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Legislation #: 100122 Introduction Date: 2/11/2010
Type: Ordinance Effective Date: 3/7/2010
Sponsor: COUNCILMEMBERS SHARP, CURLS AND CIRCO
Title: Amending Chapters 2 and 34, Code of Ordinances, and integrating ambulance services into the Fire Department by repealing Sections 2-231 and 2-233 relating to the Fire Department and enacting in lieu thereof two new sections of like number and subject matter and repealing Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-373, 34-374, 34-375, 34-377, 34-378, 34-379 and 34-380 relating to the Prehospital Emergency Medical Services System, and enacting in lieu thereof Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-374, 34-377, 34-378 and 34-379 of like subject matter; and establishing an effective date; and suspending a standing rule to allow a special committee to consider and report with recommendation emergency medical services ordinances.

Legislation History
DateMinutesDescription
2/9/2010 Filed by the Clerk's office
2/11/2010 Referred to Special Committee for Emergency Services
2/25/2010 Advance and Do Pass as a Committee Substitute, Debate
2/25/2010 Passed as Substituted

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COMMITTEE SUBSTITUTE FOR ORDINANCE NO. 100122

 

Amending Chapters 2 and 34, Code of Ordinances, and integrating ambulance services into the Fire Department by repealing Sections 2-231 and 2-233 relating to the Fire Department and enacting in lieu thereof two new sections of like number and subject matter and repealing Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-373, 34-374, 34-375, 34-377, 34-378, 34-379 and 34-380 relating to the Prehospital Emergency Medical Services System, and enacting in lieu thereof Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-374, 34-377, 34-378 and 34-379 of like subject matter; and establishing an effective date; and suspending a standing rule to allow a special committee to consider and report with recommendation emergency medical services ordinances.

WHEREAS, the City has at regular intervals revised its ordinances and regulations to reflect and accommodate the changing nature of emergency medical service delivery, including both changes in the methods and capabilities of the total service delivery system and shifting organizational, economic, and occupational factors influencing the efficient and effective delivery of emergency medical services and ambulance transportation; and

 

WHEREAS, the City created an Emergency Medical Services Advisory Committee to study and report on potential improvements to the City’s emergency medical system and such Committee recommended integrating ambulance service into the City; and

WHEREAS, by Resolution No. 090232, As amended, the City Council accepted the recommendation of the EMS Advisory Committee established by Resolution No. 090074 that the City integrate ambulance service into the City; and

WHEREAS, Section 408 of the City Charter states as one of the duties of the fire department its participation in the pre-hospital emergency medical services system and such Section further provides that the Fire Department may perform such other duties as may be prescribed by law; and

WHEREAS, the City Council has concluded that the integration of ambulance services into the City can best be accomplished by incorporating the delivery and management of ambulance services into the City’s Fire Department; and

WHEREAS, the Special Committee for Emergency Services was created to assist the Council in addressing the integration of ambulance services into the City; and

WHEREAS, the Council desires that the Special Committee for Emergency Services be authorized to consider and report to council with a recommendation this ordinance and any other ordinance having as its subject emergency medical services; NOW, THEREFORE,

BE IT ORDAINED BY THE COUNCIL OF KANSAS CITY:

Section 1. That Chapters 2 and 34, Code of Ordinances of the City of Kansas City, Missouri, are hereby amended to integrate ambulance services into the Fire Department by repealing Sections 2-231 and 2-233 relating to the Fire Department and enacting in lieu thereof two new sections of like number and subject matter and repealing Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-373, 34-374, 34-375, 34-377, 34-378, 34-379 and 34-380 relating to the Prehospital Emergency Medical Services System and enacting in lieu thereof Sections 34-361, 34-362, 34-363, 34-364, 34-365, 34-366, 34-367, 34-368, 34-369, 34-370, 34-372, 34-374, 34-377, 34-378 and 34-379 of like subject matter, to read as follows:

 Sec. 2-231.  Powers and duties of director.

