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North Las Vegas Fire Department
Response Times
Group Members: Sam Croft, Mosa Al Bshrawi, Heather Bowen, Kyle McDougle
I.Describe the Program
Agency Description: North Las Vegas Fire Department
The North Las Vegas Fire Department is one many departments in the Las Vegas area,
providing fire, rescue, and emergency medical services at the advanced life support level.
They also provide fire and EMS training to all personnel, and conduct fire prevention
activities throughout the city of North Las Vegas. The department strives on becoming a
leader in emergency services, and they work hard to attain their goals.
Reason
Reason for Being:
NLVFD provides fire, rescue, emergency medical services (at the advanced life
support level), provides fire and EMS training to all personnel, conducts fire
prevention activities throughout the city of North Las Vegas which include code
compliance inspections/enforcement, origin & cause investigations, public
information and public education services.
Mission Statement
To advance the City of North Las Vegas vision by providing dedicated
emergency and community services in a professional manner.
Social/Health Issues
Emergencies, accidents, injuries, and disease exist within the population that the
NLVFD responds to.
Goals and Objectives
To build safety aspects into all training and operations.
To develop a policy for Incident Safety Officer that will be reviewed
annually.
To ensure accountability and consistency.
To clearly define training objectives annually.
To identify the need for hands-on training in all divisions.
To develop ongoing continuing education/training.
To improve mandated training record keeping and mandated
credentialing by 2017.
To maintain emergency response times within established professional
standards.
To improve overall wellness and fitness of department employees.
To develop mentoring program and maintain Career Development
Programs by 2016.
To increase efficiency and productivity of fire investigations team both
within the fire department and valley-wide.
To increase emergency medical training, administrative support, quality
improvement and operational
To increase the city’s ability to confine and or mitigate any hazardous
materials incident by 2018.
To develop Incident Management Team (IMT) training opportunities
annually.
To continue regular participation with the Fire Alarm Office (FAO)
committee.
To review and update departmental Policies and Procedures on an
annual and as-needed basis.
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To promote and hire personnel keeping in line with the department’s
seven year staffing plan.
To continue to research Mobile Integrated Healthcare options.
Product
Dedicated to patient care and emergency/ community services in a professional
manner.
Players
NLVPD
Mutual aid agreements with other departments
AMR (BLS)
NLV (ALS)
Mayor and Council
Audience
North Las Vegas (Refer to Figure A)
Demographics:
Population:230,788 (100% urban)
Males 116,727 (50.6%)
Female 114,061 (49.4%)
The median age is 30.3
Hispanic 42.4% (96,187)
White 29.6% (67,250)
Black 17.7% (40,110)
Asian 5.3% (11,985)
Two or more races 2.8% (6,322)
Native Hawaiian and Other Pacific Islander 1.3% (2,917)
American Indian .7% (1,590)
Other .2% (511)
Socioeconomics:
Ave. income in 2013 $50133
Other Factors:
Young Hispanic make up the majority of the population with 47% being
married. 93 % of housing is occupied with the remaining 7% vacant.
Horton home builders is a major homebuilder in the area constructing
over 50% of all new single family houses.
Visitors/Tourists (~41 million/yr)
Target audience:
Those at increased risks of cardiac arrests. Segments include:
Geriatrics
Substance use/abusers
Smokers
Patients with heart disease
Bariatrics
Needs/Needs Assessment
NLVFD is looking for the effectiveness of a newly obtained
device called “AutoPulse.”
Incidence
In 2016, there were 22,851 EMS related incidents that the NLVFD
responded to, which is equivalent to 79% of their calls.
Prevalence
Heart Disease
Heart disease is the leading cause of death in Nevada.
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Nevada is currently ranked 37th out of all states in cardiovascular
deaths, 42nd in heart attack prevalence, and 25th in cardiovascular
disease. Percentages of Nevada residents reporting that they had a
physician notify them that they had a heart attack and residents that
were told they had angina or coronary heart disease has
remained somewhat constant since 2009.
Males in Nevada have over twice the coronary heart disease mortality
rate of women. Blacks have the highest prevalence of heart disease
and mortality rates. Hispanics have the lowest heart disease prevalence
and death rates of any racial/ethnic group in Nevada.
High Blood Pressure
High blood pressure accounts for ~6% of all deaths related to
cardiovascular disease.
Nevada is currently ranked 17th out of all states in high blood pressure
prevalence.
