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I <br /> i <br /> immediate rescue or medical treatment in order to prevent loss of life or <br /> further aggravation of physiological or psychological illness or injury , <br /> is <br /> i . Emergency Services System or ESS . Emergency Services System or "ESS " <br /> shall mean a coordinated arrangement of local resources under the authority <br /> of the Emergency Services Director (including all agencies , personnel , <br /> equipment, and facilities) organized to respond to medical emergencies and <br /> integrated with other health care providers and networks including public r <br /> health, community health monitoring activities , and special needs <br /> populations . <br /> G <br /> i . Emergency Medical Dispatcher or Telecommunicator . The term <br /> " emergency medical dispatcher" of "telecommunicator" shall mean an <br /> emergency telecommunicator who has completed educational requirements <br /> and been credentialed by the Department of Health and Human Services as <br /> an emergency medical dispatcher and who is available to receive requests 4 <br /> r <br /> for emergency services , to dispatch emergency services , and to advise local <br /> law enforcement agencies , fire departments , rescue squads , first or medical <br /> responder units and emergency medical services and facilities of any <br /> existing or threatened emergency . <br /> L <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 psychological <br /> illness or injury . <br /> i <br /> I <br /> 1 . Emergency Medical Services Instructor . "Emergency Medical Services L' <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 c <br /> f <br /> m . Emergency Medical Services Peer Review Committee . Emergency <br /> Medical Service Peer Review Committee means a panel composed of EMS <br /> program representatives responsible for analyzing patient care data and <br /> outcome measures to evaluate the ongoing quality of patient care, system <br /> performance , and medical direction within the EMS system . The committee <br /> may include physicians , nurses , EMS personnel, medical facility personnel <br /> and county government staff as determined by the Emergency Services <br /> Director in consultation with the County Medical Director . <br /> r <br /> First Choice Medical Transport, LLC <br /> EMS Franchise Agreement <br /> Page 3 of 22 Rev <br />