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First Responder ALS Agreement <br />Page 3 <br />Rev. 01/12/00 <br />3.12 First Respondsr ALS Unit (FRALS) - A unit staffed and equipped with a minimum of one <br /> California State licensed and Alameda County accredited paramedic capable of providing ALS at <br /> scenes of medical emergencies. <br /> <br />3.13 <br /> <br />Life Threatening Emerf~ency Response {Code 3) - Any emergency that is designated as life <br />threatening in strict accordance with approved dispatch protocols. Code 3 will be counted as an <br />emergency response. <br /> <br />3.14 Medical Direction - Direction given ALS personnel by a base hospital. <br /> <br />3.15 <br /> <br />Medical Director - Person designated pursuant to Section 1979.204 of the Health and Safety <br />Code to serve as administrative officer in carrying out the duties and powers of the Health Officer. <br /> <br />3.16 <br /> <br />Medical Protocol - Any diagnosis-specific or problem-oriented written statement of Standard <br />procedure, or algorithm, promulgated by the Medical Director as the normal standard of <br />prehospital care for the given clinical condition. <br /> <br />3.17 <br /> <br />Non-Life Threatening Response (Code 2) - Any response that is designated as non-life <br />threatening at call reception by ALCO-CMED personnel or other PSAP authorized by Contract <br />Administrator in strict accordance with approved dispatch protocols. <br /> <br />3.18 <br /> <br />Non-Emergen~:y Response (Code 1) - Any request for service that falls outside the established <br />protocols for emergency life threatening and emergency non-life threatening responses. Pre- <br />scheduled transfers for response time purposes shall be considered non-emergency responses. <br />Non-emergency calls may be of private or public origin. Code 1 will not be counted as an <br />emergency response. <br /> <br />3.19 On-Scene Time - The time a unit arrives at the location requested. <br /> <br />3.20 Paramedic - Personnel as defined in the Health and Safety Code Section 1797.84. <br /> <br />3.21 <br /> <br />Paramedic Unit - An ambulance unit staffed and equipped to provide Advanced Life Support at <br />the scene of a medical emergency and during transport of a patient(s), and designated as a <br />paramedic unit by the Medical Director. <br /> <br />3.22 Public Safety AnswerinR Point (PSAP) - Public safety answering point where 9-1-1 calls are <br /> first received <br /> <br />3.23 Public Safety Officer - Any person designated as a public safety officer by the law of the State <br /> of California. <br /> <br />3.24 Physician - Any person duly licensed to practice medicine in the State of California. <br /> <br />3.25 <br /> <br />Quality Assurance - The sum of all activities undertaken to assure that prehospital emergency <br />medical services maintain the standard of care established for those services, as defined by the <br />County Medical Director <br /> <br />3.26 <br /> <br />Quality Improvement - The evaluation of prehospital emergency medical services to identify <br />where personnel performance or the system itself can be improved, the implementation of <br />potential improvements, and their re-evaluation and refinement in a continuous cycle. While <br />Quality Assurance traditionally focuses on the detection of defects, Quality Improvement strives <br />to prevent them. Thus a Quality Improvement program must include, but not be limited to, Quality <br />Assurance. <br /> <br />3.27 Response Time - The actual elapsed time between receipt of a call at a PSAP that a unit is <br /> needed and the on-scene time, consistent with section 5.1.1. <br /> <br /> <br />