[0:00] Heat. Heat.
[0:22] of the United States of America.
[0:37] order.
First order of business is approval of
[0:41] the minutes of the November 18th regular
meeting. Minutes have been circulated.
[0:46] Uh any comments,
no additions or deletions? I entertain a
[0:53] motion to approve
[0:57] reading and approve. I guess I should
say motion made and seconded. All in
[1:02] favor? Hi.
[1:17] Annual structure updation
[1:28] service uh
last month collected a total of
[1:32] $141,69467.
[1:38] Um that process uh
last year uh for a full year we
[1:46] collected uh 1,920,30
[1:53] $18,3820
above our total collections for last
[1:58] year not counting December. So we are
doing much better this year last year.
[2:06] Um and we are constantly working to
enhance our reports trying to enhance
[2:12] our collections for that. So,
uh, working on rentals, uh, for the
[2:20] month, uh,
we did a total our our numbers show that
[2:26] we had a total including Green County
Rescue contracts with us. Our total run
[2:31] volume was uh, 430 runs and that we had
a total of 392
[2:37] transports.
Um, however, as I'm constantly
[2:43] evaluating and looking at one thing I
have been working on since I took over
[2:48] last year and a half months was uh,
anytime our cruiser dispatch, they need
[2:54] to generate around.
Uh, when I first started, we had over
[2:59] 900 calls a month getting pulled off the
C, which is a problem. Um, if if there's
[3:06] an incident, we get dispatched, too. and
it's a legal incident
[3:11] report and there's nothing there. Um I'm
consistently working on it. Uh last
[3:18] month I had 60 calls. So we had
basically half and continually we're
[3:24] working on that. Our goal is to get
zero. Um our biggest problem right now
[3:30] is our part staff realizing that all we
do here it needs to be done. so that we
[3:37] actually have true numbers. Um, and just
by research, I can't uh give you an
[3:44] exact number, but uh I I can't verify
that we actually did over 500 calls last
[3:49] month. I can't get you an exact number
because
[3:55] we're working on it
as multiple ways. One is to show how
[4:00] busy we are. Number two, as effective as
we apply for grants because they don't
[4:04] see real time animation. So we are
working on that. It might somebody out
[4:10] there that needs a fast run and you have
to send an ambulance from somewhere else
[4:14] farther away because your first
ambulance is going to get a signal 9
[4:18] closest one run is going to get a signal
9 but you don't know that cuz
[4:25] why did you get this ambulance over here
when you could have got this one. So,
[4:30] um, that's something my staff and I made
yesterday on and, uh, I told we got to
[4:36] get to zero. It's just it's a work.
We've done it in half, but half isn't
[4:40] good enough yet. So, uh, that's
something that we are continually
[4:44] working on. So, I have a question
actually related to that
[4:50] last one. Last meeting you had 26
transports long distance.
[4:55] What constitutes long distance?
[5:03] » [music]
[5:08] » 72. So I usually average 70
65 to 75 transfers every month. You guys
[5:16] take almost all of them. So So we did 72
last month. Those calls were long
[5:21] distance transfers at Evansville, Indie,
Henderson, wherever they may be. So
[5:27] yeah, um we are updating the system. I
thought there's something as far as
[5:35] there is problems there. We're trying to
fix it. I'm on the phone with ESO trying
[5:42] to fix
[5:47] the station dispatch
somewhere. So,
[5:56] um, we went by the commissioners this
morning. Um, we had in our budget last
[6:01] year to buy an ambulance and we didn't
buy one. What we did is we had some
[6:06] costes
[6:11] between that equipment budget and repair
to combine that uh to start upgrading
[6:19] our monitors. Commissioners approve us
this morning to build up three of them.
[6:24] Uh they're on the tail end of the
lifespan. We're having trouble with our
[6:27] transmission. We had two standings last
week. Uh both of them were taken from
[6:32] scr
[6:41] and things like that. So uh
commissioners approve sign purchase
[6:45] order that money will be carried over
and you have to have invoice to do
[6:52] it if we can't get an invoice to
deliver. So [clears throat] they will be
[6:57] uh we're going to carry that money over
[7:02] additional appropriation to use that
money back in uh purchase monitors which
[7:08] comes to the three monitors come to
$3,780.
[7:15] Now what he has spent even though it was
over $5,000 out of his own budget was
[7:21] fine was it? It's the extra the
additional appropriations over 5 has to
[7:26] go to you guys first. Can we get that
advertised for the 29th? We have the
[7:30] meeting the 29th this month.
