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HomeMy WebLinkAbout800467.tiff 1 v_; c Recorded at 41.._.. ._. --*clock .. M `' ::._._ EMERGENCY g°°``909 Rec. No. 1831429 O3'�,�*/�,,, ,�".o.c /S —/ I U eifr State of Colorado, Weld County Clerk & Recorder ORDINANCE NO. 77 IN THE MATTER OF THE REPEAL AND RE-ENACTMENT WITH AMENDMENTS OF ORDINANCE NO. 21, AMBULANCE SERVICE RULES AND REGULATIONS. a BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO: m WHEREAS, pursuant to the recently modified Colorado Emergency C' Medical Services Act Rules and pursuant to the recommendation of the Department of Health, Education and Welfare, the Board of County Commissioners of Weld County, Colorado deems it advisable to amend the Ambulance Services Rules and Regulations ordinance to include the newly defined role of the Emergency Medical Techni- cian - Paramedic (EMT-P) . NOW, THEREFORE, BE IT ORDAINED by the Board of County Com- missioners of Weld County, Colorado that Ordinance No. 21 pre- viously enacted be, and hereby is, repealed and re-enacted with amendments as follows: Section 1 - Purpose 1. 1 The purpose of these Rules and Regulations is to set forth the requirements for the planning and imple- menting of high quality emergency medical services for the people of Weld County. The application of these Rules and Regulations will assist in providing high quality emergency medical services to all citizens of Weld County. It is the intent of the Board of County Commissioners that the emergency medical ser- vices in Weld County will consist of at least trans- portation, treatment, communications, training and documentation systems designed to prevent premature mortality and to reduce the morbidity that may arise from serious injuries and illnesses. 1. 2 - Delegation The Board of Weld County Commissioners designates and delegates to the Weld County Health Department 800407 ,OO( 909 1831429 the authority to manage the County' s emergency medi- cal services program. Under the direction of the Board, inspections, licenses, permits , applications, and other functions necessary to implement these Rules and Regulations shall be the responsibility of the Health Department. Section 2 - Definitions 2 . 1 The following definitions shall apply in the inter- pretation and enforcement of these Rules and Regula- tions: 2 . 1-1 "Ambulance" means any privately or publicly owned land vehicle especially constructed or modified and equipped, intended to be used, and maintained or operated for the transpor- tation upon the streets and highways in this state, of individuals who are sick, injured, or otherwise incapacitated or helpless. 2. 1-2 "Ambulance Driver" means any person authorized to drive an ambulance in this county as pro- vided in these Rules and Regulations. 2 . 1-3 "Ambulance Service" means the furnishing, operating, conducting, maintaining, adver- tising, or otherwise engaged in or professing to be engaged in the transportation of patients by ambulance. Taken in context, it also means the person so engaged or professing to be so engaged. 2. 1-4 "Ambulance Service License" shall mean those licenses issued by the Department following satisfactory fulfillment of the conditions found in these Rules and Regulations. 2. 1-5 "Ambulance Vehicle Permit" shall mean those permits issued by the Department with respect -2- go°( 909 1831429 i 8-.3 to an ambulance used or to be used to provide ambulance service in Weld County. 2 . 1-6 "Applicant" shall mean that person who is an initial applicant or an applicant for renewal for an ambulance service license, ambulance vehicle permit, or Emergency Medical Techni- cian License (B-P) . 2 .1-7 "Board" shall mean the Board of County Commis- sioners of Weld County. 2. 1-8 "County" shall mean Weld County, Colorado. 2. 1-9 "Department" shall mean the Weld County Health Department. 2. 1-10 "Director" shall mean the Director of the Weld County Health Department. 2.1-11 "Emergency" means any actual or self-perceived event which threatens life, limb, or well-being of an individual in such a manner that a need for immediate medical care is created. 2. 1-12a "Emergency Medical Technician - Basic" means an individual who holds a valid Emergency Medical Technician - Basic certificate as issued by the Colorado Department of Health. 2. 1-12b "Emergency Medical Technician - Paramedic" means an individual who holds a valid Emergency Medical Technician - Paramedic certificate as issued by the Colorado Department of Health. 2. 1-13 "Emergency Medical Technician License (B-P) " shall mean those licenses issued by the Depart- ment following the satisfactory fulfillment of the conditions found in these Rules and Regulations. 2. 1-14 "Patient" means any individual who is sick, injured, or otherwise incapacitated or helpless. -3- a°°'`. 