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My Hometown Heros

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Shameless bragging on my brothers and sisters

A spot played in the Washington, D.C. area "local cutaway" during the 2012 Labor Day Weekend MDA Telethon.

Thanks to the generosity of the citizens and visitors of Fairfax County, we collected and raised $568,634.89 for Greater Washington MDA.

This amount was the most collected during any 2012 Fill the Boot campaign nationwide and was also the most raised in the 58 year tradition in the International Association of Firefighters.

I responded to a last-minute request to cover a retiree's spot on Friday night at the Local 2068 office to count money.

That is a lot of one dollar bills!

 

 

 

 

 

 

 

 

 

 

It is a team effort: firefighters, dispatchers, fire administration, police and county government. 

Joel Kobersteen is one of my heros … even if beating Houston is a personal "thing" for him.

Glad I could be a small part of an amazing event.

Mike "FossilMedic" Ward

Morning Lineup – September 10

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Monday Morning – Check Out These Boots!

The IAFF cash count for this year's MDA fund drive is 99% complete now and we can pass along some numbers to you.  You may recall that on September 2 our Morning Lineup HERE discussed the mess that the MDA created for themselves after last year's fiasco following their unceremonious dumping of Jerry Lewis.  Last year's adjusted totals for the entire MDA collection was a whopping 35% below 2010's collection.  We won't know what this year's total is until many months from now, and personally I will still be dubious of their announced total.

But I do trust the IAFF's announced collection totals and you may be surprised.  Despite the turmoil at MDA's headquarters and a poor economic situation nationwide,  the U. S. firefighters set a new record for MDA donations.  The IAFF headquarters announced last week:

Just like in past years, the IAFF remains the top fundraiser for MDA with a projected total of $28.6 million, up 8 percent from last year.

“Over the past 58 years, we have proudly worked hard for MDA,” says IAFF General President Harold Schaitberger. “We know that each dollar raised through fill-the-boot campaigns and other fundraising events will help a child diagnosed with a neuromuscular disease live a better, longer life.”

SWRNN

They also listed the top money-raising Locals for this year.  For the past several years Fairfax County, Virginia, and Houston, Texas, firefighters have been close competitors for the #1 and #2 spots, usually swapping honors back and forth.  This year Fairfax took the top slot, not only collecting the most, but setting a new record for the highest amount collected by one Local in one year.  Here are the top fund-raisers according to IAFF:

  1. Fairfax County, Va., Local 2068 – $568,284
  2. Houston, Texas, Local 341 – $502,261
  3. CDF (Cal-Fire) Local 2881 – $435,000
  4. Dallas, Texas, Local 58 – $422,996
  5. Los Angeles County, Calif., Local 1014 – $267,146

The real success was accomplished by the hundreds of Locals representing the smaller cities and towns who all got out there with just as much enthusiasm and purpose as the larger municipalities.  These dedicated firefighters, in some cases with as few as 25 members, worked their share and collectively gathered in more than $25 million.  This was mostly done over the Labor Day weekend and took real dedication and effort.  Firegeezer extends a hearty congratulations to all the Locals who participated in this record-breaking drive.

We don't need to set any new records today, though.  Just get the equipment checked out as usual while I try to brew some record-setting coffee before we meet back in the digital day room.

*  *  *  *  *  *  *

The “got-chas” keep on coming

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The Scrutiny Never Stops

About 600 members are attending the International Association of Firefighters Alfred K. Whitehead Legislative Conference in Washington DC this week.

Part of the agenda this afternoon was "Fighting Back and the State and Federal Level"

Today, Carl Campanile of the New York Post has an "exclusive" article about a what a disabled city firefighter is up to:

‘Disabled’ FDNYer with $95K pension now a NASCAR rescuer

Cliff Stabner, a 55-year-old city firefighter who retired in 2003 with a three-quarter disability pension of $95,000 annually, has surfaced as a member of the fire rescue team responding to crashes at Dover International Speedway in Delaware.

photo by Lou Angeli used with permission

The Post has obtained photos of Stabner wearing an orange jumpsuit and a helmet and standing next to a rescue vehicle at Dover’s “Monster Mile’’ track.

Stabner also is a fire captain in his quaint new hometown of Lewes, Del.

Real and imagined issues

Like take-home cars (Miami-Dade, Fairfax), and on-duty shopping at a grocery store (Boston), almost every task or situation is subject to scrutiny and instant analysis.

It is not just fire, last month the Sun-Sentinel completed a three-month investigation on speeding police cruisers in Florida:

The Sun Sentinel uncovered the answers by digging into the officers' toll records. The findings:

  • 793 transponders assigned to police agencies from Miami-Dade to Palm Beach counties showed evidence of speeding — and habitual speeding by some officers.
  • One out of five police cars hit speeds above 90 mph.
  • Total high-speed incidents: 5,100 in a 13-month period.
  • Most of the high speeds — 96 percent — were between 90 and 110 mph.

Cops among Florida's worst speeders, Sun Sentinel investigation finds

Municipal life in the digital age.

Mike "FossilMedic" Ward

 

Are YOU registered to vote?

2 comments

Political advertising is worthless if YOU are not voting.

Monday's Wall Street Journal included an article about the fight over Ohio Senate Bill 5 that is up for a referendum vote in November.

This bill limits collective bargaining for all organized labor, requires public employees to pay at least 15% of their health care costs and ends arbitration for contract impasses. If passed, local elected officials will decide between their own last offer and the unions.

While this trend is national, an aspect of this fight got my attention.

I meet Mike Bell when he was the Toledo fire chief. Hired in 1980, paramedic/firefighter Bell was appointed fire chief a decade later.  During his 16 year tenure as the chief, the department achieved many high profile goals.  Chief Bell was appointed state fire marshal in 2007.

Became mayor two years ago.   Biography of Mayor Bell

Surprising assertion

In Kris Maher's article, a Mayor Bell quote is repeated:

"Years ago, I lost my job as a firefighter because my city ran out of money. So as mayor, I'm working to fix my city without laying off good people or raising taxes," says Mr. Bell, who ran as an Independent in 2009, in the ad, paid for by Building a Better Ohio, a nonprofit backing the law.  

Maher, Kris (2011 September 26) Firefighters Battle Labor-Curbs Bill The Wall Street Journal (subscription required)

I was surprised at that statement.  From hundreds of miles away, his retiring with 26 years in the fire department to accept a state agency appointment appeared to be an example of professional progression.

