City of Biddeford Fire Department Emergency Services Annual Report

Transcription

1 City of Biddeford Fire Department Emergency Services 2017 Annual Report

2 2017 Annual Report Contents Introduction Pg. 3 Fire Department History Pg. 4 Staff Recognition Pg. 5 Fire Department Organizational Chart Pg. 6 Department Staffing, Apparatus, & Stations Pg Fire Department Operations Pg Fire Department Call Information Pg Overtime breakdown Pg. 25 EMS Revenue Pg Firefighter Call Backs/Daily Staffing Pg Narcon Information Pg Patient Survey Information Pg General EMS Information Pg NFPA 1710 Pg. 43 Fire Prevention/Public Education/Inspections Pg Training/Education/Professional Development Pg Department Committees Pg. 53 Emergency Scene Photos Pg. 54 Department Challenges Pg Insurance Services Office Rating Pg. 58 Department Goals Pg. 59 Department FY 19 CIP Requests Pg. 60 Capital Needs Plan Pg. 61

3 On behalf of the members of the Biddeford Fire Department I am proud and honored to submit our Annual Report for The following is a summary of the activities and incidents that the members of our department responded to. Our department is made up of highly trained and dedicated individuals that work as an effective team delivering exceptional emergency care, emergency response, and public education to the residents and visitors to this community. Annually, the members of our department respond to more than 5,300 emergency incidents, providing high quality emergency medicine, fire suppression, hazmat response, and technical rescue. We are grateful for the continued support from our citizens, city administrations, other city departments and our elected officials as we strive to continue to fulfill our mission to affirmatively promote, preserve, and deliver a feeling of security, safety, and quality service to the members of our community. Please feel free to stop by our station anytime to meet the members of our department. Scott Gagne Fire Chief Missions Statement To affirmatively promote, preserve, and deliver a feeling of security, safety, and quality service to members of our community.

4 History of the Biddeford Fire Department In 1834 the mutual society for the extinguishment of fires is formed between Biddeford and Saco. This was the time of the bucket brigade and was not too effective in saving property from the ravages of fire. In 1848 both Biddeford and Saco obtained the technological apparatus of its day. The 1848 Hand Tub Pioneer made by the Hunneman Company of Roxbury, Mass, which is now a section of Boston was acquired by Biddeford Fire Department. Likewise, Saco acquired the same equipment which was named the Niagara. Technology in firefighting continued to evolve and in 1869, Biddeford acquired an Amoskeag Steam Pumper, named the Richard Vines. This pumper was made in Manchester, NH. A second steamer, the Eben Simpson was also acquired in The third and final steamer was purchased in Various fire stations served the City at different locations. It was not until 1907 when Biddeford built their Central Fire Station on Washington St. to house all of the trucks in one place. That station served for many years until the department moved into a new station on Alfred St. in Motorization from steam to gas engines commenced in 1918 with the purchase of a GMC Chemical & Hose Truck. Real serious efforts commenced when Biddeford purchased a 1924 Ahrens-Fox Piston Pumper followed shortly by a 1926 Ahrens-Fox Tillered Ariel and a 1928 Ahrens-Fox Pumper, which completed the motorization of the fire department. Many fires were fought in Biddeford and surrounding communities. Mutual aid among Biddeford and Saco has a very long history and joint operation and training are commonplace to this day. Many may not know that Biddeford responded to the great Boston Fire which occurred on November 9, 1872, and the great fire of Portland, July 4, Biddeford and Saco fire departments responded with their equipment by train to meet the needs of both cities in distress. They also responded to the great forest fires that surrounded the communities in Biddeford Fire Department continues to be a cutting edge department that will serve this community well into the future, providing a wide array of emergency and medical services.