909 1831429 2 .1-15 "Rescue Unit" means any organized group char- tered by the State of Colorado as a corpora- tion not for profit or otherwise existing as a nonprofit corporation whose purpose is the search for and the rescue of lost or injured persons and includes , but is not limited to , such groups as search and rescue, mountain rescue, ski patrols (either volunteer or pro- fessional) , law enforcement posses , civil de- fense units, or other organizations of govern- mental designation responsible for search and rescue. Section 3 - Requirements for Licensure of Ambulance Services and Ambulance Vehicle Permits 3. 1 After January 1, 1978 , no person shall provide ambulance service publicly or privately in Weld County unless that person holds a valid license to do so issued by the Department, except as provided in subsection 3. 4 of this section. The license for each ambulance service and renewals thereof, issued by the Department shall require the payment of a fee in the amount of Fifty Dollars ($50. 00) . The Department, with the approval of the Board, shall waive payment of such fees for ambulance services operated by municipalities , special districts, or other not-for-profit entities. 3. 2 In addition to the license required by Section 3. 1 for an ambulance service, the Department shall issue a per- mit for each ambulance used. Said Ambulance Vehicle Permit shall be issued upon a finding that the applicant' s vehicle and equipment comply with the requirements of these Rules and Regulations. Each Ambulance Vehicle Permit issued by the Department shall require the pay- ment of a fee in the amount of Twenty-Five Dollars ($25. 00) . The Department, with the approval of the Board, may waive or reduce the payment of such fees -4- 5cO 909 1831429 idrse for ambulance services operated by municipalities, special districts or other not-for-profit entities. 3. 3 The Ambulance Service License and Ambulance Vehicle Permit shall be valid through December 31st of the year issued. 3. 4 The provisions of Section 3 shall not apply to the following: 3. 4-1 The exceptional emergency use of a privately or publicly owned vehicle, including search and rescue unit vehicles, or aircraft, not ordinarily used in the formal act of trans- porting patients . 3 . 4-2 A vehicle rendering services as an ambulance in case of a major catastrophe or emergency when ambulances with permits based in the localities of the catastrophe or emergency are insufficient to render the services re- quired. 3.4-3 Ambulances based outside the State of Colorado or Weld County which are transporting a patient in Colorado. 3 . 4-4 Vehicles used or designed for the scheduled transportation of convalescent patients , handicapped individuals, or persons who would not be expected to require skilled treatment or care while in the vehicle. 3. 4-5 Vehicles used solely for the transportation of intoxicated persons or persons incapaci- tated by alcohol as defined in CRS 1973 , but who are not otherwise disabled or seriously injured and who would not be expected to require skilled treatment or care while in the vehicle. -5- 909 1831429 3. 5 Every applicant for an Ambulance Service License or an Ambulance Vehicle Permit shall complete and submit to the Department an application for approval. Said appli- cation for approval will contain but not be limited to the following information: 3 . 5-1 The name, address and telephone number of the owner of the ambulance service. 3. 5-2 Description of the ambulance (s) , including the make, model , year of manufacture, Colo- rado state license number, motor and chassis number, and the length of time the vehicle has been in service. 3. 5-3 The location and description of the place or places from which the ambulance service will operate. 3. 5-4 The name, address and telephone number of the advisory physician to the ambulance service, if such an advisor has been appointed. 3. 5-5 Such other information as the Department may require to make a fair determination. 3. 6 After receipt of an original application for an Ambu- lance Service License or an Ambulance Vehicle Permit, or a renewal thereof, the Department shall review the application and the applicant' s record and provide for an inspection of equipment and vehicle (s) to determine compliance with these Rules and Regulations . 3. 7 In addition to the inspection required at the time of application, the Department shall also inspect all ambulances at one other time during the year. The inspections of the ambulances and related equipment shall cover but not be limited to the following items : condition of the vehicle, safety and warning systems, emergency medical equipment, supplies , basic sanitation, -6- 1831429 $O°'`' 909 i s --1 and other requirements adopted by the Department. Each vehicle shall display evidence that the vehicle has passed the state motor vehicle inspection within the past year. Equipment carried on the ambulance shall meet or be equivalent to the minimum require- ments set forth in the latest edition of the American College of Surgeons Committee on Trauma publication, "Essential Equipment for Ambulances. " The Department may modify this regulation or adopt additional re- quirements with the consent of the Board. 