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need of immediate rescue or medical treatment in order to prevent loss of <br /> life or further aggravation of physiological or psychological illness or <br /> injury . <br /> i . Emergency Services System or ESS . Emergency Services System or <br /> "ESS " shall mean a coordinated arrangement of local resources under the <br /> authority of the Emergency Services Director (including all agencies , <br /> personnel, equipment, and facilities) organized to respond to medical <br /> emergencies and integrated with other health care providers and networks <br /> including public health, community health monitoring activities , and <br /> special needs populations . <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 <br /> requirements and been credentialed by the Department of Health and <br /> Human Services as an emergency medical dispatcher and who is available <br /> to receive requests for emergency services , to dispatch emergency <br /> services , and to advise local law enforcement agencies , fire departments , <br /> rescue squads , first or medical responder units and emergency medical <br /> services and facilities of any 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 <br /> psychological 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 <br /> EMS program representatives responsible for analyzing patient care data <br /> and outcome measures to evaluate the ongoing quality of patient care , <br /> system performance , and medical direction within the EMS system . The <br /> committee may include physicians , nurses , EMS personnel , medical <br /> facility personnel and county government staff as determined by the <br /> Emergency Services Director in consultation with the County Medical <br /> Director . <br /> Providence Transportation Inc . j <br /> EMS Franchise Agreement <br /> Page 3 of 22 Rev . 03 /2024 <br />