(a) The fire chief shall have the authority necessary to perform the duties specified in the Charter and shall have charge of all employees, buildings and equipment used for this purpose. The fire chief shall have the authority to promulgate and adopt rules and regulations for the management of the fire department, not inconsistent with the Charter or ordinances, and to impose penalties for the violation of such rules and regulations.

(b) The fire chief shall serve as the principle administrator for providing pre-hospital emergency medical services throughout the city. The fire chief shall organize and operate the fire department to provide emergency medical services and ambulance services within the city as set forth in chapter 34 and in accordance with any rules or regulations promulgated by the city manager.

 Sec. 2-233.  Maximum hiring age for the position of firefighter.

  (a)   No person shall be appointed to the position of firefighter if such person is more than 30 years of age on the last date that applications are accepted by the human resources department for such position during the recruitment period that is prior to the assembling of an eligibility list for the position. The provisions of this section shall not apply to either any person on a firefighter eligibility list when such list is in existence on, or prior to, the date this ordinance is enacted or to any person appointed to the position of chief/director or deputy chief of the fire department.

 (b)   In computing the age of a person pursuant to the provisions of this section, the total length of time that the person has previously served as a member of the fire department may, for the purpose of determining such person's eligibility for appointment to the position of firefighter, be deducted from the person's actual age. The provisions of this subsection shall not apply to a person over 45 years of age.

(c) The provisions of this section shall not apply to any person who satisfies all of the following conditions: such person was hired by the City on April 25, 2010; such person was an employee of MAST on April 24, 2010; and, such person was continuously employed by the City from April 25, 2010, until the person’s appointment to the position of firefighter.

Sec. 34-361.  Purpose of article.

 

It is the purpose of this article to define the emergency medical system for the provision of an ambulance transport system and a emergency responder service through the designation of specific responsibilities to the major components of the system, the emergency medical services coordinating committee (EMSCC), the medical director, the fire department, and the emergency physicians advisory board (EPAB), and to set forth the authority of the medical director over all segments of patient care of the prehospital emergency medical services system.


Sec. 34-362.  Definitions.

 

The following words, terms and phrases, when used in this article, shall have the meanings ascribed to them in this section, except where the context clearly indicates a different meaning:

 

Advanced life support unit means any vehicle staffed by a minimum of one paramedic and equipped to provide advanced life support care as defined by the medical director. 

 

Ambulance means any motor vehicle equipped with facilities to convey infirm or injured persons that requires transportation in a reclining position. 

 

Associate medical director means a licensed physician with some experience in emergency medicine who can fulfill all responsibilities of the medical director in their absence. 

 

Clinical privileges are the patient care activities as defined by the rules and regulations promulgated by the office of the medical director which authorizes individuals to participate in the emergency medical system. 

 

Emergency medical services coordinating committee (EMSCC) means a committee established by ordinance and with functions as set forth in this article. 

 

Emergency medical technician (EMT) means a person licensed by the state as an emergency medical technician and granted clinical privileges by the medical director as an EMT. There may be multiple levels of EMT clinical privileges. 

 

Emergency medical technician-basic (EMT-B or EMT-Basic)  means a person licensed by the state as an emergency medical technician-basic as defined in RSMo ch. 190 as the same may be amended from time to time, and granted clinical privileges by the medical director as an emergency medical technician-basic. 

 

Emergency medical technician-intermediate (EMT-I or EMT-Intermediate)  means a person licensed by the state as an emergency medical technician-intermediate as defined in RSMo ch. 190 as the same may be amended from time to time, and granted clinical privileges by the medical director as an emergency medical technician-intermediate. 

 

Emergency medical technician-paramedic (EMT-P or paramedic) means a person licensed by the state as an emergency medical technician-paramedic, as defined in RSMo ch. 190, as the same may be amended from time to time, and granted clinical privileges by the medical director as knowledgeable of and competent to perform advanced life support procedures and the medical protocols established by the medical director. There may be multiple levels of paramedic clinical privileges. 

