meeting summar - Suffolk REMSCO

MEETING SUMMARY 

September 18, 2012 - SCEMS Offices 

Hauppauge, New York 11788 

NOTE: This summary is a draft summary until formally approved at the November 13, 2012 meeting. 

Members Present: See attendance list, provided as attachment 1. 

Meeting opened at 7:05 pm with a quorum present and webcasting in progress. Chairman Gardiner 

welcomed all in attendance and led the group in the Pledge of Allegiance, followed by a moment of 

silence for those departed, in defense of our country, and in our service. In particular, Walter Horn, an 

active volunteer EMS provider with the Flanders-Northampton VAC, who has answered his last alarm. 

As is customary, all REMSCO members and guests introduced themselves. 

Mr. Gardiner opened the meeting calling for a motion to approve the July 2012 Meeting Summary as 

distributed. No discussion, motion passed. 

Certificates of Recognition for Life Saving Awards were presented to the following: 

Nesconset FD 

A.J. Anderson, Paul Collaretta, Brian Heinlein, James Keane, Shawn Cooper, John Martins, Robert Gosse, 

Gerry Smith, Ryan Davis (St. James FD on Mutual Aid), Brian Anderson (St. James FD on Mutual Aid), 

Andrew Kostas (Centereach FD as a basser-by). 

Exchange Ambulance 

Andrew Hoyt, Brooke Panza, Kyle Kanzenberg, Tom Bair, Scott Crosby, Robert Harford, Kerri Krausee- 

Paoletti, Jared Gunst (Islip FD on Mutual Aid), Eric Soules (Islip FD on Mutual Aid), Ray Langer (Islip FD on 

Mutual Aid). 

Brookhaben National Lab FD 

Marcel Rosenfeld, Antonio Realmuto, Gregory Meyer, Theresa Edrehi, Lee Brett, and Frank Palmeri. 

Amaganset FD 

Htun Han, Tom Field, Bob Jensen, Vinny Caraciollo, Karen Haab (Springs FD on Mutual Aid). 

Riverhead Ambulance 

Giuseppi Rosini, Timothy Lopes, Jennifer Kelly, Raymond Bonner. 

Medford Ambulance 

Lisa Mindlin, Amanda Tiedge, Dennis Dudley, Marc Trujillo, TJ Ragazzini, Marcia O‟Neil, Joelle Wilk. 

Cutchogue FD 

Kathy Hartman, Richard Hartman, Tom Martin, Lori Kaelin, Darrel Brazny. 

Selden FD 

Lou Felice, Jacob Parrish, Dan Corrigan, Nicole Guastella, Matthew Gruber, Maureen Hagan, John Charnetsky, 

Kyle Reimann. Justin Delmonico, Richie Garcia. 

SPECIAL RECOGNITION AWARD 

Kyle J. Reitan from Miller Place FD acknowledging his award as the Fireman‟s Association State of NY 

(FASNY) EMS Provider of the Year for 2013. 

Continued.



Hauppauge, New York 11788 – Page 2. 

Correspondence – distributed. 

Incoming – date; from whom; subject 

7/20/12; All American Awards; invoice for Regional EMS Awards. 

7/23/12; email from G. Miniutti to B. Blower; response to request for PSAP data. 

7/23/12; NYSVARA; Pulse Check Conference Brochure. 

8/10/12; All American Awards; invoice for special Regional EMS Award. 

8/10/12; copy of letter from SCHDS EMS Division to each hospital CEO; transmitting proposed ALS protocols. 

8/15/12; SCDHS EMS Division; transmitting proposed ALS protocols. 

8/15/12 email from John B. expressing concern about a personnel issue in the HCFAS. . 

8/15/12; copy of email from SCDHS EMS Division to John B.; response to concern about a personnel issue in 

the HCFAS. 

8/20/12; Mirman, Markovits & Landau, PC; letter requesting ambulance records for their client. 

8/23/12; copy of letter from A. Johnson/NYSDOH to SCPD Commissioner Webber; completing investigation - 

terminating their Course Sponsor Agreement, and cancelling previously approved courses. 

8/27/12; email inquiry from S. Bergmann via website; requesting information on ambulance response times. 

9/10/12; Chase Bank; August 2012 monthly statement. 

9/6/12; email from J. Lehrfeld; unable to make Sept. REMSCO mtg. due to holiday observance. 

9/10/12; email from J. Micheels; unable to make Sept. REMSCO mtg. due to family obligation. 

9/10/12; copy of letter from R. Delagi to A. Johnson/NYSDOHBEMS; transmitting revised Suffolk Regional 

ALS Protocols for distribution to Medical Standards/SEMAC. 

9/14/12; NYSDOH; reimbursement check for First Quarter (April-June 2012) activity. 

9/14/12; copy of letter from R. Delagi to M. Henry, MD, acknowledging concerns about the proposed Suffolk 

Regional ALS Protocols. 

9/18/12; Stony Brook SHTM; Course Applications for EMT-B Original 9/1/12 – 12/8/12 

9/18/12; Commissioner Williams; memo announcing access to the 2012 FRES Directory on line. 

9/18/12: DeBo‟s deli, invoice for Sept. mtg. expenses. 

9/18/12; email from A. Laferrera, requesting excusal from Sept. mtg. 

Outgoing – date; to whom; subject 

5/25/12; S. Sonder/NYSDOHBEMS; transmitting PAD information. 

