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Personal Appearance Ms. Hattie Willis -102x/ Ow L` 5510 NW I" Ave. Miami, Fla. 33127 Phmo: 305-754-3993 Fax: 305-756.5467 e-nlAil: hwiliias@p elimuth.net Communities'Unked September 26, 2001 I stand before the commission today with a sadden heart and bruised spirit because my family and many other families of the City of Miami Civil Rights have been violated and taken for granted. My Integrity has been questioned. I am appalled and disenfranchised by the behavior of the City of Miami's Fire Rescue Department. I am disgusted that they would walk into my or any citizen's home and display this type of racism and racial profiling that I am speaking on today. Supposedly, America is the greatest country in owever, four weeks ago my family and I were placed in a position that shocked and rumbled my faith and trust in this "America the beautiful!" The constitution was written for the people by the people! Mme where along the line the sworn officers of the City of Miami Fire Rescue; -that we entrust our lives to keep us safe have forgotten their sworn duty and commitment to the citizens of the City of Miami. TheConstitution states that all people were created equal. It did not exclude iEORLE who are poor, uneducated, handicapped, varied religious beliefs, use of the color of their skin, or because they live in a specific neighborhood or community. IT STATED, ALL PEOPLEIH The City of Miami has cancer and it has been growing, maturing and developing in the body for the last 20 -years or more. Corruption and scandals have plagued our City government year after year. It has become. an embarrassment to be known as a citizen of Dade County! It's now time for the people to stand up and take back our City and earn the respect we once held in high esteem from the entire world. Dade County was once known as a place where everyone wanted to live, visit or negotiate business deals! We were once a loved and respected city. T -l.,= is a sgwW wind blowing, It is Sw_"pjtX Thoygh the streets of k&de Hatti. It's name ifi "ComLmun m United" ..... . ... .. f Submitted* liitb tht3 -public Cecord onnectl n with item on Walter Foelman t �' N � City Clerk r September 10, 2001 Page 2 is 0 This cancer must be cut and removed from our body to start the heeling process. We stand before the Commission today asking for you as servants of the people for your help, by removing the cancer that is still growing within us. Chief William Bryson needs to removed along with the City Manager, Carlos Gimenez and be replaced with men and women who are of high quality and fully understand and respect the constitution of the United States of America and that will serve the people with honor, respect and Integrity. We go all around the works telling other countries to stop violating human and civil rights. What a hypocrite our government is when it allows and nourishes this type of demoralizing and racial behavior. In closing, we also ask that a formal investigation be launched into the practices and behaviors of the Fire Department against the citizens of the • City. The panel should be from an outside entity, and the citizens from the community should take part in this process. Submitted into the public record in connection with • item .�._ on t- 01 Wafter Foemen City Clerk 0 t Submitted Into the public record In connection with stern --(,—.Oil f Wafter Foeman City Clerk August 15, 2001 Wo "W 11 me Miem4 M 33127 phmw. 905.734.3493 F�W156%1 e Ma: k 0 W•I ff� ti �. �� - it ^ �f �''y i•n t'� rc�r`+. �t�'h} fY i �! 1{X �.t ' �Y �t� S-yj�7'f y r.r .1-!� h`WJ�ct ,yj.�x�r.. uYj. >•$_ � t �r!Yrart-r � ��r y fk. Lvi&eS' United COri1n1 Chief William W. "Shorty" Bryson, Director Fife -Rescue Department 444 SW 2' Avenue Miami, Florida 33128 Dear Chief Bryson, Oijumately, I pan this totter to inform you of an incident that ocOmed in my p-'Moanday, August 13, 2001 at approximately 1:4Sam. To may dismay, I was because I felt that i was wat. When I woke up, I realized that I lying in a aidlood. I panicked! ... and yelled for my soul I called rescue. When the �t . ; rpt► arrived, I had mo�,ed to the bathroom tOfto rest on the commode. My son ; = 'in and immediately they starting &"S me the preliminary questions. '! ' pmwhilo Kenneth, my son attempted to hand me some flesh clothing. So he one of the men (a Caucasian) an the back and said,'excuse am." The man Irl fitly and quickly turned around and replied, get your hands off me... don'ttouch u4ol My son moved back from him. By this time, I was even more upset because I'm watching the negative and unprofessional behavior of this man grow worse. I asked the team to take me to coral Gables Hospital where I had just been treated for a hernia. They replied, legally we can't take you there... it has to be the closest hospital which is JMH. If you don't go there ... we will have to leave you here! By phone, my daughter persuaded me to go on to JMH and that she would meet me there and then transport me to Coral Gables. MpMr7i __ . , 'ITTL L __l. f 1. i • ff� 1 5r `' �° r t 2 U 'rt Lf c. ori �•j a. ` t 6 � ne ! t .+ ! 4 JY. ,: t r J S 1 ty t �r t-1. 1i !� . } �k • ,�' • • • • • • • • • • Submitted Into the publlC record In connection with •Item • -on • •' ` Walter Foeman city Clerk _ 1 0 r,; 7N • Sep Vmber 10. 2001 Page 2 b all of this, I was in pain and terrified 1br my life because of how the attendant treated me and my son in my home. Although I decided to go with the • tearn, I was terribly disappointod with their actions because we were not rude to them We gave them no reasons to react that way! Can you imagine being treated this way by someone who is supposedly to be giving you medical attention. I was really frightened by this incident. Moreover, they refused to give me their names And badge numbers. All I know at this point is that they are from RESCUE 9. Now we are at the hospital. They removed me from the ambulance and a Metro -Dade officer was in the lot. I called for him to give we assistance in recording an assault report due to the actions of the rescue attendant at my home0. The officer never approached me; however, he went directly to the rescue team members and began to converse with them. They were laughing and the officer Frank Castillo. The same attendant that was rude and nasty to we and my. son told the officer that I was a stupid bitch and that I could kiss his ass! My back was turned to them, but after hearing those vulgar words,. I looked around and said to officer Castillo, did you hear that and I ask you to come to me to help and you re6rsed to. I asked him for his name and badge number as well. He replied, rm one in five million. He turned laughing and walked out of the emergency room. I am requesting a formal investigation to be launch by the City of Miami Tire Rescue Department, as well as a .formal Investigation to be launch by the Dade County Police Department. I would like to inform the City Manager Carlos A. Girnenez up front that I have informed by members of the community that you way show favoritism to the City of Miami Fire department, because you are former Fire Chief. I have perwaally work with you ire several community projects and I saw you as a fare and compassionate mar that has a great deal ofrespect for your job. I expect you as the New City Manager to now perform your job and be full aware that the eyes ofthe community are on you.. I hope that I can continue to respect you in this same measure as you do your job and address the issue that has been brought to your attention. In short, I am expecting it responsf:: to this matter very soon, and I am demanding that the Caucasian man be removett from our community, If he is going to have this type ofattitude while working, he really should not be working. Submitted Into thcr public record in connection with Item on • Walter Foeman City Clerk September 10, 2001 Pgge 3 Lastly, please see the attached letters of another incident that occurred involving the • attitudes and service ofworkers from the Rescue 9 station. Mr. Williams has yet to receive any follow-up information. We want a response! Sincerely, Mrs. Hattie Willis Cle Mayor J Carollo Mayor Alex Penelas Commissioner Barbara Carey Commissioner Art Teele NAACP Civil Rights Commission PULSE City Manager ,Cados A. Gimenea Submitted into the public record in connection with item __&-- on Walter Foeman Citti, CIPO" 0 0 U8/'L5/U1 flit ll:�a tAA JUSGJfl1J0 WMJ1Utn t:LCC, WUU4. • .. _..- .... - _ ._. ._:. .:.•:.�:iti�.?'.i,,r. �a:i. '-lel:.-u,.'�iGWLj, -•r.r 4 /11. .., • RAUL MARTNEZ chief cd Police Derrick L. Williams 7500 N.W. 4"' Avenue Miami, FL 33150 Dear Mr. Witliams: (IWETitv of 4Riami ryIN a � nub Msn � �` 0 JAN 17 20M CARLOS A. GIMENEZ Ciry Manegr 1 am in receipt of your two recent letters regarding the abandoned house at NW 5' l ; curt off 77'h Street and your concern with the manner in which a member of the City of Mie mi Fire - Rescue Department treated you on December 24h. Although these two matters do net fall under my direct area of responsibility, I have taken the following action: Abandoned House at NW 5'6 Court off 77'° Street Via copy of this correspondence, I will directed Major Adam L. Burden Commander of the Miami Police Department's North District, to personally contact the NET Administrator for your area and relay your concern. I ivill also ask that he inquire as to what action is being taken to resolve ibis problem and anticipated timeframe for resolution. 1 will then have hum contact you. Fire -Rescue Dcuartment Response to Your Accident Via copy of this correspondence, I will forward your letter to Chief Willion i W. "Shotty" Bryson. Director for the Fire -Rescue Department, who I ani confident will look into this matter. Thank you for brining these issues to my attention. Should the Miami Police Depar.ment be able to be of any further service to you in the future, please do not hesitate to contact _ne. cerely, Raul Ma n hief of Police RM.mp c: Major Adam Burden, Commander, Miami Police North District Chief William W. "Shorry" Bryson, Director, Fire-itescue Department AW&I A C -W -Y J•f'min MIAMI POLICE DEPARTMENT/PO. eOX 016777 /Miami, flarida33101 /MO 579.6565 f•Mail Address: ch.