Compliance and Investigations November 1 through December 31, 2009

Compliance and Investigations November 1 through December 31, 2009 Name Complaint Rule/Protocol Action Taken EMT Basic/Driver Impairment 420-2-1-.21 License Suspension Matthew Greene Exceeding Scope of 420-2-1-.12 License Action Pending EMT Basic/Driver License Shahn Washington Performing ALS 420-2-1-.14 License Suspension EMT Paramedic/Driver Procedures w/o Medical Control EMT Basic/Driver Impairment 420-2-1-.21 License Surrender Northstar Paramedic Service ALS Issues 420-2-1-.15 Probation Jefferson Northstar Paramedic Service Pt Transportation Issues No EMS No Action Taken Tuscaloosa Violation Birmingham Fire & Rescue Ground Vehicle Issues Found Portable Suction Tip, Portable O 2, Reflectors/Flares, Tri-Bandage, Oxygen Mask, IV Drip Set, No Smoking Sign, Patient Rain cover, Bed Pan, Trauma Dressing, Bio-Hazard Bags, Syringes, Urinal, Vaseline Gauze, Flashlight, Short Board, Glucometer, Pulse Ox, Nasopharyngeal Airways, Sanitation Issues, Activated Charcoal, Oral Glucose Paste Center Point Fire & Rescue Ground Vehicle Issues Found Reflectors/Flares, Trauma Dressing, Vaseline Gauze, Oxygen Mask, Bio-Hazard Bags, IV Cannulae, Needles, Tourniquets, IO Needles, ABD Pads, Tri-Bandage, Portable Suction Unit, Nasopharyngeal Airways, IV Drip Sets, Fire Extinguisher, Emergency Lights, CO 2 Monitoring Equipment, On Board O 2, Sanitation Issues Expired Medications Atropine, Dopamine, and Lidocaine Concord Fire Department Ground Vehicle Issues 420-2-1-.10 1 Unit Inspected Found Pediatric B/P Cuff, CO 2 Monitoring Equipment Hoover Fire Department Jefferson Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found ABD Pads, Tri-Bandage, Burn Sheets, Oxygen Masks, IO Needles, Burn Sheets, Butterfly Needles, IV Pressure Infuser, IV Drip Sets, ET Tubes, Traction Splint, Vaseline Gauze, Shears, BVM, Emesis, CO 2 Monitoring Equipment, Reflectors/Flares, Bio-Hazard Bags, Nasopharyngeal Airways, Needles, Flashlight, Bed Pan, Urinal, Emergency Lights, Turn Signals, Horn Hueytown Fire & Rescue Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Oxygen Masks, IO Needles, Burn Sheets, ABD Pads, Vaseline Gauze, Syringes (18-25), 1cc Syringes Lifecare of Alabama Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Morgan & Jefferson Found Glucometer, BVM, Oxygen Masks, IO Needles, Suction Unit Tip Expired Medications Atropine, Diazepam, and Furosemide

Lifeguard Ambulance Service Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found ABD Pads, ET Tubes, Nasopharyngeal Airways, Oxygen Masks, CO 2 Monitoring Equipment, Bio-Hazard Bags, Reflectors/Flares, Assorted Splints, IV Drip Sets, Shears, IO Needles, Emergency Lights Midfield Fire Department Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Vaseline Gauze, Bio-Hazard bags, Oxygen Masks, IV Drip Sets, Trauma Dressing, Tri-Bandages, Goggles, ABD Pads, IV Pressure Infuser, IO Needles, Reflectors/Flares, OB Kit, Nasopharyngeal Airways, Patient Rain cover, Traction Splint, Shears, Burn Sheets, BVM, IV Cannulae, Soft Bandages, Portable Oxygen Minor Heights Fire District Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Tri-Bandages, Oxygen Masks, Portable Oxygen, ET Tubes, BVM, ABD pads, Ped B/P cuff, IO Needles, CO 2 Monitoring Equipment, Nasopharyngeal Airways, IV Drip Sets, Activated Charcoal Expired Medications Adenosine and Vasopressin Mountain Brook Fire Department Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Oxygen Masks, BVM, IV Drip Sets, Reflectors/Flares Northstar Paramedic Service Jefferson Ground Vehicle Issues 420-2-1-.10 2 Units Grounded Found Oxygen Masks, Traction Splint, Goggles, Face Masks, Portable Suction Unit, Flashlight, Emesis, ABD Pads, Portable Suction Tip, BVM, Butterfly Needles, Shears, Bed Pan, Urinal, Burn Sheets, No Smoking Signs, Blankets, IV Pressure Infuser, Load Lights Expired Medications Adenosine, Atropine, Benadryl, Vasopressin, Epinephrine, Sodium Bicarbonate, Thiamine, Calcium Gluconate, Furosemide, Lidocaine, Oral Glucose Paste Palmerdale Fire District Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Oxygen Masks, Fire Extinguisher, IV Drip Sets RPS Jefferson Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Oxygen Masks, ABD Pads, Patient Rain Cover, Flashlight, IV Drip Sets, Emesis, Reflector/Flares, Blankets, Adult Stethoscope, Bed Pan Expired Medications Furosemide, Sodium Bicarbonate, Diazepam, Activated Charcoal, Normal Saline Rural Metro Ambulance Service Jefferson Ground Vehicle Issues 420-2-1-.10 3 Units Grounded Found Goggles, Portable Suction Tip, Oxygen Mask, IV Drip Sets, Bed Pan, Shears, Patient Rain Cover, CID s, CO 2 Monitoring Equipment, Pulse Ox, Nasopharyngeal Airways, Blankets, Reflectors/Flares, Face Mask, Portable Suction, Flashlight, Ped B/P Cuff, IO Needles, Urinal, Soft Bandages, LBB, Bio Hazard Bags, Ped Stethoscope, Burn Sheet, Portable Oxygen, Headlights, Backup Lights, Horn, Mirror, Sanitation Issues Trussville Fire Department Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Assorted Splints, ABD Pads, Tri-Bandages, Oxygen Mask, IV Drip Sets US Steel Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Load Lights Expired Medications Aspirin