We can we can get it all over
[7:38] your January meeting before you can
approve.
[7:40] » Yeah, we can. Yeah, that'll be the end
of January
[7:45] quicker.
[7:48] Just that's not going to happen that
way. No, I'm sorry, but that's a special
[7:53] meeting. It's a single issue meeting.
>> Okay. So, we can't do anything with
[8:00] Okay. So, there's there's some
appointments, too, that they have that
[8:04] day. Okay. So, that's January meeting.
It is.
[8:08] » Okay. I'm glad you clarified that.
That's the January.
[8:12] » Okay. I appreciate it. Sure.
>> I didn't know for sure that it's the
[8:18] nature of calling a special meeting.
Okay, that's special meeting.
[8:30] You can do both
[8:34] special
order in today. Of course, I got to get
[8:39] all my information
on this
[8:44] delivery till the beginning of January
and then we have to do more training. So
[8:48] we have be in service first. Uh we'll
put them on our three business units
[8:54] Sbury
and then we'll work on the grants to
[8:58] replace Jason and our backup units. Uh
do that and and if you get receive them
[9:05] in the end of January uh you won't get
the invoice until the end of January
[9:10] » and you have 30 days to pay.
>> Yes sir. So it should work out
[9:18] invoice
facilitate everything through but I'll
[9:21] do whatever contract I just like to get
a heads up for a couple of us in the
[9:27] councils so we know what's coming
the lipan those units they uh usually
[9:35] about 5 years 5 to 6 years um if you
purchase one of those what you purchase
[9:40] now is corrosion they're constantly
coming out for changes and upgrades. So
[9:47] ours are different versions. We have
some version one, some version three,
[9:52] some version two, so forth. And um so as
they as older they get, they can't be
[10:00] upgraded anymore. They're unable to be.
So you just got stuff where you're at.
[10:06] So um we will train in three units for
the economies. that reduce the cost for
[10:13] uh but they will all come with
transmission devices. So uh right now we
[10:18] are having trouble transfer
[10:26] show me if it's a their problem the
hospital's problem receive my service
[10:32] problem and so forth and uh they're
going to be contact
[10:40] information. So you stay with live
packs. Are you changing?
[10:43] » No, we're staying with live packs. Yeah,
we do live pack 35s.
[10:47] Um, and they are upgrading units. They
they'll have the uh the printers, the
[10:53] transmission devices already built into
them, whereas now they're separate
[10:58] carbon monoxide has to be titled
everything with that. So
[11:05] our main focus is when we do have these
cardiac patients that are patients, we
[11:13] are able to function to our full
capabilities. You know whether we
[11:16] transmit you know
[11:26] this huge
[11:30] save.
[11:33] How many do you have now? Um we got
eight right now. Uh, just replace three
[11:40] of them. And you need three more just to
replace the ones on the ambulance.
[11:47] And then there's one.
Everything's good.
[11:52] So,
we're just getting started. We're just
[11:56] getting started. If we do it in phases,
maybe we won't hit this all at once. We
[12:01] have continually kind of step forward
there.
[12:04] uh he and I have talked and uh talked to
some other uh resources uh about
[12:10] possible funding alternatives to assist
in this endeavor. So it'll be working
[12:17] progress but this this is a huge step
for us.
[12:30] Okay. Any other updates?
Uh, right now we're working on fixing
[12:34] the station.
Uh, I was talking
[12:39] and I talked about it. Uh, the
building's not heating. Some rooms are
[12:43] heated, some are not. Um,
did some changed out some faucets. We
[12:49] had one faucet
actually. Uh, it was continually
[12:53] running. It's one of those you put your
hand on. You kick off for maybe 3
[12:57] seconds and then shut off. Well, this
one was continuing to flow. Uh, so we
[13:02] have process fixed. Some rooms are not
heated. Um, we did find a problem. We do
[13:08] have water softener and um, we going
through a lot of salt and all that. So,
[13:14] they're coming back to fix that because
we shouldn't so much. So, we got that
[13:20] system in the short cycle. So, that's
why some rooms are possibly eating and
[13:25] some aren't. Um, and then bring that guy
back and put uh in the attic to the
[13:31] dampers and see if they can't adjust and
fix
[13:34] it out a little bit. Uh, we have a
separate shower and there is absolutely
[13:39] no
[13:42] one clean
[13:47] that
just the bedrooms are on a separate
[13:51] system. Each one separate. So that's all
we uh kind of fine tune on. So um
[14:00] station
[14:04] work
[14:11] at the same time
[14:19] res
[14:23] issues.