�fu�yulkromiemi,Polic'e.org Submitted Into tho publlo record In connection with Item & on Walter r=oeman 09/25/01 TIDE 11:59 FAX 30SU77130 WJuut i Derrick L. Williams +7500 NW 4th Avenue Miami, Flosda 33150 )December 26, 2400 i t i Mr. Raul Martinez, Chief of Police, .City of Miami. Police Department X400 NW 2nd Avenue ;Miami, Florida 33128 )Dear Chief Martinez, ,breetinpe and I hope thin letter finds you anJ yours doing well amidst this Holiday Seas 2n! After .,meeting with you along .nth Piro. Hattie Willie and another aseociatc o. Tb.usday, De: ember 22, 2000, I am couvincxd that you arra determined to better serve azd fiance profeeai :.usl services rendar+ed by the many departments under your a d:ninistritio�_. nero{ore, I ars 6:6ng this opportunity to inform you that I was involved in an accident un Sunisy, Decembe • 24, 12000 at appraecitnately 7:15 am. I was on my way to church when 1 stivab from behind •uui �aunched anbasod 79th Street at the east side expreaeway exit while I yet bad the red lit i:i pignal. =When City of Miami Rescue arrived, I was war My nervous and shaken by the sooident. :I,�,e • irscue team approached we and bolted if I were okay. I replied, "I just Lave this terrible ;tech and I1houlder pour with a "" d ii, sensation." Lt. Wimberly responded, "It's jurt a little ttsr, as clamage khat occurrod Busing the jolting of the caz." He told me to go home and take Advil and . se ice packs on my neck and shoulder areae. At this time, I repeated to him that I was urxert bin that I Was oluy and if I needed to go to hospital. Lt. Wimberly told we to go Koine first and i I pain imcmaeod to go on to the nearert emergency room. Manwate after nous left, my harm) „. arrived rind I explained to my mathar hQw I waw feeliug. She told if I wanted tv go to the f.urpi J then I imd that right since I was unaertai�a and obviously nervone. Rescue was called a seaand .rime and jbaased the accident scene. My mother called a tLW time. Once they got dmtu and had exited the truck, Lt. Wimberly roughly acid, "Get out ort the car and onto the ahvtcher!" I "aeon J, "Excuse we Sir, I am hurting!" Another assistant said, "just calm doom and coopeiate!' I still do not remember not eoaperating with the rescue team. My final wards to them was, "I an i taking note as to Low you are handling this situation. My mom, is a witness that I did nor: recti gond -iolently toward the team for them to sewe us the way tint they did. Phief: Martinez I am grateful that I din not receive any life dueatening injuries; hmmim, , I am lisappainted that Lt. Wimberly, Rescue 29 made me feel inadequate and that it wail not neconomy for me to go on the hospital. I believe it was only normal for me being visibly :IeI.voue and Uncertain after acperie,ucing such a denWating crash. Submitted Into tho public record in connection w lth item _.Se._.. on V-00 Walter Foeman City Clerk 0 0 uM!Laiui t'Vt Ll *bu tAA JUDO)/ llJO / UItlS1Ul,p LLLM IyJuuJ I Lope thin informational statement wJl awirt yow.nd ymtr stab in.your que.t to iu:.pz•sve seev+icee rendered to the community.- T au16 in advance for a timely naFonae to thin letter. _ Slncerely, idim • s.""�" Demicle L. Wil U= DLWfd.• cc: Major AAam Burden; North Sub•StaWn Com. BaJ;ara Carey -Shuler Mrs. Hattie Willi. Submitted Into the publi0 record In connecIon with Item _fit_..- on '�'�' •t Walter Foeman City Clerk U - 11.027 iii �Z�• P.09n.r16TJ7rnti�mi. Fl SS:JS r 3 � c a -a .3.4 Derrick L. Willams ' 7500 N.W. 4' Avenue _:-_ �_•:;*--�-�� {Q,11���f1����ll�l�l�i6„1�►{�1 IJ�i�fl����dl�:l„Idrt��ddll„�fi������Ill ` - co c Hca -+ 3 a C-�, �� Q I o � 0 -+ 1� a� — 0 o n ? t3 oti3-0 - a 'I I - S iii �Z�• P.09n.r16TJ7rnti�mi. Fl SS:JS r 3 � c a -a .3.4 Derrick L. Willams ' 7500 N.W. 4' Avenue _:-_ �_•:;*--�-�� {Q,11���f1����ll�l�l�i6„1�►{�1 IJ�i�fl����dl�:l„Idrt��ddll„�fi������Ill ` - b`J/ 1 `J/ lbtll tl`J: 5'L Jtl515tlb4A1 MAYUKS Uh h IUL ,NAI*- tli CITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM • T0. DATE PILE The Honorable Joe Carollo Mayor SUBJECTAugust 31, 2001 •. Ms. Hattie Willis Fpom REFERENCES no < ENCLOSURES: City Manager We I have attached a memorandum from William W. Bryson, Fire Chief, regarding the above referenced letter received on August 15, 2001, detailing the complaint of Rescue 9. This matter was Investigated by the Department of Fire -Rescue. In summary, we feel that the decisions made in this incident were appropriate and within the purview of the officer in charge. Lt. Hosmer did err in not giving his and his crews names and badge numbers, as requested. The rest of the allegation cannot be substantiated. CAG/WW /acp • Submitted Into the public • record in connection with item G on 9-09-61 Walter Foeman rN, - !'lnr4 4'1 09/19/2001 09:52 3052505442 MAYORS OFFICE PAGE 02 CITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM 011 MANAGERS OFF" TONA 11' DATE. 0� �� FILE Carlos A. Gimenez August 31, 2001 City Manager s�e�ECT Tickler #5677. FROM. REFEAENCES' a�lll ryson ENCLOSURES Fire Chief In regards to the complaint from Ms. Hattie Willis (8/15/01 letter, attached), concerning allegations of mistreatment by Rescue 9 B shift, I submit the following: We have had the complaint reviewed and investigated by EMS Chief Charles Maree. Chief Maree spoke with the complainant and all members of the Rescue crew involved. Chief Maree had written responses from the crew submitted in memo form. In addition, I personally spoke with the officer in charge, lieutenant Mike Hosmer. Our findings are that Ms, Willis became quite irritated when she was told that • she would be transported to the closest hospital, instead of Coral Gables hospital, where she wanted to go. This decision of the officer was based upon the amount of blood lost and not knowing the source of the bleeding. When this was communicated, things on the scene became tense. Also, during this time Ms. Willis was under the Impression that her son had been assaulted. She explained this in a phone conversation to Chief Maree and said after discussions with her son, she was incorrect. After the transport location became an issue, there are many conflicting allegations. The only issue we could substantiate is that Ms. Willis asked Lt, Hosmer for the names and badge numbers and Lt. Hosmer, erroneously, referred her to the report field copy for the information, Lt Hosmer has been counseled concerning his mistake in this area. In summary, we feel that the decisions made in this incident were appropriate and within the purview of the officer in charge. Lt. Hosmer did err in not giving his and his crews names and badge numbers, as requested. The rest of the allegations cannot be substantiated. WWB/acp ;;ubmitiod Into tho public • record in connection with item &— on 4' s• Waiter Foeman City Clerk 01-10127 • CHIEF MAREE LT MIKE HOSMER • 8/21/01 :;iLE No civil servant acting in good faith to help someone in need should have to subject themselves to the verbal and physical abuse this lady and her son strewn upon the crew of Rescue 9 and myself. The antics, the screaming, the cries of prejudice, the uncooperative behavior all contributed to making a possibly dangerous situation for the patient exceedingly more difficult to manage. At no time did the crew of Rescue 9 act toward this individual in an unprofessional manner. Never once did I raise my voice, or use foul or abusive language. The accusations this individual is claiming are totally false, • unsubstantiated and have no merit. The crew of Rescue 9 attempted to assess and treat the patient with the best interest of her medical condition and life safety in mind. Our treatment would have been more extensive (IV, oxygen therapy, monitoring) had she allowed us to treat her, but in fact she refused treatment, as well as refusing to answer this officers questions as to medical history, allergies to medications, past medical conditions, etc. Statements such as "we will leave you here to die," are bogus. My response to her and only after she demanded we get out of her house was; " if l leave you here there is a possibility you could die." I cannot determine how extensive your bleeding is. Right now your blood pressure is fine, but that could change." The allegation that I pushed her son up against the wall is a flat out lie. At one point while I was standing in the doorway to the bathroom her son in fact attempted to push this officer out of the way. i did at that point tell him to remove his hand from my shoulder and not touch or push me again. What I should have done was request MPD, Ref. Battery upon a firefighter. I decided not to, feeling the situation was volatile enough and would only result in an even longer delay of transport. It is the opinion of this officer after seeing the amount of blood on the bed that a prolonged transport to Coral Gables Hospital was out of the question. That • coupled with the fact that the patient refused treatment and was uncooperative made it imperative she be seen at the closest capable medical facility. At no time Submitted Into the public record In connection with itemif on LA Walter Foeman`� `1 City Clerk 0 was the patient refused transport!! In fact, twice she demanded we leave her • home. Only after speaking to patient's daughter by phone, did she agree to allow Rescue 9 to transport her to Jackson Memorial Hospital. Upon release at Jackson Memorial Hospital triage she was again screaming and flailing her arms causing so much of a commotion that all three nurses questioned this officer as to why l did not transport this patient to Crisis Intervention for psychiatric care. I instructed the patient that any and all information she requested conceming this alarm could be obtained from the field copy that was given to the triage nurse. As I exited the ER her final words to me were (and I quote) "you won't be smiling when I sue your mother fucking ass." Chief, I have responded to the allegations presented at the time of our meeting on August 15, 2081 It is my understanding during our meeting, that the patient had decided to "change", or "rescind" a portion of the allegations. Having been made aware of this, I strongly question this individual's credibility concerning the entire situation. Having worked in the cities north end for the past twenty-four years my question and concern at this time is, what exactly this individual meant when stating; "i don't want these people working in her community." If you have further questions please feel free to contact me, Thank you for you attention concerning this matter. Michael J. Hosmer ERD Lieutenant Rescue 9B CC, Local 587 • Submitted Into the public record in connection with Item on �•�s•o� Walter Foeman City Clerk X17' t^' INTER-OFFI:; r CHIEF MARLE �- August 21, 2001 _ r'' EMS CHIEF ALARM# 47101 FF JOE FUENTES This memo is in reference to the allegations of misconduct and prejudice by Ms. Hattic Willis. R-9 found Ms. Willis sitting on the toilet c/o abdominal pain and severe hemorrhaging. Following R -9's assessment, a determination was made that the Pt. had lost a significant amount of blood and should be transported ALS to the nearest facility. The pt. was advised that due to the severity of her condition she would have to be transported to a hospital nearer than her hospital of choice (Coral Gables). The patient immediately became irrational. At this