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Chapter 50 - Emergency Services Lei Chapter 50 EMERGENCY SERVICES* Article I. In General Secs. 50-1-50-25. Reserved. Article II. Reserved Secs. 50-26--50-50. Reserved. Article III. Medical Transportation Services Sec. 50-51. Purpose. Sec. 50-52. Definitions. Sec. 50-53. Requirements for certificate. Sec. 50-54. Exemptions and exclusions from certificate requirement. Sec. 50-55. Procedure for obtaining certificate. Sec. 50-56. Review of application. Sec. 50-57. Requirement for board approval in granting certificate. Sec. 50-58. Appointment of hearing officer. Sec. 50-59. Rights and duties granted by certificate. Sec. 50-60. Renewal of certificate. Sec. 50-61. Emergency provisions. Sec. 50-62. Classifications of certificates. Sec. 50-63. Transfer or assignment of certificates. Sec. 50-64. Revocation,alteration or suspension grounds. Sec. 50-65. General operating regulations. Sec. 50-66. Place of business. Sec. 50-67. Records to be kept. Sec. 50-68. Rates. Sec. 50-69. Operator's insurance. Sec. 50-70. Conduct of drivers and attendants. Sec. 50-71. Passengers. Sec. 50-72. Obedience to traffic laws,ordinances or regulations. Sec. 50-73. Violations. Sec. 50-74. Uniformity of application. Sec. 50-75. Authority to enforce. Secs. 50-76-50-100. Reserved. Article IV. Community Automated External Defibrillator Program Sec. 50-101. Title. Sec. 50-102. Findings and purpose. Sec. 50-103. Applicability. Sec. 50-104. Requirements and procedures. *Cross references-Civil emergencies, ch. 38; fire prevention and protection, ch. 58; emergency medical services system timpact fee, §74-266 et seq.;law enforcement,ch. 78;special districts providing for rescue services, ch. 122. IIIre Supp. No. 44 CD50:1 t— c �..1 �r EMERGENCY SERVICES §50-53 ARTICLE I. IN GENERAL Florida Statutes and Florida Administrative Code, and the Collier County Medical Director's protocol. Secs. 50-1-50-25. Reserved. Ambulance means any privately or publicly owned land,air,or water vehicle that is designed, ARTICLE II. RESERVED* constructed,reconstructed,maintained,equipped or operated, and is used for or intended to be Secs. 50-26-50-50. Reserved. used for air, land, or water transportation of persons, who are sick, injured, or otherwise helpless. ARTICLE III. MEDICAL Basic Life Support (BLS) means the assess- TRANSPORTATION SERVICESt ment of treatment by a person qualified under Florida Statute and Florida Administrative Code Sec. 50-51. Purpose. in the use of techniques described in the EMT- This article is adopted pursuant to F.S. chs. Basic National Standard Curriculum or the 125 and 401. The purpose of this article is to National EMS Education Standards of the United provide better protection for the health, safety States Department of Transportation and and welfare of the residents of Collier County,in approved by the Department of Health. ambulance and ALS matters, by establishing Board shall mean the Collier County Board of uniform county-wide standards for certification County Commissioners. of ambulance or advanced life support or services, or operations by promulgating complete and Certificate means a certificate of public clear rules and regulations for operation of all convenience and necessity as authorized in F.S. ambulance or rescue companies or services in § 401.25(2)(d). Collier County. Emergency Call shall mean the transit of an (Ord. No. 04 12, § 1) ambulance under conditions which warrants travel with flashing lights and siren operating. Sec. 50-52. Definitions. Operator shall mean any person, organization The following words,terms and phrases,when or governmental entity providing ambulance or used in this article, shall have the meanings ALS services. ascribed to them in this section, except where the context clearly indicates a different meaning: Patient shall mean an individual who is ill, sick,injured,wounded,or otherwise incapacitated Administrator shall mean the County Manager or helpless. or his designee. Advanced Rescue Service (Non-ALS) shall mean first Life Support (ALS) shall mean response treatment of patients but does not procedures conducted as defined in applicable include Advanced Life Support(ALS)or transport. *Editor's note—Ord. No. 2009-01,§6,adopted Jan. 13, Routine Call or Routine Transfer shall mean 2009, repealed art. II §§ 50-26-50-28, which pertained to the transportation of a patient under non- the Collier County Emergency Medical Services Advisory Council and derived from Ord. No. 80-80,§§ 1-3;Ord. No. emergency call conditions. 