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Home My WebLink AboutDocumentation_Regular_Tab 11C_6/13/1996 Memo To: Thomas G. Bradford, Villag e=r From: James M. Weinand, Fire C //fr Date: May 3, 1996 Re: Request Approval to Purc - - one Marquette Electronics 12 Lead ECG Monitor/Defibrillator with Associated Accessories On July 20, 1995, we applied for a Matching Emergency Medical Service Grant from the Florida Department of Health and Rehabilitative Services. This grant request was for a third 12 Lead ECG Monitor/Defibrillator at a cost of $14,500.00. In accordance with the grant guidelines, if any grant is awarded by the State, they will pay 75% of the cost and the applicant is responsible for the other 25%. I am happy to report that this grant was approved, and the Village of Tequesta was issued a check for $10,875.00. I request that we accept this grant and that we purchase one 12 Lead ECG Monitor/Defibrillator from Marquette Electronics. This monitor will be our third unit, thus assuring that our two Advanced Life Support (ALS) units are always equipped with a 12-lead cardiac monitor at all times. Currently, if one of our monitors is taken out of service for routine maintenance or repairs, we have to borrow a monitor from one of the surrounding agencies. I also request that we utilize $3,625.00 from the Fire-Rescue Impact Fee account to fund the balance of this purchase. This fund was set up for the expansion and improvement of the Fire-Rescue Service, and I feel that this purchase falls within that intended criteria. As of March 31, 1996, the fund balance was $6,573.75. Attached is a copy of the Grant application along with the quotation from Marquette Electronics. If you find that this request is appropriate, please forward same to the next Village Council Agenda. • JMW Pt " marquette E200 West Tower Avenue Milwaukee.WI 53223 U.S.I. 414.355.5000 Fax 414.35S.3790 April2.4, 1996 Lt Nathanson Tequesta Fire Department 357 Tequesta Drive Tequesta, FL 33469 Dear Lt. Nathanson: The quotation you requested from Marquette Electronics for the defibrillator is enclosed. After you have had an opportunity to look over the enclosed, if you have any questions or if I may be of any further assistance, please contact me at(800) 558-5544. Sincerely, OfAtiLU Rtie(A,01 74-- Donald Pleasants Sales Representative DP/tb Enclosure marquette. Quotation Number: 990.1.1 el ectro n i cs Date: 24 Apr 1996 Bill To: Tequesta Fire Department •Ship To: Same as Billing Address 357 Tequesta Drive ATTN: ACCOUNTS PAYABLE Tequesta, FL 33469 Attn: Lt. Nathanson • Marquette Electronics, Inc.is pleased to submit this quotation and offers to sell the following products described herein at prices and terms stated. subject to your acceptance of the terms and conditions on the last page hereof and SUBJECT TO CREDIT APPROVAL This quotation expires 60 days from the above date unless otherwise indicated within. Page 1 • Item Qty. Description . Unit Price Total 1 Responder 1500-SLP Full Featured Defibrillator/Monitor 14,220.00 14,220.00 Part Number: 1500VI-DAA-CBCX Full Featured,Semi-Automatic Defibrillator/Monitor with • Non-Invasive Pacer, 12 Lead Analysis Program,and Integral Direct Digital Writer FEATURES: * High Resolution LCD Monitor Display * Disposable Pre-Gelled Pads for Improved,Faster Defibrillation and Operator Safety * User Defined Operating Parameters via Custom Setup Facilities * Meets Military Standards for Shock, Vibration,Humidity and Altitude * Integral Direct Digital Writer(DDW) * Full Disclosure Digital ECG Recording (via Data Card) * Computerized Simultaneous 12 Lead ECG Analysis * Marquette 12SL Physicians's Guide * Series 1500 Operators Manual * Series 1500 Service Manual * BMS II Service Manual * Operators Manual * Wallchart . * See Attached Specification Sheet for • r i v■. Marqbette Elecronics, Inc.