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HomeMy WebLinkAbout06.15.92 Council Packet AGENDA COUNCIL MEETING REGULAR JUNE 15, 1992 1. CALL TO ORDER 2. APPROVE AGENDA 3. APPROVE MINUTES a. May 12, 1992 - Special b. May 19, 1992 - Special c. June 1, 1992 - Regular d. June 8, 1992 - Special 4. CITIZENS COMMENTS 5. PUBLIC HEARINGS a. 7:30 P.M. - Mineral Extraction Permit - Hoffbeck Trucking - Rescheduled b. 7:45 P.M. —Silver Springs 2nd Addition - Rescheduled c. 8:00 P.M. - Grading Permit - Continued from May 4, 1992 d. 8:15 P.M. - ENRON Sewer Improvements e. 8:30 P.M. - FAA Expansion - Continued from June 1, 1992 6. PETITIONS, REQUESTS AND COMMUNICATIONS a. Annexation Request - Lot on Linden Street b. Extension Request for Filing Final Plat - Nelsen Hills Farm 7. ORDINANCES AND RESOLUTIONS 8. UNFINISHED BUSINESS a. Presentation of Plans and Specs - Project 89-9 - Adopt Resolution Approving b. Conclusions/Recommendations - Growth and Annexation Study 9. NEW BUSINESS a. Request to Pursue Donation - Fire/Rescue Equipment 10. MISCELLANEOUS 11. CONSENT AGENDA a. Liquor Store - Holiday's Closed b. Middle School Surety Requirements c. School/Conference Request - Administration d. Proposal for Labor Relations Services e. Resolution - Application for County Special Assistance Grant f. Resolution - Accept Feasibility Report - Dakota County Estates 7th - Project 92-16 g. Resolution - Approve Plans and Specs/Authorize Ad for Bids - Project 92-3 h. Personnel Policy Amendment - Funeral Leave i. School/Conference Request - Finance j. Extension of Developers Agreement - Dakota County Estates 2nd, 3rd, 4th k. Resolution - Accept Donation from Eagles Club 1. School/Conference Request - Public Works m. Approve Payment of the Bills 12. ADJOURN 13. ADD ON a. Resolution Adopting Weight Based Solid Waste Billing b. Maintenance of 220th Street and Flagstaff Avenue South of TH 50 c. Truth and Taxation Meeting AGENDA REQUEST FORM ITEM NO. NAME: Ken Kuchera DEPARTMENT: Fire/Rescue DATE: June 5, 1992 MEETING DATE: June 15, 1992 CATEGORY: New Business SUBJECT: Donation for Purchase of Semi-Automatic Defibrillator EXPLANATION: Donation Policy requires Council to consider prior to pursuing item. REFERENCE MATERIAL/RESPONSIBILITY: Various Information REFERRED TO: (NAME) DEPARTMENT: Larry Thompson Administration Ken Kuchera Fire/Rescue SIGNATURE • • Date: June 5, 1992 To: Ken Kuchera, Fire Chief From: Dan Thelen, Rescue Squad Captain Subject: , Semiautomatic Defibrillator At our rescue squad meeting on February 3, 1992, it was brought up for discussion the possibility of the rescue squad using a semiautomatic defibrillator; at which time a committee was formed to look into this piece of equipment, the committee being Tam Hanish, Dan Churchill, and Francis Blaha. After four months of research, gathering information and meetings with Dr. Disraeli MD, Medical Advisor; Kevin Rahn, ALF Ambulance Director; Dr. Larson MD, MN EMS President; Diane Kline, MN Department of Health Licensing Coordinator; and a demonstration of a semiautomatic defibrillator by Micheal Dewar, NET Ambulance Director; the squad voted to pursue efforts in getting a semiautomatic defibrillator to add to our equipment. The funding for this unit will be pursued by local organizations and the make and . training of the unit will be a joint effort with ALF Ambulance, Dr. Disraeli, and rescue squad officers. All rescue squad personnel will be trained in the operation of the unit. Their is a preventive maintenance-annual check that would cost the city $ 400.00 to $ 450.00 per year, this would be a budgeted item. Enclosed you will find some of the information gathered by the committee, along with letters of support of the rescue squad using a semiautomatic defibrillator. In closing, I would like to add that we feel this piece of equipment will be a very vital addition to the squads already excellent run of equipment and will only enhance the efforts of providing emergency care to our contracted area. If you have any questions, please feel free to contact me. Thank you, Sincerely, Dan Thelen Rescue Squad Captain River Valley Clinic of Farmington • • June 5, 1992 • Mr. Tom Hemish 900 Main Street Farmington, MN 55024 Farmington Fire and Rescue Squad (612)463-7181 325 Oak Street Farmington, MN 55024 Dear Tom: Thank you for meeting with me at the clinic