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Ordinance 2012-04Jm��oT[� FEB 0 5 2012 ORDINANCE NO. 2012 - n4 URDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AMENDING ORDINANCE 04 -12, AS AMENDED, BY AMENDING, SECTION TWELVE, CLASSIFICATIONS OF CERTIFICATES; SECTION FIFTEEN, GENERAL OPERAUNG REGULATIONS; SECTION SIXTEEN, CENTRAL PLACE rOF t� BUSINESS; PROVIDING FOR CONFLICT AND SEVERABIL�Y; PROVIDING FOR INCLUSION IN THE CODE OF LAWS iD �—�- ORDINANCES; AND PROVIDING FOR AN EFFECTIVE DATE._ WHEREAS, Collier County Ordinance No. 2004 -12, as amended, is codifigd as icl -7 III of Chapter 50 of the Code of Laws and Ordinances of Collier County, and origfa -ily ei*cted through its predecessor Ordinance No. 81 -75; and -- WHEREAS, Collier County desires to make available to its citizens safe, professional emergency health care transportation and non - transportation services for emergency pre - hospital responses and the transfer of patients between and among local hospital facilities; and WHEREAS, this amendment to Ordinance No. 2004 -12, as amended, is primarily intended to expand the Class -2 post - hospital transport certificate. NOW THEREFORE: BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA: SECTION ONE: Amendments to Section Twelve of Ordinance No. 04 -12, as amended. Section Twelve of Ordinance No. 04 -12, as amended, is hereby amended as follows: SECTION TWELVE: CLASSIFICATIONS OF CERTIFICATES. There shall be three (3) classifications of service in Collier County, as follows: B. Class 2: Collier County Hespitals Inter-Facility Transport Services: 1- -ALS Transfer: An EMS Operator who renders provides post- hospital ALS inter- facility medical transfer services, both within and outside the County. If requested by the appropriate Class 1 — ALS rescue Operator, will provide emergency pre- hospital backup service. ALS transfer certificate holders may provide post - hospital medical transfer services for routine and emergency ALS and BLS patients. Class -2 transfer certificate holders must either provide for their own medical director or contract with the County Medical Director, and will operate under protocols approved by the County Medical Director. If the Operator provides for its own medical director, that medical director shall work cooperatively with the County's Office of the Medical Director to ensure continuity of care. Class 2 Operators shall comply with all guidelines and policies approved by the Board of County Commissioners and shall notify and work with Words underlined added and words s#uck thr-eugh are deleted. Page 1 of 4 all hospitals and facilities to educate them as to the services Operator provides The County reserves the right to review and evaluate all calls made by the Operator to ensure that the appropriate level of personnel supplies equipment and vehicles are being utilized, as set forth in Florida Statute and Florida Administrative Code. n=. --EN49 Oneiater who i: it C-1;1 ,;q . A I C ATA. - SECTION TWO: Amendments to Section Fifteen of Ordinance No. 04 -12, as amended. Section Fifteen of Ordinance No. 04 -12, as amended, is hereby amended as follows: SECTION FIFTEEN: GENERAL OPERATING REGULATIONS. All certificate holders, operators, and drivers shall comply with all state statutes and administrative regulations as following regulations: G. Certification. (i). In addition to the State of Florida Department of Health, Bureau of Emergency Medical Services requirements for certification, each Collier County EMS paramedic, Class -2 Operator's paramedic, and Class -3 Operator that has separately entered into a contract with the County in order for the County's Medical Director to serve as its medical director for the performance of services set forth in Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida Administrative Code, must be certified by the County Medical Director. Each Collier County EMS paramedic and Class -2 Operator paramedics that contracts with the County for Medical Director services must work with a Collier County EMS ambulance for a sufficient length of time pursuant to paragraph H. for the County's Medical Director to properly judge the paramedic's capability. Salaries of other than Collier County EMS paramedics will be paid by the agency seeking the Medical Director Certification. Words underlined added and words sttn 000 are deleted. Page 2 of 4 M-ar.1 KTJ9 r2m ATA. - SECTION TWO: Amendments to Section Fifteen of Ordinance No. 04 -12, as amended. Section Fifteen of Ordinance No. 04 -12, as amended, is hereby amended as follows: SECTION FIFTEEN: GENERAL OPERATING REGULATIONS. All certificate holders, operators, and drivers shall comply with all state statutes and administrative regulations as following regulations: G. Certification. (i). In addition to the State of Florida Department of Health, Bureau of Emergency Medical Services requirements for certification, each Collier County EMS paramedic, Class -2 Operator's paramedic, and Class -3 Operator that has separately entered into a contract with the County in order for the County's Medical Director to serve as its medical director for the performance of services set forth in Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida Administrative Code, must be certified by the County Medical Director. Each Collier County EMS paramedic and Class -2 Operator paramedics that contracts with the County for Medical Director services must work with a Collier County EMS ambulance for a sufficient length of time pursuant to paragraph H. for the County's Medical Director to properly judge the paramedic's capability. Salaries of other than Collier County EMS paramedics will be paid by the agency seeking the Medical Director Certification. Words underlined added and words sttn 000 are deleted. Page 2 of 4 (ii) The ,areaieal DiFe, ter- of „ Class 3 Operator- ,. ,. !