RECORD OF PROCEEDINGS
The minutes of the meeting held March 7, 2019.
PRESENT WERE TRUSTEES BLAKE MEIER, JOSEPH RABATIN, AND DANIEL HODGE; AND FISCAL OFFICER VALORIE LEWIS
Also present were:
Dave Compston Jim Orr
Jared Durstine Reuben Troyer
Jeff Sampsel
Mr. Blake Meier called the meeting to order at 7:00 pm.
A motion to approve the February 7, 2019 regular meeting minutes was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin.
The Board opened the 2019 Road Bids. Bids were submitted as follows:
Melway Paving Holmes Supply
Feikert Sand & Gravel Lil John Transport
Leroy Kandel
A motion to pass Resolution 06-2019 as follows was made by Mr. Daniel Hodge.
WHEREAS, the Board of East Union Township to comply with ORC 9.312(C), has been granted the authority to enact the following resolution:
NOW, THEREFORE, BE IT RESOLVED:
That the Board of East Union Township hereby declares to accept any and all road bids presented at the 2019 bid opening, and proceed to work with the lowest and best bid at the time roadwork begins.
It was seconded by Mr. Blake Meier.
A roll call vote was taken:
Daniel Hodge YES
Blake Meier YES
Joseph Rabatin YES
Mr. Jim Orr addressed the Board regarding his concerns over the suggested Swinehart Road drainage recommendations. Mr. Jim Orr asked Mr. Blake Meier if he remembered when the two diagonal culverts were installed under Swinehart Road. Mr. Meier stated he did not remember but could look back in records to find out. Mr. Orr stated that he would request that the current culverts be left as is, and let AT&F install a large culvert
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that drains to a retention pond. Mr. Daniel Hodge stated the Board was meeting with the County on Monday, March 11, 2019 and would discuss this with the County then.
The Fiscal Officer presented the Board with the Wayne County Engineers letter regarding the Emerson and Carr Road safety study.
The Fiscal Officer presented the Board with the Wayne County Health Departments minutes.
The Fiscal Officer presented the Board with the Wayne County Engineers road survey letter.
The Fiscal Officer presented the Board with the March Grassroots Clipping.
The Fiscal Officer informed the Board a donation was received from the Amish Steering Committee for $7,975.00, and the 5501.33 Annual Report to be submitted to the Committee.
The Board reviewed the February credit card statement and approved all charges.
A motion to pass Resolution 09-2019 as follows was made by Mr. Joseph Rabatin.
WHEREAS, the Board of East Union Township approves the attached Credit Card Policy per ORC 505.64 effective February 1, 2019; and WHEREAS, the Board of East Union Township Trustees will review monthly the credit card statement and sign an attestation to their review and approval. THEREFORE, be it so resolved this 7th day of March 2019 the Board puts this resolution into effect as of February 1, 2019 per ORC 505.64 requirements.
It was seconded by Mr. Blake Meier.
A roll call vote was taken:
Joseph Rabatin YES
Blake Meier YES
Daniel Hodge YES
A motion to approve the online payment of the Superfleet/Speedway gas bill for $575.85 was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
The Fiscal Officer informed the Board that the .9 mill Fire Levy was up for renewal in November. After discussion, a motion to pass Resolution 08-2019 as follows was made by Mr. Daniel Hodge.
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WHEREAS, the Board of Trustees approve to request from the Wayne County Prosecutor’s Matrix a response for the following request. WHEREAS the Fire & EMS levy will be up for renewal on November 5, 2019, the Board asks the Prosecutor’s Office to provide the new resolution language for the necessity of a levy outside the ten-mill limitation, and the resolution to proceed after it has been certified by the County Auditor. The Board further designates Mr. Joseph Rabatin as the contact person on this request.
It was seconded by Mr. Blake Meier.
A roll call vote was taken:
Daniel Hodge YES
Blake Meier YES
Joseph Rabatin YES
A motion to approve receipts totaling $38,955.67 warrants 9475 – 9520 totaling $73,091.32 and bank reconciliation and financial reports as submitted was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
Assistant Chief Compston reported 30 squad runs, 4 fire runs, and 5 mutual aid runs totaling 189.00 run hours for February 2019 with an additional 68.00 training hours for February 2019.
A motion to approve $386.16 in squad supplies was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
A motion to approve the purchase of all oil and fuel filters for all vehicles during NAPA’s filter sale the week of March 13th and have DMS come in to do service on all vehicles after the filters are in was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
Assistant Chief Compston informed the Board that the Association had approved to pay for half of an Amazon Business Prime account for $87.50, and requested the Board pay for the remaining half of $87.50, which would give exclusive pricing and free 2-day shipping. A motion to approve $87.50 for half of the Amazon Business Prime fee was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
Assistant Chief Compston presented the Board with a power point going over the new cardiac arrest resuscitation protocol changes coming from the Wooster EMS Coordinator, Ryan Sullivan, and Medical Director Dr. Jennifer Kling. Assistant Chief Compston explained this is the first major protocol change update in approximately 20
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years, and it is long overdue. Assistant Chief Compston explained that science supports moving the patient as little as possible, and that one study looked at 1,500 patients who experience cardiac arrest out of the hospital and were resuscitated with the following results. 8% of the patients that were resuscitated after being transported to the hospital survived with no neurological deficit, but 28% of the patients that were resuscitated in the field and then transported to the hospital survived with no neurological deficit. That is a 20% increase!