81-1,§ 1;Ord. No. 00-70,§ 1;Ord. No. 02-39,§ 1;Ord. No. (Ord. No. 04-12, § 2; Ord. No. 2011-36, § 1; Ord. 2006-55,§ 1;and Ord. No. 08-35,§ 1. No. 2019-38, § 1) tEditor's note—Ord. No. 04-12, § 26, adopted Feb. 24, 2004, repealed divs. 1 and 2 of art. III, §§ 50-51-50-68, 50-76-50-86,in their entirety.Sections 1-25 of said ordinance Sec. 50-53. Requirements for certificate. enacted similar provisions to read as herein set out. It shall be unlawful for any person, firm, Cross references—Businesses,ch.22;health and sanita- tion,ch. 66. agency, or any other entity, including State law reference—Medical transportation services, governmental units, to provide an ambulance F.S. §401.2101 et seq. service or provide advanced life support without Supp. No. 86 CD50:3 .r, ,.nIs §50-53 COLLIER COUNTY CODE first obtaining a certificate therefore from the (2) The boundaries of the territory desired to Board of County Commissioners of Collier County. be served. (Ord. No. 04-12, § 3) (3) The number and brief description of the Sec. 50-54. Exemptions and exclusions from ambulances or other vehicles the applicant certificate requirement. will have available. Certificates shall not be required for: (4) The address of the intended headquarters and any substations. (1) Rescue Services (Non-ALS). (5) The training and experience of the (2) The use of a non-ambulance for any applicant. transport of a patient pursuant to the Good Samaritan Act, F.S. § 768.13. (6) The names and addresses of three Collier Vehicles rendering ambulance-type County residents who will act as refer- (3) ences for the applicant. services when requested to do so by the Board of County Commissioners or County (7) A schedule of rates which the service Manager in the event of a major intends to charge. catastrophe or other such emergency which requires more ambulances than (8) Such other pertinent information as the are available in the county. administrator may require. (4) Ambulances based outside the county (9) An application or renewal fee of$250.00. which pick up a patient in the county and (Exception Collier County EMS). transport him out of the county, or which pick up a patient out of the county and (10) Financial data including assets and transport him into the county. liabilities of the operator. A schedule of all debts encumbering any equipment (5) Vehicles used to transport persons for shall be included. routine scheduled medical treatments. (Ord. No. 04-12, § 5; Ord. No. 2011-36, § 3) Vehicles transporting persons who require services en route are not covered by this Sec. 50-56. Review of application. exemption. (Ord. No. 04-12, § 4; Ord. No. 05-16, § 4; Ord. The administrator shall review each applica- No. 2011-36, § 2) tion and shall investigate the applicant's reputa- tion, competence, financial responsibility, and Sec. 50-55. Procedure for obtaining any other relevant factors. The administrator certificate. shall also make an investigation as to the public necessity for an ambulance or ALS operation in An applicant for a certificate shall provide the the territory requested, and shall then make a Administrator with the following information in report to the board containing his recommenda- order for a request for a certificate to be tion whether to grant a certificate to the applicant considered. Each request shall contain: within 60 days of the time the administrator (1) The name, age, and address of the owner determines the application is complete. of the ambulance or ALS Operator, or if (Ord. No. 04-12, § 6) the owner is a corporation, then of the directors of the corporation and of all the Sec. 50-57. Requirement for board approval stockholders holding more than 25% of in granting certificate. the outstanding shares. For governmental units, this information shall be supplied The Board of County Commissioners shall not for members of the governing body. grant a certificate unless it shall find, after Le,Supp. No. 86 CD50:4 ,..IIS‘ /OS IS%\ EMERGENCY SERVICES §50-60 public hearing and based on competent evidence the officer's findings and conclusions of fact, and that each of the following standards has been a recommended order. The findings and conclu- satisfied: sions of fact shall be binding upon the board,but (1) That there is a public necessity for the the recommended order shall be advisory only. service. In making such determination, (Ord. No. 04-12, § 8) the Board of County Commissioners shall Sec. 50-59. Rights and duties granted by consider, as a minimum, the following factors: certificate. a. The extent to which the proposed (a) The certificate granted by the Board shall service is needed to improve the be valid for one calendar year and shall be overall emergency medical services personal to the applicant and not transferable. (EMS) capabilities of the County. In the case of a corporation, if there occurs such b. The effect of the proposed service on a transfer of stock or other incidents of owner- existing services with respect to qual ship as to change the