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HomeMy WebLinkAboutCity of Tamarac Ordinance O-1984-0541 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 32 33 34 Introduced by V1r,- Tep. #1136 m9/12/84 CITY OF TAMARAC, FLORIDA ORDINANCE NO. y� AN ORDINANCE CREATING CHAPTER 3A OF THE TAMARAC CITY CODE: EMERGENCY MEDICAL TRANS- PORTATION SERVICE; PROVIDING FOR INTENTIONS AND OBJECTIVES OF THE SERVICE; PROVIDING FOR DEFINITIONS; PROVIDING FOR EQUIPMENT SPECIFI- CATIONS; PROVIDING FOR PERSONNEL SPECIFICA- TIONS; PROVIDING FOR FEE SCHEDULES AND STAN- DARDS; PROVIDING FOR SEVERABILITY; PROVIDING FOR CODIFICATION; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, the City Council in Resolution 83-289 endorsed the concept of a City operated ambulance service; and WHEREAS, the City has purchased two ambulances for the implementation of its ambulance service. NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF TAMARAC, FLORIDA: =ION 1: That Chapter 3A of the Tamarac City Code is hereby created to provide as follows: "Chapter 3A Ambulance Service 3A-1 Intentions and Objectives a) It is the intention and purpose of this chapter to establish a City operated Emergency Ambulance Transportation Service (hereinafter known as the Service). To this end maximum use of dual position Fire Fighters/Emergency Medical Technicians using certified ambulances of the Tamarac Fire Department will be used to provide an efficient service to the G -1-- VU I L 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 .,1 32 33 34 Temp. #1136 Rev. 9/12/84 residents and visitors of the City of Tamarac while complying with all applicable State and County laws. b) The Fire Department of the City of Tamarac is auth- orized and directed to develop this Service to respond to all medical emergencies requiring Basic Life Support (BLS) transportation to a location as directed by a Paramedic called to the point of emergency or in the absence of a Paramedic by the advice of a Broward County Emergency Medical Services dispatcher. c) The Service shall be restricted to providing Basic Life Support Service to persons located within the boundaries of the City of Tamarac, thus the Service shall not provide Advanced Life Support (ALS) service nor non -emergency medical transportation service. 3A-2 Definitions a) Advanced Life Support (ALS): As used herein means treatment of life threatening medical emergencies through the use of techniques such as endotracheal intubation, the administration of drugs, intravenous fluids, telemetry, cardiac monitoring, and cardiac defibrillation, by a qualified person. (Fla. Stat. 401.23) b) Ambulance: As used herein means an EMS Transport Vehicle. c) Ambulance Drivers: As used herein means a Tamarac fire-fighter who meets the minimum basic requirements of Fla. Stat. 401.281, with the exception of Fla. Stat. 401,.281 (G), and who is also t . i■ -2- Uc Temp. #1136 Rev. 9/12/84 1 2 3 4 s 6 qualified as a state certified emergency medical technician. d) Area of Service for Response: As used herein means the geographical boundaries of the City of Tamarac. e) Basic Life Support (BLS): As used herein means treatment of life --threatening medical emergencies by a qualified person through the use of techniques such as patient assessment, basic cardiopulmonary resuscitation, splinting, obstetrical assistance, bandaging, administration of oxygen, application of medical antishock trousers, and other techniques described in the Emergency Medical Technician Basic Training Course Curriculum of the United States Department of Transportation. "Basic Life Support" also includes esophageal intubation if the emergency medical technician performing the intubation has been trained in the skill of esophageal intubation and is performing the intubation under the medical direction of a licensed physician. The monitoring and maintenance of an intravenous fluid may be performed by a Certified Emergency Medical Technician if such person is trained in these skills. (Fla. Stat. 401.23.) f) Certificate: As used herein means a certificate of convenience and necessity issued pursuant to Chapter 3 1/2 of the Broward County Administrative Code and Chapter 401 of the Florida State Statutes. g) Closest Appropriate Medical Facility: As used herein means the destination of the EMS transporta- tion as directed by a Paramedic or in the absence of a Paramedic by the advice of a Broward County Emer- gency Medical Services dispatcher. 5 --3- Ut Temp. #1136 Rev. 9/12/84 h) Emergency Call: The term "emergency call" as used 1 herein means the response of an emergency medical 2 service (EMS) provider to the scene of a reported 3 medical emergency under conditions that warrant 4 travel with flashing lights and sirens operating 5 pursuant to the request of the emergency 6 communications center, or a public safety agency. 7 8 - i) EMS Transport Vehicle: As used herein means a 9 vehicle that is designed, constructed, 0 reconstructed, maintained, equipped or operated for, 1 and is used for, or intended to be used for, land 2 transportation of sick or injured persons who are in 3 the need of emergency medical attention during 4 transport and who must be transported on a stretcher 5 and shall conform to requirements of Fla. Stat. 6 401.26. 