JPINFV
Gadfly
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Unregulated cities
- Thread starter Jgervin
- Start date
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Policy does not equal law - you should know that.
socalmedic
Mediocre at best
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policy becomes law by reference.
JPINFV
Gadfly
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Will people go to jail for violating it? No.
Can sanctions be brought against providers and agencies who regularly violate county policy? Sure. Not much of an effective difference in my mind, but I'm sure it'll comfort people who find themselves without a card (be it state or county accreditation) or companies without permission to operate an ambulance.
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Basis for this claim?
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Boston is "regulated" so to speak.
From the City of Boston's EMS Service Zone Plan:
This is in accordance with Massachusetts General Law 170.355:
Obviously what exactly "primary ambulance response" is could be open to interpretation, especially private companies that do not have EMD.
I have also run a few calls in which the patient called us directly for ambulance, the dispatcher called Boston EMS, and Boston EMS just told us to take the call.
Also note that if an ambulance company is contracted by a facility to provide primary ambulance services, there is no need to refer the call to Boston EMS.
From the City of Boston's EMS Service Zone Plan:
This is in accordance with Massachusetts General Law 170.355:
Obviously what exactly "primary ambulance response" is could be open to interpretation, especially private companies that do not have EMD.
I have also run a few calls in which the patient called us directly for ambulance, the dispatcher called Boston EMS, and Boston EMS just told us to take the call.
Also note that if an ambulance company is contracted by a facility to provide primary ambulance services, there is no need to refer the call to Boston EMS.
Policy is the law when you can be fined/shutdown for violating it
LA County end of page 1
http://ems.dhs.lacounty.gov/policies/Ref500/517.pdf
katgrl2003
Forum Asst. Chief
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I actually had a 911 call where the pt stated he didn't want 911, he wanted a local IFT service. We had him sign an SOR, gave him the number for the private service, and marked in service.
Also, this past week, almost all EMS in my city has been out of service for funerals. We had IFT and 911 from out of county coming in to cover, even though none of them had a contract.
Also, this past week, almost all EMS in my city has been out of service for funerals. We had IFT and 911 from out of county coming in to cover, even though none of them had a contract.
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Exactly. The state does not explicitly say what the penalties are for violating service plan agreements, but that doesn't make it a good idea.
In Austin, Tx it's law. In fact, if you are an IFT an transporting some old person from a rest home and they crash the IFT crew has to pullover and call 911 and have a city ALS come get the patient. I assume most don't and just keep going, but its on the books that they are required to do this.
So much for looking out for the patient.
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Again, I ask that members post the proof to these types of claims so that we can all go see for ourselves and this can serve as a reference thread for future discussions of this topic.
Merely stating it is the law doesn't meet this criteria...please provide proof to support the claim.
socalmedic
Mediocre at best
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Reference law is an entire specialty... I cannot simply hyperlink you "Basis for this claim", it should be common knowledge.
however I guess I can give you an example,
CCR title 22 grants authority to LEMSAS to implement policy not covered explicitly in title 22. these polices are then included in title 22 "by reference", they are now considered statute also known as "Law".
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The problem with phrases like "it should be common knowledge" is that knowledge doesn't seem to be all that common in today's society.
I've lost track of the number of times people on this forum have said "it's the law" only to find out what they should be saying is "I think it should be the law" or "I was told by a friend of my cousin that it's the law".
And not every state or region implements reference law like California.
socalmedic
Mediocre at best
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you are correct, I should added that to my explanation. you may edit it in if you wish.
to those who do not know, refrence law is a way for the legislature to "cross-refence others, a way to include other sections into various laws. typically the section will stay something along the lines of (this quote is fictious and is not included in law) "...firefighter training and safety standards shall be determined by NFPA 1901, and will be included herein by refrence..." it allows NFPA to change the standards without having to rewrite the law books.
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No need to edit the post, as long as correct information is posted in this thread for others to view and research on their own.