Vestavia Hills Fire Department Ground Vehicle Issues 420-2-1-.10 Multiple Units Inspected Found Oxygen Masks, IV Drip Sets, Tourniquets, CO 2 Monitoring Equipment Warrior River Fire Department Ground Vehicle Issues 420-2-1-.10 1 Unit Inspected Found Reflectors/Flares, Nasopharyngeal Airways, Oxygen Mask

Compliance and Investigations January 15 through February 28, 2010 Name Complaint Rule/Protocol Action Taken EMT-Paramedic Impairment Falsification of Records 420-2-1-.21 420-2-1-.25 License Action Pending for both complaints. EMT-Paramedic Responsibility for a 420-2-1-.16 Remedial Education EMT-Intermediate patient Jason Grantham Patient Care Issues 420-2-1-.16 Remedial Education EMT-Paramedic Rachel Noah Falsification of Records 420-2-1-.25 License Suspension Ambulance Driver James Jordan Exceeding Scope of 420-2-1-.25 License Suspension EMT-Paramedic License Jeffrey Steen EMT-Paramedic Guilty of Misconduct 420-2-1-.25 License Surrender

Compliance and Investigations Report March 1, 2010 April 30, 2010 NAME COMPLAINT RULE/PROTOCOL ACTION TAKEN Albert Campbell, Jr. EMT-Paramedic/Driver Patient Abandonment 420-2-1-.16 Suspension Heath Bruner Performing ALS 420-2-1-.14 Suspension EMT-Paramedic/Driver Procedures without Proper Authority 420-2-1-.24 Keith Holiness Falsification of 420-2-1-.25 Suspension EMT-Basic/Driver Records Frederick Plump Falsification of 420-2-1-.25 Suspension EMT-Basic/Driver Records Craig Johnson Falsification of 420-2-1-.25 Suspension EMT-Basic/Driver Records James Jordan Falsification of 420-2-1-.25 Suspension EMT-Paramedic/Driver Records Raegan Darracott Exceeding Scope of 420-2-1-.25 Suspension EMT-Basic/Driver License County EMS Patient Section 2 Patient No Action Taken Angel Ambulance Service Transportation Issue Rights Patient Care Issue No EMS Violation No Action Taken

Ground Vehicle Standards Report March 1, 2010 April 20, 2010 NAME RULE/PROTOCOL ACTION TAKEN Goodwater Ambulance Service Emergency Lights, Trauma Dressing, Tri-Angular Bandages, Infant & Pediatric Non-Rebreather Mask, CO 2 Monitoring Equipment, Pediatric Laryngoscope Blades, On-Board Suction Unit, Patient Restraints, Nasopharyngeal Airways, Oral Glucose Expired Lidocaine Medications Kellyton Volunteer Fire Activated Charcoal Opelika Fire Rescue Service Micro/Macro IV Drip Sets, Non-Rebreather Mask, Infant Trach Mask, Nasal Cannulae (adult) New Site Volunteer Fire Department and Ambulance Service Trach Mask (adult), Portable Suction Unit, Emergency Light Out, Activated Charcoal Tallapoosa EMS Traction Splint, Trach Mask, Bed Pan, Patient Rain Cover, IO Needles, Activated Charcoal, Oral Glucose Paste Expired Vasopressin Medication Goodyear Gadsden EMTs Traction Splint, Tri-Angular Bandages, Face Mask, Nasopharyngeal Airways, Non-Rebreather Mask, Trach Mask, IV Drip Sets, Butterfly Needles, IO Needles, CO 2 Monitoring Equipment Expired Epinephrine 1:1000 Medications Cahaba Valley Fire & Rescue Nasal Cannulae (Pediatric), Emergency Light Out Expired Vasopressin Medications

Mountain Brook Fire Department BVM Expired Nitroglycerin Medications Attalla Fire Department ABD Pads, Face Mask, Trach Mask, Tri-Angular Bandages, Goggles, IV Drip Sets, Non-Rebreather Mask, Nasal Cannulae, CO 2 Monitoring Equipment, Splints, Traction Splint, Portable O 2, BVM, Butterfly Needles, Syringes, B/P Cuff, IV Pressure Infuser Expired Sodium Bicarbonate Medications Gallant Volunteer Fire Department Nasopharyngeal Airways, IV Drip Sets, Syringes Southside Fire Department Tri-Angular Bandages, Flashlight, Nasopharyngeal Airways, BVM, Trach Mask, Non-Rebreather Mask, Nasal Cannulae, IV Drip Sets, Needles Tourniquet, Activated Charcoal Expired Lasix Medications Rainbow City Fire Department Bio-Hazard Bags, Trach Mask, Trauma Dressing, Non-Rebreather Mask, ABD pads, Vaseline Gauze, Tri-Angular Bandages, Goggles Ball Play #2 Volunteer Fire Department Expired Dopamine Medications Lafayette EMS Goggles, Portable Suction Unit, IV Pressure Infuser Clay County Rescue Squad Trach Mask, Flashlight Expired Lidocaine Medications Vines Ambulance Service Goggles, Trach Mask, IV Drip Sets, Syringes, CO 2 Monitoring Equipment, BVM, Non-Rebreather Mask, Nasopharyngeal Airways