Bell was one of 61 firefighters laid off in 1980, in his rookie year. Three fire stations were closed. The layoff of 300 city employees occured after a labor contract impasse and strike by municipal workers, including Public Safety.  (PolitiFact Ohio)

Making an impact

IAFF has already spent $1 million in the campaign against Ohio Senate Bill 5, described as State Issue 2 on the ballot.

More powerful than a million dollar campaign is if all 12,000 Ohio career firefighters show up to vote. The most effective way to make your point is to vote in your local election.

Showing up to participate in the messy and emotional democratic process is more powerful than a dozen snarky posts on a forum or even a well crafted letter to the editor … or a blog article. Takes even less time.

The last decade witnessed a radicalization of political discourse, we will NOT change many opinions during the campaign.

Scare tactics are used to get people to the polls, not well-reasoned discussions.  We must make sure our opinion is registered in the only way that counts. 

Hope that you make it to the polls. 

Your vote matters. Imagine the impact a quarter million new or renewed voters will have in November. We could have a party, Dave Statter could bring the cookies. (link)

Registering to Vote (usa.gov)

State-by-state voter laws and REGISTRATION DEADLINES 

Many registration deadlines are 30 days before the election – do it TODAY!!

Mike "FossilMedic" Ward

San Francisco 1st alarm shrinks 40%

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San Francisco Local 798 illustrates reduction of first alarm resources since 1960:

The March/April 2011 issue of Mainline was a special budget issue.

Four pages on the reduction in staffing from 1960 to 2011. 

Data rich and another example of how to tell a story in a format understandable to decision-makers and the general public.

Go HERE to access .pdf version of 40 page, 5.28 MB issue.

Mike "FossilMedic" Ward

City Council approves LAFD redeployment 12-2

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Los Angeles Fire Department Deployment Plan Approved

The following information was released by Los Angeles Fire Department Administration following a meeting of the Los Angeles City Council on May 18, 2011.

The LAFD Deployment Plan was approved today by a 12 to 2 vote [of the City Council] with two amending motions.

The first amending motion speaks to restoring funding to the department to re-open resources. Should labor make contract concessions, those funds will return directly to the Fire Department. Specifically 6.9 million dollars in anticipated concessions from labor negotiations will be placed in the unappropriated balance account.

The Department will use the same data analysis system that was used to create the deployment plan to determine what neighborhood services will be restored.

The second amending motion was designed to maintain the position authorities without the funding. 318 position authorities remain unfunded.

This means that any savings that are found within the budget will be used to restore neighborhood resources. Those resources will be determined by the Fire Chief.

July 5th [2011] remains the implementation date for the LAFD Deployment Plan. The MCP [Modified Coverage Plan] will remain in place until that date.

Special Duty sworn furloughs were approved.

"After several hours of debate, I’m pleased that the LAFD Deployment Plan proposed by Chief Peaks was approved by the Los Angeles City Council," said Councilmember Tony Cárdenas.

"I applaud his leadership and vision in the development of a Plan that will save the City more than $50 million a year while enhancing public safety for all of Los Angeles." said Councilmember Tony Cárdenas.

Los Angeles Fire Department Deployment Plan Approved

Mike "FossilMedic" Ward

United Firefighters of Los Angeles City protest proposed deployment changes

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More than a hundred Local 112 members show up at hearing.

Firefighters’ Union Protests Budget Cuts: MyFoxLA.com

Bob Decastro  KTTV Fox 11

…more than 100 members of the firefighters' union marched to City Hall to protest $54 million in budget cuts.

Dozens of members of United Firefighters of Los Angeles City packed city council chambers, wearing matching white T-shirts and applauding as council members expressed concern over the new fire department plan.

 

the city maven estimates 150 firefighters.

LAFD Firefighters March to City Hall, Protest Deployment Plan

Article includes extensive quote from Pat McOsker, president of United Firefighters of Los Angeles City / IAFF Local 112:

UFLAC Launches Facebook and Twitter Accounts.

In order to increase the level of communications between the Executive Board and the membership, UFLAC has launched both a Twitter account and a Facebook page.

The Twitter page is found http://www.twitter.com/uflac , and Facebook page is found at The United Firefighter of Los Angeles City, IAFF Local 112.

Please add UFLAC to your list of accounts and encourage other members to do the same. We will be adding links to these features directly from our website; http://www.uflac.org , in the near future.

– Adam VanGerpen.  Editor, The Los Angeles Firefighter

Mike "FossilMedic" Ward

Earlier on Firegeezer: LAFD restructure protest planned today

LAFD restructure protest planned today

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From IAFF Local 112

Bul 28 – 11 FINAL "public comment" on LAFD budget

Massive UFLAC turnout needed ***May 11 UPDATED VERSION***

The City Council has scheduled what will probably be the final opportunity for "public comment" on the 2011/12 Fire Department budget for this Friday, May 13 at the meeting to be held at 10:00 in the Council chamber.

UFLAC and its members have been working aggressively to educate Councilmembers and the public about the dangers of resource closures in the Fire Department.

Update: At the Budget and Finance Committee's meeting of May 10, no specific action was taken to alter the Chief's hard closure plan. After considerable debate and testimony, the members decided to move the whole question of the Fire Department's funding and deployment to the full Council.

The addition of 9 civilian PSD positions, a separate $1.4 million management request, was forwarded as well. Members of the committee also raised the possibility of furloughs of sworn personnel.

It is imperative that we give ourselves the best possible chances of success by a very large turnout of LAFD members, their families, and our supporters in the community on Friday, the 13th.

Councilmembers will hear loudly and clearly, from those most impacted, that cutting the Fire Department in the manner proposed by the Chiefs and the Mayor is both irresponsible and dangerous.

NOW is the time for ALL of us to show up and do our part. Don't let the "other guy" carry you on this one.

Members are requested to arrive at the James A. Perry Labor Center no later than 8:00* AM. Food, refreshments, parking, and transportation will be provided (please car-pool if possible). *please note the earlier time

<<<<<<<<<<<<   >>>>>>>>>>>>>>

ronkayela posted Fire Chief Millage's testimony to city council

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Related articles:

LAFD Proposed Deployment Plan FY2011-2012

May 11: Mars Melnicoff, LA Weekly, "Fire and Police Unions Will Protest Fire Chief's Plan: Will Budget Decisions Run on Fear or Facts?"

May 11: Lindsay William-Ross laist "Scare Tactics or Harsh Reality? Proposed LAFD Budget Cuts Sparking Ire"

May 11: Frank Stoltze KPCC (Southern California Public Radio) Los Angeles Fire Department faces permanent cuts in service

May 12: Daily News (editorial) New LAFD deployment plan should be given every chance to succeed

Mike "FossilMedic" Ward

Friends Without Benefits

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Wonder why the IAFF is moving FirePAC?