3. 8 Each ambulance vehicle shall be equipped with such lights , sirens, and special markings as required by 42-1-102, CRS 1973 , as amended, as to designate it an ambulance. The vehicle shall also meet all appli- cable state regulations now in effect or hereafter adopted. 3. 9 The license form issued by the Department shall be displayed in a location approved by the Department. The permit sticker issued by the Department shall be displayed in the patient area of the vehicle. 3. 10 All licenses and permits shall be renewed annually, shall expire on December 31st of the year issued, and shall not be renewed until the application has been approved by the Department. All applications for renewal of licenses and permits shall be made not later than sixty (60) days prior to the date of expiration. Each permit shall be issued only for the vehicle described in the application and no license or permit shall be transferable or assignable. 3 .11 Obtaining or attempting to obtain a license or permit by fraudulent means or misrepresentation shall be grounds for denial, suspension or revocation of the license or permit. -7- gOC,- 909 154 Section 4 - Requirements for the Operation of Ambulances 4.1 No patient shall be transported in an ambulance in this county after January 1 , 1978 , unless there are two or more individuals , including the driver, present who are authorized to provide emergency medical ser- vices except under very unusual circumstances when only one authorized person is available. At no time shall there be less than two individuals who are qualified to drive the vehicle. 4. 2 At all times there shall be at least one (1) emer- gency medical technician (B-P) in an operating ambu- lance and the emergency medical technician (B-P) shall be in the patient compartment when a patient is being transported. 4 . 3 The driver of any ambulance shall possess a valid Colorado drivers license and a current American Red Cross Advanced First Aid Card or an Emergency Medical Technician Certificate (B-P) . 4 . 4 Ambulance design and equipment shall provide sufficient space and capablity for the performance of cardio- pulmonary resuscitation, airway maintenance, suction- ing, hemorrhage control , shock care, dressing of wounds and burns, immobilization of fractures, oxygen therapy, and a ceiling height sufficient for adequate adminis- tration of IV fluids. Additional design criteria shall be adopted by the Department with the approval of the Board. 4 . 5 No ambulance shall operate in Weld County unless it is covered by a complying insurance policy as defined in Section 10-4-703 , CRS 1973, as amended. Evidence of such insurance policy shall be submitted with the application for an Ambulance Service License. -8- 5OO\4 999 1831429 ► 5-9 Section 5 - Requirements for Licensure of Emergency Medical Technicians (B-P) 5. 1 No person shall operate with Weld County as an Emer- gency Medical Technician (B-P) without having a valid license issued by the Department. 5 .2 Every applicant for an Emergency Medical Technician License (B-P) shall complete and submit to the Depart- ment an application for approval. Each applicant must have a valid Emergency Medical Technician Certificate (B-P) issued by the State Department of Health. Said application shall contain but not be limited to the following information: 5. 2-1 Full name, address , telephone number of ap- plicant, applicant' s date of birth, height and weight, color of eyes and hair. 5 . 2-2 Date of Colorado Department of Health Emer- gency Medical Technician Certification (B-P) or recertification. The certificate number shall also be submitted along with the num- ber of the applicant' s Colorado driver ' s license, if applicable. 5. 3 All emergency Medical Technician Licenses (B-P) shall be renewed annually, shall expire on December 31st of the year issued, and shall not be renewed until the application has been approved by the Department. All applications for renewal of license shall be made not later than sixty (60) days prior to the expiration date of said license. Each license shall be issued only for the person named in the application, and no license shall be transferable or assignable. The fee for such licensure shall be five dollars ($5. 00) . The Department, with the approval of the Board, may waive payment of such fee. -9- ,3p°K 909 1831429 15- )0 5.4 Obtaining or attempting to obtain an Emergency Medical Technician License (B-P) by fraudulent means or mis- representation shall be grounds for denial, suspen- sion or revocation of said license. 