Present. In attendance:
Present. Councilmembers: Xxxxx Xxxxx, Xxxxx Xxxxxxx, Xxxx Xxxx, Xxx Xxxxxxxxx, Xxxxxx Xxxx, Xxx XxXxxxx and Xxxxx Xxxxxxxx. Staff present: City Administrator Xxxxxxx Xxxxxx, Interim Finance Director Xxxxx XxxXxxxxx, Accounting Assistant Xxxxxxxx Xxxxxx, Financial Analyst Xxxxxxx Xxxxx and City Clerk & HR Manager Xxxx Xxxxx.
Present. Presentation and processing of any or all claims arising out of or related to this Agreement shall be made in accordance with the provisions contained in Chapter 1.05 of the Santa Xxxx County Code, which by this reference is incorporated herein.
Present. The list of officers of Government of Andhra Pradesh, Odisha and of Central Water Commission, Govt. of India present in the meeting is at Annexure-I.
Present. All rates are minimum rates and no employee shall have a reduction in present pay or pay rates as a result of the signing of this Agreement. Working foremen shall receive a premium of twenty-five (25) cents per hour. There shall be at least one Journeyman on each job where an Apprentice is working. PIECE WORKERS Stretch on Wood Stretch on Concrete Glue Down Loose Lay Stringers Steps Stretch and Glue Stair Treads Vinyl Steps Hollywood Steps one end open Steps both ends Kitchen 12' material Kitchen material plus Glazecraft Tile plus Bathroom Minimum per step per step per step per step per step per step per step per step per step per step Bathroom Walls Tub Enclosures Hourly Work (etc.) Tile up to over Rubber Base per Gym Flooring Heath welding Carpet base and cap Tear up Carpet, Vinyl Rubber Jute Plywood per sheet Quarter Round or Base Board Appliances Travel per man Mileage after Room and Board: one man two men per it. per per per day per day Commercial per yd. per per per per per day per day FOLLOWING ARTICLES DO NOT APPLY TO ARTICLE ARTICLE TRANSPORTATION, TRAVELLING TIME, ROOM AND BOARD The Employer shall provide transportation to and from all jobs and shall pay for the time spent travelling, from which men return daily at any time before the normal starting time or the normal quitting time as provided for in Article The employee using his own transportation to jobs, shall receive thirty-five (35) cents per kilometre, plus travelling time as in Article On out of town jobs, where the employee does not return home daily, the Employer shall pay the full expenses for Board and Lodging. Time spent in travel shall be paid at straight time rates and shall not exceed eight (8) hours pay in any day of travel. Subsistence allowances need not be paid for any day that employee fails to report work or is not available for work when called. No Employer can demand for any employee that he transport any materials other than his own hand tools, in the employee's own private vehicle. No employee may enter into any Agreement to permit the use of his own private vehicle for transporting materials or workmen passengers, unless he be afforded reasonable and just compensation for the use of his vehicle. The Employer will be responsible for any employee, taken to any job, as a passenger in other xxxxxxx'x vehicle. On out of town jobs of longer duration the Employer shall provide transportation from the job to the employee's home town and return to the job at no cost to the empl...
Present. The activity of the emergency medical service in Italy is exclusive competence of the national health service,118 is the phone number for medical emergency in Italy Since the law of march 27th, 1992 EMS man- agement is run by the National Health Service (in particular the Regional Government’s health management which respond to the Ministry of health on a partial auto- management basis, federalism) in a three-stage manner: ALERT (DISPATCH CENTER) TERRITORIAL MANAGEMENT SYSTEM (AMBU- LANCES, ALS CARS, HELI EMS) EMERGENCY HOSPITAL AND FIRST AID POINTS NETWORK Dispatch Centre Dispatch centers (DC) gathers all the informa- tions regarding medical emergencies, usually covering a town County area (Provincia), re- ceiving the emergency calls from population in distress. Personnell in DC manage and coordi- nate medical emergency resources according to the kind and the priority presumed of the emergency arisen. DC holds radio/cellular/data connections with emergency units and hospi- tals/ER involved in the system. As said before the population served by a single Dispatch Center belongs to the entire County area of a main town. In some region, according to particular geographical specifics (extensive country/rural areas) are served by more Dispatch centers in the same County always working in continuos liaison. Personnel manning Dispatch Centers are
Present. The ambulance services in Norway vary in size and workload, from the larger urban ambu- lance services such as Oslo and Akershus, to small rural services in the northern and west- ern parts of Norway and the costal line. Some services cover very large geographical areas with small populations, 500 to 1000 inhabi- tants, and whit long distances to the nearest hospital, 400 km or more. The ambulance services at Ulleval has created medical and operational guidelines which now covers most of the services through out the country. The Norwegian Medical Association has in collaboration whit the Laerdal founda- tion developed the Norwegian Medical Index used for prioritising in almost every the medi- cal dispatch central trough out the country. The ambulance services have mixed provisions of doctors, paramedics, technicians, and oper- ate roadambulances, ambulanceboats, helicop- ters and aircrafts and cooperate closely whit the rescue service when in need for more heavy equipment There are no legislation or centrally set targets for the service currently. Each service operate after their one standards where very few are evidence based. The Norwegian ambulance services currently provide a mixture of emergency and urgent care, support for General Practitioners and patient transport. The Ambulance service at Ulleval currently handles in excess of 400 emergency calls each day. There has almost been a doubling of ambu- lance service demand in Norway over a 10- year period. As for the rest of the developed world there is an inexorable rise in demand. The reasons for this change are not fully un- derstood. Ulleval Hospital has set some goals for its ambulance service:
Present. Spain is divided in 17 autonomous regions, each one has its own regional health service, that must Emergency Medical Services. There are 21 services in Spain, one in any of the 17 autonomies, one in the cities of Ceuta and Melilla and two more in the large cities of Madrid and Barcelona. There are big differences in the area and population covered. Some services like Madrid is a high density area and others services like Castilla-Leon must provide care in a huge area with a very low density of population. Each service set its own standards of care and the guidelines generally are local. The SEMES( Spanish Association of Emergency Medicine) has a task force on QI in EMS and hospital ER. There are two types of ambulances , a basic level with a crew of one of two EMTs, most of the time their training is low and the equip- ment that the vehicle carries is very basic. Some services are improving the training of their EMTs and equipping all the basic ambu- lances with Automated External Defibrillator, but there are not national standards. The Advanced level units crew is a physician, a nurse and two EMTs. Most of the physicians are GP or family doctors with a special training in emergency medicine, there are also a small number of anesthesiolo- gists, internal medicine and critical care spe- cialists . The majority of the nurses that works in the ambulance service have a previous experience of working in ER or critical care units. There no a specialty in emergency medicine or nursing, but the SEMES is demanding it to the Ministry of Health. Certain services has a great support in the GPs in the very rural areas. Some services provide interhospital transport of critical patients and scheduled transport of patients. Each service has its own prioritization system. One of the main task of the dispatch centers is the medical advice that the physicians provide. The calls demanding this information is in- creasing every year. And the dispatch center acts a gate-keeper.
