R94-161RESOLUTION NO. R94-,/~?
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING
AN DIRECTING THE MAYOR AND CITY CLERK TO
EXECUTE AN EMERGENCY MEDICAL SERVICE
DIRECTOR CONTRACT BETWEEN THE CITY OF
BOYNTON BEACH, FLORIDA AND JAMES DENSON
GODWIN, M.D.; AND PROVIDING AN EFFECTIVE
DATE.
WHEREAS, the City of Boynton Beach has previously entered into a Contract
for services with James Denson Godwin, M.D., which contract expires September 30,
1994; and
WHEREAS, the City Commission of the City of Boynton Beach, Florida deems
it to be in the best interests of the citizens and residents of the City to enter into an
Agreement with James Denson Godwin, M.D., for supervision of the direct medical
related activities of the EMS Program, and local training and certification of the
Paramedics.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. The City Commission of the City of Boynton Beach, Florida does
authorize and direct the Mayor and City Clerk to execute an Emergency Medical
Service Director Contract between the City of Boynton Beach, Florida and James
Denson Godwin, M.D.
Section 2. This Resolution shall become effective immediately upon passage.
PASSED AND ADOPTED this ,~ day of September, 1994.
ATTEST:
lerk
CITY OF BOYNT~i BEACH, FLORIDA
Mayor
Mayor
Commi~.~~
EMS. Director
9/16/944
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 to 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 RehabilitativeServices. 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 bythe Medical 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 Medical Director's agent for
purpose of quality assurance pursuant to Flodda State Statute.
The Medical director shall have 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.
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
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10.
11.
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 thousand dollars ($20,000) per year
at the rate of sixteen hundred fifty per month for eleven (11) months and one
payment of eighteen hundred fifty for one month, 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 procedures, discipline, interviewing 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.
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.
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.
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12.
13.
14.
15.
16.
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.
17. This contract shall be in effect from October 1, 1994 through September 30, 1995.
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IN WITNESS WHEREOF the parties hereto have caused these pre. sents to be
signed by their duly authorized officers and by the Medical Director on this day of
,1994.
WITNESS:
~ '--
WITNESS:
MEDICAL DIRECTOR
D~. ~Ja~ Dehson Godwin, M.D.
ATTEST:
Cit~lerk
(Corp. Seal)
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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:
A. appropriately evaluate emergency medical patients and determine proper
priorities for emergency medical care;
B. 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;
D. 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;
F. insure that any ALS performed by the paramedic is done with responsible
physician supervision; and
G. 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, m assuring that each paramedic receives such training and
experience as required.
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o
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 orders which allow
the paramedics to properly manage certain medical emergencies when voice
communications with the responsible physician is not available. Such standing
orders must be specified and must at least provide, for managing immediately life
threatening medical 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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