5. 5 The Department may grant an Emergency Medical Techni- cian License (B-P) to a licensed physician, a regis- tered nurse or other medically trained person who may be engaged in the regular transportation of patients in an ambulance covered by these Rules and Regulations. Such person shall file a request for a license with the Department along with information sufficient for the Department to make a fair determination. Section 6 - Suspension or Revocation of License or Permit; Conditional Permits 6. 1 The Department after notice and opportunity for hear- ing by a licensee of an ambulance service or an Emer- gency Medical Technician (B-P) may suspend or revoke the license in any case in which it finds there has been failure to meet or maintain compliance with these Rules and Regulations , incompetent care, or an attempt to obtain a license by fraudulent means or misrepresentation. 6. 2 The Department may grant a conditional license to an - ambulance service in operation before January 1, 1978 , if such service is not in compliance at the time of initial application. The conditional license shall be valid for no more than ninety (90) days. No con- ditional license shall be issued to an ambulance ser- vice beginning operation after January 1 , 1978 . Such conditional license shall require the ambulance ser- vice to provide the Department within thirty (30) days of issuance with either an acceptable written plan of action to comply with these Rules and Regulations or evidence of such compliance. Application for a con- ditional license shall include the following information: -10- e0O( 909 1831429 la- U 6. 2-1 Name, address, and telephone number. 6 . 2-2 Description of each ambulance, including make , model, year of manufacture, Colorado State license number, motor vehicle chassis number, and length of time vehicle has been in service. 6. 2-3 Location and description of place or places from which ambulance service will operate. 6. 2-4 A statement indicating that: a) Each ambulance operated by the ambulance service has passed the state motor vehicle inspection within the past twelve months. b) Each ambulance has equipment that meets the minimum requirements set forth in the latest edition of the American College of Surgeons Committee on Trauma publica- tion "Essential Equipment for Ambulances" or its equivalent. c) Each ambulance driver has a valid Colo- rado drivers license and , at a minimum, a current American Red Cross advanced first aid card. d) Each ambulance attendant, other than the ambulance driver, has an Emergency Medical Technician Certificate (B-P) issued by the Department of Health. e) Each ambulance is covered by the pro- visions of the Colorado Auto Accident Reparations Act. 6. 3 The Department, upon finding that the information and statements requested in the application form have been completely supplied and upon determining that such information and statements are sufficient indication of the applicant' s compliance with the ambulance ser- -11- `'OO\c- 909 1831429 vice requirements set forth herein, shall , thereupon, issue a conditional ambulance service license, together with an appropriate number of conditional ambulance permits , to such applicant. The conditional license shall be valid for not more than ninety (90) days from January 1, 1978. 6. 4 Upon a determination by the Department that any person has violated or failed to comply with any provisions of these Rules and Regulations, the Department may temporarily suspend, for a period not to exceed thirty (30) days, any license or permit issued in accordance with these Rules and Regulations. The licensee shall receive written notice of such temporary suspension and a hearing shall be held not later than ten (10) days after such temporary suspension. After such hearing, the Department may suspend any license or permit, issued in accordance with these Rules and Regulations for any portion of or for the remainder of its life. At the end of such period, the person whose license or permit was suspended may apply for a new license or permit as in the case of an original application. 6. 5 Upon a second violation or failure to comply with any provision of these Rules and Regulations by any licen- see, the Department may permanently revoke such license or permit. 6. 6 In any legal action filed against a person who has been issued a license in which it is alleged that the plaintiff ' s injury, illness, or incapacity was exacer- bated or that he was otherwise injured by the negli- gence of the licensee, an act of negligence shall not be presumed based on the fact of the allegation. In the event a judgment is entered against any such -12- 8OOY 999 1831429 - ►3 licensee, he shall within thirty (30) days thereof file a copy of the findings of fact, conclusions of law and order in such case with the clerk and recorder of the county issuing the license. The Department shall take note of such judgment for purposes of investigation and appropriate action if a violation of these Rules and Regulations is present. Any and all complaints received directly by said Department shall be subject to review. 