7 8 j) Emergency Medical Technician (EMT): As used herein, 9 means any person who is trained in basic life 0 support and who is certified to perform such 1 procedures in emergency situations in accordance 2 with Florida Law. (Fla. Admin. Code Sec. 1OD- 3 66.56) 4 5 k) Medical Direction: As used herein means direct 6 supervision of a state certified paramedic on the 7 scene or by communication with the Broward County 8 Emergency Communications System --or by a physician 9 through two-way voice communications or when such r voice communications is unavailable, through 1 established standing orders, pursuant to rules of 2 the Florida State Department of Health and 3 Rehabilitative Services. (Fla. Stat. 401.23 (15)) F! r■ UU Temp. #1136 Rev. 9/12/84 1) Non -Emergency Medical, Transportation Service: As used herein means any privately or publicly owned service employing a land vehicle that is designed, constructed, re -constructed, maintained, equipped or operated for, and is used for, or intended to be used for land transportation of persons who are confined to wheelchairs or stretchers and whose condition is such that these persons do not need, nor are likely to need, immediate medical attention during transportation. (Fla. Stat. 401.23) m) Paramedic: As used herein means any person who possesses a valid paramedic certificate in accordance with Florida law. n) Permit: As used herein means any authorization issued pursuant to Chapter 301 of the Florida State Statutes for a vehicle to be operated as a transport vehicle providing basic or advanced life support. (Fla. Stat. 401.23) o) Physician: As used herein means a practitioner who is licensed under the provisions of Chapters 458 or 459 of the Florida State Statutes. (Fla. Stat. 401.23) p) Service: As used herein means the Emergency Ambulance Transportation service operated by the City of Tamarac. 3A-3 Equipment a) The Service shall operate at least two (2) fully equipped ambulances. At least one ambulance shall at all times be on active duty in each Tamarac Fire Station. In addition, a maintenance reserve ambu- lance shall be available for use by the service when i■ Temp. #1136 Rev. 9/12/84 one of the Service's regular ambulances is out of 1 2 3 4 51 service. b) The Service shall at all times maintain its ambu- lances in good working condition and equip them to conform to all applicable requirements of law. 3A-4 Personnel a) The Service ambulances shall be staffed solely by members of the Tamarac Fire Department who shall concurrently be qualified as emergency medical technicians in conformance with all applicable requirements of law. b) The Tamarac Fire Department shall within a reason- able time develop an instructional guide for main- tenance, use and operations of the Service ambu- lances. All Service personnel shall be familiar with this guide and any other directives promulgated by the Fire Department. 3A-5 Fees a) The Service shall charge a base fee of seventy-five dollars ($75) for each ambulance transportation provided from the point of emergency to the closest appropriate medical facility. If an ambulance responds to a reported emergency and no person is transported, then no fee will be charged for the response. b) The Service shall accept any insurance assignment or medicare assignment, as full or part payment of the above fee, which conforms.to applicable law. 1 ■ II -6- UU Temp. #1136 Rev. 9/12/84 c) The Service shall have the right to hire a private contractor approved by City Council to administer the billing process or to assign its accounts receivable to any organization licensed as a collection agency. d) Non-residents who require emergency medical service while in the City of Tamarac shall be charged at the same rate as service for residents. e) In the event of the non -availability of the Service, all eligible persons who utilize a private emergency medical service are liable to that private service for the fees charged by such private service. f) No eligible person shall be denied service or treat- ment by the Service because of inability to pay. g) All fees collected shall be shown as revenue in the General Fund Budget." Should any section or provision of this ordinance or any portion hereof or any paragraph, sentence or word be declared by a Court of competent jurisdiction to be invalid such decision shall not affect the validity of the remainder hereof as a whole or any part hereof other than the part declared to be invalid. SNTION_ 3: Specific authority is hereby granted to codify this ordinance. r■ Temp. #1136 Rev/ 9/12/84 S,BCTjON 4: This ordinance shall become effective upon adoption. PASSED FIRST READING this /, day of G C , 1984. PASSED SECOND READING this-Z day of 1984. ;aA MAYOR• ATTEST: CITY I HERESY CERTIFY that I have approved the form and correctness of this 1072R091184/t RECORD OF COUNCIL VOTE MAYOR: KRAVITZ DISTRICT 4: V/M STEIN aae DISTRICT 3: C/M STELZER DISTRICT 2: C/M MUNITZ C� DISTRICT 1: C/M DUNNE L r■ UU