R96-139RESOLUTION NO. R96-/~
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING AND DIRECTING THE MAYOR AND
CITY CLERK TO EXECUTE A RENEWAL OF
THE EMERGENCY MEDICAL SERVICE DIRECTOR
CONTRACT BETWEEN THE CITY OF BOYNTON
BEACH AND DENSON GODWIN, M.D.; AND
PROVIDING AN EFFECTIVE DATE.
WHEREAS, upon recommendation of staff, the City
Commission agrees it is in the best interests of the citizens
and residents of the City to renew the Emergency Medical
Service Director Contract with Denson Godwin M.D., outlining
the working relationships and responsibilities of the City and
the Medical Director for the City's Emergency Medical Services
Program (EMS).
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. The Mayor and City Clerk are hereby
authorized to execute a renewal of the Emergency Medical
Service Director Contract between the City of Boynton Beach
and Denson Godwin, M.C., a copy of said Contract being
attached hereto as Exhibit "A".
Section 2. That this Resolution
effective immediately upon passage.
shall become
PASSED AND ADOPTED this /~' day of September, 1996.
ATTEST:
~Cit~ Clerk
CITY OF BOYNTON BEACH, FLORI~DA
~ Mayor
Commissi~r
/ Co~issioner
/
EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT
The City of Boynton Beach and Dr. James Denson Godwin, M.D. hereby agree that the
terms of this Contract provide an outline of the working relationships and responsibilities
of the City and the Medical Director for the City's Emergency Medical Services Program
(EMS), which is a part of the City's Municipal Fire Department. The items in this Contract
in the following Sections are aimed at identifying the Medical Director's general
relationship with the City, his responsibility for supervising the direct medical related
activities of the EMS Program, and the Medical Director's responsibility for local training
and certification of the Paramedics. The Contract further supports the principle that the
Medical Director will receive support from the Fire Department Administration and will
direct his requests for equipment and equipment assignments; manpower and manpower
assignments; and supplies of the Fire Department Administration and recognizes that
assignments to the Paramedic Program will be made by the Fire Chief in accordance with
the overall resources and needs of the Fire Department.
¸.
The City hereby contracts with the Medical Director and the Medical Director
accepts this contract as Medical Director for the City of Boynton Beach
Emergency Medical Services Program under the provisions of Section 401.46,
Florida Statutes, and the applicable rules of any governmental agency
implementing said Chapter or other established duties required to be performed
by said Medical Director, or upon notice from the. City that such additional duties
have been established by the Florida Department of Health and Rehabilitative
Services. It is recognized that the Medical Director's contract with the City
preserves his right to practice as an independent physician at all times.
The Medical Director shall accept responsibility for the medical performance of
the Emergency Medical Technicians, Paramedics and certified Emergency
Medical DisPatchers emPloyed by the City and serving in the Emergency Medical
Services Program of the City Fire Department, herein referred to as EMS. The
Medical Director shall be responsible directly to the City Manager, however,
nothing herein shall in any way authorize any limitations or restrictions by the City
Manager on the professional acts or advice of the Medical Director.
The Fire Chief, through the Department staff and operation procedure, will
establish Department policy for equipment and equipment assignment, and for
supply purchase and use. The Medical Director, in conjunction with the Fire
Chief, shall establish dispatch procedures and priorities. The Fire Chief will
establish Department policy for manpower assignment in conjunction with
recommendations made by the Medial Director.
The Medical Director shall perform all services required pursuant to Chapter
401.46 (See Appendix "A") of the Florida Statutes and all present rules and
regulations of any governmental agencies implementing said Chapter or other
established duties required to be performed by said Medical Director. If the
services required by Chapter 401.46 or the Department of Health and
Rehabilitative Services of the State of Florida are significantly altered, the Medical
Director and the City shall jointly review the procedures for carrying out the
Medical Director's responsibilities.
