Ordinance 2019-38 ORDINANCE NO. 2019 - 3 8
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA AMENDING ORDINANCE NO. 2004-12,
AS AMENDED, BY AMENDING SECTION TWO, DEFINITIONS, AND
SECTION TWELVE, CLASSIFICATIONS OF CERTIFICATES;
PROVIDING FOR CONFLICT AND SEVERABILITY; PROVIDING FOR
INCLUSION IN CODE OF LAWS AND ORDINANCES; AND PROVIDING
FOR AN EFFECTIVE DATE.
WHEREAS, Collier County Ordinance No. 2004-12, as amended, is codified in Article III
of Chapter 50 of the Code of Laws and Ordinance of Collier County, and originally enacted
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 medical facilities; and
WHEREAS, this amendment to Ordinance No. 2004-12, as amended, is intended to define
"Basic Life Support" (BLS) and rank BLS as a Class 2 service in Collier County.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that:
SECTION ONE: Amendment to Section Two of Ordinance No. 2004-12, as amended.
Section Two is hereby amended to read as follows:
SECTION TWO: DEFINITIONS.
The following words, terms and phrases, when used in this ordinance, shall have the
meanings ascribed to them in this section, except where the context clearly indicates a different
meaning:
Administrator shall mean the County Manager or his designee.
Advanced Life Support (ALS) shall mean procedures conducted as defined in applicable
Florida Statutes and Florida Administrative Code, and the Collier County Medical Director's
protocol.
Ambulance means any privately or publicly owned land, air, or water vehicle that is
designed, constructed, reconstructed, maintained, equipped or operated, and is used for or
intended to be used for air, land, or water transportation of persons, who are sick, injured, or
otherwise helpless.
Words Underlined are added;Words Struck-Through are deleted.
Page 1 of 4
Basic Life Support (BLS) means the assessment of treatment by a person qualified under
Florida Statute and Florida Administrative Code in the use of techniques described in the EMT-
Basic National Standard Curriculum or the National EMS Education Standards of the United
States Department of Transportation and approved by the Department of Health.
Board shall mean the Collier County Board of County Commissioners.
Certificate means a certificate of public convenience and necessity as authorized in F.S. §
401.25(2)(d).
Emergency Call shall mean the transit of an ambulance under conditions which warrants
travel with flashing lights and siren operating.
Operator shall mean any person, organization or governmental entity providing ambulance
or ALS services.
Patient shall mean an individual who is ill, sick, injured, wounded, or otherwise
incapacitated or helpless.
Rescue Service (Non-ALS) shall mean first response treatment of patients but does not
include Advanced Life Support (ALS) or transport.
Routine Call or Routine Transfer shall mean the transportation of a patient under non-
emergency call conditions.
SECTION TWO: Amendment to Section Twelve of Ordinance No. 2004-12, as amended.
Section Twelve is hereby amended to read as follows:
SECTION TWELVE: CLASSIFICATIONS OF CERTIFICATES.
There shall be three (3) classifications of service in Collier County, as follows:
A. Class 1:ALS Transport: ALS Rescue: An EMS Operator with the capability of rendering
on the scene prehospital ALS services with transport capability and who may or may not
elect to transport patients based on medical necessity. An EMS Operator rendering this
level of service for a governmental entity shall be deemed to be operating under the Class
1 - ALS rescue certificate of public convenience and necessity held by the governmental
entity. An EMS Operator holding a Class 1 —ALS rescue certificate may provide post-
hospital interfacility medical transfer services and routine ALS and BLS calls within the
County. A certificate of public convenience and necessity must be obtained from the
County before engaging in this level of medical service.
Words Underlined are added;Words StfuslE—Thfettgh are deleted. 0
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B. Class 2: Collier County Inter-Facility Transport Services: BLS or ALS Transfer: An
EMS Operator who provides post-hospital 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 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.
C. Class 3:ALS Non-Transport:
1. ALS Non-Transport: An EMS Operator who renders Advanced Life Support pre-
hospital services without transport capability.
2. Class 3 certificate holders work in concert with applicable Class 1 providers to
assure adequate and timely response to prehospital incidents with the intent to
either reduce applicable response times or otherwise augment the level of services
as requested by the associated Class 1 Operator. Unless an EMS Operator
possesses a Class 1 —ALS Rescue certificate issued by the County, a certificate
of public convenience and necessity must be obtained from the County before
engaging in this level of medical service.
3. Class-3 certificate holders shall contract with the County for a negotiated amount
per year for administrative services offered by the Office of the Medical Director
for the creation and update of medical protocol; and other general support as
requested by the Class-3 certificate holder. The Office of the Medical Director
shall not be considered the medical director for a Class-3 Operator for purposes
of this Ordinance or Florida Statutes unless the Class-3 Operator separately
contracts 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 F.S. § 401.265,
and Chapter 64J-2.004(4)(a), Florida Administrative Code.
4. The medical director for the Class-3 certificate holder shall work cooperatively
with the County's Office of the Medical Director to ensure continuity of care. The
medical director for the Class-3 certificate holder shall not delegate or relinquish
any responsibilities identified in F.S. § 401.265, and associated Florida
Administrative Code rules.
Words Underlined are added;Words StFuskk-ThFough are deleted.
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SECTION THREE: Conflict and Severability.
In the event this Ordinance conflicts with any other ordinance of Collier County or other
applicable law, the more restrictive shall apply. If any phrase or potion of this Ordinance is held
invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a
separate, distinct and independent provision and such holding shall not affect the validity of the
remaining portion.
SECTION FOUR: Inclusion in the Code of Laws and Ordinances.
The provisions of this Ordinance shall become and be made a part of the Code of Laws and
Ordinances of Collier County, Florida. The sections of the Ordinances may be renumbered or
relettered to accomplish such, and the word "ordinance" may be changed to "section," "article,"
or any other appropriate word.
SECTION FIVE: Effective Date.
This Ordinance shall become effective upon filing with the Florida Department of State.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida, this 12.44-qday of ,vim �r- , 2019.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAI,,K Z L, Clerk COLLIER CO Y FLORIDA
, cf.) Alp"
14h4difeak2Ili ' A .) By: 0010
as#0 ": Clerk Will L. Mc��e,Jr., Ch.7'an
tig nature ot>li•.•
Approved as to form and legality:
• 11 This ordinance filed with the
5efory of 5tate's O ice ti4,9
Jenm—r . Belpedio y offit'_'
Assistant County Attorney and� acknowiedgeme`, c that filin. e •ive thiscy
of _0 , '
i� i
Deputy Clerk
Words Underlined are added;Words ask-Through are deleted.
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FLORIDA DEPARTMENT Of STATE
RON DESANTIS LAUREL M.LEE
Governor Secretary of State
November 18, 2019
Ms. Teresa L. Cannon, BMR Senior Clerk II
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail, Suite#401
Naples, Florida 34112-5324
Dear Ms. Cannon:
Pursuant to the provisions of Section 125.66, Florida Statutes, this will acknowledge receipt of your
electronic copy of Collier County Ordinance No. 2019-38, which was filed in this office on November 18,
2019.
Sincerely,
Ernest L. Reddick
Program Administrator
ELR/lb
R. A. Gray Building • 500 South Bronough Street • Tallahassee, Florida 32399-0250
Telephone: (850) 245-6270
www.dos.state.fl.us