At 3:33 PM today the LMRFD ambulance was paged for a single vehicle rollover at Mile Post 14 on US93. There was no response to the page
The LMRFD ambulance R415 was gone on it's way to Kingman on a call.
At 3:44 the chief told R415 to expedite their turn around that he was responding alone. At that time they were advised by dispatch that it was non-injury accident.
What if there had been injuries? R415 cleared their call at 3:55 and it's an hour from KRMC to MP14 on US93.
I want you to imagine you or your family member in an accident like this one... Without volunteers they could lay there waiting, and waiting... for an hour and a half for the ambulance to arrive....
While R415 was coming back from Kingman they received another call on Tom White Dr in Dolan Spring. They advised dispatch they were responding from So-Hi.
The patient must have had a scanner, they knew it would be a long wait then the 40 minute ride to KRMC Emergency Department.
So they called back and told dispatch they were going to take the patient by car. This is poor patient care and another $2500 the LMRFD looses...
Monday, April 29, 2019
Friday, April 26, 2019
Special Meeting Board Opening LMRFD
Well I put in my application for the second time to be appointed to the LMRFD Board of Directors.
The last time one board member made sure someone else was picked for the opening, so lets see what happens this time.
The LMRFD Special Meeting Wednesday may 1st in Meadview.
If you live in the LMRFD please attend...
The last time one board member made sure someone else was picked for the opening, so lets see what happens this time.
The LMRFD Special Meeting Wednesday may 1st in Meadview.
If you live in the LMRFD please attend...
Wednesday, April 24, 2019
Brush Fire April 24th
Engine 411 and Rescue 415 responded to a brush fire at 10th and Eldorado today. Needing additional water the firefighter advised dispatch he needed Water Tender 418 and mutual aid from Golden Valley.
Dispatch advised Golden Valley didn't have any units available.
Water Tender 418. Water Tender 418 responded but turning the wrong way on 9th street it took a while to get there.
I assume Water Tender 418 got there and I missed it on the radio... Chief 401 who drives Station 41's Brush Truck was on a power line down call in Dolan and was on the radio.
Dispatch advised Golden Valley didn't have any units available.
Water Tender 418. Water Tender 418 responded but turning the wrong way on 9th street it took a while to get there.
I assume Water Tender 418 got there and I missed it on the radio... Chief 401 who drives Station 41's Brush Truck was on a power line down call in Dolan and was on the radio.
Monday, April 22, 2019
What WE the People of the LMRFD Need in a New Fire Chief
The LMRFD is going to get a new fire chief and we need to make it clear what we need in a new chief. We need someone who is proactive rather than reactive to problems inside the LMRFD.
We need a chief who will do one of two things...
Train local volunteers as Emergency Medical Responders so they can drive and assist on the ambulance, run the ambulance as a business, and train anyone even us older guys as external firefighters so we can assist firefighters.
OR
Reduce the area covered by the LMRFD ambulance from the current 2200 square miles to the 144 square mile Lake Mohave Ranchos Fire District.
The tax payers of the 144 square mile fire district CAN NOT continue to support fire and EMS services in an additional 2056 square miles for free..
I get tired of people who live outside the fire district, yet get the same services as those of us who pay hundreds a year in property tax telling us how we should run the fire district.
At one time the Lake Mohave Ranchos Fire District had six Advanced life Support ambulances and lots of volunteers to cover the 2200 square miles required by the ambulance's Certificate of Need, not anymore...
Today the LMRFD has just ONE AMBULANCE and the two firefighters, three on a good day. These 2-3 firefighters are responsible for fire protection in the 144 square mile fire district, and the 2200 square miles the ambulance covers. This leaves the taxpayers of the fire district unprotected much of the time.
The people who live outside the LMRFD need to join the fire district or start a fire district and ambulance service of their own.
Call ANY fire chief and ask him to send his only firefighters to no mans land 40 miles outside their fire district to put out your house that's on fire... Let me know what they say....
We need to fix this people need to pay their fair share.
We need a chief who will do one of two things...
Train local volunteers as Emergency Medical Responders so they can drive and assist on the ambulance, run the ambulance as a business, and train anyone even us older guys as external firefighters so we can assist firefighters.
OR
Reduce the area covered by the LMRFD ambulance from the current 2200 square miles to the 144 square mile Lake Mohave Ranchos Fire District.
The tax payers of the 144 square mile fire district CAN NOT continue to support fire and EMS services in an additional 2056 square miles for free..
I get tired of people who live outside the fire district, yet get the same services as those of us who pay hundreds a year in property tax telling us how we should run the fire district.
At one time the Lake Mohave Ranchos Fire District had six Advanced life Support ambulances and lots of volunteers to cover the 2200 square miles required by the ambulance's Certificate of Need, not anymore...
Today the LMRFD has just ONE AMBULANCE and the two firefighters, three on a good day. These 2-3 firefighters are responsible for fire protection in the 144 square mile fire district, and the 2200 square miles the ambulance covers. This leaves the taxpayers of the fire district unprotected much of the time.
The people who live outside the LMRFD need to join the fire district or start a fire district and ambulance service of their own.
Call ANY fire chief and ask him to send his only firefighters to no mans land 40 miles outside their fire district to put out your house that's on fire... Let me know what they say....
We need to fix this people need to pay their fair share.
Sunday, April 7, 2019
Not Happy After Consolidating Fire Districts? Learn What's Going On In Valle Vista
This is my first What's Going On In Valle Vista post..
The Lake Mohave
Ranchos Fire District (LMRFD) consolidated with Meadview's Grapevine Mesa Fire
District some years back. Like Valle Vista the Grapevine Mesa Fire
District was riddled with islands (parcels not contiguous with the dist) that
are illegal according to Arizona law.
Because of the history
of local fire district consolidation and problems those consolidations created
I'm going to post about Valle Vista's progress as they work to solve problems
and seek better fire protection and EMS in their area.
What's Going On In Valle Vista
In July 2017, members
of the Northern Arizona Consolidated Fire District #1 (NACFD1), along
with their attorney brought up the 2007 merger of the former Hualapi Valley
Fire District and Valle Vista Fire District. The merger was characterized as
illegal during a public meeting, along with the subsequent consolidation
between the merged fire district and the Truxton and Chloride Fire Districts.
These comments, lead a group of Valle Vista residents to pursue taking back
their old fire district. After months of research and town hall meetings, these
residents have made initial contact with the NACFD1 Board of Directors to
pursue a boundary change, or removal from NACFD1 of the Valle Vista area.
After discussion with
the Mohave County Assessor's office, along with review of the applicable
Arizona Revised Statute sections which pertain to boundary changes, it
was determined that if Valle Vista wanted
to leave, they would need to take those portions of Hackberry and Truxton
currently protected by NACFD with them . The statutes prevent islands of
service from being formed and require continuity in boundaries. Several
town hall meetings were held leading up to the March 21, 2019 Board meeting
where resident Ray Ricciardi advised the NACFD1 board that a group was
interested in pulling out of NACFD1.
