2021 Bond Items

Station 1 - Holdenville

New Metal roof - Roof currently on building is screw down metal roof and has reached the end of its service life.  Screw down roofs do not allow for expansion and contraction of the metal panels and "waller-out" around the screws causing leaks.  HCEMS has utilized a roofing company to provide yearly maintenance on this roof to mitigate this problem and afford the agency a few extra years of life which is quickly coming to an end.

Standby Generator - 48000 Watt Natural gas Generac (or similar brand) generator.

Station Remodel - Station 1 is basically unchanged from how it was when HCEMS moved in over 20 years ago and a lot has changed since then.  Upgrades to medic living quarters to include upgrades to the kitchen, addition of fitness equipment, improvements to laundry, and the purchase of A/V equipment will allow medics to participate in training from outlying stations, vo-techs and even from home when off duty, upgrades to network capabilities to allow crew access to system and regional medical information to assist in medical decision making, improve energy efficiency, and numerous other upgrades will allow the agency to bring Station 1 into the 21st century, reduce excess expenses on utilities, enhance crew decision making, and reduce response times by having all crews able to participate in training from other stations. 

secure outdoor staff area

Storm Shelter / Safe Room

Station 2 - Wetumka

New Metal roof - Roof is currently an asphalt shingled roof with deteriorating and loose shingles.

Standby Generator - 22000 Watt Natural gas Generac (or similar brand) generator.

Landscaping, secure outdoor staff area

Storm Shelter / Safe Room

Station 3 - Calvin

Standby Generator - 22000 Watt Natural gas Generac (or similar brand) generator.

Landscaping, secure outdoor staff area

Storm Shelter / Safe Room

Bullet Proof Vest - Purchase 15 for each medic

There are countless stories of EMTs and Paramedics attacked in the line of duty and severely injured or worse as Polo's and Dickies don't do much in terms of body armor.  Don't believe us, read the headlines: "A knife-wielding attacker stabbed an EMT answering a call in Harrisburg.", "Medics shot while rendering aid.",  "32 weeks pregnant medic was brutally struck in the abdomen by a patient."

Luckily on the last one,  Her protective vest absorbed most of the blow., but the placenta was still partially torn from the uterus. This caused the early arrival, by four weeks, of medics baby.

EMTs and Paramedics are increasingly at risk of being assaulted while on calls trying to save lives, unfortunately all body armor grants are earmarked for law enforcement.

“We mostly get medical calls, but we do get our share of assaults, attempted suicides and drug overdoses,” Kristy Lashbrook, Director of HCEMS said. “Whenever my crew goes out on a call, they have no idea what could happen. I want them protected as much as possible.” 

Powered Air Purifying Respirator (PAPR) - purchase 2 for each ambulance

A PAPR is an air-purifying respirator that can be used to protect healthcare personnel (HCP) who may be exposed to aerosolized pathogens causing acute respiratory infections.   A PAPR is an air-purifying respirator that uses a blower to force air through filter cartridges or canisters and into the breathing zone of the wearer. This process creates an air flow inside either a tight-fitting facepiece or loose-fitting hood or helmet, providing a higher assigned protection factor (APF) than the reusable elastomeric non-powered air-purifying half facepiece (half mask) or N95 FFRs. A PAPR can be used for protection during healthcare procedures in which HCP are exposed to greater risks of aerosolized pathogens causing acute respiratory infections like you find in the confined space of an ambulance. 

AMBUstat Ambulance Sterilizer - purchase 1 (already have 2)

AMBUstat™ is the first affordable and easy to use bio-decontamination program, designed specifically for prehospital and public heath spaces, utilizing an atomized cold sterilant to decontaminate surfaces that ultraviolet light cannot reach effectively. The AMBUstat™ program makes it easy and cost effective to achieve up to a 6-log reduction in surface borne pathogens across a multitude of spaces that were previously considered inconceivable. 

Paramedics operate three advanced life support ambulances, which are stationed in Holdenville, Wetumka, and Calvin.   Fly-cars are equipped with cardiac monitoring equipment, pain medication and anticonvulsant medication, as well as everything else the ambulance carries, just no stretcher. The vehicles are positioned to respond to calls in the more rural areas to begin treatment until an ambulance arrives and, if needed can respond to calls an ambulance is on to provide extra man power. The fly-car system will be established to provide swift response to 911 calls while supporting volunteer fire service and transporting EMS units.  Unit to be outfitted with graphics, lights, siren, radio, medication refrigerator, medication locker, rear cargo area organizer. 

Remount of 3 units as they reach 5 years of service or 200k miles whichever comes first.  All truck units are over 130k miles as of 12/2020

An ambulance remount is making use of an ambulance that already exists.  A company will remove the patient module aka the box from an ambulance chassis (the truck front) that is old and worn and put a new chassis underneath. By reusing some of the key components of the ambulance, particularly not having to manufacture a new box, the company can offer tremendous cost savings to the county. During the remount process, the remounting company is able to refurbish and update select pieces of the truck to meet the needs of HCEMS at a lower cost than a brand new ambulance. 