6/20/12; email from J. Gardiner to Sen. Flannagan; expressing opposition to A9943c / S 7013c (bypassing 

CON process for Cities of Utica and Glens Falls). 

7/2/12; email from J. Gardiner to General Counsel to the Governor; expressing opposition to A9943c / S 7013c 

(bypassing CON process for Cities of Utica and Glens Falls). 

7/16/12; email from B. Blower to G. Miniutti; request for PSAP data. 

7/23/12; email from B. Delagi to J. Gardiner/J. McCormack transmitting NY State PCR data. 


8/6/12; email from B. Delagi to M. Mirras; financial business. 

8/13/12; email from B. Delagi to B. Blower; Resource Needs Committee business. 

8/15/12; email from J. Gardiner to John B.; response to expression of concern about a personnel issue in the 

HCFAS. 

8/23/12; email from B. Blower to G. Miniutti; ongoing dialogue related to request for PSAP data. 

8/28/12; Mirman, Markovits & Landau, PC; response to letter requesting ambulance records for their client. 

8/28/12; email from K. Klug to J. Gardiner; transmitting inquiry from S. Bergmann via website; requesting 

information on ambulance response times. 


9/18/12; Holy Family Regional; School; changes in PAD program. 

Continued.

Officer’s Reports 

Chairperson - J. Gardiner. 




The Chair referenced an email he received from a constituent in the Terryville Fire District (TDF). The 

constituent has cerebral palsey and other medical complications and is a frequent user of the TFD‟s 

Ambulance Service. The constituent wrote a heartfelt email praising the services of the TFD, 

acknowledging their always-professional response and caring demeanor. Mr. Gardiner passed along the 

email, with a letter of thanks to the TFD Chief for their exemplary customer service. 

Mr. Gardiner then reported that he had the pleasure of presenting with Ed Stapleton at the AHA‟s ECC 

Conference on CPR, drawing parallels to the REMSCO‟s current initiatives on promoting high-quality 

CPR. 

Mr. Gardiner reminded all REMSCO members that the annual Awards Ceremony & Dinner is scheduled 

for October 25 th , that Mrs. Komosinski has already sent out invitations, and encouraged active 

participation by REMSCO members to recognize those being honored. 

Mr. Gardiner continued by directing the Nominations Committee to review all current seats, 

membership terms and constituencies represented to ensure that we have active and efficient 

representation from key stakeholders, particularly those that are representative of ambulance services, in 

accordance with required REMSCO make-up. 

Mr. Gardiner concluded by referencing a letter that he received from the NY State DOH to the SCPD 

terminating their Course Sponsor Agreement based on a new and recent investigation into practices at 

the academy‟s EMT Unit, and cancelling ten (10) referesher courses previously approved. He stated that 

Mr. Delagi would report on how the EMS Division has assumed administrative oversight of the training 

during the staff report. Mr Gardiner stated that the while he had not seen the results of the investigation, 

it would be inappropriate to debate the merits of the State DOH‟s action until such time as those results 

were made public. He then yielded the floor to Dr. Coyne to offer brief remarks on behalf of the SCPD. 

Dr. Coyne explained that the Police Commsioner did receive the letter that contained no specific 

allegations of findings of any investigation. He stated that SCPD administration has had productive talks 

with the State DOH and stated that all previously scheduled refresher training will continue under the 

leadership of Suffolk County EMS Division. He concluded by stating that the police department was 

waiting for information from State to identify and understand the issues that transpired leading to the 

letter. 

Vice-Chairperson – Jane Mccormack, RN 

Mrs. McCormack informed the REMSCO that Dr. Harry Soroff, founder of the Burn Center at Stony 

Brook, and a world renowned Burn Surgeon, recently passed away. She spoke of Dr. Soroff‟s 

significant contributions to burn care and his vision leading to the creation of the Suffolk County 

Firefighters Burn Center. 

Continued by reminding the REMSCO that the “Night at the Vineyards” fund raiser for the Burn Center 

will be held on October 6, tickest are available. 

Continued.

Treasurer – 




In Mr. Mirras‟ absence, Mr. Delagi read the report into toe record, citing the current balance and 

referencing all bills paid and up-to-date. He also stated that the First Quarter reimbursement check was 

received, but not yet deposited and reflected in the totals. The report is provided as attachment 2. The 

Chair called for a motion that was seconded to approve the report as distributed. 

EMS Division Staff Report – R. Delagi, T. Lateulere, G. Pigott, MD 

Referring to Mr. Gardiner‟s opening remarks regarding support the SCPD‟s EMT Training Unit, Mr. 

Delagi stated that Police Commissioner Webber did reach out to Health Commissioner Tomarken 

advising the Health Department of the letter, and requested the Health Department‟s assistance in 

providing administrative oversight of EMT training through the EMS Division‟s Course Sponsorship, 

for the forseeable future, to ensure un-interrupted training of police officers while the police department 

has an opportunity to work with the State DOH to understand the issues and determine possibility of 

alternative conclusions they seek. Mr. Delagi stated that several meetings have taken place between 

Health Department Administration, Police Department Administration, and Academy Administration 

and the Division has assumed oversight of courses, with current academy training staff working under 

Tom Lateulere, serving as the Course Sponsor Administrator and Dr. Pigott, serving as the Medical 

Director, and that this relationship would continue for the forseeable future, as the police receive 

answers to their questions regarding the investigation and subsequent actions taken. 