According to the
Revised Statutes, any adult person may request a boundary change, in this
instance a group of over one hundred Valle Vista property owners and residents
have signed a petition requesting the boundary change. There are several steps
to make the boundary change, all of which are currently in process, including
determining property owners and parcels, preparing a map and legal description,
and preparing an impact statement. A licensed Civil Engineer and Accountant
from Valle Vista have both agreed to assist in the preparation of the impact
statement.
Driving factors for
the boundary change include displeasure by district residents in a proposed
management agreement between NACFD1 and the City of Kingman. Several area
residents have spoken at Kingman City Council and NACFD1 meetings against the
apparent takeover by the city. Previous dispatch concerns with Kingman Fire
dispatch, who dispatches for NACFD1, have been noted where fire vehicles
were not dispatched to medical and other emergencies in Valle Vista. Proponents
of the boundary change also cite reduced service in Valle Vista and Truxton
with three of four area fire stations closed and no plan by NACFD1 to reopen
them. This group believes that local control is the key to improved service and
estimates an overall budget of approximate budget of $600,000 the first year.
This would allow for a mix of full time, part time and volunteer personnel to
staff the various fire stations. The move would also allow the new district to
pursue grant monies for the purchase of new fire equipment to replace an aging
fleet which has not been updated since 2007. Some vehicles are over 25 years
old and have passed their expected life cycle.
While there are
several hoops to jump through, the boundary change proponents believe they have
a viable plan to pull out of NACFD1 and form a new district which is more
concerned with the rural communities of Valle Vista, Hackberry and Truxton. The
boundary change committee believes there would be NO increase in property taxes
as the existing NACFD1 tax is close to the cap set by the State of Arizona. The
new district would be able to assess at current levels with no increase.
The proposed boundary
change has nothing to do with the Valle Vista Property Owners Association. No
additional fees will be levied against the VVPOA, nor will additional fees be
levied against properties owned by the association as a result of the boundary
change.
We will be monitoring
the progress of this boundary change and providing updates as they become
available. For additional information, one can email involved parties at savevvfd@gmail.com .
ARS Boundary Change
information - 48-262
ARS Fire District
information - 48-853
Arizona Federal Judge Entered Judgment For Terminated Employee: High Levels In Positive Drug Test Insufficient To Show Impairment From Marijuana
It's About Time..... and now it's your turn...
An Arizona federal district court judge entered judgment against Walmart Inc. for terminating the employment of a woman who had been prescribed medical marijuana because it had not established through expert evidence that the employee was impaired by marijuana at work despite high levels of marijuana in the results of her drug test. Therefore, the court held plaintiff's termination was contrary to the Arizona Medical Marijuana Act, A.R.S. § 36-2813(B) ("AMMA").
READ MORE on the Ruling........
If you feel that you have been denied employment or other position because of medical marijuana use please file a complaint with the Arizona Attorney General and the US Dept of Justice
If nothing else the complaints will draw attention to the problem and cost agencies who discriminate against employees a lot of money to defend.
Where to file complaints.....
Civil Rights Division of the Arizona Attorney General’s Office
The Division’s major duty is to enforce state statutes that prohibit discrimination in employment, voting, public accommodations, disability and housing by investigating and litigating civil rights complaints. In addition, the Division provides conflict resolution services and mediation programs statewide, including many court and agency programs.
https://www.azag.gov/civil-rights
US Department of Justice Civil Rights Division
https://www.justice.gov/crt/how-file-complaint
An Arizona federal district court judge entered judgment against Walmart Inc. for terminating the employment of a woman who had been prescribed medical marijuana because it had not established through expert evidence that the employee was impaired by marijuana at work despite high levels of marijuana in the results of her drug test. Therefore, the court held plaintiff's termination was contrary to the Arizona Medical Marijuana Act, A.R.S. § 36-2813(B) ("AMMA").
READ MORE on the Ruling........
If you feel that you have been denied employment or other position because of medical marijuana use please file a complaint with the Arizona Attorney General and the US Dept of Justice
If nothing else the complaints will draw attention to the problem and cost agencies who discriminate against employees a lot of money to defend.
Where to file complaints.....
Civil Rights Division of the Arizona Attorney General’s Office
The Division’s major duty is to enforce state statutes that prohibit discrimination in employment, voting, public accommodations, disability and housing by investigating and litigating civil rights complaints. In addition, the Division provides conflict resolution services and mediation programs statewide, including many court and agency programs.
https://www.azag.gov/civil-rights
US Department of Justice Civil Rights Division
https://www.justice.gov/crt/how-file-complaint
Monday, March 18, 2019
If you’re new to Dolan Springs and the LMRFD in the past 5 years Please Read
If
you’re new to Dolan Springs and the LMRFD please read these old blog posts in
hope that it brings you up to speed on how we got from six ambulances and lot's of volunteers to where we are today… One ambulance and 2-3 firefighters..
2015
I'd
rather have a hillbilly in a pickup truck who cares, than a paid EMT in a
fancy ambulance who doesn't
Many rural fire districts field a significant
volunteer force, which yields a high degree of cost effectiveness for fire
suppression and emergency services.
2016
Who's
Going to Pay for Out of District Fire Call like This One?
2017
Failing
to fully treat a sick patient is one thing. But leaving a patient behind and
not treating them at all after they called 9-1-1 is complete negligence
For
someone to belittle those of us who volunteer to help others should tell you
something about that person
Good
Samaritans Laws in Arizona
Questions
I Would Have Asked if Appointed to the Fire Board
Two Rollovers One Fatal One Not
https://dolanemsproblems.blogspot.com/2017/11/update-two-rollovers-one-fatal-one-not.html
UPDATE Two
Rollovers One Fatal One Not
https://dolanemsproblems.blogspot.com/2017/11/update-two-rollovers-one-fatal-one-not.html
Follow Up on December 2016 Fatal Accident You Decide Cover UP?
Follow Up on December 2016 Fatal Accident You Decide Cover UP?
2018
Common Sense?
What Does Common Sense Tell You About this Picture?
There is a
Difference Where You Train and I Found When You Train... How I've Found EMS Has
Changed
WE have been
told over and over that "the LMRFD Certificate of Necessity Can NOT be
Changed So WHO CHANGED IT?
A Perfect
World We Would Have EMR’s Covering the 2200 square mile Ambulance CON
Volunteer
Firefighters a Need NOT a Want for Rural Fire Districts
My NACFD Resignation
Employee's Volunteer's Requirements Drug Testing and Background Checks Part 3 of 3
Employee Volunteer Drug Testing and Background Checks
Part 3 of 3 Background Checks
Yes we need to do back ground checks on all personal. If someone is a known bad guy in the area, and we know who they are, does it matter if they pass a background check?
If someone committed a crime 20 years ago then what? Say they were convicted of stealing a car at 19 years old, they're 50 now and they've been a good citizen living in the area for years, why wouldn't you want them as a volunteer?
How far do back ground checks go and what gets included? If someone was accused of molesting a child 20 years ago and wasn't convicted, then what?