IAFF Freezes Federal FIREPAC Contributions

Amendment submitted by Florida Congressman Cliff Stearns (Republican) mandates all the World Trade Center responders be compared to the database of suspected terrorists before receiving benefits from the James L. Zadroga 9/11 Health & Compensation Act.

NO other federal program requires such scrutiny.

As Jon Stewart says – a final kick in the nuts.

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But wait, there is more. California Congressman Henry Waxman (Democrat), chair of the committee, agreed that it was a good idea.

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Earlier related post, January 17, 2011: The Facts Matter

Mike "FossilMedic" Ward

 

Government stays open … Public Safety support reduced

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Budget: Agreement Retains Level Funding for FIRE Act and SAFER Grants, But Restricts Flexibility on SAFER Grants

IAFF

April 14, 2011 – The budget agreement that was adopted today to fund the federal government for the remainder of the current fiscal year contains some good news for the nation’s fire fighters. Unfortunately, the legislation also includes significant cuts and does not fully extend the Federal Emergency Management Agency's (FEMA) waiver authority on key elements of the Staffing for Adequate Fire and Emergency Response (SAFER) program.

Overall, the budget agreement that avoided a government shutdown makes deep cuts in many areas, even first responder programs. The plan slashes $815 million from a variety of programs benefiting the fire service, including the State Homeland Security Grants (SHGP), the Urban Area Security Initiative (UASI) and grants for public safety communications equipment.

But the funding that most benefits the fire service — the Assistance to Firefighters (FIRE Act) and SAFER Grants — was preserved. A total of $810 million is included for the two programs, the same as last year. SAFER grants fund the hiring of fire fighters, while FIRE Act grants provide money for training and equipment. Both grants are paid directly to fire departments, rather than being funneled through state or local governments.

read more HERE

Michael Cooper (2011 April 14) Spending Agreement Hurts Police and Fire Agencies The New York Times

The firefighter grants, administered by the Federal Emergency Management Agency, have been used in the past year to rehire 252 previously laid off firefighters, retain 161 firefighters in danger of losing their jobs and hire 1,253 new firefighters.

But Harold A. Schaitberger, the general president of the International Association of Fire Fighters, said changes made to the law during the conference committee process would probably render the program useless to many cities. Under the old law, the grants could pay the full salaries and benefits of firefighters for two years. But the new budget agreement caps the amount of money that can be awarded at levels well below the true cost of a firefighter’s salary and fringe benefits, Mr. Schaitberger said.

Other provisions would make it hard for the most truly distressed cities — which have drastically cut their fire budgets, and which may not be able to promise to retain the new firefighters after the grants run out — to qualify for the program.

The result, Mr. Schaitberger said, is that many cities will not be able to afford the program.

read more HERE

Mike "FossilMedic" Ward

RIP Vincent J. Bollon – IAFF, FDNY

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IAFF Loses Legendary Leader Vincent J. Bollon

March 28, 2011 – It is with deepest regret and sorrow that the IAFF reports the death of IAFF General Secretary-Treasurer Emeritus Vincent J. "Vinnie" Bollon. Vinnie passed away March 28 while at home.

Bollon served as General Secretary-Treasurer of the IAFF from 1988 to 2010. He was one of the IAFF's longest-serving principal officers. He joined the Fire Department of New York in 1959 and was secretary-treasurer of the Uniformed Firefighters Association Local 94 and served as president of the Uniformed Fire Officers Association Local 854. After retiring from the fire service, he was made President Emeritus of Local 854.

He leaves his wife, Linda; his children: Janice and her husband Ron Roveto, Suzanne Bollon, Chrysee Bollon, and Kathleen and her husband Walter Scott; and his grandchildren Jennifer, Steven, Matthew, Nicholas, Caitlin, and Brianne.

The IAFF will provide information about the funeral as soon as arrangements are finalized.

IAFF link HERE

From the IAFF resolution bestowing Emeritus Status for retiring General Secretary-Treasurer Vincent J. Bollon

Mike "FossilMedic" Ward

IAFF fights back: Schaitberger address

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IAFF General President Harold Schaitberger at
The 2011 Alfred K. Whitehead Legislative Conference

Highlights of keynote address.

IAFF Fighting Back web page

Complete 40 minute speech HERE

Mike “Fossilmedic” Ward

EPA orders halt of micro misting

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EPA Issues STOP USE of ZIMEK Disinfecting Products

From the International Association of Fire Fighters:

January 7, 2011 – The United States Environmental Protection Agency (EPA) has issued a stop use and sale of the micro-misting disinfecting technology sold by Zimek Technologies.

EPA Region 2 has ordered a New Jersey ambulance company, Monmouth-Ocean Hospital Service Corporation (MONOC) to immediately stop the use of the toxic micro-misting of their ambulances with disinfectants acquired from Zimek Technologies and the Zimek Micro-Misting System. This device is used by MONOC to deliver disinfectants to the interior of ambulances as micron or submicron sized particles. EPA’s enforcement action came as a result of a formal complaint to the EPA by IAFF Local 4610, the Professional Emergency Services Association of New Jersey, on behalf of its exposed brothers and sisters.

The attached “Stop Use, Sale, or Removal Order” was issued to Vincent Robbins, president and CEO of MONOC by Dr. Adrian J. Enache, director of EPA’s Pesticides Program, Pesticides and Toxic Substances Branch in Edison, New Jersey. The order is effective immediately, and gives MONOC 10 days to provide written documentation to the EPA that it has stopped the misuses cited and have secured the Zimek machines and disinfectants.

The IAFF has contacted EPA and has confirmed with Dr. Enache that this action applies to ALL uses of the Zimek Micro-Misting Systems, whether they are used in ambulances, fire apparatus, fire stations or other vehicles and facilities. Accordingly, the IAFF is advising all affiliates to ensure that their department ceases the use of this technology and product.

The order states that the disinfectants that have been used in the MONOC ambulances are likely to cause harm to humans when applied using the Zimek system. The order also states that EPA has reason to believe that individuals working in MONOC ambulances in which disinfectants were applied have become ill and treated for pesticide poisoning.

The Local 4610 President Deborah Ehling has been actively driving this issue to protect her members. This is a clear victory for her long hours and determined efforts. President Ehling states that it is “now time for a national standard requiring the evaluation of chemicals used in the workplace with new technology to ensure safe use by our emergency medical personnel and fire fighters.”