The Medical Director agrees to both directly and indirectly supervise and accept
responsibility for the medical performance of Emergency Medical Technicians,
Certified Emergency Medical Dispatchers, and Paramedics functioning for the
EMS and shall have full :authority to direct and supervise the medical activities in
the field, in training and for certifications. Such supervision shall be accomplished
by, though not limited to:
A. Actual accompaniment of Paramedics and EMTs on rescue calls.
B. Monitoring of radio transmissions to and from hospital emergency
departments and related facilities.
C. Review of rescue run and dispatch documents, and
D. Conference and/or meeting in both individual and group situations.
These duties will be performed periodically by the Medical Director at his/her
convenience as often as is necessary to insure that proper medical standards and
procedures are being followed. Cost for supplying necessary in-service
instruction material will be assumed by the City and the material will become the
property of the City. Further the EMS Coordinator shall be the Medial Director's -
agentfor purpose of quality assurancepursuant to Florida State Statute.
The Medical Director shall h~ave the services of the Departmental training
program, facility and staff to assist in carrying out training requirements for the
EMS.
The Medical Director shall be eligible as a member as defined under Section IV.
Members of the Agreement between the City of Boynton Beach and Florida
Municipal Liability Self Insurance Program..Coverage under this agreement shall
be limited to the scope of duties as Medical Director for the City of Boynton Beach
Fire Department as outlined in Florida Statute 41.46.
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10.
11.
The provider shall indemnify and save harmless the Director from any and all
liability for acts or omissions committed by the Director while acting in the capacity
as Medical Director of the Boynton beach Fire Department, but said
indemnification shall be to the extent only of any amount due and owing from
Director which exceed applicable insurance coverages maintained either by
director or by the City of Boynton Beach on behalf of Director.
The provider shall indemnify and save harmless the Director from any and all
liability incurred as a result of acts or omission of employees of the Boynton
Beach Fire Department.
The City will pay the Medical Director twenty one thousand dollars ($21,000) per
year at the rate of seventeen hundred fifty dollars per month for twelve (12)
months, payable at the end of each month for services outlined in this contract.
The City will provide portable radio communications and an Alpha Numeric Pager
for the use of the Medical Director.
In employee relations matters the Medical Director, through the terms of this
contract is considered to be a member of the administration and supervisory
division of the Fire Department and will be expected to aid the Fire Chief as the
Fire Chief carries out grievance procedu res, discipline, i nterviewi ng paramedics,
paramedic school assignments, and union contract administrative requirements.
The Medical Director will be expected to report to the Fire Chief the
circumstances relating to any employee decisions for the Emergency
Medical Services System such as discipline, decertification or promotion in
which the Medical Director is involved.
The Medical Director agrees to participate as required at personnel hearing
boards such as the Civil Service Board, grievance procedures of the union
contract, etc. as a part of his Department administrative responsibilities of
the Department without additional compensation.
Co
The Medical Director agrees to participate in the oral interview and skills test
administered to all new firefighter applicants who have a paramedic
certificate prior to their employment. Director retains the right to prevent the
hiring of any such individual for the purpose of employment as a paramedic
if he or she does not perform satisfactorily during the interview and/or skills
test. The content of the skills test will be in accordance with current
standardized criteria set up by the American Heart Association and
American College of Emergency Physicians.
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12.
13.
14.
15.
16.
The Medical Director agrees that anytime a firefighter employed by the City
of Boynton Beach wants to attend paramedic classes for purposes of
becoming a licensed paramedic they must have written approval by the
Medical Director prior to attending and/or enrolling in such classes.
From time to time the Medical Director will be expected to attend Department
administrative staff meetings so that he can give input to the administrative staff
on the needs and status of the EMS Program and so that he can become involved
in and informed of Departmental Standard Operating Procedures relating to:
A. Response procedures
B. Equipment and personnel allocations
C. Department priorities
D. Departmental procedures for handling emergencies
E. Working with other departments
F. Emergency medical dispatching
G. Infectious disease procedures
Any staffing changes that result in modifying the Department's current EMS
response protocols must be cleared through the Medical Director.