My son-in law molested a young girl here in Mohave County, twice. It was plea bargained and lowered and lowered even though the girls father said he would do it again. READ the MCSO Report He was finally convicted of indecent exposure. Read the report, having this lowered to indecent exposure will piss you off.
Convicted or not would you want him as a firefighter?
When considering someone as a volunteer for the LMRFD we need to do background checks, but the bottom line is what kind of person they are as a neighbor, and would you want that person's help in an emergency?
We need volunteers everyday for fire and EMS calls, but my real fear is that in a major disaster or event where Dolan Springs was cutoff from outside help we would be left with the 2-3 firefighters stuck here at the time. With no volunteers trained in fire and EMS services Dolan Springs residents would be in trouble.
Part 3 of 3 Background Checks
Yes we need to do back ground checks on all personal. If someone is a known bad guy in the area, and we know who they are, does it matter if they pass a background check?
If someone committed a crime 20 years ago then what? Say they were convicted of stealing a car at 19 years old, they're 50 now and they've been a good citizen living in the area for years, why wouldn't you want them as a volunteer?
How far do back ground checks go and what gets included? If someone was accused of molesting a child 20 years ago and wasn't convicted, then what?
My son-in law molested a young girl here in Mohave County, twice. It was plea bargained and lowered and lowered even though the girls father said he would do it again. READ the MCSO Report He was finally convicted of indecent exposure. Read the report, having this lowered to indecent exposure will piss you off.
Convicted or not would you want him as a firefighter?
When considering someone as a volunteer for the LMRFD we need to do background checks, but the bottom line is what kind of person they are as a neighbor, and would you want that person's help in an emergency?
We need volunteers everyday for fire and EMS calls, but my real fear is that in a major disaster or event where Dolan Springs was cutoff from outside help we would be left with the 2-3 firefighters stuck here at the time. With no volunteers trained in fire and EMS services Dolan Springs residents would be in trouble.
Sunday, March 17, 2019
Employee's Volunteer's Requirements Drug Testing and Background Checks Part 2 of 3
Employee Volunteer Drug Testing and Background Checks in the LMRFD Part 2 of 3
Drug Testing
When I lived in Dolan Springs back in the 90's the fire department had six Advanced Life Support ambulances and lots of volunteers. They were often seen around the fire station with the doors open. What changed?
One reason was the economy went down, but there had to be more to it, after all volunteer firefighters save the U.S. millions of dollars each year and make up 70% of America's firefighters.
Another change was America was in the middle of President Reagan's war on drugs and drug testing was becoming big business.
Before anyone says anything let me say nobody should ever show up to work or on a call impaired, we simply don't need you there.
It seems the LMRFD lost many volunteers during that time and changes in drug policy may have had something to do with it.
When someone looks at the LMRFD drug policy it's confusing. It say's "under district policy alcohol is include within the meaning and prohibition of drugs". Application LINK It needs to be updated and please take Northern Arizona Consolidated Fire District's name out of the LMRFD application on pg 6.
It's 2019 and 33 states and the District of Columbia have legalized marijuana for medical use, 10 states and the District of Columbia have legalized marijuana for recreational use.
Our neighboring states of California and Nevada are two of the states that have legalized marijuana for recreational use. If someone use marijuana legally in Las Vegas should they be fired for failing a drug test weeks later?
In 2013 AZFamily Report did a report on first responders and medical marijuana. Even back then several agencies including fire departments allowed medical marijuana use. That was six years ago...
Because of 50 years of drug war propaganda saying some drugs are bad, marijuana is stigmatized and we need to get over it. Why is it ok for a firefighter to get drunk and show up the next day hung over, but if they used marijuana a week ago and get drug tested they're fired?
It appears we lost many volunteers when drug testing was started in the 90's, it may be time to follow the Arizona Medical Marijuana Act and not discriminate against employees or volunteers who use medical marijuana.
Drug Testing
When I lived in Dolan Springs back in the 90's the fire department had six Advanced Life Support ambulances and lots of volunteers. They were often seen around the fire station with the doors open. What changed?
One reason was the economy went down, but there had to be more to it, after all volunteer firefighters save the U.S. millions of dollars each year and make up 70% of America's firefighters.
Another change was America was in the middle of President Reagan's war on drugs and drug testing was becoming big business.
Before anyone says anything let me say nobody should ever show up to work or on a call impaired, we simply don't need you there.
It seems the LMRFD lost many volunteers during that time and changes in drug policy may have had something to do with it.
When someone looks at the LMRFD drug policy it's confusing. It say's "under district policy alcohol is include within the meaning and prohibition of drugs". Application LINK It needs to be updated and please take Northern Arizona Consolidated Fire District's name out of the LMRFD application on pg 6.
It's 2019 and 33 states and the District of Columbia have legalized marijuana for medical use, 10 states and the District of Columbia have legalized marijuana for recreational use.
Our neighboring states of California and Nevada are two of the states that have legalized marijuana for recreational use. If someone use marijuana legally in Las Vegas should they be fired for failing a drug test weeks later?
In 2013 AZFamily Report did a report on first responders and medical marijuana. Even back then several agencies including fire departments allowed medical marijuana use. That was six years ago...
Because of 50 years of drug war propaganda saying some drugs are bad, marijuana is stigmatized and we need to get over it. Why is it ok for a firefighter to get drunk and show up the next day hung over, but if they used marijuana a week ago and get drug tested they're fired?
It appears we lost many volunteers when drug testing was started in the 90's, it may be time to follow the Arizona Medical Marijuana Act and not discriminate against employees or volunteers who use medical marijuana.
Saturday, March 16, 2019
Employee's Volunteer's Requirements Drug Testing and Background Checks Part 1 of 3
Employee's Volunteer's Requirements Drug Testing and Background Checks in the LMRFD. Part 1 of 3
This is a three part series on Requirements, Drug Testing and Background Checks for volunteers and employees in the LMRFD
The first part is on the requirements to become an employee or volunteer for the LMRFD. Why people don't apply as volunteers and employees and what we can do to fix it?
One thing we can all agree on it the process needs to be fair with everyone held to the same requirements and training standards.
On the Lake Mohave Ranchos Fire District's Employment page it says all applicants for Firefighter/EMS "must have Firefighter I & II, and at minimum an EMT Certification"
The LMRFD tells us they do have volunteers.
Do all current LMRFD employees and volunteers have these certifications?
If not, why not?
Are training records for volunteers and employees public?
Is there a double standard?
The last thing we need is a complaint that a current employee or volunteer doesn't meet the requirement that all applicants "must have Firefighter I & II, and at minimum an EMT Certification"
Volunteers
Let me make one thing clear, there is NO LAW in Arizona with specific training requirements for firefighters. What level firefighters are trained to is the decision of the fire chief.
I took several hundred hours of training with NACFD to become an external firefighter. At 67 I'm not putting on bunkers and an air pack to run into a burning house. BUT with proper training and equipment even us old guys can respond on fires as well as help on the ambulance.
Last year NACFD got a new 3000 gallon water tender with a top mounted monitor nozzle and joystick control. Even us old guys can sit in the cab and put water on a fire until more units arrive.