A related investigation of MONOC by the Occupational Safety and Health Administration (OSHA) is still ongoing. This effort was also initiated by a Local 4610 formal complaint on behalf of its members. Don Marino, president of the Professional Firefighters Association of New Jersey, has been working with President Ehling and her local to ensure that OSHA and the New Jersey Public Employee Occupational Safety and Health Program (PEOSH) completes these investigations for the protection of all members.

Disinfectants used for decontaminating equipment must be EPA-registered hospital disinfectant chemical germicides that have been documented as effective against the infectious agent and MUST be used as they were approved by EPA.

Care also must be taken in the use of any disinfectants. IAFF members should be aware of the flammability and reactivity of disinfectants and should follow manufacturer’s instructions for use (e.g., contact time and temperature). Disinfectants should only be used with adequate ventilation and while wearing appropriate infection control garments and equipment for cleaning and disinfecting, including eye protection, gloves, and aprons. It also is important when disinfecting equipment to check with the manufacturer of the germicide to determine compatibility of the medical equipment and protective clothing with the disinfectant.

The IAFF will continue to monitor and participate in this effort and will provide updates as they evolve.

Earlier Firegeezer item (August 15, 2009) Fog-Filled Ambulances in San Diego

Tip of the helmet to IAFF Region 2 and Chief Goldfeder.

 

Mike “FossilMedic” Ward

The F-word in EMS

25 comments

Mike Hudson is a southern California Colorado flight paramedic who objected to JEMS.com posting this news release from the International Association of Fire Chiefs:

IAFC Launches New EMS Resource.
Resources for Leaders is a brief, web-based selection of critical facts, documents and videos.

Link to the IAFC/IAFF fire-based ems resource HERE

Here is his post on the JEMS Connect forum:

IAFC IAFF ALS EMS smoke screen and JEMS is buying in

… this is not an ad but it is posted (i assume) as an article and as a resource for JEMS readers since it was put on the web site listed a resource for leaders.

I think it is about time someone stands up to IAFF and IAFC and every other fire union that stands to tear apart functioning non-fire EMS services accross the country by the utilization of public scare tactics and disinformation.

Very few people have the eggs to stand up to the IAFF or IAFC while fire departments play their “public will suffer the consequences” fear campaigns.

Look at Collier county FL or Pinellas county FL. fire departments they are utilizing scare tactics and half truths to attempt to save their area’s grossly duplicated EMS performance plan.

Departments in California (SDFD , orange county, and in LA county) are playing scare tactics to avoid brownouts in order to save 6 figure FF/PM positions and protect inflated pensions that have contribute to the financial crisises in the very cities they are supposed to serve.

JEMS was founded by a former FF/PM LA CO Battalion Chief, James Page (R.I.P.) a great man in EMS, no doubt about that. However during and after his tenure as the editor and chief, the Fire Department EMS agenda will, and always will, be at the forefront of this magazine’s mission. They should probably rename the magazine FEMS and be done with it.

Does anyone else feel the same way or not?? speak up especially FF/PM FF/EMT but make sure you have your facts straight and by that I mean don’t quote studies funded by fire department unions, associations, or RFP preperation documents.

Any legit information is welcome either in support or not in support of a stance of fire departments taking over EMS duties. Bring it

Mike Hudson NREMT-P

Hi Mike! Lotta passion and frustration in your post. Your post and the subsequent discussion thread covered a lot of issues.

SCARE TACTICS TO AVOID BROWNOUTS

For Los Angeles City, budget cuts are reversing a decade long effort to increase the number of ambulances on the street. From 2000 to 2005 LAFD increased it’s transport fleet by 40% (to 128 ambulances). Even with that expansion, there were pockets of coverage that required the staffing of three ambulances out of one fire station to meet the response time and TRANSPORT UNIT WORKLOAD goals.

The brownouts are happening. That means there are longer response times. Structural firefighting, vehicle extrication and hazardous mitigation actions will start with smaller crews (fewer units). Critical tasks will be delayed.

There may be a disagreement between the fire chief and the firefighters over the impact of these reductions. It is not right to assure the public that “everything remains the same” when there are 10 – 25% fewer firefighters on the job.

SIX-FIGURE FIREFIGHTER/PARAMEDIC POSITIONS

Unionized public safety employees that have multiple capabilities will always get paid more than single role employees who do not have an effective labor representative. The IAFF has been around since 1917.

I seem to recall San Francisco and Los Angeles passing emergency legislation in 2000 – 2002 to relax their hiring procedures so they could offer employment to candidates who held National Registry Paramedic credentials and could pass the entry physical, criminal background and drug screen. LAFD established 210 additional paramedic positions between 2000 and 2005.

None of the pay, work schedule or benefits came from the generosity of the municipal leadership. To repost an observation made by Skip Kirkwood in the discussion forum:

I keep wondering why EMS labor can’t muster the same 200,000-plus members, the big sums of money, and the effective lobbying at the national, state, and local levels. It seems pretty clear – they CARE, and they WANT IT more than the non-fire guys do. Otherwise, the non-fire guys would organize, fight, and win.

And people are wrong to blame JEMS for reporting about it. Instead of whining, give JEMS something different to report about!

SYSTEM CONFIGURATION/PARAMEDICS ON EVERY FIRETRUCK

To be addressed in a later post. But here is one item related to your question:
The Neon Red Elephant of EMS

Mike “FossilMedic” Ward

Erosion of Political Influence

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A provocative title and a troubling conclusion from an article written by J. Patrick Coolican and Joe Schoenmann in the Las Vegas Sun.  The summary of April 15th article

Has fire union support become a campaign curse?

Firefighters’ political capital has taken a hit, as their salaries have become a target for taxpayer rage amid the recession. Candidates are backing away from the once coveted firefighter endorsement, fearing a voter backlash, while scrutiny of the Clark County firefighters union has soared.

LasVegasSunClark County firefighters say that Schoenmann is no fan of organized public safety labor.

They say that published statements are like this:

In 2009, (Clark) county firefighters averaged $181,000 in total compensation, including benefits and overtime pay; battalion chiefs averaged $285,000.

The county is paying these salaries even as the commission must cut $57 million, or 14 percent of its budget, to close a deficit. That could cost 96 firefighters their jobs.

… creates a controversy.

