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SECTION 13: Emergency Medical System. <br /> The City Fire Department shall operate Emergency Paramedic/Aid Units and provide <br /> emergency medical aid and transportation. All medical emergency dispatches through <br /> 911 telephone access shall be answered by the Fire Department. Ambulance services, <br /> as licensed herein, shall not respond to 911 dispatches in the City unless requested to <br /> do so by the Fire Department. <br /> A. Ambulance companies receiving a direct request for emergency medical <br /> services shall notify the Fire Department's 911 communications center immediately so <br /> that a Fire Department first response can be initiated. The only exception to this <br /> requirement shall be for the transport of stable patients from one medical facility to <br /> another and routine/non-emergent medical transports and exams. The 911 system <br /> must be activated for all prehospital emergency medical service primary examinations <br /> and unstable patient care. The Fire Department shall establish ambulance response <br /> criteria and make such criteria known to each ambulance company at the time of <br /> application and renewal of business license. Each ambulance company shall submit a <br /> response report quarterly or on demand of the Fire Department outlining compliance <br /> with the response criteria. <br /> B. Ambulances shall notify the fire department's 911 communications <br /> center when they are responding or transporting in a code situation (emergency lights <br /> and/or siren). They shall give their location and their destination. <br /> C. When an ambulance company provides emergency medical standby <br /> (i.e., 10K Fun Runs, etc.) by community event promoters, the following conditions shall <br /> apply: <br /> 1. The ambulance company shall notify the Fire Department in writing <br /> at least fourteen (14) days prior to the date of the event, or as soon <br /> to the event as reasonably possible, stating the date, time and <br /> scope of standby responsibilities. <br /> 2. Ambulance companies engaging in standby activities shall notify <br /> the Fire Department's 911 communications center immediately on <br /> all advanced life support/life threatening calls as required. <br /> 3. Ambulance company standby for handling basic life support calls <br /> must obtain prior approval and parameters for care set by the Fire <br /> Department. <br /> 4. All emergency medical services activity provided by the ambulance <br /> company at such events shall be documented and a report <br /> forwarded to the Fire Department within one week subsequent to <br /> the completion of the event. <br /> jmc/ems/cntrcts/ambince 10 <br />