APRIL 19, 2012
IMPORTANT CONTRACT INFORMATION FOUND HERE



Open Letter to the General Public



Litigation Filed Ehling vs. Monoc Revised



News Jan 2011

The United States Environmental Protection Agency (EPA) has issued a stop use and sale of the micro-misting disinfecting technology sold by Zimek Technologies.

EPA Region 2 has ordered a New Jersey ambulance company, Monmouth-Ocean Hospital Service Corporation (MONOC) to immediately stop the use of the toxic micro-misting of their ambulances with disinfectants acquired from Zimek Technologies and the Zimek Micro-Misting System. This device is used by MONOC to deliver disinfectants to the interior of ambulances as micron or submicron sized particles. EPA’s enforcement action came as a result of a formal complaint to the EPA by IAFF Local 4610, the Professional Emergency Services Association of New Jersey, on behalf of its exposed brothers and sisters.

The attached “Stop Use, Sale, or Removal Order” was issued to Vincent Robbins, president and CEO of MONOC by Dr. Adrian J. Enache, director of EPA’s Pesticides Program, Pesticides and Toxic Substances Branch in Edison, New Jersey. The order is effective immediately, and gives MONOC 10 days to provide written documentation to the EPA that it has stopped the misuses cited and have secured the Zimek machines and disinfectants.

The IAFF has contacted EPA and has confirmed with Dr. Enache that this action applies to ALL uses of the Zimek Micro-Misting Systems, whether they are used in ambulances, fire apparatus, fire stations or other vehicles and facilities. Accordingly, the IAFF is advising all affiliates to ensure that their department ceases the use of this technology and product.

The order states that the disinfectants that have been used in the MONOC ambulances are likely to cause harm to humans when applied using the Zimek system. The order also states that EPA has reason to believe that individuals working in MONOC ambulances in which disinfectants were applied have become ill and treated for pesticide poisoning.

The Local 4610 President Deborah Ehling has been actively driving this issue to protect her members. This is a clear victory for her long hours and determined efforts. President Ehling states that it is “now time for a national standard requiring the evaluation of chemicals used in the workplace with new technology to ensure safe use by our emergency medical personnel and fire fighters.”

A related investigation of MONOC by the Occupational Safety and Health Administration (OSHA) is still ongoing. This effort was also initiated by a Local 4610 formal complaint on behalf of its members. Don Marino, president of the Professional Firefighters Association of New Jersey, has been working with President Ehling and her local to ensure that OSHA and the New Jersey Public Employee Occupational Safety and Health Program (PEOSH) completes these investigations for the protection of all members.

Disinfectants used for decontaminating equipment must be EPA-registered hospital disinfectant chemical germicides that have been documented as effective against the infectious agent and MUST be used as they were approved by EPA.

Care also must be taken in the use of any disinfectants. IAFF members should be aware of the flammability and reactivity of disinfectants and should follow manufacturer’s instructions for use (e.g., contact time and temperature). Disinfectants should only be used with adequate ventilation and while wearing appropriate infection control garments and equipment for cleaning and disinfecting, including eye protection, gloves, and aprons. It also is important when disinfecting equipment to check with the manufacturer of the germicide to determine compatibility of the medical equipment and protective clothing with the disinfectant.

The IAFF will continue to monitor and participate in this effort and will provide updates as they evolve.


 

The Professional Emergency Medical Services Association of

New Jersey (PEMSA-NJ) wants' to know...

HOW MUCH IS YOUR SAFETY WORTH?

·        Help us DEMAND ambulances, equipment and work rules SAFE FOR YOU and your loved ones.

·        Help us DEMAND that NJ regulations that are meant to keep our patients safe be enforced! Your lives depend on it.

PEMSA-NJ represents over 500 Emergency Medical Technicians (EMTs), Paramedics and Registered Nurses (RN's) that work for Monmouth Ocean County Hospital Services Corporation (MONOC), which is owned and operated by 15 New Jersey hospitals. PEMSA-NJ has been seeking a contract for the past three years with MONOC which protects the safety of our members and the patients we serve.

Every day we save lives...that is our calling.  But today we are asking for YOUR HELP to make MONOC and the HOSPITALS they serve FIX some very serious SAFETY ISSUES that severely impact your safety and the QUALITY OF CARE we can provide.

                        DIRTY EQUIPMENT                               

Would you drink from a dirty straw used by someone else?clip002

It took nine months of complaints by PEMSA-NJ to the State Department of Health to get MONOC to purchase disposable tubing for our portable ventilators.  For years we were required to RE-USE ventilator tubing without the proper decontamination equipment.  Tubing that is not cleaned and dried correctly can grow mold spores and pass infections, such as the deadly antibiotic resistant staph infection MRSA, into the lungs of the next patient.

 

PROPER DRUG STORAGEclip004

Would you eat a tuna sandwich left in a hot car all day?

Following drug manufacturer's guidelines are critical to ensure medication safety. Some drugs require refrigeration, or they may become less effective or even deactivate.  Despite PEMSA-NJ’s complaints, MONOC has FAILED to provide cooling for these drugs and will not authorize staff to throw out drugs that have become overheated. Staff are required to use these drugs to treat a life threatening rapid heart rate, seizures, and to rapidly paralyze someone who needs an emergency breathing tube. 

 

CRITICAL PATIENT TRANSPORT

If you were having a heart attack, what would you prefer?clip006

A special medical unit with trained personnel and specialized equipment; or a traditional ambulance?

 

State regulations require that if a patient in "critical condition" must be transported from one hospital to another they should be sent in a Specialty Care Transport (SCT) ambulance staffed with a RN and portable ICU (intensive care unit) equipment.  Unfortunately, MONOC does not have enough SCT ambulances in service to cover current contracts with area hospitals. This means that a patient in the midst of a heart attack that needs to be sent to another hospital for open heart surgery may actually be transported in a regular ambulance with no specialized equipment or SCT trained nurses, despite state requirements.  The consequences to human life are staggering. PEMSA-NJ has made numerous complaints but the State has not moved to enforce MONOC to follow the rules.

WE NEED YOUR SUPPORT to achieve a just contract protecting employee and patient safety.

 

Join the hundreds of paramedics, EMT's and RN's of PEMSA-NJ

in our fight to achieve a fair contract and  provide the SAFEST emergency care possible

for YOU and YOUR FAMILY!

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Please write and call members of the MONOC Board of Trustees and the 15 affiliated local Hospitals served by MONOC ambulances and tell them the current situation is NOT ACCEPTABLE.  Call: 732-751-7500 AND 973-322-4000

Jersey Shore Medical Center

Monmouth Medical Center

Clara Maass Medical Center

Ocean Medical Center (Brick)

SOCH

Newark Beth Israel Medical Center

Riverview Medical Center

Deborah Heart and Lung

St. Michaels Medical Center

Kimball Medical Center

Princeton Medical Center

Bayshore Hospital

Community Medical Center

St. Barnabas Medical Center

CentraState Medical Center

 

PEMSA-NJ was established in 2007 to address serious safety issues that affect public health and safety, and to ensure that frontline health care workers such as paramedics, emergency medical technicians and registered nurses can continue to "save lives" under safe working conditions and or fair wages.

 

For more information on how you can help, email

 

The PemsaNJ Organization

 

Pemsa-NJ has proposed EMS Legislation changes to our State Senators. You can view a copy here and if you would like to help support our efforts, you can download and print a copy of a sample letter to be sent to our State Senators by clicking here

 

 
 

PEMSA - PO Box 1318 - Wall, NJ  07719
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