Pinal Rural Fire Rescue, Inc.
“Where Action Meets Excellence”
For the Record
Exhibit A through G Will refer in presentation by exhibit
Overview
Who and roles Why What Where When Additional impacts and admin Community concerns
Organizing Staff (WHO)
Organizing Chairman and Board 10 National Certified (C)
4 Paramedic 6 AZCFSE certified Firefighter I/II/EMTs 1 certified ARFF (Aircraft Rescue Fire
Fighter) 9 Wildland Fire - NWFCG certified 3 support personnel
The historic Threat (Why)
75 % Medical 15 % Wildland Fire 5% Structural 5% Service Calls
Purpose (whY)
To provide state-of-the-industry fire protection and fire-based Emergency Medical Services (EMS) to areas in southeast Pinal County undesignated and underserved by fire districts To enhance an area that has always had
limited resources To bring industry and national NFPA fire
service standards and training to the Copper Corridor region
Major Impacts (a/B) (why)
Response times greatly reduced after the formation of PRF&R, particularly paramedic and wildland fire response
The properties and area of the district being formed have historically never been of any interest for existing fire districts to annex into their respective districts
Significant addition of First Response Rescue and Medical apparatus and personnel
Significant addition of Wildland Fire apparatus and certified personnel
As Is (what)
Currently a 501(c)(3) nonprofit fire rescue service Funded by Grants, Subscriptions and
Donations
Active 911 service area 1 station 7 Vehicles 10 Certified Personnel
Current 911 area (what)
Proposed District Area (what)
Land Uses (what)
571 Parcels Ranch and Agricultural Mining Residential Major Highway - AZ 77 Proposed Casino
Standards and Measures (what)
NFPA – the “standard” NFIRS – the statistics ISO – rates fire departments for insurance purposes CON – authorization to transport the sick and injured by
the state CPSE (Center for Public Safety Excellence) – the national
accrediting service as applies to fire departments We will be one of only a handful of volunteer
departments to achieve this level of accreditation The impact of SB 1387 (2014) on fire districts statewide –
this was a sweeping reform of the antiquated fire district laws in AZ
NFPA (What)
National Fire Protection Association – The Gold Standard Generates Peer-Review standards for fire and
applicable EMS services These are the standards to which a fire department
would be held in litigation or insurance matters Can be adopted in full or part by either adoption or
reference As applies to PRF&R - NFPA 1720 - Standard for the
Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations and Special Operations to the Public by Volunteer Fire Departments
New FD Law SB 1387 (what)
Organized IAWOrganizing Board AZFD qualification 50% complete. Will complete January 2015Resolution transferring assets to new Fire District (E)
ALS and BLSWhat does it mean? (what) Emergency Medical Care Technicians
Basic Life Support - EMT 120 hours of training
Can provide basic patient assessment Can administer aspirin for chest pain Can assist a patient with their own nitro or
nebulizer medications In a cardiac arrest can perform CPR and basic
airway skills In a trauma can control bleeding and splint
ALS and BLS what does it mean? (what)
Advanced Life Support – Paramedic 1200 hours of training
Carries 50 +/- medications to treat medical conditions with offline medical direction (no call to Dr. needed)
Can perform advanced patient assessment, including performing and interpreting a 12-lead EKG
Can manually defibrillate, pace a slow heart rate, or provided synchronized cardioversion for a dangerously fast heart rate condition
Can intubate to secure an advanced airway Can perform advanced invasive procedures to treat a
myriad of life-threatening trauma conditions
Advanced Life Support (ALS)
What that means: 12 Lead EKG Intravenous (IV) Therapy Intubation for securing advanced airway in both adults and children A drug box that meets the minimum requirements of the AZ Dept. of
Health Services (DHS) PRF&R also has: Drugs carried that are above and beyond the state minimum as
authorized by the Medical Director, Dr. Ottman, and as permitted by the AZ DHS permitted drug list
