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point in time the ambulance unit reports it has arrived at the designated staging <br /> location. In instances when an ambulance unit fails to report when it has arrived "at <br /> scene," "at scene time" shall mean the point in time of the first communication or status <br /> 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 <br /> condition 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 <br /> the Contractor's dispatcher. <br /> "Response Time" means the time interval from the time when the Contractor's data <br /> records system electronically time stamps the call requesting service to the time an <br /> ambulance unit 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 <br /> performance standards set forth in State law and the Snohomish County EMS Pre- <br /> Hospital Care Treatment Guidelines, Protocols and Procedures. Additionally the <br /> Contractor shall have its own medical 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 <br /> medical assistance within the City. Except in limited circumstances, the <br /> Contractor shall not provide rapid initial response or ALS to medical emergencies <br /> within the City. <br /> 2.2.3 When the Contractor arrives at an incident scene in response to a EFD <br /> request, the Contractor's personnel shall report to the ranking EFD official or his <br /> or her designee in charge of the emergency who shall, when appropriate, <br /> designate the mode of transportation and the hospital to be utilized. Patients in <br /> a life-threatening or potentially life-threatening condition shall be transported to <br /> area hospitals as directed by EFD. <br /> 2.2.4 The Contractor shall immediately request an EFD response if the <br /> 2 of 34 <br />