Schoenmann, who covers Clark County for the Las Vegas Sun, has published 56 articles about firefighter issues in greater Las Vegas. He has covered the budget crisis, proposed reductions-in-force, cancer presumption legislation, retirement provisions, sick leave use, controversy over on-duty MDA collection by firefighters on overtime, firefighter off-duty side employment and the ambulance service contract.

After reading many of his articles that were published in the last 18 months, I am confident that Schoemann will not be nominated for an IAFF media award.

NOT JUST ONE REPORTER

The April 15th article includes quotes from political operatives that reflect a theme Firegeezer.com has been covering:logo_elected

Mike Sullivan, a lobbyist and political consultant, said: “It used to be, you’d seek the firefighter endorsement 100 percent of the time. Polls I’ve seen so far show that this endorsement won’t necessarily help you.”

Dan Hart, another Democratic operative, was measured: “Firefighters perform an exceptional and needed job in our community. But public employees have to look at how much they are paid — the new world of politics is different and I think firefighters have to change with it.” (emphasis added, link to article HERE )

NOT JUST CLARK COUNTY

Dave Statter (STATter911) posted an article from the Atlanta Journal Messenger describing Local 134 picketing the Fulton County Taxpayer Foundation in response to a FCTF lawsuit seeking to reverse 2001 and 2005 changes to the city pension plan.

Atlanta Journal Messenger article HERE, Local 134 press release HERE.

fctf-banner26

In the “us-versus-them” mentality, career firefighters have become “them” in the perception of some citizens and local politicians. Let me restate an earlier question:

How should we respond to criticism of our practices and procedures in “the new world of (local) politics”?

Earlier articles:
December 31, 2009: Firefighter “AIG” Problem
March 22, 2010: Career Firefighters Next Tea Party Target?
February 03, 2009: Gilt-Edged Pensions
December 30, 2008: Will You Be A Diamond or Dust?

Mike “FossilMedic” Ward

The Neon Red Elephant of EMS

9 comments

I grew up riding fire-based ambulances: as a volunteer, a seasonal employee and within my municipal career.  Done part-time work with a commercial ambulance. Teaching high school EMT in rural Virginia sensitized me to the needs of all-volunteer community life-saving squads.

My first column, Walking the Fire-Based Talk, discussed the 2007 release of  “Prehospital 9-1-1 Emergency Medical Response:  The Role of the United States Fire Service in Delivery and Coordination.” This was the white paper promoting the vital role of the fire service in delivery of emergency medical services. (17 page 162 KB  HERE).

HOW THE NON FIRE SIDE THINKS

I spent the past eight years attending conferences, business meetings and hallway discussions held by non-fire ems organizations. American Ambulance Association, EMS educators, high performance systems status advocates and EMS physicians. Fire service was the neon red elephant in the room at every discussion of turf, power or politics.

Hanging out in Las Vegas with an ems expert who is grounded within commercial and third-service systems. Comparing ems conferences, he noted that the IAFF was one of the better organized venues. Provided a more diverse group of speakers: politicians, economists and highest level of regulators/ administrators. He reflected that firefighter labor was a well-resourced and politically-astute sleeping giant that could dominate ems.

Two years after that conversation the giant awakened, as one of five national fire service organizations sponsoring the fire-based ems white paper

WHY TALK ABOUT THIS NOW?

IAFF and IAFC reaffirmed their support for fire-based ems (JEMS item). On JEMSconnect a discussion question was posted that exceeded 147 posts at the time this item was published (HERE).

logo_30_rThe first Public Utility Model of EMS delivery, Kansas City MAST, is scheduled to be taken over by the fire department in May 2010, ending three decades of service. (HERE)

This is particularly heartbreaking to the high performance advocates, since the fire department does not intend to maintain an ambulance response time of 8:59 minutes to priority one calls 90% of the time.  Fire Chief Dyer points out that their implementation of fire company delivered compression-only resuscitation has almost doubled the number of patients showing a return of spontaneous circulation.

David Williams, a senior  Fitch and Associates consultant, tells Best Practices in Emergency Services “MAST is a reaccredited ACE center that does Medical Priority Dispatch and advanced systems status management, none of which the fire department has any experience with.” (HERE) Stephen Dean, PhD, provides a great PUM description (HERE).

ITS NOT ABOUT CLINICAL EXCELLENCE OR CAREGIVER DEDICATION

Delivering municipal services is a political and economic activity. The voters are not focused on the details of delivery of the service, until it becomes perceived as a problem. Two examples:

Voters failed to approve the renewal of funding for the King County/Seattle Medic One program in 1997 (HERE).

Philadelphia tolerates grossly overworked ambulances, 20 to 40 minute waits and occasional fatal outcomes. (HERE)

SOME SYSTEM DELIVERY PRACTICES MAY NOT BE IMPORTANT

Patient outcome studies are challenging ems system design assumptions, with the amazing results from uninterrupted compression-only CPR (HERE).

Last year the U.S. Metropolitan Municipalities EMS Medical Directors Consortium issued recommendations impacting six areas of clinical treatment.

  • ST-Elevation Myocardial Infarction (STEMI)
  • pulmonary edema
  • asthma
  • seizure
  • trauma
  • cardiac arrest.

Their recommendations for cardiac arrest are surprising:

Response interval of less than 5 minutes for basic CPR and automatic external defibrillators (AEDs). No response interval was specified for ALS arrival.

In justifying its cardiac arrest recommendation, the group noted that much of the clinical research used to establish acceptable ALS response time intervals was conducted prior to the widespread dissemination of AEDs and at a time in which the compression component of CPR was not emphasized as it is now.

As a result, the consensus group proposed that EMS systems not focus response time measurement on ALS ambulances, but rather pay greater attention to first response/BLS response time to measure what it called the “most important predictive elements for optimal outcome: time elapsed until initiation of basic chest compressions and time elapsed until defibrillation attempts.” (PEC article HERE)

IT IS ALL ABOUT FIREFIGHTER JOBS

General President Harold A. Schaitberger, speaking at the June 2009 EMS Conference, noted that hundreds of IAFF members lost their jobs. By June 2010 it may be thousands.

If aggressive takeover of private and third service 9-1-1 ambulance service preserves jobs, then expect to see fire departments reaching out.

Fire Service-Based EMS Advocates

Mike “FossilMedic” Ward

Edited 22:15, November 22: fixed links, changed some formatting and added Fire Service-Based EMS Advocates.