time Ms. Willis phoned a family member and informed her of the situation. Ms. Willis was very emotional during her conversation on the phone, so I • asked Ms. Willis for the phone so that I could advise her faulily member of the situation. At this point, her family member stated it was ok to transport her to JMH and she could meet Ms. Willis in the ER: I then gave the phone back to Ms. Willis. Ms. Willis' accusation of R -9's officer pushing her son is an example her itTational state of mind and of her blowing the situation completely out of proportion. At no time did the officer lay his hands on the pt.'s son. In fact, Ms. Willis' son pushed the officer out of his way in an attempt to make his way into the bathroom. At this moment, the officer turned around and told him to get his hands off him. Furthermore, I feel personally offended by the allegations of prejudice against Ms. Willis. l have worked in district 2, a district that is predominantly African- American, for approximately 3 years. I work in this district because 1, like my partner, who has also been in district 2 for 3 years, and my Lt. who has been here 24 years enjoy coming to work in this neighborhood and helping the residents in our area. For Ms. Willis to accuse R-9 of being intimidating and prejudice is totally absurd. Joe Fuentes ERD Firefighter 9B ALS CC: Loci /� �,j'CJ �' / •��''�^-----„--Pte+--O'` �-•-,Y- .L! Submitted into th© pubttC 'cord In connOolfon with Item --&,_ on..,L-J-t' es Walter Foeman City clerk INTEROFFICE NIENIORANDUNI CHIEF MARES s August 21, 2001 EMS CHIEF - ALARM#47101 FF E. BENAVLNTE Upon arrival, Pt. was found in the bathroom sitting on the toilet. The pt, stated that she had surgery performed at Coral Gables hospital for a tumor in her abdomen and had requested 911•,service because of her bleeding wound. R-9 crew proceeded to assess pt., and we found that she had lost a substantial amount of blood. At this point the pt, was advised that she could not be taken to Coral Gables hospital, and bypass 3 nearby hospitals due to the amount of blood noticed on her bed. The pt then became very emotional, uncooperative, and refused to hear what our Rescue crew had to say and ordered us to leave her house. R-9 crew then stated that she needed to be seen by a doctor, if not there would be a possibility of severe complications, At no time did rescue crew make a statement such as '.We will leave you here, so that you will die..'. She then agreed to be transported to JMH after speaking to her daughter over the • phone. The pt. then began to make irrational allegations such accusing the Rescue officer to have pushed her son against the wall, and all of us of being racist. At no time did I witness my officer put a hand on her son. Instead, her son was the one who had pushed my officer. All he did in return was tell him, `Don't touch me or push me again". During transport the pt. refused any treatment and demanded not to be touched or spoken to. The pt was asked questions pertinent to her condition and medical history, allergies etc. but refused to give any information. In reference to the other accusations, I would like to state that I have been working for this department for 2 years and 7 months. The majority of this time has been spent at station 9 serving a predominantly African-Annerican community. It has been my choice to do so. I personally take offense to her accusations of prejudice. L' [ FF E. Benavente Submitted Into the publle ERD Station 9B record In connection = it Item _. (e -- on ---4 Walter FOOME"n C;lv Clerk • • Submitted into the public record in connection with item on Walter Foeman CIN Clerk ()i--1102,7 C WILLIAM W. BRYSON Fire Chid September 14, 2001 Mrs. Hattie Willis Communities United 5510 N.W. 1$� Avenue Miami, FL 33127 Dear Mrs. Willis: • • Tt#d of tams wI • u.a tt.0 w CARLOS A. GIMENEZ Cky Manaser This letter is to inform you that the Department of Fire -Rescue Is still in the process of investigating of your complaint regarding the Incident that occurred on August 13, 2001 (Alarm #47101). This investigation is riot complete because the Department has had some difficulty contacting the Miami -Dade County Police Officer mentioned In your letter to me. The police officers name was not correct and required additional efforts to identify him. We are also attempting to Identify and obtain statements from the hospital staff members that were on duty. 1 am forwarding this status report to you prior to the completion of the Investigation because I promised you a response today. At this time it would be premature to report on specific issues of the investigation, as it Is not complete. We are working as quickly as possible to arrive at a conclusion, but must use due diligence to ensure fair treatment of all concerns. When this investigation is completed, the Management Services Division will make • a recommendation for discipline. I will take their recommendation into consideration and make a final decision. I am sorry that your experience with the Department of Fire -Rescue was not a positive one. It is our goal to treat the people that we serve as though we were treating a member of our family. If our investigation reveals that we.fell short in this case, the department will do what is necessary to rectify the situation. I anticipate that the Investigation will be completed In the near future. If you have any questions, or need additional Information, please feel free to contact Deputy Fire Chief Maurice L. Kemp or myself at (305) 416-1603. Sincerely, William W. Bryson Fre Chief Cr Mayor Joe Carollo Mayor Alex Penelas Commissioner Barbara Carey Commissioner Arthur Teele NAACP Civil Rights Commission PULSE Submitted Into the public City Manager Carlos A. Gimenez record in connection with DEPARTMENT OF FIRE-RESCUE/444 S.W. 2nd Avenue/Miami, FL 3300/1305) 41(0 .00 • Mailing Addrew P.O, Box 330709 Miami, FL 33233-0708 item „�on - '!?--0 Walter F oeman t":in/ Clerk �il-'�a�� uolia l I'VE 12:00 FAX 3058377138 COMSTOCK El,F* • w11.UAM W. 6RYS0H Rt! Child September 24, 2001 dT .0 .a# Ctami �t CARLOS A. CIMENEZ City iM41%40 Derrick L. Williams 7400 NW 4'^Avenue Miami, rlorida 33150 Dear Mr. Williams: I am in receipt of your letter daied December 26, via the Police Ci ief. I apologize for not replying to your inquiry in a timely fashion. I want to inform you that the issue you presented in your letter i! being . evaluated. Our preliminary review indicates that treatment and tninsport protocols were followed. The current status is pending contact with yaur.a,af and • the FHP officer who was on the sci4le. Unfortunately we have been un �.ble to obtain a phone number from you, and -at this time 1 respectfully request d tat you contact Chief Tracy 3ackson with a number where you can be reached ro- an interview. He can be reached at 305.575-5281. Upon completion of this Investigation; I will advise you of the outcome. I Sincerely, _4?William W. a Fire Chief WWa MLI fCU/acp Submitted into the public record in connocbon wit` • DEPARIMENT OF FIRE-RESCUE1444 S,W. 2fld AVCRLWMamf, FL 3313W3057 416.7600�j Oil 1 Mai(in6 Ad*=. P.O. Ha 330706 Mlami, Ft 33233-0100 item Walter r0eman J City Clerk 3EJ%1 Of •L! i 1 VU MIANIS+ u -w- t - i i -vaHm + wnm. A. I �^ uvu ►w VVV( -+rivI to OTHRO C1� OF MIAMI FIRE -RESCUE MEDICAL REPORT Alarm, 47101 Date: 08/13/01 Company: R9 Time at patients side 0134 Delays: Assisted by Licensed Prov: Action Sum: BL Patient: HAI -TIE CHARLES .Trans Made: R SLUE TRANSPORT Age/DOB: 44 YR Ambulance Sex: FEMALE Hospital, JACKSON/UM MEDICAL CENTS Race: BLACK Patient No! Addresa: SSio Nw 1 AV City: MIAMI St: FL Chief Complaint: OTHER ABDOMINAL COMPLAINT-NARR Zip: 33127-i70o Medic Assessmdnt: OTHER ABDOMINAL -NARRATIVE MPDS Found Code: Airway: PATENT Circulation: RADIAL CHEST EXPANDS SYMMETRICALLY Allergies: NO KNOWN AT,LERGIES Pt MediCatidn: • Submitted into the public . record In connection with Item --(e--on q' -61 Walter Foernan City 'Clerk � 10 r2w 7 V LV • I••VVlIIr1 r 4VIr114• Ilr Ibb4••+ VVJ IVV V/V/rir /I..I/V ONARO 1111" 11 CITY *M[714MT FIRE -RESCUE • VITAL, SIGNS Alarm: 47101 bate: 08/13/01 Company: R9 Patient: HATTIE CHARLES Time 0135 0150 -- Eye open WVerbal Response Motor Response Glascow Coma Sar Eye Left Eye Right Blood Preasure 140/080 140/080 Capillary X%ifill NORMAL (< 2 SECONDS) NORMAL 2 SECONDS) PUIw. too 100 EKG Rhythm EKG Ectopics Reap Rate 20 20 Reap Effort 14ORMAL NORMAL Lung Sounde Rt Lung Sounds Ltt Skin Color NORMAL NORMAL Skin Texture NORMAL NORMAL Skin Temperature NQRMAL (WARN!) NORMAL (WARM) • • �a03`iz.aau,a>dee w1&mca1 ubmittod into the public record in connection with Item G on 9 •ic• 11 Waiter F=oeman City Clerk Z e06d • 10 2 3t[Vl ni •Lt 1 t Ur MIAMI a -w- 1 .1 • Vanni , A. LAA -A- ' .,uw ,.,u �Vw .,. .., . OMEDO CITY OF'MIAMI FIRE -RESCUE EATS COMPANY PARTICIPATION (IRS) Alarm no: 47101 Date-: 09/13/01 Alert •Company Dispatch R9 -01:29 Arrived 01:33 Culled Xport Hosp 01:46 01:54 09- 02:07 R�FtiAYkS Pr1 Unit Personnel present OIC: MICHAEL J HOOMER JOSE FUENTES EUDAL,DO J BENEVENTE • Submittod into the public record in connection with �s•e� item _lc._.- on �----- VVJaiter Foeman CiN C' 06( ``'' J StNJ nY'-UIIT Ur MIAMI wwn. A. iva.i- ..vu Iuu UluI Aa1,u OVITO QTY OP MIAMI FIRE -RESCUE • SIGNS AND SYMPTOMS RRPORT,(IRS) Alarm: 47101 Date: 08/13/01 Company: R9 Patient: NATTIL CHARLES History; HERNIA •Symptoms: ALERT/ORTENTED X3 OTHER ABDOMINAL SYMPTOMS -NARK Sa gne : OTHER ABDOMINAL SIGNS-NARRATIV • • Submitted Into the public record In connection with Item & on Wafter Foemen MA 1 DI -LI 1 1 VP m I nm 1 V -LJ- l . 1 1- U.7HIp LVn1A1. H. I LLL.1_"' JUJ I OU 0 -fu I, N J J/ 10 REPO CIF MIAMI FIRE -RESCUE • PA TENT NARRATIVE (IRS) Alarm! 47101 Date: 08/13/01. Company; R9 Patient! HATTIE CHARLES 0/A FOUND PT SITTING ON TOILET C/O BLEEDING FROM INCISION FOR SURGICALLY REPAIRER HERNIA. PT STATED SHE AWOKE TO FIND HERSELF BLEEDING FROM WOUND. .R9 ASSESSED PT AND PT STATED SHE WANTED TO BE TRANSPORTED TO CORAL GABLES HOSP. WHERE SURGERY TOOK PLACE A FEW DAYS AGO. THIS OFFICER ADVISED PT CORAL GABLES HOSP. WAS TOO GREAT A DISTANCE TO TRANSPORT CONSIDERING MER CONDITION, PT AT THIS POINT BECAME BELLIGERENT AND ACCUSED R9 CREW OF BEING PREJUDICE AND NOT WILLING TO HELP HER. THIS OFFICER ATTEMPTED TO CALM PT AND ASSURE HER WE WOULD TRANS. TO JMH OR CEDARS WHICHEVER SHE DESIRED. SHE THEN TOLD R9 CREW TO LEAVE HER HOUSE. PT SON THEN HANDED.THIS OFFICER THE TELEPHONE STATING HIS MOTHERS SISTER WAS ON THE LINE. I SPORE WITH THIS WOMAN EXPLAINING THE SITUATION. SHE STATED SHE UNDERSTOOD AND REQUESTED PT BE TRANS. TO 7MH..WHEN I RETURNED TO ADVISED PT SHE WAS EXTREMELY UNCOOPERATIVE. HER SON ATTEMPTED TO PUSH THIS OFFICER AWAY FROM HIS MOTHER AT WHICH POINT I ADVISED HIM TO NOT TOUCH ME AGAIN. THE PT THEN REQUESTED MPD REF. ASSAULT ON HER SON. R9 EVENTUALLY TRANS. PT TO JMH. ON ARRIVAL AT JMH PT AGAIN MADE A SCENE SCREAMING AND YELLING AT THE NURSES. GAVE REPORT TO ER TRIAGE NURSE. • Submitted into the public record in connection with Item on Wnitcr f=oeman LOOT lZ i91Uiaidas Z abed 0 MINI OI •LI 11 to IVIMPlI tj-4L)- i +u • III uMVJ r L.vm:u, n. ILA-" uvv ruu wtuI ur lu HST1 ACtion(I,N)i H I 4 0 R Y O F A L A R M S (OI&CH) Alarm: 0147101 08/13/01 1;29• (s) Res. source: 911 Ph; 7543993 MPOS rpt: 21BI HEMORRHAGE/LACER-POS DANGEROUS Action: OLS ASSESS.nNO/OR dor: 2161 HEMORRHAGE/LACER-POS DANGEROUS Code fnd: EM5891 MEd7CAL 2NCIOLN'r under ctrl: Addr rpt: SS10.NW.1.AV; Secured: 08/13/01. 