Staff report was distributed, as attachment 3. Mr. Delagi highlighted the recent BLS Narcan Pilot 

Demonstration Project activity, citing a current total of nine hundred two (902) providers trained and 

twenty three (23) cases of INH Narcan being administered by BLS providers to date. 

Mr. Lateulere reported on the changes to original, refresher and CME training currently underway in the 

region, based on NY State transition to the National Standard Education Curricula. He stressed the point 

that these changes are not the doing of the EMS Division, but rather, being implemented as required by 

NY State. We are releasing information to keep the system informed as we receive it from NY State and 

spending a great deal of time updating course curricula, presentations, student manuals, skills sheets, etc 

to meet the new requirements. Regarding the changes to CME, summary information has been placd on 

the website and is also available on the State EMS website. Plans are in place to hold informational 

sessions for agency CME Liaisons. 

Dr. Pigott commented on the continuous quality reviewes done by the Division, yielding positive results. 

There were several issues that required technician remediation; however, system performance is at 

acceptable levels, particularly in invasive skills. Protocols up for review reflect advances in system 

performance and the Division‟s monitoring in QI program. 

Continued.

Committee Reports 

Resource Needs – B. Blower 




Mr. Blower stated that the Resource Needs Committee met earlier this evening to address the 

Clarification of Operating Territory (COT) request concerning the East Moriches VAC. He read the 

Summary, provided as attachment 4 into the record, described the detailed review of coroborrating 

documentation, and brought forth the following seconded motion: The Suffolk REMSCO concurs that 

the most accurate representation of the East Moriches VAC’s authorized operating territory should be 

changed to: East Moriches Fire District and the Brookhaven Town Portion of the Eastport Fire District 

as detalied in the Clarification of Operating Territory request. There was no opposition. The 

President/Chief and the Vice President/Assistanct Chief were on hand to answer any questions. Motion 

unanamously passed. 

Response Committee – B. Blower 

Mr. Blower reported that the committee was working on the 2008 NY State Data CD, with the 

assistance of Jane McCormack and the data review staff at University Hospital. The CD contains 

188,000 calls, and some of the data appears suspect. Mr. Blower stated that he had been in contact with 

FRES Commissioner Williams to obtain FRES PSAP data so comparisons could me made and a report 

generated. FRES has agreed to suppy whatever data is available to the REMSCO. 

REMAC – L. Cox, MD 

Dr. Cox reported that the REMAC last met on July 24 th , and the meeting Summary was distributed. The 

main focus of the meeting was to finalize and approve the revised ALS protocols, which have been 

submitted to the SEMAC for review at their upcoming meeting. Dr. Cox stated that the revised protocols 

were very progressive with significant trust given to ALS providers in terms of expanded standing 

orders, reflection of new medications and procedures, and improves the standard of care in the region. 

He acknowledged that this is a by-product of the creativity and self-improvement seen in many agencies 

and by many technicians. 

Communications – T. Lateulere 

Mr. Lateulere reported that he met with the webmaster earlier in the day to discuss website 

improvements and enhancements, such as moderated interactive forums, and creating space for a 

collection of „how-to” videos for EMS providers. Work continues daily to keep the site updated and the 

site continues to be very popular and helpful to providers and agency leaders. 

PIO – E. Komosinski 

Mrs. Komosinski reminded all that the Awards ceremony and Dinner is October 25 th at Peconic 

Landing in Greenport, and that RSVPs were due on or before October 12 th . Thus far, the response is 

low. 

Continued.

Disaster Planning – R. Delagi 




Mr. Delagi reported that disaster preparedness activity is ongoing and is documented in the EMS 

Division staff report. He highlighted the bullets describing on-going health care facility evacuation and 

how that has paid off, first with the facility evacuations last June with Hurricane/Tropical Storm Irene, 

and more recently last week with an emergency evacuation and subsequent repatriation of the Cedar 

Lodge Nursing Home in Center Moriches, due to a gas leak. He also thanked Joel Vetter from FRES for 

his work on finalizing the purchase process for the Medical Ambulance Bus, which is being constructed 

by Sartin Services, with expected delivery soon. 

Education & Training – 

In Mr. Zuksosky‟s absence, Mr. Gardiner reported that there was no new business before the committee 

and that Mr. Zukosky is up to date with matters before the committee. 

Legislative – E. Boyd 

Mr. Boyd reported that there is little legislative movement as we are in campaign season. Legislator 

Calarco commented that the budget process was underway in the county. 

Budget – 

In Mr. Mirras‟ absence, Mr. Smyth reported that the Audit Committee is underway, and that Mr. Mirras 

and Mr. Franz were going through records. There is one more meeting scheduled and a final report will 

be ready for the next meeting. 

Nominations – H. Rosenblum 

Ms. Rosenblum reported that there was no business before the Nominations Committee. 

Ad Hoc Committee on Recruitment – 

In Mr. Cronogue‟s absence, Mr. Gardiner reported that the survey prepared by the committee was 

distributed and results are pending. 