- Quotation Number: 990.1.1 a�,c item Qty. Description Unit Price Total Warranty Information • • English Language Operating Software • Compatible with I20V 50/60Hz Line Power INCLUDES: • NiCad Battery Pack • Two Extra NiCad Battery Packs • Single Battery Management System II • One 3-Lead Patient Cable • Two Sets of Defibrillator Pads • One Pack of ECG Monitoring Electrodes • Direct Digital Writer Paper • Padded,Rain Resistant Carrying Case • Patient Data Card(80 Minutes) • AM-4 with Grabber Adapters - AHA Color Coding 2 2 CARRYING CASE 1250/1500 RED 125.00 250.00 Part Number: 416339-001 3 5 3-LD PT CBL 1200-1500 DEFIB 90.00 450.00 Part Number: 300/34322/USA 4 4 BATTERY NI-CAD 1.6AH ASSY 130.00 520.00 Part Number: 409366-001 5 1 ECG SIMULATOR 363.60 363.60 Part Number: 9266-001 6 2 CABLE HOST DEFIB 50 INCHES LG 75.00 150.00 Part Number: 700044-108 7 1 KIT 10 LEADWIRE 145.00 145.00 Part Number: 900177-001 8 1 TRANSMISSION PACKAGE 1500 250.00 250.00 Part Number: 900370-001 Group Total 16,348.60 Less 13%Equipment Discount(Item 1 only) -1,848.60 Total 14,500.00 990.1.1 Marquette Elecronics, Inc.- I Quotation Number: Item Qty. Description Unit Price Total NOTE: Quoted prices do not reflect State and Local Taxes if applicable. TAX EXEMPTION NUMBER: FDA Required Tracking Information: (Cannot Process Without) • End Users Name:Lt.Nathanson Title: Lieutenant Phone Number:407-525-6250 * If purchasing equipment,please sign the last page of quotation and fax entire quotation to Southeastern Emergency Equipment at (919)556-1048. NOTE: Purchase Order is to be made out to Southeastern Emergency Equipment. • Quotation Summary Page Page 4 of 4 Account: Tequesta Fire Department Quotation Number: 990.1.1 Quotation Total: 14,500.00 F.O.B: Milwaukee, WI Freight Charges: Customer Account This quotation may be used as a Purchase Order by filling in the information enclosed in this area. Shipment: 60-90 days after receipt of order Terms of Payment: Net 30 Buyer: • 00114-111 PI-1-41Attitt)V `1 l L 31(,�, /qb Signature: Sales Representative Signature Title: Marquette Electronics, Inc. P.O.Number. Southeastern Emergency E 8200 W.Tower Avenue Milwaukee,WI 53223 Phone: 800-558-5120 TERMS AND CONDITIONS 1. To the extent legally permissible.all present and future taxes imposed by any federal.state.or local authority which Marquette Electronics.Inc.MEI')may be required to pay or collect,upon or with reference to the sale.purchase,transportation.delivery.storage.use or consumption of products or services.including taxes upon or measured by receipts therefrom,shall be for account of buyer. 2. MEI reserves the right to make delivery in installments.unless otherwise expressly stipulated herein. All such instathneds shall be separately invoiced and paid for when due,without regard to subsequent deliveries. Delay in payment of any installment shall not relieve buyer of its obligations to accept deliveries. All amounts due to MEI from buyer shall bear interest at the highest lawful rate from and after the due date. 3. MEI reserves the right at any time to revoke any credit extended to buyer because of buyer's failure to pay for any goods when due or for any other reason deemed good or sufficient by MEI.and in such event all subsequent shipments shall be paid for on delivery Title to all goods and equipment shipped hereunder is retained by MEI.as a vendor's lien, until full payment is made by buyer. • 4. MEI shall not be liable for delays in performance caused by acts of God or the public enemy;wars;fires,explosions or floods;strikes,work stoppages.slow-downs or the like;shortage of material,fuel.power or labor embargo or delay in transportation;compliance with.or other action taken to carry out the intent or purpose of any law or administrative regulation having the effect of law,now or