When it comes to Employee's Volunteer's Requirements Drug Testing and Background Checks in the LMRFD we need to rethink things...
This is a three part series on Requirements, Drug Testing and Background Checks for volunteers and employees in the LMRFD
The first part is on the requirements to become an employee or volunteer for the LMRFD. Why people don't apply as volunteers and employees and what we can do to fix it?
One thing we can all agree on it the process needs to be fair with everyone held to the same requirements and training standards.
On the Lake Mohave Ranchos Fire District's Employment page it says all applicants for Firefighter/EMS "must have Firefighter I & II, and at minimum an EMT Certification"
The LMRFD tells us they do have volunteers.
Do all current LMRFD employees and volunteers have these certifications?
If not, why not?
Are training records for volunteers and employees public?
Is there a double standard?
The last thing we need is a complaint that a current employee or volunteer doesn't meet the requirement that all applicants "must have Firefighter I & II, and at minimum an EMT Certification"
Volunteers
Let me make one thing clear, there is NO LAW in Arizona with specific training requirements for firefighters. What level firefighters are trained to is the decision of the fire chief.
I took several hundred hours of training with NACFD to become an external firefighter. At 67 I'm not putting on bunkers and an air pack to run into a burning house. BUT with proper training and equipment even us old guys can respond on fires as well as help on the ambulance.
Last year NACFD got a new 3000 gallon water tender with a top mounted monitor nozzle and joystick control. Even us old guys can sit in the cab and put water on a fire until more units arrive.
When it comes to Employee's Volunteer's Requirements Drug Testing and Background Checks in the LMRFD we need to rethink things...
Monday, February 25, 2019
Drones sUAV's for First Responders Part 107 Pilots Could Save Agencies Thousands
Drones are becoming more accepted and the FAA is proposing new rules on flying at night and over people without a Part 107 waiver.
It takes knowledge in a number of subjects from flight rules and regulations to reading and understanding Aeronautical maps like Sectional Charts to pass the FAA test to obtain your Commercial sUAV Certificate. It takes practice and many flight hours to become a proficient sUAV pilot.
Rural first responders could benefit greatly from contracting with Commercial sUAV pilots in rural areas. With helicopter flight costs over $1000 an hour and long response times sUAV's could assist in search and rescue, fire scene size up, or tracking suspects.
It takes thousands of dollars and many man hours to train a Part 107 sUAV pilot. It would be cost prohibitive for most small agencies or to train each firefighter or resident deputy as a pilot.
Agencies would be better served if fire chiefs and resident deputies were trained as observers for local sUAV pilots. This has two benefits, it leaves someone from the requesting agency in command of flight operations, and the fire chief or deputy are better trained to gather information for type of operation.
In fire size up an sUAV can be deployed in minutes providing information command needs to know for firefighter safety.
In some law enforcement operations where weapons are involved it's much safer to use an sUAV than put a helicopter crew at risk.
The best of both worlds this would bring business to local sUAV pilots with their Part 107 Certification and provides air support to small agencies and rural law enforcement at 1/10th the cost of a helicopter.
According to the Arizona Auditor it costs DPS Air Rescue Units cost about $1,081 per flight hour to operate and maintain.
It takes knowledge in a number of subjects from flight rules and regulations to reading and understanding Aeronautical maps like Sectional Charts to pass the FAA test to obtain your Commercial sUAV Certificate. It takes practice and many flight hours to become a proficient sUAV pilot.
Rural first responders could benefit greatly from contracting with Commercial sUAV pilots in rural areas. With helicopter flight costs over $1000 an hour and long response times sUAV's could assist in search and rescue, fire scene size up, or tracking suspects.
It takes thousands of dollars and many man hours to train a Part 107 sUAV pilot. It would be cost prohibitive for most small agencies or to train each firefighter or resident deputy as a pilot.
Agencies would be better served if fire chiefs and resident deputies were trained as observers for local sUAV pilots. This has two benefits, it leaves someone from the requesting agency in command of flight operations, and the fire chief or deputy are better trained to gather information for type of operation.
In fire size up an sUAV can be deployed in minutes providing information command needs to know for firefighter safety.
In some law enforcement operations where weapons are involved it's much safer to use an sUAV than put a helicopter crew at risk.
The best of both worlds this would bring business to local sUAV pilots with their Part 107 Certification and provides air support to small agencies and rural law enforcement at 1/10th the cost of a helicopter.
According to the Arizona Auditor it costs DPS Air Rescue Units cost about $1,081 per flight hour to operate and maintain.
Thursday, February 14, 2019
Big Change EMS can bill for on scene care
EMS Agencies benefit from Medicare's New "Fee For Service" Announcement from HHS today
HHS launches innovative payment model with new treatment and transport options to more appropriately and effectively meet beneficiaries’ emergency needs
HHS launches innovative payment model with new treatment and transport options to more appropriately and effectively meet beneficiaries’ emergency needs
Supporting ambulance triage options aims to allow beneficiaries to receive care at the right time and place
Today, the U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (Innovation Center), which tests innovative payment and service delivery models to lower costs and improve the quality of care, announced a new payment model for emergency ambulance services that aims to allow Medicare Fee-For-Service (FFS) beneficiaries to receive the most appropriate level of care at the right time and place with the potential for lower out-of-pocket costs.
“This model will create a new set of incentives for emergency transport and care, ensuring patients get convenient, appropriate treatment in whatever setting makes sense for them,” said HHS Secretary Alex Azar. “Today’s announcement shows that we can radically rethink the incentives around care delivery even in one of the trickiest parts of our system. A value-based healthcare system will help deliver each patient the right care, at the right price, in the right setting, from the right provider.”
The new model, the Emergency Triage, Treat and Transport (ET3) model, will make it possible for participating ambulance suppliers and providers to partner with qualified health care practitioners to deliver treatment in place (either on-the-scene or through telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics) to provide care for Medicare beneficiaries following a medical emergency for which they have accessed 911 services. In doing so, the model seeks to engage health care providers across the care continuum to more appropriately and effectively meet beneficiaries’ needs. Additionally, the model will encourage development of medical triage lines for low-acuity 911 calls in regions where participating ambulance suppliers and providers operate. The ET3 model will have a five-year performance period, with an anticipated start date in early 2020.
“The ET3 model is yet another way CMS is transforming America’s healthcare system to deliver better value and results for patients through innovation,” said CMS Administrator Seema Verma. “This model will help make how we pay for care more patient-centric by supporting care in more appropriate settings while saving emergency medical services providers precious time and resources to respond to more serious cases.”
Currently, Medicare primarily pays for unscheduled, emergency ground ambulance services when beneficiaries are transported to a hospital emergency department (ED), creating an incentive to transport all beneficiaries to the hospital even when an alternative treatment option may be more appropriate. To counter this incentive, the ET3 model will test two new ambulance payments, while continuing to pay for emergency transport for a Medicare beneficiary to a hospital ED or other destination covered under current regulations:
- payment for treatment in place with a qualified health care practitioner, either on-the-scene or connected using telehealth; and
- payment for unscheduled, emergency transport of Medicare beneficiaries to alternative destinations (such as 24-hour care clinics) other than destinations covered under current regulations (such as hospital EDs).