majority or largest ity of service and cost of service. stockholder, a new certificate must be applied for. Changes in the officers of the corporation c. The effect of the proposed service on will not require a new certificate. the overall cost of EMS service in the county. (b) Acceptance of the certificate by the applicant shall obligate the applicant to: d. The effect of the proposed service on existing hospitals and other health (1) Service the entire zone granted to the care facilities. applicant. e. The effect of the proposed service on (2) Provide coverage to adjoining zones, if personnel of existing services and available, when requested to do so by the availability of sufficient quali- emergency dispatch for emergency calls fled personnel in the local area to when the certificate holder for that zone adequately staff all existing services. is unable to respond. (2) That the applicant has sufficient (3) Keep posted at his place of business a knowledge and experience to properly copy of the fee schedule, which must be operate the proposed service. filed with the Administrator(if applicable). (3) That, if applicable, there is an adequate (4) Operate in accordance with the rules and revenue base for the proposed service. regulations adopted pursuant to this Ordinance and any applicable County (4) That the proposed service will have suf Ordinances, and F.S. ch. 401, and any ficient personnel and equipment to administrative regulations adopted pursu- adequately cover the proposed service ant thereto. area. (Ord. No. 04-12, § 7; Ord. No. 2011-36, § 4) (5) Employ at all times sufficient personnel experienced in operation and manage- Sec. 50-58. Appointment of hearing officer. ment of emergency medical services to ensure proper and efficient operation. In making the determinations provided for in (Ord. No. 04-12, § 9; Ord. No. 2011-36, § 5) section 50-57 above, the board may, in its sole discretion, appoint a hearing officer to hold a Sec. 50-60. Renewal of certificate. public hearing and to make factual findings and conclusions as a result of the hearing. Should a Each certificate holder shall file within 90 Hearing Officer be appointed,said hearing officer days of expiration, an application for renewal of shall render a written report to the board within his certificate. Renewals shall be based upon the 30 days of the hearing,which report shall contain same standards, as the granting of the original Lise Supp. No. 86 CD50:5 ^1 1/4440, §50-60 COLLIER COUNTY CODE certificate along with such other factors as may B. Class 2: Collier County Inter-Facility be relevant. The renewal application shall be Transport Services:BLS or ALS Transfer: accompanied by a $250.00 renewal fee. An EMS Operator who provides post- The renewal certificate may be approved hospital inter facility medical transfer routinely by the board, upon advice of the services, both within and outside the administrator, or the board may hold a hearing County. If requested by the appropriate Class 1 - ALS Rescue Operator, will on same. provide emergency pre-hospital backup (Ord. No. 04-12, § 10) service. ALS transfer certificate holders may provide post-hospital medical transfer Sec. 50-61. Emergency provisions. services for routine and emergency ALS The Board may modify, suspend or revoke a and BLS patients. Class 2 transfer certificate in the interest of the public health, certificate holders must either provide safety and welfare, only at public hearing and for their own medical director or contract after reasonable notice has been given to the with the County Medical Director, and certificate holder affected. However, if a situa- will operate under protocols approved by tion exists which poses a serious threat that the the County Medical Director. If the Opera- Operator will not be available to any certain tor provides for its own medical director, area of Collier County, the Administrator shall that medical director shall work have such temporary emergency powers as are cooperatively with the County's Office of necessary to provide that service. These temporary the Medical Director to ensure continuity powers are intended to provide interim protec- of care. Class 2 Operators shall comply tion until such time as the Board meets to with all guidelines and policies approved resolve the emergency. by the Board of County Commissioners, (Ord. No. 04-12, § 11; Ord. No. 2011-36, § 6) and shall notify and work with all hospitals and facilities to educate them Sec. 50-62. Classifications of certificates, as to the services Operator provides. The County reserves the right to review and There shall be three (3) classifications of evaluate all calls made by the Operator service in Collier County, as follows: to ensure that the appropriate level of A. Class 