Ad Hoc Committee on Citizen CPR – E. Stapleton 

Mr. Stapleton reported that there was no committee meeting since the last REMSCO meeting. He 

commented on University Hospital‟s ongoing study using mass media video to successfully teach CPR 

and offered comments on how this be translated to use in the public arena. Mr. Stapleton continued, 

advising the REMSCO that he met with the President of Laerdal Corporation, who is developing a CPR 

Kiosk, which contains a mannequin and a video to mediate “self-learning” of CPR. The device is being 

field tested in the Dallas-Fort Worth Airport and plans are in place to have University Hospital as a test 

site. 

Continued.




Co-chair Mr. Vetter reported that there are multiple agencies in the system doing regular and ongoing 

CPR training, and that the county‟s website is undergoing revisions, including a place to feature CPR 

training information and success stories. Mr. Vetter also discussed the National AED Registry Program, 

which he expected to roll out in the next two (2) months. This program supports the EMS Division‟s 

annual re-registration of AEDs in public places by using technology to communicate with PAD 

Organizations regularly for updates on AED status, location, in-date pads, etc. He concluded by 

discussing a new iPhone app linked to this initiative. 

Ad Hoc Committee on Recruitment & Retention – 

In Mr. Cronogue‟s absence, Mr. Gardiner reported that satisfaction surveys were sent out, results 

pending. 

NYS EMS Council Delegate – T. Lateulere 

Old Business 

Congratulations to Mr. Lateulere as he assumes official duties as the REMSCO‟s Delegate, successfully 

completing the Governor‟s vetting process. Mr. Delagi will remain his alternate. There was no meeting 

since the May meeting, Mr. Lateulere and Mr. Delagi will be attending the October 2-4 meetings. 

New Business 

Mr. Lateulere stated that he spoke to the vendor (Jones & Bartlett) regarding concerns raised last month 

by Mr. Cronogue, who was concerned about the validity of this vendor‟s test bank, and contacted Mr. 

Cronogue, asking to provide specific information as to which questions are poor questions and why. 

Mr. Lateulere also spoke to the author of the test bank who has asked for specifics about the questions 

being challenged so that he can review and respond to the concerns. 

Mr. Gardiner asked for the sense of the REMSCO on his thoughts of adding a campaign bar, to be 

issued with certificates, for CPR saves. Recognizing that most agencies have by-laws that address 

uniform components, he felt that provider would appreciate them, not only for uniforms, but also for 

non-uniform attire, such as jacktets. There was overwhelming support for the idea. 

Announcements 

Meeting Adjourned at 8:10 PM 

Next meeting of the Suffolk Regional EMS Council will be on 

Tuesday, November 13, 2012 

7:00 PM 

Suffolk County EMS Office 

Hauppauge, NY 11788 

Prepared for the Suffolk Regional EMS Council by Robert Delagi, Program Agency Director. 

ATTACHMENTS TO FOLLOW

Date:~ 

Name 

Scott Coyne, MD 

Katrin Diana, RN 

Thomas Lateulere 

Bruce Blower 

Tom Cronogue 

Robert Delagi 

Lt 

Helen Rosenblum, Esq. 

Mark Zender, RPA-C 

Joel Vetter 

Robert Franz 

Lincoln Cox, MD 

Ian Levine 

Michael Mirras, CPA 

Mike Ryan 

Greg Pigott, MD 

Matt Zukosky 

David Baumrind 

Edward J. Boyd, Esq. 

Jay Gardiner 

Meryl Montrose 

John O'Brien 

Tony LaFerrara 

Mitchell Savino 

Bruce Talmage 

Jane McCormack, RN 

Edward Stapleton 

Hon. Robert Calarco 

Kevin Pesce 

Thomas Smyth, Esq. 

Joseph Lehrfeld 

SUFFOLK REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL 

Affiliation 

MEETING ATTENDANCE LIST 

SCPD / Special Patrol Bureau 

SC Emergency Nurses Association 

SC Department of Health Services 

Public Interest 

SC EMS Instructors Association 

SC EMS Coordinator 

North Fork Volunteer Rescue Association 

NYS Society of Physician Assistants 

SC Dept. Fire, Rescue & Emergency Services 

7th Dist. NYSVA & RA 

SC REMAC 

Fire Island Law Enforcement and Safety Council 

East End Ambulance Coalition 

American Red Cross 

SC EMS Medical Director 

Suffolk County Community College 

American Heart Association 

SC Fire Chiefs Council 

SC Regional Faculty 

SC Vol. Firemans Association 

Southampton Town Emerg. Med. Advisory Board 

SC Fire, Rescue & Emergency Services Commission 

SCPD / Training Academy 

SC Ambulance Chiefs Association 

Regional Trauma Advisory Council 

University Hosp. SUNY Stony Brook 

SC Legislature 

SC Medical Control -- 

SC Fire District Officers Association 

Commercial Ambulance Services 

Location: 

Continued.

ALTERNATES: 

Name ReDresentinl! Sil!nature 

STAFF: 

GUESTS: 

Affiliation: 

--- -

Opening Balance 

Total Deposits 

Total Disbursements 

Check# 

705 

706 

707 

708 

709 

710 

711 

Closing Balance 09/10/2012 

Available Funds 

Date Name 

REMSCO TREASURER'S REPORT 

Forthe September 18,2012 Meeting 

7/10/2012 Jay G 

7/10/2012 Debo's Deli 

8/5/2012 InfrastructureSolutions 

7n/2012 InfrastructureSolutions 

8/10/2012All AmericanAwards 

8/16/2012All AmericanAwards 

9/10/2012 InfrastructureSolutions 

Deposit 

Misc. Exp. (Postage, Awards) 

Refreshments 

Inv.#15421,15452,15489 

InV#30247 

Inv.#30383 

Deposits Disbursements 

0.00 

128.45 

200.00 

294.00 

882.00 

584.00 

35.76 

294.00 

$25,946.41 

$0.00 

$2,418.21 

$23,528.20 

$23,528.20

EMS DIVISION STAFF REPORT 

BY: Bob Delagi, Tom Lateulere, and Greg Pigott, MD 

FOR: REMSCO & REMAC July - August, 2012 

AMBULANCE SERVICE OPERATIONS 

Provided staff support to the REMSCO Executive Committee. 