The ET3 model encourages high-quality provision of care by enabling participating ambulance suppliers and providers to earn up to a 5% payment adjustment in later years of the model based on their achievement of key quality measures. The quality measurement strategy will aim to avoid adding more burden to participants, including minimizing any new reporting requirements. Qualified health care practitioners or alternative destination sites that partner with participating ambulance suppliers and providers would receive payment as usual under Medicare for any services rendered.
The model will use a phased approach through multiple application rounds to maximize participation in regions across the country. In an effort to ensure access to model interventions across all individuals in a region, CMS will encourage ET3 model participants to partner with other payers, including state Medicaid agencies.
CMS anticipates releasing a Request for Applications in Summer 2019 to solicit Medicare-enrolled ambulance suppliers and providers. In Fall 2019, to implement the triage lines for low-acuity 911 calls, CMS anticipates issuing a Notice of Funding Opportunity for a limited number of two-year cooperative agreements, available to local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches in geographic locations where ambulance suppliers and providers have been selected to participate.
For more information, please visit: https://innovation.cms.gov/initiatives/et3/.
Friday, December 7, 2018
LMRFD is Improving Cardiac Care
I understand the LMRFD has a new automatic CPR machine. This will give patients who suffer a heart attack or sudden cardiac arrest and require CPR a chance at life.
These CPR machines do very effective CPR at the correct depth and rate and they don't get tired.
I understand the new CPR machine will be in Meadview. I would have hoped they would have it on the ambulance rather than in Meadview.
Now that cardiac patients have a chance of survival we need to teach CPR and AED use to everyone and anyone who is willing to learn, for free...
I don't care if they get a CPR card. You don't need a card to do CPR, you just need to do it in an effective manner if you want the patient to have a chance of survival.
These CPR machines do very effective CPR at the correct depth and rate and they don't get tired.
I understand the new CPR machine will be in Meadview. I would have hoped they would have it on the ambulance rather than in Meadview.
Now that cardiac patients have a chance of survival we need to teach CPR and AED use to everyone and anyone who is willing to learn, for free...
I don't care if they get a CPR card. You don't need a card to do CPR, you just need to do it in an effective manner if you want the patient to have a chance of survival.
Friday, November 2, 2018
2018 Northern Arizona Consolidated Fire District #1 (NACFD1) Board of Directors Election - Who to Vote For
2018 Northern
Arizona Consolidated Fire District #1 (NACFD1)
Board of
Directors Election - Who to Vote For
This
year's election for two vacant seats on the board is critical to saving our
fire district. Candidates Gerald Lucero and Sue Wilkin are the only choices for
the board. The district is currently operating with illegally appointed
directors, Erik Berg and candidate John Bryant. These Directors were appointed
illegally by Chairman Jim Bailey and Clerk Mike Collins and have no business
serving on our board. Since their appointment, Bailey and Collins are trying to
cover their tracks after spearheading an effort to waste public funds by
purchasing a former feed store for $500,000 in 2012 for use as a fire station.
Over six years later, the building sits without an occupancy permit and no work
has been completed. They need their cronies to help clean up this mess.
Ironically, John Bryant had never attended a board meeting and showed up
mysteriously to be appointed to a vacancy as Bailey and Collins spun a web of
lies to chase off three directors and illegally terminate the fire chief and
administrative assistant. John Bryant has no clue of what to do as a director.
Gerald
Lucero, formally served as a Battalion Chief for the Valle Vista and Hualapai
valley Fire Districts. He has a strong background in public administration
thanks to his service as a Federal employee. Sue Wilkin formally served on the
NACFD1 Board of Directors until Bailey and Collins filed false statements with
the Mohave County Attorney's Office. She has now been cleared and once again
may serve on the Board. She has previously served on the Citizen's Support
Group for the Hualapai Valley Fire District; various committees for NACFD1; and
currently serves on NACFD1's Retirement Board. Bailey and Collins will do
everything they can to stop Lucero and Wilkin from being elected. Don't fall
into their trap. Vote for Gerald Lucero and Sue Wilkin for the NACFD1 Board.
Help stop the lies and multiple claims filed against the district in the last
several months.
Wednesday, October 24, 2018
Life and Death in Dolan Springs the Lake Mohave Ranchos Fire District just passed 22,000 views
Last week the Life and Death in Dolan Springs the Lake Mohave Ranchos Fire District Blog just passed 22,000 views from all over the world....
Monday, October 8, 2018
Questions We Need to Ask..... Fire Board Candidates
The LMRFD Ambulance that covers over 2000sm's is only supported by the taxpayers of the 144sm fire district.
The ambulance needs to be run like a business and not a tax supported public service. The fire board needs to have the chief add how many calls at $3000 each the LMRFD loses to AMR in the chief's report.
The other day a second ambulance was needed at a traffic accident. The LMRFD ambulance asked AMR to respond from Kingman and AMR refused.
What type of plan does the LMRFD have if local EMS services are overwhelmed like at this accident?
What plan does the LMRFD have to provide EMS services in a major event since only one firefighter/EMT lives in the fire district?
The ambulance needs to be run like a business and not a tax supported public service. The fire board needs to have the chief add how many calls at $3000 each the LMRFD loses to AMR in the chief's report.
The other day a second ambulance was needed at a traffic accident. The LMRFD ambulance asked AMR to respond from Kingman and AMR refused.
What type of plan does the LMRFD have if local EMS services are overwhelmed like at this accident?
What plan does the LMRFD have to provide EMS services in a major event since only one firefighter/EMT lives in the fire district?
Saturday, September 29, 2018
The LMRFD ambulance is a Business So Run It Like One
There was a typical ambulance call in Meadview this morning about 8AM. Dispatch paged Rescue 415 the LMRFD ambulance. After several minutes Rescue 415 advised they were in route.
The caller in Meadview must have figured out nobody was at the Meadview station and the ambulance was coming from Dolan Springs because they canceled the ambulance and took the patient by car.
I understand because fire dispatchers refuse to give you an ETA on the ambulance, something firefighters and law enforcement do all the time. It's also something callers like in Meadview who call 911 need to know.
You should be given the ambulances ETA so you can decide if you want to wait 30-45 minutes for the ambulance or drive the patient to the hospital. You can get to kingman in about an hour, or wait 30-45 minutes for the ambulance and still have the hour drive to Kingman.
This is another example of running the ambulance like a service rather than a business and loosing thousands of dollars a day because they don't actively seek volunteers.
Each time the ambulance isn't available because of lack of manpower we the taxpayers loose $2500.
Each time the ambulance isn't available because of lack of manpower and AMR responds from Kingman we the taxpayers loose $2500.
This happens all the time... 5 times is $12,500... Just 5 times a month is $150,000 a year.....
The caller in Meadview must have figured out nobody was at the Meadview station and the ambulance was coming from Dolan Springs because they canceled the ambulance and took the patient by car.
I understand because fire dispatchers refuse to give you an ETA on the ambulance, something firefighters and law enforcement do all the time. It's also something callers like in Meadview who call 911 need to know.
