Ambulance Service                                  Van Wert                     419 S. Washington St.

                                                                                                            Van Wert         45891

                                                                                                            419-238-2382

 

                                    Program Coordinator:  T. Charles Brickner

                                    Medical Director:  Scott W. Jarvis, M.D.

 

Provisions:    No provisions noted at this submission

                        ***Beginning this approval with x3 Special Topic Instructors – has at

                        least two personnel currently enrolled in an EMS-Instructor program

                        and they will be completed by August (if all goes as planned).

                        Dr. Jarvis currently has an application in to Certifications for

                        approval to become an EMS-Instructor as well.

 

 

ACTION:       Motion to approve new CE site applications as listed.  Burgess first.  Mace second.  None opposed.  Motion approved.

________________________________________________________________________

 

*      Reciprocity, Rick Heironimus

 

 

NAME

STATE

LEVEL

121434

Anspach, Heather L

KY

EMT-Basic

1231438

Back, Jeffrey S

WV

EMT-Basic

 

Carmen, Christopher D

Military

Paramedic

121437

Carr, Jacob S

WV

EMT-Basic

 

Figgins, Darren

PA

Paramedic

121608

Foulk, Robert A

PA

Paramedic

121440

King, Melanie L

KY

EMT-Basic

121435

Littell II, Jerld R

WV

Paramedic

 

Loborec, Michael J

WV

Paramedic

121439

Murphy, Eric S

KY

Paramedic

118377

Palmer, Dana K

MI

Paramedic

83999

Roller, Lyndsey B

NY

Paramedic

117336

Selhorst, Sonya S

MI

Paramedic

80051

Simone, Michael T

MI

Paramedic

121606

Toney, Lenya

WV

EMT-Basic

69972

Vinup, Scott E

Military

EMT-Basic

121436

Woodrum, Bobbi Jo

WV

EMT-Basic

 

Yantis, Jennifer L

PA

Paramedic

 

ACTION:       Motion to ratify.  Burgess first.  Mankins second.  None opposed.  Motion approved.

 

 

*      Accreditations, Michaele VonVille-Feuillerat

 

Accredited School Renewal         EMS Coordinator            Location             Level of Accreditation

Butler Technology and                        James Limerick                      Hamilton          FR, EMT-B, *EMT-I,

  Career Development                                                                                          EMT-P

Recommend approval without contingencies except EMT-Intermediate Consent Agreement.

 

*EMT-Intermediate Consent Agreement Case Number:  2003-222-308

1.  Meet the requirements of a State EMS Board Consent Agreement:

  1. EMT-Intermediate  must achieve a minimum 65 percent first time pass rate per OAC 4765-7-07(C)(3)
  2. Butler Tech must submit a plan to the Division stating how the school will plan to conduct the EMT-Intermediate course.
  3. Butler Tech must submit within 45 days of receiving the exam results from National Registry a statistical analysis of the results to the Division of EMS for each EMT-Intermediate course completed.
  4. If any EMT-Intermediate class demonstrates less than the required passage rate on the first attempt, Butler Tech shall submit an educational plan outlining how it will improve its EMT-Intermediate training.
  5. In the event it appears Butler Tech as breached any terms or conditions of the consent agreement, the EMS Board reserve the right to institute formal disciplinary proceedings against Butler Technology and Career Development.

 

Ms. VonVille-Feuillerat submitted a signed Consent Agreement to Mr. Resanovich.

 

 

 

 

ACTION:       Motion to approve the above accredited school renewal as presented with the Consent Agreement.  Burgess first.  Walendzak second.  None opposed.  Rogers abstained.  Motion approved.

 

 

Offsite Training Requests

 

Offsite Training             County              Accredited School          Level(s) of Instruction

Plymouth Volunteer Fire                         Ashtabula                                    Ashtabula County            First Responder

and Rescue Company                                                                                                                                    Joint Vocational School

Recommend Approval per OAC 4765-7-05

 

ACTION: Motion to approve above listed offsite training.  Fratianne first.  Rogers second.  None opposed.  Motion approved.

 

 

Offsite Training             County              Accredited School          Level(s) of Instruction

Reily Township FD                                                                                                   Hamilton            Great Oaks Institute                                                   EMT-Basic                                                              

                                    of Technology and

                                    Career Development

Recommend Approval per OAC 4765-7-05

 

ACTION:       Motion to approve above listed offsite training.        Burgess first.  Jordan second.  None opposed.  Rogers abstained.  Motion approved.

 

 

Offsite Training             County              Accredited School          Level(s) of Instruction

Cedarville University Apple     Greene                        Greene County Career           EMT-Basic

Technology Center                                         Center

 

Mad River Township FD         Clark                Greene County Career           EMT-Basic

                                                                        Center

Recommend Approval per OAC 4765-7-05

 

 

ACTION:       Motion to approve above listed offsite training.  Burgess first.  Jordan second.  None opposed.  Motion approved.

________________________________________________________________________

 

Accredited School Initial     EMS Coordinator      Location         Level of Accreditation

Centers for EMS Education    Daniel N. Zezena        Cleveland        EMT-Basic

   and Research                     

Recommended Approval

 

ACTION:       Motion to approve above listed initial accreditation.  Burgess first.  Jordan second.  None opposed.  Motion approved.

 

 

Accredited School Initial     EMS Coordinator      Location         Level of Accreditation

Safety Training Solutions        James Horton             Adena              FR, EMT-B, EMT-I,

                                                                                                            EMT-P

Contingencies listed below: Submitted by EOB July 11, 2003

1.         Provide documentation stating the level of initial training to take place at each of the 36 classroom locations.

 

2.         Provide classroom description of each location listing room size and accommodations suitable for students.

 

3.         Provide a written agreement from the officer in charge or designee for each of the 36 classrooms stating the permission

            to use the facility for initial training courses.

 

4.         Provide an EMS equipment list for each location, specifying equipment can or can not be used by other classroom

            locations

 

Ms. VonVille-Feuillerat reported that 25 documents for classroom locations, which met the above four contingencies, were received on July 11th.  Mr. Horton erroneously did not include two documents in the initial packet received July 11th; however, those documents were faxed and arrived on July 15th.  Those two documents also met the contingencies.  Ms. VonVille-Feuillerat presented a list of classroom training locations, which are available for the Board’s review.  Ms. VonVille-Feuillerat’s recommendation is to approve.

 

Mr. Walendzak asked for clarification of the number of classroom locations being approved.  Ms. VonVille-Feuillerat explained that only 27 of the classroom training locations are being presented for approval.  Mr. Resanovich added that Mr. Horton will have to wait by rule for one year for the additional 9 locations.

 

ACTION:       Motion to approve the initial accreditation and the 27 classroom training locations for Safety Training Solutions.  Fratianne first.  Marchetta second.  None opposed.  Motion approved.

 

Mr. Resanovich asked that Ms. VonVille-Feuillerat notify Mr. Horton of the Board’s decision and also to remind him of the waiting period for the other 9 locations.

________________________________________________________________________

 

*      Extensions, Richard Rucker

 

NAME                           CERT #             EXTENSION LVL    LENGTH                   EXT TYPE        

Bell, Jacquie D.

0012904

Paramedic

180

Functioning