Provided staff support to the REMSCO for their July, 2012 meeting. 

Provided staff support to the REMAC for their July, 2012 meeting. 

In follow up to previous meeting with FRES Dispatch to submit proposal to NAEMD to modify select emergency 

medical dispatch determinant code for cases of chemical suicide, held one (1) additional discussion and reviewed 

dispatch determinants in an upcoming version 12.2, to be released soon, continuing to work to address the 

problems. 

Investigated a complaint regarding “unsafe atmospheric conditions” in a day care center, working in conjunction 

with Town of Islip Haz Mat Team and the Health Commissioner to address a public health concern. Issue was 

unfounded. 

Staff met with the new Executive Director of Administration and Associate Executive Director of Patient Care 

Services at Southside Hospital to discuss enhanced hospital services and implications on the EMS System. 

Completed the 2013-2014 Regional Training Plan and Budget Template, submitted to the NY State DOH. 

Distributed information regarding the NY State EMS Educational Conference and Trade Show – Vital Signs 2012 

– to the EMS System. The conference will be held in Syracuse, NY 10/18/12 – 10/21/12. 

Consulted with FRES on the potential health effects on firefighters at a recent fire in a recycling plant. 

Met with representatives of the Community Ambulance Company and the Bayport Fire Department/District on 

unauthorized EMS response and steps to become a recognized BLS-FR agency. 

Met with repreentatives of the Sayville FD to address appropriate levels of emergency medical care from 

members of a fire department without EMS agency designation. 

Provided on-site technical support and developed the health & safety plan for the annual Cross Bay Swim. 

Provided on-site technical support in coordinating services at the Wounded Warrior Project ride in Amagansett. 

Established a working relationship with the East Moriches VAC to assist with a Clarification of Operating 

Territory (COT) proceeding. Attended several mettings with agency representatives and FRES Communications 

to address formilization of geographical boundaries. 

Provided technical support to the Suffolk County Office of the Aging to assure EMS coverage and cooling 

stations at a senior citizens picnic. 

Participated in several planning meetings and conference calls reference a Part 18 application for the Great South 

Bay Power Boat Races. The event was not permitted as the promotor could not overcome concerns addressed in 

the Public Safety Impact Statement. 

Provided updated “Appendix B” Budget templates for the Program Agency contract for 2013-2014, and 2014- 

2015. 

Provided notification to the EMS System about the PCR shortage, as reported by NY State DOH, along with 

temporary solutions for duplicating PCRs in the interim. The PCR shortage has since been resolved, and 

distribution sites across Suffolk County have received new alotments. 

Linked to the initiative described above, the EMS Division has partnered with Brookhaven Memorial Hospital as 

out newest distribution site. 

Provided assistance to the HCFAS as they developed an Emergency Medical Action Plan (EMAP) pursuant to a 

Part 18 application for the Long Island Fall Festival. 

Staff provided on-site technical support at a house explosion in Brentwood with multiple casualties. 

Provided on-site inspection at a Part 18 permit funtion, the Hampton Classic Horse Show, in Bridgehampton. 

Continued.



FOR: REMSCO & REMAC July-August, 2012 – Page 2. 

AMBULANCE SERVICE OPERATIONS – continued. 

Staff maintained admintrative oversight of the county’s BLS Narcan program, reviewing PCRs and processing 

training records. 

Attended informational meeting with HCFAS for entry into the ePCR Program. 

Held two (2) meetings with event organizer and public safety agencies affected by Part 18 event, a fireworks 

display in Patchogue. 

Held two (2) meetings with event organizer and public safety agencies affected by Part 18 event, the Annual 

Seafood Festival at the LI Maritime Museum in West Sayville. 

Attended two (2) meetings with event organizer and public safety agencies affected by Part 18 event, the Central 

American & Mexico Independence Festival, in Brentwood. 

Provided initial Controlled Substance informational package to the Ridge Fire Department 

Provided logistical support and coordinated EMS resources for the Annual Smith Point Triathlon 

Provided initial Controlled Substance informational package to the Ridge Fire Department 

Provided logistical support and coordinated EMS resources for the Annual Smith Point Triathlon 

Conducted site visit at North Amityville FD, as they upgrade to the ALS level. 

Reviewed final submission of Mastic Beach Controlled Substances Plan. 

Attended Safety & Logistics meeting with the National Multiple Sclerosis Society for the up-coming MS Bike 

event, to be held in September. 

Provided final review and notifications as Bay Shore-Brightwaters Rescue Ambulance implements their 

Controlled Substances Program. 

Staff continued with planning and coordinating the annual awards dinner and ceremony. 

CISM Team responded to twenty three (23) calls for assistance. 