2:07 cor: 5510. naw. i.Av, fnd: 5510 Nw 1 AV Zone: 215.3 •Remarks: ADDOMEN SURGERY 43YOF Cpint. oft: 2012 VICHOT. AIDA Class. ofc: Dispatcher: 7035 VICHoT. CANovA 01 47101 - Comany Shf Rep DiSpd Arrived xport HO=P/Time 07 09 Remarks R9 a 2 1:29 1:33 1:48 ]MH 1:54 2;07 • Submitted Into tho public record In connection with Item -.tom._ on Waiter Foeman City Clerk - _ { iJ_LJ'" L t l l' UilfM{ t VVAlPI. K. ILJ.i-1-' JVJ fJV J7Uf 7N (/ 1J aurf ut •� (� w ta(nmf OEMSO CITY OF MIAMI FIRE -RESCUE Alarm: 47101 EMS I N C I DENT R E PORT (TRS) Dade Received; 08/13/01 Time Received: 01:29 Dispatched.: 01:29 Arrived: 01:33 • Secured: 01:07 MPDS; Corrected: HEMORRHAGE/LACER-PCS DANGEROUS Found: MODICAL INCIDENT Address Reported: 5510.NW.1.AV; Corrected: 551.0.NW.1.AV; Found: 5510 NW 2 AV Remark.,,! ADDOMEN SURGERY 43YOF Number. of Casualty Reports: 01 Submitt©d Into the public . record Iwith A Walter Forman CittV CC. leek 121 7 Submitted Into the public record In connection with Item 4 on • As-eJ Walter Foeman City Clerlt • 3510 NW I" Ave. Miami, Fla. 33127 Phone: 305-7543993 Fax: 305-736-5467 e mjn": wi11ia5 a )wuth nd Cormimifies' UniW September 14,2007 City Manager Carlos A. Gimenez Re: Fire Department POLICY Tri ire is a strung wind Al -GR A It -is Sweep r Thou h ME streetsOf I.ittl�aid It :s game & 1 C A?munity Urwited" Submitted Into tho public • ,' ..� . y .. .... . ..... record. In conn tion with Item .,�_ on •� Walter Foeman Cir.► cleric 01--10";." 7 MEETING SEPT. 14.2001, FRIDAY. 2:OOPJr1 CITU MANAGER QWw A. Gimenet have saddened heart and bruised spirit because my family and many other of the City of Miami Civil rights have been vaulted and taken for granted. ffarjfiles My<Integrity has been questioned. I am appalled and disenfranchised by the behaviour of the City of Miami's Fire Rescue Department. i am disgusted that they would -Wbl Into my or any citizen's home and display this type of racism and racial ;. Weare requesting you as the City Manager to ask the us Attorney to launch a forYfiit Investigation Into the Civil Rights Violations of Hattie Willis, Derrick William's r grid 100's of other citizens from the community. The panel should be an outside irhr"'ative panel. Will give you until September 26 2001 to comply with this request. If you have not done so by the aforementioned date, we will again appear before the Commission and request them to launch an Investigation and ask for Chief Bryson's and your resignations. We the residents of Overtown, Little Haiti, Utter River, Model City, Edison and Lemon City have had enough of the blatant disrespect and abuse from public service officers. These employees are supposedly hired to serve the people and community. On the contrary, we are left more traumatized and devastated than the incident or accident at hand. We have come to the end of the road and our patients totally taxed. So much so, we are demanding drastic yet appropriate measures to be taken to ensure the quality of service our families deserve. Tri ire is a strung wind Al -GR A It -is Sweep r Thou h ME streetsOf I.ittl�aid It :s game & 1 C A?munity Urwited" Submitted Into tho public • ,' ..� . y .. .... . ..... record. In conn tion with Item .,�_ on •� Walter Foeman Cir.► cleric 01--10";." 7 • September 13, 2001 Page 2 Commissioner Teele was right when he said, Every department who has a badge and is a servant of the citizens of the City of Miami should be looked at by the Citizen Review Panel." Now I personally understand why we need not limit the Citizen Review Panel to just one department. In addition, I have requested a copy of all the E.M.S. complaints and the outcome for the years 1999 to the present. I have also requested to see the jacket of Lt. Mike Hosmer and all documentation written on my complaint, Including the memo written to you by Chief Bryson on his resolution to my inddentl Please address the following Issue verbally and In writing: 1. If this incident was a Counseling offense, why wasn't there any documentation by Chief Bryson in these officers' jackets? (As stated In Fire department Policy) 2. If there was no wrong doing by these employees, why did they refuse to give me their badge numbers and names?( As stated In Fire department Policy) 3. Why If police states: If a patient does not In a life threatening aliment that patient can choose any hospital they want to be transported to. Why was I denied transport to the hospital of my choke? 4. If I Informed rescue that I was weak and dizzy why was I required with no assistance to from bathroom, out of my front door and down the stairs to the stretcher? walk my S. I am all so requesting any documents which have any recommendations by those who may have investigated (Chief of EMS, Chief of Management Services, Deputy Chief) and forwarded It to the Fire Chief (Chief Bryson). 6. We demand to have Lt. Hosmer remove from our community, because of his blatant disrespect and racist attributes and behavior. 7. Where is Mr. William's Complaint, which was sent to the Fire Chief Via? Chief Raul Martinez. (see attachment) This leads us to believe that not only are you disregarding our complaints, you are also trashing our complaints! 8. Civil Rights have been violated! What is your policy for this action? 9. Why wasn't basic curtsey owed to all patients not extended to Mrs. Willis or Mr. William's and the other 200 or more complaints we have presented to you? 10. Why would The City of Miami allow on man to have Unitary Power, which Is unconstitutional, as well as allow the Chief Bryson and the City of Miami Fire rescue to display Institutionalized Racism of this Magnitude! Policy must be changed. The Commissioners have a check and balance system • The President of the United States has a check and balance system. He can't wage war until Congress declares it • The Police Department, as corrupt as they are, have some type of a check and balance 1. system. Why doesn't Management services Investigate complaints before they reach Chief Bryson to Insure that CITIZEN's rights are protected and the voices are heard? This Is the base of our Constitution! This Is the United States of America, not Cuba, and Chief Bryson Is not Castro! Submitted Into the public record in connoc ion with - S- e t Item -&-._ on Walter Foeman 10 City Clerk • • September 13, 2001 Page 3 • 11. Please explain to us your criteria for appointments to Deputy Chief, Assistant Chief and other staff positions within the Fire Department. 12. Have you had the opportunity to appoint people to fill any of these positions since you became Fire Chief? 13. If so, did everyone qualified have an opportunity to compete for the position or positions? 14. Where there any Afro-Americans qualified for appointment to any of the positions? If so, why weren't they appointed? 15. If you are not Promoting Institutionalized Racism, why hasn't any afro- Americans been appointed to Assistant Chief or higher such as Deputy Chief since you have been the Fire Chlef? � 0 Submitted Into the public record in connec ion with Item on . ' i M Ir Walter Foeman CitV Clerk September 14, 2001 Page 8 • ts, ie Willis, Plesl g& Cc: Mayor Joe Corrola Cc: Commissioner Art Tecele Cc: Commissioner Barbara Carey Cc: Commissioner, Johnny Wynton Submitted Into the public record In connection with item -k— on -..%'6'o I Walter Focrnan City Clerk CJi-1o.r% ZEI-ttij of ffliarai CARLOS A. f31MENEZ CITY MANAGER September 24, 2001 Mrs. Hattie Willis, President COMMUNITIES UNITED 5510 N.W. 1 s Avenue Miami, Florida 33127 Dear Mrs. Willis: P.O. BOX 330708 MIAMI, FLORIDA 33233-0708 (305) 416-1025 FAX (305) 400.5043 In response to the issues and questions raised in your letter dated September 14, 2001, I offer the following: • .1. if this incident was a counseling offense, why wasn't there any documentation by Chief Bryson in these officer's jackets? (As stated in Fire Department Policy) In your initial correspondence you requested that this incident be "looked into". As a part of that informal review, the EMS Chief Charles Maree spoke with you and all members of the rescue crew individually. Chief Maree has written responses from the crew submitted in memo form. In addition, The Fire Chief, William W. Bryson, personally spoke with the officer in charge, Lieutenant Mike Hosmer. While speaking with Lt. Hosmer, the Fire Chief conn d him on his obligation to provide the badge numbers for himself and his crew upon request. This couris2l ng was of an informal nature, Your August 15, 2001 letter to the Fire Chief re nested that a formal investi alio be conducted and this investigation is un erway. Please�e assure at i this investigation—reveals offenses that require formal discipline, then it shall be administered. 2. If there was no "wrong doing" by these employees, why did they refuse to give me their badge numbers and names? (As stated in the Fire Department Policy) I cannot speculate as to why the crew refused to give their names and badge numbers upon request. However, as stated in response to #1, the Fire Chief reminded Lt. Hosmer that this is his obligation.. Submitted Into the public . record in conneetion with Item —fg— on Walter Foernan *+�,rk 0 • 3. Why if Policy states: If a patient does riot have a. life threatening ailment, the patient can choose any hospital they want to be transporle to. tube was I denied transport to the hospital of my Choice? ,Yqo mc.z. 4 s t'sm QsFusnL Rdi"&A ? The paramedics on the scene determined that due to the amount of visible bleeding and the inability to determine the amount of internal bleeding in the field, your condition was potentially life threatening. You rnet the criteria %r Advanced Life Support. The only reason that the more extensive treatments were not given is that you refused to allow these interventions. It: was in your best interest to be transported to the closest capable hospital. Why W A S d -hi S 4p+ o N M_y 4. If I informed rescue that I was weak and dizzy why was I required with no assistance to walk from my bathroom, out of my front door, and down the stairs to the stretcher? It is up to the paramedics on the scene to determine the safest, most efficient means to remove a patient from their residence and to get them to the rescue truck. The logistics of every scene is different. Therefore, it is not possible to develop a predetermined protocol for these actions. The Rescue crew stated that they assisted you to the stretcher. S. I am also requesting any documents which have any recommendations by those who may have investigated (Chief of EMS, Chief of Management Services, Deputy Chief) and forwarded them to the Fire Chief (Chief Bryson). These documents have been provided. 