Emergency Medical Transport 420-2-1-.10 Unit Grounded x 1 IV Drip Sets, Patient Rain Cover, B/P Cuff, Stethoscope, Goggles, A/C Issues Gadsden Etowah EMS 420-2-1-.10 Units Grounded x 3 Portable Oxygen, Portable Suction Unit, Non-Rebreather Mask, Butterfly Needles, IO Needles, Bio-Hazard Bags, CIDs, Tri-Angular Bandages, On-Board Oxygen, Nasopharyngeal Airways, IV Drip Sets, Tourniquets, A/C Issues, Mechanical Issues ASAP EMS 420-2-1-.10 Units Grounded x 3 No Smoking Sign, Reflectors/Flares, IO (adult), On-Board Oxygen Bottle Empty, Tires, A/C Issues, Sanitation Issues (poor), Ambulance Exterior Appearance Very Poor, Cracked Windshield, Load Lights, Emergency Lights, Turn Signal, Ambulance Flooring (deteriorated) Expired Activated Charcoal, Oral Glucose Paste, Aspirin Medications

Compliance and Investigations Report May 1, 2010 June 30, 2010 NAME COMPLAINT RULE/PROTOCOL ACTION TAKEN Lee Bramlett Exceeding Scope of EMT-Basic License 420-2-1-.25 Suspension William Estis Falsification of EMT-Basic Records 420-2-1-.25 Suspension Jolene Prince Falsification of EMT-Paramedic Records 420-2-1-.25 Suspension Thomas Rach Informal meeting Patient Care Issues 420-2-1-.16 Paramedic/Driver with State official David Campbell EMT-Paramedic/Driver ATCC Notification Protocol 7.6 Remedial Education All complaints filed with the Office of EMS and Trauma, are investigated. However, if no rule or protocol violation is found, the complaint will not be listed in the report.

Ground Vehicle Standards Report May 1, 2010 June 30, 2010 NAME RULE/PROTOCOL ACTION TAKEN A-Med Splints, IO Needles, Non-Rebreather Mask, Trach Mask, Emesis Container, Biohazard Bags, Portable O 2, Fire Extinguisher, Bed Pan, Vaseline Gauze, Backup Light Out, Turn Signal Out Expired Medications IV Fluids Anniston Fire Rescue Reflectors/Flares, Soft Bandages, Goggles, Patient Restraints, O 2 Mask, B/P Mask, Long Backboard, IV Pressure Infuser, Portable O 2, ET Tubes, IV Cannulae, Butterfly Needles, CID s, Trauma Dressing, ABD Pads, Micro/Macro Pads, Syringes, CO 2 Monitoring Equipment Expired Medications Epinephrine Ardmore Fire Rescue ABD Pads, Tri-Bandages, Soft Bandages, Goggles, Biohazard Bags, ET Tubes, Nasopharyngeal Airways, O 2 Mask, Micro/Macro Drip Sets, Needles, Syringes, IV Pressure Infuser Ashville Fire Department O 2 Mask, Tourniquets Expired Medications IV Fluids Missing Medications Oral Glucose Paste, Zofran Blount EMS Portable O 2, Emesis Container, Needles, Micro/Macro Drip Sets, Portable Suction Unit, Short Backboard, Non-Rebreather Mask, Syringes Blountsville Fire Rescue Tri-Bandages, BVM, Activated Charcoal Clanton Fire Department Biohazard Bags, Bite Sticks, ABD Pads, Burn Sheets, O 2 Mask, IO Needles Cleburne County EMS Service Tri-Bandages, Non-Rebreather Mask, BVM, CO 2 Monitoring Equipment Expired Medications Nitroglycerin *NOTE* Blood found on ET Tubes and Drug Box Dekalb Ambulance Service No Smoking Signs, Patient Raincover, Pulse Oximeter, IO Needles, Reflectors/Flares, Flashlight, O 2 Mask, Stethoscope, Tourniquets, Butterfly Needles

Desoto Rescue Squad O 2 Mask, CO 2 Monitoring Equipment, Reflectors/Flares Fort Payne Fire Department Reflectors/Flares, ABD Pads, 4 x 4 s, Vaseline Gauze, Extra Batteries, Nasopharyngeal Airways, Oral Airways, O 2 Mask, Micro/Macro Drip Sets, Syringes CO 2 Monitoring Equipment, Goggles, Face Mask, Needles, Tourniquets, Trauma Dressing, Tri- Bandages, Soft Bandages, Stethoscope, Bio-Hazard Bags, ET Tubes, CID s, IO Needles, Splints, Flashlight, B/P Cuff, Fire Extinguisher Expired Medications IV Fluids, Activated Charcoal Gadsden Fire Department BVM, Non-Rebreather Mask, Nasal Cannulae, Micro/Macro Drip Sets, Butterfly Needles, Portable O 2, IO Needles Expired Medication Valium Hokes Bluff VFD Splints, Vaseline Gauze, O 2 Mask, Extra Batteries, Zofran Jacksonville Fire Department Extra Batteries, ET Tubes, BVM, O 2 Mask, Syringes, Nasopharyngeal Airways Missing Medications Lidocaine Leeds Fire Rescue O 2 Mask, Unsecured Medications Nectar Volunteer Fire Department Nasal Cannulae, Micro/Macro Drip Sets Expired Medications IV Fluids Northstar Paramedic Service (Talladega) Trach Mask, Butterfly Needles, Reflectors, Splints, Portable Suction Unit, B/P Cuff, Micro/Macro Drip Sets, ABD Pads, Extra Batteries, Trauma Shears, CO 2 Monitoring Device Expired Medications Lidocaine Missing Medications Lasix, Calcium Gluconate Odenville Fire Rescue Traction Splint, Portable O 2, ABD Pads, Goggles, Extra Batteries, ET Tubes, Portable Suction Unit, O 2 Mask, Micro/Macro Drip Sets, Syringes, CO 2 Monitoring Equipment, Reflectors/Flares, Flashlight, IV Pressure Infuser Missing Medications Activated Charcoal

