FINANCIAL REPORT - Steve Cordes was unable to attend the meeting but sent a report with officers. We have a balance of $504.85 after paying the insurance bill of $1000. Invoices for dues have been sent to services and member agencies.

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

MEDICAL DIRECTOR - Jan Victorson reported that a letter has been drafted to St. Luke's documenting Dr. Jonathan Shultz participation with the Council as medical director. St. Luke's will be covering his medical malpractice insurance as he serves in that role.

Jonathan shared contact information: Cell phone: 218.213.1039 St. Luke's ER: 218.249.5616 Although he has his cell phone with him at almost all times, it does not work while in the hospital. If you cannot reach him by cell phone, try St. Luke's ER.

Jonathan reported that he has been reviewing all calls from the nine services in WARDS for his own education in order to become more familiar with documentation and the demographics of calls per services. He will email service directors through the WARDS as he is reviewing runs, making suggestions, sharing ideas, etc. Some may require no further action. If he has a specific question he may request a response from the service director. He will also be using the "pull down list" as reviewed or completed to note when he has reviewed. If a run requires review - mark it that way.

CQI - Jonathan noted that he has received a few CQI forms requesting review. He and Dr. Wesley are reviewing them. Just a point of information - using a helipad at a facility is independent of using/involving the hospital. There is no EMTALA violation with using a hospital helipad to transfer a patient from ambulance to helicopter.

PATIENT REPORT - Both Merrilee Carlson and Jonathan stressed the importance of having a patient report left at the hospital when the patient is delivered. The current paper reports are appreciated. At minimum the report should summarize what the patient first looked like, what was done, and what was the result. Merrilee provided copies of the paper report she developed.

LEADERS - Discussion about the billing software program being used by LifeQuest. Three services in the Council are using/will soon be using this service. Information put into LEADERS will downloaded to WARDS on Tuesday and Thursday. Jonathan will only be using WARDS to do run review. There was ongoing discussion about moving to a paperless system.

RTAC - Dan Diamon reported that the PHTLS class (Pre-Hospital Trauma Life Support) offered in Washburn was very well received. There were 21 EMTs in attendance. A second PHTLS class will be offered at the end of April and will be held in the Sawyer County Ambulance Station/Hayward. An instructor class will be held on Saturday, March 26th in the Spooner area.

Additional information: · The next meeting of the RTAC is March 10th in Spooner. · The PSA competition information has been delivered or mailed to schools in the region. · Trauma Basics is still being offered. Contact Dan Diamon at [email protected] . · Trauma Basic Version 2 will be offered beginning in July. This course will focus more on pediatric trauma. · A mock crash is being planned for Northwestern High School/Maple. · The Newsletter will be forwarded by email soon. · Patient Tracking System - each RTAC is being asked to identify two agencies that would be willing participants in a pilot project. OJA is awarded grant funds of $5000 to purchase wristbands, airtime, scanner, etc. for those participating. There are several grant requirements and the grant will need to be filed by the agency.

MMC - Merrilee stated that MMC wants to assist services in their electronic filing. Let her know if different computer/printer equipment is needed to make this happen.

There still are some days when there is no ortho or surgeon services available at MMC.

CO GUIDELINE - The CO Alarm guideline under review for Bayfield County Dispatch was reviewed. There was consensus to reformat the guideline to include the listing of possible symptoms but not give the idea that each had to be asked about. No other questions.

REHABILITATION - Jan reported that several folks from Bayfield County had attended training in Duluth related to the new Rehabilitation Standard developed by NFPA. She asked if there were others who might be interested in working on a regional project that would develop a firefighter rehabilitation program. This project would need to include all risk factors, not just CO, education for firefighters as to the potential adverse effects and health risks of fighting fire, benefits of rehabilitation at a fire scene, education for EMS as to what to look for, how to assist, etc. One suggestion was to develop a partnership with WITC (both fire and EMS) to offer ongoing training to be included in conjunction with house burns. Lyn Cornelius, Tam Hofman and Gary Victorson agreed to work with Jan on the project.

HEMS - Ed Hofstrand reported that the state Air Medical group is looking at suggesting use of MARC 4 for a statewide landing zone frequency.

NARROWBAND - Jan distributed information related to narrowband migration. There was discussion as to timelines - Ashland County planning for August; Bayfield County planning for September and potential distortion in radio communications during the transition.

WISCOM - Jan mentioned that the Wisconsin Interoperable System for Communications (WISCOM) is being built out. This is a VHF (radio frequency band we are currently working in) digital system. There was discussion about making sure Wisconsin ambulance providers will be able to talk with Minnesota hospitals with their move to the ARMER system (800 mHz).

PROTOCOLS - Merrilee state she had not received a protocol book. She also suggested that we look at developing a "hyperglycemia" protocol. This protocol issue was assigned to MDAC.

There was discussion about the availability of a checklist or guideline for stopping of CPR without contact with medical direction. Jonathan will talk with Keith.

Best wishes to Mary Ross on her new adventures as she retires from being an EMT with and Director of the Madeline Island Ambulance. Patti Hobin will be taking over as service director on March 1, 2011.

NEXT MEETING - The next meeting of the EMS Council will be held the fifth Thursday, March 31st. The agenda will include the review of the Exposure Control Plan.

Motion made by Tam Hofman, seconded by Mary Ross, to adjourn the meeting. Motion carried. Meeting adjourned.

IN ATTENDANCE

Merrilee Carlson MMC Lyn Cornelius Bayfield Dan Diamon Lake Superior RTAC Dean Hambrecht Great Divide Tam Hofman APIS and South Shore Ed Hofstrand Life Link III Mary Ross Madeline Island Jonathan Shultz Co-Medical Director Gary Victorson Iron River Jan Victorson BA Emergency Management