6. We demand to have Lt. Hosrner removed from our community because of his blatant disrespect and racist attributes and behavior. The Department of Fire -Rescue utilizes an assignment agreement to determine permanent assignment of members. This agreement is contractual and utilizes qualifications and seniority. Members of the department are not assigned or reassigned due to race or ethnicity. The Lieutenant in question has 22 years on the job, all in the north end of town and does not have one citizen complaint in his personnel records. 7. Where is Mr. William's complaint, which was sent to the Fire Chief via Chief Raul Martinez? (See attachment) This leads us to believe that not only are you disregarding our complaints, you are also trashing our complaints! The Department of Fire -Rescue admits that Mr. William's complaint was not handled in a timely manner. The complaint has been investigated and a response has been forwarded to Mr. Williams. Due to the fact that you brought to our attention a weakness in the department's complaint processing system, the department has OUW ���, SOV Submitted Into the public record in connection with (W h (z,4- t S Trti �.. OU * COrn L item . (e on 1-W-6 Gjt1(4+ Was Pecorin Walter Foeman "L — 1.0 � r1 Citi Clr•.ri • revamped and centralized the complaint process so that all complaints go through the Fire Chiefs Office. This should ensure that al complaints are handled in a timely manner. 0 .7 8. Civil Rights have been violated! What is your policy for this action? As a Government entity it is the City's policy not to violate the Civil Rights of anyone. If at any time it is proven that a City employee has done so, he or she will be dealt with accordingly. 9. Why wasn't the basic courteously owed to all patients extended to Mrs. Willis or Mr. Williams and the other 200 or more complaints we have presented to you? To reiterate the Fine Chiefs comments to you in his September 14, 2001 memo, I am sorry that your experience with the Fire Department was not [ MS a positive one. The Department of Fire -Rescue .responds to over 70,000 – 51W(3) calls for service per year. The Department receives approximately 75-100 citizen complaints per year. Expressed as a percentage, this averages out to .0010% to .0014% or one (1) complaint per one thousand calls. Given the difficult nature of Fire -Rescue work, I do not feel these numbers illustrate a pattern of abusive or poor service. Of the complaints received in 1999 and 2000, only one (1) was alleged as racial bias. Npw "UW Aid rn t c tGt� ? 10. Why would the tty of Miami allow one man to have Unitary Power, which is unconstitutional, as well as allow Chief Bryson and the City of Miami Department of Fire -Rescue display institutionalized racism of this magnitude! Policy must be changed. • The Commissioners have a checks and balance system. • The President of the United States has a checks and balance. system. He can't wage war until Congress approves it. • The Police Department, as corrupt as they are, has some type of a checks and balance system. FL,006 Why doesn't Management Services Division investigate complaints before they reach Chief Bryson to ensure that CITIZEN'S rights are protected and the voices are heard? This is the base of our Constitution/ This is the United States of America, not Cuba, and Chief Bryson is not Castro! Submitted Into the public record In connection with item --(.*— _ on 1 Walter Foeman 3 Cite Clerk { to �r1 6 • . The City of Miami has no policies which are unconstitutional nor does the City allow racism. Also, as the Director of the Department of Fire - Rescue, the Fire Chief is responsible for assigning duties within the department. When formal investigations are conducted, they are performed by the Management Services Division. Management Services will forward its findings to the Fire Chief along with a recommendation for discipline if it is warranted. 11. Please explain to us your criteria for appointments to Deputy Chief, Assistant Chief and other staff positions within the. Hire Department. The Staff positions within the Department of Fire -Rescue are, Fire Chief, Deputy Fire Chief, Assistant Fire Chief and Executive Assistant to the Fire Chief. The Fire Chief is appointed by and responsible to the City Manager. All other staff positions are appointed by the City Manager upon recommendation from the Fire Chief from within the Department. Anyone within the Department may be selected for these positions. 12. Have you had the opportunity to appoint people to fill any of these positions since you became Fire Chief? During my Tenure as Fire Chief numerous appointments were made to my staff. During Chief Bryson's tenure as Fire Chief, . there has been three (3) staff appointments. 13. If so, did everyone qualified have an opportunity to compete for the position or positions? The Fire Chief can recommend to the City Manager any member of the Department that he/she feels is best qualified to fill a staff position. 14. Were there any Afro-Americans qualified for appointment to any of the positions? If not, why weren't they appointed? The Department of Fire -Rescue has many experienced well-qualified individuals from all ethnic groups. This includes African-Americans. 15. If you are not promoting institutionalized racism, why hasn't' any Afro-Americans been appointed to Assistant Chief or higher such as Deputy Chief since you have been the Fire Chief? During my tenure as Fire Chief four (4) African-Americans were promoted to staff positions. During his tenure as Fire Chief (14 months), one (1) of the three (3) staff appointments is an African-American. Submitted Into the public • record in connection with item 4 on AfAkkf Witter Foeman PL.006 4 (,OV Clerk �t _1027 • Currently, of the Fire Departments twelve (12) staff positions, four (4) are African-American. One (1) Deputy Fire Chief, one (1) Assistant Fire Chief and Two (2) Executive Assistants. These four (4) individuals represent 33% of the staff. 0 As you may be aware, I was the first minority Fire Chief appointed in the history of the City of Miami Fire Department. I am extremely proud of the strives that the City of Miami, and particularly the Department of Fire -Rescue has made in the area of minority hiring and promotions within the last decade. In closing, please be assured that your complaint is being seriously investigated and you will be advised of an outcome as soon as possible. Sincerely, WWB/MI,K/mgr 4HbfflI tM Into the public MEW jH tionnoclion with item_ A7s S'01 Uwr-tlter l"Oorylarr FL,406 5 4"try CI�;r1t • 0 Uv It 5U rrlittt;u li...< <ri., record in connection with Item ., —p - on 4'! 'lp! Walter Foernan ON Clerk 01A -1027 t1y/15/ltlbl lt]:4d �t77b/btl4'Ltl YUl.St rWut tll CITY OF MIAMI. FLORIDA INTER -OFFICE MEMORANDUM TO: Chief F. Fernandez DATE March 20, 2000 FILE: District Chief 3A Emergency Response Division suNECT . EMS Complaint FROM Chep are pEFEAEMCBS EMS Chief Emergency Response Division aNuosv4as Please investigate the complaint (inapp� ropriate comments) surrounding alarm # 13797 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before April 2, 2000. As a suggestion the District Chief should discuss, and document the "alleged" complaint with the complainant, Lt. Fisher, and FF's. N. Mainade and D. Burton. Please inform the EMS Chief (by memo) when this portion of the investigation has been done. C: Chier Abnlra CDANcdm I,OW'l,,7jaclujoldes e Submittuu into the public record in connection with item. on _g "Js '01 Winter Foeman City Clerk Z e00d 0 09/25/2001 10:43 3055760420 PLLSE PA14L bl C I i Y aI I,AW-Al. F: C)rgIbA INTER -OFFICE MEMORANDUM Chief R. Evans August 18, 1999 District Chief IA I,uFA.' Emergency Response Division EMS Complaint Alarm 0 42778 -yet• aeAdi-- Chief .D. cwc.osuaEr EMS Chief Efflirmy rasporiff Division Please have District Chief IA investigate the complaint QM2oroyriste„comments rude_ bikini surrounding alarm M 42778 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before September2, 1999. As a suggestion the District Chief should discuss, and document the "alleged" complaint with the complainant, Lt. Duren, and FF Blanes. Please inform the EMS Chicf (by memo) when this portion of the investigation has been done. CDWJcft • Submitted into the public record in connection with 40 item —6—o on _4•��•ai Walter Foeman C,it�/ Clerk LOOZ `1Z Jaquialdag Z QWd 0 toy/ "W40101 lh: 4.5 6030f t74LU rIJLSt 1'Hltt to I CITY OF MIAMI. FLOA10A • INTEA•OFFICE htEMORANDUh1 CHIEF C.D. MAREE ' March 10, 2000 P"` EMS CHIEF EMERGENCY RESPONSE DIV, EMS COMPLAWT ALARMN2596 CAPT. A.R. JOYCE � EMS 6ATT.CAAi�"%' E.R.D. In reference to the above alarm I spoke with Mr. Logan (the patient). Mr. Logan claims that his speech was slurred and he had right side weakness when R6 first arrived on this alarm. He is upset because R6 did not transport him and he had a stroke the following morning._ All three crew members (Lt. Pace, R. Gonzalez and Z. Perez) stated that they went the extra mite on this patient and that an extensive assessment was given the patient which found everything to be in normal limits. Lt. Pace stated that he offered transport to the patient. In light of the fact, that the R6 report was very thorough and all three crew members agreed with the report and there are no witnesses to confirm improper treatment, I Recommend no further action at this time. • 1 will advise Mr. Logan of same after your review. t 3 Submitted Into the public record in connection with Item „ on I 'A '168 • Walter Foeman CitV Clerk 00Z ' l,Z jagwaldaS Z aSed • 01-1027 09/15/2"vi 10:d3 dtl55/btl4'ltl I'ULbL I • • ' CITY OF MIAMI. FIOAIDA !!! INTER -OFFICE MEMORANDUM • Chief D. Kendall January 13, 200D TO . District Chief 29 DATE RILi . Emergency Response Division suejECT . EMS Complaint Alarm a 2356 •.I. c I FROM Chief C.D. Maree AEFEAENCES EMS Chief Emergency Response Division cr�c:osuAEs Please investigate the complaint (i:eanorooriatc commguts) surrounding alarm M 2356 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before January 27, 2000. As a suggestion the District Chief should discuss, and document the "alleged" complaint with the complainant, Acting Officer Fl .C. Hood, and FF. J. Padeiford. A statement of the events surrounding this incident be forwarded From FF. Padelford (since the bulk of the complaint is directed at her). FF. Padelford is . encouraged to contact her union rep. on this matter. Please inform the EMS Chief (by memo) when this portion of the investigation has been done. C:: Chief Abraira • CWrt/cdm Submitted into the public record In connection with Item �+ on q' j T' of Walter Foeman City Clerk 01--1.0 ti 09/25/2001 10:43 3055760420 PULSE CITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM TO CHIEF C.D. MARES EMS CHIEF EMERGENCY RESPONSE DIV DATE; April 9. 