You should be given the ambulances ETA so you can decide if you want to wait 30-45 minutes for the ambulance or drive the patient to the hospital. You can get to kingman in about an hour, or wait 30-45 minutes for the ambulance and still have the hour drive to Kingman.
This is another example of running the ambulance like a service rather than a business and loosing thousands of dollars a day because they don't actively seek volunteers.
Each time the ambulance isn't available because of lack of manpower we the taxpayers loose $2500.
Each time the ambulance isn't available because of lack of manpower and AMR responds from Kingman we the taxpayers loose $2500.
This happens all the time... 5 times is $12,500... Just 5 times a month is $150,000 a year.....
Friday, September 21, 2018
The Good Old Days When the Fire Station was the Center of Small Communities
Today, most people have never had the need to call the fire department for a fire or EMS and most people don't personally know any firefighters.
The lack of good information many people have about their own fire departments is a big problem especially in underserved areas.
The lack of good information many people have about their own fire departments is a big problem especially in underserved areas.
The LMRFD needs to reach out to the community, teach CPR. Teaching CPR/AED and first aid for free. Help people in this medically underserved area to learn skills to assist the firefighters.
People who participate in training at the local fire department usually come away with a greater appreciation of their firefighters and can become huge allies in future efforts to improve service
Explorer and volunteer programs are a great way to get teenagers, young adults, and even old folks involved in community service. These programs provide greater opportunities for local people to become involved with their fire department they're often great recruiting tools.
The fire station used to be where the guys hung out in small communities. Most were volunteer firefighters and others just friends who stopped by. The fire station doors were usually open and the firefighters friendly and inviting. The few times I've stopped by the fire station in Dolan when someone does crack the door open they look out like what do you want. Monday, July 16, 2018
NACFD1 Petition Signing
NACFD1 Petition Signing
For those interested in helping your local fire district, the Friends of the Northern Arizona Consolidated FD #1 will be circulating petitions for the following:
If you are concerned about the continuing diminished services in Valle Vista, Truxton, Valentine, Chloride and along Stockton Hill Road North of Kingman, please consider signing our petitions.
We will be at the following locations:
- Recall of current directors Mike Collins and Jim Bailey
- Election of former Valle Vista FD Battalion Chief Gerald Lucero as Director in the November election
- Election of former NACFD1 Director Sue Wilkin in the November election
If you are concerned about the continuing diminished services in Valle Vista, Truxton, Valentine, Chloride and along Stockton Hill Road North of Kingman, please consider signing our petitions.
We will be at the following locations:
- 7/16/18 600 PM Valle Vista Propery Owners Association Monthly Meeting (Before and after meeting at clubhouse)
- 7/25/18 400 - 700 PM 2143 Northern Ave. Kingman, AZ (Next to the old smoke shop)
Sunday, July 1, 2018
LMRFD Drug Policy and Volunteers.. Need Your Opinion
I've brought the problem with the LMRFD application and the districts drug policy before. Now I need your opinions..
This is what the LMRFD Drug Policy says......
The policy says "The District prohibits the use, sale, transfer, being under the influence and/or reporting to work after using illicit drugs"
As I read the part that says "Under District policy, alcohol is included within the meaning and prohibition of drugs".
I understand this to say it includes alcohol the same as illicit drugs and employees can't use, sell, transfer, or be under the influence of drugs or alcohol off duty or on duty.
MY QUESTION
If alcohol is included within the meaning and prohibition of drugs, can employees drink alcohol off duty?
I you read this the way I do then employees or volunteers can't even have a beer on the 4th of July.
So why would anyone volunteer, and why are current employees allowed to disregard the drug policy?
How hard is it to change the wording to be more understandable.
ALSO
Please it's obvious you just copied the NACFD application but at least take out the wording that says you're applying for Northern Arizona Consolidated Fire District and not Lake Mohave Ranchos Fire District
LMRFD Application July 1st 2018
This is what the LMRFD Drug Policy says......
The policy says "The District prohibits the use, sale, transfer, being under the influence and/or reporting to work after using illicit drugs"
As I read the part that says "Under District policy, alcohol is included within the meaning and prohibition of drugs".
I understand this to say it includes alcohol the same as illicit drugs and employees can't use, sell, transfer, or be under the influence of drugs or alcohol off duty or on duty.
MY QUESTION
If alcohol is included within the meaning and prohibition of drugs, can employees drink alcohol off duty?
I you read this the way I do then employees or volunteers can't even have a beer on the 4th of July.
So why would anyone volunteer, and why are current employees allowed to disregard the drug policy?
How hard is it to change the wording to be more understandable.
ALSO
Please it's obvious you just copied the NACFD application but at least take out the wording that says you're applying for Northern Arizona Consolidated Fire District and not Lake Mohave Ranchos Fire District
LMRFD Application July 1st 2018
Sunday, June 24, 2018
Does the LMRFD Look for Full Time Firefighters, or is the Good Ol' Boy system alive and well in the LMRFD.
The majority of LMRFD firefighters only work part for the LMRFD while living and working full time for other fire districts in the area.
So why doesn't the LMRFD advertise for full time firefighter EMT's or paramedics? Every time I ask why the LMRFD doesn't hire full time firefighters, I'm told no firefighters want to work here.
But wait all the chiefs buddies work here? Rather than look for full time employees Chief DeMaio hires his buddies from neighboring fire districts. Paramedics make almost $700 per shift plus benefits and retirement costs. They work 2 days at their fire district, 2 days at LMRFD and still get 2 days off...
So rather than look for full time firefighters who want to live in the fire district, it appears the Good Ol' Boy system is alive and well in the LMRFD.
Young firefighter EMT's want to use their skills, not sit around. In states like Washington where fire departments are under civil service a young firefighter wanting to work for Spokane Fire Department will take the civil service test. Then wait to see where they are on the hiring list that will be used for the next two years, if there are any openings.
Even young firefighter's who placed high on the list that want to work now had better look somewhere else to work until a job at Spokane Fire Department opens up sometime in the next two years.
I know in 2015 LMRFD paramedics were making $13.98 an hour, or $669.69 per 48 hour shift, or $2678 a month plus benefits of approximately $800 a month. Thats working 10-11 days a month with 19-20 days off a month.
We live in a place where people bring their ATV's, 4X4's and other toys to play. We have good weather all year, compared to being ass deep in snow up north.
You can't tell me if the LMRFD would advertise at firefighting schools nation wide, that young firefighters wouldn't come here to work 10 days a month for $3500 (with benefits) a month, and play with their toys the other 20 days.
The LMRFD needs to advertise at fire schools nation wide, like other fire districts.
So why doesn't the LMRFD advertise for full time firefighter EMT's or paramedics? Every time I ask why the LMRFD doesn't hire full time firefighters, I'm told no firefighters want to work here.
But wait all the chiefs buddies work here? Rather than look for full time employees Chief DeMaio hires his buddies from neighboring fire districts. Paramedics make almost $700 per shift plus benefits and retirement costs. They work 2 days at their fire district, 2 days at LMRFD and still get 2 days off...
