HomeMy WebLinkAboutR1977-21 Licensing of Emergency Medical ServicessoLU1.1014 A
OF .
THE BO OF COUNTY COMNICSSIONERS
COUNTY OF .'-s 1,E, STATE OF COLORADO
A RESOLUTION FOR THE CON= Q LICENSING OF EMERGENCY MEDICAL SEWICES
WHEREAS, the General 7�-- am:bly, at the First Regular Session of the
Fifty -First General Asse b1:, enacted the Colorado Errergency Medical Services
Act; being Sections 25- 3.5 -_O1 to 25- 3. 5-5 02, inclusive, C.R.S. 1973; and
WHEREAS, the legislat-'-a intent expressed in the act is that the Board
of County Commissioners of sacra county shall adopt those standards, require-
ments and procedures for p-rc emergency medical services within the
county which will best meet local needs; and
WHEREAS, each board ;ter request assistance from the Department of Health
in planning and iirplerrentinc suc�h standards, requirements and procedures; and
WHEREAS, the depart - is also required under the provisions of the act
to coordinate all local eff=,- so that maximum state -wide effectiveness can
be assured; and
WHEREAS, the Board is a"vised that it may adopt more stringent standards
than those provided in the act;
NOW, THEREFORE, BE IT-SC7LVED by the Board of County Commissioners of
Eagle County, at the specie= Ming of the Board held on the 28th day of
Deer, 1977, that the io 1:owing emergency nedical service standards, re-
quire-rnnts and procedures a_= hereby adopted, by virtue of the authority vested
in the Board by the Coloracc �_rergency Medical Service Act and by Section 30 -11-
107 (1) (q), C.R.S. 1973 (S.B. 454 enacted in 1977):
1. Commencing J-r_aa y 1, 1978, no person shall provide ambulance
services publicly or `Y vately in Eagle County, unless, subject to the
exception provided in Paragraph 7 herein, that person holds a valid
license to do so issi d by:
a. The Boar of County CCmassioners of Eagle County for an
ambulance se= ce based in Eagle County; or
b. The Boar of County Commissioners of the county in which
such ambularw service is based, if other than Eagle County.
2. This Pesolu`-n shall not apply to:
a. The exco =ona1 emrergency use of search and rescue unit
vehicles and —ter vehicles not ordinarily used to transport
patients;
b. The use cf ;.-_hicles in a major catastrophe or emergency when
there are a, '*sufficient number of local ambulances;
c. The trasoor`ation of patients in Colorado by ambulances
based outside_ thee state;
d. The sc^ -pied transportation of convalescent patients, handi-
capped indir::5,;a1s or persons who would not be expected to require
skilled trey-�__t or care enroute, or to the vehicles designed
for such puzpose; or
e. The trartation of intoxicated persons or persons in-
capacitated alcohol, not otherwise disabled or seriously
injured, who would not be expected to require skilled treatment
t'
t
or care ens_ in vehicles used solely for such purpose.
3. Licensing uT er tt-- provisions of this Resolution shall be
granted to the applies t and renewed, by application, upon a finding
by the Board that the applicant or licensee has conplied with the
staff, vehicle and standards, requirements and procedures
of parts 2 and 3 of =-.e Colorado Emergency Medical Services Act (as
implemented by suet: and reulations as may be adopted pursuant
to the provisions of State Administrative Procedure Act) and such
other standards, reg. -rents and procedures as may be required by
law and as the Board, 1 :y resolution herein establishes and as it may
hereafter establish f= time to time. Application shall be made
according to the fo= and in the manner prescribed in the Ambulance
Service Application Pre Instructions attached hereto.
4. Each applicatc-n shall be accompanied by a fee of $25.00.
5. As used in t:s elution, unless the context otherwise
requires:
a. "Ambuulanc--e" means any privately or publicly owned land
vehicle especially constructed or modified and equipped,
intended to be u ead, and maintained or operated for the trans-
portation, uDoa the streets and highways in this state, of
individuals Vzo are sick, injured, or otherwise incapacitated
or helpless.
b. "Ambulance driver" mans any person authorized to drive
an ambulance.
C. "Ambulance service" means the furnishing, operating, con-
ducting, maintaining, advertising, or otherwise engaging in or
professing to be engaged in the transportation of patients by
ambulance. S_=n in context, it also means the person so en-
gaged or professing to be so engaged.
d. "Board of C,oun-ty Commissioners" includes the governing body
of any city as county.
e. 'Tepart -e=_' means the Department of Health.
f. "EmergenT mans any actual or self - perceived event which
threatens life, lip, or well -being of an individual in such
manner that a :a--� for immediate medical care is created.
g. "Emergent- -eii_ca]_ technician" means an individual who holds
a valid medical technician certificate issued by the
Department as prided in the Colorado Emergency Medical Services Act
h. "Patient" moans any individual who is sick, injured, or other-
wise incapa_ =;.� or helpless.
i. "Permit" 5 the authorization issued for the operation
of a particu'_= a—r bulance.
j. "Rescue z_-it" mans any organized group chartered by this state
as a corpora_ not for profit or otherwise existing as a nonprofit
organization, -#�-hnse purpose is the search for and the rescue of
lost or injured _ersons and includes, but is not limited to, such
groups as sea_ ` and rescue, mountain rescue, ski patrols (either
volunteer or - rofessional), law enforcement posses, civil defense
units, or ot_: organizations of governmental designation res-
-'-
twuu[J� '4v✓3:
•'ponsible for search and rescue.