2000 FILE: sveJECT : EMS COMPLAINT ALARM k 10712 FROM pE RpENC E � CAPT. A.R. JOYCE EMS DATT.CAPT. "C euaosugEs. EMERGENCY RE$EONSE DIV My investigation of Alarm #10712 has found the following: On April 2, x000 Lt. Latcano and C.Moon told me that they did not remember the alarm in detail but that they were not guilty of the alleged complaint and that they acted in a professional manner on this alarm. On April 8, 20001 spoke with Maria Hiriart (the patient on this run) and she stated that "I feel my concerns were not taken seriously". She felt the crew was callous toward She said a Glucose check was performed by the crew. She felt okay about the incident now and did not want further action. • r. (' `�! ! �" •i "`�F' :.._'.. .... ..z -.tel 1l!�" J � �<<...�� . � auhml"'od Into tho ptlblic record in connoclon with Item -4-011 7'445 -01 . Wriltcr Foeman City Clerk � -� 1.0 ri 09/25/2001 10:43 305572© PULSE PAGE 06 J CITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM • Chief D. Kendall January 13, 2000 TO' District Chief 2B O^M "`E Emergency Response Division SUBACT EMS Complaint Alarm # 2356 Mom Chiei'` C.D. Maree REFERENCES' EMS Chief Emergency Response Division ENCLOSURES Please investigate the complaint (inappropriate comments) surrounding alarm # 2356 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before January 27, 2000. As a suggestion the District Chief should discuss, and document the "alleged" complaint with the complainant, Acting Officer FF.C. Hood, and FF. J. Padelford. A statement of the events surrounding this incident be forwarded from FF. Padelford (since the bulk of the complaint is directed at her). FF. Padelford is encouraged to contact her union rep. on this matter. Please inform the EMS Chief (by memo) when this portion of the investigation has been done. C: Chief Abnira • COMIcdm �L Submitted into the public rocord In connection with Item (a.,...r, on 9/st•o Walter Foeman `l�r`I„ rl�rtt .i V cy 7 uy/ 15/ lbul 10:4j jvb5 /bu4'lu HULSL• HAtaL u / / CITY OF MIAMI. FLORIDA INTER -OFFICE MEMORANDUM • Chief J. Mestas January 13, 2000 TO District Chief IC DATE FILE Emergency Response Division EMS Complaint sue recr Alarm N 1667 Chief D. Maree FPOM EMs Chief REFERENCES Emergency Response Division EYCWSORE5 • Please investigate.thc complaint Linappropnate comments surrounding alarm N 1867 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before January 27, 2000. Asa suggestion tate District Chief should discuss, and document the "alleged" complaint with the complainant, Captain Lesaicherre, and her crew (M.A. Arango, and S. Latterner). Please inform the EMS Chief (by memo) when this portion of the investigation has been done. C: Chief Abralra CDM/COM Submitted into the public record In connection with Itom _ EL_ on • Ar -o It Walter Foernan City Clerk fi -10 7 09 25/2001 10:43 3055720 PULSE • PAGE 08 CITY OF MIAMI, FLORIDA 07 later-Office Memorandum TO: CHIEF C.D. MARES DATE: February 7, 2000 SUBJECT: EMS COMPLAINT ALARM 03013 FROM: LT. E. ACOSTA REFERENCES: ENCLOSURES: In response to the complaint filed against myself and the crew of 10-C, I would like to start by stating that 1 do not have, nor condone a policy of cin atientsto walk. I have, though, encouraged those patients that can walk and do not have priority symptoms, to walk with our complete assistance. And such is the case with this particular patient, Heriberto Pagan. I have personally transferred Mr. Pagan, terminally ill with cancer, to the E.R. on various occasions. Mr. Pagan resides on a second floor and in very cramped quarters. which also describes the stairwell. On this day, Mr. Pagan did not complain of any priority cardiac/respiratory problems and agreed to walk with the assistance of R3. I also would like to note that this complaint did not originate with the patient. R3 transferred stable patient, BLS, to J?M Triage. • Submitted into the Public record in connection with • item A0— on 9 •+t • �1 Walter Foam in 09/25/2001 10:43 3055760420 HULbt rWut ey CITY OF MIAMI, FLORIDA INTEROFFICE MEMORANDUM • To Chief J. Mestas PAA; January 27, 2000 Fut: District Chief 1 C Emergency Response Division suw r : FMS Complaint Alarm 0 3013 C� FIIAM ' Chie C.D. Mkee gEFERE"CIS . EMS Chief Emergency Response Division ENCLOSURES. • • Please investigate the complaint (inapytopriate comments) surrounding alarm M 3103 (complaint attached), and recommend any discipline if appropriate. Please respond by memo on or before February 11, 2000. As a suBgestion the District Chief should discuss, and document the "alleged" complaint with the complainant, Lt. E. Acosta, and FF`s. L. Canasquillo, and W. Castro. Please inform the EMS Chief (by memo) when this portion of the investigation has been done. C: Chief Abrairs CDM/cdm Submitted into the Public record in connection wit '�- item .— on --�--- 61 Walter Foeman City Cle6: Ui1-1u 7 b9/25/ZbNi lb: 4j JV"Ibb42b F'ULSt FJAUL Its • CITY OF MUM FLORIDA later -Otte Memorandum TO:S.£. Abraira, Assistant Chief DATE: January 30, 2000 Emergency Response Division SUBJECT: EMS Complaint Alarm 01861 FRO Le an R stag REFERENCES: Chi 1-C Erne ency Response Division ENCLOSURES: In reference to your request for an investigation on alarm 01867, an investigation was conducted, with the enclosed findings: C] 0 rr 9. hattoner: Firefighter Lattener was interviewed by phone on January 18, 2000. Firefighter Lattener stated that the complainant was not the patient, but a bystander at the Lutheran Ministries location. A decision to walk the patient down the stairs was made after careful evaluation of the patient who contrary to complainant's statement was not bleeding. The patient was large and taking her down the narrow stairway on a stretcher would have endangered both the patient and the crew. After the decision was made, the complainant continued to question the crew about their decision, and what would happen if the patient began to give bLrth and the baby fell on the floor, whereby Lattener answered that he would then pick the baby up. The complainant then told Lattener he had a bad attitude, Lattener answered that he didn't, this continued once or twice. Immediately after this exchange, Lattener realized that this conversation had progressed too far. he said nothing more to the complainant. Captain M. Lessaicherre: Captain Lessaicherre was interviewed in person on January 30, 2000. Capt. Lessaicherre confirmed Firefighter Lattenef's version of the events. FF M. Arango: Firefighter Arango was interviewed by phone on January 30, 2000. Arango confirmed Lattenwr's statement, He added that the patient was treated with the utmost courtesy and treatment was aggressive. Conclusion: We have all probably encountered this type Of situation. Restraint must always be shown under difficult circumstances. Firefighter fattener understands that under such circumstances, our comments and actions must be measured. No discipline recommended. ` C -14 ,—W cc: Local 581 Chief C.D. Maree Capt, M. Lessaicherre FF M. Arango FF S. Lattener jRM/ j re+ Submitted into the public reCOfdi in connoction with Item it on '4.3't' °4 Walter Fwiiian 61 • • Ttfij of ffllamt o�SY o�•,y C.A. CIMENEZ ws �^ CESAR H. ODIO Fire Chief ����� I��'� oe City Manager April 3, 1995 F.F. Michael Hosmer 9461 S.W. 49th Place Cooper City, Florida 33328 Dear F.F. Hosmer: Please be advised that you are hereby fined twenty four (24) hours of "E" time for violation of Fire Department Rules and Regulations and breach of duty, to wit: ,,An investigation conducted by Executive Assistant Maria Ferrer-Miralles substantiated that on several occasions you harassed F.F. Kimberly McCusker -Reuss while on duty. See item # 0 " By the aforementioned act you have violated the Miami Fire --Rescue Rules of Conduct #5, 6, 9, and 12. The final forfeiture of "E" time will be processed on May 1, 1995. You are hereby forewarned that future violations of Departmental Rules and Regulations will lead to more severe disciplinary action, up to and including dismissal. You have seven (7) calendar days or five (5) working days, whichever is greater, before the effective date of this fine in which to present evidence to the undersigned either in writing or orally, why you should not be fined. Submitted into the public record in connection with Item _(f, on .------ Waiter Foeman City Clerk t;i •Jl � � �•:� 1 FIRE -RESCUE- DEPARTMEN1/275 N.W. 2nd St,/Miami, Florida 33128/(305) 579-6300/FAX: (305) 579-6331 rQ 01 0 F.F. Michael Hosmer April 3, 1995 Page 2 of 2 If you consider this action to be unreasonable, you may appeal in writing to the Civil Service Board, Dupont Plaza Center, 300 Biscayne Boulevard Way, Suite 100, Miami, Florida 33131 for a hearing within fifteen (15) days from the effective date of this fine, or you may elect to initiate the grievance procedure as outlined in the7.ticurrent collective bargaining agreement. Sincerely, . Gimenez, Director Depart •nt of Fire -Rescue Cl RECEIPT OF THE ABOVE MD FOREGOIN LETTER OF FORFEITURE IS HEREBY ACKNOWLEDGED THIS —DAY OF -. - ./ , 1995 AT OO HOURS. ITN SS CAG/VA/sb cc: City Manager City Attorney Civil Service File (2) • -all -MICTIXEL HOSMER Personnel Management Labor Relations Adella Keels Chief Juan Mestas Submitted into tho public: record in connection with item on ' J :t Walter Foeman City Clerk 01 --10 ", • i c Submitted into tho public, C record in connec ion with item on X01. C Witter Foeman — I� �r�ctor( -%-M UI •1.,1 11 VI 111"Mill r J GU I. t l l • V 0SAI 1 LVA"NI. A. ILL.LA- QUO IOU OYUI rM 41 LU "J".7\•I r L11�AI\ 1 UU4lJr.L1V • rage I of 5 Disciplinary Guidelines T'hc provisions of this agreement shall ripply io all bargaining unit members, excluding entry level probationary fire lighters. A. Minor Infractiuns of Rules It is the intent orthe Department to alluw Officers to resolve intiractiony of rules which are considered minor in tature it the lowest level of supervision. Oflicers are encouraged to use supervisory skills in correcting rniuur problems het'ore they escalate into major ones. Many times, this is accomplished lhruugh nothing more thm a pimple discussion with the employee. Incidents of this nature do nut