Caulfield’s Leadership Game Rules

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Hugh Caulfield was with FDNY from the 1950s to the 1970s. Recruited to teach at the first  Line Officer’s Development Program.  About 2000 lieutenants and captains were trained when the program closed in 1973. Captain Caulfield became a Special Projects Officer at the Division of Training. Completed a public administration master’s degree while at the Academy.Caulfield

Appointed Assistant Professor at the Fire Science Department at the John Jay College of Criminal Justice. Fire Engineering published Winning the Fire Service Leadership Game in 1985. A cult classic for urban fire officers, Caulfield’s stories and issues still ring true. Professor Caulfield died in 2006.

SIMULTANEOUS GAMES WITH DIFFERENT RULES

The first game is played by the firefighters and first line supervisors. The playing field is the fire station.

The winner of the first game will control the hour-to-hour activities within the fire station. Owning the bugles does not mean you will win the game.

The second game is played by the company officer and command staff.  The playing field is the department and the winner is the person with the best ability to control turf, power and politics to satisfy personal needs.

Caulfield learned about the second game when he ran into command resistance when starting Phase 2 of the Line Officer program:

Firefighters in the Bronx were going to ten fires a day, sometimes having to crawl under apparatus to get away from the junk being thrown at them from the rooftops. Yet , the Fire Commissioner could become upset about a firefighter in a dirty shirt!

The utter foolishness of such demands, which the grapevine said came from the back seat of a chief’s car as it sped through the Bronx on the way downtown, made the craziness all around the City even harder to take.

Later postings will cover five stages of the leadership game.

LEADERSHIP EAP

Part of the Special Projects Officer job resembled an employee assistance program. A lieutenant or captain would call the Division of Training and ask the Chief for help with a leadership problem. Captain Caulfield would handle.

The goal was to get the leader to conform so that he would not get hurt by the formal organization.  Provided a way to resolve delicate problems without using the department’s formal authority.

Caulfield obtained permission from the division and battalion commanders to respond to the first line supervisor. The chiefs would stay out of it unless Caulfield told them  he could not resolved the problem. If successful, the chiefs would be informed that the first level leader and his game were back on track.  No details were ever requested by command staff.

21st CENTURY CHANGES TO THE GAME

Your playing field is defined by the municipal personnel regulations, labor agreement, federal regulations and standard operating procedures. Game details come from the results of grievance determinations and lawsuit settlements.

Each department has a different set of boundaries, what is routine for Department X may violate a federal court order in Department Z.

WHY 2009 IS LIKE 1973

Caulfield felt that the FDNY strike on November 06, was due to failure of the game between the first line supervisors and command staff.

If you scan websites of the largest IAFF locals today you will see examples of discontent with the city council, fire chief, union president, or the labor bargaining team.

Accusations of not doing everything that they can for the rank-and-file. Hinting at unholy labor/management alliances to protect the senior members at the cost of the newbies.

Dramatically increased workload + significantly reduced resources + real or threatened layoff of firefighter postions.

Ninteen months after the ’73 strike, NYC laid off 40,000 city employees, including 1,600 firefighters. While 700 were rehired within three days, 900 members lost their permanent job. (related articles HERE and HERE)

Company officers need to master the game.

SIDEBAR:  WHY DEFINE URBAN AS “MORE THAN 400″?

MEtroFireChiefsIAFC and NFPA use “400 full-time firefighters” as the definition of a metropolitan fire department since organizing the Metro Chiefs section in 1965.  There are unique organizational dynamics and supervisory issues.  For the balance of this series, we will use the term metro-sized fire departments.

Mike “FossilMedic” Ward

URBAN COMMANDER is an irregular feature aimed at career staff working in metro-sized fire departments. It will cover topics that were too esoteric, short-term or “sharp” for the Fire Officer textbook. Click “Urban Commander” under Categories to get all of the articles

It is a Labor thing …

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There are over a million individuals who identify themselves as firefighters. Almost 350,000 make firefighting a career, 292,000 of them are members of a local chapter of the International Association of Fire Fighters.

WHEN IAFF MEMBERS “TWO-HAT”

Two-hatters are IAFF members who volunteer at another department that is represented by another IAFF local. The conflict is about the activity of a trade union member in another local’s jurisdiction and the compliance with the rules and regulations of the International.

Former Kentland volunteer and Local 1619 President Tom McEachin introduced Resolution 43 at the 2000 IAFF convention.  Two-hatters and their allies engaged in a campaign that gained national attention.

TriData determined that Prince George’s County Fire Department has 678 employees and 1099 volunteers. (HERE – see page 130)  Local 1619 identified about 200 PG volunteers as two-hatters.

John A. Mutchler, a former member of the PG Fire Commission, created an excellent repository of information about this issue HERE.

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Two-hatting is a polarizing and emotional issue. Phantom, a DCFD employee and PG volunteer, describes the start of TheWatchDesk (TWD):

The concept that underlies the operations of TWD had their start in late 2000 when International Association of Firefighter’s Local 1619 attacked members of surrounding locals for volunteering in Prince George’s County Volunteer Fire Stations.

… This board quickly became controversial and moved into private ownership with better software, it was then that Phantom registered the name “TheWatchDesk.com” and with the help of Zorro established the site.

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NATIONAL CRISIS OVER A LOCAL ISSUE

As the issues were spun-up the nature of the discussion changed.  Moving beyond TheWatchDesk forum, most of the posters on the fire service message boards were NOT an IAFF or PG volunteer member.

Fire service opinion leaders and pundits also weighed in. PG is a busy urban county that provides varsity-level firefighting. The editorials and articles had nothing to do with the PG issue but added to the angst, anger and static of volunteer-versus-paid debates.

After months of back-and-forth discussons on TheWatchDesk, “Brother vs. Brother” was published in the January 2003 issue of Fire Chief magazine (HERE)

This example was the driving force to write the article:

Former volunteer fire chief and Pennsylvania Congressman Curt Weldon made a statement on the floor of the House of Representatives on Feb. 27, 2002, asking, “Does this mean that those career firefighters from other departments that went to New York City would lose their union cards if this were enforced because they were volunteering to help their brother firefighters in a time of need?”

That is not the objective of Resolution 43, … (HERE)

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I continued participating in two-hatter message board discussions.  There were other high-profile PGFD activities that kept firehouse.com forums hopping.

A 2007 issue became a public policy case study. The Battle Over Kentland Ambulance 339: I did not join the VFD to ride an ambulance!

The two-hatter issue became old.  The Resolution 43 trial boards made it clear that DC Local 36 does not care about two-hatters.

IAFF RESOLUTION 2 REIGNITES THE DEBATE

The Illinois delegation submitted Resolution at the 2008 convention.