So rather than look for full time firefighters who want to live in the fire district, it appears the Good Ol' Boy system is alive and well in the LMRFD.
Young firefighter EMT's want to use their skills, not sit around. In states like Washington where fire departments are under civil service a young firefighter wanting to work for Spokane Fire Department will take the civil service test. Then wait to see where they are on the hiring list that will be used for the next two years, if there are any openings.
Even young firefighter's who placed high on the list that want to work now had better look somewhere else to work until a job at Spokane Fire Department opens up sometime in the next two years.
I know in 2015 LMRFD paramedics were making $13.98 an hour, or $669.69 per 48 hour shift, or $2678 a month plus benefits of approximately $800 a month. Thats working 10-11 days a month with 19-20 days off a month.
We live in a place where people bring their ATV's, 4X4's and other toys to play. We have good weather all year, compared to being ass deep in snow up north.
You can't tell me if the LMRFD would advertise at firefighting schools nation wide, that young firefighters wouldn't come here to work 10 days a month for $3500 (with benefits) a month, and play with their toys the other 20 days.
The LMRFD needs to advertise at fire schools nation wide, like other fire districts.
Sunday, June 17, 2018
Common Sense? What Does Common Sense Tell You About this Picture?
They say a picture is worth 1000 words. I hope this image of all the fire districts in Mohave County and the LMRFD CON does this for you..
The brown line outlines Mohave County. The blue square in the red line is the Dolan portion of the LMRFD. The two little blue spots just above are the Meadview portion of the LMRFD.
The red line is approximately the 2200 square miles in the LMRFD CON.
The brown line outlines Mohave County. The blue square in the red line is the Dolan portion of the LMRFD. The two little blue spots just above are the Meadview portion of the LMRFD.
The red line is approximately the 2200 square miles in the LMRFD CON.
As you can see the LMRFD is much larger than most of the other fire districts in the county. The CON or ambulance coverage area area covered by our 2-3 firefighters is larger than all the other fire districts in the county combined.
We need to ask why the taxpayers in the small medically under served communities of Dolan Springs and Meadview support an ambulance that covers an area larger than ALL OTHER FIRE DISTRICTS in Mohave County?
We need to reduce the area of the LMRFD to the area of the fire district. We're told the ambulance needs the money from calls.
The majority of calls are from the populated areas in Dolan and Meadview. How much does the ambulance make, or lose on calls outside the fire district? Does anyone know?
The taxpayers in those two little blue dots on the map can not be expected to support EMS for such a huge area.
Thursday, June 14, 2018
Fire an Example of WHY We Need to Separate the LMRFD Fire Service from Ambulance
I hope other people have a problem with it taking an hour to an ambulance to a call, especially when it's an injured firefighter.
When one of our firefighters suffers heat exhaustion working a fire in 100 degree temperatures and rather than have the volunteer resources to use our NEW $163,000 ambulance, they call for AMR ambulance from Kingman. CORRECTION The Ambulance was $163,000
At yesterdays fire on Ivy one of our firefighter who risk their lives to protect us suffered heat exhaustion fighting the fire. There seemed to be some confusion on the call about if an ambulance was needed.
Around 4 PM LMRFD advised they had a firefighter with heat exhaustion a requested AMR respond from Kingman.
At 4:17 PM LMRFD asked dispatch if AMR was responding, they weren't. Dispatch asked if this was for a transport, and LMRFD told them yes, this was a firefighter with heat exhaustion that needed transport.
At 4:41 LMRFD again checked on AMR telling dispatch that they needed a Delta Response, red lights and siren...
At 4:54 PM AMR finally arrived and the firefighter wasn't finally transported at 5:04 PM.
Something is wrong when we have a $163,000 ambulance is sitting a mile away while a firefighter suffering heat exhaustion. Waiting an hour for an ambulance on any EMS call is just wrong. When one of our firefighters is injured they need to become the priority.
The LMRFD put a volunteer firefighter through the recent EMR Emergency Medical Responder course and should be nationally certified by now.
The LMRFD should be asking the Arizona EMS Bureau why the Arizona Revised Statutes say an EMR can work on an ambulance and assist EMT's and paramedics and drive the ambulance.
AGAIN a two man crew, one EMT and one paramedic can not run a cardiac arrest call and transport. It takes a minimum of 3 preferably 4 people to run a cardiac arrest and do EFFECTIVE CPR on scene or in the ambulance during transport.
When one of our firefighters suffers heat exhaustion working a fire in 100 degree temperatures and rather than have the volunteer resources to use our NEW $163,000 ambulance, they call for AMR ambulance from Kingman. CORRECTION The Ambulance was $163,000
At yesterdays fire on Ivy one of our firefighter who risk their lives to protect us suffered heat exhaustion fighting the fire. There seemed to be some confusion on the call about if an ambulance was needed.
Around 4 PM LMRFD advised they had a firefighter with heat exhaustion a requested AMR respond from Kingman.
At 4:17 PM LMRFD asked dispatch if AMR was responding, they weren't. Dispatch asked if this was for a transport, and LMRFD told them yes, this was a firefighter with heat exhaustion that needed transport.
At 4:41 LMRFD again checked on AMR telling dispatch that they needed a Delta Response, red lights and siren...
At 4:54 PM AMR finally arrived and the firefighter wasn't finally transported at 5:04 PM.
Something is wrong when we have a $163,000 ambulance is sitting a mile away while a firefighter suffering heat exhaustion. Waiting an hour for an ambulance on any EMS call is just wrong. When one of our firefighters is injured they need to become the priority.
The LMRFD put a volunteer firefighter through the recent EMR Emergency Medical Responder course and should be nationally certified by now.
The LMRFD should be asking the Arizona EMS Bureau why the Arizona Revised Statutes say an EMR can work on an ambulance and assist EMT's and paramedics and drive the ambulance.
AGAIN a two man crew, one EMT and one paramedic can not run a cardiac arrest call and transport. It takes a minimum of 3 preferably 4 people to run a cardiac arrest and do EFFECTIVE CPR on scene or in the ambulance during transport.
Friday, June 8, 2018
There is a Difference Where You Train and I Found When You Train... How I've Found EMS Has Changed
I recently completed my 80 hour EMR Emergency Medical Responder training and passed my National Registry of Emergency Medical Technicians test to become a Nationally Registered Emergency Medical Responder.
The training today was certainly different than my training back in 1984. They have had great advances in EMS training, medications and equipment. I noticed things had changed in EMS but there were also drastic changes in the way emergency departments are ran.
I did much of my EMS training at the emergency room at County Hospital in Los Angels. Ya it was way back in 1984 the Olympics were in town as well as millions of extra people from all over the world and it was a crazy time in EMS. Emergency Medicine was in it's beginning and they were starting to train paramedics across the U.S.
NOTE for General Hospital Watchers
Across the street from the County Hospital in Los Angels was the womans hospital. So the main County Hospital building was know as General Hospital. The big gates you see at the beginning of soap opera General Hospital are the entrance to LA County Hospital Emergency Department...
