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HomeMy WebLinkAboutOrdinance No. 19294ORDINANCE NO. 19294 AN ORDINANCE CONCERNING AMBULANCE REGULATIONS; AMENDING SECTIONS 2.013, 3.005, 3.010, 3.135, 3.145, 3.160,.3.165, AND 3.990 OF THE EUGENE CODE, 1971; ADDING NEVI SECTIONS 3.115, 3.117, 3.119, 3.121, 3.123, 3.125, 3.127, 3.,129, 3.131, 3.133, 3.137, 3.139, 3.141, AND 3.143 TO THAT CODE; REPEALING SECTIONS 3.130, 3.140, 3,150, 3.152, AND 3.155 OF THAT CODE; AND DECLARING AN EMERGENCY. THE CITY OF EUGENE DOES ORDAIN AS FOLLOWS: Section 1, The table of boards, commissions and~cammi.ttees contained in subsection (1~ of Section 2.013 of the Eu ene Cade 1971 is hereb g ~ ~ Y amended by adding in alphabetical order therein the following: , 2.013 Name Number of Appointive Term Authority Members Authority Emergency Medical 7 Nominated by 2 Yrs 3.119 Code Services Baard Mayors, App't By Councils Medical Advisory 3 Nominated by 2 Yrs 3.119 and Subcommittee Mayors, App't 3.123 Cade By Councils Section 2. Section 3.005 of the Eugene Code, 1971, is hereby amended by amending the definition of "Ambulance" contained therein; repealing the definitions of "Ambulance attendant", "Ambulance driver", "Ambulance driver- attendant", and "Emergency ambulance operator"; and adding new definitions for "Emergency", "Emergency medical services ~EMS~", "Health care facility", and "Response time" in alphabetical order therein, to read and provide: 3.005 Definitions. For the purposes of this chapter, the following words and phrases shall mean: Ambulance. Any vehicle for hire that is constructed, Ordinance - 1 equipped, or regularly provided or offered to be provided for emer- gency transportation, or any transportation in the recumbent posi~- ti on of persons suffering f ram i 1.1 Hess, injury, di sabi 1 i ty, or infirmity. Emerge,n,cy~ Any non-hospital occurrence ar situation involving illness, injury or disability requiring immediate medical or psychiatric services, wherein delay i n the provision of such ser-~ vices is likely to aggravate the condition and/or endanger personal health or safety. Emer envy medical services EMS Those pre~-hospi tal fund tions and services which are required to prepare for and respond to emergencies, including fire apparatus, ambulances}, treatment, communications, evaluation, and public education. Health care facility. A hospital, clinic, or extended care facility that regularly provides medical and/ar psychiatric care or services. Response time. The period of time from receipt of a call far assistance until the arrival of EMS providers. Section 3, The table of licensed businesses set forth in Section 3.010 of the Eugene Code, 1971, is hereby amended by deleting therefrom "Ambulance attendant", "Ambulance driver", "Ambulance driver attendant", and "Ambulance owner-operator", and inserting in alphabetical order therein "Ambulance", with a notation in each Column A through F of "See Rules". Section 4, Sections 3.135, 3,145, 3.164, and 3.165 of the Eugene Code, 1971 are hereby amended, anew subsection ~5} is hereby added to Section 3.990 of that Cade, and new Sections 3.115, 3.117, 3.119, 3.121, 3.123, 3.125, 3.127, 3.129, 3.131, 3.133, 3.137, 3.139, 3.141, and 3.143 are added thereto, to read and provide: S ecific Business Re ulations 3. ll5 Ambulance -~ License and Personnel Re ui red. ~1} No person shall operate an ambulance vehicle or business within the corporate limits of the city without first obtaining a license for operation. (2} No person shall operate a vehicle as an ambulance that is not equipped, operated, and attended by the personnel as required by the rules adopted under section 3.127. ordinance ~ 2 3.117 Ambulance - Exem t Persons and Activities. The provisions of sec- tions 3.115 to 3.145 do not apply to: ~a} Vehicles owned or operated by the United States gov-~ ernment; fib} Vehicles being used to render temporary assistance to licensed ambulance operators in case of a public catastrophe or emer- gency with which the licensed ambulances of the city are unable to cope, or when directed to be used to render temporary assistance by a public official at the scene of an accident; ~c} Vehicles operated solely on private property or within the confines of institutional grounds, whether or not the inciden- tal crossing of any public street, road or highway serving the property or grounds is involved; ~d} Vehicles operating from a business location, office or headquarters outside the city, that are transporting