Either party to this contract may, upon giving sixty (60) days written notice to the
other party, terminate this contract and after the effective date of such notice all
parties will be relieved of any further obligations under this contract.
The Medical Director will assure the continuous availability of at least one
qualified physician as Director who shall serve as Acting Medical Director in the
absence of the Medical Director. In addition, the Medical Director will notify the
Boynton Beach Fire Rescue Department whenever he/she will be unavailable for
whatever reason, and will attempt to provide 24 hour prior notification of such
unavailability except under emergency circumstances. The notification shall be
given to the Office of the Fire Chief, and shall include the name and telephone
numbers of the Acting Medical Director.
Upon request, the Medical Director will advise the department on appropriate
procedures to address incidents in which an employee of the Fire Department has
been or may have been exposed to infectious diseases or hazardous materials.
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17. This contract shall be in effect from October 1, 1996 through September 30, 1997.
IN WITNESS WHEREOF the parties hereto have caused these presents to be signed by
their duly authorized officers and by the Medical Director on this day of
,1996.
WITNESS:
WITNESS:
CITY OF BOYNTON BEACH, FLORIDA
Mayor ApPRtDAfF2~, A~ '~'O ~=G~.
' ' Ci~' A~TO~NEY
MEDICAL DIRECTOR
Dr."~n~es Denson Godwin
ATTEST:
Cit~Clerk
APPENDIX "A"
Be responsible for advising the ALS provider as to his assessment of the competence
of each of the provider's paramedics and for making recommendations regarding the
medical procedures which each paramedic should be authorized to perform. Such
assessment should be made by utilizing reasonable evaluative processes and
techniques and should include at least assessment of each paramedic's ability to:
appropriately evaluate emergency medical patients and determine proper
priorities for emergency medical care;
communicate the findings of such evaluation to a physician who has agreed, in
writing, to provide responsible supervision of that paramedic;
C. receive and understand proper orders from a physician providing direct
supervision of the paramedic;
understand and properly apply any standing orders authorized by the Medical
Director;
understand legal relationship between the paramedic, Medical Director,
physician(s) under agreement to provide responsible supervision of the
paramedic and any other physician;
insure that any ALS performed by'the paramedic is done with responsible
physician supervision; and
perform the specific medical procedure(s) which the paramedic is specifically
authorized by the Medical Director and by the ALS provider to perform.
Continually evaluate the medical capability of the paramedics and the ALS provider
and advise the ALS provider regarding the appropriate level and standard of care
which the ALS provider should seek to achieve.
Assist in identifying the specific medical skills and knowledge which paramedics must
possess to achieve the desired level and standard of care.
Assist in identifying the training and experience necessary for the paramedics to
acquire the desired skills and knowledge and, in cooperation with approved
educational programs, in assuring that each paramedic receives such training and
experience as required.
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Develop and implement an appropriate process for periodic audit and review of medical
procedures-performed by paramedics. Such audit and review process must comply
with such standards and requirements as may be set forth by the Department from time
to time.
Develop and authorize or review and authorize for use standing riders which allow the
paramedics to properly manage certain medical emergencies when voice
oommunications with the responsible physician is not available. Such standing orders
must be specified and must at least provide for managing immediately life threatening
emergencies though they are not required to be so comprehensive as to include all
possible medical emergencies.
Be responsible for the medical correctness of any standing order which he authorizes
for use by the paramedics and for properly instructing the paramedics regarding the
correct use of standing orders.
Assist the ALS provider in assuring continuous availability of at least one responsible.
physician. Determine the qualifications necessary for a physician to provide
responsible supervision of the paramedics.
Retain the ultimate authority to permit and/or prohibit any system paramedic to utilize
ALS techniques. (Specific authority 401.35, 381.031(1)(g), 20.05(5) FS. Law
implemented 401.46, 401.47 FS. History New 9-10-78).
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