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