a patient from outside the city to a health care facility within the city or are picking up a patient from within the city for transport outside the city, or vehicles which are passing through without destination in the city; fie} Any person who drives ar who attends a patient transport- ed in a vehicle under subsections ~a} to fie} of this section; or ~f} Any doctor or registered nurse who by state or federal license is authorised to attend patients, except emergency medical technicians and emergency medical technician trainees as provided under this code, 3.119 Ambulance - Emer envy Medical Services Board Created. There is hereby created an emergency medical services board far the cities of Eugene and Springfield which shall be comprised of seven ~l} members, ~nclud~ng one representative from each of the following: ~a} Lane County Emergency Medical Technicians Association, fib} Lane County Fire Defense Board, and ~c} One physician from each of the following hospitals: Sacred Heart, Eugene Clinic, and McKenzie Willamette. The hospi- tals' Emergency Department Administrator shall submit to the mayor the names of qualified physicians willing to serve , Members shall be nominated by the mayors and appointed by the city councils to serve fora two-year term. In addition, each ambulance operatorEs physician-advisor sha]1 hold an ex-officio position for so long as he or she continues to act as physician-advisor to the ambulance operator. All members shat] serve without compensation. The provisions of section 2.007 of this code apply to the emergency medical services board. 3.121 Ambulance - Emer envy Medical Services Board Powers and Duties. The emergency medical services board shall meet at the request of the city manager and shall have the following powers and duties: ~a} To propose and revise rules necessary to implement sec- tions 3.115 to 3.145 of this code. These rules may address, but are not limited to, the following areas: ordinance _ 3 1. Protocols for pre-hospital patient care; 2, Minimum equipment standards far each vehicle of an ambulance operator; 3. Protocols regarding drugs carried and used by ambu- lance operators and drugs required to be carried in each vehicle of an ambulance operator; 4. Minimum training and qualifications for emergency medical technicians of all levels employed by a licensee; 5. Response times and minimum level of care provided; 6, Minimum standards for communication systems and per- sonnel; 7. Minimum standards for information included in all patient records; S. Minimum standards for records tv be kept by each ambulance operator; 9. The amount of the performance bond that an ambulance operator is required to post under section 3.131 of this code; and 10. The terms and amounts of insurance coverage required under section 3.131 of this code. fib} To review and investigate the performance of a licensee upon the request of the city, and to make a written report to the city of its findings; and ~c} To review and investigate all applications for an initial license or for renewal and to make a written report to the city of its findings. 3.123 Ambulance -Medical Advisory subcommittee Created. There is hereby created a medical advisory subcommittee of the Emergency Medical Services Board. The subcommittee shall be comprised of those EMS board mem- bers appointed pursuant to section 3.119~c}. 3.125 Ambulance - Medical Advisory Subcommittee; Powers and Quties. The medical advisory subcommittee shall make recommendations to the Emergency Medical Services Board on all medical protocol procedures and treatment. The medical advisory subcommittee shall have the following powers and duties; ~a} To recommend a minimum level of pre-hospital patient care and clinical sophistication to be provided by ambulance operators, including training programs; fib} To recommend the minimum equipment to be contained by each vehicle of an ambulance operator; ~c} Ta recommend protocols regarding drugs carried and used by an ambulance operator, and medical treatment standards; ~d} To recommend minimum standards far information to be in- cluded in all patient care records.; 3.127 Ambulance - Administration Powers of City Mana er or aesi nee. ordinance - 4 ~1} The city manager shall have the authority to approve rules and to take action concerning licenses in accordance with the provisions of sec- tions 3.115 to 3.145 of this code. ~2} The city manager shall adopt temporary rules that shall expire 184 days from the date of adoption. ~3} The