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EMERGENCY MEDICAL SERVICES ALS FIRST RESPONDER AGREEMENT AMENDMENT NO 2 (2) EMERGENCY MEDICAL SERVICES ALS FIRST AMENDMENT ITT OF CLEARWATER 2020 PINLLAS COUNTY EMERGENCY MEDICAL SERVICES AUTHORITY 12490 Ulmerton Road Largo, Florida 33774 Emergency Medical Services ALS First Responder Agreement Page I ALS FIRST RESPONDER AGREEMENT AMENDMENT NO, 2 AMENDMENT made this day of Noklemter 2020, by and between the PINELLAS COUNTY EMERGENCY MEDICAL SERVICES AUTHORITY, a special taxing district of the State of Florida ("Authority") and the CH`Y OF CA-EARWATHR, a Florida municipal corporation ("Contractor"). RECITALS 1. Contractor currently contracts with the Authority to provide Advanced Life Support (ALS) First Responder Services. The Contractor and the Authority are currently parties to a contract whereby the Contractor provides Advanced Life Support (ALS) First Responder Services for the Authority, which contract is referred to herein as the "Agreement," 2. Section 903 provides that the Agreement may be modified by written agreement d1r1ly executed by the Parties. 1 Authority and Contractor wish to expand Support of the Clearwater Lifeguards through this Amendment to the Agreernent in order to provide Lifeguard Basic Life Support (BLS) First Responder Services. NOW, THEREFORE, in consideration of the mutual covenants, r.)rornises and conditions to be kept by the parties hereto, it is agreed as follows: Emergency Medical Services ALS First Responder Agreement Page 2 SECTION 1. DEFINITIONS "First Aid" means emergency treatment administered to a sick or injured person before professional medical care is available. "Lifeguard" means a person trained by the American Lifeguard Association, American Red Cross or other nationally accredited organization and certified in CPR/AED/First Aid or Ernergency Medical Responder or EMT Training with the knowledge and skills needed to prevent and respond to aquatic emergencies and who supervises the safety and rescue of swimmers, surfers, and other water sports participants arid may function as the primary EMS provider, "Lifeguard BLS First Responder Services" for the purposes of this Agreement means the rapid response of a Lifeguard to the scene of a medical emergency arid, if necessary, on-scene patient care by Contractor's personnel who are: Certified [MTs, Emergency Medical Responder Course and/or personnel trained in First Aid and CPI`Z, all in accordance with the protocols of the Authority. SECTION 2. OBLIGATIONS OF CONTRACTOR A. Cornmencing with the Effective Date hereof, Contractor shall provide Lifeguard 13LS First Responder Services within Contractor's normal Service Area, Contractor shall notify the g-1-1 Center of each call to which it responds and to which the Contractor determines to be a medical emergency, B, (i) Contractor shall provide Lifeguard BI-S First Responder Services in accordance ccordance with the Rules and Regulations and the protocols of the then current Medical Op(->ratiOuS MallUal. Contractor shall coordinate its Lifeguard BLS First Responder Services with the provider(s) of First Responder Services in tire area of the call. Emergency Medical Services ALS First Responder Agreement Page 3 (ii) Contractor shall have certified: Emergency Medical Responders, first aid and CPR provider-trained personnel, or County-Certified 1MTs on scene. Each of Contractor's personnel involved with patient care shall render and/or provide patient care within the scope of their training and certification. C. Contractor shall deliver to the responding ALS provider prior to its departure from the scene, a verbal or written report of vital signs (including time taken), chief complaint, age. sex, assessment findings, interventions, performed by whore and time performed to the extent possible. A written or electronic report must be completed for all responses received from the 9-1-1 Center. In accordance with Florida and Federal law, patient care information is to be kept confidential. Contractor shall comply with the requirements of the Federal Law and Regulations known as HIPAA- and will conduct themselves according to the Business Associate Agreement attached hereto. D. Contractor shall comply with the Supply and inventory control procedures of the Authority. E. Contractor shall provide notice to the Authority of appropriate training Opportunities which inay occur. F. Contractor shall adhere to and assist in the Quality Assurance Program as established by the Medical Director. G. Contractor shall comply at all tirries with the Authority's Protocol for On- scene