hereafter enacted;compliance with any request by a government agency or official thereof;nor shall MEI be liable for delays in performance due to any contingency beyond ins reasonable control. In the event of delay caused by any of the foregoing,the time for performance shall be extended for such time as may be reasonably necessary to enable MEI to perform. • 5. MEI shall indemnify buyer for all direct and actual damages recovered from buyer by a third person in any legal proceed'ngs for infringement of United States letters patent by the products furnished hereunder,provided that buyer promptly notifies MEI in writing of the claimed infringement permits MEI to assume the defense thereof and cooperates with MEI with respect to such defense. If MEI elects not to assume the defense,MEI shall also indemnify buyer for all expenses incurred in the defense of such infringement action. In the event products furnished hereunder are produced under special specifications of buyer not uusbrarity followed by MEI.no liability under this paragraph shall arise against MEI. In like manner,buyer agrees to save MEI harmless from patent infringements resulting tom MEI's compliance with designs and/or spedhcaMons(unless originating with MEI)now or hereafter forting a part of this contact of with specific written instructions given by the buyer for the purpose of directing the manner in which MEI shah perform this contract E. MEI warrants the equipment to be delivered hereunder,to be free from defects in material and workmanship under normal use and service and,except for equipment manufactured in compliance with designs or specifications of buyer.to substantially comply with any technical written specfiations furnished to buyer by MEI. MEI's sole responsibility for any breach of the provisions of this paragraph is.to repair or replace the equipment or parts not conforming to the warranty in accordance with MEI's standard written warranty policy applicable to the equipment MEI's undertaking shall not apply to any equipment which shall have been repaired or altered by any person not authorized by MEI in any way,which,in the judgment of MEI,affects its stability or reliability.nor which has been subject b reuse.neglect or accident EXCEPT AS SET FORTH HEREIN,AND EXCEPT AS TO TITLE.THERE ARE NO WARRANTIES.EXPRESSED OR IIPUED,OR ANY AFFIRMATIONS OF FACT OR PROMISES BY MEI WITH REFERENCE TO THE EQUIPMENT.OR TO ITS MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE,WHICH EXTEND BEYOND THE DESCRIPTION OF THE EQUIPMENT ON THE FACE HEREOF. The Marquette Electronics warranty only applies to equipment purchased or supplied from Marquette Electronics.Service repairs resulting from failures of equipment not purchased from Marquette Electronics are billable at standard rates. 7. In no event shah MEI be liable for lost profits.goodwill or any other special or consequential damages. 8. No tams.conditions or warranties other than those stated herein and no agreement or understanding,oral or written,in any way purporting to modify these terms or conditions whether contained in buyer's purchase order or shipping release forms,or elsewhere,shall be binding on MEI mess hereafter made in writing and signed by its authorized representative. Al proposals,negotiations and representations heretofore made are merged herein. 9. This contract shall be governed by and constructed according to the laws of the State of Wsconsin. 