(a) “Basic Life Support, (BLS):” Medical treatment, assessment or procedures provided to a patient by EMS personnel who are certified as either an Emergency Medical Technician-Basic or Emergency Medical Technician in accordance with Virginia Emergency Medical Services Regulations 12 VAC-31-10.
(b) “Advanced Life Support, Level 1 (ALS-1):” Medical treatment, assessment or procedures provided to a patient beyond the scope of Basic Life Support by EMS personnel who are certified as an Emergency Medical Technician (EMT) - Enhanced, Intermediate or Paramedic in accordance with Virginia Emergency Medical Services Regulations 12 VAC-31-10.
(c) “Advanced Life Support, Level 2 (ALS-2):” Advanced life support medical treatment provided to a patient by personnel who are certified as an Emergency Medical Technician (EMT) - Intermediate or Paramedic, that includes the administration of at least three medications by intravenous push/bolus or by continuous infusion excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or providing transportation, medically necessary supplies and/or providing one or more of the following the medically necessary ALS procedures: Manual defibrillation/cardioversion; Endotracheal intubation; Central venous line; Cardiac pacing; Chest decompression; Surgical airway; or Intraosseous line.
(d) “Emergency Medical Services ("EMS"):” Services utilized by the County's Combined Fire-Rescue System ("the system") in responding to those persons in need of immediate medical care within the County and in any neighboring jurisdiction having entered into a Mutual Aid agreement with the County.
(e) “Mileage:” The distance traveled by an ambulance from the point where the patient is picked up, to the hospital and/or a rendezvous point.
(f) “Patient:” Person transported by a system EMS-licensed ambulance.
(g) “Reasonable Billing Efforts:” The issuance of a bill to the patient or to the party responsible for the patient's personal financial obligations, additional billings as necessary, and telephone calls or personal contacts which constitute a genuine, rather than token, billing effort.
(h) “Third Party Payer:” insurance carrier or other responsible provider of coverage having the responsibility of paying for emergency medical services rendered to a patient as a result of that patient's accident, injury or illness.
(Ord. 14-02. Passed 1-15-14.)