city manager, or persons designated by the city manager in writing, sha 11 have the authority to ~a} Convene the Emergency Medical Services Board; fib} Administer oaths; ~c} Audit records to assure conformance with this chapter; ~d} Certify official acts; fie} Subpoena and require attendance of witnesses at meetings or hearings to determine compliance with sections 3.115 to 3.145; ~f} Require production of relevant documents; fig} Swear witnesses; ~h} Take testimony of any person by deposition; and (i} Perform all other acts necessary to enforce the pr~vi- sions of sections 3.115 to 3,145 of this code. 3.129 Ambulance - Notice and Comment Procedure for Rulemakin . ~1} Notice of Rulemakin Prior to the adoption, amendment, ar repeal of any rule, the city manager or designee shall give notice of in- tended rulemaking by: . ~a} Making copies of the notice of intended rul emaking available to any person who has requested such notice; fib} Publishing the notice of intended rulemaking in a news- paper of general circulation. ~2} Contents of Natice, The notice of intended rulemaking shall state the subject matter and purpose of the intended action in sufficient detail to inform a person that the person`s interests may be affected, and the time, place, and manner in which interested persons may present their views on the intended action. This notice shall include: ~a} A citation of the legal authority relied upon and bear- ing upon the promulgation of the rule; fib} A statement of the need for the rule and a statement of haw the rule is intended to meet the need; and ~c} A list of the principal documents, reports, or studies, if any, prepared by or relied upon by the city manager in consid- ering the need for and in preparing the rule, and a statement of the location at which those documents are available for public inspection, ~3} ~ ortunity for Comment, The city manager shall give inter- ested persons reasonable opportunity to submit .data or views and shall con- sider fully any written submissions. Opportunity for oral hearing shal 1 be granted upon request, if such request is made within seven ~7} days after the giving of notice of intended action. No additional notice of a hearing to the general public shall be required. ~4} Emer envy Rules, Notwithstanding the above, the city manager may adopt, amend, or suspend a rule without prior notice or hearing or upon any abbreviated notice and hearing that he/she finds practicable, if the city manager prepares: Ordinance - 5 ~a} A statement of his/her findings that his/her failure to act promptly wi 11 result i n serious prejudice to the public i nter~- est or the interest of the parties concerned and the specific re a- sons for his/her findings of prejudice; fib} A citation of the legal authority relied upon and bear- ing upon the promulgation of the rule; ~c} A statement of the need for the rule and a statement of how the rule is intended to meet the need; and ~d} A list of the principal documents, reports, or studies, if any, prepared by or relied upon by the city manager in consid- ering the need for and in preparing the rule, and a statement of the location at which those documents are available for public inspection. Any rule adopted, amended, or suspended under this section is temporary and may be effective fora period of not longer than 18o days. The adoption of a rule under this section does not preclude the subsequent adoption of an identical rule under the permanent rule adoption procedures. ~5} Mailin List. Any person may request in writing that the city manager mail him/her copies of notices of intended action given pur- suant to ~1}~a}. Upon receipt of any request, the city manager shall ac k- nowledge the request, establish a mailing list, and maintain a record of all mailings made pursuant to requests. Pets t~ on Request ._nq Ado ti . ~ ~. i 6 _ ,, p on of Rule. Any interested person may petition the Emergency ~~Med~ cal Services Board -~requesti ng the ~promul a- g tion, amendment, or repeal of a rule. The city manager may prescribe by rule the form or contents of such petitions and the procedure for their sub- mission, consideration, and disposition, Not later than 3o days after the date of submission of a petition, the Emergency Medical Services Board shall make a recommendation on the petition in writing to the city manager. ~7} Factual Basis far Rule. Unless otherwise provided by ordi- nance, the adoption, amendment, or repeal of a rule by the city manager need not be based upon or supported by an evidentiary record. ~8} I~alidity of Rules, All rules shall be adopted in substantial compliance with the provisions of this section in effect on the date the ru 1 e i s adapted . 