Staff processed multiple PAD applications or notifications of changes to existing PAD programs. 

Staff attended one (1) meeting of the county’s Recruitment and Retention Committee, and the Division notified 

the EMS System that recently enacted legislation now recognizes student/volunteers from VACs as eligible. 

Continue working with FRES and Medical Control to identify instances where the police are calling EMS for a 

first responder to “pronounce death.” 

EDUCATION, TRAINING & QUALITY IMPROVEMENT 

The EMS Division regrets to announce that EMS Officer Peter Aurrichio has resigned from the division to pursue 

professional opportunities with the FDNY’s EMS Command. We wish Peter well in his new endeavors, and 

recognize his significant contributions to the EMS Division’s educational programs. We look forward to Peter 

staying on with us as a per diem contract instructor. Adminsitrative staff continue to work on ensuring 

uninterrupted opportunities during staffing shortages. 

Staff spent considerable time finalizing revised ALS protocols, in preparation for distribution to NY SEMAC, for 

approval at the October meeting. 

Staff spent considerable time on revising original, refresher, and CME training requirements, educational content 

packages, student manuals, academic policies, and presentations to conform to NY State guidelines for transition 

to the National Standard curricula. 

Administrative staff working with the SCPD Academy to transition Course Sponsorship management to the EMS 

Division, based on sanctions recently imposed on them by the NY State DOH. 

Received the results from the June 2012 NY State exam; sixty seven (67) EMT-B Original, forty three (43) EMT- 

B Refresher and ten (10) EMT-P Refresher students passed. 

Continued.




EDUCATION, TRAINING & QUALITY IMPROVEMENT – continued. 

Held two (2) NYS PSEs for EMT-CC students, 42/44 passed the 16 station exam. 

Held one (1) NYS PSE for EMT-B students, 44/44 students passed. 

Held one (1) NYS PSE for CFR students, 6/6 passed. 

Reviewed and processed seventy two (72) CME Refresher Packets (25 EMT-B, 39 EMT-CC and 8 EMT-P) for 

students recertifying through the CME Program. 

Staff performed audits on two (2) CIC canditates. 

Staff tracking two thousand nine hundred sixty five (2,965) providers enrolled in the CME Program. 

The AHA Training Center conducted three hundred thirty one (331) courses, collectively registering one thousand 

seven hundred ninety five (1,795) students. 

Conducted one (1) REMAC ALS Credentialing class for fourteen (14) providers. 

Division staff currently developing the following courses: 

two (2) EMT-CC Original courses in Hauppauge and Riverhead; 

one (1) EMT-CC Refresher course in Hauppauge; 

five (5) EMT-B Original course in Centereach, Copaigue, Miller Place, East Northport and Sag Harbor; 

six (6) EMT-B Refresher courses in Huntington, Bay Shore, Sag Harbor, Nesconset, Southold, and 

Hauppauge. 

Staff conducted the following CME class offerings: 

one (1) CPAP class (11 students); 

one (1) PCR Writing class (12 students); 

one (1) AHA BLS Instructor course (21 students); 

two (2) CPR Instructor renewal course (37 students) 

eight (8) ALS CME Core Content classes (160 students); and 

seven (7) BLS CME Core Content classes (160 students). 

Division staff performed Quality Improvement reviews of the following cases: 

one hundred twenty (120) cases of endotracheal intubation; 

twenty eight (28) cases where Medical Control MD contacted for hospital destination/where 

Medical Control MD divert patient from closest hospital to “appropriate” hospital; 

one hundred fifty (150) cardiac arrests (25 sustained PROSC - 4 d/c home); 

fifty two (52) cases of IO application; 

one (1) needle decompression; 

fifty nine (59) cases of controlled substance administration; 

nine (9) cases of BLS Albuterol administration; 

thirteen (13) uses of chemical restraint medication administration; 

thirteen (13) cases of BLS Narcan administration; 

three (3) cases of BLS Blood glucoose determination 

two (2) cases of BLS Epi Pen Authinjector administration; and 

thirty seven (37) CPAP applications. 

Worked with Service Medical Directors in reviewing thirty two (32) case reviews. 

Worked with the Medical Director on multiple remediations, including restriction of ALS privileges for three (3) 

providers due to significant protocol violations.




Continued. 

DOMESTIC PREPAREDNESS / HOMELAND SECURITY 

Participated in a telephone conference call with NY State DOH regarding health care facilities evacuations. 

Staff attended a meeting on Medical Countermeasures Capacity for Improvised Nuclear Device (IND) hosted by 

the federal Assistant Secretary for Prepardeness and Response (ASPR) working with the Regional Catastrophic 

Planning Team. 

Attended training co-sponsored by Columbia University and Stony Brook Medicine for Maintaining Efficiencies 

in Public Health. 

Attended one (1) meeting of the county’s Incident Management Assistance Team (IMAT). 

Staff attended the inagural meeting of the State DOH’s newly formed Health Care Emergency Preparation 

Coalition. This entity replaces the Regional Resource Center (RRC) as the point of coordination for health care 

facilities planning. 

Provided EMS planning and recon in preparation for the county’s USAR Team deployment to an exercise at the 

Center for National Response Memorial Tunnel in West Virginia. 

Attened one (1) meeting of the county’s USAR Team. 

Met with the Riverhead Volunteer Ambulance Corps to assist with planning an MCI exercise. 