6. 7 Any person who violates any provision of these Rules and Regulations commits a class 3 misdemeanor and shall be punished as provided in Section 18-1-106 , CRS 1973 , as amended. Section 7 - Documentation 7 . 1 Each ambulance service shall prepare and submit copies of uniform and standardized records concerning the transportation and treatment of patients , as specified by regulation adopted by the Department and/or the State Advisory Council on Emergency Medical Services. Section 8 - Communications 8. 1 Each ambulance service shall provide in every ambu- lance covered by these Rules and Regulations , a com- munications system which shall be used to maintain effective interface with the other components of the emergency medical care system. This system shall include but not be limited to the following: 8. 1-1 To dispatch the ambulance. 8 . 1-2 To maintain contact while en route to the scene of an emergency. 8. 1-3 To provide for triage at the scene of emergency. 8 . 1-4 To provide for treatment while en route to the primary emergency care center. 8 . 1-5 To arrange for transfer to advance emergency care. -13- °°'` 909 1831429 \ 5- w 8 . 2 In general the communications system shall meet the requirements of the communications system currently in use in the County and the surrounding region. Spe- cific guidelines may be adopted by the Department with the approval of the Board. Section 9 - Training 9. 1 Each ambulance service issued a license under these Rules and Regulations shall provide for every person involved in the transportation and treatment of patients a minimum of twenty-four (24) hours of in-service training. Such training shall be designed to improve the skills of the personnel and shall be approved by the Department. A written program for said training shall be submitted to the Department semi-annually for approval. Section 10 - Effective Date Pursuant to Section 3-14 (6) of the Weld County Home Rule Charter, the Board of County Commissioners finds and hereby declares this Ordinance to be an Emergency Ordinance and that its immediate passage is necessary to the preservation and pro- tection of the public health, property and safety, and that time is of the essence for the effective date of this Ordinance. This Ordinance shall take effect upon passage by the Board of County Commissioners. Section 11 - Safety Clause The Board of County Commissioners of Weld County hereby finds, determines and declares that this Ordinance is necessary for the health, safety and welfare of the citizens of Weld County, Colorado. Section 12 - Severability Clause If any section, subsection, paragraph, sentence, clause, or phrase of this Ordinance is for any reason held or decided to be invalid or unconstitutional such decision shall not affect the validity of the remaining portions. The Board of County -14- Roo,%. 1831429 909 � 5- t5 Commissioners hereby declares that it would have passed this Ordinance and each and every section, subsection, paragraph, sentence, clause, and phrase thereof, irrespective of the fact that any one or more sections, subsections , paragraphs, sentences , clauses or phrases might be declared to be unconstitutional and invalid. The above and foregoing Ordinance No. 77 was, on motion duly made and seconded, adopted by the following vote on the 28thday of July, A.D. , 1980 . BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ii C. W. Kirby,, Chairman . Leonard L. Roe, Pro-Tem Norman Carlson p> • &tz0 r4. �';-1 -?-� Lyd' Dunbar '+ @ /� ,������� ABSENT ~ l�v�v� Qn ww w✓n/ June K. Steinmark QTR• N -: • / :,/ 4 ldu y - lerk and Recorder d ate o the Board e d Deputy County Clerk APPROyED AS TO FORM: . t, � („ ''p County Attorney DATE PRESENTED: JULY 28, 1980 DATE PUBLISHED: JULY 31, 1980 -15- PUBLICNOTICE EMERGENCY ORDINANCE NO.17 IN E MATTER OF THE _ - nix AND RE-ENACT- mite issued by the Department MENT WITH AMENDMENTS with respect to an ambulance OF ORDINANCE NO. Mt.__AM used or to be used to provide BULApLS SERVICE RES ambulance service in Weld AND REGULATIONS. County. BE IT ORDAINED BY THE 2.1-8. "Applicant" shall mean 3.2 In addition to the license AFFIDAVIT OF PUBLICATION BOARD OF COUNTY COMMIS- that person who is an. Initial re mired by Section 5.1 for an SIONERB OF WELD COUNTY, applicant pr an applicant for emourents service,fife Denat�. COLORADO renewal for- an ambulance ment shall. Issue a permtf for service license, ambulance each ambulance used Said TH E JOHNSTOWN BREEZE WHEREAS, t to the vehicle it, or Emergency Ambulanceoehlcleno,thshall recently mo pursuant Colorado Medical Technician ce be lssueauponailndtng that the ail d I License applicant's vehicle and egyip.. STATE OF COLORADO ) Emergency ctRlesand pursuantMedica Services to on the (8-P).