Assistant Chief Compston went on to explain that as an ALS (Advanced Life Support) squad, we have the same equipment, technology, medication and ability to treat cardiac arrest in the field as they do in the Emergency Department. Assistant Chief Compston further stated that our paramedics actually take the same Advanced Cardiac Life Support class as the Nurses and Doctors, often in the same class with them.
Assistant Chief Compston informed the Board that working the full arrest in the field is much safer for our personnel, and that there will still be load and go scenarios, and Wooster Community Hospital has not only defined those, but they have also given us the ability to continue to load and go whenever we feel it is appropriate. Also, they are not requiring us to work these patients in the field; rather they are giving us permission to do so and also recommending it.
Assistant Chief Compston explained that families may question why we aren’t transporting and without education, may think that getting them to the hospital as quickly as possible is the best thing when it may not be. Assistant Chief Compston cautioned that if someone does not agree with the squad staying on scene, there may be political repercussions, and that they will do their best to educate people ahead of this, but it will be impossible to educate everyone.
Assistant Chief Compston further informed the Board that with this change Wooster Community Hospital has also given them the ability to terminate resuscitative efforts in the field in certain situations. Again, they are not requiring it. The upside to this is the Family won’t get a bill from Wooster Community Hospital, and the Family won’t have to drive to the hospital only to have to turn around and drive back home. The downside is that it will require our personnel to break that news to the loved ones. Also, we will most likely need to leave at least one person on scene to assist with contacting the coroner to sign the death certificate and wait for the funeral home, while someone would still need to take the squad to Wooster Community Hospital to restock medications and supplies.
Assistant Chief Compston stated that the Department has discussed it and do not plan to implement a policy at this time, rather they have opted to allow our personnel to make that decision in the field. Assistant Chief Compston stated that we support our provider’s ability to make the judgement call as to what is best for everyone involved in each individual situation. ** A letter from Chief Zimmerman is attached at the end of the minutes stating his position on the new protocol.
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Assistant Chief Compston informed the Board that they have received 5 MARCS pagers and were having a lot of problems with them but they were working with Staley’s to determine how to fix the issues.
Mr. Jared Durstine requested the Board pay for the yearly drug license since the Board is responsible for the Department. A motion to approve $440.00 for the drug license renewal was made by Mr. Daniel Hodge and second by Mr. Joseph Rabatin with Mr. Blake Meier.
Mr. Jared Durstine and Mr. Reuben Troyer presented the recommendation from the Ambulance Committee for the purchase of a Lifeline Ambulance through Pfund Superior Sales Co. Inc. on State Bid pricing of $202,278.00 with lettering done by Fought Sign for $1,482.55.
A motion to approve the purchase of a Lifeline Ambulance through Pfund Superior Sales Co. Inc. on State Bid pricing for $202,278.00 and lettering through Fought Sign for $1,482.55 for a total of $203,760.55 was made by Mr. Joseph Rabatin and seconded by Mr. Daniel Hodge with Mr. Blake Meier concurring.
Mr. Reuben Troyer pointed out to the Board that the last squad purchased in 2014 was purchased mainly through Association money from their auctions, but because of the change in our squad billing we have been able to raise enough to purchase this squad with those monies alone. Mr. Troyer further Thanked Trustee Blake Meier for filling in with snow plowing and road work while one of the Road Department employees was off work due to an injury.
Mr. Dave Compston presented the Road and Bridge and Buildings and Grounds report. Mr. Compston informed the Board that the pump on the fuel tank was not working correctly and he had Cramer Oil come out and replace it.
The Board approved sick leave on February 15, 2019 and vacation on March 27th – 29th 2019 for Mr. Dave Compston.
Mr. Dave Compston presented tree removal quotes for the trees along Lautenschlager and parts of Kansas Road as follows:
Kidron Tree Service $13,500.00
Apple Creek Tree Service $ 6,880.00
A motion to have Apple Creek Tree Service remove the trees for $6,880.00 was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
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Mr. Dave Compston presented some pricing for a new tractor and ditch mower. Discussion was held regarding the best options. It was decided that Mr. Dave Compston would test drive the tractor to see how it worked for him.
Mr. Jeff Sampsel asked the Board if they were interested in contracting with him again for Cemetery mowing this season. Mr. Sampsel stated he would like to add up to 22 mowings for the Cemeteries depending on weather this year. A motion to approve up to $3,000.00 for headstone repair and 19 mowings for the Cemeteries with additional if necessary was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
Discussion was held regarding the damage to the pickup truck and it was decided to just leave it as it is because the damage is not that bad and it is a work truck.
