HomeMy WebLinkAbout19 - Purchase of Cardiac Monitor-DefibrillatorsCITY OF NEWPORT BEACH
CITY COUNCIL STAFF REPORT
Agenda Item No. 19
June 24, 2003
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: Fire Department
Tim Riley, Fire Chief, 644 -3101, triley @city.newport- beach.ca.us
SUBJECT: Purchase of Replacement Cardiac Monitor /defibrillators for Use by
Fire Department Paramedics
RECOMMENDATION:
The City Council approve the purchase of six Zoll cardiac monitor defibrillators with 12-
lead electrocardiography for our paramedic units at an amount not to exceed $110,000.
Authorize budget amendment to transfer $80,000 from the General Fund
Unappropriated Reserve to account 2340 -9300 to fund purchase of cardiac monitors.
DISCUSSION:
Currently, we have six cardiac monitor defibrillators that were purchased in the 1996/97
budget. Technology has dramatically changed the capabilities of cardiac equipment
over the last seven years. We have been informed that the manufacturer of our current
units will no longer support them with replacement parts beginning in 2006.
Not only has technology improved, but also medical knowledge has greatly expanded
for the care of acute myocardial infarction (AMI), otherwise known as a heart attack.
Damage to the heart is time- dependent. Typically, there is little damage if the blood
vessel blockages are reversed within the first hour. The second to fourth hour is when
most cardiac damage occurs. By the sixth hour, myocardial damage is complete. Major
hospitals in our county now have cardiac catheterization centers with the capability to
rapidly restore blood flow to the heart.
Purchase of Replacement Cardiac Monitor /defibrillators
for Use by Fire Department Paramedics
June 24, 2003
Page 2
Hoag Hospital has developed new treatment strategies to decrease the time it takes to
get the AM] patient to the cardiac catheterization center for advanced treatments. A 12-
lead EKG must be obtained by paramedics in the field and early notification given to the
hospital emergency room physician to implement the new protocols. 12 -lead EKGs
obtained by the paramedics definitely decrease the amount of time spent in the
emergency department, which leads to rapid cardiac treatment. We are strongly
encouraged by our medical experts at Hoag to be more active partners in delivering
advanced cardiac care for our Newport Beach citizens and visitors.
There are two major manufacturers of cardiac monitors with 12 -lead capability. Our
paramedics field tested both of their devices. The majority recommended Zoll. Although
the pricing from both manufacturers is comparable, the paramedics found the Zoll
device easier to use, displayed better screen visibility in bright sunlight, had reliable
automatic blood pressure capability, and the paper was easier to use and replace.
Environmental Review:
This Staff Report has no requirement for Environmental Review.
Funding Availability:
It will cost approximately $110,000.00 with tax and shipping costs to purchase six units.
We currently have $30,000 in account 2340 -9300. The Administrative Services Director
recommends we fund the $80,000.00 balance from the General Fund Unappropriated
Reserve and eliminate our 2340 -9300 account from our FY 2003/04 budget.
Alternatives:
Continue to use existing equipment and risk breakdowns and unavailability due to aging
parts and increased repairs.
Prepared by:
wy
Vickie Cleary, RN/ EMS Manager
Submitted by:
Timothy Ril Fire Chief
City of Newport Beach
BUDGET AMENDMENT
2002 -03
EFFECT ON BUDGETARY FUND BALANCE:
Increase Revenue Estimates
X Increase Expenditure Appropriations
Transfer Budget Appropriations
SOURCE:
from existing budget appropriations
from additional estimated revenues
PX from unappropriated fund balance
EXPLANATION:
NO. BA- 078
AMOUNT: $so,000.00
Increase in Budgetary Fund Balance
AND X Decrease in Budgetary Fund Balance
No effect on Budgetary Fund Balance
This budget amendment is requested to provide for the following:
To increase expenditure appropriations to purchase replacement cardiac monitor /defibrillators.
ACCOUNTING ENTRY:
BUDGETARY FUND BALANCE
Fund Account Description
010 3605 General Fund Fund Balance
REVENUE ESTIMATES (3601)
Fund /Division Account Description
EXPENDITURE APPROPRIATIONS (3603)
Amount
Debit Credit
$80,000.00 '
Description
Division Number 2340 Fire - EMS
Account Number 9300 Equipment NOC $80,000.00
Division Number
Account- Number
Division Number
Account Number
Division Number
Account Number
Division Number
Account Number
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Signed: /Oilf�i/l �}�,
FW poAdministrativeServices
/ l Diir rector Date
Signed:
Administrative Approva City Manager Date
Signed:
City Council Approval: City Clerk Date