PRF&R also have drugs authorized that are specifically for Hazardous Materials treatment in the event of exposure per R9-25-507. Protocol for an EMT-P (Paramedic) to Practice Knowledge and Skills in a Hazardous Materials Incident PRF&R is the only EMS service in the region that has this
capability
2013 EMS SERVICES PROVIDED
Emergency Medical Services Only Fire-Based Advanced Life Support
EMS program between Golder Ranch Fire District and Globe
72% of PRF&R responses for 2013 were EMS related
61% of those required Advanced Life Support (Paramedic) intervention
2014 is on track to meet or surpass these numbers
Medical Affiliations (what) Dr Ottman, Tucson Medical Center Base
Hospital (F) All EMS personnel are currently certified with the
National Registry of Emergency Medical Technicians (NREMT) This is a PRF&R agency requirement to maintain
affiliation as an EMS provider Requires a higher number of hours for recertification
which PRF&R deems a necessity for rural providers with limited exposure to maintain skills
SERVICES OFFERED (what) Wildland Fire Protection and Suppression
Arizona Forestry Wildland Co-Operator All PRF&R AZ certified Firefighter I/IIs are also
Wildland Certified FFT2s PRF&R has 2 AZ Forestry wildland fire
apparatus PRF&R trains and works with other Wildland
Co-Operators in the region
SERVICES PROVIDED (what)
All-Hazards Rescue Services Assists PCSO Search and Rescue with both
technical rope rescue and ALS support 8 Certified Technical Rope Rescue Personnel All FF I/IIs are also HazMat Operations
certified A Certified HazMat Site-Incident Commander 4 HazMat TOXMEDICs (Toxicology
Paramedics)
Industrial Operations (Where)
Redhawk Copper National Gypsum Mine San Manuel Airport HWY 77 Major Hazmat transportation
corridor
APPARATUS (where)
Left to Right: Attack 625 (Type 6 Brush truck) * Rescue 625 (Medium-Duty Rescue and Medical Transport for MCI) * Medic 626 (Medical Transport) * Engine 626 (Type 3 WUI Fire Engine) * Command 625 * Engine 625 (Type 2 Fire Engine) * Medic 625 (Medical Transport)
A perspective (A/B) (where)
New Station 626 (Where)
Fire Station/Community Room (where)
24’ X 60’ Modular for Fire Station and Community Room Has 3 Crew Quarters Rooms, a Day Room, and a Community
Room that will be free for local groups to use Will also give PRF&R a permanent location to hold their
community projects such as free CPR/AED training
“New” PRF&R type 1 Fire Engine
We are in contract to purchase the following fire engine 1987 E-One Hush 1500 GPM Pumper
Casino Impact (Additional Impacts) (a/B) Based on an exhaustive Gap Analysis and EMS Needs Assessment the proposed
casino complex will increase emergency response needs by over 500% Casinos routinely and aggressively pursue the elderly and retired to frequent their establishments With these patrons come many with cardiac and stroke health issues and hazards requiring ALS
intervention The region will also face the issues of increased tour bus operations in an already dangerous
highway The existing system that has operated unchanged for decades is not capable of meeting the
increased demand
Insurance impacts
Proposed area is currently rated “unprotected” for most – only current subscribers, or property owners under a district or municipal department, have insurance rated by ISO (Insurance Service Organization). This is a department specific rating, not individual property rating system “Unprotected” means very high insurance rates, or no insurance
available at all depending on location Subscriber properties are rated by proximity to a station With the new district in place, it will reduce risk, and therefore
homeowner insurance rates Ratings are based on apparatus of the Fire District, water
availability, fire station locations, training, and other factors ISO rating certification will be applied for after formation CPSE (Center for Public Safety Excellence) Accreditation will also
be pursued
PRF&R Affiliations
Fire Chiefs Association of Pinal County AZ Fire Chiefs Association Arizona Fire District Association All EMS personnel are currently certified with the
National Registry of Emergency Medical Technicians (NREMT) This is a PRF&R agency requirement to maintain
affiliation as a volunteer Firefighter
SERVICES TO BE PROVIDED
Certificate of Necessity to Operate an Ambulance (CON) will be applied for next year as overlapping CON
Last application lapsed due to some missing information and reached a statutory time limit.