control of patient care, [I Contractor shall comply and cooperate fully with the Executive Director arid the Medical Director, or their designees, in nr(=�dicrfl aUditS and investigations Of complaints, Emergency Medical Services ALS First Responder Agreement Page 4 I. Contractor shall allow the Authority, the Executive Director,or his designee and the Medical Director to inspect eqLlipMent, First Responder Units, 1-irst Responder Station premises and records as may be reasonably required to determine compliance with this Contract, J, Contractor's personnel shall conduct themselves in a professional and courteous manner at all times, The Contractor shall address and correct any departures from this standard of conduct. SECTION 3. OBLIGATIONS OF AUTHORITY A. Authority shall provide, or cause to be provided, Medical Direction and Medical Control to the Contractor, B, Authority shall provide notice to Contractor of training opportunities and Continuing Medical Education for Contractor's County-Certified personnel to attend C. Authority shall Supply reasonable amounts of BILS medical supplies for Contractor to carry Out duties under this Agreement. D Authority shall provide radios and paging e(JUipillerlt sufficient to carry out duties under this agreement. At a minimum, the Authority will provide two (2) pagers, and one (1) portable radi(), SECTION 4. DISPATCH `S CJ Contractor will respond to medical emergencies when dispatched by the 9-1-1 (.;enter, unless uncontrollable:; cirCUITISt�IHCOIS exist, i.0_ eXtr'erne Weather, Emergency Medical Services ALS First Responder Agreement Page 5 Contractor will be dispatched to all life-threatening ernergencreS unless the potential for violence or other unsafe Situation exists. Contractor will con-miunicate with EMS GOITIMUrlications on an assigned channel/frequency arid will do so in radio langU,'Rge Which complies with Current local practice and pertinent FCC mandates, All communications will be done in compliance with Florida regulations governing emergency response agencies. Communications between Contractor and providers of ALS First Responder Services should be done only when the patient and/or scene is unstable, or when other vital information needs to be transinitted which will affect the outcome of the patient or the safety of the responding personnel. Contractor will notify the 9-1-1 Center in advance of any periods the Contractor knows it will be Out of service. SECTION 5. ON-SCENE DUTIES AND RESPONSIBILITIES Upon arrival at an emergency scene, Contractor shall assess scene safety and cleterl"nine whether it is feasible to enter. If the scene is not safe, Contractor shall retreat to safety and notify other responding PVnergency units of the unsafe situation and request appropriate assistance. If the scene is safe, Contractor shall begin assessment of the patient(s)-, when indicated, maintain ABCs arid spinal irrimobilization during assessii'ient, and follow universal precautions. All care on scene shall be rendered in accordance with the protocols of the Medical Operations Manual, Upon determination of the patient(s) status, Contractor shall report to the providers of Al,..S First Responder Set-vices if conditions exist which make it important to do so. If the patient(s) and scene are stable, Contractor shall continue with basic life support according to their level of training and the� indicated need and provide a report to the providers of Al S First Responder Services upon their arrival. Contractor shall Emergency Medical Services ALS First Responder Agreement Page 6 bring patient(s) to an agreed-to meeting place to release patient(s) to providers of ALS First Responder Services, SECTION 6, TERM AND TERMINATION The term of this Agreement shall run concurrent with the ALS First Responder Agreement entered into by the patties which ends at midnight on September '30, 2024 (Signature Page to Follow) Emergency Medical Services ALS First Responder Agreement Page 7 IN WITNESS WHEREOF the parties hereto, by and through their undersigned authorized officers have caused this Amendment to Agreement to be executed on this 111111-1-1 2 -day of November 2(720. WI T'NESS: PINELLAS COUNTY EMERGENCY MEDICAL SERVICES AUTHORITY By and through the County Administrator 01, by: Della Kluq by:_ Barry A. Burton County Administrator APPROVIEJ) AS '1'0 FORINI Bv: Jerson Ester Office of the County Anomey COLjntersiqned: CITY OF CLEARWATER, FLORIDA by: by , L kvtA Frank Hibbard William B. Horne 11 Mayor City Manager Approved as to form: Attest: '7 by: by h Ma hew w Sii a r Rosemarie Call Assistant City Attorney City Clerk