5 2017 Staff Special Recognition 30 years of service Firefighter/AEMT Timothy Gagne (career force) Retired Members Captain Norman Melancon (career force with 42 years of service) Captain Jason Wheeler (career force with 32 years of service) Nathanial Roberts (career force with 38 years of service)

6 Department Staffing & Personnel Administration City Administrator Chief of Department Fire Advisory Committee Office Manager Chaplain Assistant Chief Deputy Chief Museum Curator Medical Director Division Chief Call Force District Chief Station 2 City of Biddeford Fire Department Emergency Services

7 Department Staffing & Personnel Line Staffing Career Members 1 Department Chief 1 Assistant Chief 1 Deputy Chief 1 Office Manager 40 Firefighters /EMS 4 Shifts 9 Firefighter s / EMS 1 Shift supervisor On Call Firefighters 1 Call Force Division Chief 1 Call Force Biddeford Pool District Chief 21 Call Force Firefighters divided into four companies 6 Junior firefighters City of Biddeford Fire Department Emergency Services

8 Department Apparatus EMS Units EMS Terrastar chassis w/ Horton Box EMS Dodge chassis w/ PL Custom Box EMS Dodge chassis w/ PL Custom Box Fire Prevention Fire Safety House City of Biddeford Fire Department Emergency Services

9 Department Apparatus Fire Suppression Units Engine 26 Engine gal Pumper gal Pumper Engine gal. Pumper Engine gal Pumper 2013 Truck Aerial Platform w/ 300 gal City of Biddeford Fire Department Emergency Services

10 Department Apparatus Special Operations Units Special Hazards 34 Heavy Rescue Operations Unit Ranger 18 Support Service Unit Hazmat Decon Unit Marine 202 River Rescue Aluminum Craft Brush Chevy Pick up Forestry unit Bidd,Saco, OOB rehab bus City of Biddeford Fire Department Emergency Services

11 Department Apparatus Command & Service Units Car 2 & 3 Command Vehicles Car 1 Command Vehicle Service 4 City of Biddeford Fire Department Emergency Services

12 Department Stations Central Station Biddeford Pool Station City of Biddeford Fire Department Emergency Services

13 Current Shift Staffing 73% of the year staffing is 8 personnel on duty Attack engine is staffed with 3 people Primary ambulance is staffed with two people The secondary ambulance and Truck 32 (the aerial) is staffed with two people. These two people staff both pieces of equipment, with eight personnel on duty fire apparatus is put out of service to staff an ambulance for a second ambulance call. Second engine(lay engine) is staffed with one person. SH 34, Brush 20, & Ranger 18 are staffed by the Lay Engine Driver and the Attack Engine Stills person. When this apparatus is needed with 8 personnel on duty, the Lay Truck is put down and the Attack Engine operates with two people. City of Biddeford Fire Department Emergency Services

14 Command Operations at Structure Fires Incident Command Chief 3 Cover Chief 6 Safety Chief 4 Operations Chief 1 RIC Host Operation Channel Entry Control Chief 2 On Deck Crew Resource Chief 5 Medical EMS -1 A B C D Biddeford & Saco Fire Departments Incident Command Accountability Staging State Fire Water Supply Freq. 280 Occupants Firefighters Rehab December 20, 2012 Revised

15 Fire Department Operations Fire Suppression Operations Emergency Medical Services Ocean & River Water Rescue Operations Hazmat Operations Confined Space Operations High angle & Below grade Operations Ice Rescue Emergency Operations Fire Prevention, Education, Inspections, enforcement Facility and Apparatus Maintenance CPR Education Department Training City of Biddeford Fire Department Emergency Services

16 Fire Suppression Operations Staffing Needs Rescue -Truck co 2-4 people Search Truck co 2 people per floor Extinguish Engine co 3 people Ventilate - 2 nd aerial(saco) 2 people Back-up crews 3 rd Engine(Saco) 2 people 2 in 2 out 1 st ambulance crew 2 people Rapid Intervention team OOB eng 3 people Command staff 5 people Medical Unit 3 rd due ambulance (Gmills) 2 people We currently have automatic aid with Saco, Goodwin s Mills, Arundel, and Kennebunkport to assist us with needed personnel. Some of these departments are volunteer and they may also not have apparatus available when they are requested, often the response delay is unknown. City of Biddeford Fire Department Emergency Services

17 2017 Emergency Calls Volume EMS only incidents 2,626 EMS/ Engine response incidents 1,352 Fire/specialty response incidents 1,390 Total emergency incidents 5,368 Total non-emergency service calls % of our emergency calls are EMS 64% of the call are during the hours of 0700 am to 0700 pm. City of Biddeford Fire Department Emergency Services

