audit emergency medical personal protective equipment

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Informations

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• Langue: English

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Office of the City Manager
INFORMATION CALENDAR
March 25, 2008
To: Honorable Mayor and Members of the City Council
From: Phil Kamlarz, City Manager
Submitted by: Debra Pryor, Fire Chief
Subject: Audit: Emergency Medical Personal Protective Equipment
INTRODUCTION
On June 26, 2007, an audit report of the Fire Department’s Emergency Medical
Personal Protective Equipment (PPE) was presented to the City Council. The Auditor
made four recommendations, and asked that a status report on these recommendations
be made to Council in March 2008. The following is a list of the Auditor’s findings and
recommendations, and the status of each.
CURRENT SITUATION AND ITS EFFECTS
To date, all four recommendations made by the Auditor’s office have been implemented
and no further status reports are required.
Finding 1: Certain Medical Personal Protective Equipment Was Not Always Worn
When Appropriate
Recommendation 1.1: Reiterate to all staff the importance of always donning the
appropriate medical PPE. Reiterate to the officers the importance of enforcing this
requirement.
Recommendation 1.2: Consider a means of positively recognizing the staff that
always wear appropriate medical PPE and having negative consequences for those
who don’t.
Status: Fully implemented recommendations 1.1 and 1.2. Fire management has
implemented annual mask fit testing and issued N95 replacement masks to all first
responders. The training emphasized the importance of donning appropriate PPE.
Additionally, a department bulletin was issued to reinforce this requirement and
consequences for those who don’t.
Finding 2: A Comprehensive Medical Personal Protective Equipment Checklist
Was Not Available To Emergency Medical Responders
2180 Milvia Street, Berkeley, CA 94704 ● Tel: [phone] ● TDD: [phone] ● Fax: [phone]
E-Mail: [e-mail] Website: http://www.ci.berkeley.ca.us/manager Audit: Emergency Medical Personal Protective Equipment INFORMATION CALENDAR
March 25, 2008
Recommendation 2: Update existing medical supply checklists to include a medical
PPE section that identifies each type of medical PPE to be carried on each type of
apparatus or on the ambulance, and the quantities of each. Additionally, update the
existing medical supply checklists to identify the medical PPE EMS responders are to
carry in their belt pack. Incorporate these updated checklists into the general orders.
Status: Fully implemented. Fire management has issued a revised general order that
updates policy to include a revised medical supply checklist, which identifies medical
PPE quantities and what is to be carried.
Finding 3: Adequate Medical Supply Inventory Policies and Procedures Were Not
In Place
Recommendation 3: Develop, document, approve, and implement policies and
procedures for the ordering and inventorying of medical supplies (including medical
PPE). These procedures should provide reasonable assurance that sufficient quantities
of all appropriate medical supplies will always be available at all the stations and in the
main inventory. Procedures should also include controls designed to prevent and
detect inventory waste and abuse. Fire management should approve these procedures
in writing. Obtain the assistance of the Finance Department as necessary.
Status: Fully implemented. Fire management has issued a revised general order that
revises policies and procedures for ordering and inventorying of medical supplies.
BACKGROUND
As part of the City’s Standard Audit Procedures, several performance audits were
conducted at the Berkeley Fire Department. The Auditor audited lost time and overtime,
the Department’s ambulance billing, emergency medical personal protective equipment,
and controlled substances. Initial reports on these audits were made to the City Council
on May 22, 2007, June 12, 2007, June 26, 2007, and October 9, 2007, respectively. A
status report on lost time and overtime was presented to Council by Fire on September
18, 2007.
POSSIBLE FUTURE ACTION
None for this audit.
FISCAL IMPACTS OF POSSIBLE FUTURE ACTION
None.
CONTACT PERSON
Debra Pryor, Fire Chief, 981-5500

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