City Council

LODI CITY COUNCIL AGENDA – Shirtsleeve Session Date: October 5, 2021 Carnegie Forum Time: 7:00 a.m. 305 West Pine Street, Lodi For information regarding this Agenda please contact: Jennifer Cusmir City Clerk Telephone: (209) 333-6702 Notice Regarding Public Comments Public Comment may be submitted in the following ways: • In-person – The Carnegie Forum is open to the public in accordance with CDPH and CalOSHA guidelines. • Zoom Webinar  Meeting ID: 934 5571 9476  Passcode: 583605  Phone number: 1 669 900 9128  Link: https://zoom.us/j/93455719476?pwd=NDdhc1E4OEZyYWV3d2pDY1U5SjVZZz09 • Email – councilcomments@lodi.gov  Received no later than two hours prior to the meeting • Mail – City Clerk’s Office, P.O. Box 3006, Lodi, CA 95241 • Hand delivered to: City Clerk’s Office, 221 W. Pine Street, Lodi, CA 95240  Received no later than two hours prior to the meeting A. Call to Order / Roll Call B. Topics B-1 Receive Presentation Regarding Lodi Fire Department Transitioning to Advanced Life Support Program (FD) C. Comments by Public on Non-Agenda Items THE TIME ALLOWED PER NON-AGENDA ITEM FOR COMMENTS MADE BY THE PUBLIC IS LIMITED TO FIVE MINUTES. Public comment may only be made on matters within the Lodi City Council's jurisdiction (Government Code Section 54954.3, Lodi City Council Protocol Manual Section 6.3l). The Council cannot take action or deliberate on items that are not on this agenda unless there is an emergency and the need to take action on that emergency arose after this agenda was posted (Government Code Section 54954.2(b)(2)). All other items may only be referred for review to staff or placement on a future Council agenda. If you wish to address the Council, please refer to the Notice at the beginning of this agenda. Individuals are limited to one appearance during this section of the Agenda. D. Adjournment Pursuant to Section 54954.2(a) of the Government Code of the State of California, this agenda was posted at least 72 hours in advance of the scheduled meeting at a public place freely accessible to the public 24 hours a day. ______________________________ Jennifer Cusmir City Clerk Revised 10/2021 9/27/2021 3:42 PM **Notice: Pursuant to Government Code §54954.3(a), public comments may be directed to the legislative body concerning any item contained on the agenda for this meeting before (in the cast of Closed Session items) or during consideration of the item. All staff reports or other written documentation relating to each item of business referred to on the agenda are on file in the Office of the City Clerk, located at 221 W. Pine Street, Lodi, and are available for public inspection. Agendas and staff reports are also posted on the City’s website at www.lodi.gov. If requested, the agenda shall be made available in appropriate alternative formats to persons with a disability, as required by Section 202 of the Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12132), and the federal rules and regulations adopted in implementation thereof. To make a request for disability-related modification or accommodation contact the City Clerk’s Office as soon as possible and at least 72 hours prior to the meeting date. Language interpreter requests must be received at least 72 hours in advance of the meeting to help ensure availability. Contact Jennifer Cusmir at (209) 333-6702. Solicitudes de interpretación de idiomas deben ser recibidas por lo menos con 72 horas de anticipación a la reunión para ayudar a asegurar la disponibilidad. Llame a Jennifer Cusmir (209) 333-6702. Meetings of the Lodi City Council are telecast on SJTV, Channel 26. The City of Lodi provides live and archived webcasts of regular City Council meetings. The webcasts can be found on the City's website at www.lodi.gov by clicking the meeting webcasts link. Members of the public may view and listen to the open session of this teleconference meeting at www.facebook.com/CityofLodi/ or https://zoom.us/j/98343457003?pwd=Vm14anRKUm9PWURFb0JnbThSWDFOdz09.  AGENDA ITEM B-01 CITY OF LODI COUNCIL COMMUNICATION TM AGENDA TITLE: Receive Presentation Regarding the Lodi Fire Department Transitioning to an Advanced Life Support Program MEETING DATE: October 5, 2021 PREPARED BY: Fire Chief ____________________________________________________________________________ RECOMMENDED ACTION: Receive Presentation Regarding the Lodi Fire Department Transitioning to an Advanced Life Support Program BACKGROUND INFORMATION: Fire Chief, Ken Johnson, will provide a presentation to inform council about the Advanced Life Support program and the Assistance to Firefighters Grant. FISCAL IMPACT: Not applicable _________________________________ Ken Johnson Fire Chief APPROVED: _________________________________ Stephen Schwabauer, City Manager  Lodi Fire Department Advance Life Support Program CHIEF KEN JOHNSON  Fire Department’s role in Emergency Medical Services 24 41 1422  The Lodi Fire Department responded to 6,954 calls for service in 2020, many of which were related to EMS. 3576  3,576 calls for service were reported as EMS related where our firefighters performed Basic Life Support (BLS) 1966 skills.  