18 Downtown areas or mutual aid responses 3,923 Districts 18 & 18b (the Crossing, Industrial parks, Mountain RD) 831 (412 were to SMHC) District 5 & 5B ( Outer South St, Rt. 5 / no hydrants) 65 Districts 1,2,3,&4 ( Coastal area and outer Guinea Rd with no hydrants) Number of calls by District

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20 Mutual Aid Provided and Received 122 times BFD apparatus responded to mutual aid calls 525 time mutual apparatus responded to BFD 130 times mutual aid apparatus responded to Biddeford for EMS calls

21 UNE Responses Number of times we had overlapping calls 1,152 with more than two calls 941 times. Engine 22 from the Pool Station responded to the scene 16% of the time it was requested Number of times that we were on a transfer from SMHC when another emergency call in the city occurred 128 About 47% of our calls require more than one piece of apparatus to respond. Number of calls to SMHC hospital or other SMHC medical office - 494

22 Emergency Calls by Response Time Dispatched to Arrived 6 minutes or less 77% 4 minutes or less 72% An average of 1 minute 30 secs needs to be added to each incident for account for the time from call received at dispatch to when the call is transmitted to the fire department

23 Calls by district areas Downtown areas / mutual aid 2,247 Districts 14,15,16,8,9 1,676 Districts 18 & 18b (the Crossing, Industrial parks, Mountain RD) 831 ( 412 to SMHC) District 5 & 5B ( Outer South St, Rt. 5 / no hydrants) 65 Districts 1,2,3,&4 ( Coastal area and outer Guinea Rd with no hydrants) mins 12 mins mins mins 5-7 mins 2-4 mins 9-10 mins 2017 Emergency Calls for Service total 5, mins 9-11 mins Average Area Response Time from phone call to Arrival Average of about 1 min 30 secs needs to be added to each time presented for call received to dispatched mins

24 8 minutes average middle response time 6 minutes average in town arrival time from time of call to arrival Today s fires burn hotter and faster because of the synthetic products used. Firefighter safety is also at risk with today s light weight Construction. Beyond viable Life Death

25 Overtime Breakdown 2017 FY $13,894 shows as being added back to the line as outside detail payback or adjustment. City of Biddeford Fire Department Emergency Services

26 4 Year Annual EMS Revenue All years have outstanding amounts to be collected that may increase revenues City of Biddeford Fire Department Emergency Services

27 Emergency Transfer calls from SMHC to MMC and other medical care facilities FY 2014 FY 2015 FY 2016 FY 2017 PIFT Calls Billed $384, $462, $554, $591, Received $206, $278, $252, $342, Adjusted $119, $134, $138, $187, Outstanding $59, $52, $165, $61, Projected $248, $315, $369, $385, (projected number considers government program write offs, bad debt, un collectable, billing company fees.) Average four year revenue per PIFT call $ / $ after expenses Estimated 2017 PIFT Revenue after expenses minus employee costs $364, Average annual write off of PIFT calls is about 29% Transfers from SMHC to facilities other than MMC- 4 City of Biddeford Fire Department Emergency Services

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31 EMS Billing Rates Basic Life Support $ Advance Life Support (IV or Monitor) $ Advance Life Support (w/3 or more medications) $ Advance Life Support (Paramedic Interfacility Transfers) $ Plus a charge of $12.00 per loaded mile and charges specialty medical equipment used at $70.00 per item. City of Biddeford Fire Department Emergency Services

32 Firefighter Call Backs A firefighter call back occurs when two or more pieces of front line fire apparatus are unstaffed. This requests 2 off duty firefighters to respond to the station. There is down time to have them respond and there may be no personnel or only one on the call back that responds. FY 2015 FY 2016 FY 2017 call backs requested filled were not filled City of Biddeford Fire Department Emergency Services

33 2017 Staffing Breakdown 10 personnel on duty - 10 days 9 personnel on duty 81 days 8 personnel on duty 274 days

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37 Ambulance patient care survey results

