NASSAU REGIONAL EMS COUNCIL, INC.
131 Mineola Boulevard, Suite 105
Mineola, NY 11501
Phone: 516-542-0025
FAX: 516-542-0049
Email: [email protected]
Minutes of the May 4, 2016 Meeting
Nassau University Medical Center
Chairman Scott Glazer called the Council to order at 2:10 P.M.
Members Present:
Kenneth Adams, RN
James Ajamian
Tamara Bloom, MD
Anthony Boutin, MD
Bruce Cohn, J D
Paul Divver
Gary Ferrucci
John Hassett
David Linzer, RN
Thomas Mastakouris
James Neitz
Vincent Papasodero
Barry Rigney, RN
Mark Safford, MD
Peter Timinelli
Members Excused
Members Absent
Bernard Beckerman, MD
Marc Bodnar
Frank Chester
Thomas Durfee
Annemarie Glazer, RN
Scott Glazer
Jane Gonzalez
Judith Jax, RN
Evelyn Mulvaney, RN
Ronald Bagan
Allen Cherson, DO
Craig Craft
Ann DeSimone, RN
Joseph Greensher, MD
James Romagnoli
Alternates Attending for Members
Council Member
Scott Glazer
Alternate
Scott Kemins
Alternates Attending with Members
Council Member
Anthony Boutin
Gary Ferrucci
David Linzer
Barry Rigney
Peter Timinelli
Alternate
Grace Ting
Victor Politi
Mark Tomlin
Donald Hudson
Steven Gerardi
Guests
Mary Harms
Michael Mazzola
Brian Sherwood
Staff
Jaclyn Weiser
Drew Fried
Gary Benedis
Charles Mackie
Robert Kennedy
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 2 of 13
Moment of silence for those recently murdered in the line of duty and for those serving.
Approval of the Minutes of the Previous Meeting
A motion was made by Divver/Timinelli to accept the minutes of the March 2, 2016 meeting –
motion carried unanimously.
Chairman’s Report – Scott Glazer
Chairman’s report read by Vice Chairman Papasodero.
• Thanks to NUMC for hosting the meeting today
• I apologize for missing this meeting but I am sent out of town on work business
• I would like to thank the hospitals for their support of EMS with the dinners and
CME's
• EMS Week is May 15th- May 21st This is a great opportunity to showcase our
prehospital care
• Several upcoming events:
May 9th - Northwell CLI Simwar May
1Qth - Winthrop CME/Dinner May 17th NUMC CME/Dinner
May 17th - NYS EMS Memorial Service
May 19th - NS Manhasset CME/Dinner/Awards May
19th - EMS night at Citifield
May 21 - NUMC/East Meadow FD Softball Invitational
• Thank you to Gary and everyone who assisted for another excellent FRED
• We have been making important strides - we all need to be on the same page and
work together for a common goal of improving prehospital care in our region.
Vice Chairman – Vincent Papasodero
• Apologized for missing last meeting was at state council meeting.
• Excusals are Bernard Beckerman, Marc Bodnar, Frank Chester, Thomas Durfee, Annmarie
Glazer, Scott Glazer, Jane Gonzalez, Judith Jax and Evelyn Mulvaney.
Secretary/Treasurer’s Report – Gary Ferrucci
The Council’s financial report is as follows:
Balance as of February 16, 2016
Checks 6768 – 6778
Deposits & Interest
Balance as of April 16, 2016
$
-$
+$
$
115,784.69
3,053.65
18,487.52
131,218.56
NYS EMS Council Representative’s Report
• See attached report.
Presentation of Correspondence
See attached listing (hand out at meeting) of correspondence to and from the Council.
Executive Director’s Report – John Hassett
• We have shipped 2012 and 2013 PCRs and we are continuing to ship 2016 to FEDCAP.
Nassau Regional EMS Council
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MAY 4, 2016 Minutes –Page 3 of 13
We were notified by the DOH that Meadowmere Park Fire Department has an expired
Ambulance Operating Certificate.
Q.I. Coordinator’s Report – Frank Chester
Committee Reports
Executive – Scott Glazer
• No meeting.
Communications – Jane Gonzalez
• No meeting
Disaster Planning & Coordinating – James Romagnoli
• No meeting.
Education & Training – Frank Chester
• No meeting.
Legal & Governmental Affairs – Bruce Cohn
• No meeting.