• mint comply with the require- ) SS recommendation mm athe ments of these Rules and reentof Heatton of the Depart. Board "Board" shall mean the Reg flanone- Each Ambulance mint-of Health Education and Board of County Commissioners Vehicle Permit issued by the COUNTY OF WELD ) Commie, the soa Weldof toasty of Weld County. Department shall require the I, Clde Briggs,do solemnly swear that I Commissioners ofdviCble M Y gg Colorado deems it nce unty, ty" shall mean of enri Five Dollars($22.00).a" am publisher of The Johnstown Breeze; amend the Ambulance Services Weld Catnty,(blorado. The. Department with the Rules and .Regulations ordin- approval of the ]`toara, rosy .that the same is a weekly newspaper ante to include the newly 2.1-9 "Department" shall waive or reduce the payment of defined role of the Emergency mean the Weld County Health such fees for a ybulance printed, in whole or in part, and published Medical Technician - Para- Department. servicesoperated bymunici 1• in the County of Weld, State of Colorado, medic(EMT•Pi. 2.1-10 "Director" shall mean sties epee districts or other NOW THEREFORE" BE IT the Director the Wald County not-for-profit aliases. and has a general circulation therein; that SORDri E_mmy of Health DepaR"tent• 5.5 The Ambulance Service said newspaper has been published on are of old License and Ambulance Vehicle Colorado that Ordhu• 2.1.11"Emergency" means permit shall be valid through continuously and uninterruptedly in said ciaiiiiabe,0.hereby is,21 previously ��d any actual or self-perceived December 81st of the year County of Weld for a period of more than follows:are-enacted with amendments as orr w"atp�°A I:an Individual M issues. fifty-two consecutive weeks prior to the such a that a need for 8.4 The provisions of Section 8 Section 1 -Purpose Immedia .medical care I. shall not apply to the following: first publication of the annexed legal notice creates or advertisement; that said newspaper has 1.1 The of these Rules 8.4-1 The exceptional emer- ana Regu�sF is to set forth 2.1.120 "Emerg[e8n5cy Medical gamecry use of a privately or been admitted to the United States mails as the requirements for the plan- Technician::Banc" means an blicly.owned vehicle, includ- nin and implementing high vldual' holds- a valid InQ search and rescue unit second-class matter under the provisions of quality emergency medical Ear cal Technician vehicles, or aircraft, not ordm• services for the people of Weld cc ate as issued by arily used in the formal act of the Act of March 3, 1879, or any County,The application° of these the �olo , Department of transporting patients. . amendments thereof, and that said Rules and Regulations will mer a providing high quality 2.1.12b ' er. Medical services as an°ame biancein newspaper is a weekly newspaper duly emergency medical County. I to Techm c'•means case of a major catastrophe or qualified for publishing legal notices and all intent cWsn o of Weld r fts.It y an indi a-who holds a valid emergency when ambulancesCom g the ss of the Board the county Emerges cal Technician with gpermits based in the advertisements within the meaning of the rency medical that emer- Parana certificate as localities of the catastrophe or ggaertery medical services In-Casa jpued -Colorado Depart- emergency are insufficient to laws of the State of Colorado. tra transportation,ity win co treat of at lean- mint of _render the services uired. muicat os,training end,tom- ( That the annexed legal notice or advertise- 3.44 s and aocu• 's'i' 84.9 Ambulances based out- 2.1-18 systems designed to 2.1•la•• )rgency Medical side the State of Colorado or ment was published in the regular and prevent premature mortality bye, meld county which are trans- prevent issue of every number of said weekly and to reduce the morbidity that t �t.�.._.. the porting a patient in Colorado. may arise from serious injuries w c [ Ne newspaper for the period of .-/-. consecu- and Illnesses- m theta Ruble, 8.4-4 Vehicles used or designed 1.2 -Delegation and for the scheduled rtation tive insertions; and that the first of convalescent patien harm- . ublication of said notice was in the issue of The Board of weld County 2.1.14 t" means env capped h in rotuals,be exvecetrsons p Commissioners designates and JeNvtdyal slok tWrod,; re ulre skilled treatment or said newspaper dated T.... -31., A-D. 19T.P, delegates to the Weld County or Dina rincapacltated.or q Health Department the author- helpless :4:-. care while in the vehicle- and that the last publicat on of said notice ity to manage the County's :.