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40 Cardiac Arrest Care Pit Crew CPR Tech (Provider 1) Monitor Jump kit Initial Patient Assessment Begins compressions Alternates compressions Overall responsibility for patient treatment Contacts/advises receiving facility Driver (Provider 2) Airway Kit Drug box Exposes patient (clothing) Sets up monitor Attaches Pads Manages monitor/defib Alternates compressions Stillman (Provider 3) Strap bag Airway access/management Alternates compressions Third provider during transport Second Tech (Provider 4) Additional Drug box IV/IO Access Alternates compressions Second Driver (Provider 5) Medication prep Medication administration Cleans scene/picks up equipment City of Biddeford Fire Department Emergency Services 6 OIC (Provider 6) Incident Command Scene Safety/Security Family/bystander support Drives engine back in the event of transport Cleans scene/picks up equipment Engine Driver (Provider 7) Alternates compressions Drives ambulance to the hospital

41 Advanced Life Support Care Transport 3 Providers to manage the patient 1 Provider to drive Compressions Advanced Cardiovascular Life Support (ACLS) Unstable changes Additional therapies Electrical Medications Additional medical interventions Patient stabilization City of Biddeford Fire Department Emergency Services

42 Why does a fire engine go on medical calls All medical calls go through the EMD (emergency medical dispatch) process at the dispatch center. Fire apparatus is dispatched according to the severity of the call (ALS calls.) The two people on the ambulance alone can not provide the quick effective service that is required for proper patient care. All fire apparatus personnel are cross trained as emergency medical care providers. Fire personnel assist with medical treatment and movement of the patients and are often to the level of paramedic. Fire apparatus has cardiac monitors, medication boxes, and airway kits. Smaller service vehicle can not be used in place of the fire apparatus, this would put fire apparatus down un staffed. Apparatus often respond from one call to the next. City of Biddeford Fire Department Emergency Services

43 NFPA 1710 Recommended standard that states fire departments must be capable of establishing incident command, water supply, attacks line(s), backup line(s), search and rescue team(s), ventilation team(s) and RIT/FAST at all structural fires... these "benchmark" requirements are based upon a 2000 square foot detached single family dwelling. Minimum requirements for health and safety, incident management, training, communications and pre-incident planning. Fire departments must inform the public about their response capabilities and the consequences of not meeting this specified deployment criteria. Involves staffing of career fire departments (4 on the scene of a structure fire is 4 minutes and 16 personnel on the scene of a structure fire with in 8 minutes 90% of the time)(medical responses are recommended to have BLS on the scene in 5 minutes and ALS in 8.) City of Biddeford Fire Department Emergency Services

44 Fire prevention/education, inspections, community contact

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47 2017 Public Education and Community Contact

48 2017 Community Participation La Kermesse Bacon Street Festival Biddeford Airport Open House Santa Visits the FD Rec summer camp Serving Thanksgiving Dinner at the Primary School Parade of lights Open House Kennedy School Field Day

49 Visit from Russian Firefighters COT building fire gear racks for Central Station Memorial Day Parade Honor Flight at Portland Jet Port FD Open House

50 2017 Group Training Topics January February March April May June July August CPR, Basic Life Support Skills, Hazmat Operations, boodborne, lockout tag out, harassment, fire extinguishers, hazcom, Maine Safety Works annuals, respiratory emergencies, Firefighter Down CPR Maine Safety Works annuals cont, Communications and radio usage, ropes and knots, ladders, Life Flight Pediatric Advanced Life Support, OB, BLS skills, ALS Skills, SCBA air management, search and rescue, Thermal Imager Operations Altered Mental Status, forcible entry, wild land operations, hose testing Death dying and suicide, extrication and stabilization operations, UTV operations, marine 202 operations Cardiac STEMI, gas metering, rope access, ropes haul systems EMS Jeopardy, water rescue, water medical emergencies MCI review, water rescue operations practical, marine operations September October November December OB/GYN, OB/PED, Mayday review, drags and carries, nozzles and master stream operations, water supply Advanced cardiac life support, fire attack operations, nozzles and master stream operations EMS documentation, narcan review, air mgt, Chimney fires, aerial operations, firefighter survival Medical emergencies, ice rescue operations review

51 2017 Training Photos Water Rescue Training Ice Rescue Training Ice Rescue Training Rapid Forcible Entry FF Survival Hose High Angle Intervention Advancements Ropes Crew Training Emergency Bail Training Out Training