 

Emergency physician advisory board (EPAB) means the board empowered to recommend to the medical director various standards for the operation and improvement of the emergency medical system. 

 

Emergency responder means any person or unit capable of providing the appropriate emergency care excluding the transport of patients, as evidenced by clinical privileges granted by the medical director as designated by regulation of the medical director and consistent with the provisions of this article. 

 

Helicopter rescue unit means any rotary wing aircraft providing basic or advanced emergency medical service and transportation as evidenced by current permit and designated by regulation of the medical director and consistent with the provisions of this article. 

 

Medical director shall be that person appointed in accordance with this ordinance or his designee. 

 

Medical protocol means any diagnosis-specific or problem-oriented written statement of standard procedure, or algorithm, approved by the medical director as the normal standard of pre-hospital care for a given clinical condition. 

 

Mutual aid call means a request for emergency or non-emergency ambulance service issued by an ambulance dispatcher in one political jurisdiction to an ambulance dispatcher or ambulance crew normally operating in a neighboring jurisdiction with a state licensed ambulance system. 

 

Patient means any person who is ill, injured or otherwise incapacitated, bedridden or helpless and who requires or requests ambulance services. 

 

Special events  means any event or activity occurring within the city limits of the city where there is a likelihood of attendance at such event or activity exceeding 5,000 persons, or exceeding 1000 persons in a venue where circumstances would indicate to the fire chief that EMS stand by coverage would be required on scene. 

 

Special use permit means a permit issued by the director of health to hospitals, and other institutions serving the public, for the provision of specialized mobile intensive care services. 

 

Substantiated risk of harm means findings of substantial risk of harm shall include, but not be limited to: failure to follow established medical protocols with resulting injury or death or significant medical possibility of injury or death, falsification or deliberate misrepresentation on clinical records or reports. 

 

Sec. 34-363.  Emergency medical services coordinating committee.

 

(a)   The emergency medical services coordinating committee or EMSCC is established and shall include the following individuals:

 

(1)  City manager or the manager’s designee, who shall serve as the chair of the committee;

 

(2)    Fire chief, who shall serve as vice chair of the committee and who shall be able to convene the committee in the absence of the chair;

 

(3)    Medical director;

 

(4)    One paramedic and one emergency medical technician as selected by the recognized labor bargaining group representing fire department management;

 

(5)    One paramedic and one emergency medical technician as selected by the recognized labor bargaining group representing non-management fire department personnel;

 

(6)    One city council member, as selected by the mayor, who shall serve as a liaison between the EMSCC and an appropriate city council committee designated by the mayor;

 

(b)   Role of the emergency medical services coordinating committee.   

 

(1)    The EMSCC shall be empowered to promulgate various standards, rules, protocols and regulations subject to the approval of the city manager or the city manager’s designee for the operation of the emergency medical system as recommended by the city's medical director. Such standards, rules, protocols and regulations shall not conflict with, or violate, the provisions of any collective bargaining agreement between the City and a labor organization.;

 

(2)    Recommend to the city manager the appointment of the city's medical director and provide ongoing oversight of the city's medical director and emergency medical system performance.

 

(3) Make recommendations to the city manager concerning the budget for the office of the medical director, protocol and procedures put forth by the medical director, rates, billing and collection procedures, significant changes in the deployment of EMS resources and other such EMS issues as assigned by the city manager. The EMSCC shall meet at least quarterly.

 

Sec. 34-364.  Office of EMS medical director established; qualifications of EMS

medical director; powers and duties of medical director.

 

(a)   Office of the medical director established.   

 

(1)    The office of the EMS medical director shall be established under the office of the city manager of the city.

 

(2)    The EMS medical director shall be a board certified emergency medicine physician, with a minimum of five years of clinical practice experience.

 

(3)    This shall be contracted position equivalent to at least a 0.8 of a full time position.

