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11 <br />Emergency Services Director in consultation with the County Medical <br />Director. <br />n. Emergency Medical Technician (EMT). The term "emergency medical <br />technician" means an individual who has completed a training program in <br />emergency medical care that has been approved for legal recognition by <br />the North Carolina Department of Health and Human Services, in <br />accordance with rules promulgated by the Medical Care Commission, has <br />been certified as an EMT by the State of North Carolina Office of <br />Emergency Medical Services, and approved by the County Medical <br />Director to perform services as an EMT in the Orange County EMS <br />system. <br />o. Emergency Medical Technician -Intermediate (EMT-I). The term <br />"emergency medical technician -intermediate" means an individual who <br />has completed a training program in emergency medical care at the <br />intermediate level that has been approved for legal recognition by the <br />North Carolina Department of Health and Human Services, in accordance <br />with rules promulgated by the Medical Care Commission, has been <br />certified as anEMT -Intermediate by the State of North Carolina Office <br />of Emergency Medical Services, and approved by the County Medical <br />Director to perform services at the EMT-Intermediate level in the Orange <br />County EMS system. <br />p. Emergency Medical Technician - Paramedic (EMT-P). The term <br />"emergency medical technician -paramedic" means an individual who has <br />completed a training program in emergency medical care at the paramedic <br />level that has been approved for legal recognition by the North Carolina <br />Department of Health and Human Services, in accordance with rules <br />promulgated by the Medical Care Commission, has been certified as an <br />EMT-Paramedic by the State of North Carolina Office of Emergency <br />Medical Services, and approved by the County Medical Director to <br />perform services as anEMT-Paramedic in the Orange County EMS <br />system. <br />q. Emergency Services Director. The term shall mean the person designated <br />by the Orange County Board of Commissioners to manage the overall <br />Emergency Services System in Orange County. <br />r. First Responder. The term "first responder" shall mean an organization <br />with personnel trained in emergency medical care that is dispatched to the <br />scene of a medical emergency for the primary purpose of providing <br />emergency medical assistance to a patient until the ambulance and <br />additional medical aid arrives. <br />Johnston Ambulance Services, Inc. <br />EMS Franchise Agreement <br />Page 4 of 23 <br />