3,131 Ambulance - License Re uirements. Each ambulance operator shall: ~a} Conform with the standards, requirements, and maintenance provisions stated in the rules adopted by the State Health Division and under section 3.127; fib} Maintain and make available, upon request of the city manager, all records required by rules made pursuant to section 3.127; ~c} Employ only emergency medical technicians who are certi- fied by the State Health Division and who meet the requirements of rules adopted under section 3.127. ~d} Enlist the services of a physician advisor who shall be a resident of or actively practicing in the city; fie} Make available, upon request, written information to the public concerning rate information; ordinance - 6 ~f} Meet the response times and minimum levels of care re- quired by the rules adopted under section 3.121; fig} Render emergency medical services 24 hours a day, seven days a week. Pre-hospital medical services and ambulance transpor- tation shall be available to all persons in the service area with- out regard to race, color, creed, gender, marital status, national origin, or ability to pay; ~h} Serve a reasonable and logical service area; ~~} Submit to the city, upon approval of application, proof of performance bond and all insurance required by rules adopted by section 3.127; . ~j}r Notify the city within 1D days of any change in material information contained in the application, related materials, or 1 i cen se . .133 Ambulance A location far ~:.._ ~:p._~.~ ..:.. ,_:,...,.,_. ,License. App1 i cati ons far licenses issued under secti on~~ 3.139 ~r~~~~tage~ther with related i nformati on shal 1 be submitted by the applicant in the manner prescribed by rules issued under section 3.127. 3.135 Ambulance - Review and Tnvesti ation of A lication. (1} Within thirty (3D} days after receipt of an application, the city manager or designee may inspect and test all vehicles and equipment and inspect all proposed vehicle location sites and crew quarters. ~2} The Emergency Medical Services Board shall review and investi- gate each application and shall make a written report to the city manager with its recommendation as to the ability of the applicant to meet the re- quirements for a license. 3.137 Ambulance - Tssuance of License. The city manager may issue a requirements of section 3.127. license upon finding that the applicant has met all state and county law, this code, and all rules adopted under 3.139 Ambulance - License Term and Renewal. ~1} A license shall be valid from the date of issuance to the next fallowing thirtieth day of June and shall be renewable annually fora term of one year, commencing on the first day of July. ~2} An application for renewal of an annual license shall be sub- mitted to the city at least sixty ~5D} days prior to its expiration date, and shall be accompanied by the required fees and other required documents, ~3} The Emergency Medical Services Board shall make a written re- port to the city manager regarding the past performance of the operator/ provider applying for renewal, . ,~4} An ambulance operator shall give the city 18D days notice of an intention to terminate service. 3.141 Ambulance - Qenial, Revocation or Sus erasion of License. Qrdinance - 7 ~1} Upon request of the city manager, the Emergency Medical Ser- vices Board shall make a written report to the city regarding the past per- formance of the ambulance operator. . ~2} The city manager may revoke or suspend a license upon find- ~ng that a licensee fails to meet the requirements of this Cade or is doing business in violation of this code or applicable federal, state, or county laws, ordinances, rules or regulations ~3} Any person whose license has been denied or revoked far a total of two times within one year, flr who has had a total of four denials or revocations shal 1 be disqualified from app1yi ng fora 1 icense for a period of ~2} years from the date of the last revocation or denial. 