Attended a tabletop exercise in the Islip Public School District to discuss emergency planning. 

Attended one (1) meeting with the U.S. Postal Service and other key stakeholders to revise plans for response to 

the Biohazard Detection System (BDS). 

Progressed with purchasing specifications and Request for Proposal (RFP) process for Medical Ambulance Bus 

(MAB) purchase. Bid has been awarded to Sartin Services, vehicle being built to specification. 

END OF DIVISION STAFF REPORT

EXECUTIVE SUMMARY 

AMBULANCE COMMITTEE OF THE MORICHES 

d/b/a EAST MORICHES COMMUNITY AMBULANCE 

CLARIFICATION OF OPERATING TERRITORY SUMMARY 

THE NY STATE DOH/BEMS ISSUED POLICY STATEMENT 11-06 – CLARIFICATION OF 

OPERATING TERRITORY – TO CREATE A PROCEDURAL METHOD FOR CERTIFIED 

EMS AGENCIES TO HAVE THEIR OPERATING TERRITORY DESCRIPTION CHANGED 

TO REFLECT ACTUAL AREA SERVED, WITHOUT ADDING NEW TERRITORY. 

CHANGES ARE SOMETINES NECESSARY WHEN AN EXISTING DESCRIPTION IS 

EITHER VAGUE, IMPRECISE, OR USES DESCRIPTORS THAT MAY NO LONGER BE 

AN ACCURATE REPRESENTATION OF THE GEOGRAPHY SERVED. POLICY 

STATEMENT 11-06 SERVES AS A GUIDELINE FOR REGIONAL EMS COUNCILS TO 

USE WHEN REVIEWING AND CONSIDERING A CLARIFICATION OF OPERATING 

TERRITORY REQUEST. 

SINCE THEIR ORIGINAL FILING WITH THE NY STATEDOH/BEMS IN AUGUST 1975, 

THE EAST MORICHES VAC’S OPERATING TERRITORY HAS BEEN LISTED AS THE 

HAMLETS OF EAST MORICHES, EASTPORT, SPEONK AND REMSENBURG. THIS 

REPRESENTS THEIR HISTORICAL, ROUTINE AND REGULAR RESPONSE AREA 

AND THERE HAVE BEEN NO EXPANSIONS TO THIS AUTHORIZED TERRITORY. IN 

ADDITION, THE NYS DOH/BEMS HAS NEVER ASKED THAT AN EXPANSION 

APPLICATION BE SUBMITTED. AMBULANCE SERVICES BORDERING THE NORTH, 

SOUTH, EAST AND WEST ALL CONCUR. 

CONTINUED.


d/b/a EAST MORICHESCOMMUNITY AMBULANCE 


– PAGE 2. 

WHEN SUBMITTING THE BI-ANNUAL AMBULANCE SERVICE APPLICATION FOR 

EMS OPERATING CERTIFICATE RENEWAL ON JULY 17, 2012 TO COINCIDE WITH 

THE CURRENT EXPIRATION DATE OF AUGUST 31, 2012, THE APPLICATION CAME 

FROM NYSDOH/BEMS PRELOADED WITH THE OPERATING TERRITORY AS NOTED 

ABOVE. 

IN HIS DESIRE TO BE COMPLETELY ACCURATE, THE PRESIDENT/CHIEF, HAND 

WROTE THE WORD “MANORVILLE” IN THE OPERATING TERRITORY BOX. THIS 

FIRST MENTION OF A NEW TERRITORY GENERATED THE CLARIFICATION OF 

OPERATING TERRITORY REQUEST PROCESS. 

ON JULY 20, 2012, THE PROGRAM AGENCY DIRECTOR RECEIVED AN EMAIL FROM 

THE NYSDOH/BEMS, REQUESTING ASSISTANCE TO PERFORM A CLARIFICATION 

OF OPERATING TERRITORY REVIEW. THE ISSUES WERE: 

THE ADDITION OF THE AREA IDENTIFIED AS “MANORVILLE” WITHOUT 

FURTHER EXPLANATION; 

THE USE OF THE VAGUE AND IMPRECISE DESCRIPTORS “EAST MORICHES, 

EASTPORT, SPEONK AND REMSENBURG” AS HAMLETS, RATHER THAN 

AREAS WITH LEGALLY IDENTIFIABLE BOUNDARIES; AND 

CONTINUED.




– PAGE 3. 

PORTIONS OF THESE VAGUELY DESCRIBED AREAS RESTED IN THE 

TOWNSHIP OF BROOKHAVEN AND WHILE PORTIONS RESTED IN THE 

TOWNSHIP OF SOUTHAMPTON. 

ON AUGUST 8, 2012, THE PROGRAM AGENCY DIRECTOR CONTACTED THE CHIEF 

VIA EMAIL TO INITIATE THE PROCESS IN ANTICIPATION OF THE SEPTEMBER 18, 

2012 REMSCO MEETING. 

CLARIFICATION PROCESS 

DURING A PREVIOUS ADMINISTRATION, CIRCA 1987, THE AMBULANCE 

COMPANY FORMED A SPECIAL USE (AMBULANCE) DISTRICT, FUNDED BY, AND 

UNDER CONTRACT TO, THE TOWNSHIP OF BROOKHAVEN. IN AN EFFORT TO 

ALIGN TAXABLE PARCELS WITHIN THEIR CONTRACTED RESPONSE AREA, THE 

BROOKHAVEN TOWN LINE BECAME THEIR NATURAL EASTERN-MOST BORDER, 

AND THE SMALL AREAS WITHIN THE ABOVE-REFERENCED HAMLETS OF SPEONK 

AND REMSENBURG, LOCATED WITHIN THE TOWNSHIP OF SOUTHAMPTON WERE 

ASSUMED BY THE WESTHAMPTON WAR MEMORIAL VOLUNTEER AMBULANCE 

CORPS, LOCATED IN, AND FUNDED BY, THE TOWNSHIP OF SOUTHAMPTON. 

