In EMS, the gold-standard to measure a patient’s ability to breathe is by utilizing a device called an End-Tidal CO2 detector (ETCO2).   This device measures the partial pressure of carbon dioxide (CO2) at the end of an exhaled breath.  It is expressed on our monitors as a number and a waveform that our paramedics can read to determine effectiveness of breathing.  It also has the capability to administer low levels of oxygen to a patient if needed.  We utilize this device on almost every EMS response. 

The EMS department routinely purchases medical supplies from a variety of vendors who we have an agreement with or who are part of a purchasing cooperative.  It is our policy to seek out the best pricing for the City when making purchases.  Stryker has recently provided the best pricing for ETCO2 devices over our other vendors.  The City has a not to exceed limit with Stryker in place in the amount of $161,392.00 for leased heart monitors, LUCAS devices, stretchers and associated equipment. To date, we have spent $151,653.02 with Stryker.  Since they are providing the best pricing for our ETCO2 devices we are seeking to increase the NTE limit to $185,000.00 in order to purchase enough devices for the end of the fiscal year.  

 

To purchase necessary medical equipment at the best value.  

To provide the best equipment at the lowest cost to the City.  

Staff recommends that Council authorizes the City Manager to purchase medical equipment from Stryker up to $185,000.00 during the 2019-2020 fiscal year

Increase the not to exceed limit for Stryker from 161,392.00 to $185,000.  Purchasing these devices through Stryker will save the City $8,460.00 for the fiscal year.

Staff recommends Council approve Resolution 20-R-23.