[14:26] dampers
like they should and
[14:31] we've seen that
something else that
[14:37] we might need to look at and we talked
earlier. I don't know if it's
[14:41] appropriate time to say it, but when the
jail opened, we had a little time there
[14:46] to determine what the cost was going to
be to run the jail with the utilities
[14:51] and the expenses and all that. We have
to adjust later.
[14:55] We're going to have to do this with the
ambulance building, too.
[14:58] » We've had soon will be a year. So, we'll
soon have a year worth of records to
[15:04] look at. And all we did we need to look
at to make sure we're budgeting enough
[15:10] for the building. We we get that number
within $100. And we simply off took the
[15:19] square footage and the monthly bills and
did an average and it was it was so
[15:24] close it was scary. And then he stories
about
[15:30] voodoo science, but it seemed to work.
The fact that you got that many months
[15:36] in there, you you'll be able to be
fairly I know this year around just to
[15:41] cover
utilities that station. Um
[15:47] something so prepared for that. Um I
need to do next year's budget, but it
[15:52] has been increased slightly. So, I'm
doing the houses now to see if we need
[15:57] more. Another thing is we've had such a
good year collections. Like I said,
[16:00] we're have to uh what we pay the billing
company
[16:04] uh monthly. They send us a bill based on
what they amount they collect and it
[16:09] right now just this month's bill, which
is a good thing. Talking to Mr. Gra this
[16:15] morning said that's a good thing.
This is good.
[16:21] We don't have that budget there to pay
that. So that's
[16:28] increasing that building or increased
payout. We just got to make some
[16:33] adjustments. There's so many things you
try to plan for a year and you can't
[16:38] even begin to project everything that's
going to happen. all these unseen
[16:42] things. It's a moving target. You do the
best you can, but hopefully you at least
[16:48] have money to move from somewhere to
reallocate.
[16:52] But that's it's tough. You just
make constantly. It's constantly
[16:59] reporting.
[17:04] Yeah.
Yeah. uh she come off Sunday for 2 hours
[17:10] and she's very knowledable
a lot of great people
[17:16] to help you. You just got to ask.
So
[17:23] other than that, I mean this is all
maintenance. Uh no oil changes due this
[17:28] week and uh no major breakdown. No major
breakdowns. Good. Looks good.
[17:36] about
[17:41] well
[17:49] yes
hours I can't
[17:55] everybody's kind of messed up today I
apologize
[18:00] the other thing is to We offer
this to you. The the agreement they sign
[18:08] yet.
[18:16] I have not
received the final grant that I can
[18:22] recall.
She said that she would uh that they had
[18:26] accepted my language and that they would
get she said they'd be sending a uh a
[18:34] docu sign document but I haven't seen
anything of course
[18:42] they need to sign that. So, so as soon
as that comes in, I know commissioners
[18:46] already
sign all the licenses necessary to keep
[18:52] up on our maintenance inventory. So, I
will uh have those reports as soon as I
[18:58] get in
there
[19:03] this morning. We could do like 14 video
cords. I think our IT guys figured out a
[19:09] way to make it work magic. But yeah, we
had 14 people probably end up bringing
[19:16] over here.
>> Yeah, I saw some in there when I come
[19:22] everybody's all spread out.
[19:27] all people off the road.
[19:34] Okay, we got the monitors discussion out
of the way.
[19:40] Uh,
any other business may come forward?
[19:45] Not not this time, I'm sure. Next month.
So, I guess one thing I needed to bring
[19:51] up was the hospital's decision to close
the OB department. I think due January
[19:56] 31st I believe. Uh so that's going to
require a lot more education for the EMS
[20:02] crews. Uh also um you know trying to
designate
[20:08] or work with the other surrounding
facilities where they should be taking
[20:12] the uh those OB patients. So
be more to come on that but
[20:20] county said they would still have the
department. They're going to be our
[20:24] closest facility.
>> Just out of curiosity about how many are
[20:29] uh 60 to 70 average 72
[20:38] 72 this year maybe some more in there.
Um we do have
[20:43] women's health. They're going to be
coming up and doing a lot of education
[20:46] with the ER staff um as well as EMS. Uh,
so they're going to kind of be our
[20:51] primary provider for that education, but
there's also several other courses that
[20:56] we're looking into. Dr. Gamble's looking
into different courses for paramedics
[21:00] and physicians and ER staff in general.
