(a) "Advanced Life Support Level 1 (ALS1)" is transport by ground ambulance and the provision of medically necessary supplies and services at a level beyond the scope of an EMT-Basic but within the scope of an EMT-Intermediate or EMT-Paramedic specified in Chapter 4765 of the Revised Code.
(b) "Advanced Life Support Level 2 (ALS2)" is ALS1 Service and the provision of medically necessary supplies and services including (1) at least three separate administrations of one or more medications (except crystalloid fluids) by intravenous administration or by continuous infusion or (2) ground ambulance transportation and the provision of at least one of the following procedures: manual defibrillation or cardioversion; endotracheal intubation; establishment of a central venous line; cardiac pacing; chest decompression; opening of a surgical airway; or establishment of an intraosseous line. The monitoring of the listed interventions that were placed prior to the transport also qualifies as an ALS2 procedure.
(c) "Basic Life Support (BLS)" is transport by ground ambulance and the provision of medically necessary supplies and services at a level within the scope of an EMT-Basic specified in Chapter 4765 of the Revised Code.
(d) "Emergency" is a situation that requires immediate response for the provision of medical treatment, particularly a situation in which the sudden onset of a medical condition manifests itself in acute symptoms so severe that the absence of immediate medical attention could reasonably be expected to result in serious harm to an individual's health, significant impairment of a body function, or failure of a body organ or part. An ambulance service may be considered to be of an emergency nature when an individual, at the time of transport, requires health-related assistance including but not limited to the following services: (1) immediate medical attention for a serious injury, an acute illness, or the sudden instability of a physical condition; (2) prophylatic immobilization (e.g. for a possible fracture); or (3) transport to a trauma center.
(e) "Indigency" means as the term is defined by the Department of Health and Human Services poverty guidelines in place at the time of service.
(f) "Loaded Mile" means the number of miles the patient is transported in the ambulance unit.
(g) "Non Transport on Scene Treatment" means when in response to a request for service, medical treatment is rendered to a patient. Treatment may include the provision of BLS services, and the administration of medication, but transportation to a medical facility is declined by the patient.
(h) "Non-Resident" means any person who does not maintain his or her permanent residence within the corporate limits of the City of Struthers.
(i) "Resident" means a person residing within the corporate limits of the City of Struthers, with an Ohio Driver's License or state identification card showing a Struthers address, and/or voter registration with a Struthers address, or such other proof of residency as is acceptable to the Safety Service Director or his/her designee.
(j) "Transport" means to carry out or convey a person by publicly owned or operated ambulance being used in response to a call for emergency medical service from one location to another.
(k) All of the foregoing definitions are subject to automatic adjustment by reason of changes in applicable Medicare regulations and definitions and/or other authorities, including but not limited to the Department of Health and Human Services, and Chapters 4765 and 4766 of the Ohio Revised Code and any applicable provisions of the Ohio Administrative Code, which are incorporated herein by reference. (Ord. 22-051. Passed 9-14-22.)