Membership – David Linzer
• Progress
Public Education –– Gary Ferrucci
• Fred 4 was a success. Thank you to all who helped and all that attended.
EMS Systems – Paul Divver
• Two response Matrix changes are pending.
REMAC – Mark Safford, MD
• See attached minutes
Hospital ED – Scott Glazer
• No meeting.
RTAC – Annemarie Glazer
• No report. Next meeting in June.
A motion was made by Cohn/Ajamian to accept the Officers and committee reports - passed
unanimously.
Unfinished Business
New Business
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Draft Protocols for review:
Protocol III. C Vascular Access/ Fluid & Medication Management
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 4 of 13
Protocol III. Y Obstetric/Pregnancy Related
Election of Officers
Election of Members
Appointment of Council Alternates and Committee Members
Appointment of Lisa Lang Gross as alternate to James Ajamian. - Passed Unanimously
Appointment of Bernard Robinson as alternate to James Neitz. - Passed Unanimously
Appointment of Anthony Conrardy to the Education and Training Committee. - Passed
Unanimously
Appointment of Tracy Abamont to the Public Education Committee. - Passed Unanimously
Appointment of Jim Roth to the Education and Training Committee and the Public Education
Committee. - Passed Unanimously
Appointment of James Neitz to the Communications Committee and to REMAC as non-voting
member. - Passed Unanimously
Re-appointment of the following voting members to REMAC:
Alex Axelrad, MD
Allen Cherson, DO
Victor Politi, MD
Mark Safford, MD
Joseph Stambouly, MD
Good of the Council
Vice chairman Papasodero announced that the next Council meeting is scheduled for
Wednesday, June 8, 2016 at 2:00pm, at Nassau University Medical Center.
Adjournment
A motion was made by Divver/Ajamian that the meeting be adjourned – motion passed
unanimously – meeting adjourned at 1421 hours.
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 5 of 13
NYS STATE EMS COUNCIL
Meeting – March 1-2, 2016
Officers
Chairman– Dan Blum – outgoing speech. Steven Kroll – long incoming speech.
1st Vice Chairman – Patti Bashaw – No report.
2nd Vice Chairman – Dr. Alexandreu – No report.
Staff Report
Lee Burns – Transcare bankrupt, creates problems in Dutchess, NYC, Putnam & Westchester
counties
• Down 2 staff in NYC office.
• Part 800 changes – all in final phase.
• Blood regulations – 2 agencies in State have applied, 1 approved so far.
• BLS protocols on the website are now up-to-date.
• Trauma – Cohens Level 1 Pediatric, Winthrop Adult Level 1 & Level 2 Pediatric
verification pending, South Nassau Communities Hospital Level 2 visit pending, (ACS
decertified Good Sam in SUFFERN).
• Trauma info is available on BEMS website.
Emergency Departments are still complaining about not receiving PCR/ePCR with patient.
SEMAC
Chairman Dr. -Doynow
• 2nd MOTION to approve NYC protocol changes – Passed
• 2nd MOTION to approve Suffolk protocol changes – Passed
• 2nd MOTION to rescind SEMAC Advisories 97-01 & 97-02 – Passed
• 2nd MOTION to amend the Hemorrhage Control protocol to apply tourniquet at least 3 in
above wound not over a joint and to add in an unstable scene or if the extent of the
wound cannot be fully assess in the field then the tourniquet should be placed proximal
and high & tight – Passed.
• 2nd MOTION to approve BLS acquisition of 12 lead ECG in field (as a regional option) –
Passed.
• Lengthy discussion on check & inject syringe pilot program and the fact that it is in direct
opposition with Policy 10-01 which requires that all BLS ambulance have AED and Epi
Auto-injector.
Medical Standards –
• Looking at reviewing the SEMAC Advisories.
• Item writing for exams is looking for physician participation.
• LB – there is an effort, by an agency appealing to the Governor’s office, to shorten the
BLS EMT course to 80 hours.
• Chair asking regions to look at standardizing protocols across the state.
• Protocols on website are now up-to-date.
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 6 of 13
Airway obstruction removal tool discussed as a replacement for normal suction devices, this
did not appear to be gathering any support.
PIER
Michael Reid – Awards submission date was previously changed from 6/1 to 5/1 due to need
to meet national deadline.