6. The County Public Health Officer and County Public Health Nurse
shall constitute the Eagle County Ambulance Service Licensing Agents
and are appointed hereby. They shall administer the licensing and
Permit program, under the direction of the Hoard, and shall serve the
Board as liaisons with the Department of Health, the State Board of
Medical Examiners and the Division of Communications of the Department
of Administration.
7. Pursuant to the provisions of Section 25 -3.5 -301 (4), C.R.S. 1973,
the Board may grant a conditional license to an ambulance service if
such service is not in compliance with the aforesaid staff, vehicle or
equipment standards, requirements or procedures at the time of the
initial application. Such conditional licensing shall be based on a
finding by the Board that the applicant has, in fact,' been lawfully
operating as an ambulance service prior to January 1, 1978.
8. After receipt of the application for a license to provide ambulance
service, the Board shall review it and provide for the inspection of each
ambulance and its equipment.
9. a. The current state motor vehicle inspection is hereby established
as the requirement for each ambulance, incorporating thereby the
provisions of Section 25 -3.5 -301 (2) (a), C.R.S. 1973.
b. The latest edition of "Essential Equipment for Ambulances,"
published by the American College of Surgeons' Committee on
Trauma, is hereby established as the standard for the ambulance
equipment, incorporating thereby the provisions of Section 25-
3.5 -301 (2) (a), C.R.S. 1973.
c. Possession of a valid Colorado driver's license and a current
American Red Cross advanced first aid card are hereby established
as the requirements for each ambulance driver, incorporating
thereby the provisions of Section 25 -3.5 -202, C.R.S. 1973.
d. Possession of an emergency medical technician's certificate,
issued by the departrLent, is hereby established as the requirement
for each attendant.
e. These equipment features are hereby established as requirements
for each ambulance: Sufficient space and capability for the per-
formance of cardio- pulmonary resuscitation, airway maintenance,
suctioning, hemorrhage control, shock care, dressing of wounds or
burns, ix=bilization of fractures and oxygen therapy and suf-
ficient coiling height for adequate gravity administration of
IV fluids.
f. Proof of liability insurance pursuant to Section 25 -3.5 -303,
C_R.S. 1973, shall be required.
10. Upon a finding that the applicant, or, in the case of a license
renewal, the licensee has complied with the staff, vehicle and equipment
requirements established by the Board and has, in all other respects
-3-
fix $}
cognlzahle.,to the Board, oomplied,with applicable,provisions of law,
the Board shall issue•a license or,renew the license as the case may be.
The Board shall, also, issue a permit for each ambulance, which shall
be carried in the ambulance. The license, license renewal and permit
shall be valid for twelve months following the date of issue. Applications
for renewal shall be filed with the Board no later than sixty days before
the date the license or permit expires.
11. The provisions of Section 25 -3.5 -304, C.R.S. 1973, are hereby
incorporated in this Resolution to guide the Board in its license or
permit suspension or revocation determination:
a. Upon a determination by the Board that any person has
violated or failed to comply with any provisions of Part 3 of
the Colorado Emergency Medical Services Act, any other applicable
provision of law or with any provision of this Resolution, the
Board may suspend, for a period not to exceed thirty days, any
license or permit issued pursuant to this Resolution. The
licensee shall receive written notice of such temporary suspension
and a hearing shall be held no later than ten days after such
temporary suspension. After such hearing the Board may suspend
any license or permit for any portion of or for the remainder
of its term 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.
b. Upon a second violation or failure to comply, the Board may
permanently revoke such license or permit.
12. a. Each. licensee shall have a Colorado cext.1 ied urgency
medical technician designated as the person in charge of
tiainirg and inspection for the respective licensees. The name
address and day and night telephone numbers for said designate
shall be furnished to the County Ambulance Service Licensing Agent
and be maintained with the County Licensing Agent on a current
basis.
b. Each licensee shall designate a Colorado licensed physician as
advisor to the licensee and the licensee shall furnish to the
County Licensing Agents the name, address and day and night telephone
numbers of said physician/advisor and shall maintain said informa-
tion on a current basis.
c. There is created hereby the Eagle County Emergency Services
(EMS) Advisory Board, to consist of the following members: A
representative from each licensee pursuant to the Resolution,
a representative of the Eagle County Ambulance Service Licensing
Agents, a representative of the medical community within Eagle
County (this may include either a Colorado licensed physician or
medical personnel such as nurses, emergency medical technicians
MIZ
i
or hospital administrators) and a representative of the
general public who shall reside within °Eagle County, Colorado.
Said Advisory Board shall be appointed by the Board of County
CmTmissioners for a one year term. The purpose of said Advisory
Board shall be to advise the Board of County Oamuissioners
as to matters relating to this Resolution provided, however,
that said Advisory Board shall have no jurisdiction in
connection with the administration and enforcement of this
Resolution and the Board of County Commissioners shall in no
way be bound by any recamLandation of said Advisory Board.
That the above and foregoing Resolution is the the public health, welfare
and safety of the citizens of the County of Eagle, State of Colorado.
MOVED, READ AND UNANIMOUSLY ADOPTED at a special meetion of the Board
of County Cmmissioners, County of Eagle, State of Colorado, held on
December 28, 1977,
Clerk of the Board of County
Carnmissioners
(SEAL)
ODUNTY OF EAGLE, STATE OF COLORADO
by and through its BOARD OF COUNTY
CCMMISSIONERS
Keith Troxel, Chairman