If you have ever had an interest in emergency medicine and how we got from emergency rooms to emergency departments, from family physicians to emergency medicine physicians, and first aiders to paramedics, County Hospital and what was called C-booth was where emergency medicine was born......
One review said: The documentary Code Black is about County Hospital in Los Angeles and the emergency doctors who work there, and the young physicians, physician assistants, and paramedics who train there. It is literally a gut-wrenching portrait of a small square footage of space where we’re told more people have died and been saved than anywhere else in the United States. It’s a 50 by 25 foot section of the County ER called “c-booth.”
The training today was certainly different than my training back in 1984. They have had great advances in EMS training, medications and equipment. I noticed things had changed in EMS but there were also drastic changes in the way emergency departments are ran.
I did much of my EMS training at the emergency room at County Hospital in Los Angels. Ya it was way back in 1984 the Olympics were in town as well as millions of extra people from all over the world and it was a crazy time in EMS. Emergency Medicine was in it's beginning and they were starting to train paramedics across the U.S.
NOTE for General Hospital Watchers
Across the street from the County Hospital in Los Angels was the womans hospital. So the main County Hospital building was know as General Hospital. The big gates you see at the beginning of soap opera General Hospital are the entrance to LA County Hospital Emergency Department...
If you have ever had an interest in emergency medicine and how we got from emergency rooms to emergency departments, from family physicians to emergency medicine physicians, and first aiders to paramedics, County Hospital and what was called C-booth was where emergency medicine was born......
It's sad but today emergency medicine is about privacy,
liability, and paper work, and not medicine....
Code Black shows you the change from saving lives at the Old County Hospital, to doing paper work at the New County Hospital
One review said: The documentary Code Black is about County Hospital in Los Angeles and the emergency doctors who work there, and the young physicians, physician assistants, and paramedics who train there. It is literally a gut-wrenching portrait of a small square footage of space where we’re told more people have died and been saved than anywhere else in the United States. It’s a 50 by 25 foot section of the County ER called “c-booth.”
As crazy as things got on the popular ER drama, that show doesn’t hold a candle to the insanity
that happened at “C-booth,” where the worst trauma cases were taken. The horde
of doctors and PA’s and EMT’s that surround a dying man looks like what would
happen if you dropped the guy in the middle of a crowded Tokyo train.
If you have Netflix check out Code Black the Documentary
Be Safe Be Prepared Learn CPR and First Aid
Thursday, June 7, 2018
WE have been told over and over that "the LMRFD Certificate of Necessity Can NOT be Changed So WHO CHANGED IT?
WE have been told over and over that "the LMRFD Certificate of Necessity Can NOT be Changed... Period.....
REALLY!!! Then WHO CHANGED IT?
At one time the LMRFD had the resources to cover the 2200 square mile CON or Certificate of Necessity form the state. WHY Can't we change the area covered by the LMRFD Ambulance since our resources have changed from seven ambulances to one.
At one time the LMRFD web page said the fire district had seven ALS (Advanced Life Support) ambulances and four rescue vehicles with extradition equipment...
At the LMRFD board meetings we have been told over and over that the LMRFD CON Certificate of Necessity can NOT be changed. Period... NOT TRUE
The image below is a map of the LMRFD CON Certificate of Necessity issued by the Arizona EMS Bureau.
As you can see the CON covers a huge area that extends into Coconino County. The LMRFD Does NOT RESPOND to calls in the eastern part of the CON or in Coconino County.
In fact, if you look at a map, you can't get there from here....
To get from the LMRFD fire station in Dolan Springs to the eastern part of the CON is on Route 66. From Dolan Springs to Frazier Wells is 116 miles and takes a little over 2 hours to get there... If responding from Meadview it's 133 miles and 2 1/2 hours to get there.
We need to ask why if the CON can NOT BE CHANGED, who made this change, is it legal to reduce the CON area without advising the MS Board.
If they reduced the CON in this case, why can't we reduce the CON to cover the 144 square mile fire district. If people in White Hills want fire and ambulance service join the fire district and pay their fair share or start their own fire district and ambulance.
Currently the taxpayers in the 144 sm LMRFD are the only one's supporting the basic fire and EMS services. Yes people in White Hills pay when they call the ambulance.
I question how much the LMRFD has recovered responding to fires outside the district like the fire at Rosie's Den and others.
How much do we get is kind of a moot point if our only firefighters are up in White Hills when your home burns down or your husband dies of a heart attack.
Why don't the taxpayers in the LMRFD get it? Why is the LMRFD Ambulance the ONLY fire ambulance that covers 2000 square miles OUTSIDE their fire district.
If we had seven ALS (Advanced Life Support) ambulances and four rescue vehicles with extradition equipment and volunteers around the fire district, we could cover 2200 sm's...
BUT we don't, we have one ambulance...
We have a broken EMS service in the LMRFD and it needs fixed....
REALLY!!! Then WHO CHANGED IT?
At one time the LMRFD had the resources to cover the 2200 square mile CON or Certificate of Necessity form the state. WHY Can't we change the area covered by the LMRFD Ambulance since our resources have changed from seven ambulances to one.
At one time the LMRFD web page said the fire district had seven ALS (Advanced Life Support) ambulances and four rescue vehicles with extradition equipment...
At the LMRFD board meetings we have been told over and over that the LMRFD CON Certificate of Necessity can NOT be changed. Period... NOT TRUE
The image below is a map of the LMRFD CON Certificate of Necessity issued by the Arizona EMS Bureau.
As you can see the CON covers a huge area that extends into Coconino County. The LMRFD Does NOT RESPOND to calls in the eastern part of the CON or in Coconino County.
In fact, if you look at a map, you can't get there from here....
To get from the LMRFD fire station in Dolan Springs to the eastern part of the CON is on Route 66. From Dolan Springs to Frazier Wells is 116 miles and takes a little over 2 hours to get there... If responding from Meadview it's 133 miles and 2 1/2 hours to get there.
We need to ask why if the CON can NOT BE CHANGED, who made this change, is it legal to reduce the CON area without advising the MS Board.
If they reduced the CON in this case, why can't we reduce the CON to cover the 144 square mile fire district. If people in White Hills want fire and ambulance service join the fire district and pay their fair share or start their own fire district and ambulance.
Currently the taxpayers in the 144 sm LMRFD are the only one's supporting the basic fire and EMS services. Yes people in White Hills pay when they call the ambulance.
I question how much the LMRFD has recovered responding to fires outside the district like the fire at Rosie's Den and others.
How much do we get is kind of a moot point if our only firefighters are up in White Hills when your home burns down or your husband dies of a heart attack.
Why don't the taxpayers in the LMRFD get it? Why is the LMRFD Ambulance the ONLY fire ambulance that covers 2000 square miles OUTSIDE their fire district.
If we had seven ALS (Advanced Life Support) ambulances and four rescue vehicles with extradition equipment and volunteers around the fire district, we could cover 2200 sm's...
BUT we don't, we have one ambulance...
We have a broken EMS service in the LMRFD and it needs fixed....
Subscribe to:
Posts (Atom)