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HomeMy WebLinkAbout98-47 THE CORPORATION OF THE MUNICIPALITY OF CLARINGTON BY-LAW #98- 47 being a by-law to authorize the execution of an Agreement between the Corporation of the Municipality of Clarington and the Oshawa General Base Hospital Firefighter Rapid Defibrillation Program for Durham Region WHEREAS at its meeting held on March 9, 1998 the Council of the Municipality of Clarington adopted the recommendations contained in Report FD-4-98: NOW THEREFORE THE CORPORATION OF THE MUNICIPALITY OF CLARINGTON HEREBY ENACTS AS FOLLOWS: 1. THAT the Mayor and Clerk are authorized to execute on behalf of the Corporation of the Municipality of Clarington, and seal with the Corporate Seal, an Agreement with The Oshawa General Base Hospital Firefighter Rapid Defibrillation Program for Durham Region for the introduction of the Fire Department Defibrillation Program to be provided by the Municipality of Clarington Fire Department. 2. THAT the Agreement attached hereto as Schedule "A" forms part of this by-law. By-law read a first and second time this 9th day of March 1998. By-law read a third time and finally passed this 9th day of March 1998. ' \ MAYOR CLERK THIS AGREEMENT made the day of March 9th 1998 BETWEEN: THE CORPORATION OF THE MUNICIPALITY OF CLARINGTON (Hereinafter called the "Municipality") OF THE FIRST PART THE OSHAWA GENERAL BASE HOSPITAL FIREFIGHTER RAPID DEFIBRILLATION PROGRAM FOR DURHAM REGION (Hereinafter called the Base Hospital Program) OF THE SECOND PART WHEREAS the Municipality and Base Hospital Program desire to enter into an agreement for the introduction of the Fire Department Defibrillation Program, the Program which will be provided by the Municipality of Clarington Fire Department (Hereinafter called the "Fire Department") and, WHEREAS Defibrillation is a "medical act" which may be performed by a person to whom the act has been "delegated" by a licensed physician and in order to satisfy the College of Physicians and Surgeons Regulations regarding the delegation of medical acts, training, testing, skill maintenance and quality assurance must be part of the Program. NOW THEREFORE THIS AGREEMENT WITNESSETH that in consideration of the physician who is the Base Hospital Program Medical Director assuming responsibility for the Defibrillation Program and the sum of $2.00 of lawful money of Canada now paid by the Municipality to the Base Hospital Program (receipt of which is hereby acknowledged) 1 . DELEGATION The Base Hospital Program (Oshawa General Hospital) Medical Director will assume responsibility for delegating the "Medical Act" of automated defibrillation to the Certified Providers of the Clarington Fire Department. The Fire Department will permit the use of defibrillation protocols only with equipment approved by the Base Hospital Program. 2. BU DGET The Municipality agrees to pay the Base Hospital Program on a cost recovery basis for all mutually agreed activities and expenses related to the Fire Department Defibrillation Program. Budget estimates for the first two years of the Defibrillation Program are attached to this agreement and are as stipulated prior to this agreement coming into enforcement. Funding for teaching, quality assurance, year-end reports, Medical Director stipend and ancillary services will be remitted on the 15th of the month of June, of that calendar year. The year end report of quality assurance of the Defibrillation Program will be submitted to the Clarington Fire Department by the 15th of February for each calendar year. Adjustments will be made at the year end to reflect actual costs incurred for the particular year, with any savings being carried forward to the next year. 3. TRAINING The training will be undertaken for the Certified Providers and Instructors. In the first year of the Program, all Defibrillation training and/or testing of the Fire Department Defibrillation Providers will be done by the Base Hospital Program Medical Director, Program Co-ordinator and other certified Defibrillation Instructors as chosen by the Base Hospital Program. The Base Hospital Program will be responsible for training Clarington Fire Department Instructors for future help in the delivery of the Defibrillation Program. The cost of that training will be based on the number of trainees in an instructor's class. The Medical Director will review tests and certify successful Defibrillation trainees as Certified Providers. Certified Instructors and Certified Providers will be required to re-certify, as deemed necessary by the Medical Director, to ensure maintenance of skills. All active Firefighters will have a review of CPR provided to them by the Fire Department prior to the Defibrillation Course. The Fire Department will ensure that the Firefighter's Defibrillation Manual, as provided by the Base Hospital Program, will be made available to all defibrillation providers. The Base Hospital Program will ensure that all Defibrillation Courses follow the content and outline approved by the Base Hospital Program Medical Director in keeping with the Oshawa General Hospital Program. The Fire Department will ensure that new Firefighters receive the full training package. 4. TRAINING PROGRAM The Medical Director and the Base Hospital Instructors and Program Director will establish a training program for Providers similar in content to the Ambulance Defibrillation Training Program currently employed at Oshawa General Hospital. At least once a year the Medical Director will review the Defibrillation Training Program including teaching and testing materials and will revise the Defibrillation Training Program as necessary. The Fire Department will participate in the review and revision process of the Defibrillation Program. 5. TESTING A candidate who fails any one of the testing components will be required to repeat that testing's component. If an individual fails on a second attempt, the individual will be required to repeat the full course before being allowed any further attempts at the testing components. The Fire Department will make every reasonable effort to bring a maximum number of personnel together at one time for testing to reduce the costs of certification and recertification. 