FINANCIAL REPORT - Steve Cordes reported that all services have paid dues. Two outgoing payments have been made this month: Website domain $11.25 Medical Director $1375.00 This leaves a balance of: $4598.05

Motion made by Gary Victorson, seconded by Dan Diamon, to approve the financial report. Motion carried.

MEDICAL DIRECTOR - Discussion about lower cost options for 12-lead ECG equipment. Is reading what the machine says to the ER interpreting the rhythm?

Last month we discussed transport decisions based on staffing levels at MMC. Dr. Schulz encouraged EMTs to request talking to the ER physician/medical control and documenting the transport decision and physician name on the patient run report.

Discussion about intranasal administration of several drugs. Dr. Schulz will discuss possibility with Dr. Wesley, especially use of NARCAN as could be potentially life-saving. Training would need to include use of the intranasal device, dealing with a combative patient when they awaken, people you don't use with, etc. Perhaps this could be proposed as a potential pilot project.

LAKE SUPERIOR RTAC - Dan Diamon reviewed upcoming training - PHTLS, PHTLS instructor, regional conference in cooperating with Life Link III, and trauma basics. Discussion - MMC unable to access reports from WARDS.

EMERGENCY MANAGEMENT - Jan Victorson presented a handout on radio narrowband conversion. This will affect every jurisdiction, every agency. The Regional State Communications Interoperability Plan (SCIP) Implementation Council is working to coordinate the move to narrowband in this region in order to minimize the challenges with communicating with our neighbor and the need for reprogramming of radios. The WISCOM system was also discussed.

AUTO-PULSE - The auto-pulse machine is considered an advanced skill by the state of Wisconsin. Barnes will be submitting a protocol for its use to the State of Wisconsin. This will be forwarded to MDAC for consideration/inclusion in the Council protocol book.

MMC - Merrilee Carlson announced that MMC has a walk-in clinic open from 10 AM to 10 PM. MMC has also changed its trauma designation from a Level 3 to a Level 4 due to loss/availability of a surgeon.

WITC - Cindy Lazorik was unable to attend the meeting but sent information with Gary Victorson. A Basic Class is scheduled to start September 9th and will meet on Tuesday/Thursday thru April 28th. A second Basic Class is scheduled to begin December 12 and will meet on Monday/Wednesday/Saturday thru April 25th. The National Registry exam is schedule for May 14th.

QUALITY IMPROVEMENT REVIEW - Discussion about establishing a formal review process that includes an educational component for those situations that currently appear to be criticism of EMTs. Steps discussed include: · Develop form for use in reporting · FAX report to Jonathan at St. Lukes · Jonathan review / forward to Keith · Keith review; decision as to required follow-up · Medical Director(s) make contact with those involved Assessment of the situation would be based on a documented medical thought process, following protocol, and any other questions. This form/process could be used by any/with any hospital to which we transport. MDAC assigned the task of more accurately defining the process including potential use of the existing MMC Referral form as a model.

FIREHOUSE FIFTY - Mason Ambulance is requesting assistance from the EMS Council EMS personnel for the Firehouse 50 weekend, especially for the bike race on Saturday, July 31st. Contact either Joe Schick or Gary Victorson to volunteer.

EMS Provider license extended; services will be notified. EMT/EMR licensure currently in process with all services.

EMS LEADERSHIP COURSE - The Office of Rural Health is sponsoring an EMS Leadership Course on July 23 and 24 in Ashland. The presenters are well respected in the EMS community.

FORM 003 - Discussion related to Form 003 in the protocol book. Most services have a generic refusal of treatment form that is signed for everything. The instruction sheet given statement could be deleted. Consensus that the paperwork and liability associated could increase the burden on the EMT/Service. Use and instruction sheet a service decision, not endorsed by the Council.

ID CARDS - Discussion about whether or not expiration dates to coincide with license expiration should be included on ID cards. Consensus that this is a service decision.

INFECTIOUS DISEASE CONTROL PLAN - Merrilee announced that she if working on an update to the Infectious Disease Control Plan, basically the disease information. Sarah Waby is the MMC Infection Control Office. Ashland Fire Department has requested training on the plan. It has been scheduled for either September 27, 28, 29 from 9 AM to 11 AM. Other services would be welcome.

NEXT MEETING - The next meeting is scheduled for Thursday, July 22, 2010 - 7:00 PM.

MDAC will meet at 5:30 PM.

Motion made by Gary Victorson, seconded by Dan Diamon, to adjourn the meeting. Motion carried. Meeting adjourned.

IN ATTENDANCE

Merrilee Carlson   MMC/Ashland
Steve Cordes   Mason Ambulance
Dan Diamon   Lake Superior RTAC
Brett Friermood   Barnes Ambulance
Viola Friermood   Barnes Ambulance
Dean Hambrecht   Great Divide
Mary Ross   Madeline Island
Jonathan Schulz   Medical Director
Gary Victorson   Iron River Ambulance
Jan Victorson   BA Emergency Management

the need for documentation that allows for positive, educational feedback to EMTs and positive interface between pre-hospital and hospital personnel.