10. The customer agrees to notify MEI in writing if the customer is aware of the existence of asbestos or other hazards in lie area in which MEI will be installing equipment In such event or in the event MEI personnel,or subcontractors,during the course of installing equipment or system at wstonners facilities,encounter asbestos or other substances considered under EPA guidelines to be hazardous,MEI shall notify the customer of such circumstances and the custosmer will be responsible for removal of the substance before installation will resume or complete the task with the customer's personnel or independent contractors hied by the customer. • • been • r ID Code to be Aseiped by State EMS Florida Department of Health and Rehabilitative Services Office of Emergency Medical Services (EMS) MATCHING GRANT APPLICATION FILE COPY 1. Legal Nome et Asemeworsubatiow Tequesta Fire Rescue Name sod Uric of Grant Signer: Thomas Bradford--Village Manager Mailing Address: P.O. Box 3273. Tequesta, Fl. 33469-0273 COUntY' Palm Beach Telephone Number. (407)575-6250 SunCom Number: N/A 2. Name and Title of Contact Penes: Alex Natl*ason, Lt./EMS,Coordinator Mailing Address: Same Telephone Number: Same SunCom Number: N/A 3. Lepl Status of Year fiscal year: Adeacy/Orpnizstioo: (a.et al,an) Oct. 1 Sept. 30 hitis fiat be ho&(,vs mes mai/s nap of o.etibe.ss) SWIM ENDS Muse.be hi Pablo 4. A acy s's Federal Tax Identification Number ohm digits QF 5 9 6 0 4 4 0 8 1 S. limit,be air ear pis abj.Aiw r paj.s Wanly.ia...en Cij..elw t 35.1 i. TYPe of Project: (o.ek al,...x C011111111111iNiins _ Canaan Aab..i..d s+.e.el..Gashed i cs a ales sips Ism lie) I '-i- e,Teem*as Valid.. _ hair-dermas Symms areietaio.IQriy Ammo la..s.i Wicdlla.o..ti.i'm.s(is..me.e NOM be bums lib and lie) Dams yam poises idols fa p.el.m of es,oammmi.eio.t*pipers? yes Klima No >:i Poen 1147.M.e.i W 1 APPLICANT CATEGORIES NW& Ftiodr TOTAL 12. Salaries and Benefits: TOTAL SALARIES and BENEFITS 13. Expenses • TOTAL.EXPENSES APPLICANTCash Gnut State CATEGORIES Maw Fouls TOTAL 14. Equipment: 12 Lead/Monitor/Defibrillator with $3,625. 00 $10, 875.0J $14, 500. 00 4 batteries and charger TOTAL EQUIPMENT COSTS $3, 625.00 $10, 875 $14, 500 3 16. Medical director's signatures: Complete this item only if your project is a Medkal/Rescue Equipment, or Professional Education Project. a. Professional Education AU continuing education described in this application is developed and conducted with my input and approval. Medical Director's Signature Date Medical Director's Printed Name • b. Medical Equipment Projects: I hereby accept authority and responsibility for the use of Medical Anti-Shock Trousers (MAST), Esophageal Obturator Airways (EOAs), semi-automatic and automatic defibrillators, ALS equipment identified in Chapter 10D-66, F.A.C., and equipment not identified in Chapter 10D-66, F.A.C. If this responsibility is delegated, both the delegated physician and the medical director must sign this section. 7t'LL) July 20, 1995 Medical s Signature Date and Delegated Physician, if any Don Tanabe M. D. Medical Director's Printed Name and Delegated Physician, if any c. I hereby acknowledge that the applicant ponds routinely to rescue or medical incidents under written agreement with my licensed EMS system. July 20, 1995 mediarreefit ii /Y1 L7 's or Authorized Person's Signature Date Don TanabeM.D. Printed Name 5 APPLICATION ITEM 17 (signature required) REQUEST FOR MATCHING GRANT DISTRIBUTION (ADVANCE PAYMENT) EMERGENCY hEDICAL SERVICES (EMS) Governmental Agency and Non-profit Entity ONLY In accordance with the provisions of paragraph 401.113(2)(b), F.S.,the nndetsiped hereby requests an EMS matching grant distribution(advance payment)for the impeovemaot and expansion of prehospital EMS. payment To: Tequesta Fire Rescue Legal Name of A eney/Orpoiatian 357 Tequesta Drive Address Tequesta Fl. 33469 (City) (State) (Zip) �. A�2 ,(tb om�iai SI�TURE.