 

(4)    Appointed by the city manager with requested comments on the appointment by the chair of the department of emergency medicine of the University of Missouri-Kansas City School of Medicine.

 

(b)   Budget.  The office of the medical directors budget shall be annually considered and a recommendation made by the EMSCC to the city manager. The budget shall include the appropriate administrative support necessary to fulfill the duties of the medical director. The city attorney’s office shall provide support to the medical director for legal issues that may arise. 

 

(1)    Staffing.  The medical director may appoint assistants to the medical director. The assistants to the medical director must be at least a certified paramedic or have equivalent training and experience and shall have no direct supervisory or operational authority over city employees. 

 

(2)    Offices.  The offices of the medical director shall be located in proximity to the department of health in order to facilitate the public health functions and interactions of the EMS system. 

 

(c)   Powers and duties.   

 

(1)    The medical director shall serve as the primary source of day-to-day medical direction and clinical oversight of all elements of the pre-hospital emergency medical services system, including all the training and practices of all emergency responders, emergency medical technicians (EMT), paramedics, dispatchers, or other positions established by the medical director through the EMSCC by regulation, and all other participants in the pre-hospital emergency medical services system. The medical director will report to the city manager. The medical director may delegate responsibilities and duties to one or more associate medical directors who meet the qualifications of medical director.

 

(2)  Recommending regulations, standards and rules.   

 

a.    Authority to make recommendations to the EMSCC.  The medical director shall recommend regulations, standards and rules to the EMSCC necessary to implement the policy and intent of this article. 

 

b.    Standards.  The medical director shall consider but not be limited to the following factors when recommending regulations, standards and rules: 

 

1.    The protection of the safety and health of the inhabitants of the city and the employees of the system;

 

2.    Accepted standards of practice for emergency medical care;

 

3.    Accepted requirements for equipment and supplies to provide basic and advanced life support services;

 

4.    Federal and state requirements;

 

5.    Standards and recommendations of federal, state and local professional organizations interested in the provision of quality emergency medical care;

 

6.    Production standards related directly to clinical performance and patient care, including response times and effectiveness of all other segments of the pre-hospital emergency medical services system;

 

7.    Diagnosis-specific and problem-oriented medical protocols to serve as the required standard of pre-hospital emergency care;

 

8.    Procedures governing the reliable provision of 24-hour medical control;

 

9.    Procedures for the provision of medical control over the delivery of basic and advanced life support procedures by ambulance personnel and emergency responders, which may include but shall not be limited to medical control communications standards, radio protocol, medical protocol, telephone protocol and qualifications of base station physicians or emergency department nurses from whom emergency medical personnel may take direction; and

 

10.    Types and frequency of reports required of participants in the pre-hospital emergency medical services system to be submitted to the medical director.

 

(4)    Delegation of authority.  The medical director may delegate functions, but the director shall remain responsible for compliance with this article. 

 

(5)    Disaster planning and protocol development.  The medical director shall be included in planning and protocol development as part of the city's disaster planning processes. 

 

(6)    Public health education and research in conjunction with the director of health. 

 

a.    Injury and health care prevention programs.   

 

1.    The medical director will identify issues in prehospital emergency medical services, including accident and disease prevention and system availability, requiring additional study and public education. Programs to address the identified issues will be implemented as directed by the director of health.

 

2.    Studies of the probable impact on the public health of the education programs will be conducted.

 

b.    Pilot programs. The medical director may conduct other pilot programs to investigate alternative methods of delivering prehospital emergency medical services.

 

(7)    Reportable diseases.  Hospitals shall report information on victims of cardiac arrest, myocardial infarction and acute coronary syndromes, stroke, trauma, infectious diseases and other health events to entities including the medical director and in the manner determined by the medical director for patients transported to/from hospitals by the city EMS system. The reporting process may be set forth by regulation. 

