Consideration and Approval of Cooperative Contract:  To lease purchase 9 Zoll X-series Manual Monitor/Defibrillators through a cooperative contract with Zoll Medical Corporation through National Purchasing Partners, Contract No. 052312 (Approve contract with Zoll Medical Corporation in the amount of $223,383.50).

Approve the lease purchase of 9 manual Monitor/Defibrillators from Zoll Medical Corporation for the cost of $223,383.50 through 5 equal annual payments of $44,676.70 per year.   

The Flagstaff Fire department is requesting to lease purchase 9 Zoll Monitor/Defibrillators to replace our current monitor/defibrillators. The department's current Monitors are 10 years old and are 2 years past their service life. The department has had extensive repair and maintenance cost over the past few years averaging  $10,000 a year and 130 days of out of service time.  Without monitor/defibrillators paramedics are not up to the standards our medical direction requires and therefore reducing our EMS level of response from advanced life support to only a basic life support level.

The total cost of this purchase is $223,383.50 The lease purchase agreement is for 5 equal annual payments of $44,676.70 starting after approval.  The City has budgeted $290,000 for the purchase and lease payment of the equipment in the FY 2015 budget. The City also has future debt payment reserved in the general fund five-year plan. 

COUNCIL GOALS

3) Provide sustainable and equitable public facilities, services, and infrastructure systems in an efficient and effective manner to serve all population areas and demographics
5) Develop and implement guiding principles that address public safety service levels through appropriate staffing levels
 

 

The purchase of Monitor/Defibrillators was approved in the 2016 Budget and these items were discussed in the budget formation processes.

1)  Approve the lease purchase. This will provide new equipment to Paramedics and reduce our repair and maintenance costs. Reduces the number of days we are without Advance life support services as new equipment will not require extensive repairs.
The lease payment process will cost $18,000 dollars or 2% in interest over the lease purchase term. The budget will require a $44,676.70 payment be made for FY 2016 and an equal payment of $44,676.70 for the next 4 consecutive years.
2)  Do not approve the lease purchase. This option will force the City to continue to reduce EMS service levels as equipment continues to breakdown. Cost of repairs will increase as parts for the current monitors become obsolete.
3)  Have the City conduct their own formal solicitation process.  It is likely that the City will not receive the competitive pricing that is available through the National Purchasing Partners cooperative Contract.

The Fire Department's cardiac monitors are used on a daily basis for a myriad of tasks.  Most frequently they are used to assess baseline vital signs on every patient that we encounter as the first on scene EMS provider.  This includes pulse rates, blood pressures, oxygen saturation of a patient’s blood, and typically an EKG (tracing of the electrical activity of the heart).  They are also used for defibrillation or synchronized cardioversion (shocking) of a patient’s hearts, measurement of end-tidal CO2 readings (to indicate potential life threatening respiratory conditions or to confirm correct placement of an advanced airway placed in a patient’s trachea), and for transcutaneous pacing (delivering electrical impulses to keep a patient’s heart beating appropriately until an implanted pacemaker can be put in surgically).  

As the primary EMS care providers for the Flagstaff community, the Flagstaff Fire Department provides emergency response to any request that is received. In order to provide these services, the personnel must have a plethora of tools at our disposal, some are multi-purpose and others are specific to the job at hand. No matter the tool, it must be maintained, serviced, repaired and if needed replaced so that it can be in a ready to use state.

The current cardiac monitors are at a state of deterioration that it is not only no longer fiscally responsible to maintain them, but puts the Flagstaff Community at risk of responders not having a functional cardiac monitor while responding to requests for service. For the Flagstaff Fire Department to continue to provide the highest quality of patient care possible, the purchase of new cardiac monitors is of the highest importance.  This will defer repair costs, decrease the OOS time and more importantly, decrease the likelihood of a malfunction or failure while ensuring the highest level of advanced life support care.

The community will continue to be provided advanced life support care with the purchase of this replacement equipment and will experience a decrease in the amount if time when this service is not available. this new monitor would also allow our paramedics to transmit Critical Care EKG's from the field to the base hospital allowing the hospital to plan for the incoming patient.   
 

 

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