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Services , and approved by the County Medical Director to perform services <br /> as an EMT in the Orange County EMS 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 North <br /> Carolina Department of Health and Human Services , in accordance with <br /> rules promulgated by the Medical Care Commission, has been certified as <br /> an EMT - Intermediate by the State of North Carolina Office of Emergency <br /> Medical Services , and approved by the County Medical Director to perform <br /> services at the EMT-Intermediate level in the Orange 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 perform <br /> services as an EMT-Paramedic in the Orange County EMS 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 /> s . Franchise . The term "franchise" shall mean a permit issued by the County <br /> to a person for the operation of am ambulance service , rescue squad or first <br /> responder unit . <br /> t . Franchisee . The term "franchisee " shall mean any person having been <br /> issued a franchise by the County for the operation of an ambulance service, <br /> rescue squad or first responder unit . <br /> u . Inspection . Inspection shall mean the physical review of buildings and <br /> facilities , vehicles , equipment, supplies , storage, repair and maintenance <br /> areas , records and any related materials . <br /> South Orange Rescue Squad, Inc . <br /> EMS Franchise Agreement <br /> Page 4 of 22 Rec . <br />