The CON will be reapplied for after the district formation hearing
Planned CON Service area
Initial Support
59 Current Subscribers 9 in Aravaipa Canyon 18 residents from the Canyon NRCD 22 Other Letters of Support between
Mammoth and Dudleyville
Community Concerns
Taxes Current Personnel Satisfied with Status Quo Past CON No voice in District New station would urbanize the area
Fire Response policy
Historically
PRF&R has NEVER refused to respond to any emergency in their Area of Operations (AO) because a residence or patient was not a subscriberPRF&R has NEVER billed, to date, for any fire response in our AO to nonsubscribersPRF&R DOES bill automotive insurance companies for MVA responses in their area since PRF&R is not currently eligible for FDAT (Fire District Assistance Tax)
Timeline if Approved
Start collecting signatures Continue Station 626 preparations Establish Mutual Support Agreement Change status on grant applications Board complete AZFD training Up and running as a District in
February 2015
Closing Thoughts
The need exists The initial infrastructure is in place This is about the What not the Who I am confidant we can bring the Fire
Community together for the betterment of the public.
Approve and let the people decide
Backup
Fire Response policy
If much is to be saved much will be risked – risk a lot to save a lot
If little is to be saved little will be risked – risk a little to save a little
If nothing is to be saved nothing will be risked – risk nothing to save nothing
Fire Training Facility PRF&RM’s proposed Fire Training Facility also meets grant parameters as a vocational
training facility Training Facility will be built to NFPA 1402, Guide to Building Fire Service Training
Centers, and operated under NFPA 1403, Standard on Live Fire Training Evolutions. PRF&R has two IFSAC accredited Fire Instructors Courses held will meet the requirements of AZFSCE for certification for Firefighter I/IIs Will have 40’ Tower for Ropes and Ladder evolution training Additional props will be added (railroad car, tour bus body, LPG “Dragon” prop, etc.)
Type of future Fire Training Facility
Types of Fire Districts/Departments
Rural Fire District only small volunteer None to Some NFPA quallsRural Fire and Medical District Paid and Volunteer Full NFPA quallsRural Fire and Medical District Paid full NFPA quallsPrivate Rural Metro Paid Full NFPA quallsCity Paid Full NFPA qualls
Types of Fire Districts/Departments
Rural Fire District - all volunteer - usually do not meet all NFPA requirements
Rural Fire District - Combination paid and volunteer - may or may not meet NFPA requirements
Rural Fire and Medical District Combination paid and volunteer usually meets all NFPA requirements
All Paid/Career - usually meets all NFPA requirements Private Fire Department - may or may not meet NFPA
requirements City Fire Departments usually meets NFPA requirements
Types of fire departments Rural Department
District, municipal, or private - Volunteer Do not meet all NFPA requirements due to staffing - may meet some May have certified EMS personnel or not – usually Basic (EMT) EMS or less,
but, could have Advanced (Paramedics) EMS - i.e. PRF&R
Rural/Suburban Department District or municipal - Combination (paid and volunteer) May or may not meet NFPA requirements May have Basic (EMT) EMS or less, could have Advanced (Paramedic) EMS
All Paid/Career District or municipal - usually meets all or most NFPA requirements Usually Advanced (Paramedic) EMS
Private Fire Department For-profit or non-profit May or may not meet NFPA requirements May have Basic or Advanced EMS
Proposed District area (what)
PRF&R Staffing Model
Currently all Volunteer - Meets some NFPA requirements In addition – PRF&R is fully NIMS/ICS Compliant
national level Incident Command qualification Have personnel certified through ICS 400 – Advanced
Incident Command – this is a Have Certified Incident Command Trainer - can train and certify personnel through ICS 400
Have certified HazMat Site Incident Commander and HazMat Specialist – this is a key point due to the amount of Hazardous Materials usage in the local mines, and HazMat Intermodal traffic, throughout the Copper Corridor
Advanced (Paramedic) EMS and HazMat Toxicology Paramedics
After District formation will transition to Combination (paid and volunteer) department Will meet more NFPA requirements due to change in staffing model