52 2017 Training Photos Vertical Ventilation Confined Space Vehicle Extrication Vehicle Extrication State Fire Officer Academy FF I & II Graduation Firefighter II graduation Firefighter survival Master Stream Operations Call Force Foam Operations Live Fire Attack Master Stream Ops SCBA Air Mgt TRT Ropes Training

53 Department Committees Peer Support six members training to support department staff and citizens during times that are emotionally difficult Physical fitness four members that support the physical development needs of the department staff EMS committee four members that assist with the EMS needs of the department Labor / management committee Chaplin Support Each week the Chaplin spends time at the FD supporting and interacting with department staff. Additionally he responds to incident as needed to support citizens and their families and offers department training. Fire Investigation Team Six member team trained in fire investigations. Juvenile Fire Setters interview team Four members who work with children who have had issues with fire.

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55 Challenges Population Increasing ( UNE student impact; (5,000 day time), Summer Tourism, etc.) Assessed Value Increasing Number of Structures Increasing Response Times Increasing ( 14 minutes to most coastal areas.) ISO Rating Maintaining current rate with increasing calls and current staffing. Staffing Same number of crews. The need to staff an additional ambulance. (Currently we staff one full time ambulance and cross staff one ambulance with fire personnel assigned to other fire apparatus, staffing should be at 10 on duty to staff two ambulances full time and cross staff a third ambulance with fire apparatus personnel.) City of Biddeford Fire Department Emergency Services

56 Challenges Hydrant Testing Response Times Administrative duties on all levels of the department Building Maintenance Meeting Training Requirements Budgetary Challenges EMS Training / QA Being able to answer all emergency calls Staffing levels SMHC emergency transfers City of Biddeford Fire Department Emergency Services

57 Other Impacts OSHA and other regulations 2 In / 2 Out and Rapid Intervention Requires Additional Personnel on every working Fire Traffic and geographic disbursement(coastal responses) NFPA 1710 Today s Fires Burn Faster Lighter weight construction Quicker burning fuels Plastics, Polyurethane, Foams, Laminates City of Biddeford Fire Department Emergency Services

58 Current Service Level Rating given to Biddeford Fire Department by the (ISO) Insurance Services Office ISO Class 2/8b This rating relates to current staffing and apparatus responses on incidents. Any ISO rating change could increase insurance cost for commercial and residential properties. City of Biddeford Fire Department Emergency Services

59 Department Goals Increase minimum staffing to ten personnel on duty. Staff 2 ½ ambulances. Decrease response times. Evaluate and modify current emergency transfer plan from SMHC. Look at additional revenue streams (EMS transfers, plans reviews, fire alarm testing, knox box maint.) Establish an officer training/replacement program. Establish EMS Lieutenants for each shift to assist with ems roles and leadership. City of Biddeford Fire Department Emergency Services

60 Capital Needs FY 2019 Purchase of fire gear washer extractor - $15,000 Modify the bathroom and bedroom facilities at Central Station to accommodate female staff. (facility maint. From FY 18 budget) Rescue boat - $25,000 City of Biddeford Fire Department Emergency Services

61 Additional Capital Years Needs Additional fire station near the coast - $2,300,000??? Central Station roof repairs - $25,000 (FY 2020) Purchase two thermal imagers - $18,000 (FY 2020) $30,000 replacement of portable radios ( FY 2020) Resurface top coat of apparatus floor - $8,000 ( FY 2021) 2 nd floor dinning area window replacement $10,000 ( FY 2020) Replacement of Engine 22 - $450,000 ( FY 2021) $100,000 for driveway replacement (FY 2021) Replacement of EMS 14 - $245,000 (FY 2021) Replacement of EMS monitor, stair chair, stretcher $64,000 (FY 2021) Fire Station brick work - $10,000( FY 2022) Building window replacements?? (FY 2023) Building common area floor replacements?? ( FY 2023) Replacement of ballistic/stab vests - $60,000 ( FY 2023) Replacement of EMS 12 - (FY 2024) Replacement of EMS cardiac monitor, stair chair, stretcher - (FY 2024) Replacement of Engine 28 (FY2025) Replacement of Brush 20 (FY2026) Replacement of Eng 26 & EMS 10 (FY2027) EMS cardiac monitor, stair chair, stretcher (FY 2027) Replacement of Eng 24 (FY 2028) City of Biddeford Fire Department Emergency Services