regarding the Fire and Rescue Squad here in Farmington. This letter should serve to confirm that I have accepted the position as Medical Director of the Farmington Fire and Rescue Squad. It is my " understanding that your group is a voluntary group of community • individuals. You are the first responders to medical and .traumatic injuries in the area and serve to provide basic cardiac life support and other first aid measures until the paramedics arrive. I also understand that you are uncompensated for this service to the community. I have reviewed the literature you provided me with regarding your semiautomatic fibrillator. This is a device used to se- fibrillate the patients in the community, who have had a cardiac arrest, as soon as possible. It is my understanding that it will only be placed on patients who have neither a pulse, nor spontaneous breathing. The machine will read the rhythm and if it reads ventricular fibrillation rhythm, it will automatically discharge 200-360 jeVels.of current to defibrillate.the patient. At no time will any of the Fire and Rescue Squad be making any medical decisions regarding the diagnosis of these patients; they will simply be providing immediate access to this important lifesaving measure. It is very important that anyone using this equipment be formally trained through ALF Ambulance Services and, as I mentioned before, I would be happy to review.any of your protocols for Philip H. Disraeli, M D. use of this and other measures. I expect to come to 2-3 meetings Family Practice of the Fire and Rescue S ad each year. James K. Kloster, M.D. � Family Practice Stuart A. Menaker, M.D. Family Practice Please let me know if I could be of any further assistance. Patricia L. Olson,RPA-C Sincerely, ) M w ks FLQA- Phillip H. Disraeli, M.D. cc: Pat Jorgensen ljs Jame 2, 1992 Mr. Tom Hemish, Lieutenant Farmington Fire/Rescue Squad 325 Oak Street Farmington, MN 55024 Re: AUTO DEFIBR n LATORS Dear Mr. Hemish: • This letter is in response to our conversations relative to the topic of Automatic Defibrillators for use by the Farmington Rescue Squad. As I have indicated to you and other representatives of the Rescue Squad, I feel most comfortable and positive about the use of auto defibrillators in the prehospital setting. It appears that your committee has done a very thorough and extensive study on the effectiveness and viability of this equipment, so I shall focus my comments as to how such a program could integrate with ALF Ambulance. The proposal for this program would entail that the Rescue Unit would be equipped with an auto defibrillator for use in certain cardiac arrest situations. All firefighters assigned to the Rescue Squad would be trained in the use and protocol of said equipment. ALF AMBUTANCE ROLE AND CONCERNS: • ALF will be available to train and coordinate protocol with Rescue Squad personnel. • It is desirous that equipment purchased be done so with input from ALF management. It would be the intent that equipment be compatible with ambulance equipment and, if appropriate, any auto defibrillators in use in adjo'i cities within the ALF Ambulance service area. • ALF's Medical Director would agree to coordinate the program for the Rescue Squad and delegate training and other related matters to ALF Ambulance. Disposable supplies could be purchased by ALF Ambulance provided the supplies would be relative to the continued care of the patient once in the ambulance. • Mr. Tom Hemish June 2, 1992 Page 2 • It would be highly recommended that a preventative maintenance (PM). agreement be purchased in conjunction with the selected auto defibrillators. I enjoyed the opportunity to meet with your committee on this matter. Once again, I would endorse the concept of an automatic defibrillator program for the Rescue Squad. If you should have further questions, please feel free to call me. I would also be willing to make myself available for further meetings as deemed necessary. Sincerely, ALF AMBULANCE Kevin J. Raun Ambulance Director KR:pjg g 1992-ADN-18 Minnesota Department of Health 717 Delaware Street Southeast I P.O. Box 9441 i► Minneapolis, MN 55440-9441 (612) 623-5000 February 5, 1992 Tom Hemish 325 Oak Street Farmington, MN 55024 Dear Mr. Hemish: Per your inquiry regarding the use of an automatic external defibirllator (AED) on the Farmington Rescue