 

(8)    Reports. The medical director shall prepare quarterly reports of the performance of all segments of the pre-hospital emergency medical services system based upon monthly reports of providers of services to the pre-hospital emergency medical services system and other information available to the medical director to the city manager.  The fire chief and other participants in the pre-hospital emergency medical services system, such as the director of aviation and police chief, will provide to the medical director on a periodic basis established by the medical director information required for the quarterly reports.


Sec. 34-365.  Powers and duties of the Fire department to provide ambulance

services.

 

(a)   Generally.  The fire department shall serve as the primary response and transport ambulance service for all emergency medical services and ground ambulance transport within the city as set forth in regulations as approved by the city manager. No other ambulance service shall operate within the city except for exemptions as set forth in regulations approved by the city manager. It shall be the duty of the fire department to oversee, manage and operate the ambulance/transport component and special events coverage of the pre-hospital emergency medical services system to provide quality advanced life support single tier ambulance service to all inhabitants of the city. 

 

(b)   Determination of rates; billing and collections.  The fire department shall have charge of all billing and collection functions, including the determination of reasonable rates. However, nothing in this subsection shall be construed to limit the city manager from reassigning this function to a different city department or prohibit the fire department from contracting with an entity created by ordinance to conduct billing and collection functions.  

 

(c)   Recommendations to the EMSCC and the city manager.  The fire chief shall provide recommendations to the EMSCC and city manager for the elements of the prehospital emergency medical services system. 

 

(d)   Contracts for mutual aid and shared services.  The fire department may contract for advanced life support ambulance services from neighboring providers. Such contractors shall be subject to medical review by the medical director. Consideration for such services may be financial or in kind. Nothing in this article shall be construed as prohibiting the fire department from receiving or rendering emergency mutual aid without formal agreement. 

 

Sec. 34-366.  Emergency responders.

 

(a)   Role of the fire department.  The fire department, in addition to serving as the primary response and transport ambulance service, will serve as the emergency responder agency under the medical direction and medical control of the medical director. A representative of the fire chief may serve as the primary contact with the medical director, and other elements of the pre-hospital emergency medical services system. 

 

(b)   Medical records.  Emergency responders will maintain medical records on forms approved by the medical director and fire chief for every EMS patient and/or incident. The medical director will have access to all emergency responder medical records and records of the fire department or other emergency responder agency concerning the emergency responder system. 

 


Sec. 34-367.  Emergency physicians advisory board.

 

(a)   Generally.  The emergency physicians advisory board (EPAB) is established and shall be an advisory board consisting of a minimum of four licensed physicians engaged in the full-time practice of emergency medicine, serving without compensation and which recommends to the medical director protocols, methods and measures promoting high-quality pre-hospital emergency care and makes recommendations on issues directly impacting the quality of medical care. Members of EPAB shall be appointed by the medical director following consultation with emergency medical physicians within the community and upon the recommendation of the chair of the department of emergency medicine of the University of Missouri-Kansas City School of Medicine. The term of a member shall be three years. A member may be reappointed. Meetings of EPAB shall be chaired by the medical director. In the absence of the medical director, members of EPAB shall choose from among themselves a member to chair their meetings. 

 

(b)   Recommendations to medical director.  The EPAB shall provide to the medical director recommendations concerning protocols and other medical issues affecting the EMS system within the City.


Sec. 34-368.  Extension of clinical privileges and issuance of permits.

 

(a) Personnel.  No person in the emergency medical services system shall be assigned or responsible for any patient care activities as an emergency responder, emergency medical technician (EMT), paramedic, dispatcher, or other position established by regulation and regulated by this article unless the person holds clinical privileges granted by the medical director. Those persons not employees of the city will also pass an approved physical examination. 

 

(b) Ambulances.  No ambulance regulated by this article shall be used to provide any ambulance service unless it has been issued a permit by the city's regulated industries division. 

