Ambulance Advisory Committee

AMBULANCE ADVISORY COMMITTEE MEETING MINUTES August 16, 2012 9:00 AM Meeting held at: Division of Public Health & Community Services 18 Mulberry Street Nashua, NH 03060 Meeting called to order at 9:05 a.m. by Kerran Vigroux, DPHCS Director AAC Members Present: Kerran Vigroux, Director of Public Health & Community Services Richard Conway, Nashua Fire Department Fran Dupuis, St. Joseph’s Hospital Scott Cote, Southern NH Medical Center AMR Representatives: Christopher Stawasz, AMR Operations Manager Roland Vaillancourt, AMR Operations Manager Public Attendees: None Members were given Minutes from the June 21, 2012 meeting, the AMR Reports for June and July 2012, and an Agenda for the August 16, 2012 meeting. Motion made to accept the Minutes from the June 21, 2012 meeting. Fran Dupuis accepted the motion to approve Minutes Richard Conway seconded the motion All in Favor – Unanimous Minutes Approved Chris Stawasz  AMR June and July Reports o July was a much slower month than normal, with approximately 60 less transports than a usual month. o AMR conducted an MCI disaster drill in July, and there was excellent participation from Nashua health and safety agencies, including both hospitals.  The next disaster drill will be held in November. o There will be flu shot clinics for AMR people during the upcoming months.  We hope for 100% compliance, but it cannot be mandated.  Scott Cote – SNHMC people have to have proof of allergies in order to be exempt from receiving the flu shot; or if none, they must wear a mask during flu season.  Fran Dupuis commented that St. Joseph Hospital has a similar policy. o Will provide in-service coverage for upcoming events, including “National Night Out”, “Touch A Truck” and varsity football games for Nashua North, Nashua South and Bishop Guertin high schools. o AMR will be working with the Nashua Police Department SRT team to provide training for their members. o We are working with the Senior Activity Center to donate an automated external defibrillator to them for their main activity room.  CPR training will be provided for their staff. o Kerran asked about Bath Salts  Chris stated that the State of New Hampshire changed their protocol to allow additional meds when “state of mind / lack of mind” symptoms create a dangerous situation.  Discussion was held regarding cases at both hospitals.  There will be a discussion group regarding Bath Salts that will start in the fall.   Review of the Q2 2012 CQI Report: April 1, 2012 – July 31, 2012 o LUCUS2 o A total of 19 patients were treated and transported for pre-hospital cardiac arrests, and of those, 13 were treated with the LUCUS2 device.  Three patients did not meet LUCUS2 sizing standards.  One patient survived to be discharged from the hospital. o ASA Protocol Compliance o 29 patients with chest pain/suspected MI were treated by AMR.  6 of those patients were excluded from the ASA protocol, either by having been treated with ASA prior to AMR’s arrival or by having a condition that precludes ASA.  100% of the remaining 23 patients received ASA treatment as per protocol. o Patient Satisfaction o Chris reviewed the information contained in the individual pie charts and will include percentages in next month’s reports. o Scott asked how AMR arrives at the numbers in the charts.  Chris stated that these numbers are a sampling of 500 people per quarter  Questionnaires are sent randomly. o According to returned surveys, overall patient satisfaction remains high, and efforts are underway to improve the sample size. o Caring for Maria Update o The Caring for Maria Update program was officially launched last month, and AMR Nashua is participating in the “Other Things that Matter” area of the program.  Chris reviewed the “Other Things that Matter”, including Airway Ventilation; STEMI/Stroke and Pain and Discomfort.  Jason is on vacation this week, but for the next meeting he will be back and will update everyone. Kerran asked if there were any questions for Chris. There were none. Kerran opened the meeting to Public questions and comments. There were none. Kerran Vigroux requested a motion to adjourn. Fran Dupuis moved to adjourn the meeting. Richard Conway seconded the motion. All in favor: Aye Meeting ended at 9:45 a.m. The next AAC Meeting will be held on Thursday, October 18, 2012 at 9:00 a.m., at the City of Nashua, Public Health and Community Services building, located at 18 Mulberry Street, Nashua. Respectfully Submitted, Barbara Scacco Administrative Assistant II City of Nashua