Good afternoon, and thank you everyone for joining us here today. I am london breed. I am the mayor of San Francisco. I am joined by the president of the board of supervisors, norman yee along with other members of the board of supervisors. The director of the department of Public Health, our police chief, bill scott, and the department of Emergency Management director mary ellen care ron. I want to thank everyone for joining us today. As you know. The city has been working to prepare for what we know would be a significant Public Health challenge here in the city, and we are seeing it play it out all over the bay area and all over the world. As the city prepared its response, we explained to the public we would be year every step of the way what the challenges are and the steps we need to take to protect Public Health. Some of the challenges we have, of course, faced from an economic standpoint as well. Every step of the way i want be to thank not only members of puckly for your under
Haney, and supervisor aaron peskin will be joining us shortly, as well as supervisor sandra lee fewer. Thank you to this committees clerk, john carroll, and id like to thank sfgovtv. Mr. Clerk, do you have any announcements . Clerk yes. Please silence your cell phones and electronic devices. Completed speaker cards and copies of any documents should be provided to the clerk. Items acted on today will appear on the march 10 board of supervisors agenda. [agenda item read]. Chair mar supervisor fewer, thank you for joining us this morning as the sponsor of this hearing. The floor is yours. Supervisor fewer thank you, committee. I call this hearing today after discussions with ifpte local 21 because i am concerned about the use of Civil Service exclusions and the impact it has on our Civil Service industry. I realize that discussions have been ongoing between the department of Public Health and local 21 regarding a process of conversion for these positions since the last hearing that we ca
To encourage is what we call a culture of safety, where everybody feels comfortable reporting everything all of the time so that we have the ability to respond to it. Then what we do we have this detailed questionnaire and tool kit where we do a long series of questions. I think its 54 questions in total, that is developed by cal osha, so we respond we figure out all the details about why that happened so we can address those. And then we provide whatever support that employee needs, whether its emotional support, whether they need attention in the Emergency Department or any kind of physical or behavioral support they need. So its quite a lot that we do to respond. Supervisor stefani i just want to make sure, too, because if a violent incident is occurring, like say someone is under meth induced psychosis and in that moment a nurses life is threatened, how quickly i know there is the deputy sheriff. I just want to make sure the Response Time is quick and thats what im trying to get at
Thank you can, heather. I hope that was as powerful to the supervisors as it was me listening to it. The struggle so many nurses have been in so long to get an ear is very moving to me. Its also moving to me that our patients suffer from all the things that youre hearing. Were very dedicated people. Nurses are good people, were short on ego, were long on competence, we do our jobs because we care about people and we dont like suffering. What we see because of these problems is more suffering that could be fixed. So Patient Experience, im not going to spend time on this. Heather really gave you the story, but the Patient Experience due to these problems with staffing is obviously negative. I work in primary care. The worst the worst day of my week is when i have a patient who is decompensating, running out of breath, turning blue, sweating and i have to say, we got to get you to the emergency room. And the patient says, no way. [please stand by] [please stand by] to make my point, i wou
General dunford thanks on behalf of those military Service Members and veterans for your dedication and your persistence on behalf of victory with the global war on terrorism. And what we would like each of you to address our rules of engagement during the Previous Administration to introduce that resolution with those existing rules of engagement in the effort in that complex environment glutted the status of the new rules of engagement . Those old rules included rules of engagement and operating principles including the requirement for proximity of the enemy to be engaged. President trump has told me i have the authority to change that so that opens the enemy were ever found it to the nato air support. So first we have had a reduction in the number of deaths as a result of the coalition and operations. We will take every human possible step but the rules themselves permit being gauged forces to bring air support by extending which units are advised that mean they had a convoluted way