In 2009, 27.5% of Nevadans had high blood pressure and the high
blood pressure rate in Nevada is increasing.
High blood pressure is most common among males
Females with high blood pressure has remained somewhat constant
since 2000 (The increasing rate for males is what has been driving the
overall increase in prevalence in Nevada.)
25% of males in Nevada had high blood pressure in 2000 and the
percentage had increased to 30% by 2009.
High blood pressure is most common among individuals aged 65 and
older; nearly 60% of this population had high blood pressure in 2009.
The percentage of Hispanics with high blood pressure has declined
since 2001.
High Cholesterol
~38.2% of Nevadans have high cholesterol, a rate that is higher than
the national average (37.5%) and
The percentage of Nevadans reporting high cholesterol has been
increasing over the past 10 years. (The current rate of high cholesterol
in Nevada is almost three times the Healthy People 2020 target rate of
13.5%)
Males in Nevada are more likely to have high cholesterol than females,
and the risk of high cholesterol increases with age.
~55% of Nevadans aged 55 and older have high cholesterol.
Blacks and whites have higher rates than other racial/ethnic groups;
Hispanics have the lowest rate.
Variation from Norm or Standard
Demographics of North Las Vegas are similar to Glendale, AZ (Figure C)
ALS Response Times
North Las Vegas: 5:12 average emergency response time
Glendale: 8:11 average emergency response time
NFPA Standard: 8:00
Time on Scene for Cardiac Arrest
North Las Vegas: (Currently seeking response from agency.)
Glendale: Unable to obtain
Standard: Minimum of 30 minutes of attempted resuscitation.
Program
Organization,Structure, Staff, Relationships, Org Chart
Refer to Figure B
Budget and Resources
Budget:
Administration: $1,326,246
Operations: $29,563,705
Support Services: $2,153,046
Emergency Management: $302,814
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Total Operating Budget: $33,345,811
Personnel:
Ray N. Kessler, Acting Fire Chief
Travis Anderson, Assistant Fire Chief
Cedric Williams, Public Information/Community
Liaison Officer
John Wright, Training Battalion Chief
Lisa Price, EMS Chief
A Platoon Battalion Chiefs:
Scott Gorgon, Battalion 15
Gary Parsons, Battalion 5
B Platoon Battalion Chiefs:
Gary Stover, Battalion 15
Donovan Hansen, Battalion 5
C Platoon Battalion Chiefs:
Nick Bentley, Battalion 15
Scott Morris , Battalion 5
Time:
NLVFD is an all hazards department providing 24
hour emergency response from 8 strategically located
fire stations each day using 6 engines, 2 trucks, 7
advanced life support rescues, and 2 Battalion Chiefs.
Facilities/Equipment:
Battalions, 2
Stations, 8
Engines, 6
Trucks, 2
ALS Rescues 2
Tenders 1
HAZMAT 1
Light and air 1
Stage of Maturity
The department began in 1906 as the North Las Vegas Volunteer Fire
Department. In August 1942, the department added its first full-time
employees, a chief and 12 firefighters.
In 1999 a city ordinance changed
the name of the department from North Las Vegas Fire Department to
North Las Vegas Fire & Rescue Department.
System/Flow
A call is brought into the multi agency alarm dispatch office and dispatch
contacts the NLVFD with the emergency. Specific information such as
location, incidence, gender, time of occurrence and age are relayed to
the responding agency.
Deliverables/Products
Deliverable:
Time from dispatch, to time to scene, to time on scene, to
delivery of patient to hospital.
Product:
Rapid response.
II. Logic Model
Title: Out of hospital cardiac arrest; response, treatment, and transport time.
Description: North Las Vegas Fire Department provides ALS services to the city and responds to cardiac
arrests. They achieve this goal by responding to, treating, and assisting transport to all cardiac arrest
patients.
Goal: Provide effective and efficient care to victims of cardiac arrest.