1:ALS Transport:ALS Rescue:An personnel, supplies, equipment and vehicles are being utilized, as set forth in EMS Operator with the capability of rendering on the scene prehospital ALS Florida Statute and Florida Administra services with transport capability and tive Code. who may or may not elect to transport C. Class 3:ALS Non-Transport: patients based on medical necessity. An EMS Operator rendering this level of 1 ALS Non-Transport:An EMS Opera service for a governmental entity shall tor who renders Advanced Life Sup be deemed to be operating under the port pre hospital services without Class 1 -ALS rescue certificate of public transport capability. convenience and necessity held by the 2. Class 3 certificate holders work in governmental entity. An EMS Operator concert with applicable Class 1 holding a Class 1-ALS rescue certificate providers to assure adequate and may provide post-hospital interfacility timely response to prehospital medical transfer services and routine incidents with the intent to either ALS and BLS calls within the County. A reduce applicable response times or certificate of public convenience and neces- otherwise augment the level of sity must be obtained from the County services as requested by the associ- before engaging in this level of medical ated Class 1 Operator. Unless an service. EMS Operator possesses a Class 1 - L,Supp. No. 86 CD50:6 A."*N ,0•'\41. ANA%,\ EMERGENCY SERVICES §50-64 Le ALS Rescue certificate issued by stock or interest of any person or operator so as the County, a certificate of public to cause a change in the directors, officers, convenience and necessity must be majority stockholders or managers of such person obtained from the County before or operator shall be deemed a transfer or assign- engaging in this level of medical ment as contemplated in this article and subject service. to the same rules and regulations as any other 3. Class 3 certificate holders shall transfer or assignment. contract with the County for a negoti- (Ord. No. 04-12, § 13) ated amount per year for administra- tive services offered by the Office of Sec. 50-64. Revocation,alteration or suspen- the Medical Director for the creation sion grounds. and update of medical protocol; and other general support as requested (a) Every certificate issued under this article by the Class 3 certificate holder. shall be subject to revocation, alteration and/or The Office of the Medical Director suspension of operation,buy [by] the board,for a shall not be considered the medical period of up to one year, where it shall appear director for a Class 3 Operator for that: purposes of this Ordinance or Florida Statutes unless the Class 3 Opera- (1) The operator has failed or neglected for a tor separately contracts with the period of 30 days during any calendar County in order for the County's year to render all services authorized by Medical Director to serve as its his certificate. medical director for the performance of services set forth in F.S. §401.265, (2) The operator has been convicted of a and Chapter 64J-2.004(4)(a),Florida felony or any criminal offense involving �✓ Administrative Code. moral turpitude. 4. The medical director for the Class 3 (3) The certificate was obtained by an applica- certificate holder shall work tion in which any material fact was cooperatively with the County's omitted or falsely stated. Office of the Medical Director to ensure continuity of care. The medi- (4) The operator has knowingly permitted cal director for the Class 3 certificate any of its motor vehicles to be operated in holder shall not delegate or violation the laws which result in convic- relinquish any responsibilities identi- tion of the driver or operator of a fled in F.S. § 401.265, and associ- misdemeanor in the second degree or ated Florida Administrative Code greater, or has knowingly permitted a rules. driver with more than two previous convic- (Ord. No. 04-12,§ 12;Ord. No. 2011-36,§7;Ord. tions to operate emergency vehicles. No. 2012-04, § 1; Ord. No. 2019-38, § 2) (5) The operator has failed to comply with Sec. 50-63. Transfer or assignment of any of the provisions of this article. certificates. (6) The public interest will best be served by No certificate issued under this article shall revocation, alteration, or suspension of be assignable or transferable by the person to any certificate upon good cause shown. whom issued except unless approval is obtained from the board in the same manner and subject (7) The operator or his agent has demanded to the same application, investigation, fees and money or compensation other that public hearing as original applications for established and prescribed under this certificates. Any majority transfer of shares or article (if applicable). LSupp. No. 86 CD50:7 .r\ , §50-64 COLLIER COUNTY CODE (8) The operator has without sufficient minutes elapse between receipt of an justification failed or refused to furnish emergency call and dispatch of an emergency care and/or transportation emergency vehicle shall also be reported promptly for a sick or injured person. to the Administrator with documenta- (9) The operator or his agent has been found tion of circumstances. guilty of malpractice or willful and wanton (3) Bed Linens. Every Operator transporting misconduct in the operation of its service. patients shall provide clean and sanitary (b) All complaints shall be investigated and a bed linens for each patient carried which report thereon made to the board, together with shall be changed as soon as practicable findings and recommendations, within 15 days. after the discharge of the patient. If revocation, suspension or alteration of any (4) Daily Log. Every Operator transporting certificate appears warranted, the board shall patients shall maintain in a daily log give notice to the operator holding the certificate upon which shall be recorded the place or that the same will be considered at a specific origin,time of call,time of dispatch,time commission meeting, provided the date of such of arrival at scene, time left for hospital, meeting shall not be less than five days from the time of arrival at hospital, and charges date of the notice. The board shall thereupon for each trip made and such other operat- consider the complaint and either revoke,suspend ing and patient information as may be or alter the certificate or dismiss the complaint. required by Ordinance. Every Operator (Ord. No. 04-12, § 14) shall retain and preserve all daily logs for at least two (2) years, and such logs Sec. 50-65. General operating regulations. shall be available for inspection by the Administrator. All certificate holders, operators, and drivers shall comply with all state statutes and (5) Communications.Each emergency vehicle administrative regulations as following regula shall maintain two-way radio communica- tions: tion with the location of primary dispatch from which it operates, as well as any (1) Twenty-four Hour Service. Every additional communication capabilities certificate holder shall be required to required by Ordinance or state law. operate sufficient ambulances,or relevant apparatus,as stated on the vehicle permit (6) Vehicles and Equipment. Each Operator's issued by the State Department of Health, vehicles shall be equipped with the proper Bureau of Emergency Medical Services medical and emergency equipment as and permit issued by the Board, on jointly agreed to by the medical director immediate call at all times. of each licensed provider and the laws of the State of Florida. (2) Prompt Service Required. Every call for service shall be answered promptly. (7) Certification. Patients shall be appropriately assessed, a. In addition to the State of Florida treated,packaged,loaded and transported Department of Health, Bureau of by an Operator that is licensed to Emergency Medical Services require- transport without being subject to ments for certification, each Collier unreasonable delays. All calls for County EMS paramedic, Class 2 emergency assistance requiring over Operator's paramedic, and Class 3 twenty(20)minutes from time of notifica- Operator that has separately entered tion to arrival on scene shall be reported into a contract with the County in to the Administrator with complete order for the County's Medical Direc- documentation of the circumstances, tor to serve as its medical director which delayed the response. Those for the performance of services set instances where more than three (3) forth in F.S. §401.265, and Chapter LiSupp. No. 86 CD50:8 ,1■1,. ,••N. Ani%‘ EMERGENCY SERVICES §50-67 64J-2.004(4)(a),Florida Administra- a Class 3 Operator that has separately tive Code, must be certified by the entered into a contract with the County County Medical Director. Each Col- in order for the County's Medical Direc- lier County EMS paramedic and tor to serve as its medical director for the Class 2 Operator paramedic, that performance of services set forth in F.S. contracts with the County for Medi- § 401.265, and Chapter 64J-2.004(4)(a), cal Director services, must work Florida Administrative Code,shall either with a Collier County EMS work with a Collier County EMS ambulance for a sufficient length of ambulance not less than one full month's time pursuant to subsection (8) for work shift annually or must accompany a the County's Medical Director to patient on the Collier County EMS ALS properly judge the paramedic's transport from scene to hospital when capability. Salaries of other than the paramedic for such Class 3 Operator Collier County EMS paramedics will