Education & Training
M. McEvoy for (M. Washington) – 2nd MOTION to rescind the requirement for CLI & CIC for a
NYS written exam score of 85 or greater within 3 years prior to certification or recertification –
Passed.
• Exam for instructors will start May 2016. Will have online registration for a 50 question
test, must get 70% or better to pass. 2nd MOTION to require as of May 2016 a onetime
passing score on the NYS CLI or CIC exam for initial or recertification – Passed.
• New CLI course approved, it will be 24 hours in length. Sponsors can charge and get
reimbursed. 2nd MOTION to approve the revised NYS CLI curriculum as distributed –
Passed.
• Transcare filed bankruptcy, VOM’s will be good for about 1 year.
• Planning more regional faculty roll outs by October 16th.
• Exam for instructors will start May 2016. Will have online registration for a 50 question
test, must get 70% or better to pass.
• Certification cards – BEMS is looking to get cards out within 3 weeks of the test.
• Total tested in 2015 was 19,375.
• CPAP is a regional option for BLS personnel; this is not a curriculum addition.
• Ambulance Epi project is in doubt at this time.
• Practical exam for spinal injury will remain the same. Spinal restriction is now part of the
curriculum and should be taught.
BEMS portion of NAMSE instructor course is now on-line. Anyone that would like to take the
course can take it.
Finance
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Budget template going out soon. Need back ASAP.
Discussion on flat funding or worse.
Discussion on course sponsor reimbursement for the administrative actions done as
part of the CME program.
Cash ceiling issue was discussed, while the EMS budget is $19.8 million, the Bureau is
given a cash ceiling of $16 million.
EMS Systems
Ron Hasson – Controlled substance report (500+ have current licenses)
• See note on REMSCo CONs
• Discussion on BLS-FR in unique settings (campus, industrial, etc.)
• Continuity of Operations Plans (CoOP) – BEMS is looking for all agencies to develop
and maintain a Continuity of Operations Plan as per Policy13-09. Long discussion.
Nassau Regional EMS Council
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MAY 4, 2016 Minutes –Page 7 of 13
TAG for Transfer of Operating Authority (TOA) – has worked up a draft and it will be
shared with REMSCo’s for comment.
Legislative
Les Freemantle –
• A1175 – to remove REMSCo from Muni CON process – 2nd MOTION to oppose
approval – Passed.
• A1431 – Exempt sales tax on new/used ambulance sales – 2nd MOTION to support –
Passed.
• A1512 – Establish methodology for fair Medicaid reimbursement for ambulance – 2nd
MOTION to support - Passed
• A2043 – require ambulance to provide accident victim with info on available insurance
benefits – 2nd MOTION to oppose – Passed.
• A2058 – allow ambulances to provide care outside of primary territory in emergencies –
2nd MOTION to oppose – Passed.
• A3788 – exempt sales tax on diesel fuel for commercial ambulances – 2nd MOTION to
support – Passed.
• A8702 – to make motorist responsible to move over when passing a Blue, Green, or
Yellow light – 2nd MOTION to support – Passed.
• Community paramedicine – passed by Assembly but pulled by the Senate at nursing
organization and home healthcare (HCANYS) urging. HH is major stumbling block.
May have to negotiate a deal with HH for this to move forward.
• Minimum wage – issues being raised to State about the need for State to cover the
cost.
Safety Tag
Butch Hoffman – Incident reporting form still being worked on.
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Looking at Part 800 as it relates to safety in ambulance design.
Looking at use of lights & sirens on transports.
Work place violence will be looked at for education of personnel.
EMS-C – Sharon Chimento
• Looking at pediatric respiratory distress protocols.
• Looking at sepsis and newborn transports.
Respectfully submitted,
John J. Hassett
State Council Representative
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 8 of 13
Nassau Regional Emergency Medical Advisory Committee
RE M AC M eeting Summ ary
Apri l 6, 201 6
Physician Members
Present
X
Alex Axelrad, M.D.
Anthony Boutin, M.D.
X
Allen Cherson, D.O.
X
Nenad Grlic, D.O.
Exc
John J. Hassett, Jr. M.D.
X
X
Neil B. Kirschen, M.D.
David S. Kugler, M.D.SEMAC/Sec
X
X
Josh Kugler, M.D.
Chair
Thomas Kwiatkowski, M.D.
X
Josh Moskovitz, M.D.
X
Victor Politi, M.D.
John C. Rohe, M.D.
Exc
James Ryan, M.D.