Present. The Authority is governed by a Board of Direc- tors appointed by the Mayor and City Council of Richmond. Classified as a not-for-profit governmental agency, RAA periodically holds a competitive bid process to hire a private con- tractor for managing day-to-day field and dispatch operations. The Richmond Ambu- lance Authority receives requests for service through a universal 3-digit emergency number (“911”), and distributes an additional 7-digit number specifically for hospital and nursing home non-emergency requests. The Authority has a fleet of 26 ambulances, 2 supervisor vehicles, and 1 command vehicle. RAA mandates and monitors strict response time standards for all priorities of calls, meas- ured equally and in aggregate in four “service zones” established within Richmond. For ex- ample, Priority 1 requests (presumed life- threatening) require a transport capable ALS (advanced life support) ambulance to arrive on scene within 8 minutes and 59 seconds of the request, with a 90% reliability (9 out of 10 times). Financial penalties exist for late re- sponses, and financial incentives exist for superior response time performance and supe- rior equipment/fleet maintenance practices. The Authority utilizes a computer aided dis- patch (CAD) system and a customized version of the Advanced Medical Priority Dispatch System (AMPDS) for prioritizing EMS re- sponses. In addition, the 911 intake system shows the address associated with the tele- phone used in calling for help, and spatially represents the location address on a computer map. If the request was generated by cell phone, the system provides an approximate position for the request through locator tech- nology mandated for cell service providers by the federal government. Each ambulance is staffed with at least one paramedic and one EMT-Basic, and performs at the ALS (advanced life support) level. Paramedics are authorized to use advanced medical protocols and standing orders issued by RAA’s Medical Director for treating patients before and during transport, and both the Medical Director and the Authority monitor the quality of treatment and compliance to medical and operations protocols. The Authority and the contractor share the same system data for use in monitoring, analysis and decision- making. Primary funding for the Richmond Ambulance Authority is through user fees. RAA will bill commercial insurance companies, Medicare, Medicaid, hospitals, nursing homes, and/or the patient, but no person within ...
Present. Xx. X. Srivastava, Xxxxxx Xxxxxxxx, Xxx Xxxxx, Xxxxx Xxxxx, Xxx Xxxxxxxxx (Chair), Xxxxx Xxxxxx, Xxxxxxxx Xxxxxx Virtual: Xx. Xxxx Xxxxxxx Apologies: Minutes from previous meeting No further actions. RK updated members no actions. Property Lease Agreement XX discussed up to date information on amendment to existing lease and a draft firstly to be written via legal representation and given to NHSE Estates for approval. NHS Improvement Grant has been refused for 22/23 due outstanding lease. Architect drawings are now in place in preparation and CD suggested pre-planning for next application to bid for improvement funds. Practice Pharmacist Update Xxxx explained her role in practice as a clinical pharmacist along with role in PCN work involvement. Practice Pharmacists have been working in the covid hub vaccination clinic since 2020 but are now actively in practices across the network. The will be working on various projects and cost saving switches of medications. Patient/Staffing /Practice Activity ANP Xxxxxx ANP Xxxxx – Dr XX acknowledged their excellent work with practice and patient care. Apprentice Xxx is now to be taken on as a full time member of the team and we will again apply for another apprentice. Physician Associate student currently with us for 8 weeks joined the meeting introduced by mentor Xx Xxxxxxxxxx. Other student participation shared with the group GP Students 21/22 , 4th year GP Student joining for 2 weeks voluntary observation. 6th Form Student Xxxxxx continues helping in the office on a weekly basis contributing to phoning patients in QOF work. We continue to exceed expected GP national appointment offer on a weekly basis. Dr XX explained process of e-consultations and the process of consultation route to manage time. CQC Inspections/Quality Care Currently there is no requirement for a CQC inspection: “We have not found evidence that we need to carry out an inspection or reassess our rating at this stage. This could change at any time if we receive new information. We will continue to monitor data about this service.”(CQC) We have been awarded ‘Active Practice Status’ by RCGP application by Dr X Xxxxxxxxxx.