require format counseling or documentation. Officers need to be assertive in the performance ot'thcir clutics, and to take action to con -act problems and be consistent will) all employees. If preliminary steps tail to correct belrnvior, then the vupervisor shall utilize tilt formal disciplinary guidelines after discussing the situation with the District Chief or Recue Battalion Capinin. All entries in the Personnel Evaluation Forum will then he initiwlcd by the appropriate District Chief, Rescue Bath)lion Captain or )Division Chief if on a 40 hour week, in addition to the employee involved. Examples of minor infractions of rules - 1. Failure to follow uniform policy 2. Watchman violations 3. Failure to perform station duties 4. Minor instances of inappropriate language/behavior 5. Unprofessional/inappropriate behavior - minor 6. Failure to follow Department procedum - minor 7. Violations of other minor rules Unless these infractions are recurring, documentation is not required. Any violation/heltavior that Station Officers feel cannot bu handled at their level will be lorwarded through the chain of command. Any violation of a rule market with an asterisk in the rolluwinpRule,. u -" --educt ahu11 be torwanlud through lhu client of uaml40. rO-r addthonA ClariLicnton, contact your District Chtet�7 uC airliallon't.np atn. Igtrtcl to s, Rescue Battalion Captains end 40 hour supervisors may contact their Division Chiefs. if bother ciaritication is necessary, they may contact the Department's Personnel Officer. B. Rules of Cunduct Conduct 1. + Members shall not engage in criminal or untuwful activities 2. • No mernhcr shall take or renwve rmrythiiig (rum the scene of a lire or emergency witlruut proper authority. • Submitted into the public http://cityiiet/fireact/MANUAL/POLICYiDisciplinary%2OAgrecnienl.htln record in c nnoctio j�th Item .r�—.�--9--Sd Walter Foeman City Clea 61--1027 JGVI tSl;l..111 Vr MIAMI V-za- r Ir1•uiARJ t,Vnim. M. ILLLL" JVJ #Jv JYv4.0J/lJ �t.t�.it Ln�n�♦ ���n�n,�.�� . YLbC L Vl.1 3. * The accepting of money, rewards, gifts, vatuabic articles, or considerations from ally person is prohibited unless penuissiun is granted by the Fire Chief to accept then in accordance with State laws, • Civil Service Rules and City Manager's Administrative Directives. 4. * No member shall knowingly make a false report. 5. All members shall be polite, courteous, respecitbl, hclpl'ul and retrain from the use of profanity and/or abusive,languagc witilc dealing with other employees and the public. 6, r All m-nibers shall refrain frlNn cruel or ahuc_iye treatment of any person regardless OJ ire, �•..__._imclnflCe-c_ 7. ' No altercations or fisticuffs shall be permitted, S. • Members shall not engage in hazing, kangaroo courts, and/or horsepldywhile on duty. 9. * Members/employees shall not engage in sexual, ethnic, racial and/or religious harassment or harammom prohibited by law while on duty. 10. ' Members shall not engage in sexual activities while on duty. 11. • The carrying, storage or display of firearms or ammunition in or on City property is prohibited except as required by lawful City of Miami duties. 12. * Members shall nut conduct themselves, ml or off duty, in any way that will tend to bring discredit or ill repute to the Department or any of its rnenrbers, as n group or as individuals. 13. * Members shall not drink alcoholic beverages while on duty nor report for duty while under the influence of alcohol. Applicatiun of this rule shall be in accordance with the Labor Agreement. • 14. " No menthar shall be on ditty while using any illegal or controlled Substance unless so authorized by City Medical. Application of this rule shall be in accordance with thu Labor Agreement. 15. * All members shall promptly and thoroughly obey all lawful orders. If an individual feels aggrieved by an order, he/sbe shall follow the order and then may initiate a complaint. 16. * A Officers shot) he _just, dignified and firm in their relationships with xuburdiuutcs. Th abstain frurn violent. a uslve nn or profsne language to giving orders 011d directions, as well as nr conversation. Procedure L It shall be the duly of all members to report injuries received while on duty to their supervisor at the earliest opportunity and in all instances prior to going off duty. 2. Off duty injuries must be reported to the member's supervisor when reporting for duty. 3. All members shall have the right to review all public rec:o%ls, concerning themselves, that are kept by the Department, in accordance to the Public Records Law, Florida State Statute 119. 4. All members are required in have it valid State of 1%40 Driver's License. A memor'ondum must be submitted to the Office of the Fire Chic when driver's license is quspended or revoked. S. All telephone calls shall be answered promptly and in a proper and courteous manner. 5ubmillod Into tho PUN 6. Ail mcmages shall be dcliverc:tl properly and promptly to the person cuncerncd• record in connection wjt item to _ on IPJCO20 . Walter Formai hitp://c:itynot/firenct/MANUAJ,/POLICY/Disciplinary°/a2OAYreentent.litni 9/25/2001 My Clef • • 9 5/99 EMS COMPLAINT PROCEDURE (Cont.) IV. EMS CHIEF A. The EMS Chief will conduct the investigation of the complaint: assisted by the Management Services Division when necessary. Reasons: 1. Provides consistency 2. The EMS Chief has detailed knowledge of EMS protocols and procedures. 3. Citizen complaints are serious matters that require the attention of management. 4. Tracking of offenders will be easier. 5. Follow-up by management will be more timely. B Will determine if the complaint is a Quality Management issue i.e., questionable treatment, transport issues, (Squad vs. Rescue transport), remedial training etc. if u,:, complaint is determined to be a quality management issue only, the complaint will be handled by the Training Divisions (Quality Management Team). C. if the complaint is not a Quality Management issue, and it is determined that the EMS unit personnel's behavior or performance was inappropriate, the findings shall be forwarded to the responsible District Chief for recommended discipline D. If it is determined that a misunderstanding occurred and no discipline is required, the EMS Chief shall forward said findings to the responsible District Chief. 01.05 REVOCATION: 01.06 REVISION: ARTICLE 4/SECTION 3 PAGE 3 Submitted Into the public Word In connection with Item „h_ on •i -C -o I Vt''!Itnr Foomar, 81--10%'107 ____ n. ,�a.,L� uvv ,uv u�vr r.. r. •v J{J \ L11 • 1.., I , VI,M t MDI Ir J G V . , , . • ���r„ , �"r""' Page 4 of S ✓w�Waa.ur�nt IiVnL/C.L, Step 2 - Admonishment (District. C;hicl7kRr can approve Company Punishment in addition to admonishment) • Step 3 - Up to and Official Reprimand Step 4 - Up to a 24 hour tine Step 5 - Up to u 24 hour suspension Step G - Up to a 48 hour suspension Step 7 - Up to a 96 hour suspenaiou Step H • Up to a 192 hour uusnension Step 9 - Up to demotion or temtination Supervisors shall utili7c the Step Procedures progreisivcly until violations have progressed past Stop 2. Violations that have progressed past Step 2 or are considered major in nature must be forwarded through the chain of cornniand to rttanagement for application of discipline above Step 2. The documentation thrwarded is to include a description of the incident and mitigating circumstances, if any, a copy of the member's Personnel Evaluation Furntn for the provious 3 years, and any other intbrmation deemed relovanl by the Officer. 2. Credit for Good Behavior - Employcets who have no negative entries of any kind in their record for the previous three years from the dale of the current violation, shall receive a one step reduction in indicated discipline. (This doer not apply to seriuus infractions that justify termination on a first offense.) The first negative entry in the rias1 three years from the date of the current violation, will eliminate the credit for good behavior and will not be counted as un instance in the calculation of tiuure disciplinary steps. 3. Infractions not listed in Seclion C,1 shall have discipline determined by management on a rase by case basis; using just cause as the st:,ndard. As other rule violations become recurring, a discipline starting step may be established by nu►lual agreement of the parties. 4. Related Intiraclions - The intent of discipline is to modify behavior. Thrretbre, behaviors that are similar will be dealt with in a progressive manger. There are 4 major categories of infractions. They are., Conduct, Procedure, Prrfomtatce and Attendance. When delernnining discipline, infractions 4hall be classified in one of the above categories, haecd on the most serious rale violation per infraction. Previous violations In the dart 2 years related to the current infraction will be combined on the infraction line ot, the discipline work sheet, When the total is greater than Step 2, it shall tic forwarded through the chain or conrumand. When a violation has been processed through the chain of command, mauagt:ment will adhere to the following; 'Using the discipline work sheet, violations which had the saime starting point as the current infraction will be added on the appropriate starting step line. The discipline will be the greater of the infraction lite: or the step liter. if an individual roaches Step 6 in 2 infraction entegories, (example: Conduct (48 hr, suspension) and ferfiarmance (48 hr. suspension)), the next major ot1ense may lead to dismissal, Step 9. Submitted into the public record in conneclobWith t • item �--- on hitp:/Iciiynct/firenct/MANUALIPOLICY/Disciplinaiy°/u2OAgreenient.him 9I2VV1ftr FoeMan City Clerk 0 .t_ — I 7 JLI%I UI -L.111 VI "JINWOIJ'tJ' 1 .11 •UUNIM WMM, N. IL'LLL— JVJ iou i1H01'm U/10 .,.,1..1r,,livrl.n 1 vvluca.iiva • Page J Ol � If an individual receives a total of 96 hours of suspension or greater discipline during airy one rating period (July 1 through June :10 to coincide with Civil Service rating period), that individual will be given an unsatisfactory rating ut the annual pei-Mmiance evaluation. The 90 • lwurs shall he tahulated hmed upon Jute of infraction, regardless of when the discipline is administered. Violations of u serious nature will remain an the employee's record throughout their career and will be cousidercd in determining the discipline tar the current infraction if the conployce commits a similar infraction in the tb urs. U. General Violations of rules not covered under this agreement shall be subject to the "just cause" provision of the collective bargaining agreement. Nothing contained herein shall superseded the provisions of the collective bargaining agreement, including the right to file a gricva nce in accordance wish the labor agreement, No ubanges shall be.made in