"Advanced Life Support" or "ALS" means invasive medical services requiring advanced emergency medical assessment and treatment skills as defined by Chapter 18.71 RCW.

"Ambulance Service Contractor" or "CONTRACTOR" means the firm or entity which is under contract with the City of Vancouver (COV) to respond to all medical requests originating within the Clark County Emergency Medical Services District #2 (EMSD2) and/or the COV Contracted Service Area (CSA).

"Basic Life Support" or "BLS" means noninvasive medical services requiring basic medical treatment skills as defined by Chapter 18.71 R.C.W.

"Emergency Medical Services" or "EMS" means medical treatment and care which may be rendered at the scene of any medical emergency or while transporting any patient in an ambulance to an appropriate medical facility, including ambulance transportation between medical facilities.

"Emergency Medical Technician" or "EMT" means a person who is authorized to render emergency medical care pursuant to R.C.W. 18.73.

"Medical Program Director" or "Director" or “MPD” means the Medical Program Director for Clark County certified by the Secretary of the Department of Health pursuant to Chapter 18.71 R.C.W.

"Patient" means any person injured, sick, incapacitated, or otherwise defined by the Medical Program Director, requiring medical treatment and care of emergency medical services.

"Routine Transport" means a 7-digit medical request that does not meet the Medical Program Director’s 911 transfer protocols.

"System Standard of Care" or "Standard of Care" means the combined compilation of all standards for prehospital medical care including but not limited to priority dispatching protocols; pre-arrival instruction protocols; medical protocols (i.e. first responders and ambulances); protocols for selecting destination hospitals; standards for certification of prehospital care personnel (i.e. medical call-takers, first responders, EMTs, and on-line medical control physicians); standards for permits (i.e. ambulances, first responder units, helicopter rescue units, and special use mobile intensive care services); response time standards; standards governing on-board medical equipment and supplies; and standards for licensure of ambulance services and first responder agencies. The Standard of Care shall serve as both a regulatory and contractual standard of care and performance. (Ord. M-4092 §2, 2014)