Oneonta Fire Rescue Tri-Bandage, Goggles, Face Mask, Micro/Macro Drip Sets, Syringes Expired Medications IV Fluids Oxford EMS Pulse Oximeter, O 2 Mask, Flashlight Missing Medications Activated Charcoal, Oral Glucose Paste Pell City Fire Rescue Micro/Macro Drip Sets, Syringes, IV Pressure Infuser, Tri- Bandages, O 2 Mask Expired Medications IV Fluids Pine Mountain Volunteer Fire & EMS Non-Rebreather Mask, IV Pressure Infuser, Nasal Airways RPS (Chilton County) Trauma Dressing, ABD Pads, Tri-Bandages, Burn Sheets, O 2 Mask, Needles, Micro/Macro Drip Sets, Bed Pan, Urinal, Portable O 2, Flashlight, Emergency Light Out, VHF/UHF Radio Issues Rural Metro Ambulance IO Needles, ABD Pads, O 2, OB Kit, Non-Rebreather Mask, Trach Mask, BP Cuff, Flashlight, Stethoscope, Pulse Oximeter, Glucometer Rural Metro Ambulance (Pell City) ABD Pads Expired Medications IV Fluids Southeast Shelby County Rescue Goggles, Nasopharyngeal Airways, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, Patient Raincover, Flashlight, Emesis Container, IO Needles Sylacauga Ambulance Service Trach Mask, ABD Pads, Vaseline Gauze, Tri-Bandage, IV Pressure Infuser, Butterfly Needles, Biohazard Bags, Emergency Light Out West Blount Volunteer Fire Rescue Extra Batteries, IO Needles, BVM, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, IV Catheters Expired Medications Dopamine Westinghouse EMS Face Mask, Pulse Oximeter, Bed Pan, Urinal Missing Medications Zofran

Winterboro Volunteer Fire Rescue Reflectors/Flares, Micro/Macro Drip Sets Anniston EMS 420-2-1-.10 1 Unit Grounded Face Mask, Burn Sheets, O 2 Mask, Trauma Shears, Stethoscope, Urinal, IO Needles, CO 2 Monitoring Equipment, Reflectors/Flares, Butterfly Needles, Pulse Oximeter, ABD Pads, Portable O 2, A/C Issues Expired Medications Morphine, IV Fluids Childersburg Ambulance 420-2-1-.10 1 Unit Grounded Service A/C Issues, Backup Lights Out, Emergency Light Out, Turn Signal Light Out, Short Backboard, Trauma Dressing, 4x4s, O 2 Mask, Biohazard Bags Expired Medications Albuterol Missing Medications Lidocaine Cherokee EMS 420-2-1-.10 1 Unit Grounded B/P Cuff, Bed Pan, Bio-Hazard Bags, O 2 Mask, Goggles, Micro/Macro Drip Sets, Butterfly Needles, Trauma Shears, ABD Pads, Flashlight, A/C Issues Expired Medications Sodium Bicarbonate Missing Medications Oral Glucose Paste, Activated Charcoal East Alabama Medical 420-2-1-.10 1 Unit Grounded Center EMS Extra Batteries, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, Flashlight, Tri-Bandages, Portable Suction Unit, Patient Compartment Flooring Issues Winston County EMS 420-2-1-.10 1 Unit Grounded (Equipment Issue) Trauma Dressing, O 2 Mask, Butterfly Needles, Flashlight, Soft Bandages, ET Tubes, Laryngoscope Blades, Portable Suction Unit, Emesis Container, Bed Pan, Urinal, C-Collars, IO Needles CO 2 Monitoring Equipment, Splints, ABD Pads, Goggles, Face Mask, Micro/Macro Drip Sets, Portable O 2 Expired Medications IV Fluids Missing Medications Epinephrine, Oral Glucose Paste, Activated Charcoal Med Call Ambulance 420-2-1-.10 2 Units Grounded A/C Issues, Transmission Issues Piedmont Rescue Squad 420-2-1-.10 2 Units Grounded Goggles, ET Tubes, Micro/Macro Drip Sets, No Smoking Sign, Bed Pan, Urinal, BVM, Portable Suction Unit, Face Mask, Butterfly Needles, Flashlight, A/C Issues, Siren and Horn Not Working Expired Medications Lidocaine, Albuterol, Epinephrine

Compliance and Investigations Report July 1, 2010 - August 31, 2010 NAME COMPLAINT RULE/PROTOCOL ACTION TAKEN Varian Doolittle EMT-Basic ALS Issues 420-2-1-.05 Remedial Education James Stallings EMT-Basic ALS Issue 420-2-1-.05 Remedial Education Kathleen Butler EMT-Paramedic ATCC Notification Protocol 7.6 Remedial Education Lee Bramlett Exceeding Scope of EMT-Basic License 420-2-1-.25 Suspension Albert Murdock, Jr. Exceeding Scope of EMT-Basic License 420-2-1-.25 Suspension Matthew Wuerdeman Exceeding Scope of Licensure Action 420-2-1-.25 EMT-Basic License Pending Melissa Prince Falsification of EMT-Paramedic Records 420-2-1-.25 Suspension Naomi Sapp EMT-Paramedic Protocol Issue 3.4 & 6.8 Protocol Update Michael Patton EMT-Paramedic James Stokes EMT-Paramedic Falsification of Records Responsibility of Patient Falsification of Records 420-2-1-.25 420-2-1-.16 Suspension 420-2-1-.25 Suspension All complaints filed with the Office of EMS and Trauma, are investigated. However, if no rule or protocol violation is found, the complaint will not be listed in the report.