6. QUALITY ASSURANCE The Fire Department will conduct regular defibrillation practice sessions for all Certified Providers minimum once every 4 months. The Medical Director and Program Staff will perform a review of each call. This will include a review of documentation and interventions. A report based on this review will be provided to the Fire Department. The Fire Department will ensure call review reports, issued by the Director, are reviewed by the individuals who participated in the resuscitation effort. The cost of these call reviews are included in the budget material. The Fire Department will ensure individuals identified as having problems with the protocol receive remedial help from the Base Hospital Program Instructors or Fire Department Instructors. The Medical Director for the Defibrillation Program will review the defibrillation protocol annually, or more frequently as the need for protocol adjustments arise. 7. DOCUMENTATION The Fire Department will copy and distribute all required correspondence to the Certified Providers and stations. The Fire Department will ensure a call report is completed for each call where the defibrillator is used. The Fire Department will develop, in conjunction with the Base Hospital Program a protocol for collection of all call reports from each station and deliver them to a designated location at the Oshawa General Hospital Base Hospital Program. 8. RECORDS AND REPORTS The Base Hospital Program will maintain a list of Certified Instructors and Certified Providers, based on the information provided by the Fire Department. The Medical Director will provide each Certified Provider with a card or certificate, detailing the period of certification, based on the information provided by the Fire Department. The Base Hospital Program will maintain a record of call reports and of call reviews and provide same to the Fire Department. The Fire Department will maintain records and documentation related to the training and testing of Rapid Defibrillation Certified Providers. The Fire Department will provide the Base Hospital Program with a list of any personnel not trained in defibrillation who wish to be tested as Certified Providers. As the numbers become available for further courses, these new individuals will be trained. The Base Hospital Program Medical Director will provide to the Fire Department information with respect to changes in certification status of any Certified Provider, i.e. de-certification, de-activation or re-activation, immediately upon their change in status. The Medical Director, in liaison with the Base Hospital Program teaching staff as well as the Fire Department Defibrillation Instructors, will arrange for remedial training to take place as soon as possible after the change in a Certified Provider's status. This may involve anything from an overview of the course material and re-testing to a review of a particular subject matter. The cost of these reviews and change in Certified Provider status will be billed to the Fire Department on an "as necessary" basis. 9. EQUIPMENT AND SUPPLIES The Fire Department will ensure all defibrillators, related equipment and supplies are available, in working order and dispersed amongst the Fire Department stations. This list of equipment may from time to time require revision and the Fire Department will ensure the Base Hospital Medical Director or their designate is involved in that process. 10. FIRE DEPARTMENT REPRESENTATIVE The Fire Department will appoint an individual or individuals to act as a liaison between the Fire Department Certified Providers and the Medical Director and/or his/her delegate. The liaison person will answer questions related to the defibrillation protocol and related equipment. They will also liaise with the manufacturers and suppliers regarding equipment purchases, repair and advice. 11 . REVIEW OF CONTRACT The Fire Department and the Base Hospital Program agree to review this contract on an annual basis or as any changes occur in this program (i.e. increases in number of providers, changes of key personnel such as the Base Hospital Physician, program changes, etc.). 12. HOLD HARMLESS CLAUSE The Municipality agrees to indemnify and save the Medical Director and the Base Hospital Program and it's staff harmless from any cause, expense, judgement, loss, damage, death or injury, including court costs and legal fees in any way caused by the negligence or wrong-doing of the Clarington Fire Department and not contributed to by the Medical Director or Base Hospital Program, related to or arising out of the program or this agreement. IN WITNESS WHEREOF the parties have executed these presents under the hands of their proper officers duly authorized in that behalf. THE CORPORATION OF THE MUNICIPALITY OF CLARINGTON Per: _ ( ayo Per: CI ) THE MEDICAL DIRECTOR OF OSHAWA GENERAL HOSPITAL BASE HOSPITAL PROGRAM (Interm President and CEO) The Oshawa General Hospital Per: (Medical Director) Per: // (Witness) CLARINGTON ANNUAL RECERTIFICATION COSTS Includes all materials and training suppliesand staff. One 4-hour session for recertification annually. Class sizes same as initial training. $800.00 per class x 10 = 000.00 total cost. Note:These costs allow for flexibility in class sizes. If classes are smaller or larger to meet operational scheduling demands total costs will not change. ANNUAL PROGRAM MAINTENANCE BASE HOSPITAL SERVICES PROVIDED: $5,000.00 Medical chart review and audit Data collection and analysis 4 feedback meetings with staff per year Written reports of patient outcomes for each call Base Hospital consultation routinely available Medical Director (physician) consultation available as required Quarterly newsletter and training update Mannikin availability for 4 weeks, 3 times per year for ongoing in-service practice, including a supply of disposable materials for training Biomedical Engineering service of machines and batteries as per manufacturer's specifications, performed by manufacturer approved warranty service center. ASSUMING UP TO 25 V.S.A. CALLS PER YEAR additional call volume = one half hour per call at $50.00 per hour I