 

(c) Helicopter rescue units.  No helicopter rescue unit regulated by this article shall be used to provide any emergency medical service in the city unless it has been issued a permit by the city's regulated industries division. 

 

Sec. 34-369.  Granting of clinical privileges.

 

(a) Clinical privileges as an emergency responder, emergency medical technician, paramedic, dispatcher, or other positions established by regulation, shall be granted by the medical director. Applications filed for temporary clinical privileges as a system intern or by those not working within the ambulance system as an employee of the city, shall be made on forms supplied by the medical director and accompanied by a nonrefundable application charge of $30.00. Nothing in this article shall be construed as requiring the city to be responsible for the cost of any required physical examination. 

 

(b) The EMSCC may promulgate rules and regulations to administer the provisions of this section as recommended by the medical director.


Sec. 34-370.  Ambulances and helicopter rescue units.

 

(a)   Application.  Applications for permits shall be made on forms supplied by the city. 

 

(b)   Criteria for issuance.   

 

(1)    The EMSCC shall promulgate regulations setting forth the requirements to obtain a permit for any ambulance or helicopter rescue unit regulated by this article, including special use permits. Helicopter rescue units shall not be subject to regulation of onboard equipment or personnel. Helicopter rescue units shall agree to submit to control by the EMS control center when in the city and not already dispatched to a non-city call. They shall be subject to medical case reviews by the medical director.

 

(2)    Only ambulances meeting at least minimum state requirements and capable of full advanced life support service may receive a permit. Permits shall be needed for all vehicles not owned or leased or in any way affiliated with the city or those not exempt as described in section 34-377. Permits issued by the city may be suspended or revoked by the city when the conditions allowing the issuance of a permit no longer exist. The city manager through the EMSCC will establish by regulation a procedure to consider the suspension or revocation of a permit.

 

(3)    The medical director is authorized to revoke or suspend any permit issued pursuant to the provisions of this article for any ambulance or helicopter rescue unit that fails to maintain the basic qualifications for issuance or otherwise constitutes a danger to the safety and health of patients or fails to meet applicable state laws including regulations promulgated thereunder.

 

(4)    Permits for ambulance and helicopter rescue units will be issued for a period of one year.

 

(5)    Deadline to renew.  It shall be the responsibility of a permit holder to request a renewal of a permit no later than 30 days prior to expiration of the current permit. The failure to renew permits by the expiration date renders the permit expired. Expired permits are neither revoked nor suspended, but is the absence of a permit. It is unlawful to perform any patient transport activity as an ambulance or helicopter rescue unit with an expired permit. 




Sec. 34-372.  Response times.

 

(a)   Ambulance response.  An ambulance or an advanced life support unit, as defined by regulation, shall have a response time standard for life threatening emergencies of nine minutes or less for 90 percent of those incidents on a City-wide basis and of nine minutes or less for 85 percent of those incidents in each ambulance response district, measured for a three-month running calendar period. 

 

(b) Ambulance response districts. For the purposes of this section, the City shall be divided into four ambulance response districts. The first district shall include generally all of that protion of the City lying north of the Missouri River, the second district shall include generally all of that protion of the City lying west of Prospect Avenue and north of Gregory Boulevard, the third district shall include generally all of that protion of the City lying east of Prospect Avenue and north of Gregory Boulevard and the fourth district shall include generally all of that protion of the City lying south of Gregory Boulevard.

 

(c)   Emergency responder.  A basic or advanced life support unit, as defined by regulation, shall have a response time standard for life threatening emergencies of six minutes or less for 85 percent of those incidents on a City-wide basis. 

 

 Sec. 34-374.  Exemption of ambulances from traffic regulations.

 

(a)   Traffic laws inapplicable.  When the senior EMS provider in charge of an ambulance has reasonable grounds to believe that an emergency exists, the driver of the ambulance may, in the same manner as other fire department vehicles: 

 

(1)    Park or stand, irrespective of the otherwise applicable rule of law established by ordinance;

 

(2)    Proceed past a red or stop signal or stop sign, but only after slowing as may be necessary for safe operation;

 

(3)    Exceed the maximum speed limits permitted by the city so long as life or property is not endangered; or

 

(4)    Disregard ordinances or regulations of the city governing the direction of movement or turning in specified directions.

