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I <br /> has arrived"at scene,""at scene time"shall mean the point in time of the first communication or <br /> status transmission from a mobile data terminals verifiably transmitted from the scene by that <br /> ambulance unit. <br /> "City"means the City of Everett,Washington. <br /> "Contractor"means NW Ambulance. <br /> "Critical care transport" or"CCT"means the inter-facility transport of a patient whose condition <br /> requires ALS services. <br /> "EFD"means the Everett Fire Department <br /> "Request Received"means the point in time when the incident address is confirmed by the <br /> Contractor's dispatcher. <br /> "Response Time"means the time interval from the time when the Contractor's data records <br /> system electronically time stamps the call requesting service to the time an ambulance unit <br /> arrives at the scene of the incident. <br /> "Unit Hours"means amount of time calculated in hours that a fully staffed and equipped <br /> apparatus is available for service. <br /> 2.0 Patient Care Performance <br /> 2.1 Standards: The Contractor shall continuously meet or exceed the patient care performance <br /> standards set forth in State law and the Snohomish County EMS Pre-Hospital Care Treatment <br /> Guidelines,Protocols and Procedures.Additionally the Contractor shall have its own medical <br /> direction and performance review programs. <br /> 2.2 Transport Protocols: <br /> 2.2.1 EFD will provide the rapid initial response to all requests for emergency medical <br /> assistance within the City. Except in limited circumstances,the Contractor shall not provide <br /> rapid initial response or ALS to medical emergencies within the City. <br /> 2.2.3 When the Contractor arrives at an incident scene in response to a EFD request,the <br /> Contractor's personnel shall report to the ranking EFD official or his or her designee in <br /> charge of the emergency who shall,when appropriate, designate the mode of transportation <br /> and the hospital to be utilized. Patients in a life-threatening or potentially life-threatening <br /> condition shall be transported to area hospitals as directed by EFD. <br /> 2.2.4 The Contractor shall immediately request an EFD response if the Contractor receives a <br /> request for assistance from a citizen for any medical emergency. <br /> 3of34 <br /> 3 <br />