�: DATE: July 2 0, 19 9 5 Printed Name:Thomas 3radi`ord • le: Village Manager SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO: Department of Health and Rehabilitative Services Office of Emergency Medical Services(HSTM) EMS Matching Grants 1317 Winewood Boulevard Tallahassee, Florida 32399-0700 For Ups Only by Dap amens of Harsh and Rehabilitative Services. Office of Emergency Maraud Services • Matching Grant Amounts Grant ID Code: 1d,_— — Approval By: Date: Signature, State EMS Grant Officer State Fiscal Year: Amount: $ Organization Cods 1.0.. ODlsttt Code 60-20-60-30-100 HS lectoral Tax ID V r: Grant Beginning Date: Inding Date: 6 18. ASSURANCES-AND APPLICATION SIGNATURE Certification of Standards Statement I, the undersigned, certify that if granted funds under Chapter 401, Part II, F.S.; as amended. all applicable regulations and standards will be adhered to including: Chapter 401, F.S.: Chapter 10D-66, F.A.C.; Minimum Wage Act; Title VI of the Civil Rights Act of 1964 (42 USC 2000D et seq.); Rehabilitation Act (Sec 504); and other federal legislation prohibiting discrimination on the basis of handicap, sex, age, race, creed, color, political affiliation or beliefs. Statement of Cash Commitment I, the undersigned,certify that cash match will be available during the grant period and used in direct support of this grant project. State and federal funds will not be used for matching requirements,unless specified by law. No costs or third-party contributions count towards satisfying a matching requirement of a department grant if they are used to satisfy a matching requirement of another state or federal grant. Cash, salaries, fringe benefits,expenses,equipment,and other expenses as listed on this application shall be committed and used for the department's final approved project during the grant period. Acceptance of Terms and Conditions I, the undersigned, accept the grant terms and conditions in Appendix B of the booklet, "1992 Florida EMS Matching Grant Program", by the Department of Health and Rehabilitative Services and acknowledge this when funds are drawn or otherwise obtained from the grant payment,ystem. Disclaimer I, the undersigned, hereby certify that the facts and information contained in this application and any follow- up documents are true and correct to the best of my knowledge, information, and belief. I further understand that if it is subsequently determined that this is not correct, the grant funded under Chapter 401, Part II,F.S.; Chapter 10D-66, F.A.C.; may be revoked, and any monies erroneously paid and interest earned will be refunded to the department with any penalties which may be imposed by law or applicable regulations. Notification of Awards I understand the availability of the notice of award will be advertised in the Florida Administrative Weekly, and that 30 calendar days after this Florida Administrative Weekly advertisement I waive any right to challenge or protest in anyway the decisions to award grants. Maintenance of Improvement and Expansion I,the undersigned, agree that any improvement or expansion brought about in whole or part by grant funds, will be maintained for five years after the project ends, unless specified otherwise in the approved application or unless the department agrees in writing to allow a change. Any unauthorized change within the fiv�rears will necessitate the return of t funds volved, plus interest if any to the a t. 07 Z 0 Signature of Authorized Grant Signe* Date (Individual Identified in Iten'l) NOTE: Please check to insure that all required signatures have been made for Items 16, 17, and 18. The application will not be considered for funding without any required signature. Chest Injury Level 1 E. Oxygen/airway (moderate to high flow) EKG monitor ❑ IV Ringers Lactate LE j ❑ Repeat chest exams • Consider the following treatments: • PASG (legs only) • decompression of pneumothorax(if privileges authorized by Medical Director) • flutter valve dressing for open chest wounds (observe for sign of tension pneumothorax) • leave any penetrating object and seal around it • ACLS protocol (reevaluate oxygenation) • Chest Pain Level 1 -� ❑ Oxygen/airway 0 EKG monitor/ 12-Lead EKG ��'_�' 0 IV 0.9% NaCI KVO 1.E\ 1 • Ringers Lactate if hypotensive(BP less than 90 mm systolic) O Nitroglycerine • 'i,s0 gr SL, may repeat after five minutes to a total of three(3) • 1 inch paste ❑ Nitroglycerine IV if ST Mevation in airy lead of 12 lead EKG X contraindicated if BP less than 110 mm systolic • initiate at 5-10 ug/min IV Infusion Pump • • increase 5-10 ug/min every 3-5 min. until 1. pain is relieved, or 2. 