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Home My WebLink AboutDocumentation_Regular_Tab 07B_09/29/1994 e� 1 R T E QUE STA F IRE .� Phone: (40?) 676-6280 • Faz: (407) b76-6203 . et .._._ , ' ��' � a � � p{�ESTA r � N�MORt�1vDLTM: � SEP�� . �: �„"� ,: ti TO: Thomas G. Bradford, Village age �'��' : FROM: James M. Weinand, Fire Chi DATE: �September 2, 1994 - - RE: lriedical Director Agreement, Aqenda ite� I respectfully request that this item be placed on the September 7�, .�. 1994 Village Council Agenda for approval. Zn accordance wit�` Section 441.265, Florida Statutes, and Chapter lOD-66.0505 of the Florida Administrative Code, Tequesta Fire Rescue is required to have a Medical Director for Advanced Life Support. Dr. Don�Tanabe 'has agreed to be the Medical Director for the Villaqe of Tequesta. Attached is the Medical Director Agreement drafted by the Village's•, �. attornq� This Agreement meets both parties' concerns and.has Dr�._. Tanab�� s approval . __ _ ; " �' : , � Please let me know if you have any further questions or.concerns.. JMW/cm attachment Post Office Bog 3273 • 357 Tequesta Drive • Tequesta, Florida 33469-0273 ' KBDZCAL DIRBCTOR 710�EE�T THIS AGREEMENT, made and entered into thia ist day ot Octob4r, 1994, by and between the VILLAGE OF TEQUESTA, a municipai corporation under the laws ot the State o! Florida (hsrainaltar referred to as "Villaqep), and DON TANABE, M.D., a Florida licensed physician (hereinafter referred to as "Medical Director°). W I T N E S S E T 8: wHEREAS, emerqency medical services are provided by the Village of Tequesta by and throuqh its Department of Fire-Rescue Services which employs paramedics to perform advanced life support; and WHEREAS, Section 401.265, Florida Statutes, requires that any emerqency medical services system which utilizes paramedics to perform advanced life support procedures must employ or contract with a medical director; and WHEREAS, the aforementioned statute and Chapter lOD-66.0505 0� the Florida Administrative Code set out certain criteria' and requirements for said medical director; and . . WHEREAS, the Village desires to employ a licensed physician to serve as medical director and to provide medical direction to the employees ot the Villaqe of Tequesta Departmant o!' Firo-Rascuo Services to insure appropriate patient car• and coneiatancy. NOW, THEREFORE, in consideration o! the mutual promises a�d covenants set torth herein, ths partiss aqree as lollow4: I. DESIGNATION OF MEDIC�iL DiRECTAR� The Village does hereby enqaqe Don Tanabe, M.D., a licensad � physician in the State of Florfda, as Medical Director Por the Village's Emerqency Medical Service System. II. DUTIES AND RESPO SIBILITrF�. The Medical Director shall: A. be the Medical Director for the Villaqe of Tequesta Emergency Medical Service System. For the purposes of this agreement, the Villaqe of Tequesta Emerqency Medical Service System shall includa emerqency medical technicians, paramedics, lieutenants, firefiqhters and volunteer firefighters workinq for or prvvidinq services for the Village of Tequesta Department of Fire-Rescue Services; 8. supervise and accept responsibility for the medical performance of the emerqency medical�technicians, paramedics, lieutenants, firefiqhters and volunteer � firefiqhters workinq.for or providinq services to 2 - the Villaqe of Tequesta Department ot Fire-Rescue Services; ' C. develop and authoriza, or reviev and authoriz• !or use, medically corroct standinq ordars and/or protocols which permit specified ALS prxedures when communication cannot be established with a ' supervisinq physician or when any delay in patient care would have potential life or limb thr�atening consequences. Standing orders and protocol shall insure that patients are transported to facilities that offer a type and level of care appropriate to the patient's medical condition. The Medical Director or his appointee shall provide continuous twenty-four (24) hour per day availability of Medical Director "o�f-lin�� service for potential problems, system conflicts and disaster events; D. audit the performance of the Villaqe's Department of Fire-Rescue �Services personnel by use of a quality assurance proqram to include, but not be limited to, a prompt review of run reports, direct observation, and comparison of performance standards for drugs, equipment, and establish�i protocols and procedures; E. be responsible for participatinq in quality assurance programs developed by the Department of Health and Rehabilitation Services; 3 • F. ensure and certify that securfty procedures !or medications, fluids and controlled substances are in compliance with Chapter 499, Florida Statutss, and Chapter 893, Florida Statutas; G. specify medication substitutions in writinq; H. submit to the Department o! Health and ,Rehabilitation Services, within thirty (30) days o! any deviation from the approved trauma transport protocols, a copy of the run report and a written explanation