Resolution 2 directs the IAFF to delete Article XV, Section 3 and insert a new subsection to the list of defined misconduct as “working a secondary job part-time, paid on call, volunteer or otherwise as a firefighter, emergency medical services worker, public safety or law enforcement officer, or as a worker in a related service, whether in the public or private sector, where such job is within the work jurisdiction of any affiliate or which adversely impacts the interests of any affiliate or the IAFF.

Upon a finding of guilt…it is recommended that the penalty include disqualification from holding office in any affiliate and/or expulsion from membership for the period that the misconduct persists. Charges filed for the misconduct described…shall be preferred by a member of the charged party’s local and/or member of an adversely affected affiliate.”

The expansion of the description of misconduct activity addresses a problem in Illinois with union members working as PART-TIME firefighters at another town with full-time IAFF members. The part-timers are working for an hourly rate that is 30-50% less than the hourly rate for full-time firefighters. More information in THIS blog item.

UNION BANNING MEMBERS FROM VOLUNTEERING?

Title from the January 28, 2009, entry by FirefighterNation and IACOJ blogger  Art “ChiefReason” Goodrich. Read it HERE.  This post received 55 comments on FFN and 123 comments on the International Association of Crusty Old Jakes.

The post generated passion, heat and inaccurate assertions.  Most of the posters are not IAFF members. A few remind me of “experts” who know that it was a US missle/truck bomb and not a hijacked 757 that hit the Pentagon.

Chief Goodrich provided 22 years of service to an Illinois volunteer department.  He responsed on the IACOJ message board:

I belonged to a union, but it wasn’t a firefighter union, but I don’t think any union is so different from another in terms of purpose. They all seem to operate off of a similar set of core values and missions.

I have not been in the career fire service, but have had some collateral exposure to it in my mutual aid assistance.

And if anyone who read and understood my motivation for writing the blog, it was more from a “civil liberties” focus and in no way, do I buy in to the hysteria that the IAFF is going to drive volunteers from the service, because I know that it will never happen. At least, not in my life time.

MY PERSPECTIVE

I was an engine company commander working at a busy station where seven of the nine members of the shift were African-American. Some firehouse kitchen discussions ended with … “It is a Black thing, you would not understand.”

I appreciated that their experience, background, expectations and “hot button” issues are different than mine. Not better or worse, just different.

I had transformational experience that was different from Goodrich’s collateral experience responding with career crews on mutual aid. My first assignment as a county firefighter was at the station where I started as a volunteer.

There was a dramatic change in perspective when I had to work at the place I volunteered at.  Some of the features of the volunteer station I thought were “cool” when spending a weekend at the VFD became a problem when I worked 56 hours a week at the house.

Had a similar experience when I went from adjunct to full time as a university professor. In both cases I was not expecting such a change, since I had years of experience as a volunteer firefighter and a part-time professor. I had skill sets, but I did not “know the job.”

I have been a member of other labor organizations. The IAFF is different.

The unique history of the fire service results in convoluted isues. One hundred years ago career firefighters worked continuous duty, getting just one to two days off a month.  No other municipal employee worked that schedule.

I no longer entertain the fantasy that I can change anyone’s mind, regardless of the research, examples or well-crafted message board postings.  It is tiring to see the same innaccurate “facts” spewing from non-union firefighters when discussing two-hatters.

When the next event starts another barrage of message board posts by non-unionized firefighters, I will respond:

It is a Labor thing …

… you would not understand.

The Voters Do Not Really Care …

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… unless it DIRECTLY affects them.

Dave Statter broke the story on a Monday death of a PG County, Maryland, resident. He was recovering from heart surgery and was having trouble breathing. When his wife called 9-1-1 at 11 am, the nearest fire station, 1.3 miles away, immediately sent an ambulance. The nearest fire station usually has a county-staffed paramedic ambulance, but that crew was furloughed for 12 hours, part of a budget-crunch response that will require every county employee to take 80 hours of unpaid leave by June 30th.

The nearest staffed paramedic ambulance was eight fire stations and 7.1 miles away. While dispatched the same time as the ambulance, it took an additional 8 minutes travel time. When the ambulance crew got to the patient’s side, they called in a “working code” that added a fire company.  The (probably) two-person engine company arrived one minute after the paramedic ambulance.  Go to HERE and HERE to get Statter’s well-documented report.

While this issue raises passion with insiders, it has no significant impact on the public. Unless you are directly affected. Here are two examples.

SEATTLE MEDIC ONE

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The Seattle paramedic program delivers a clinically excellent service. Most of the pre-hospital care research, as well as dozens of EMS medical directors, have come from the program designed by Doctor Michael Copass. We talked about the program HERE.

It also has a long history of struggling to maintain funding:

1970 Medic One research initiative. Partnership between Seattle Fire Department, University of Washington and Harborview Hospital.

1972 City Council declines to fund continuation of program.

Members of IAFF Local 27 scramble to fund the life-saving project from 1972 through 1979.

1974 60 Minutes runs “Best place to have a Heart Attack” feature

1979 establish a Metropolitan King County tax levy to fund Medic 1. Voted on every six years. Special Medic 1 tax levy funds the 22 paramedic ambulances in metro King County, including Seattle.

1997 only 56% of the voters approved the renewal of the levy, defeating Medic 1 funding.

Special referendum in Feb 1998 to restore funding.

IAFF Local 27 in high-profile campaign to pass the 2001 Medic 1 tax levy with enough funding to add four paramedic ambulances.

2007 Proposition 1 “Medic One Emergency Medical Services Renewal of Existing Property Tax Levy” passes with 83% approval after an 18 month campaign by labor and others.

THE PHILADELPHIA WORKLOAD

The Philadelphia Fire Department paramedic ambulance service has transport units exceeding 8,000 responses a year. For years the local media has run stories similar to Statter’s, documenting 40+ minute response times. The IAFF advocating that the city add 20 ambulances.  I wrote about the problem HERE when a resident died New Year’s Day 2008.  The department had to send two fire suppression rigs to provide enough oxygen while waiting over an hour for the first ambulance, that broke down onscene. She died by time the second ambulance arrived.

Long before the current economic crisis, both Philadelphia and Pittsburgh were in a muncipal version of bankruptcy. Legislation or court orders are merging city and county agencies and reducing the delivery of municipal services. While Philadelphia is getting some resources this fiscal year, most of their ambulances will continue to respond to 7,000+ calls a year.