Secondary Goals: Public trust, federal grants, department pride
Influential Factors: Weather, staff, funding, bystander assistance, location, fitness level, knowledge of
community
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Inputs
Activities
Outputs
Initial
Outcomes
Intermediate
Outcomes
Long-Term
Outcomes
Funding/
Budget
Patient
Care
Quicker
Response
Efficient/
Effective
Care
Improved
Patient
Outcome
Decreased
Cardiac
Morbidity Rates
Ambulances
Personnel
Training
Better
Outcomes
Knowledgeable
Personnel
Increased food
brought to
stations as a
thank you
Increased
recruiting
applicants
Personnel
Educated
Personnel
Overpopulation
Facilities/
Equipment
Increased
Federal Funding
Training
III. Stakeholders and Priority
Audience
Geriatrics (High Priority)
Clark County Social Service Senior Services Division (published
information)
First Med Health and Wellness Center (Surveys & empirical data
gathering)
Substance use/abusers (High Priority)
Nevada Substance Abuse Working Group (yearly published journal)
Center for Program Evaluation; Community Health Services (yearly
published report)
Patients with heart disease (Medium Priority)
Southern Nevada Health District (Survey/ Statistical Reports)
Office of Epidemiology; Division of Community Health (Statistical
Analyses of Data)
Bariatrics (Low Priority)
Dignity Health; Bariatric surgery center (Survey)
Surgical Weight Control Center, Las Vegas (Survey)
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Operation Stakeholders
NLVFD Firefighters (High Priority)
EMS Chief: Lisa Price (Interview)
Acting Fire Chief: Ray N. Kessler (Interview)
Firefighters (Survey/ Focus Groups)
AMR Medics/ EMT’s (High Priority)
Chief Executive Officer, West Region: Tom Wagner: (Statistical
analyses of reports)
Chief Medical Officer, Edward M. Racht (Statistical analyses of reports)
EMT’s (Survey/ Focus Groups)
Dispatch Center (Medium Priority)
Multi-agency Fire Alarm Office (Transcript analysis)
Traffic Bureau director: Cpt Vincent Cannito (Interview)
Dispatchers (Survey/ Focus Group)
NLVPD (Medium Priority)
Chief of Police: Alexander Perez (Interview)
Police Officers (Survey/Focus Group)
Users & What They Want
NLVFD Firefighters: How are their call times in comparison to: historical rates,
projections, goals, to other counties, comparative cities, and nationally? What are
the funnel points where the most amount of times is being wasted? Is there a
specific engine, ambulance, or other response team that is especially fast or
slow?
EMS Chief Lisa Price
Nevada State Legislature: What is their response time in comparison to the rest
of the nation? What things within the city that they can control can be changed to
help make a faster call time? Can it be handled without a big stress on finances?
How much will it cost?
Health and Human Services: Patricia Spearman
Transportation: Mark Manendo
Transportation: Any hazards that slow call time? Most frequent routes, are side
streets easily accessible, is their a common time of day or time of year when
arrests occur. Are the lights changing or on the correct timing? Are people pulling
over?
Traffic operations
Supervisor: Jeff Freels
Engineering Associate: Curt Kroeker
Hospitals: How much of the time consist of hand off, is there a delay on behalf of
the hospital in any way, from time of call and notification how long should they
plan on, where the majority of arrests are occurring and which hospital they are
likely to go to?
North Vista Hospital: Cardiology Section Chief: Yogarajah Balarajan
Mountain View Hospital: CNO: Todd Isbell
AED placement/Building Code Inspector: Where are the majority of arrests taking
place, are people finding them, are they clearly identifiable?
Certified Contractors
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Dispatchers: To know response time and how they play a part in it. If they are
giving proper instruction and if they can do so faster and more efficient manner
Multi-agency Fire Alarm Office (FAO)
American Red Cross: Statistics to endorse classes or to gauge if they can
allocate resources to other places, If people are initiating CPR, how long they
can expect to tell students they will be doing CPR
Director of Emergency Management: Devin Biniaz
American Heart Association: Statistics to endorse classes or to gauge if they can
allocate resources to other places, If people are initiating CPR, how long they
can expect to tell students they will be doing CPR
Chairman of the Board: Alvin L. Royse
Nevada Department of Health: Are thier statistics accurateley estimating
patients? Are their statistics under or over represented comaritive to calls?
Division of Public and Behavioral Health Director: Laura Urban (Report
analysis and Survey)
Department of Health and Human Services: Romaine Gilliland (Report
analysis and Survey)
NDOT: Are they aware of infastrucutre falaccies?
Supervisor: Jeff Freels (Survey, interview, historical comparison of data)
Engineering Associate: Curt Kroeker (Survey, interview, historical
comparison of data)
Medical Director (High Priority)
Alex Malone, MD, FAAEM, FACEP
Equipment Purchasing Officers (Medium Priority)
EMS Chief: Lisa Price
EMS Coordinator: Frank Simone
NLV City Council
Mayor: John J. Lee
IV. Appendix
Figure A
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