A motion to pass Resolution 07-2019 to adjourn to executive session as follows was made by Mr. Blake Meier.
WHEREAS, the Board of Trustees adjourn into executive session to discuss personal matters per ORC 121.22 (G) (1).
It was seconded by Mr. Joseph Rabatin.
A roll call vote was taken:
Blake Meier YES
Joseph Rabatin YES
Daniel Hodge YES
A motion to adjourn from executive session and return to regular session was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
Mr. Blake Meier stated that the Board would draft a certified letter explaining their request for a Doctors release and send it to Mr. Steve Geiser to find out where his return to work stands.
Park Planning Committee – Mr. Blake Meier presented a donation from Wooster Community Hospital for $4,000.00. A motion to put this money in the Park Planning Fund was made by Mr. Joseph Rabatin and seconded by Mr. Daniel Hodge with Mr. Blake Meier concurring. Mr. Meier stated that Mayor Rod Mackey and Mr. Les Saurer are considering joining the committee.
JEDD II – Nothing new to report.
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East Union Trail – Nothing new to report.
Speedway Road Updates – Mr. Joseph Rabatin stated that the last he spoke with Mr. Ryan Marthey from the Engineers Office he was informed the County was getting a decision from the Wayne County Prosecutors Office as to what if anything the Township and County could do with this project.
Mr. Daniel Hodge informed the Board that the Road Mileage Certification meeting is scheduled for Monday, March 11, 2019 at 2:15 pm.
Mr. Daniel Hodge informed the Board that Mr. Steve Wolff with the Wayne County Sewer was looking at putting in a lift station and may need an easement to do it.
Mr. Joseph Rabatin informed the Board that the Wayne County Board of Elections is coming to check the Fire Station for ADA compliance.
Mr. Blake Meier informed the Board he attended the Wayne County Health Department meeting but they did not have a quorum.
The next regular meeting will be Thursday, April 4, 2019 at 7:00 pm at the Fire Station.,
A motion to adjourn at 9:55 pm was made by Mr. Daniel Hodge and seconded by Mr. Joseph Rabatin with Mr. Blake Meier concurring.
March 6, 2019
East Union Township – Board of Trustees,
As I will be out of town and unable to attend the meeting on March 7th, I would like to take this opportunity to formally express my position on the changes that are being made by our Medical Direction at Wooster Community Hospital, specifically in regards to the cardiac arrest resuscitation procedures. Asst. Chief Dave Compston and Captain Jared Durstine will be presenting the changes in greater detail to you in your meeting, but I felt that it was important for me to express my position to you and to our citizens considering the valid concern they may have regarding our EMS crews performing resuscitative efforts on scene, rather than transporting to the hospital as quickly as possible.
This change is the result of many studies and is quickly becoming the trend in Emergency Medicine. Our new Medical Director, Dr. Jennifer Kline, has allowed us to function in this manner within our newly updated protocols. While she is recommending it, she not requiring it. I have seen some of the studies and completely agree with Dr. Kline’s position. While to the general public it may appear that we aren’t doing what’s best for the patient by not getting them to the hospital quickly, the science actually proves that staying on scene and limiting disruptions in CPR drastically improves the survivability of a cardiac arrest. It is also very important to note that when we are operating as an Advance Life Support squad, the treatment algorithm, medications, equipment, and capabilities are the same for these patients in the field as they are in the Emergency Room setting.
We have discussed this amongst the officers of the department and we do not feel that it is appropriate for us to dictate a policy regarding this practice, rather we feel that it is best to handle these emergencies on a case by case basis, allowing our personnel to determine the best course of treatment for each individual patient/situation. Additionally, Dr. Kline has defined very clear orders within our protocol as to when it is recommended to stay on scene and when it is required that transport immediately.
In addition to the changes discussed above, Dr. Kline has also written into the protocols that we may terminate resuscitative efforts in the field after all treatment options have been exhausted. As with the other changes, this too is not required by Medical Control and appropriate situations for this are clearly defined. This too will be handled on a case by case manner by our department, but termination of efforts in the field will never be done if there is any doubt whatsoever that transporting the patient to the ED may be beneficial. While it is rare that it will happen, I do see scenarios where terminating efforts in the field may be better for the patient’s family in the long run. By transporting a patient that has no chance of survival to the ED, we increase the burden on the family by forcing them to go to the hospital to learn the inevitable during an extremely emotional and stressful time. Additionally, the patient would then receive a bill for service provided by the hospital, adding to the family’s burden. Because of this, I do see times when it could be beneficial to terminate resuscitative efforts in field, however I do not anticipate it happening often.
I encourage anyone with any questions or concerns with these changes to reach out me. Our goal with this is to educate everyone as early and as well as possible in an effort to reduce the chances of damaging our relationship with anyone in this great community that are privileged to serve. Thank you, Jim Zimmerman