Squad. Minnesota Rules Chapter 4690 require only licensed ambulance services to obtain a variance for use of advanced equipment such as the AED. First Responder Squards are not regulated, and therefore do not require any variance procedure for use of advanced equipment. We strongly recommend that you have a Medical Director who authorized the use of the equipment and monitors the training and ongoing continuing education of the attendants who will use the piece of equipment. I am looking into getting further information for you regarding various studies that have been conducted in the use of the AED. I will forward further information to you as soon as possible. If I can be of further help, feel free to contact me. Sincerely, fes/ alcu\s/ Diane Kline, Licensing Coordinator Emergency Medical Services Section 612/623-5490 \--, ._ /.:- . -., Minnesota Association of EMS Physicians February 5 , 1992 Board of Directors David M.Larson,M.D. President Allen W.Autrey,M.D. Tom Hemisch Secretary Treasurer FARMINGTON RESCUE SQUAD Timothy J.Crimmins,M.D. 325 Oa k Street Farmington, MN 55024 David L.Frederickson,M.D. Daniel G.Hankins,M.D. Dear Tom: Mark D.Lindquist,M.D. Thank you for your phone call yesterday. I was pleased to JohnB.Schrock,M.D. see that you are interested in implementing the semi- automatic defibrillator for your Rescue Squad. I feel Michael R.Wilcox,M.D. that this would be a very valuable contribution to John L.Lcnk,M.D. your community. Presently, in the surrounding area, all the rescue squads in Rice County, as well as the Randolph Rescue Squad in Dakota County, have semi- automatic defibrillators . I am enclosing copies of a couple of articles and some other background information on automatic defibrillators. I would be happy to meet with you and your medical director, Dr. Ailabouni, at any time. As we discussed over the phone, I would also suggest involving Kevin Raun from ALF Ambulance. You might also mention to Dr. Ailabouni that he may benefit from joining the Minnesota Association of EMS Physicians. One of the benefits of this organization is that written protocols will be made available to him, which he may find helpful. He might also be interested in knowing that Roger White, who is on the American Heart Association Task Force for EMT Defibril- lation is planning to hold training sessions for medical directors in the use of the automatic external defibrillator. These will probably be held in Rochester sometime within the next year. Good luck and let me know if there is anything I can do to help you. Sincerely, David M. Larson, M. D. Suite 400,2221 University Avenue S.E.,Minneapolis,MN 55414,612-378-1875,FAX 612-378-3875 4 ARTICLE OUT OF EMERGENCY, FEBRUARY 1992 * Defibrillation must be made available within first ten ( 10) minutes. * American Heart Association "Chain of Survival" 1 . EMS system. 2. CPR 3. Early defibrillation. 4. Early advanced cardiac care. AHA endorses the position that all emergency personnel should be trained and permitted to operate defibrillators from First Responders, EMT's, Fire Fighters, volunteer emergency personnel , nurses, paramedics to physicians. * One study done in ,Washington State in Seattle showed a survival rate go from 7% to 267.. Diane Kline, EMS, Licensing Coordinator, Minnesota Department of Health Minnesota rules, chapter 4690, requires only licensed ambulance services to obtain a variance for use of advanced equipment such as a defibrillator, semi- automatic or not. First responder squads are not regulated and do not require any variance for a defibrillator, semi-automatic. Dr. David Larson, President of Minnesota Association of EMS * All rescue squads in Rice County, as well as Randolph Rescue Squad, have semi-automatic defibrillators. * Ventricular fibrillation is the uncontrolled, tremulous, ineffe:tive contractions of the heart muscle. 1: Heart cannot effectively pump blood when in this rhythm. 