Ground Vehicle Standards Report July 1, 2010 August 31, 2010 NAME RULE/PROTOCO ACTION TAKEN L Adamsville Fire & Rescue 420.2-1-.10 No Units Grounded Goggles, O 2 Mask, Patient Rain Cover, Abdominal Pads Alabaster Fire Department 420.2-1-.10 No Units Grounded O 2 Mask, Butterfly Needles, Syringes, Biohazard Bags, Micro/Macro Drip Sets Albertville Fire Department 420.2-1-.10 No Units Grounded Portable Suction w/tip, Pulse Ox, Flashlight, Emesis Container Equipment Not Working Emergency Light Out Expired Medication(s) x 3 Alexander City Fire 420.2-1-.10 No Units Grounded Department Reflectors/Flares, Portable Suction, Nasopharyngeal, Pediatric Stethoscope, Vaseline Gauze, Butterfly Needles, Biohazard Bags, O 2 Mask, Micro/Macro Drip Sets, Needles, Fire Extinguisher Expired Medication(s) x 6 Normal Saline x 2 Arab Fire & Rescue 420.2-1-.10 Unit(s) Grounded x 2 Portable Suction, Micro/Macro Drip Sets, Patient Rain Cover, CO 2 Monitoring Equipment, Extra Batteries Equipment Not Working Siren, Horn, Ambulance Unit Would Not Start Arjenna Parabasic Transport 420.2-1-.10 No Units Grounded O 2 Masks and Assorted C-Collars Birmingport Fire & Rescue 420.2-1-.10 No Units Grounded Service Extra Batteries, Burn Sheets, O 2 Mask, Micro/Macro Drip Sets, C-Collars, CID s, Activated Charcoal Expired IV Fluid Normal Saline Brookside Fire & Rescue 420.2-1-.10 No Units Grounded Reflectors/Flares, Short Board, Trauma Dressing, Goggles, Face Mask, Flashlight, Burn Sheets, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, Needles, Fire Extinguisher Calera Fire & Rescue 420.2-1-.10 No Units Grounded Abdominal Pads, Shears, O 2 Mask, Micro/Macro Drip Sets, Syringes, IV Pressure Infuser, Extra Batteries, A/P BVM, Butterfly Needles, Patient Rain Cover, Trauma Dressing, Biohazard Bags, Burn Sheets Expired Medication(s) x 1 Chelsea Fire & Rescue 420.2-1-.10 No Units Grounded Extra Batteries, O 2 Mask, Emesis Container, Urinal, Vaseline

Gauze, Micro/Macro Drip Sets Expired Medication(s) x 3 and Normal Saline Out of Date County EMS (Lawrence Co.) Reflectors/Flares, On-Board O 2, Shears, Floor in Patient Compartment Needs to be Repaired Cullman EMS 420.2-1-.10 Unit(s) Grounded x 1 On-Board Suction, Oral-Pharyngeal Airways, O 2 Mask, Micro/Macro Drip Sets, Fire Extinguisher, CO 2 Monitoring Equipment, Vaseline Gauze, Butterfly Needles, Reflectors/Flares, Short Board, Tri-Bandages, Patient Restraints, Pulse Ox, Nasopharyngeal Airways, Glucose Paste, Flashlights, Bed Pan, Biohazard Bags, Activated Charcoal, Goggles Equipment Not Working Mirrors (Cracked), Loading Lights, Horns, Emergency Lights Dothan Ambulance Service 420.2-1-.10 No Units Grounded Service Name Dothan Fire Department 420.2-1-.10 No Units Grounded Expired Medication(s) x 5 Forestdale Fire District 420.2-1-.10 No Units Grounded O 2 Mask, IO Needles, Trauma Dressing, Oral Airways, Stethoscope, CO 2 Monitoring Equipment Expired Medication(s) x 1 Fultondale Fire & Rescue 420.2-1-.10 No Units Grounded Service Trauma Dressing, O 2 Mask, Micro/Macro Drip Sets, Patient Rain Cover, Abdominal Pads, Syringes Expired Medication(s) x 1 Gardendale Fire & Rescue 420.2-1-.10 No Units Grounded Service Patient Rain Cover, O 2 Mask, Micro/Macro Drip Sets, Trauma Dressing, Vaseline Gauze, Extra Batteries, Needles, CO 2 Monitoring Equipment Greg s Ambulance Service 420.2-1-.10 No Units Grounded Biohazard Bags, O 2 Mask, Pillows, CO 2 Monitoring Equipment, Portable Suction, Bed Pan, Glucose Paste, Reflectors/Flares, Vaseline Gauze, Triangle Bandages, Burn Sheets, Patient Rain Cover, Activated Charcoal Guntersville Fire Department 420.2-1-.10 No Units Grounded Goggles, Portable Suction w/tip, O 2 Mask, IV Pressure Infuser, Portable O 2 Harpersville Fire Department 420.2-1-.10 No Units Grounded Portable Suction, O 2 Mask, Micro/Macro Drip Sets, Urinal, CO 2 Monitoring Equipment Equipment Not Working Emergency Lights

Helena Fire Department 420.2-1-.10 No Units Grounded Butterfly Needles, CO 2 Monitoring Equipment, Vaseline Gauze, Burn Sheets, O 2 Mask, Micro/Macro Drip Sets, Abdominal Pads, Biohazard Bags, Nasopharyngeal Airways Highland Medical Center 420.2-1-.10 Unit(s) Grounded x 3 ET Tubes, Shears, CO 2 Monitoring Equipment, Triangle Bandage, Extra Batteries, O 2 Mask, Syringes, Stethoscope, Pulse Ox, Nasopharyngeal Airways, Oral Airways, Goggles, Tourniquets, Burn Sheets, IO Needles Equipment Not Working Back-Up/Brake Lights, Horn Equipment Not Working Emergency Lights, Loading Lights, Back-Up/Brake Lights, A/C Issues Equipment Not Working Loading Lights, Not Enough Equipment, Floor in the Patient Compartment Needs to be Repaired Hillsboro Fire Department 420.2-1-.10 No Units Grounded Reflectors/Flares and IO Needles Hoover Fire Department Abdominal Pads, Vaseline Gauze, Triangle Bandages, Extra Batteries, Patient Rain Cover, Nasopharyngeal Airways, O 2 Mask, Micro/Macro Drip Sets, IV Pressure Infuser, IO Needles, BVM, Butterfly Needles, Syringes, Reflectors/Flares, Bed Pan, Urinal Expired Medication(s) x 6 Hueytown Fire & Rescue 420.2-1-.10 No Units Grounded O 2 Mask, Butterfly Needles, IO Needles, Triangle Bandages, Extra Batteries, Burn Sheets, IV Pressure Infuser, Patient Rain Cover Indian Ford Fire & Rescue 420.2-1-.10 No Units Grounded Biohazard Bags, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, IV Pressure Infuser, IO Needles Livingston Fire Rescue 420.2-1-.10 No Units Grounded Turn Signal, Windshield McCalla Fire & Rescue 420.2-1-.10 No Units Grounded Vaseline Gauze, Goggles, Burn Sheets, OB Kit, O 2 Mask, Butterfly Needles, Syringes, B/P Cuff, CO 2 Monitoring Equipment, Expired IV Fluids Marshall Health System 420.2-1-.10 No Units Grounded (Boaz) Abdominal Pads, Emesis Container, CO 2 Monitoring Equipment Marshall Health System (Guntersville) 420.2-1-.10 No Units Grounded Nasopharyngeal, Flashlight, Goggles, Butterfly Needles, Patient Rain Cover Expired Medication(s) x 5 Med-Call (Morgan County) 420.2-1-.10 Unit(s) Grounded x 2