3.143 Ambulance -Abatement of ~tiolations. ~1} Upon finding that a violation of sections 3.115 to 3.145 of this code, or applicable federal, state, city or county laws, ordinances, rules or regu1 ati ons has occurred, the city shat 1 provide written notice to the ambulance operator of the violation and demand that the violation be corrected within a reasonable time as specified in the notice. The notice shall describe with reasonable certainty the violation and the action nece s- sary to correct the violation. ~~} Tn the event of a notice under subsection ~1} of this section: ~a} The licensee shall notify the city when corrective action has been taken, and the city shall then cause an inspection to be made to determine compliance. fib} Tf the licensee fails to take corrective action within the time required, the city may take action under section 3.145 to revoke or suspend the license. ~3} Tf the city finds that the violation constitutes an immediate danger to the public health and safety= the manager may, by administrative order direct the immediate cessation of activities under the license pend- ing a hearing by the hearings official. 3.145 Ambulance -Prohibited Activities. No ambulance operator or ambulance operator's employee shall: ~a} Make a false statement of a material fact, or omit dis- cl osure of a materi al fact, i n an application fvr a 1 icense; fib} Monitor or intercept anather's radio dispatch or transmission for profit or gain; ~c} solicit information as to accident locations by payment of any form of gratuity; (d} Charge for services not performed, make duplicate charges for the same service, or charge rates exceeding those on file with the city manager; fie} Perform services of an emergency medical technician or emergency medical technician trainee unless authorized by state law, this chapter, and the rules adapted hereunder; ~ f } Fai 1 ar refuse to promptly advise the dispatch office of receipt. of a request for emergency medical assistance or when a licensee's ambulance becomes available or nan~available to res~- Ordinance - S pond to dispatch orders; fig) Respond by ambulance to an emergency call unless so auth- orized by a dispatch office or under a provision of this chapter or rule adopted hereunder; ~h~ Fail or refuse to respond to a dispatch order from the dispatch office when the ambulance subject to the call is avail- able far service; ~i} Falsify, deface or obliterate any license or certificate required under this chapter; or ~j} iiiolate any federal, state or county law, or any other city ordinance. .1G0 Fumy ate on and_ Di si nfe_, t~ on g-...._' .,.,,..,,, ,,.,, „_. . c,'~. A f i r s t aid v e h i c 1 e o r i n v a l i d o r wheelchair coach carry~~~ng a patient afflicted with a conta ions or g infectious disease shall thereafter be carefully and thoroughly fumigated and disinfected under rules of the county health officials, before being used for another patient. 3.165 Res onsibility of D erator. A first aid vehicle or invalid or or wheelchair coach operator shall supervise his or her employes, inspect his or her equipment to assure that at all times it meets the requirements of this code, and maintain a record of all equipment inspections that sha11 be available for review by the city upon 24 hour notice in writ- ing. The operator shall not permit a person who is under the influence of intoxicating liquor.or drug to drive an ambulance, first aid vehicle, or invalid or wheelchair coach, or to accompany the same as an attendant. 1n Zn the event an employe violates a provision of this chapter, the operator may be held responsible and his or her license may be revoked for the viola- tions. 3. g~D penal ti es - S eci f i c. ~5} 1n addition to any other procedures and remedies provided by law, violation of sections 3.115 to 3.145 shall be punished by a fine not to exceed $1,000. Section 5. Sections 3.130, 3.140, 3.150, 3.152, and 3.155 of the Eugene Code, 1971, are hereby repealed. Section 6. That the matters contained herein concern the public health, welfare, and safety and therefore, an emergency is hereby declared to exist, and this ordinance shall become effective immediately upon its passage by the City Council and approval by the Mayor. Qrdinance - ~ Passed by the City Council this 19th day of November, 1984 City Re rder Approved by the Mayor this 19th day of November, 1984 f Mayor ordinance _ 10 • TEMl~~tARY AMBULANCE RIILFS A. Minimum Ambulance and E ui ment Standards. 