110-120 mm systolic BP is maintained O Aspirin,four(4)baby PO (chewed) 8 contraindicated if allergy, peptic ulcer, taking co snadin or antinflarnatory ❑ Pain relief • morphine sulfate 2-4 mg IV, promethazine(Phenergan) 12.5 mg IV • naibuphine(Nubain) 2-4 mg IV ❑ ACLS protocols jLevelll 0 NitrOgi CefklB IV if pain=sieved by 3 Neroglycetire SL 8 contraindicated r SP less than 110 awn systolic • initiate at 5-10 uglmin IV Infusion Pump • increase 5-10 ug/min every 3-5 min. until 2l 1. paint is reieved,or 2. 110-120 mm systoic BP is maintained O Additional pain control Tequesta Fire Rescue Page 46 Cardiogenic Shock C Oxygen/airway O EKG monitor/ 12-Lead EKG 0 IV0.9% NaCIKVO ILeveII • Ringers Lactate if BP less than 90 mm Systolic • if lung sounds are door with BP less than 90 mm Systolic give 250 cc bolus O Furosemide(Lasix) 40-80 mg IVP if patient is diaphoretic with rates and BP is greater than 110 mm systolic O Dopamine(Intropin) 2-20 uglkg/min titrated • - - Level II -,;- 0 Notify EDP by sixth step in Level Ito allow preparation :41e- 0 'Nitroglycerine . 8 contraindicated 1 BP less than 110 mm systolic L • '/150 gr SL 2 • 1 inch paste O Morphine sulfate 2-4 mg IV titrated for pain and stabs nation of pulmonary edema, promethazine(Phenergan)6.25 mg IV iPediatric . 0 Furosemide(Lasix) 1.0 mg/kg IV slowly over 1-2 minutes ❑ Dopamine(Intropin)2-20 ug/kg/min $ Nitroglycerine not indicated for pediatric use O Morphine sulfate 0.1-0.2 mg/kg IV slowly, maximum single dose 4 mg Cerebrovascular Accident Level I �` 0 OxygeNalrway ❑ EKG monitor ❑ IV 0.9% NaCI microdrip • LEVEL— 1 0 ACLS protocol ❑ Blood glucose level.follow Diabetic Emergencies Protocol as indicated ❑ Elevate patient's head; f spinal irtunobilaation of patient necessary. • transport with backboard elevated 30 degree head-up position Level II 1(:• 0 Nfedlpine(Proca dla) mg puncture capsule and squeeze under tongue (as per .----: 10 SL, Hypertensive Emergency Protocols) 0 Nitroglycerine(for severe hypertension) tr:dt. • one(1)inch paste 2 • . Viso grSL Tequesta Fire Rescue Page 48 K Chronic Obstructive Pulmonary Disease Level I u OxygeNairway ..i. . • high flow decreased to two(2) Umin upon patient improvement _ " ❑ EKG monitor/ 12-Lead EKG LEVEL ❑ IV 0.9% NaCI KVO ❑ Albuterol (Proventil) 2.5 mg via mini-nebulizer ❑ Assess secondary signs of cardiac failure: edema,jugular vein distention, rales and frothy sputum. ❑ Intubate if no improvement or marked respiratory distress ,: w Level II 0 Methylprednisolone(Solu-Medrol) 125 mg IVP �' 0 Aminophylline(Theophytfine)200-250 mg/50 cc IV 0.9% NaCI infused over 20-30 A_ minutes 2 Pediatric \` 0 Albuterol(Proventil) 1.25 mg via mini-nebulizer -. �' 0 Methylprednisolone(Solu-Medrol) 30 mg/kg J • 0 Aminophylline (Theophy line) 5 mg/kg Cocaine Overdose Level I ❑ Oxygen/airway 3. . ` ❑ EKG monitor 0 IV Ringers Lactate KVO or hepbck(if stable) LEVa 1 0 Nitrogycerine as per Chest Pain Protocol ❑ Diazepam(Valiium) 1-5 mg IV for seaures • may be administered rectally if no IV access Level II 0 Notify EDP if patient ingests cocaine powder. crack or packed condom 0 Nfedpine(Procardia) 10 mg SL(puncture capsule and squeeze under tongue)for t tactrycard c „mommi antlytturias 2 • 0 Pediatric ® Nitroglycerine not inacated for pedatric use ( ) 0 Diazepam(Valium)0.3 mpg no faster than 3 mg/min Tequesta Fire Rescue •