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11 <br />Section 6. The Orange County Emergency Services System ("ESS") Plan <br />a. Grantee shall comply with the Grantor's official written ESS System Plan <br />for the management and deployment of EMS Services Vehicles within the <br />Franchise District and, additionally, within other service areas pursuant to <br />the EMS System Mutual Aid Plan and any cooperative agreement to <br />continue services in service areas where Franchisees' EMS System <br />franchises has been suspended. <br />b. Grantee shall keep at its place a business at all times the most current copy <br />of the ESS System Plan. <br />Section 7. Staffing and Performance Requirements <br />a. Grantee shall comply with the scope of practice rules promulgated by the <br />North Carolina Medical Board pursuant to law regarding the medical skills <br />and medication that may be used by credentialed emergency medical <br />services personnel at each level of patient care. <br />b. Grantee shall comply with standard for drivers and attendants developed <br />by the North Carolina Medical Care Commission as requirements for <br />certification of emergency medical technicians pursuant to law, rules and <br />regulations promulgated by the Board of Medical Examiners for advanced <br />life support technicians, which is incorporated in this subsection by <br />reference. <br />c. No staff of Grantee shall drive an ambulance vehicle, attend a patient, or <br />permit an ambulance to be operated when transporting a patient within the <br />County unless the driver holds a currently valid North Carolina Drivers <br />license and currently valid credentials as an EMT, EMT-I or EMT-P <br />issued by the North Carolina Department of Health and Human Services, <br />Office of Emergency Medical Services. Notwithstanding the foregoing, in <br />an exceptional circumstance when an EMT, EMT-I, or EMT-P is not <br />available, for the purpose of driving only or when providing Non- <br />Transport Service an approved firefighter, First or Medical Responder, <br />Rescue Services Provider or law enforcement officer with a currently valid <br />North Carolina drivers license may drive an ambulance, provided such <br />driver does not attend a patient or victim or does not otherwise provide <br />medical services to a patient or victim. <br />d. Grantee shall comply with the Grantor's official written EMS System Plan <br />for the use of credentialed EMS personnel for all of the authorized <br />Practice Settings. Any agreement between Grantee and a third party to <br />provide special events coverage is subject to pre-approval in writing by <br />the Grantor, which approval shall not be reasonable withheld. <br />Page 8 of 23 <br />