R92-55RESOLUTION NO. R92-~'~-
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING AND DIRECTING THE MAYOR AND
CITY CLERK TO EXECUTE AN EMERGENCY
MEDICAL SERVICE DIRECTOR CONTRACT
BETWEEN THE CITY OF BOYNTON BEACH AND
DR. JAMES DENSON GODWIN, M.D., BEING
ATTACHED HERETO AS EXHIBIT "A~; AND
PROVIDING AN EFFECTIVE DATE.
WHEREAS, the City Commission of the City of Boynton Beach,
'lorida, upon recommendation of Staff, deems it to be in the best
interests of the citizens and residents of the City of Boynton
each to enter into a Emergency Medical Service Director Contract
~ith Dr. James Denson Godwin, M.D.
. NOW, THEREFORE, BE iT RESOLVED BY THE CITY COMMISSION OF THE
~ITY OF BoYNToNBEAcH, F~ORIDA THAT:
S~ction 1. The City Commission of the City of Boynton
Beach, Florida, does hereby authorize the Mayor and City Clerk to
~xecute a certain Emergency Medical Service Director Contract
9etween the City of Boynton Beach and Dr. James Denson Godwin,
~.D., which Contract is attached hereto as Exhibit "A".
Section 2. This Resolution shall take effect
~pon passage.
PASSED AND ADOPTED this "~ day of April, 1992
immediately
CITY OF BOYNTON BEACH,
FLORIDA
%TTEST:
(Corporate seal)
EMS.Co .
Auth~ig ~-~oc- 4 / 2 / 92
Commis ;ion6 ~
Commissio~
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 rela-
tionship' 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 cer-
tification 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; man power and man power
assignments; and supplies to the Fire Department Administration
and recognizes that assignments to the Para~edic Program will be
made by the Fire Chief in accordance with the overall resources
and needs of the Fire Department-
1. 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 an~ 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.
2. 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
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Emergency Medical Services Prog~ of the City Fire
Department, herein referred to as ~MS. The Medical
Director shall be responsible directly to the City
Manager through Fire Department adminiStratioapersennel
and. theonTduty supervisors provided~ however, nothing
herein shall in any way authorize any limitations or
restrictions by the City Manager on the professional
acts or a~vice of theMedical Director·
The Fire ~ief, through the Department Staff and~opera-
tion procedur®, 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 depart-
ment policy for manpower assignment in conjunction with
recommendations made by the MedicalDirector.
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
direct and supervise the medical activities in the
field, in training and for certifications. Such super-
vision shall be accomplished by, though not limited to:
a. Actual accompaniment of Paramedics and EMTs on
rescue calls.
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b. Monitoring of radio transmissions to and from hospi-
tal emergency departments and related facilities.
c. Review of rescue run and dispatch documents, and
d. conference snd/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 Florida 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 be-
tween the City of Boynton Beach and the 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 Dept.
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 con~itted by the Director while acting in the
capacity as Medical D~rector 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·
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10.
11.
The City will pay the Medical Director eighteen thousand
dollars ($18,000) per year at the rate of fifteen hundred
per month for eighteen (18) 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
procedures, discipline, interviewing paramedics, para-
medic school assignments, and union contract administra-
tive requirements.
A. The Medical Director will be expected to report to
the Fire chief the circumsta~u~es relating to any
employee decisions for the E~ergenc~ Medical Services
System such as discipline, 4ec~z~if2~cstion or
promotion in which the Medical Director is involved.
B. 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.
C. The Medical Director agrees to participate in the
oral interview and skills test administered to all
new firefighter applicants who have a paramedic cer-
tificate prior to their employment. Director
retains the right to prevent the hiring of any such
individual for the purpose of employment as a para-
medic if he or she does not perform satisfactorily
during the interview and/or skills test. The con-
tent 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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I2.
13.
14.
15.
D. 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 ~e
can become involved in end 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 E.M.S. 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 obli-
gations under this contract.
The Medical Director will asure the continuous availabi-
lity 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 cir-
cumstances. The notificaton shall be given to the
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16.
17.
presents to be signed by their duly authorized officers
the Medical Director on this 16th day of April
1992
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 inci-
dents in which an employee of the Fire Department, has
been or may have been, exposed to infectious diseases or
hazardous materials.
This Contract shall be in effect from April 7, 1992
through September 30, 1993.
IN WITNESS WHEREOF the parties hereto have caused these
and by
Witness:
Ci~~ Clerk
(Corp. Seal)
CITY OF BOYNTON BEACH,
M~yor /
FLORIDA
MEDICAL DIRECTOR
Dr. ~/~~ o
Godwin, M.D
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APPENDIX"A"
Be responsible for advising the ALS provider as to his assess-
ment of the competence of each of the provider's paramedics
andfor~making recommendations regarding the medical proce-
dures which each paramedic should be authorized to perform.
Suck assessment should be made by utilizing reasonable eval-
uative processes and techniques and should include at least
assessment of each paramedic's ability to:
a. appropriately evaluate emergency medical patient? and
determine proper priorities for emergencymedica± care;
b. communicate the findings of such evaluation to a phys&-
clan who has agreed, in writing, to provide responsible
supervision of that paramedic;
c. receive and understand proper orders from a physician
providingdirect supervision of the paramedic;
d. understand and properly apply any standing orders
authorized bY t~e Medical Director;
e. understand legal relationship between the paramedic,
Medical Direc~or, physician(s) under agreement to provide
responsible supervision of the paramedic and any other
physician;
f. insure thatany ALS performed by the paramedic is done
with responsible physician supervision; and
g. perform the specific medical procedure(s) which the para-
medic 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 pro-
vider 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.
Develop and implement an appropriate process for periodic
audit and review of medical procedures performed by para-
medics. Such audit and review process must comply with such
standards and requirements as may be set forth by the
Department from time to time.
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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 man-
aging life threatening medical emergencies
though theY are not required to be so'comprehensive as to
include all possible medical emer~encies~
Be respon~ibl~ standing
order which he authorizes for use, by the paramedics and for
properly instructing theParamediq~ ~garding the correct use
of standing orders.
Assist the ALS provider in assuring continuous availability of
at least one responsible physician. Determine the qualifica-
tions necessary for a physician to provide responsible super-
vision of the paramedics.
Retain the ultimate authority to permit and/~rprohibit any
systemmparemedic to utilizeALS techniques. (Specific
authority 401.35, 381.031(1)(g), 20.05[5) FS. Law imple-
mented 401.46, 401.47 FS. History New 9-10-78.)
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