Mark Safford, M.D.
X
Joseph Stambouly, M.D.
Exc
Grace Ting, M.D.
VC
X
John Zaso, M.D.
X
Joseph A. Zito, M.D.
X
Other Members
Kenneth Adams, RN, EMT-P
Frank Chester, EMT-CC
Bruce Cohn, JD, EMT-CC
Ann DeSimone, RN
Paul Divver Jr., EMT-P
Gary Ferrucci, EMT-CC
Annemarie Glazer, RN
Scott Glazer, EMT-CC
Mary Harms
John J. Hassett, EMT-CC
Ernest Heeren, EMT-CC
Judith Jax, R.N.
David Linzer, RN
Evelyn Mulvaney
Guests
Michael Guttenberg, MD
Sara Cardozo
Gary Kaplan
Daniel Pignataro
Matthew Corless
Alan Schwalberg
Michael Mazzola
Guests
Christine Fico
James Downey
Thomas Mastakouris
Don Hudson
Charles Mackie
Jason Katz
X
X
X
X
X
X
X
Vincent Papasodero, EMT-CC
Barry Rigney, RN, EMT-P
Peter Timinelli, EMT-P
Present
X
X
Exc
Exc
X
X
X
X
Exc
X
X
Exc
X
X
X
X
X
X
Call To Order
Call to order at 2:20PM by Dr. J. Kugler, Chairman. Meeting held at Nassau University
Medical Center.
Approval of Minutes
MOTION to approve minutes of February 3, 2016, by Kirschen/Zaso – passed unanimously.
Correspondence
In-coming: -- Dr. D. Ng, NUMC – Request Appointment to REMAC
• Dr. M. Safford – Response to Letter of Intentions on Attendance
• Dr. M. Guttenberg, NHCEMS – Request Appointment to REMAC
Nassau Regional EMS Council
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MAY 4, 2016 Minutes –Page 9 of 13
Dr. D. Pidedjian, WUH – Request Appointment to REMAC
Wantagh-Levittown VAC – Request to use Image Trend for ePCR
Baldwin FD – Request to Participate in Check & Inject Pilot Program
Bethpage FD – Request to Participate in Check & Inject Pilot Program
Plainview FD – Request to Participate in Check & Inject Pilot Program
Wantagh FD – Request to Use BLS CPAP
Wantagh FD – Request to Participate in Check & Inject Pilot Program
Wantagh FD – Request to Use BLS 12-lead ECG
Manhasset-Lakeville FD – e-mail Request to Participate in Check & Inject Pilot
Program
East Rockaway FD – e-mail Request to Participate in Check & Inject Pilot
Program
South Farmingdale FD – Request to Participate in Check & Inject Pilot Program
North Bellmore FD – Request to Participate in Check & Inject Pilot Program
Mineola VAC – e-mail Request to Participate in Check & Inject Pilot Program
Bellmore-Merrick EMS – Request to Participate in Check & Inject Pilot
Out-going: -- Ed & Training Committee – Request Cautions be included in training for both Tibia &
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Humerus Intraosseous.
Bellmore-Merrick EMS – Approved for BLS CPAP
Franklin Square FD – Approved for BLS CPAP
Dr. M. Safford – Request Attendance Intentions
Nassau REMSCo – Recommending re-appointment of voting members of the
REMAC
REPORTS
Chairman – (JK) – Spoke on the Check & Inject Pilot Program. Thanked all agencies for
bringing requests to the REMAC. Reminded all that requests that require REMAC approval
must come to the REMAC direct, not through the State, and must have the Agency Medical
Director signed on for it to be considered.
SEMAC – (DK) – see attached report.
Q.I. Subcommittee – (JZ) – ALS database was updated as of 3/29 and there are currently 825.
Had 60 referrals to QI with no trends. Baldwin FD was approved to use Alpine software.
Currently there are 25 agencies approved to use ePCR and 17 are actively using them.
Vendors that are approved in Nassau are: EMS Charts, Red Alert, Image Trend, Rescue
Medics, iPCR, Sansio, and Fire Rescue.
Protocol Subcommittee – (JR) – no meeting.
Credentials Subcommittee – (DK) – no meeting.
Policy Subcommittee – (NK) – no meeting.
Regional Trauma Advisory Committee – (JJ) – Dr. Axelrad – question on action on their
request regarding prehospital trauma notifications. Policy subcommittee will meet to move this
forward. Discussion on ACS designations, such as provisional, upgraded, etc.