Automated CPR Device - Purchase 4 automated CPR Device for 3 ambulances and fly car.  Performs CPR without getting fatigued, which is the #1 cause of poor CPR in people.  HCEMS performs an average of 22 mins CPR per cardiac arrest with the record being 47 minutes 

Bariatric Binder Lift - Purchase 6 lifts for 5 ambulances and fly car.  Designed to help lift a 400 lbs patient.  Designed for patient lifting, Provides up to 32 handles for caregivers to grasp when lifting, enabling team lifting while using proper lifting ergonomics, minimizes patient discomfort and risk of injury with its cushioned top edge and full torso support., Multiplicity of handles offer plenty of gripping options for multiple caregivers, even in tight spaces such as small bathrooms and cramped bedrooms.  Attaches to the patient, so the patient can’t fall out, Easy to put on the patient, even in confined spaces, Serves as a barrier between the medics and patient’s bodily fluid, and is much easier to clean than the uniforms

Regular Binder Lift - Same as above

Cardiac Monitor - Purchase 1 cardiac monitor for Fly Car.

Vent - Purchase 2 vents for Fly Car, and backup ambulance

CO monitoring - Purchase 6 Masimo Rad-57 for 5 ambulances and fly car.  Crews will be able to more easily diagnose Carbon monoxide and cyanide poisonings in our firefighters and patients

Point of Care Lab Machine - Purchase 6 iSTAT devices for 5 ambulances and fly car.  Allows crews to perform lactic acid and treat special heart attacks as well as perform Arterial Blood Gas analysis on intubated patients.  Having critical lab results in the field can speed the start of targeted, lifesaving care at the scene for ground or air transport. 

Replacement Bags - HCEMS has 4 main bags that are 5 years old and at the end of their serviceable life.  Purchase 5 large main bags for ambulances and 2 small bags for Fly car and office (yes people come to the office needing treatment)  Bags are blood borne pathogen resistant and designed to be carried like a backpack or a duffle bag.

Portable Suction - HCEMS has 2 powered portable suction units for 4 units, and they are over 10 years old and are no longer manufactured.  Would purchase 7 small ones that actually fit in the above bags

Prehospital Ultrasound - Purchase 4 Devices.  Prehospital ultrasound has been widely adopted in most states and around the world with a continuously growing list of diagnostic applications. The enhanced technology enables prehospital professionals to answer focused clinical questions, which translate into faster and more accurate diagnosis and care of patients presenting with time-sensitive emergency conditions. Better outcomes have been reported with the use of prehospital ultrasound. 

IV Pumps - Purchase 12 IV pumps to replace current pumps that are over 6 years old and reaching end of life.  There will be 2 per ambulance

Doppler - Purchase 6 Doppler devices to assist with OB and and detecting pulses in cardiac arrest and severe trauma.

Power Cots - Purchase 1 power cots to assist in lifting patients which will help keep injuries low

Power load - Purchase 1 power loads to assist in loading the cot into the ambulance which will help keep injuries low and prevents cot dropping

Pediatric Restraint - Purchase 5.  Special PediMate Plus restraint that allows the ambulance stretcher to appropriately secure a child from 10lbs to 100lbs.  provides a quick and efficient way to safely secure young patients to the cot without having to purchase additional equipment or specialized seats. The Pedi Mate + is fully adjustable with a five-point harness system that securely holds patients, providing comfortable restraint for transport. 

Infant Restraint - Purchase 5.  The NeoMate Pediatric Restraint System, designed for pediatric patients ranging in size from 5-14 lb (2.3-6 kg), provides a quick and efficient way to safely secure young patients to the cot without having to purchase additional equipment or specialized seats. A Halo Pad keeps the infant’s head stable. 

Newborn Restraint - Purchase 5.  The KangooFix Neonatal Restraint System was developed to safely and effectively cradle and secure a newborn during ambulance transportation, allowing the baby to travel with their parent. Not only does this eliminate the need to use two vehicles and crews for transfers, but it also ensures a safer and improved environment for both parent and baby throughout the journey. Close contact between parent and baby is clinically proven to improve condition of both parent and baby during transfers. 

Laptop Mounts - Purchase 11 crash tested mounts for both cab and patient module  as well as fly car cab to secure laptop in the event of a crash

Monitor Mounts - Purchase 5 crash tested mounts for patient module to secure cardiac monitor in the event of a crash

Handheld Radios - Purchase 13 handheld radios, 3 per station and 4 for command staff to continue to meet federal requirements on interoperability.  Handheld radios were last purchased over 7 years ago.

Purchase an additional type 2 ambulance to serve as a back up unit.