(A) The town operates an emergency medical ambulance service to safeguard and protect the life and public welfare of the Plainfield community. The intent of this service is to care for the citizens of Plainfield and offer competent emergency medical care.
(B) In order to provide and maintain the equipment, supplies and certified personnel of a professional emergency medical ambulance service, it is necessary for the town to establish ambulance service fees.
(C) The town shall only charge a patient if said patient is transported by the Town Fire Territory personnel or a Town Fire Territory personnel assists with the treatment on an ambulance of another agency while providing mutual aid.
(D) The Town Fire Territory offers emergency medical care at three levels. The level of care shall be determined by an evaluation of the seriousness of the patient’s injury or illness. The three levels of emergency care shall be as follows:
(1) Basic life support (BLS). When medically necessary, the provisions of basic life support (BLS) services is defined by the State Department of Homeland Security EMS Commission for the emergency medical technician – basic (EMT-Basic);
(2) Advance life support I, (ALS) Advanced life support, level I (ALSI). When medically necessary, the provisions of advanced life support (ALS) services is defined by the State Department of Homeland Security EMS Commission for the advanced life support ambulance provider or supplier or furnishing of one or more ALS interventions. An ALS assessment is performed by an ALS crew and results in the determination that the patient’s condition requires an ALS level of care, even if no other ALS intervention is performed. An ALS provider is defined as a provider whose staff has individuals trained to the level of EMT-basic advanced, EMT advanced or EMT- paramedic as defined by the State Department of Homeland Security EMS Commission. An ALS procedure is defined as a procedure beyond the scope of EMT-basic; and
(3) Advanced life support II, (ALS II).
(a) Shall be defined as three or more medications by intravenous push/bolus or by continuous infusion excluding, crystalloid, hypotonic, isotonic and hypertonic solutions (dextrose, normal saline, Ringers lactate) not including intravenous fluids for the purpose of maintaining an IV access or provision of at least one of the following ALS procedures:
1. Manual defibrillation and/or synchronized cardioversion;
2. Endotracheal intubation;
3. Central venous line;
4. Cardiac pacing;
5. Chest decompression;
6. Surgical airway; and
7. Intraosseous line.
(b) Aspirin and oxygen do not qualify a response as an ALS II level. However, three separate administrations of the same acceptable medication during a single transport do qualify as an ALS level II.
(E) (1) The established fees for the levels of care shall be set at the following rates for the residents of the town and the areas contracted for the provision of such service.
Advanced life support I | $500 |
Advanced life support II | $600 |
Basic life support | $400 |
(2) The established fees for the levels of care shall be set at the following rates for nonresidents of the town and the areas contracted for the provisions of such service.
Advanced life support I | $700 |
Advanced life support II | $775 |
Advanced life support paramedic assist | $300 |
Basic life support | $600 |
(F) “Paramedic assist” is to be utilized when transport of the patient is by another agency with Town Fire Territory personnel assisting with patient care in the other agency’s vehicle.
(G) (1) In addition to the rates for the level of care provided, the following fee shall be added as an additional charge.
Transport mileage | $10 |
(2) When the transporting ambulance transports more than one patient in the same ambulance, the total mileage should be distributed equally among the patients being transported.
(Ord. 10-2012, passed 6- -2012)