reqardinq the deviation; I. conduct one (1) meeting per month of not less than two (2) hours for the purpose of traininq and educatinq the Villaqe's personnel in the Department of Fire-Rescue Services; J. assist in identifyinq the specific medical skills and knowledge which the Villaqe's personnel within the Department of Fire-Rescue Services must possess to achieve the desired level and standard of care; R. assist in providing the necessary traininq in ths special medical skills and knowledge which the Villaqe's personnel within the Department of Fire- Rescue Services must possess to achieve the desired level and standard of care; L. provide a minimum of twelve (12) hours per month attendance at the Fire-Rescue headquarters to participate in monthly quality assurance planninq 4 • meetinqs, to deliver monthly in-service traininq with department personnel, perform physician level call review on random medical reports and participate as a crew member on the reeponsa unit; M. be responsible for complyinq aith Florida Statutes Section 401.265 (1993), as amended lrom time to time, all laws and administrative regulations promulqated in accordance with Chapter 401, Florida Statutes (1993), as amended from time to time, and all rules of the Department of Health and Rehabilitation Services and shall pertorm all duties enumerated in Section lOD-66.0505, Florida Administrative Code (1993), as amended from time to time. III. DUTIES OF VILLAGE. A. In consideration for the services provided by Medical Director, the Village hereby agrees to pay Medical Director Eiqht Hundred Dollars ($800.00j per month, payable monthly, durinq the term of this agreement. B. The Villaqe shall provide the Medical Director insurance coverage for medical malpractice with liabflity limits of $1,000,000.00 for claims arisinq out of the scope and performance � o� activities specified in this agreement, and specifically as Medical Director for the Village of Tequesta. 5 � C. The Village will provide Medical Director with a pager to assure communications with personnel i! needed, to perlorm his duties as Medical Director !or the Villaqe ot Tequesta. IV. INDEPENDENT CONTRACTOR REI�TIONSHIP. The Medical Director is an independent contractor who will be responsible for payment of federal withholdinq tax and social security contributions. Furthermos�e, the Medical Director ahall not be entitled to any fringe benefits normally provided Villaqe employees such as worker's compensation, unemployment �ompensation, retirement, disability leave and any leave with pay. v. sorr�r�►c� T�. The Village aqrees to retain the Medical Director and the Medical Director agrees to be so retained in an independent contractor relationship for a period of one (1) year beqinninq October 1, 1994. This aqreement shall automatically renew each year unless written notice of intent to terminate is qiven by either party sixty (60) days prior. to the expiration date. VI. TERMINATION. This agreement is subject to cancellation vith or without cause by either party to this aqreement at any time durinq the contract period, includinq renewals thereof, by providinq sixty (60) days prior written notice to the party. VII. �1,UTHORITY. A. The Medical Director is not authorized to obliqate the expenditure of Village funds. 6 . • B. The Medical Director shall retain the ultimate authority to permit and/or prohibit any paramedic or EMT workinq for the Villaqe's Department of Fire-Rescue Services to utilize advance life support and/or basic life support tachniques and shall inunediately notify the Villaqe Manaqer or his desiqnee of the change of eliqibility of any paramedic or EMT to perform emerqency medical care. C. The operation and administrative control of the Villaqe�s Emergency Medical Services will be vested in the Villaqe Manaqer or his desiqnee and the Medical Director shall be responsible to the Villaqe Manaqer or his designee. VIII. INTERPRETATION AND BINDING EFFECT. Except as herein otherwise provided, this aqreement shall inure to the benefit of and shall be bindinq upon the parties hereto, their personal representatives, successors, heirs and assigns. IX. I�IDITY OR UNENFORCEABILITY. Invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provisions. X. GOVERNING LAW. This aqreement shall be qoverned and construed in accordance with the laws of the State of Florida. 7 � e � XI. E�NTIRE AGREEMENT. This agreement contains the entire understanding between the parties and may not be chanqed or modified except by an aqreement in writinq signed by all the parties. IN WITNESS WHEREOF, the parties have aiqned this aqreement. The date of this agreement shall be the date first written above. Siqned, sealed and delivered in the presence of: VILLAGE OF TEQUESTA By Witness Ron Mackail, Mayor ATTEST: Witness Joann anganiello Village Clerk MEDICAL DIRECTOR: Witness Don Tanabe, M.D. Witness APPROVED AS TO LEGAL FORM AND SUFFICIENCY: John C. Randolph Village Attorney Jpt\13153-01�pEDD1R.AGR $