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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 <br /> the North Carolina Department of Health and Human Services , in <br /> accordance with rules promulgated by the Medical Care Commission, has <br /> been certified as an EMT by the State of North Carolina Office of <br /> Emergency Medical Services , and approved by the County Medical <br /> Director to perform services as an EMT in the Orange County EMS <br /> 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 <br /> North Carolina Department of Health and Human Services , in accordance <br /> with rules promulgated by the Medical Care Commission, has been <br /> certified as an EMT - Intermediate by the State of North Carolina Office <br /> of Emergency Medical Services , and approved by the County Medical <br /> Director to perform services at the EMT-Intermediate level in the Orange <br /> 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 <br /> perform services as an EMT-Paramedic in the Orange County EMS <br /> 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 <br /> first responder unit . <br /> Providence Transportation Inc . <br /> EMS Franchise Agreement <br /> Page 4 of 22 Rev . 03 /2024 <br />