O 2 Masks, Bed Pan, IO Needles, No Smoking Signs, Vehicle Permit, On-Board Suction, Glucose Meter, Pulse Ox, Flashlight, Glucose Paste Equipment Not Working VHF/UHF Radio, Turn Signal, Emergency Lights, Tires, A/C Issues Expired Medication(s) x 2 Montevallo Fire & Rescue 420.2-1-.10 No Units Grounded Face Mask, Micro/Macro Drip Sets, Syringes, Rescue Equipment, Reflectors/Flares, Patient Rain Cover, Flashlight, Nasopharyngeal, O 2 Masks, CO 2 Monitoring Equipment, Portable O 2 Moody Fire Department 420.2-1-.10 No Units Grounded O 2 Masks, Syringes Mt. Olive Fire & Rescue 420.2-1-.10 No Units Grounded Service Abdominal Pads, Vaseline Gauze, O 2 Mask Northstar (Franklin County) 420.2-1-.10 No Units Grounded O 2 Mask, Flashlight, Portable Suction, Activated Charcoal Expired Medication(s) x 3 Northstar (Shelby County) 420.2-1-.10 No Units Grounded Portable Suction, O 2 Mask, Urinal Equipment Not Working VHF/UHF Radio, Windshield Cracked All the Way Across, Tires Palmerdale Fire District 420.2-1-.10 No Units Grounded Trauma Dressing, Burn Sheets, Micro/Macro Drip Sets, IO Needles, Assorted Splints, Traction Splint, Short Board, Portable O 2, Extra Batteries, Portable Suction, Nasopharyngeal Airways, Oral Airways, Burn Sheets, O 2 Mask Pea Ridge Fire Department 420.2-1-.10 No Units Grounded Reflectors/Flares, Long Back Board, Patient Rain Cover, Face Mask, ET Tubes, Nasopharyngeal, BVM, O 2 Mask, Needles, Activated Charcoal, IV Pressure Infuser, Activated Charcoal, Oral Glucose, Zofran Pelham Fire Department 420.2-1-.10 No Units Grounded Triangle Bandages, O 2 Mask, Micro/Macro Drip Sets, Tourniquets, ET Tubes, Vaseline Gauze, Butterfly Needles Expired Medication(s) x 1 Phil Campbell Rescue 420.2-1-.10 Unit Grounded x 1 Portable O 2, O 2 Mask, Micro/Macro Drip Sets Equipment Not Working Tires Pleasant Bay Ambulance 420.2-1-.10 Unit(s) Grounded x 2 Vaseline Gauze, Triangle Bandage, Nasopharyngeal Airways, O 2 Mask, Shears, B/P Cuff, Urinal, Extra Batteries, Laryngoscope Blades, ET Tubes, A/P BV, Butterfly Needles, Stethoscope, Flashlight, On-Board Suction Equipment Not Working Load Lights, Back-Up/Brake Lights, Tires, A/C Issue Expired Medication(s) x 2 and Normal Saline Pleasant Grove Fire & Rescue 420.2-1-.10 No Units Grounded

O 2 Mask, IO Needles Expired Medication(s) x 1 Missing Medication(s) x 1 RPS (Cullman) 420.2-1-.10 No Units Grounded Butterfly Needles, O 2 Mask, Pulse Ox, B/P Cuff, Activated Charcoal, Glucose Paste, Flashlight, Portable Suction Equipment Not Working VHF/UHF Radio Expired IV Fluids Normal Saline RPS (Shelby) 420.2-1-.10 Unit(s) Grounded x 1 O 2 Mask, Pillows, Butterfly Needles, Burn Sheets, Needles, Syringes, Bed Pan, Urinal, IV Pressure Infuser, CO 2 Monitoring Equipment, Flashlight, Portable Suction, Abdominal Pads, Triangle Bandages Equipment Not Working On-Board Suction, VHF/UHF Radio, Windshield Cracked, A/C Issues RPS (St. Clair County) 420.2-1-.10 No Units Grounded Soft Bandages, O 2 Masks, Micro/Macro Drip Sets, Butterfly Needles, Pulse Ox, Shears, Trauma Dressing, IV Pressure Infuser, Abdominal Pads, Morphine Log Book Not Followed Sanitation Issue Blood Found on Shelves Ragland Rescue Service O 2 Mask, Activated Charcoal (None on the Truck) Equipment Not Working Emergency Light Russellville Fire Department 420.2-1-.10 No Units Grounded Reflectors/Flares, Portable O 2, Goggles, O 2 Mask, Tourniquets, CO 2 Monitoring Equipment, BVM Expired Medication(s) x 7 Scottsboro Fire Department 420.2-1-.10 No Units Grounded Assorted Splints, Patient Rain Cover, O 2 Mask, Burn Sheets, Traction Splint, Goggles, ET Tubes, and Micro/Macro Drip Sets Springville Fire & Rescue 420.2-1-.10 No Units Grounded Abdominal Pads, Patient Restraints, Burn Sheets, Butterfly Needles, O 2 Mask Sylvan Springs Fire 420.2-1-.10 No Units Grounded Triangle Bandages, O 2 Mask, Micro/Macro Drip Sets, Reflectors/Flares Expired Medication(s) x 2 Warrior Fire Department 420.2-1-.10 No Units Grounded Reflectors/Flares, Trauma Dressing, Abdominal Pads, Triangle Bandages, Goggles, Face Mask, Biohazard Bags, Shears, Flashlight, OB Kit, O 2 Mask, Butterfly Needles, Fire Extinguisher, IO Needles, CO 2 Monitoring Equipment, Traction Splint Expired Medication(s) x 1 Westover Fire Department 420.2-1-.10 No Units Grounded Long Board, O 2 Mask, Micro/Macro Drip Sets