- emergency medical services 2.1.15 , 'Un means 8.4.5 Vehicles used solely for was in the issue of said newspaper dated program.Under the direction of alp or grout' naiad the transportation of intoxicated , A,D. 19 the Board,inspections,licenses, Dy arts orfa...o tea persons or persons facapect- permits,applications,and other 'Respect- corpora on-not for t8'offt or rated by alcohol-as defined m In witness whereof I have hereunto set functions necessary to imple- oNerwlga as r- V1profit CRS 1978, but who are not ment these Rules and Regula- eaeporpa ' roe is otherwise disabled or seriously my hand this ..-2./ day of Yid/ bons shall be the responsibility rho and tilt ..slue of injured and who would not be of the Health Department, lost or 1 d persons and expected to require skilled A.D. 19w imludes, is not ...dimto treatment or care while In the Section 2 -Definitions such as search.and vehicle. - rdo"e' roasts' ski applicant for'an 2.1 The following definitions patrols ( r volunteer or Lb Eve ray pP shall apply m the interpretation 4 entoresm t Ambulance Service License or ........ . and enforcement f these Rules ew, ` n govern- an tp p%vb.m�'-e,rmyigt,• > Publisher Other Pons of govern-2.1-1•' mental Liao responsible ..Ambulance"means any }m sears rescue- vrivclely or dally owned land - oorrhime esIfIpae uippd Section>!= u for Subscribed and sworn to before me, a modified and equipped, S of Ambulance --- - maIntendedin to be used and Serviced and Ambulance Notary Public in and for the County of maintained or operated for the Vehicle,Perpah transportation upon the streets Wel State of Colorado this .r,../- .. day of and-highways m this state of a 2.1 After,��qgry 1, 1078, no Individuals who are sick, person s die ambulance "—A.D. 19c<O-. mtured, or otherwise mcapact- service or privately in tated or helpless. Weld that person holds a [license to do so 2 2,1.2 "Ambulance Driver" issued by-. e Department, ( �,J means any ... -'(-,4...(-,hr!1 tic-c-> person authorised in et to axeapt this dad in he license c drive an ambulance in this 5.4 of section. The i Notary Public. county as provided-in these for each ce service and Rules and Regulations- ee ewals of issued by the D shall the 2.1.8 "Ambulance Service" p►yrqent a fee in the amount means the hi rrsnl1�phhmtn¢¢ opppef FI�v ($50.00). �j Inc conducting,ntaFltalrnilg Dnieoartment�,'wiith the roval My commission expires //� �'a `�'-� advertising, or otherwise en- of-the Board, shall waive gaged in or professing to be payment of such fees for engaged in the transportation of am op bulance services erated by patients by ambulance.Taken in municipalities,special districts, context,It also means the person or other not-for-profit entitles. engagedengaged or professing to be so --- 2.1-4 "Ambulance Service License" shall mean those licenses issued by the Depart- ment following satisfactory ful- fillment of the conditions found in these Rules and Regulations. 2,1-5 "Ambulance Vehicle --- Permit" shall mean those pet- -- 'o Department an application for 4.4 Ambistanes l and 6 2.1 Name address. and Seettcn 8•CommumcstlM° aPProval. Said a�ooI�lcatM for fe�ie�r�t�bret'01 t telephone number. p.l Lash ambt*ne service. l mated t wit chow n but not be M lir even ambit• limited to the following informs; the resuseUlUos4 at sv 6,2-2 Description of an snail a� provide c�ered by these. suctiania`• amdul, year including ma tibnc,a tda•. e. model. Ysta o manufacture. ace Re4 8.6-1 The name. ad add . rhags, control, sisal Colorado State-items n r e.,to in whicht v:hail telephone number of vice owner are. .of wounds frac motor vehicle phaes vee 1 tus w a. comta seas of a ambulance service. , wan. mo midi and new rrl li 1 Ma oxygen bets in service. -n, emerge"�1f� m 8.5-2 Desert of the tune- , Ae7�b!, tat 0 ter cggaispt a rem. notfill sisters s lancelet), Including the , a epce° atWn IV ,g ati and d whi a al=or but not be • limitedti;the model, r Of rate. 1 fJq to Haenso,n r� s�_,,�' the by.the_ a Age s g,l l we dispatch the-inn the has bf time themotor nu vebdtle - 6.2-4 A statement Indicating lance. has been in service- , {.g I1a ��^l° t,, that: 8 1 2 To maintain cot mat 8.6.8 The Mutton and descrip- pits IIf _d),un """se 1° :a) Lach ambulance nitrated while e nro•to lathe seen! an tits h the. aro l ■from 43S el C�giow the_ ambst t�9Ace saevtvctacle which tat ca service CCyy W the be m ttwelve 8.1.8 To Provide ter triage at will operate. L11619Pa alms �arnet tlonwlthm tinapM anCe the scene of emargtney3.6-4 The name, address and ' Na Ante I : p lePliOvnfde,Igniker o sthe ann� Ian : men et meets the;1 9 in it4w to f Prima" the ■arvl°i tf wag to aaviq^hu 8setlmt g r.paylrement■_ set A# ••••ey c er. been appointed. �4e��a'L - I IatiR edition of the Amt�n T 6.1.6.To arran8tf transfer to aY'lli�ltlas-t i _i'Ca Ott a1 advance emergency cart- 8.6-6 4. as the Divestment other ot minfoormautlloron d, glint, j ap al i mutdu aWppnPrtliuke i fair�tet'4nnatlM. ,.