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Home My WebLink About12-18-2012 c5 fire department cip for cardiac monitorscounci lj agenas nepoRt 'Meeting Date '12-18-201 2,Item Number C5 i C I T Y O F S A N L U I S O B I S P O FROM :Charlie Hines, Fire Chie f Prepared By :Julie Cox, Administrative Analys t SUBJECT : FIRE DEPARTMENT REPLACEMENT OF CARDIAC MONITOR S RECOMMENDATIO N 1.Award a sole source contract to Zoll Medical Corporation for purchase of four X Serie s Cardiac Monitors and accessories and authorize the City Manager to execute the contrac t totaling $128,300 . 2.Approve additional $33,700 from unallocated General Fund reserve for Cardiac Monito r Replacement CIP . DISCUSSIO N Backgroun d Cardiac Monitors/Defibrillators are indispensable and vital to the San Luis Obispo City Fir e Department Emergency Medical Services (EMS) program . The Fire Department Paramedics utiliz e • this important tool in conjunction with State and County protocols to deliver advanced cardiac lif e support (ACLS) emergency medical patient care to the citizens of our community . Cardia c Monitors/Defibrillators are utilized when a Paramedic deems it necessary to gather an electrocardiograph assessment of a patient in order to determine the most appropriate course o f treatment . This may entail utilizing the Cardiac Monitor/Defibrillator as an initial diagnostic tool o r as a source of continuous information to evaluate a patient's response to interventions and therapies . The Cardiac Monitors/Defibrillators are also essential in cardiac arrest calls for service and fo r patients experiencing other potentially lethal cardiac rhythms which require an electrica l intervention in order to improve their medical condition . The request to replace four cardiac monitors was originally submitted and approved as a CIP fo r $94,600 for FY 2012-13 in the 2011-13 Financial Plan (page 3-43 of the CIP appendix). Sinc e submission of this CIP, the most current and advanced generation of cardiac monitors has been pu t on the market . This model offers greater patient care capabilities and has therefore become th e regional standard for emergency medical services . The City's medical transportation provider, Sa n Luis Ambulance Services, now uses this model . The new X-series Cardiac Monitor has increase d the cost of the cardiac monitors under the scope of the original CIP from $94,300 to $128,204 . The Zoll X series models are equipped with 12 Lead and capnography (measures the patient's oxygen level-which is the best indication of the effectiveness of the resuscitation efforts ) capabilities that are superior to the current model of cardiac monitor/defibrillator . The X-series ha s far more advanced software capabilities that will allow first responders to detect and treat cardia c events consistent with current policies and protocols, thus improving patient survivability . The X- series is also equipped for data collection and transmission as per County policies and protocols . They also have additional life saving features such as carbon dioxide detection, non-invasive bloo d C5-1 Cardiac Monitor Replacement Page 2 pressure monitoring, and Real Help CPR software . Real Help CPR software shows the underlyin g cardiac rhythm during CPR, no longer needing to stop CPR to "read" the rhythm . Real Help CPR i s not consistent throughout current equipment . The batteries of the new X-series model are fa r superior and have a much longer life span than the battery system in current cardiac monitors . Reasons to Sole Source to Zoll Medical Corporation : Product Standardization-San Luis Obispo City Fire Department currently utilizes Zoll Cardia c Monitors/Defibrillators exclusively on all Emergency Apparatus . San Luis Ambulance Services Inc ., which is the private advanced life support ambulance company in San Luis Obispo, als o utilizes Zoll Cardiac Monitors/Defibrillators exclusively on its emergency response apparatus . Product standardization facilitates better interoperability and integration of patient care personne l and equipment. Product stabilization also facilitates a more timely and consistent transition i n patient care . San Luis Ambulance Services Inc . and CalFire Paramedics utilize "Zoll-X series " brand cardiac monitor/defibrillators as well . •Product Compatibility-Zoll Cardiac Monitors/Defibrillators are compatible with product s currently being utilized by the San Luis Obispo City Fire Depa tment EMS Program . San Lui s Obispo paramedic-firefighters are already trained to use Zoll cardiac monitor/defibrillators . A s such, the learning curve for a new model with consistent design is much shortened . This aspec t of compatibility decreases training needs and expenses, while simultaneously increasing proficiency . •Product Superiority-Following extensive usage in the EMS field, Firefighters and Emergenc y Medical Personnel have found Zoll Cardiac Monitors/Defibrillators to be a highly reliabl e product when caring for the most critically ill patients . Zoll produces Cardia c Monitors/Defibrillators which are reliable, durable, user friendly and require minima l maintenance . The Zoll X Series cardiac monitor's new design weighs less than 12 pounds , which is about half the size and weight of its competitors . Since cardiac monitor/defibrillators are carried by firefighters to the patient's side, along with several other boxes of emergenc y medical equipment, including other diagnostic equipment, oxygen bottles and tubing, and a bo x of drugs, decreasing the size and weight of this equipment is important . The Welch Allyn NIBP with Sure BP and Smart Cuff utilized on the Zoll X-series is the gold standard for non- invasive blood pressure (NIBP) monitoring . This style is the most accurate design, even whe n used in the most challenging conditions . Having the capability of NIBP allows fire departmen t medical personnel to apply the blood pressure cuff and rely on the X-series monitor to obtai n blood pressure readings automatically throughout patient care . This allows the medica l personnel who are otherwise committed to monitoring blood pressure changes to perform other critical patient care tasks and procedures . The Zoll X Series is also the first cardiac monito r with Wi-Fi capabilities . This feature allows for greater options in data transmission of 12 lea d electro-cardiogram (EKG) tracings and vital sign trends to the receiving hospital prior to an d during patient transport . Early 12 lead EKG transmission to hospitals is shown to decrease th e time between a cardiac emergency and definitive care at a cardiac care center hospital . Decreasing this time interval is shown to significantly impact cardiac patient outcomes . The X series model provides more options and greater reliability for this important goal . • • C5-2 • • Cardiac Monitor Replacement Page 3 •Less Maintenance-Zoll Cardiac Monitors/Defibrillators include a battery support system tha t is self-supporting and requires less maintenance . The Sure Power 6 .6Ah Li-ion battery is a lithium ion battery which does not maintain a memory, thus requiring less maintenance an d shorter recharging periods . FISCAL IMPACT This is an existing Measure Y CIP for $94,600 that is approved as part of the 2011-13 Financia l Plan . The request for additional funding from the unallocated General Fund reserve is $33,700 . If approved by the City Council, the expenditure will be tracked as a use of over-realized Measure Y revenue from the 2011-12 fiscal year . Total cost of the Cardiac Monitors CIP is $128,300 . ALTERNATIVE S Replace three (3) Cardiac Monitors in FY 2012-13 and one (1) Cardiac Monitor in FY 2013-2014 . This alternative is not desirable in that it delays the replacement rotation of the current older mode l for one frontline apparatus and does not maintain the goal of standardized cardiac monitors wit h San Luis Ambulance Services or within the Fire Department . In addition, 25% of our citizens woul d be served by equipment that offers decreased capabilities ; this would include those patient s receiving care from the one remaining fire engine that will utilize the "old" cardiac monitor for a n additional year . t \round) agenda reports\2012\ 2012.12-18\ fire department de for cardiac monitors (hinescox)\car fd replacement of cardiac monitors .docx • C5-3 Page intentionally lef t blank .