Thank you and it sounds like there is good stuff happening. If it helps, in Klamath we had a private ambulance for years and our firefighters would jump on the rig and drive as well as assist in patient care. I don't think we ever performed primary care though, and it was Oregon. Monte B Keady Division Chief - Training/EMS Klamath County Fire District No. 1 143 N Broad Street, Klamath Falls OR 97601 541.885.2059 ext.109 From: klamathsiskiyouems-bounce@xxxxxxxxxxxxx [mailto:klamathsiskiyouems-bounce@xxxxxxxxxxxxx] On Behalf Of Butte Valley Ambulance Service Sent: Thursday, February 11, 2010 7:23 AM To: klamathsiskiyouems@xxxxxxxxxxxxx Cc: darrel@xxxxxxx; breynolds@xxxxxxx; bob@xxxxxxx; dfarnam@xxxxxxx; rnkfarnam@xxxxxxx Subject: RE: more follow up Hello, The Butte Valley Ambulance Service, Inc. and Dorris Volunteer Fire Department did have a meeting to discuss issues and try and find ways to mutually work together for the best patient care for the citizens of Butte Valley. A draft plan was agreed upon and we are currently working through the insurance and mutual agreements between the City of Dorris (Dorris Volunteer Fire Department) and the Butte Valley Ambulance Service, Inc. We have another dinner/meeting scheduled for March 4th, 2010 at 5:30pm at the Butte Valley Ambulance building. We have invited crew members and all interested in finalizing the plan to have Dorris Volunteer Fire Department EMT's that are available to jump on board the BVAS ambulance when needed. Gregg Surface, Dorris Fire Commissioner attended the BVAS monthly board meeting to discuss issues going forward and to help facilitate recruitment, training, and mutually working together. As soon as more information is available and a formal agreement is finalized we will let you know. Thank you, Heather Criss Butte Valley Ambulance Service, Inc. ________________________________ From: klamathsiskiyouems-bounce@xxxxxxxxxxxxx [mailto:klamathsiskiyouems-bounce@xxxxxxxxxxxxx] On Behalf Of Monte Keady Sent: Wednesday, February 10, 2010 5:29 PM To: klamathsiskiyouems@xxxxxxxxxxxxx Subject: RE: more follow up Thank you Dan, I appreciate the work you are doing and trust that your diligence will pay off. On another matter. I was able to attend the Dorris Fire annual banquet and was treated to a fine dinner by an organization that showed a lot of pride in their service to their community. Thank you Chief Frost for the invitation. Also in attendance were personnel from Basin, and Butte Valley Ambulance. Since then, I heard that the Dorris Fire and Butte Valley Ambulance people got together for a meeting. Can anyone provide an update on this? Monte B Keady Division Chief - Training/EMS Klamath County Fire District No. 1 143 N Broad Street, Klamath Falls OR 97601 541.885.2059 ext.109 From: klamathsiskiyouems-bounce@xxxxxxxxxxxxx [mailto:klamathsiskiyouems-bounce@xxxxxxxxxxxxx] On Behalf Of Dan Spiess Sent: Wednesday, February 10, 2010 3:19 PM To: klamathsiskiyouems@xxxxxxxxxxxxx Cc: Eric Rudnick; Kara Davis Subject: more follow up Dear All We are still working on the scope of practice issue of Oregon personnel responding into California. When I last sent you an email, we had made a number of contacts with the state. They are being very helpful in this matter. At this point our Medical Director, nurse clinical staff and I have drafted a position based upon regulation, other state documents and our "interpretation" of those documents. The position deals with EMTs and Paramedics. Nursing issues are being dealt with between us and the BRN, the nursing licensure authority. While I wish there was an answer today to our questions, we want to be extremely accurate. It seems as though these matters would be clearly defined, but that is not the case. When we have definitive answers I will let you know. Thanks again for your patience with this important matter and bearing with me. Dan