1. Ambulances shall be of the federal ambulance specification KKK 1$~2-A type 1 or type 3, ~. each ambulance shall contain, in addition to the equipment standards set by the State of Dregon, the fallowing equipment ediatric defibrillator paddles ~l set~~ pediatric mast garments p ~1 pair}, adult mast garments ~2 pairs}, pediatric laryngoscope size with s trai ht blade}r adult laryngoscope with straight ~ 1 g and curved blades -all laryngoscope handles and blades shall be made of chrome or stainless steel, firm extrication collars 3 sets one eac'n of ~ ~ size small, medium and large}, ~2} Kendrick extraction devices ar equivalent -- short or half spine boards are not acceptable. ll ambulances shall be maintained according to manu-~ ~s A facturer's recommendations, Complete maintenance retards shall be maintained and made available to the city upon request. B. Minimum Cormnunications Sstems and Personnel. 1. The communi cat ions center shall comply with the 1884 National Fire Protection Association Manuals, Chapter 2 ~~ 2--1.1. ~; 2~-1.2.1; 2--1, 2.5; and 2-~1.2.6. 2. Radio consoles} shall have Gros s-channel, phone patch capabilities. • 3. The console shall have the capability to camrr~una~cate on frequencies 154.43a and 154.205 khz. - 4. All dispatch communications personnel shall possess 1 Rules - .t:a - ; ~n• .: r,.~~,: •.n~;.^:•.iauvr,~.'- a~~:~;'~zh.e ~'Y:~o*~R,`i~. n~~~~-r.°.^•"~1:.: ~ •~_. w:r~ .r..-,fir r:+: `fS'^ r .~ _ _ lf3n~:":~.. a minimum of First Responder EMS certification. 5. Emergency phone lines and all radio frequencies in the dispatch center shall be recorded with a 24-hour, time--taped device, capable of playback to desired second. In addition, the emergency telephone line shall be equipped with a voice recorder for immediate playback of distress calls. 6. T he communications center shall store the ~4 hour timed tapes for no less than seven months. The city shall have access to any or all tapes upon request. 7. The communications center shall be equipped with a back up power source capable of maintaining all f unctions of the center. $. All ambulances shall be equipped with 1D4 watt multiw channel mobile radios. Each ambulance shall contain one five watt, multi--channel , portable hand--held radio . C. Minimum Levels of Training, Including Continuing Education far Emer enc Medical Technicians Em to ed b Licensees. Consistent with the Various Functions performed b Such Emer enc medical. Technicians. 1. An arnbula nce shall be staffed by at least two Oregon state certified EMT's, one state certified at or above EMT zI and one state certified at EMT Iv training level. The EMT Iv shall be ~in attendance of the patient in 2. the patient compartment of the ambulance when transporting patients to a health care facility. 3. Neonate care : when an ambulance is operating as a 2 Rules neonatal in~t ensive care unit transporting a patientr at least one Dregon State certified EMT at or above the EMT I level sha~.l be in attendance in the vehicle, In additions the appropriate hospital shall furnish the medical team who attends the patient. If no medical team is furnished the vehicle shall be operated as an ambulance vehicle only. 4. All first responders and EMT's I, IIr III, and zv shall adhere to the continuing education requirements as set forth by the state of aregon. Each EP~iT III and Iv shall be certified by the American Heart Association as provider of advanced cardiac life support. D. Procedures and • Pre--Hos ital Treatment Protocols for the various T es of Emergencies to Which Licensees Res ond. 1. The ambulance operators and his or her employees shall comply with all protocols and procedures outlined in the pity of Eugene Pre~Hospital dare N~anual. E. Procedures for Monitoring Performance of E~ner enc Medical Technicians and Res onse Times of Licenseesr Including Procedures for Submission b Licensees of Re ular Re orts Concernin Pre--Ros ital Care of Patients. • 1. The operator/provider shall provide regular field evaluations of ENT's. The field evaluations shall be done no less than biannually. The evaluation form shall be approved by the city managez or designee. Records of the evaluation shall be maintained and stored. The city shall have access _ to any and all field evaluations upon request. 3 Rules .'k", 1x~H ~ z" ~~ . . ~. ~r~.... ~~x ++~nr; s::a^^~,nt;~rJ»t~r,»w:, -~crx~; >:n~•{a~ c~~;r:, ,•:r•';'.^.?nr•:3:~^.~a~!:. ;r*' rr~~~?:. :"",s"•~`rr.,: xd':+:itir~.C ~.~. C~cx~. ~~' r ._~."":a~3. .,,•.w•~~r,.-~..;~v •..:tir.*.~s.:vc.'.. .. .. .. ~~~t5i31J'+.~~. wa1~r",r4v., .~. ... .....~ _.. .. .... .. .. .. ... ,;.~1•~,.. ~ ~ ~.•. .~ ~. ~.. ,~.. ... ~i~._..•4 U.c..'+.'w ~,d•7t ~.+ •Z...[:~ip~h~...4..r^.~, a:4'.. .~.