initiates ALS services on a patient prior be paid by the agency seeking the to a Collier County EMS transport arrival Medical Director Certification. or if the patient's condition requires that additional level of expertise, as provided b. All Operators, shall certify its paramedics pursuant to F.S. for in its contract with the County. § 401.265, and Chapter 64J- (9) Application. Each ambulance or ALS 2.004(4)(a), Florida Administrative service shall be subject to those rules and Code. regulation as promulgated by Ordinances c. Class 2 and Class 3 Operators that of the Board for the purpose of carrying have separately entered into a out this ordinance. contract with the County in order (Ord. No. 04-12,§ 15;Ord. No. 2011-36,§8;Ord. for the County's Medical Director to No. 2012-04, § 2) serve as its medical director for the Sec. 50-66. Place of business. performance of services set forth in Within 90 days of Certificate issuance, each F.S. § 401.265, and Chapter 64J Operator shall maintain a place of business 2.004(4)(a), Florida Administrative which shall be entirely within his designated Code, shall be certified pursuant to operating zone, at which place he shall provide the terms of such contract. communication with his vehicles, the Collier (8) Ride Time Requirement. Each paramedic County Emergency Medical Services Depart- employed by a Collier County EMS, a ment, and his place of business, a properly listed Class 1 Operator or Operator that has telephone for receiving all calls for service and at entered into a contract with the County which place of business he shall keep such for Medical Director services must work, business records, training records, vehicles, and at a minimum,with a Class 1 Operator's daily logs available for inspection or audit by the ambulance not less than one full month's Administrator. Every Operator shall keep on file work shift annually. Each paramedic with the Administrator and the County employed by a Class 3 Operator that has Emergency Medical Services Department a busi- its own medical director must accompany ness address and telephone number at which the a patient on the Collier County EMS Operator may be reached at all times. This ALS transport from scene to hospital information will be maintained at the Emergency when the paramedic for such Class 3 Medical Services Department. Operator initiates ALS services on a (Ord. No. 04-12, § 16, Ord. No. 2012-04, § 3) patient prior to Collier County EMS transport arrival or if the patient's condi- Sec. 50-67. Records to be kept. tion requires that additional level of Every operator shall keep accurate records of expertise. Each paramedic employed by receipts from operations, operating and other Supp. No. 86 CD50:9 ''1 §50-67 COLLIER COUNTY CODE expenses, capital expenditure and such other meet the requirements set out in this Ordinance operating and patient information as may be and no driver, EMT or paramedic registered required by the board. hereunder shall: (Ord. No. 04-12, § 17) (1) Fail or refuse to promptly transport, if applicable, or attend any sick or injured Sec. 50-68. Rates. person after responding to a call. Every operator shall file with the board a (2) Demand or receive compensation other schedule of the rates. Such rates shall be filed as that established and approved in a part of each new or renewal application, and a accordance with this article or fail to give rate schedule shall also be filed when changes in a receipt for moneys received (if rates are proposed. All such rates shall be applicable). subject to review and approval by the board. (3) Give or allow rebate,commission,discount (Ord. No. 04-12, § 18) or any reduced rate not provided in the established rate (if applicable). Sec. 50-69. Operator's insurance. (4) At any time induce or seek to induce any Every ambulance operator shall carry bodily person engaging an ambulance or ALS injury and property damage insurance with service to patronize or retain the services solvent and responsible insurers authorized to of any hospital,convalescent home,mortu transact business in the State of Florida to ary,cemetery,attorney,accident investiga secure payment for any loss or damage resulting tor,nurse,medical doctor or other service from any occurrence arising out of or caused by occupation or profession. the operation or use of any of the operator's (5) At any time release his patient from his motor vehicles. Each vehicle shall be insured for care until he is assured that some the sum of at least $100,000.00 for injuries to or responsible person is available to receive death of any one person arising out of any one such patient. accident and the sum of at least $300,000.00 for injuries to or death or more than one person in (6) At any time use a siren or flashing red