Unfinished Business
Nassau Regional EMS Council
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MAY 4, 2016 Minutes –Page 10 of 13
Medication Shortage – Drug shortages list was provided, it is getting shorter, now down to
just 1 page.
Voting Member renewals – Response to our letter about intentions was received from Dr.
Safford. Motion by Kirschen/Zaso to recommend to the REMSCo that Dr.Safford be
reappointed to voting membership on the REMAC – Passed unanimously.
ALS Protocol Revisions – Question on III.C, does not include IN for Glucagon and III.Y why
not Ativan or Versed. On III.C – discussion on IN administration, no FDA or manufacturer
approval or recommendation for administration via IN – MOTION to amend protocol III.C to
add IN administration of Glucagon (caveat that Agency Medical Directors have the option of
not allowing there personnel to use IN administration) – Passed with 2 NO votes. On III.Y –
discussion on why Ativan and Versed are not included in this protocol MOTION to add
Ativan & Versed as “or” in Medical Control Options – Passed unanimously.
Stroke data sheet – pre-arrival info for EMS to transmit to MedCon/Ops for retransmit to
receiving hospital – thanks to Winthrop Hospital for sharing this form.
New Business
• Inter-regional Protocol Agreement (Nassau, NYC, Suffolk) – the existing agreement was
formalized into a written agreement for all regions to sign as a BEMS requirement for the
regions.
• EMS physician credentials in Nassau – referred to Credentials subcommittee for further
review for on-scene physicians.
• Discussion on the Check & Inject Pilot Program and the need for the REMAC to participate
in the program MOTION by JKugler/Kirschen to submit certification to program that Nassau
meets their requirements and applications will be submitted – Passed 1 NO vote. It was
pointed out that all agencies that participate must still carry EpiPens as per DOH policy.
Additional lengthy discussion was held.
Announcements
Meeting adjourned at 3:30PM.
Next Meeting Date:
Wednesday, June 1, 2016 at 2:15pm
Nassau University Medical Center –Auditorium
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 11 of 13
NYS SEMAC 3/1/2016 Notes of proceedingsMedical Standards Cmte:
New Business:
NYC ALS Protocols for approval:
There was discussion about use of IN glucagon including the off label use of glucagon. This is already a
Western Region (AKA-Collaborative Protocol) SEMAC approved route. The NYC changes were
passed including IN glucagon.
Suffolk Co EMS protocols:
Nor-epi: create a standard dose rather than weight based dosing-changed.
Dextrose, d50 and d10- give glucagon first then start the d10 drip
Medical control options-It was asked why not provide drug dose ranges for the docs: this was mentioned
that there is a specific reason for this, not to limit the physicians in their practice of medicine.
Additionally, the catastrophic use of medical control options has been removed. So the medic will not be
able to use without contact to MD
Old business:
Review of policies/advisories from SEMAC: two long outdated SEMAC advisories: 97-01 on
hemophilia and 97-02 recommending biphasic AEDs were voted on to be removed.
Lee Burns: A Rural NY local supervisor is looking to shorten the training requirements for the EMT
training program. She brought this up to the NAEMSE to be sent out to other states. Feedback is that
the EMT-B is “too long” nationally. NYS teaches to the national guidelines, not a particular time limit.
But the classroom time ends up being 180 hours. Students are tested on the national requirements. She
mentions that this is a financial issue for the more rural ems crews and counties.
Collaborative Protocols, state wide protocols: All regions are being asked to look at these protocols and
adopt them to standardize EMS care in NYS. Even for NYS- Nassau (yes our region) is being asked to
do a side by side comparison of their protocols and the collaborative protocols. ****
TK Placement: There was extensive discussion on the protocol. What was resolved is the followingPlacement should be 3 inches proximal to wound, unless situation demands high and tight, eg mci,
urgent placement in unstable environment, unable to determine location of bleeding on extremity. The
protocol on the state website will be re-worded.
Lastly, if tk placed or if pt meets criteria- transport to NYS regional trauma center.
There was a discussion to update the part 800 supply list since it was last modified when created in
1987. This is to include the tourniquet.
Informational: –NYS BNE controls narcotics here, but other states do not have a BNE type of
enforcement and thus allows controlled substances to be used under standing orders.
