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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 <br /> health, community health monitoring activities , and special needs <br /> 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 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 <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 /> 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 /> 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 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 /> 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 the <br /> North Carolina Department of Health and Human Services , in accordance <br /> with rules promulgated by the Medical Care Commission, has been certified <br /> as an EMT by the State of North Carolina Office of Emergency Medical <br /> South Orange Rescue Squad, Inc . <br /> EMS Franchise Agreement <br /> Page 3 of 22 Rec . <br />