any one accident and for the sum of at least light unless on an emergency call. $50,000.00 for damage to property arising from (7) Disobey the lawful orders of the law any one accident. They shall also have malpractice enforcement officer at the scene of an insurance. Every insurance policy or contract for accident,or other similar such emergency such insurance shall provide for the payment or at a fire scene, the fire officer in and satisfaction of any financial judgment entered charge. against the operator and present insured or any (8) Smoke while within the confines of an person driving the insured vehicle. Such insur- ance shall be obtained and certificates or certi- ambulance. fied copies of such policies shall be filed with the (9) Operate or ride in a vehicle without board. All such insurance policies, certificates using seatbelts. (Personnel attending thereof or certified copies of such insurance patients are exempt.) policies shall provide for a 30-day cancellation (Ord. No. 04-12, § 20; Ord. No. 2011-36, § 9) notice to the board. (Ord. No. 04-12, § 19) Sec. 50-71. Passengers. No person shall be aboard ambulances when Sec. 50-70. Conduct of drivers and engaged in emergency or routine calls except the attendants. following: All drivers,EMT's and paramedics shall comply (1) Driver,attendants and fire or law enforce- with the laws of the State of Florida, in order to ment personnel; Supp. No. 86 CD50:10 ''1 1 EMERGENCY SERVICES §50-101 (2) Patients; such provisions protect the driver from the consequences of his reckless disregard for the (3) Relatives or close friends of the patient safety of others. when authorized by an EMS Battalion (Ord. No. 04-12, § 22; Ord. No. 2011-36, § 11) Chief or position of a higher rank. These requests will only be granted under exceptional circumstances; Sec. 50-73. Violations. (4) Physicians and nurses; In addition to the remedies provided herein, a violation of any provision of this article shall be (5) Personnel in an observing capacity that punishable as provided by law for the violation of are being trained for ambulance or ALS county ordinances. service; or (Ord. No. 04-12, § 23) (6) Operator's supervisory personnel. (Ord. No. 04-12, § 21; Ord. No. 2011-36, § 10) Sec. 50-74. Uniformity of application. The article shall constitute a uniform law Sec. 50-72. Obedience to traffic laws, applicable in all of Collier County. ordinances or regulations. (Ord. No. 04-12, § 24) (a) Under the provisions of Florida State law, Sec. 50-75. Authority to enforce. the driver of an ambulance or ALS vehicle when responding to an emergency call or while It is hereby declared to be the duty of the transporting a patient may exercise the follow- Board of County Commissioners of Collier County, ing privileges when such driver has reasonable its officers, agents, employees and other grounds to believe that an emergency in fact governmental agencies, the sheriff's department exists requiring the exercise of such privileges: of Collier County, its deputies and agents, fire (1) Park or stand,irrespective of the otherwise departments, as well as the police departments applicable provisions of law,ordinance or of the various municipalities falling under the regulations. provisions of this article to strictly enforce the provisions of this article. (2) Proceed past a red light or stop signal or (Ord. No. 04-12, § 25) stop sign, but only after slowing down as may be necessary for safe operations. Secs. 50-76-50-100. Reserved. (3) Exceed the maximum speed limits permit- ted by law so long as he does not endanger ARTICLE IV. COMMUNITY AUTOMATED life or property. EXTERNAL DEFRIBRILLATOR (4) Disregard laws, ordinances or regula- PROGRAM* tions governing direction or movement or turning in specified directions so long as Sec. 50-101. Title. he does not endanger life or property. This article shall be known and may be cited (b) The exemptions herein granted shall apply as the"Community Automatic External Defibril- only when such vehicle is making use of audible lator Program Ordinance" for Collier County. and/or visible signals meeting the requirements (Ord. No. 98-36, § 1) of this article. *Editor's note—Ord. No. 98-36, adopted May 12, 1998, set out provisions for a community automatic external (c) The foregoing provisions shall not relieve defibrillator program. This material was included as§§ 50- the driver of a vehicle from the duty to drive with 101-50-104 at the editor's discretion.See the Code Compara- due regard for the safety of all persons,nor shall tive Table. Supp. No. 86 CD50:11 ./.."I "0%, Ogifts4 §50-102 COLLIER COUNTY CODE Lire Sec. 50-102. Findings and purpose. organization or company requesting the Pursuant to F.S. § 125.01(1)(e), the Board of purchase of an AED. The written request