Compliance and Investigations Report September 1, 2010 November 30, 2010 NAME COMPLAINT RULE/PROTOCOL ACTION TAKEN Greg Randolph EMT-Paramedic ATCC Notification Protocol 7.6 Remedial Education Robert Tancredi Drug Administration EMT-Paramedic & PCR Documentation Protocol 4.5 Suspension Leon Embry EMT-Paramedic ALS Procedures 420-2-1-.14 Suspension Brad Cox EMT-Paramedic Impairment 420-2-1-.21 Suspension Jonathan Earls EMT-Paramedic Impairment 420-2-1-.21 Suspension Franklin Blackmon Falsification of EMT-Paramedic Records 420-2-1-.25 Suspension Kymberly Edwards Crimes involving EMT-Paramedic moral turpitude 420-2-1-.25 Surrender Matthew Wuerdeman Exceeding Scope of Licensure Action 420-2-1-.25 EMT-Basic License Pending All complaints filed with the Office of EMS and Trauma, are investigated. However, if no rule or protocol violation is found, the complaint will not be listed in the report.

Ground Vehicle Standards Report September 1, 2010 November 30, 2010 NAME RULE/PROTOCOL ACTION TAKEN All Good Fire Department Reflectors/Flares, Abdominal Pads, Vaseline Pads, Goggles, Face Mask, ET Tubes, Flashlight, Burn Sheets, BVM, O 2 Mask, Micro/Macro Drip Sets, Fire Extinguisher, CO 2 Monitoring Equipment, ALS Equipment Issues Argo Fire Rescue BVM Expired Medications: Dopamine, Thiamine Baccus Ambulance Service 420-2-1-.10 Units Grounded x 1 Patient Restraints, Naso Airways, No Smoking Signs, Fire Extinguisher, O 2 Mask, Mechanical Issues (heating) Bessemer Fire Department Tri-Angular Bandages, Face Mask, O 2 Mask, Flashlight, Stethoscope, Fire Extinguisher Expired Medications: IV Fluids Birmingham Fire Rescue 420-2-1-.10 Units Grounded x 1 O 2 Mask, Portable O 2, Butterfly Needles, No Smoking Signs, Emergency Lights Not Working, Reflectors/Flares, Biohazard Bags, Vaseline Gauze, Portable Suction with Tip, A/C Issues, IV Pressure Infuser, BVM, Bedpan, Urinal, Patient Restraints, Burn Sheets, Micro/Macro Drip Sets, Long Back Board, 4x4, Soft Bandages, Flashlight, Abdominal Pads, Tri-Angular Bandages, Patient Rain Cover, Fire Extinguisher Center Point Fire Rescue Soft Bandages, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, Tourniquets, IO Needles, CO 2 Monitoring Equipment, Emesis Container, Loading Lights Out, Bedpan, IV Pressure Infuser, On-Board O 2 Cherokee Rescue Squad 420-2-1-.10 Units Grounded x 1 Naso Airways, O 2 Mask, Mechanical Issues (oil leak) Expired Medications: Benadryl, Morphine Sulfate Concord Fire & Rescue Load Lights, Short Board, Face Mask, Portable Suction with Tip, O 2 Mask, Fire Extinguisher, Extra Batteries, Micro/Macro Drip Sets, Butterfly Needles, Reflectors/Flares, IO Needles County EMS Sheets and Blankets, Bedpan Expired Medications: Diazepam, Nitroglycerin

Curry Fire and Rescue Tri-Angular Bandages, ET Tubes, O 2 Mask, Micro/Macro Drip Sets, IV Pressure Infuser Expired Medications: Oral Glucose Decatur Fire Department Tri-Angular Bandages, ET Tubes, O 2 Mask, IV Pressure Infuser, Abdominal Pads, Micro/Macro Drip Sets, A/P BVM, IO Needles, Assorted Splints, Long Board Expired Medications: Epinephrine 1:1000, Glucagon, Diazepam, Albuterol, Oral Glucose Decatur EMS Portable Suction with Tip, O 2 Mask, Flashlight, Loading Lights Not Working, Micro/Macro Drip Sets, Butterfly Needles, Brake Light, No Smoking Signs, Extra Batteries Expired Medications: Activated Charcoal, Lidocaine, Magnesium Sulfate, Albuterol, Oral Glucose Missing Medications: Dopamine Florala EMS On-Board Oxygen Expired Medications: Oral Glucose Gadsden Etowah EMS 420-2-1-.10 Units Grounded x 1 Portable Suction with Tip, Flashlight, Expired Oral Glucose, Short Board, Stethoscope, Sheets and Blankets, A/C and Heat Issues Gap of the Mountain Fire & Rescue Soft Bandages, Extra Batteries, IV Pressure Infuser, IO Needles, CO 2 Monitoring Equipment Expired Medications: Aspirin, Oral Glucose HEMSI O 2 Mask, Trauma Shears, Flashlight, Butterfly Needles, Urinal, Trauma Dressing, Goggles, Micro/Macro Drip Sets, Urinal Expired Medications: Activated Charcoal Homewood Fire Department Abdominal Pads, Extra Batteries, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, Goggles, Nasopharyngeal Airways