^ ' _'aft Iag :. Re 14■- e x - v. tigi In in stem. flint • 8.6 AVit• receipt id edf1 M. rue ° el If a 5-•"...�. ' ayets common Ianc6 VeMtceeta Permit, or a n I,A-cif CaWthe»ah.. t'7tD t. ..., 4 ■m SseYsa I-TesttMag slid mise vlapy gTrA WM 5,: d):titer than ar D u ,{ m—to t�a�tls�D b7 _ ,..w Y 1 R4 In`aidltlou mMe.tlme bf tO x< :, La �1ti vet U� t all.sip rat _ - . bsi Ylaalf et S me qqpp bell name ad•°draii ` i. VP e�� t2 tK c),, ^vfi. Ta►,1um�' `eiadis,tlatrtmth .o r x oI t �- i1Tli rteeda 14 (a ., ..xe atat�fC Uan,.form vet ., " 'v"«•.�� N to Technician F - for a4F-1r ,i...,•, . ' `� tfI rt rice r shat•` .... section t s 1`01•EffacUUve Date •.HiLrt.,.,,,» that t stat � ors appDp. - m, . til■ - aM . 1- a: -,427.4, Mil licensee B•P)itell� lanes Pt ' to `:-,ii j. .4. . r �' a - erDe amber Ms s 111 T2M afCR��I�' , a - heed. an alt of the 450)days actionthe p� e j ) •.t e9 aad'shalt not 400) from January ro operty raseof by t, ' elect i b to 3�dv f for "pu�t a d te d 1hlbNMne16M i n... r) t oitll donee ya Qa b" .,. i tt � Nay shag t• �'^ k � rtly Fa-` NCa ts annt Re�! ions CPmmlailonsn. �. . cud- Ch ense f _ keen' en 11-Reny- Chum f}opr the. anti no or a ps to ilcatiM;anti or 'iorrtp (80 ■ Comada• shall transferable able or Meuse or Permit Ili of Beira e. The fee for such lion..gulati tae Utese deterptmss end de Ytatae re shall be five n dollars" 're a onr. ten ord race isneceity e■■ssrwr Malts The Department, with 8ssIyi/�hjl1 Wive mina No the heai a safety wed `leia vat of the Board. may M ding Want t fo a of alisens of lreid payment of such lee. Marna iAftte �n ten (10) after � • 014024Y, Colnradn II g, Obtaining or attemntmaa to temporary sus ensiqon. Clause 12 • 'SeJerabUlty a' h ' an.Emergency Medical' Roth hearing Deceit '• ^ lean sssoe mist by t, issue any Jlcord d loot means a or mil Witht,. sewed in nCCordana ;list ads suspension ben roup0s 'I me Rules and sue. Many section, subsection, su erase. orn- revOeatlap.. Or shy Its non.A t Yr of this Ordinemce le�for diva y;. ■alb license. rein pair period,tthlife. person sb6 u held or decided to be 8.10 Is andll�aiW The mergency t di ji tlesnp o ly for ita was id n shall not rat he ebL on Emergency Bt ma Ply fore acid . e1•' ion shuall not inept the jj m r 'of hien License (B-IM metesied ered Do 1i aa�roy aDdi�ika Nd`othtmaml�¢ally aisMA �'llromCond l tlOn,or ='sw tom of of is ty hair n AIt d'__bY the wt mater portaaionn ii iO, fat tootctMme Rules an would .wry_ llit �r Da�1� n s in as nine lions by an ticenew. such linne or permit. bi days gibe ee nuns mb 'IM vends n6 In an legal action lad any forts,or •pan described in the and a pa who. • y� se cee,-clauses or m Utlap�Mssss se. be �'i8r -"' a lleeense in .,,, Ira m he doctored vi to " traruhrage or wi ns . „:,tSe a tat at t d MIMIC. "'"`.tiffs* 6.31 ta�� Rite t sr tree 71t vas,ott toobtainn Uaense or Sdelton 6 -suaSeene■oa or "� ■, ' ,• ,,, l�•>+' Qq nnighceNo. and e Win Wicarnalin for POINN:)\ CbnNtlarel" Permits " ' - 4r �t the di Me natty, g... the of the license at permit _ • attar.. Y. _}# as sO F 5 • e l..,V.I.r t. aeotianrt' far •jo.. # . .¢ fi.'>• s wlY'!„ .aIn' 1 r• the Operation ot Ambaancea Ems - } °`. flea ' i. P , •. 4.1 No patient shall be < of fact, a pay nerd Y1 In ' gym .l . Y.this comity aftetw 3, ease lA. '+ m� UN met 119 unle there oe twofer and ease. a xwr'fC..' C..`.'m�tJ.. driver, are 1uuse- to care,1I��t heore by a 3I.ibnar l�RRt°nba,n- bed fl provide taffit her LmM1tottanae o•. +. -ts r�Y+sts err medial su l ° except"fiance* t inienM'a• Very unusual a�lppW�rb p■tp�taarr6pspMn 4°Fs ,�c.. is availwhen a rAt �-�shW 0 ,The~Department s y �..—'.-?+w+ ' ATISST: Mary Ann . there be le than ahin uals who are q d-to gn operation .CWn clerk the vehicle. J 167E if sus 4.1 r and rk Boats 4.2 Atall times)Maeerhhatencyy Ot W application. at • DUD�YiNb• By: ;faiths White mpeedic�tech darn Ce(B•Tand n))dIn an the noN Imonthanal]ninety !fd•lOs; M 1078,b amended.OW County Clerk oemergen�ceyy,�medical.tedmician issued to an ambulance APPROVED AS TO FORM:(B-P) small be in the patient betInsfnq� oneretion *ration 7-Documentation 0. compartment when a patient is "•1 .dlnuary^l, 3g1g. gull - Attorney being transported. Mal license shall require 1.1 Each am Service \ - ee to i•o- shall pronto tDATE PRESENTED: July 28. {a shall ver of any am valid a crier of-unnifform. I )i5 1 lawn do dri eo liceegnaesdde n ee r an 'deepRae e wri Ice compW with ppaarttatl000n ansonternif tment yBDprAOebpTE PUBLISHED: July 81, current American Card or anthese of -action gula base and-orno Lptetients,and by he e t Co. I�.egald in 80.10eM Joanstowg Advanced First Aid Emerggeency B-P). Technician Application evidence of such ppAdvisory Certtsaate (H-P). - for d conditional Se is Emergency Idedtcal ---- Inc information: shall Include the follow- Services. --- - Information: Hello