2. The only definitive treatment for this V-fib rhythm is an electrical shock that essentially stops all the activity of the heart muscle and allows it the opportunity to recharge all at one time and begin to pump effect. * This V-fib typically degenerates to the absence of electrical activity in about 8-12 minutes. * Each minute from time of collapse to defibrillation means a 7% loss in survival rate. The outcome of a person who experiences a heart attack in • .r ti the pre-hospital setting and subsequently suffers cardiac arrel,t, depends on many variable factors. Some we can influence (*) and other•; we (#) can' t. #1 age of patient. #2 severity of heart attack. #3 was arrest witnessed? *4 what was the time delay in calling for help? *5 what is the access and time response of an advanced life support unit, specially equipped BLS unit or rescue squad? *6 was CPR started in 4-6 minutes? *7 time from cardiac arrest to time of first defibrillation? Area 6 & 7 we can improve on and help improve outcome. * EMS System and Trained and Equipped rescue personnel have provt:!n to be effective. Twenty-five years ago, an accident victim with a fractured neck had a mortality rate of 25%. Now, with the advent of medical training for rescue personnel , and supplying them with the proper equipment., the mortality rate has taken a sudden nose dive to 6%. This is a result of not only the desire to provide the best care possible, but also to have the equipment and training available. * Dr. Roger White of the Mayo Clinic states, "the use of defibrillation by EMT's who have been trained in recognition of V-fib has shown to improve survival significantly in areas without ALS paramedic service or where response time for paramedic's is delayed. This concept of early defibrillation has been proven and should be implemented. * Defibrillation offers a positive step to a successful intervention of a patient in cardiac arrest and represents an awareness and the capability to enhance the level of care and increase the chance of survival f•or all those involved. The Nctw England Journal of Medicine "Use of the automatic external defibrillation in the management of out-of- hospital cardiac arrests." * The Automatic External Defibrillator is a simple device that cEln be used by non-professional rescuers to treat cardiac arrest. In a study done in Seattle, Washington, 1287 consecutive patients with out-of-hospital cardiac arrest were assessed the results of initial treatment with thi!3 device by fire fighters who arrived first at the scene, as compared with results of standard defibrillation administered by paramedics who arrived slightly after fire fighters. Fire fighters with automatic defibrillators - 84 out of 276 - 30% survived to hospital discharge. 44 out of 228 - 19% survived to hospital discharge when only CPR was performed by fire fighters arriving on scene and followed by paramedics arriving minutes after and defibrillated. 66% of the 1287 patients given shocks by the automatic defibrillation had regained pulse and blood pressure by the time the paramedics arrived. These findings support the widespread of automatic defibrillation as an important part of the treatment of out-of-hospital cardiac arrest.. AGENDA REQUEST FORM ITEM NO. //a._ C;) DiLf:k Nom: Paul Asher DEPARTMENT: Liquor Store tiDATE: June 5, 1992 MEETING DATE: June 15, 1992 J CATEGORY: Consent Agenda SUBJECT: Holiday Closing EXPLANATION: See attached. REFERENCE MATERIAL/RESPONSIBILITY: Memo - Paul Asher REFERRED TO: (NAME) DEPARTMENT: Larry Thompson Administration Paul Asher Liquor Store SIGMA ' MEMO TO: CITY COUNCIL SUBJECT: HOLIDAY HOURS DATE: JUNE 9, 1992 This memo is to inform the City Council that I plan to close the Liquor Store on July 4th, which falls on a Saturday this year. We will be open until 10:00 P.M. on Thursday and Friday, July 2nd and 3rd. In 1990, the State law changed to allow "off sale" liquor stores to be open on July 4th and New Year's Day, and since 1989 it has been legal for us to be open on Memorial Day and Labor Day. I have not, and do not intend to be open on any of the aforementioned holidays unless the City Council states otherwise. If I ever do plan to be open on any of the aforementioned holidays, I will seek Council consent. The Lakeville, Apple Valley and Northfield municipal liquor stores will also be closed on July 4th. For your information, the hours and holidays that we must be closed by State law are as follows: 1) Sundays 2) Before 8:00 A.M. or after 10:00 P.M. - Monday thru Saturday 3) Thanksgiving Day 4) Christmas Day 5) After 8:00 P.M. on Christmas Eve Day. The holidays that we are open are: 1) President's Day 2) Columbus Day 3) Day after Thanksgiving 4) Christmas Eve Day until 5:00 P.M. 4 aS U' Paul Asher 44-(Y Liquor Store Manager