`,ass , All Operators, The a. a,.a.sia.ui m emelu ing Gellie- County EMS, shall certify its paramedics pursuant to Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida Administrative Code. (iii). A Class -2 and Class -3 Operators that has have separately entered into a contract with the County in order for the County's Medical Director to serve as its medical director for the performance of services set forth in Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida Administrative Code, shall be certified pursuant to the terms of such contract. H. Ride Time Requirement. Each paramedic employed by a Collier County EMS, a Class -1 Operator or a Class 2 Operator that has entered into a contract with the County for Medical Director services must work, at a minimum, with a Class -1 Operator's ambulance not less than one full month's work shift annually. Each paramedic employed by a Class -3 Operator that has its own medical director must accompany a patient on the Collier County EMS ALS transport from scene to hospital when the paramedic for such Class -3 Operator initiates ALS services on a patient prior to Collier County EMS transport arrival or if the patient's condition requires that additional level of expertise. Each paramedic employed by a Class -3 Operator that has separately entered into a contract with the County in order for the County's Medical Director to serve as its medical director for the performance of services set forth in Section 401.265, Florida Statutes, and Chapter 64J- 2.004(4)(a), Florida Administrative Code, shall either work with a Collier County EMS ambulance not less than one full month's work shift annually or must accompany a patient on the Collier County EMS ALS transport from scene to hospital when the paramedic for such Class -3 Operator initiates ALS services on a patient prior to a Collier County EMS transport arrival or if the patient's condition requires that additional level of expertise, as provided for in its contract with the County. SECTION THREE: Amendments to Section Sixteen of Ordinance No. 04 -12, as amended. Section Sixteen of Ordinance No. 04 -12, as amended, is hereby amended as follows: SECTION SIXTEEN: CENTRAL PLACE OF BUSINESS. Within 90 days of Certificate issuance each Eeeh Operator shall maintain a e al place of business which shall be entirely within his designated operating zone, at which place he shall provide two way fadie communication with his vehicles, the Collier County Emergency Medical Services Department Ge l Gemmunieations Cente , and his place of business, a properly listed telephone for receiving all calls for service and at which eentFal place of business he shall keep such business records, training records, vehicles, and daily logs available for inspection or audit by the Administrator. Every Operator shall keep on file with the Administrator and the County Emergency Medical Services Department Control Cemmuniea*ieiis Cente a business address and Words underlined added and words stFuek thFough are deleted. Page 3 of 4 telephone number at which the Operator may be reached at all times. This information will be maintained at the Emergency Medical Services Department Centf°' Gen SECTION FOUR: Conflict and Severability. In the event this Ordinance should ever conflict with any other Ordinance of Collier County or other applicable law, the more restrictive shall apply. If any phrase or portion of this Ordinance is held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct, and independent provisions and such holding shall not affect the validity of the remaining portions. SECTION FIVE: Inclusion in the Code of Laws and Ordinances. The provisions of this Ordinance shall be made a part of the Code of Laws and Ordinances of Collier County, Florida. The sections of the Ordinance may be renumbered or re- lettered and internal cross - references amended throughout to accomplish such, and the word "ordinance" may be changed to "section," "article," or any other appropriate word. SECTION SIX: Effective Date. This Ordinance shall be considered adopted upon the date written below and subject to filing with the Florida Department of State. PASSED AND DULY ADOPTED by a vote of majority of the Board of County Commissioners of Collier County, Florida, thisQW� day of JnnL&aCJ/, 2012. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA Ilk By:— _. t AppiM and legal s y 1, 3, Jeffrey A. County A L By: *Welk ��c d C ©� �e , C FW RMAN Words underlined added and words stingh are deleted. Page 4 of 4 This ordinance filed with tnc %I�' tory of tAt' Office he day of _ and acknowledgem tt of that fil• "received Otis L � day of STATE OF FLORIDA) COUNTY OF COLLIER) I, DWIGHT E. BROCK, Clerk of Courts in and for the Twentieth Judicial Circuit, Collier County, Florida, do hereby certify that the foregoing is a true and correct copy of: ORDINANCE 2012 -04 Which was adopted by the Board of County Commissioners on the 24th day of January, 2012, during Regular Session. WITNESS my hand and the official seal of the Board of County Commissioners of Collier County, Florida, this 27th day of January, 2012. DWIGHT E. BROCK Clerk of Courts and Clerk Ex- officio to Boar County Commissio'ti'� fit• •,� By: Ann Jenne j o n., • Deputy Clerk ��� • "'