County Commissioners of Collier County,Florida must contain the name,location,number finds that it is empowered to provide ambulance of units, number of people to service and and emergency medical services. Pursuant to type and manufacturer of the AED. article VIII of the Constitution of the State of (3) Upon receipt of the written request to Florida, the Board of County Commissioners of purchase, the EMS department will Collier County, Florida further finds it has the coordinate a training class for the request- authority to exercise broad home rules powers ing party, and all intended users of the and as such finds that it is in the best interest of AED, on the proper operation of AEDs. the citizens of Collier County to enact this Training will consist of a required class article. which will include: It is the purpose of this article to create the a. History of sudden death. Community Automatic External Defibrillator b. Signs and symptoms of cardiac Program which will establish guidelines for use, arrest. training,data collection and data recovery require- ments and procedures for Automatic External c. Adult cardio-pulmonary resuscita- Defibrillators (hereinafter known as AEDs). tion. (Ord. No. 98 36, § 2) d. Proper use, maintenance and periodic inspection of the AED. Sec. 50-103. Applicability. (4) Upon proof of successful completion of Notwithstanding any provisions of any other the above-required training, the Collier county zoning or other ordinance to the contrary, County EMS medical director will then Le thisarticle shall apply to,and be enforced in,the issue a prescription for the purchase of incorporated as well as the unincorporated areas an AED which has been approved, and of the county. authorized for purchase,by the Food and Hospitals,as defined in F.S. §395.002(12),are Drug Administration. exempt from the provisions of this article. (5) Users of the AED will follow the policies (Ord. No. 98 36, § 3) and procedures developed and authorized by the Collier County Emergency Medi- Sec. 50-104. Requirements and procedures. cal Services Department Medical Direc- The following shall be the requirements and tor. These policies and procedures will be procedures for use, training, data collection and provided to the individual, organization data recovery of the AED program: or company requesting the purchase of an AED upon the successful completion (1) No AED shall be used in the incorporated of the training required by this section. or unincorporated area of Collier County without first complying with the require- (6) Re-certification of users and inspection ments and procedures set forth in this of the AED will be done on bi-annual section,except as hereinafter provided in basis by the Collier County Emergency subsection(10). It shall be the responsibil- Medical Services Department. ity of the owner of the AED to ensure (7) The Collier County Emergency Medical that only trained individuals operate, or Services Department will conduct qual- have access to, the AED. ity assurance testing after use of the (2) The purchase of AED's will be done only AED. The quality assurance testing will after a written request is made to the be on the proper use, placement and Collier County Emergency Medical maintenance of the AED. An additional Services Department by the individual, use of such testing will be to gather LeSupp. No. 86 CD50:12 Liro EMERGENCY SERVICES §50-104 statistical information on the benefits AED availability provides to the com- munity. (8) Any person who uses an AED is required to contact the EMS department as soon as reasonably possible upon use of the AED. (9) Upon notification of the use of an AED, the EMS department will be responsible for the collection and recovery of data generated by the AED. The owner of the AED will not unreasonably withhold consent to the retrieval of such data or to any quality assurance testing. The manner in which data is recovered will be dictated by the capability of the particular AED unit, since the method of data collection differs depending upon the type of AED. All data,once recovered by the EMS department,will be stored at a centralized database to be located and operated by the Collier County EMS Department. (10) In the event an individual not trained in the use of an AED is the only person available to operate the AED, and emergency medical services has been activated, an AED-emergency medical dispatch certified 911 operator shall be authorized to instruct that individual on the proper operation and use of the AED. All other provisions of this section which are not inconsistent with subsection(10) remain in full force and effect. (Ord. No. 98-36, §4;Ord. No. 99-43, § 1, 6-8-99; Ord. No. 03-22, § 1, 5-13-03) Supp. No. 86 CD50:13 Chapters 51-53 RESERVED CD51:1