the lasiguage ur intent ul'this agrcemenl except by mutual consent. [approved May, t993] Submitted into the public record In connection with Item (— on •jPO1 Walter Foeman City Cleti( htlpa/cityiiet/firenet/MANUAL/POLTCYLI)isciplinary%20Agreement.htm 9/25/2001 0.4 - .0 �'1 • EMS TRANSPORTATION POLICY AUGUST a, 2000 The department is dedicated to the provision of acute medical care as well as necessary transportation to the hospital for all persons within the City of Miami. This policy defines the transportation of patients by a Rescue. Patients may be classified as Advanced life Support (ALS) or Basic Life Support (BLS) according to the severity and prehospital treatment of their illness or injury, and then transported as described below. The radig t,hvsician should be contsewd for antiguasdons. DESTINATION: ALS PaVents VAN be transported to the nearest capable hospital emergency department (as defined in the Hospital Capa i tq Chan in Chapter 77 of the Priotoeots, Policies b Procedures Manuao, except when the nearest capable hospital is temporarily closed, or such transport is refused by the patient (see below). ALS transports to farther hospitals must have the reasons dearly documented in the incident report. Nearest hospital is dermed as the hoVoi of emergency doWment which can be readied in the shortest time period, it Is not necessarily the closest hospital in germs of distance. The capabilities of individual emergency departments has been determined by survey of each hospital as to its capabilities in managing various categories of medical, surgical, pediatfic, and OB/Gyn problems. If two capable hospitals can by reached within approximately the same time (dithwence of approximately 3 minutes), the patient or family may choose between them. If the patient absolutely n0uses transport to the nearest capsW hospltst, but wig ecoW transport to another capable hospital within our hospital destinsftn bourdaruss (Parkway to the North and Baptist to the South), we must clearly explain the risks of the longer transport and strongly encourage going to the newest hospital. If they still refuse we will transport to the further hospital and document the event in the report narrative. If the patient deteriorates while in route to the further hospital, the transport destination will be changed to the nearest capable hospital from your cument: location. ✓BLS Patknts will usually be transported to the nearest capable hospital emergency departrnsrtt. However, d the patient orfamily requests a mora distant txrspital because the patient's doctor Is there, or because the patient is enrotlod in a hoafth care pian at that receiving hospital, the request will be honored unless patent's condition changes en route (with emits of Parkway to the North and Baptist to the South). If the patient does worsen an route, then transportation will be to the nearest facility at the tune of deterioration. l Submitted into the public • record in connec�iai� i+ " item _.lt_- on _------- Walter Foeman City Clerk 1] • PATIENT pESTINATIOM FOR PATIENTS UNDER: PQLICE ARREST t WARS Dj Ward D is a medical facHity at JMH operated by the Corrections Department with full security and is equipped and Aef'fed for minor emergencies only, not as a full emergency deparo wnt. Aft"h open on a 24-hour oasis, there Is not always a physician presertt (one Is eveftble toy beeper at an times). X-rays are not rapidly available there. Ward D has inpatlent beds and can accept HIV or TO cases. k has no intensive care or ra AN monitorine. Patients under police arrest who have palentWly lif 4hrentening conditions will be transported to the nearest capable hosphal emergency deparbnent, without regard to their custody status. Although taw enforcement officers would prefer that all people under arrest be taken to JMH (where Corrections personnel can take over custody from police), this is not medically appropriate for life threatening situations unless JMH is the d-QMM EMS patients who meet all of the toBowina. cam are to be taken directly to Ward D: 1. AGE., a. Age 18 or over..W b. Minors already convicted i adjudicated ) as adult 2. legal Status: a. Under police arrest, with Arrest Foran or armdng officer present, or b. Already In a PrisonlCorrectlons Facility j local, state or federal) • 3. Medical: a. BLS patient unless cervical spine know nixed,, jr b. ALS patlentwith an IV, with no ENS medication or cardiac monitoring needed. And has vital signs within the fbilowing parameters. 1) BP In the range from OWN to 201N130 2) Pulse In the range from 60 to 148 '. 31 Respiratory rade In the ranee from 10 to 29 4) OCS 14 or 15 `All other padents will be transported to the nearest Errwrga my Departmrent, The Radio Physician may be eon+acted for a transport decision if EMS is uncertain. ��ay.►iaoo 3 Submitted into the public record in ronnoctio wit Co • item _lc-- on = -----t Walter Foeman City Clerk 1] • RADID, _C,QMMUNICATION tMTH JNIJ RADIA eHYSICIANs: All ALS transports will be communicated to the radio physician an B abennel. Transportation instructions given by the radio Medical Advisor override these written guidelines. • $MorrELEPHONE C YMUNICATION VOTH !MCEMNG HOA ALS: For ALS runs the craw should 'skit' the receiving hospital prior to contacting the JMH radio physician so they can monitor the radio call. If any orders for ALS treatment awnd!or transport are given directly by the receiving hospital, the JMH radio physician should verify itunless the orders are within our protowls. For BLS runs the medical'B' channel should not be used unless there are questions for the radio physician or extenuating circumstances. As a coudesy the crew can elect to contact the receiving hospital by telephone. 1 3UIRFLIN&J POR DECISION TO TRANSPORT: "mese criteria determine which patients must be treated and transported by EMS as ALS patients (potentially We and limb threatening problems), and which patients ars BLS patients and may go to a more distant hospital. The categories listed below are ALS runs unless they are labeled BLS. • DURING 6W TRANSPORT A PARAMEDIC MUST BE IN THE 13ACK WITH THE PATIENT. ( Two Firefighters will be in the near patient compartment during transport) • ANY QUESTIONS'ABOUT TRANSPORT SHOULD VIE REFERRED TO THE RADIO PHYSICIAN. A. GENERAL CATEQ$)ES (these aaaty as priority to #1 other cataoodes); 1. Significant hypolension (BP less than 90 systo0c)&goA9A those who aro asymptomatic and know that their usual BP is that low 2. Severe hypertension (BP > 210 systolic and/or 115 diastoft) on more than 1 reading 3. Heart Rate, a. heart rate 120-150, except sinus tech from severe aruciety witiwut other symptoms. where pulse tabs below 120 within 5 minutes. b. heart rata > ISO c. bradyeardis with rate c50 4. Respiratory: a, requires intubabon, tag -mask vontilation, or tufty obstructed airway b. visual& distress or difficulty breathing OLS U. short of breath by patient symptom, taut dear lungs and resp. rate < 25 d. airway obstruction (including partial or deemd) 5. Altered mental status (GCS c 15 or disorientation or biarm behavior),exceot a. known to be chemic and no current change, or b. mid alc*W intoxication without other findings; patient oriented, able to walk, no injuries with a GCS of 14 or IS 6. Pstienb with conditions that require ALS treatment per protocols. or that present a danger to Yfe in the judgment of the paramedic. or EMT. Submlttcd into the public • recordconnection t item�n� t km.ilter Foeman (;iii! C;IFr1t 10 7 01 • • C 5/99 EMS COMPLAINT PROCEDURE 01.01 PURPOSE: To maintain a high level of public trust and confidence in Miami Fire -Rescue Emergency Medical Services by investigating and responding to complaints as quickly as possible. 01.02 POLICY: It is the policy of the City of Miami Fire -Rescue Department that all complaints made by the public and other individuals be investigated in a timely and coordinated manner. 01.03 RESPONSIBILITY: It is the responsibility of all Miami Fire -Rescue Department officers and supervisors to ensure all complaints are processed according to. this procedure. 01.04 PROCEDURE: I. PERSON RECEIVING THE COMPLAINT: (secretaries, personnel on the scene, individuals answering the phone at a fire station, alarm office personnel, etc.) A. Obtain all appropriate information such as: 1. NATURE OF COMPLAINT 2. DATE AND TIME OF COMPLAINT 3. NAMES AND/OR UNIT NUMBER 4. PERSON MAKING THE COMPLAINT AND ANY WITNESSES NAMES 5. CONTACT PHONE NUMBER AND/OR ADDRESS d. OTHER PERTINENT INFORMATION 13. Assure the complainant that the Miami Fire -Rescue Department takes complaints very seriously and that the incident will be investigated as quickly and thoroughly as possible. C. Advise the complaint that they will be contacted.by a Fire Department representative regarding the complaint for follow-up. ARTICl..E 4/SECTION 3 PAGE 1 ,Ub!,�1iltGtJ iti'io tnc public record inc nne:ction With item on 9- j 0 Walter Foeman ON Cleric i;�- e0 '1 EMS COMPLAINT PROCEDURE (Cont.) 01.04 PROCEDURE (Cont.): • D. Individuals receiving an EMS complaint should forward all information (through channels) to the District Chief in charge of the unit or individual involved and the EMS Chief. Q. INITIAL CONTACT A. The District Chief shall contact the complainant and verify all pertinent information as necessary. The District Chief shall advise the complainant that an investigation has begun, and the complainant will be provided with results as soon as possible. B The District Chief shall advise the complainant to file a police report if the complaint is about missing property or other criminal act. C. District Chiefs receiving EMS complaints about an incident occurring on another shift are to forward the complaint immediately to the Chief of the Emergency Response Division (after obtaining all pertinent information). The Chief of the ERD will forward this information to the Chief of EMS and the District Chief in • charge of the unit or individual involved. D. When an EMS complaint is received by 40hr, or non - sworn personnel (i.e., Secretaries, Dispatchers) or other MFD employees; all pertinent information shall be gathered (see procedures, section 1) and forwarded through channels to the Chief of the Emergency Response Division. M. DISTRICT CHIEFS A. The District Chief of the unit or individual involved shall perform the initial contact. B. Forward all pertinent information (through channels) to the EMS Chief, C. Assure all requested memos deemed necessary from subordinates are forwarded through channels to the Chief of EMS.\ D. Shall make final recommendation for discipline or other action after the investigation is completed by the EMS Chief'. Submitted into the public ARTICLE aiSECTION 3 record in cortneK COV Item le on • 5/99 PAGE ? Walter Foeman City Clerk