CONTINUED.




– PAGE 4. 

THIS WAS MUTUALLY AGREED UPON BY BOTH AMBULANCE COMPANIES AND 

BOTH TOWNSHIPS AND HAS BEEN IN EFFECT SINCE 1987. RECENTLY, THE EAST 

MORICHES VAC’S EFFORTS TO FIND DOCUMENTATION FROM THIS PREVIOUS 

ADMINISTRATION HAVE BEEN UNSUCCESSFUL. THEIR PRECISE DESCRIPTORS 

ARE IDENTIFIED ON THE ENCLOSED MAP AND CONSIST OF THE FOLLOWING: 

THE BROOKHAVEN TOWN PORTION OF THE EASTPORT FIRE DISTRICT AND 

THE ENTIRETY OF THE EAST MORICHES FIRE DISTRICT, LESS A SMALL 

AREA NORTH OF HEAD OF THE NECK ROAD. WE ACKNOWLEDGE THE 

IMPRECISE USE OF THE TERMS “PORTION OF” AND “LESS THE SMALL 

AREA OF” SO TO FURTHER CLARIFY, THE: 

O WESTERN MOST BORDER IS THE EAST MORICHES FIRE DISTRICT / 

CENTER MORICHES FIRE DISTRICT BOUNDARY; 

O EASTERN MOST BORDER IS THE BROOKHAVEN TOWN LINE; 

O SOUTHERN MOST BORDER IS THE MORICHES BAY, AND THE; 

O NORTHERNMOST BORDER IS HOT WATER STREET. 

O FURTHERMORE, THE “MINORITY” PORTION OF THE EAST MORICHES 

FIRE DISTRICT NOT COVERED BY EAST MORICHES VAC IS LARGELY 

UNDEVELOPED PINE BARRENS AREA. 

CONTINUED.




– PAGE 5. 

FURTHER REVIEW OF THE MAP WILL SHOW THAT EAST MORICHES VAC’S 

HISTORICAL, ROUTINE AND REGULAR RESPONSE AREA IS NESTLED 

COMPLETELY WITHIN THE TOWNSHIP OF BROOKHAVEN, BORDERED ON THE: 

O SOUTH BY MORICHES BAY; 

O WEST BY THE CENTER MORICHES FIRE DISTRICT (OPERATES AN 

AMBULANCE SERVICE); 

O NORTH WEST BY THE MANORVILLE FIRE DISTRICT (COVERED BY 

THE MANORVILLE COMMUNITY AMBULANCE CORPS) INCLUDING A 

NEW DEVELOPMENT NORTH OF HEAD OF THE NECK ROAD); 

O NORTH EAST BY THE FLANDERS FIRE DISTRICT (COVERED BY THE 

FLANDERS-NORTHAMPTON AMBULANCE CORPS; AND ON THE; 

O EAST BY THE EASTPORT FIRE DISTRICT (COVERED BY THE 

WESTHAMPTON WAR MEMORIAL AMBULANCE CORPS). 

CONTINUED.




– PAGE 6. 

COROBORATING STATEMENTS OF AGREEMENT FROM SUFFOLK COUNTY FIRE, 

RESCUE AND EMERGENCY SERVICES COMMUNICATIONS CENTER (911 PSAP), THE 

CENTER MORICHES FD, MANORVILLE VAC, FLANDERS-NORTHAMPTON VAC AND 

THE WESTHAMPTON WAR MEMORIAL VAC AS THE AMBULANCE SERVICES OF 

RECORD, TO THE WEST, NORTH WEST/NORTH EAST AND EAST BORDERS, 

RESPECTIVELY, HAVE BEEN SUBMITTED. A COPY OF THE 1987 TOWN OF 

BROOKHAVEN’S ENGINEERS REPORT CONTAINING THE LEGAL DESCRIPTION OF 

THE THEN-NEW TAXING DISTRICT, BY PARCEL, WHICH COINCIDES WITH THE 

TOWNSHIP BORDERS HAS BEEN SUBMITTED. 

CONCLUSION 

AFTER CAREFUL REVIEW OF ALL DOCUMENTATION, THE SUFFOLK REMSCO 

CONCURS THAT THE MOST ACCURATE REPRESENTATION OF THE EAST 

MORICHES VAC’S AUTHORIZED OPERATING TERRITORY SHOULD BE CHANGED 

TO: EAST MORICHES FIRE DISTRICT AND THE BROOKHAVEN TOWN PORTION OF 

THE EASTPORT FIRE DISTRICT AS DETAILED IN THIS CLARIFICATION OF 

OPERATING TERRITORY REQUEST. 

END OF SUMMARY 

Prepared by: Robert Delagi 

Program Agency Director 

September 18, 2012

meeting summar - Suffolk REMSCO

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?