TO: Board of Supervisors
FROM: Rollie Soria for Oscar Ortiz, Sheriff-Coroner
REPORT BY: Erin Corry, Staff Services Analyst II
SUBJECT: Agreement with American Medical Response West

RECOMMENDATION
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Approve and authorize Agreement 250374B with American Medical Response for mandated first aid, cardiopulmonary resuscitation and automated defibrillator training for Sheriff’s Office sworn staff. (Fiscal Impact: $13,200 Expense; General Fund; Budgeted; Mandatory)
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BACKGROUND
Sheriff’s Office sworn staff are mandated by California Police Officer Standards and Training (POST) to complete first aid, cardiopulmonary resuscitation (CPR) and automated defibrillator (AED) training every two years. In the past, American Medical Response (AMR) provided sworn staff this mandated training and went beyond state required minimum requirements, at no cost. However, due to the associated costs with such training, accreditation and certifications, AMR must recover actual costs for salaries and equipment.
Under this agreement, AMR would provide POST mandated first aid, CPR and AED training to Sheriff’s Office sworn staff, thereby fulfilling POST accreditation and certification requirements. AMR would also provide advanced lifesaving training, such as administration of naloxone, epinephrine, chest seals, dressing/bandaging, splinting and Bag-Valve-Mask ventilation. These advanced lifesaving techniques far exceed POST standards, which will better prepare Sheriff’s Office deputies to handle more complex emergency medical situations they may encounter. In fact, with this advanced training from AMR, deputies have been involved in several calls for service where they performed CPR and first aid that contributed to saving the patient’s lives. Often law enforcement officers are the first on scene for a medical emergency, so this advanced training allows them to stabilize a patient long enough for more advanced medical personnel to arrive.
In addition, AMR will also provide self-care and partner-care training, such as a gunshot wound packing and tourniquet application. Should Sheriff’s Office deputies or a member of the public be injured by a gunshot wound, deputies will have acquired the necessary training from AMR to render aid, increasing safety and survivability for deputies and the public. Comparable organizations such as American Red Cross only offer the minimum POST training requirements, which is inadequate to handle today’s often dynamic and quickly changing emergency situations. AMR is a local vendor offering training that meets and exceeds POST mandated training requirements.
Request Action:
Approve and authorize the Chair to sign Agreement No. 250374B with American Medical Response West in the amount of $13,200 for mandated first aid, cardiopulmonary resuscitation and automated defibrillator training for Sheriff’s Office sworn staff.
FISCAL & STRATEGIC PLAN IMPACT
Is there a Fiscal Impact? |
Yes |
Is it currently budgeted? |
Yes |
Where is it budgeted? |
Sheriff’s Operations Budget (Org 1360000, Obj 52900) |
Is it Mandatory or Discretionary? |
Mandatory |
Is the general fund affected? |
Yes |
Future fiscal impact: |
This is POST Mandated first aid, CPR and AED training required every two years for sworn staff. Funds will be budgeted accordingly in future fiscal years. |
Consequences if not approved: |
If this agreement is not approved, Sheriff’s Office sworn staff would not complete their POST mandated first aid, CPR & AED training requirements and would be out of compliance. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.