Life-vac device discussion: voted not to be approved for ems use as a suction device. It is able to be
used by non-ems units.
Dr Henry mentioned that the body traditionally approves standards not devices.
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 12 of 13
SEMAC meeting notes
Subcommittees:
Ed and Training-Mike McEvoy, CLI and CIC INSTRUCTOR exams are set to begin in May. IF YOU
ARE EXPIRING IN MAY YOU NEED TO TAKE THIS EXAM INSTEAD OF THE STATE EMS
WRITTEN EXAM. First will be rescinding requirement for 80% exam score for 3 years initial and
recert exam. Will be sent to SEMSCO for vote. New requirement: for May 2016 cli and cic will need
to get a passing score on this credentialing exam. The rest is the same for all nys ems exams a 70% is
passing. With the ability to take second time, if failed second time a remediation process will be done.
New CLI curricula-approved by the committee will be asked for approval. Lean initiative-Bureau will
begin to print cards in house to expedite process of cards.
(the following excerpted from www.mikemcevoy.com ) Training and Education (T&E) reported a
landmark year for EMS testing in 2015 with a total of 19,375 exams given, the highest since 2011.
Below are some stats of interest:
Level
# tested
pass rate
pass rate
2015
2015
2014
CFR
3,720
92.15%
91.87%
EMT
13,556
83.61%
82.12%
AEMT
117
72.13%
51.6%
CC
322
89.3%
89.13%
P
1,660
87.68%
88.23%
CPAP skill is a regionally approved option, and the training needs to be done under a regionally
approved program, initially by an ALS CIC then once up and running a certified BLS CIC in the
future. As a body in Nassau, we need to re-visit the approved programs to make sure there is a NYC
CIC involved in the initial credentialing. I’m not sure we did this last meeting.
Medical Standards- 5 items
1 and 2) NYC and Suffolk protocol changes were accepted
3) Motion to rescind 97-01 and 97-02 (hemophilia and biphasic aed) MMA
4) Language changes to hemorrhage protocol-passed
5) BLS acquisition of 12 lead for transmission to physician-passed
Bureau Report-Lee Burns;
1) Transcare bankruptcy-NYC, Westchester, Putnam, Duchess Counties have rallied to recover
from this loss of 911 units. “None of the ambulance services are too big or too small to fail!!”
Continuity of Operations plan was reviewed as a result of this closure. This is happening all over
the state, and some agencies are closing without a plan.
2) Bureau staffing: down 2 ems reps in NYC, she discussed how bems is financed as a special
revenue account. Main office is also short staffed.
Nassau Regional EMS Council
MAY 4, 2016 Minutes –Page 13 of 13
3) Ems not providing emergency departments with pcrs is a statewide concern
4) no pre-notifications with trauma notifications per STAC- or units are making notifications at
the back door of the facility, not giving hospital enough time to mobilize resources needed before
ems unit arrives.
5) Parts: 800-5 and 800-12 changes (narcotics and reciprocity) regulations are nearing
completion
6) blood regs: 2 apps received, 1 approved will try and standardize review process to make the
approval process more streamlined and easier for all (applicants and reviewers)
7) BLS protocols on web page are most current since 2005. Don’t panic if it does not look
pretty, but they are there. The ones that have not been updated appear as in past.
8) Reminders: ems memorial may 17th empire plaza 6 deaths added (lodi)-[be careful]
memorial has been expanded
9) Next meeting 5/24 in troy
10) STAC-Cohen’s Children’s is level 1, NYU-Lutheran level 1 adult, Good Sam in West Islip
upgraded to provisional level 2 adult and peds. Hospitals Pending approval (had survey):
Bellvue, Mt Sinai St Lukes, Winthrop. Scheduled: Jacoby, Jamaica, NY Hospital Queens,
SNCH, Albany Med Center, Vassar Brother’s-provisional level 2 Poughkeepsie . Good Sam in
Suffern has been DE-designated as provisional.
Check and inject: update- 236 agencies enrolled 42 career 112 volunteer 84 remainder mix. 17
REMACs, 1245 kits placed in service. 0 utilization called in so far. Agencies are looking to get rid of
epi pens- but this is a demonstration project, and agencies must maintain the epi-pens until
demonstration is complete. So do not remove from budget. Lee Burns also asked that the epi pens
not get taken off the ambulance remaining as a backup.
Submitted by Dr. David Kugler, SEMAC Representative