Hoover Fire Department 420-2-1-.10 Unit(s) Grounded x 1 Portable O 2, Biohazard Bags, Burn Sheets, Nasopharyngeal Airways, O 2 Mask, Micro/Macro Drip Sets, Traction Splints, Trauma Dressing, Abdominal Pads, Vaseline Gauze Pads, Tri- Angular Bandages, Butterfly Needles, IV Pressure Infuser, IO Needles, Extra Batteries, Oral Pharyngeal Airways, BVM, Reflectors/Flares, Bedpan, Urinal, Sharps Container 1 truck grounded due to on-board suction not working and floor in the patient compartment needs to be repaired. Expired Medications: Dopamine, Magnesium Sulfate, IV Fluids Irondale Fire Department ABD Pads, Nasopharyngeal Airways, Micro/Macro Drip Sets Expired Medications: Dopamine, Thiamine Lauderdale EMS Tri-Angular Bandages, Patient Restraints, Burn Sheets, Flashlight Traction Splint, Portable Suction, BVM, O 2 Mask, Urinal, Shears, CO 2 Monitoring Equipment, Micro/Macro Drip Sets, Naso Airways Expired Medications: Activated Charcoal, Lidocaine, Sodium Bicarbonate, Thiamine, Benadryl Lifecare Ambulance Biohazard Bags, Bedpan, Urinal, IO Needles, CO 2 Monitoring Equipment, Micro/Macro Drip Sets, Portable Suction with Tip, O 2 Mask, Emergency Light not working, Load Light out Lifeguard Ambulance 420-2-1-.10 Units Grounded x 1 Reflectors/Flares, Patient Rain Cover, Flashlight, BP Cuff, Stethoscope, IO Needles, Naso Airways, Oral Airways, CO 2 Monitoring Equipment, O 2 Mask, 4x4 Gauze, Latex Gloves, Biohazard Bags, BVM, Needles, Trauma Shears, Emesis, Bed Pan, Urinal, C-Collars, Splints, A/C Issues Madison Fire & Rescue Goggles, O 2 Mask, Micro/Macro Drip Sets, Biohazard Bags Expired Medications: Atropine Margaret Fire Department Trauma Dressing, Micro/Macro Drip Sets, Fire Extinguisher, Sterile OB Kit Maytown Fire & Rescue O 2 Mask, Butterfly Needles Expired Medications: Lidocaine, Vasopressin Med-Call Ambulance Service Portable O 2, O 2 Mask, Flashlight, IO Needles, No Smoking Signs Expired Medications: Activated Charcoal, Oral Glucose

Minor Heights Fire & Rescue ABD Pads, Tri-Angular Bandages, O 2 Mask, Butterfly Needles, IO Needles, Goggles, Burn Sheets, Portable Suction Unit, Syringes, CIDs Expired Medications: Vasopressin NorthStar Paramedic Service VHF/UHF Radios, Flashlight, IV Pressure Infuser, Butterfly Needles, Reflectors/Flares, Assorted Splints, Long Back Boards, Portable Suction with Tip, No Smoking Signs, Abdominal Pads, Vaseline Gauze, Sheets/Blankets, Shears, Bedpan, O 2 Mask, Emesis Container Expired Medications: Oral Glucose Rocky Ridge Fire Department Emergency Lights, Loading Lights, Reflectors/Flares, O 2 Mask RPS Walker 420-2-1-.10 Units Grounded x 3 Portable O 2, Portable Suction, O 2 Mask, Flashlight, CO 2 Monitoring Equipment, Short Board, BVM, No Smoking Signs, Bed Pan, Urinal, Goggles, VHF/UHF Radio, A/C Issues, Heat Issues, Electrical Issues (turn signals) Missing Medications: Activated Charcoal, Oral Glucose Rural Metro Ambulance 420-2-1-.10 Units Grounded x 3 VHF/UHF Radios, Seat Belts in Rear, No Smoking Signs, Reflectors/Flares, Glucometer, Shears, Flashlight, Emesis Container, Bedpan, IO Needles, CO 2 Monitoring Equipment, Extra Batteries, Burn Sheets, O 2 Mask, Loading Lights, Reflectors/Flares, On-Board O 2, B/P Cuff, Stethoscope, Portable Suction with Tip, Patient Rain Cover Bedpan, Long Board, Pulse Ox, On-Board Suction, Sharps Container A/C Issues, Patient Compartment Seat Belts, Patient Flooring Compartment, Back Bumper Goggles, O 2 Mask, Micro/Macro Drip Sets, Biohazard Bags Expired Medications: Atropine Sumiton Fire Rescue ABD Pads, O 2 Mask, Micro/Macro Drip Sets, Needles, CO 2 Monitoring Equipment, Trauma Dressing, Stethoscope Expired Medications: Activated Charcoal, Albuterol, Benadryl, Epi 1:1,000, Epi 1:10,000, Morphine Sulfate Tarrant Fire Department Reflectors/Flares, Trauma Dressing, O 2 Mask, Tri-Angular Bandages Expired Medications: IV Fluid Trussville Fire Department Abdominal Pads, O 2 Mask, Micro/Macro Drip Sets, Butterfly Needles, IV Pressure Infuser, Emesis Container, Urinal

Verbena Fire Service Traction Splint, Spare Portable O 2, Nasopharyngeal, OB Kit, O 2 Mask, Micro/Macro Drip Sets, IV Cannulae, Syringes, IV Pressure Infuser, IO Needles Vestavia Hills Fire Department Micro/Macro Drip Sets, Butterfly Needles, Trauma Dressing, Bedpan, O 2 Mask