^!.... ._ ~. Th,e response time for all emergency calls shall be compiled monthl b the operator/provider . This report shall ~' Y be submitted to the city by the last day of the first week of the month following the report month. Any emergency response ' h 8 minutes shall be listed separately. The time ever eig t { ~ report shall give the paint of dispatch of the first response ehicle and or ambulance, and the location of the incident. v / F. Procedures for Submission and Review of Citizen Coin laints ~;oncerning Pre~Hospital Care Provided b Licensees: 1. A co of an written complaint regarding EM5 delivery py Y or billin shall be directed to the city where it is to be kept g on file, 2, The cit may forward copies of the complaint to the y Emer enc ~~edical Services Board for review, This board may g Y recommend corrective action to the City Manager. G. Performance Bond; Insurance Covera e: 1. The ambulance operator shall furnish to the city a performance bond in the amount of $500,OOD. mb lance o erators shall submit to the city, upon ~. A u p approval of license application: ' f irate of insurance with a thirty ~a~ A ce rti {30~ day notice of cancellation; r t i f i ca to of com rehens ive auto/general tb~ Ace p liability insurance with a combined single policy limit of $5 million dollars; ~c} A certif irate of ambulance malpractice liab~.lity ~ Rules insurance coverage with a policy limit of $5 million dollars. 3. The City shall determine the acceptability of the policy form and the underwriting insurance company before a ~,icense is issued. H~ Each ambulance vehicle shall be housed in a heated and secure garage; crew quarters shall conform to the standards set forth in the current Uniform Building Cade for residential occupanc ~. es ~ dwell ings ~ . I. The ambulance operatoz shall maintain a patient care record for each patient transported in response to an emergency. Each record shall include the following information: . ~.. Name of patient;. ~. Time of dispatch; 3. Time enroute; 4. Time of arrival at incident; 5. Time of departure from incident; ~. Time of arrival at hospital; 7. Time when ambulance becomes available for further service; $. Names and certification levels of attending emergency medical technicians; ~. Beginning and ending mileage of each response; lQ. Point of dispatch; • 11. Unit number; 12. Incident address; and 5 Rule s ~• •n.•...~ r~.un:;u •; gip. Irv.:,' ~.r!°«,~y:rr;~~Y!r'^z.~s~.rox~.~;..y.~. :,~oa ~;':;oxt"i~~?~:-.~nv,.t~!.wxy~rPkc~.r ~~+%~?:•i~j" 8 °r?~'J+.:,~;{~%'." .~ a . ,'•.t~!a'•i'c~ ,.t..~..`s u. ~ .. ;. ., . .. .,, ...~ . ~ ~. .. .. '. 4w,: ,... ,..., ~'~a.+ ~~.. "i~T /T f ,. r..n..U..,.,li ~~,~. 13. Description of injuries and care provided. J. Applicatian for License: 1. An application for a new license or renewal of a license required under sections 3.115 and 3.139 of the Eugene Coder 19?l. shall be accompanied by a $l~~ ~ fee, Application fees shall ~. not be refundable, A licants shall make requests for an Ambulance Business 2. pp License on forms provided by the City. Attachments required by the form shall be included with the application form, . 3. Upon receipt of an application: a. Review shall not begin until all requested information is provided; b. The City may require the applicant to supply additional information necessary to determine the applicant's qualifications; c. An applicant shall present information to show that his/ her proposed service area is logical and reasonable. The information provided shall include consideration of the following factors: ~1} Location of applicant's equipment; ~2~ Amount and type of applicant's equipment; . X33 Number and qualifications of appli- cant's employees; 4 Set s eed limits of streets and - ~~ p highways within proposed aervlCP. area; .~ 6 Rules. ~5} Terrain of service area; i.e., hills, curves, dirt roads that may be encountered; ~6} Controlled intersections; ~7} one way streets; ~S} Railroad track placement; fig} Required response time; l~ Ability to interface•with existing ~ } emergency medical. services communications systems; X11} Ability to interface with existing emergency medical services, X12} Need and necessity of applicant's additional services for the proposed service area. Cit Mana er shall issue a decision ~d} The y g within thirty ~3~} days of the submission of a complete a lication form and required attachments. In making pp a decision, the City Manager may consider a ny of th e information rovided . in the written report of the p . Emergency Medical Services Board. 