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6 <br />life or further aggravation of physiological or psychological illness or <br />injury. <br />i. Emergency Services System or ESS. Emergency Services System or <br />"ESS" shall mean a coordinated arrangement of local resources under the <br />authority of the Emergency Services Director (including all agencies, <br />personnel, equipment, and facilities} organized to respond to medical <br />emergencies and integrated with other health care providers and networks <br />including public health, community health monitoring activities, and <br />special needs populations. <br />j. Emergency Medical Dispatcher or Telecommunicator. The term <br />"emergency medical dispatcher" of "telecommunicator" shall mean an <br />emergency telecommunicator who has completed educational <br />requirements and been credentialed by the Department of Health and <br />Human Services as an emergency medical dispatcher and who is available <br />to receive requests for emergency services, to dispatch emergency <br />services, and to advise local law enforcement agencies, fire departments, <br />rescue squads, first or medical responder units and emergency medical <br />services and facilities of any existing or threatened emergency. <br />k. Emergency Medical Services. "Emergency Medical Services" or "EMS" <br />means services rendered by emergency medical services personnel in <br />responding to improve the health and wellness of the community and to <br />address the individual's need for. emergency medical care within the scope <br />of practice as defined by the North Carolina Medical Board, in accordance <br />with G.S. 143-514, and the Orange County Medical Director in order to <br />prevent loss of life or further aggravation of physiological or <br />psychological illness or injury. <br />1. Emergency Medical Services Instructor. "Emergency Medical Services <br />Instructor" means an individual who has completed educational <br />requirements approved by the Department of Health and Human Services <br />and has been credentialed by that Department as an emergency medical <br />services instructor. <br />m. Emergency Medical Services Peer Review Committee. Emergency <br />Medical Service Peer Review Committee means a panel composed of <br />EMS program representatives responsible for analyzing patient care data <br />and outcome measures to evaluate the ongoing quality of patient care, <br />system performance, and medical direction within the EMS system. The <br />committee may include physicians, nurses, EMS personnel, medical <br />facility personnel and county government staff as determined by the <br />Emergency Services Director in consultation with the County .Medical <br />Director. <br />Page 3 of 23 <br />