Napa County Municipal Code Art. VIII Miscellaneous Provisions

A. When county officials have determined that adequate emergency ambulance service will not be available from existing ambulance providers, this ordinance may be waived at the request of any county Communications Center or at the request of any law enforcement or fire protection agency during any "state of war emergency," "state of emergency," or "local emergency" as defined in Government Code Section 8558 or during any period (not over thirty days, but renewable every thirty days).

B. This ordinance shall not prevent any peace officer as described in the California Code of Regulations, Title 13, Motor Vehicles 1107(a)(2) or public safety personnel as defined in county policies, from arranging for the transportation of an individual in need of emergency medical care when no ambulance with an appropriate ambulance service permit is available and such transportation is required immediately for the preservation of life or to avoid substantial impairment of the person to be transported.

(Ord. No. 1464, § 1, 12-8-2020)

All EMT and paramedic personnel working in Napa County are required to provide patient care in accordance with medical care policies, procedures and protocols promulgated by the EMS medical director.

Permittees providing special event standby coverage shall comply with the county's Special Event requirements set forth in Chapter 10.24 policy and complete an EMS Special Event Notification form. This form shall be submitted to the county for approval at least seven days prior to the beginning of the coverage. Non-county approved transport providers shall pay a Special Event Non-Emergency Ambulance Permit fee. The county may impose conditions on the approval of the request, which are necessary to ensure the safety of the public, including, but not limited to, notification of the local public safety jurisdiction, county communications, and appropriate emergency or 9-1-1 first responder providers. This provision shall help to ensure that adequate and integrated emergency medical services are available to the public and event participants. Any unauthorized standby service provided by a private EMS service may result in a fine, permit suspension or revocation.

(Ord. No. 1464, § 1, 12-8-2020)

A. In the event of a disaster or mass casualty incident, the ability of the emergency ALS ambulance providers to provide necessary prehospital emergency ambulance care and transportation may be disrupted or be inadequate for the number of casualties. It is expected that permittees assist the county by providing additional ambulances. In the event of a disaster or mass-casualty incident, the county will determine the amount of assistance needed. The county will contact each permitted service to determine availability of ambulances and may request the permittee to dispatch available ambulances to the county to aid in the disaster or mass-casualty incident. The county shall coordinate all medical mutual aid requests through the county Centralized Emergency Medical Dispatch, the medical mutual aid system, and the county Public Health Officer when applicable.

B. Permittees shall have on file with the county, its Disaster Response Plan which includes a personnel call-back plan.

C. All management and field personnel of the permittee shall follow the county's Multi Casualty Incident (MCI) Plan Policy during an MCI.

D. The county may assist the permittee in seeking reimbursement for its costs from any disaster relief monies. The county shall have no financial responsibility for these costs or charges.

E. When requested by the county (via a minimum ninety day notice), every permittee shall participate in a county organized disaster exercise by sending one fully staffed ambulance. All costs associated with their participation in the disaster exercise shall be the sole responsibility of the permittee.

(Ord. No. 1464, § 1, 12-8-2020)

All BLS ambulance companies, in business more than one year, shall work with the county to develop and maintain a program that provides clinical experience to students enrolled in EMT training programs approved by the county.

(Ord. No. 1464, § 1, 12-8-2020)

Unless expressly agreed in writing, the county, LEMSA, HHSA, its officers and employees shall not be liable for any permittee costs or charges associated with compliance under this ordinance or the rules or regulations promulgated hereunder.

(Ord. No. 1464, § 1, 12-8-2020)

Division VII. Disaster Recovery [5]

Footnotes:

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Editor's note— Retitled from "2017 Napa Fire Complex" by the editor.