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9 <br />1.36 Treatment Protocols. "Treatment Protocols" shall mean a document approved by the <br />medical director and the Office of Emergency Medical Service specifying the diagnostic <br />procedures, treatment procedures, medication administration, and patient-care-related <br />policies that shall be completed by emergency service personnel based upon the <br />assessment of the patient. <br />1.37 Victim. The term "victim" shall mean any patient or potential patient that is entrapped, <br />entangled pinned, fallen, suspended, or otherwise in need of rescue services. <br />SECTION R. FRANCHISE REQUIRED <br />2.1 No person either as owner, agent or otherwise, shall furnish,- operate, conduct, maintain, <br />advertise, or otherwise be engaged in or profess to be engaged in the business or service <br />of emergency medical service, emergency, emergent and/or non-emergency <br />transportation of patients within the County of Orange unless the person holds a .valid <br />- EMS Provider License and a valid permit for each ambulance used in such business. or <br />service issued by the North Carolina Department of Health. and Human Services, Office <br />of Emergency Medical Service, and has been granted a franchise for the operation of <br />such business or services by the County pursuant to this Ordinance. <br />2.2 No person shall drive an ambulance, attend a patient in one, or permit one to be operated <br />when transporting a patient within the County of Orange unless he or she holds a <br />currently valid North Cazolina Operator's License, a currently valid certificate as an EMT <br />(Emergency Medical .Technician), EMT-I (Emergency Medical Technician - <br />Intermediate), EMT-P Emergency Medical .Technician - Pazamedic) or Medical <br />Responder issued by the North Carolina Department of Health and Human Services, and <br />has been approved by the .Orange County Medical Director to provide such service. in <br />Orange County. <br />2.3 No person either as owner, agent or otherwise, shall furnish, operate, conduct, maintain,. <br />advertise, or otherwise be engaged in or profess to be engaged in the business or service <br />of providing rescue services, medical responder services or first responder services unless <br />they have been granted a franchise for the operation of such business or service by the <br />County pursuant to this Ordinance. <br />2.4 No franchise shall be required for: <br />a. A.ny entity operated from a location or headquarter outside of the County of <br />Orange in order to transport patients who aze picked up beyond the limits of the <br />County of Orange, to facilities located within the County of Orange, or to pick up <br />patients within the County of Orange for transporting to locations outside the <br />County of Orange; but no such entity shall be used to pick up patients within the <br />County of Orange for transporting to locations within the County of Orange or <br />other locations unless it is rendering assistance to a franchised ambulance service <br />in the case of a major catastrophe or mutual aid. <br />Page 5 of 18 <br />