 

(b)   Use of lights and siren.  The exemptions listed in subsections (a)(1)--(4) of this section shall apply only when such ambulance is making use of audible and visual signals meeting the requirements of the regulations promulgated by the medical director. The exemption listed in subsection (a)(1) of this section shall apply only when such ambulance is making use of visual signals meeting those requirements. 

 

(c)   Application to emergency responders, medical director, supervisors.   

 

(1)    Non-fire department personnel.  The restrictions and exemptions listed in this section shall apply to non-fire department emergency responders when participating in the prehospital emergency medical services system and not otherwise controlled by regulations promulgated by the supervising authority, the medical director and his assistants or associates and the fire chief. 

 

(2)    Fire department.  All the exemptions listed in subsection (a) of this section shall apply to the fire department. Emergency responders of the fire department will follow rules established by the fire chief. 

 

(d)   Safety of all persons.  The exemptions listed in subsection (a) do not relieve the driver from the duty to drive with regard for the safety of all persons. 


Sec. 34-377.  Exemptions from article.

 

(a)   Article not applicable.  The provisions of this article shall not apply to helicopter rescue units, ambulances and their personnel which are: 

 

(1)    United States.  Owned and operated by an agency of the United States government. 

 

(2)    Certain transfers.  The EMSCC may promulgate rules and regulations exempting certain ambulance transfers from some sections of this article. 

 

(b)   Request for exemption.  An owner or operator of an ambulance not exempted by the provisions of subsection (a) of this section may request exemption from the medical director. The medical director shall determine whether or not the ambulance is to be used for the sole benefit of the owner and his family in permitting use of the privately owned vehicle. 


Sec. 34-378.  Special events coverage.

 

All special events will require utilization of fire department transport ambulance service and other components of the prehospital emergency medical services system to provide first aid/paramedical stand-by services pursuant to procedures, rules and regulations adopted by the city manager. Event coordinators shall be responsible for all costs incurred by the fire department that are associated with special events coverage. Fees may be waived at the discretion of the fire department.


Sec. 34-379.  Violation of article; penalty.

 

(a)   Violations.  It shall be unlawful to: 

 

(1)    System participant.  Perform duties as an attendant, dispatcher, emergency responder, EMT, paramedic or other position established by the EMSCC through regulation without a current clinical privileges granted by the medical director. 

 

(2)    Permit unqualified persons to participate.  Permit a person to work as an EMT, paramedic, dispatcher, emergency responder, or other position established by the EMSCC through regulation without current clinical privilege issued by the medical director. 

 

(3)    Use unlawful service.  Use or cause to be used any ambulance service other than that established by this article unless exempted by the provisions of section 34-376. 

 

(4)    Provide service without authorization.  Provide ambulance services, emergency or transfer, within the city unless authorized by this article or exempted by the provisions of section 34-376. 

 

(5)    False information to dispatch resources.  Knowingly give false information to induce the dispatch of an ambulance or helicopter rescue unit. 

 

(b)   Penalty.  Any person convicted of violating the provisions of this article shall be fined no more than $500.00 or imprisoned for a period not to exceed six months, or punished by both such fine and imprisonment. This does not serve to limit any other remedies available to the city in law or equity. 


Section 2. The provisions of this Ordinance shall take effect on April 25, 2010.

 

Section 3. Notwithstanding Rule 25 of the Council’s Standing Rules, the Special Committee for Emergency Services may consider and report to council with a recommendation this ordinance and any other ordinance having as its subject emergency medical services.

 

____________________________________________________

 

Approved as to form and legality:

 

  

_______________________________

Alan Holtkamp

Assistant City Attorney