This number can be misleading. Every call has some level of an EMS component. 13  The Fire Department was often first on scene providing BLS care while EMS - First on scene 2135 EMS Assist with care waiting for an ambulance. EMS Rescue EMS Good Intent EMS Support EMS Miscelaneous Good Intent Calls ALS Response within FOUR minutes  Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend beyond Basic Life Support (BLS). It is used to provide urgent treatment to cardiac emergencies such as cardiac arrest, stroke, myocardial infarction, and other conditions.  High-quality cardiopulmonary resuscitation and early defibrillation should be performed within the first 3-4 minutes of a patient experiencing sudden cardiac arrest.  The American Heart Association recommends ALS be performed within the first 8 minutes of sudden cardiac arrest or another cardiac emergency for the patient's best chance of survival. BLS versus ALS?  Basic Life Support  Advanced Life Support  Basic Assessment  Advanced Assessment  CPR  Complete Use of a Defibrillator  Basic Airway Management  Advanced Airway Skills  Patient Extrication  Intravenous Therapy  Basic Shock Management  Medication Delivery  Bleeding Control  Pain Management  Administer Oxygen  Management of Large Scale Incidents (MCI)  Spinal Immobilization  Advanced Triage Capabilities  Automatic external defibrillator (AED)  Advanced Scope of Pre-Hospital  Joint and Long-bone stabilization Medical Treatment. Current State of EMS in San Joaquin County  Fire Department (non-transport) ALS  Fire Department (non-transport) BLS Providers in San Joaquin County. Providers in San Joaquin County.  Ripon Fire District  Clements Fire District  South San Joaquin County Fire Authority  Collegeville Fire District (Tracy)  Escalon Fire District  Stockton Fire Department  Farmington Fire District  Lathrop-Manteca Fire District  French Camp-McKinley Fire District  Liberty Fire District  Linden Peters Fire District  Lodi Fire Department  Manteca Fire department  Mokelumne Fire District  Montezuma Fire District  Thornton Fire District  Waterloo Morada Fire District  Woodbridge Fire District. What is the Community Benefit?  Community Benefit of a Fire Based ALS Program  Increase in the level of EMS while waiting for an ambulance  Better Care for ALL of our citizens  City Support Services  Critical Care for job related injuries  Tactical Paramedics  TEMS TEAMS – Partnership with Lodi Police Department  Rescue Task Force  Special Events  ALS care for our Firefighters (Rehab, Injuries, Medical Conditions) One-Time Costs  Start up costs  ALS EMS SUPPLIES $54,000  Defibrillators (5) $200,000  Training Equipment $25,000  Labeling Apparatus $3,000  Paramedic School $13,500 Full Burden Cost for Implementation Phased Implementation (Year One) 3 Paramedics $348,953 6 Paramedics $618,005 9 Paramedics $887,058 12 Paramedics $1,231,910 On Going Costs  Phased in implementation  3 Paramedics $181,350  6 Paramedics $282,800 Retrieved from Emergency Rescue 51 - Bing images  9 paramedics $384,250  12 Paramedics $486,500  12 Paramedics ensures that there will be one Paramedic on each of our four Engine Companies twenty-four hours a day, seven days a week.  LFD would have four paramedics every day. The goal would be to increase that to eight on duty each day, two paramedics on each engine company. On going Costs Continued Comparable City Incentive  Paramedic Incentive Pay Stockton 6% - 9% Tracy 13%  Negotiated Benefit between the City and Consumnes $750 per month Vacaville 12% Lodi Professional Firefighters. Fairfield 10%, 7.5%, 5% Roseville 17%  Medical Director  Sub-contracted Physician for oversite and the procurement of medical supplies and medications. ($10,000 per year)  EMS Specialist  Part-time RN ($75,000)  Contracts for services  ECG Monitor Maintenance  Lucas Device Maintenance  Oxygen Service How we get there TRAINING BUDGET PROCESS ACCREDITATION Apply for an Assistance for • Requesting funds for one • National registry Paramedic Firefighters Grant (AFG) for time purchases of Accreditation. paramedic training. equipment. • California State Emergency • Tuition and Books • Requesting an increase in Medical Service Authority funds of EMS supplies. Certification. • Overtime to attend school • Request an add-pay for fire • San Joaquin County • Cover costs for backfilling department staff that Emergency Medical open positions during the provide paramedic services. Services Authority. paramedic training. • Request for a full time • The goal is to initially train budget analyst position. twelve (12) members with a long term goal of thirty(30) • Request for a part time CQI paramedics, two (2) on Nurse. each Engine Company. Deployment Phase One • Engine 2 – Staffed with one paramedic on each shift. • Engine 3 - Staffed with one paramedic on each shift. • Engine 1 – Staffed with one paramedic on each shift. • Engine 4 – Staffed with one paramedic on each shift. Phase Two • Engine 2 – Staffed with two paramedic on each shift. • Engine 3 - Staffed with two paramedic on each shift. • Engine 1 – Staffed with two paramedic on each shift. • Engine 4 – Staffed with two paramedic on each shift.