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C.39
To: Board of Supervisors
From: William Walker, M.D., Health Services Director
Date: February  14, 2012
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Countywide Fire Enhancements

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   02/14/2012
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
ABSENT:
Gayle B. Uilkema, District II Supervisor
Contact: Patricia Frost, 313-9554
cc: Tasha Scott     Demetria Gary     Juleine Latteri    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     February  14, 2012
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Purchasing Agent, or designee, on behalf of the Health Services Director, to execute a purchase order with Knox Company for the purchase of MedVault units for all fire districts which provide Advanced Life Support services in an aggregate amount not to exceed $166,790, in the following amounts as approved by the Emergency Medical Services (EMS) Director:  
  

Contra Costa County Fire Protection District (66 units) $68,844.23  

RECOMMENDATION(S): (CONT'D)
City of El Cerrito Fire Department (9 units) $10,296.00  
Moraga-Orinda Fire Protection District (16 units) $17,486.00  
City of Pinole Fire Department (6 units) $ 7,214.64  
Rodeo-Hercules Fire Protection District (7 units) $ 8,242.00  
  
Total $166,789.87  
  

FISCAL IMPACT:

Funding for these expenditures has been budgeted under CSA EM-1 (Measure H). There is no General Fund impact. Payment will be for initial purchase only and is not intended to cover maintenance or replacement.

BACKGROUND:

The Drug Enforcement Administration (DEA) requires all agencies handling and dispensing narcotic medications, as part of the delivery of patient care, to store and track controlled substances to prevent diversion and abuse.   
  
In 2011 Contra Costa Fire/EMS Training Consortium (CCTC) identified the need to obtain reliable high-security narcotic lockers for placement on fire engines which house narcotics used as part of supplies carried to provide Advanced Life Support (ALS) emergency medical care. The lockers currently in use were beginning to fail and the company which manufactured and sold the units no longer provides support for them. The Knox Med/Vault High Security Narcotic Locker will assist the fire agencies in meeting the DEA mandate for security.   
  
The Knox MedVault High Security Narcotic Locker provides high level of security and audit capabilities. The lockers are accessed by authorized PIN code entry and have complete audit trail capability via USB port or remote administration. The ability to track and monitor narcotics’ use remotely via the internet will also assist in inventory control. Fire department EMS staff will no longer need to travel to stations within their district to physically monitor lock box contents.  

CONSEQUENCE OF NEGATIVE ACTION:

Without this medication high-security system, Fire Agency ALS providers would not be able to achieve full compliance with state and federal DEA requirements for controlled substances. Lack of compliance would result in Fire ALS providers being prevented from carrying controlled substances which are needed for patients in severe pain.

CHILDREN'S IMPACT STATEMENT:

Not applicable.

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