4. If an application for a new issuance ar a renewal is approved, or approved with conditions, the City shall notify the applicant in writing. The ynotice of approval shall state: the reasons for approval, any conditions placed on the approval, and the effective issuance date. 5. If an application for a new issuance or a renewal 7 Rules ~.v.:•;:e:~a..::m:~~,:^S":.~."/Yn0.+!rR::.f+~~;~'~~?SrisG'~E.Y~~U~?SF~~;, i,:t%y`Fyn;iE:;~~~~'~i~"~~e~¢~°'p.~`,,.~t r.~~ ....... ... .. _.. .-.,~"~..~4.~'~:n.~ti5~~ ..r.?ti~... . is denied o~ revoked, the City shall notify the applicant in wittin The notice of denial shall state the reason for denial g and inform the applicant of the provisions for appeal. G. Any applicant whose license has been denied or revoked ma , after ninety ~g~} days from the date of denial ar revocation, y a l for a license upon payment of the application fee and pp y submittal of an application form. 7. A n a plicant whose application has been denied or p revoked mays within• ten ~1~ } •days of the notice of denial or revocation, appeal in writing to the Gity Manager. The appeal shall state: ~a~ The name and address of the applicant; fib} The intent to appeal the decision; and ~c3 The reason the determination is incorrect. . 8p An applicant who fails to file a notice of intent ' eal within ten 1~ da s waives the right to appeal, za app ~ } y wi th i n f i f teen ~ 15 } days o f receiving the notice of 9. ' o eal the Cit shall arrange for the hearings official intent t app , y to hear the ap eal. The applicant shall be given five ~5} days p written notice of the hearing date, time, and place. 1~. At the hear in , the applicant may present testimony g and oral ar ument personally or by counsel. Rules of evidence g as used by courts of law will not apply. . ~1, The hearings official shall make a decision in writing ' da s of the hearin The decision of the hearings _. w~th~n ten ~1~} y g official is f final , ~ - - S Rules r~ .;~,a,.,:.xs,,,..r;e n:c ~.~:~;,;<H-+,;~, ...~•~.~::?`~~`?'P~::~"k'~?".'~r:n+":iaM~t.~-,C.'~;,. {4"',~s~':L~~'~y''~ i^•; ." ~''~''",. ~. a K. Minimum Response Times and Minimum Levels of dare to be Provided: 1. The ambulance operator shall respond to an emergency within f our ~4 7 minutes or less 9 5 0 of the time and sha 11 be ready to provide the following services: . ~a} Perform patient assessment and evaluation; fib} Provide emergency first• aid for relief of • airway obstruction, airway ventilation, oxygen adminis- tration; ~c} Cardiopulmonary resuscitation; • ~d} Control of external hemmorhage;~ fie} Spinal immobilisation; ~f} Extremity immobilization; fig} Bandaging; ~h} Assist emergency childbirth; and ~i~ On scene communication capability with responding unit that provides advanced level of care. Z. In an emergency, in addition to the requirements of I.1., within eight t8} minutes 950, of the time an ambulance operator shall have an ambulance vehicle respond and shall be ready to provide the following services. ~a} Endotracheal intubation; fib} Esophageal intubatian with EGTA; ~c} Suctioning; 4d} Administration of intravenous solutions; .. fie} Medication administration has approved by 9 Rules M-. ~. ,n., ~ruc:•;:y^~r~,.,:;,:...•~^::~~~ '] ^'j y'r:r:.r• + ~ ~'o ~'•.;:a'~.+:,an.-3~:.a^y".!yet"''•"~~?,~-t•"~~J'.°~?'.~~~.'~ ._ ..4,.t , ti.. 1 .~~. .,., 4~'•'i' ~- . L,;k:we w,~'.«:,+' w~Y r :i..f"r,•. Y.ii: '~n..Ay..; '" rou '; 7'.. N •.. - +.,. •+:.F;,^.5.~ ~~„•7%„3't;F...:cF:". :3eG" '.':+,.$.0 ,.•r .i'w{v YI:F.''~~ :W..• s~•::. e.-F.:`v,w":~' n~+ :,i• r~':::f:tL~ti~redJLri. 'E4 ..':a~iSY '~' .,.:.:ai% .«w «~ ~ 'L"•"v4•'': ci:~2 ~^rr:sti+sk'eKsW7PJ~•.w~i~d.7~:3s`'SC4':~., y.7.:i~.' ...,.w~'~~"':~~n::~•~."c"Lw4w~'rvrv.:1s~.i.S'•.r _Crk•~;e[)': '~fi~{+~i'~rcr?•)~~!~Jc~r'~`~.:fr~'~,,.~`:f: ~': } ~ , Y Medical'Advisory Board; • ~f~ cardiac monitoring and. electrocardiogram interpretation; fig} Defibrillation; ~h} M.A.S,T, garmet application; and ~ i ~ on scene communication capability with receiving medical facility. t~. None of the fees, bondsr or insurance requirements provided for herein shall be required if the applicant is a municipality. • The foregoing Temporary Ambulance Rules adopted this -1 day of P~ovember • , 1984, pursuant to the rovisians o A f Section 3.127 of the Eugene Code, 1971, to be effective for a period of 18~ days fxom the date hea~eof unless earlier replaced by permanent rules adapted in accordance with the provisions of Section 3.129 of the Eugene Code, 19?1. Miche 1 D. eason • City nager ~.~Rules DEPARiME)yT OF FINANCE DATE RECEIVED FOR FILING DEC 71984 ' FILE N0.OR REF.