Emergency services are facing budget cuts and resource restrictions of a magnitude that has not been seen since World War II. Monday’s experience in Largo, Maryland, will probably be repeated throughout the country. Municipal budget planners are warning that Fiscal Year 2010 (July 2009 – June 2010) will be worse than this budget year.

Mike “FossilMedic” Ward

Secondary jobs for IAFF members

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Prince George’s County, Maryland, fire/rescue employees and volunteers respond to about 330 incidents every day. Despite impressions left by thewatchdesk and dozens of websites, almost every incident is handled without requiring a police report, firefighter hospitalization or federal inquiry.

Since the beginning, county volunteers become District of Columbia firefighters. Most continued to be a PG volunteer. When the county established career firefighter positions in 1966, DC Local 36 helped organize PG Local 1619.

PG volunteers who worked at DCFD rose to volunteer chief rank at many of the 38 independent PG fire companies. Most were in their 20s and early 30s. A FEW of these two-hatters acted like tin-horn tyrants, using their volunteer authority to jerk around PG career firefighters. These tyrants made administrative, response and operational rules that were demeaning to career staff and affecting the quality of service.

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2000 IAFF RESOLUTION 43: RIVAL ORGANIZATIONS

Local 1619 presented a resolution at the 2000 IAFF Annual conference. Resolution 43 identified 38 volunteer fire department corporations as “rival organizations,” a term from the IAFF constitution and bylaws. The resolution called for charges to be placed against IAFF members who belong to these rival organizations, stating “these individuals continue to belong to volunteer organizations that make decisions which impair the rights and sometimes safety of members of Local 1619.” There were about 150 to 200 IAFF members who were two-hatting as volunteers in PG.

This created a firestorm between career and volunteers that went far beyond what Local 1619 wanted to accomplish. I got so mad at the posturing and mis-information spewed by fire service opinion leaders and columnists that I wrote an article describing the PGFD situation. It was published by Fire Chief magazine in January 2003, read that article HERE.

There was little impact after enforcing Resolution 43. Local 36 made it clear during the trial board process that this was a non-issue for them. It appears that there are more two-hatters volunteering in PG now than in 2000.

2008 IAFF RESOLUTION 2: SECONDARY EMPLOYMENT

The issue of what IAFF union members do on their off-duty time expands beyond the Washington DC metropolitan area. At last week’s convention, Resolution 2 was passed to clarify what the international’s position is.

Resolution 2 directs the IAFF to delete Article XV, Section 3 and insert a new subsection to the list of defined misconduct as “working a secondary job part-time, paid on call, volunteer or otherwise as a firefighter, emergency medical services worker, public safety or law enforcement officer, or as a worker in a related service, whether in the public or private sector, where such job is within the work jurisdiction of any affiliate or which adversely impacts the interests of any affiliate or the IAFF.

Upon a finding of guilt…it is recommended that the penalty include disqualification from holding office in any affiliate and/or expulsion from membership for the period that the misconduct persists. Charges filed for the misconduct described…shall be preferred by a member of the charged party’s local and/or member of an adversely affected affiliate.”

Resolution 2 directs the IAFF to create and maintain a database to track the experience of secondary employment, the filing of charges related to such employment, and the outcomes of trail boards and appeals deciding those charges. Finally it directs the IAFF to create and, at the request of an affiliate through its District Vice President, distribute educational materials to the requesting affiliate regarding the constitutional prohibition on secondary employment, including the basis for this prohibition, and the experience of our affiliates in dealing with this issue.

ISSUE CLARIFIED AND THE CONSEQUENCES RAISED

I was surprised at how many people were comfortable holding a leadership post as an IAFF member AND a volunteer leader at another department with an IAFF local. I wrote about an Eastern Shore individual HERE. What has not changed is the choice. Union membership has obligations.

2007 PGFD Annual Report HERE (large .pdf file)
The Battle Over Kentland Ambulance 339 HERE (PG staffing and operations)

Mike “FossilMedic” Ward

Death By Design

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Deborah Payne, a 55 year old northeast Philadelphia resident, called 9-1-1 because she had trouble breathing at 2:39 am on January 1, 2008. There were no city ambulances available. Engine 36 arrived within four minutes and started oxygen therapy. Ladder 20 brought more oxygen to the scene.

Medic 43B, an emt-staffed ambulance, arrived at 3:42 am. It failed to start after loading Payne into the unit. When the second fire department ambulance arrived, at 4:20 am, Payne was dead.

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Unfortunately, this situation was not an anomaly. While the first four hours of the New Year may be one of the busiest times for ems, the under-resourcing of Philadelphia Fire Department’s EMS section has received extensive documentation during the past few years. It was an item in my first column here, Walking the Fire-Based EMS Talk : http://firegeezer.com/2007/07/24/walking-the-fire-based-ems-talk/

Need at least 20 more ambulances

On December 20, 2007, City Controller Alan Butkovitz released an audit report “Emergency Medical Services: Strained Resources Creating Major Impediments to Quick Response Time.” You can download a copy of the 54 page, 2,133 KB Adobe Acrobat report by clicking here: http://www.philadelphiacontroller.org/page.asp?id=242 .

This report validated the statements made in earlier reports by the media and IAFF. The transport workload has risen significantly in the past five years, even as the city population shrank. PFD ambulances handle up to 8000 responses a year, with 20% of the ambulances running above 100% capacity. To translate that statement, it means they are responding to a call every 45 minutes.

Where can PFD get the money?

While the audit report is powerful, it has no teeth. The city controller has no ability to change city budget priorities or change city policy. Incoming Mayor Michael Nutter pledged to make tax cuts. This is one of a series of audit reports issued by Butkovitz pointing out “gaping holes in service” in many of the city agencies. The city controller is advocating the fixing of city services before making tax cuts.

The fire department attempted to disband four engine and four truck companies in order to establish eight additional 12-hour paramedic ambulances in 2004. That effort was stopped by an injunction obtained by Local 22. The injunction expired March 30, 2006. See this earlier column about Baltimore’s similar effort of fire-rescue roulette: http://firegeezer.com/2007/08/07/fire-medic-roulette/ .

EMS mutual aid?

Imagine a report of a structure fire in Philadelphia and there are no city engine companies available. There would be a call for mutual aid to get an “outside” engine company to respond to the fire. On the other hand, the city has refused to allow for-profit ambulance companies to cover the excessive 9-1-1 calls. Locals mention that the largest private service, American Medical Response, was run out of town. It took about two hours for Payne to die waiting for a fire department ambulance to transport her to a hospital. How long would she have waited if there was a back-up plan using private ambulance companies?

Mike “FossilMedic” Ward