2023/08/09 Council Agenda Packet

Page 10 of 41 When a 9-1-1 medical call is received by the SNO911 dispatch center, trained dispatchers use a series of predefined medical criteria for various types of medical problems to dispatch the appropriate units. If the patient's signs and symptoms meet specific criteria, then a paramedic unit is also dispatched to the scene to provide advanced medical treatment for serious injuries and illnesses. Typically, both BLS and ALS units are simultaneously dispatched when needed. The regional EMS system is a part of and serves as a constituent of the statewide Emergency and Trauma Care System described in RCW 18.71.200 — 18.71.215. This legislation is administered through WAC 246- 976: Emergency Medical Services and Trauma Care Systems. All ALS and BLS personnel in Everett and Snohomish County meet or exceed state EMS certification standards as defined by statute and administrative regulations. The tiered response system is based on a medical model that operates under the legal authority of the Snohomish County Medical Program Director (MPD). The MPD is responsible for training, medical control supervision, and quality review of Emergency Medical Technicians (EMTs) and paramedic providers. Paramedics and EMTs trained in defibrillation operate as extensions of the physician and are legally authorized to provide care on a medical director's license. Other major functions performed by the MPD include establishing patient care guidelines for treatment, triage, and transport; establishing and supervising training and continuing education programs; and recommending certification, recertification, and decertification of EMS personnel. 2.3 BACKGROUND The Everett Fire Department is an all-career department whose 183 uniformed firefighters which includes three (3) Appointive Chiefs, five (5) Division Chiefs, one (1) Fire Marshal, two (2) Assistant Fire Marshals, and four (4) Fire Inspectors which are tasked with the protection of the lives and property in the Washington State municipality of Everett. In 2022 EFD’s fifteen primary apparatus responded to just over 27,765 calls out of six stations. Of those calls 23,018 alarms were EMS responses. In addition to EMS, the department delivers a full range of services including a progressive fire suppression response, a hazardous materials team, technical rescue teams such as marine, rope, USAR, trench, and confined space, and an active fire prevention bureau. Additionally, EFD is a key player in numerous regional response teams including Hazmat, Technical Rescue and Incident Management, providing resources and knowledge that may not be available to its smaller neighbors. 2.4 INTENT OF SPECIFICATIONS The apparent silence or omission in the scope of work as to any detail of the work to be done or materials to be furnished means that the best general practice must prevail, and that material and workmanship of the best quality shall be used. The scope of work must be interpreted on this basis. 2.5 PATIENT CARE The Supplier must meet or exceed the patient care performance standards set forth in state law and the most current Snohomish County Patient Care Protocols (https://snocountyems.unionactive.com/docs/SCEMS%20Protocols%201.1.2020.pdf). In the event there are conflicts among these standards, the controlling standard shall be state law, then the Snohomish