So are ambulances called a lot for those
[21:07] runs or
in today's world, you know, like
[21:13] they're usually called when there's some
problems. Yeah, is is probably a image
[21:18] would be a big one
[21:23] right now using midwife,
you know, a lot of calls on those a lot
[21:32] and uh the midwives if they have any
difficulties
[21:37] that experience you know this is kind of
new to them train
[21:42] you know as far as I do it's really
different uh We get a lot of calls for
[21:47] that.
[21:50] You know, they do everything from
delivery to the full process. If there's
[21:55] any complications, we get a lot of
calls. And a lot of it's going to depend
[21:59] on where that call's coming from. You
know, whether they take on
[22:07] much
[22:21] utility there, doctor, I don't know. All
be your complications go to Union North.
[22:28] All trauma they want they want Union
North. They're not going to have a
[22:31] trauma center.
Um neuro they want Union North. So
[22:38] really it's it's going to be a bypass
facility just in case of emergency
[22:43] services all the services basically be
transferred up there.
[22:48] So um that's going to affect us too. So
basically our options in this area will
[22:53] be IU
uh soul good sand depending on sins and
[23:00] union
there. So regional is not trauma anymore
[23:05] at all regional does not want to accept
trauma
[23:09] or the regional facility of union does
not want to accept trauma. All trauma is
[23:13] recommended to go to union north. I call
union right
[23:18] you're calling union
over
[23:21] » okay cuz he's a regional
started a trauma there used to be trauma
[23:26] center
news
[23:32] all the road
to north which is another 7.3 miles for
[23:38] us but that's a long time you got
it seems to take forever
[23:44] you know, all the way through town.
>> Yeah. There's no good way of getting in
[23:47] there.
Yeah. So, uh, our landscape is changing
[23:54] quite dramatically. Yeah. But I I will
say this in life situations. Uh, and
[24:00] I've had two or three of those. It seems
like as I've been the last month or two,
[24:04] I enjoy the test the staff general has
done an amazing job. I had a accident
[24:12] and uh I got a question
where be I saw where he was supposed to
[24:23] I got may not be the place to say it but
I have on that incident. I don't know
[24:30] how many times that man should have been
dead and
[24:37] everything just worked perfectly.
[24:43] So lucky you didn't shut down the
ambulance because you had somebody
[24:47] called call in. You went ahead and
worked the ship. You were the closest
[24:51] ambulance. You got there fast. You made
the decision to transport immediately.
[24:57] Uh
they had the blood waiting at the
[25:00] hospital and emergency staff everything
just it was that was that was to me
[25:09] that's amazing that something to strive
for
[25:14] as we are
we give that kind of care that's amazing
[25:22] something about agreement
I agree we
[25:28] everything fell together on that and I
can just go on on another calls very
[25:32] similar to that but uh I think two um
were enhancing our relationship with the
[25:39] ER staff and the doctors and you know I
personally I remember I told the doctor
[25:45] that I said hey here's what I've got to
come to you here's what I need and he
[25:49] met me outside he met me outside he was
on it and uh
[25:55] the whole staff
I think we all remember back when I
[25:59] started the sheriff departments.
That was it.
[26:05] That was uh that was certainly better
than nothing. But the ambulance service
[26:10] has grown into now and hospital
pretty impressive for county hospital
[26:19] and ambulance service.
you know, I'm proud about
[26:25] and just kudos to my staff because
they're they're doing an excellent job.
[26:30] You know, that night my uh when I'm
working, I tell my train officer, take
[26:33] the vehicle home, the first response
vehicle, because she lives open. She
[26:37] didn't, you know, I called her on the
way there. I said, "I may need an extra
[26:40] set of hands." She was there thinking
and she was just a valuable tool and she
[26:46] does not hesitate. You know, she knows
I'm on cover to respond in that vehicle
[26:51] and contribute.
And uh the staff as a whole has just
[26:56] been very
[27:05] come forward
[27:10] drug testing today, sir. I'm drug
testing.
[27:13] We got some things going on and uh
so uh I've been in conversation with
[27:22] Marvin and some other individuals
who has been a great asset to
[27:30] I have two people today
[27:34] contact the hospital
[27:41] not a bad idea.
[27:45] And you might also I kind of time hey
this is going on so he's not off
[27:52] try to as much as I can guess it's going
on today and going on every day this
[27:57] week maybe next week
[28:06] sir Anything
[28:14] else?
[28:19] Entertain a motion to enjoy
[28:26] you guys. I want you to have a merry
Christmas. Thank you.