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b . Grantee shall keep at its place a business at all times the most current copy <br /> of the ESS System Plan , <br /> Section 7 . Staffing and Performance Requirements <br /> a. Grantee shall comply with the scope of practice rules promulgated by the <br /> North Carolina Medical Board pursuant to law regarding the medical skills <br /> and medication that may be used by credentialed emergency medical <br /> services personnel at each level of patient care . <br /> b . Grantee shall comply with standard for drivers and attendants developed by <br /> the North Carolina Medical Care Commission as requirements for <br /> certification of emergency medical technicians pursuant to law, rules and <br /> regulations promulgated by the Board of Medical Examiners for advanced <br /> life support technicians , which is incorporated in this subsection by <br /> reference . <br /> c . No staff of Grantee shall drive an ambulance vehicle, attend a patient, or <br /> permit an ambulance to be operated when transporting a patient within the <br /> County unless the driver holds a currently valid North Carolina Drivers <br /> license and currently valid credentials as an EMT, EMT-I or EMT-P issued <br /> by the North Carolina Department of Health and Human Services , Office of <br /> Emergency Medical Services . Notwithstanding the foregoing, in an <br /> exceptional circumstance when an EMT, EMT-I, or EMT-P is not available, <br /> for the purpose of driving only or when providing Non-Transport Service <br /> an approved firefighter, First or Medical Responder, Rescue Services <br /> Provider or law enforcement officer with a currently valid North Carolina <br /> drivers license may drive an ambulance , provided such driver does not <br /> attend a patient or victim or does not otherwise provide medical services to <br /> a patient or victim : <br /> d . Grantee shall comply with the Grantor ' s official written EMS System Plan <br /> for the use of credentialed EMS personnel for all of the authorized Practice <br /> Settings . Any agreement between Grantee and a third party to provide <br /> special events coverage is subject to pre- approval in writing by the Grantor, <br /> which approval shall not be reasonable withheld . <br /> e . Grantee ' s staff that operate EMS Service Vehicles shall actively participate <br /> in any emergency vehicle operations training provided by the Grantor as <br /> directed by the Emergency Services Director . <br /> f. Grantee ' s staff shall comply with Grantor ' s official written EMS System <br /> continuing education plan for EMS personnel under the direction of the <br /> Orange County Continuing Education Coordinator . <br /> South Orange Rescue Squad, Inc . <br /> EMS Franchise Agreement <br /> Page 8 of 22 Rec . <br />