HomeMy WebLinkAbout10/17/2023 12. Ordinance amending the City of Yakima Municipal Code 5.96 - Ambulance Services 1
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BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEMENT
Item No. 12.
For Meeting of: October 17, 2023
ITEM TITLE: Ordinance amending the City of Yakima Municipal Code 5.96 -
Ambulance Services
SUBMITTED BY: Aaron Markham, Fire Chief
SUMMARY EXPLANATION:
The attached ordinance contains a revision to section 5.96.080(f) of the Yakima Municipal Code.
The revision replaces the current specific response time requirement with language requiring
response time standards to be maintained by the ambulance service provider per WAC 246-976-
390, or as amended.
ITEM BUDGETED: NA
STRATEGIC PRIORITY: Public Safety
APPROVED FOR SUBMITTAL BY THE CITY MANAGER
RECOMMENDATION:
Pass Ordinance.
ATTACHMENTS:
Description Upload Date Type
❑ ordinance redline 10/10/2023 Corer Memo
❑ Ordinance clean 10/3/2023 Corer Memo
❑ WAC 246-976-390 10/3/2023 Corer Memo
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ORDINANCE NO. 2023-
AN ORDINANCE amending the City of Yakima Municipal Code Section 5.96.080 entitled
Conditions of ambulance service.
BE IT ORDAINED BY THE CITY OF YAKIMA:
Section 1. City of Yakima Municipal Code Section 5.96.080 Conditions of ambulance
service, is hereby amended to read as follows:
5.96.080 Conditions of ambulance service.
Each ambulance service operating within the city must comply with the following minimum
conditions:
(a) Provide ALS and BLS ambulance services throughout the city on a twenty-four hours per
day, seven days per week basis.
(b) Each ambulance of the ambulance service that is operating in the city must be licensed by
the state of Washington and must meet all standards and requirements set forth in WAC
Chapter 246-976 as now or hereafter amended. Proof of a current state license must be
maintained and available in the ambulance at all times.
(c) Each ambulance of the ambulance service that is on duty and operating in the city shall be
staffed with a minimum of two ambulance attendants, and staffed in accordance with the
applicable ALS and BLS personnel requirements in WAC 246-976-390 as now or hereafter
amended.
(d) Emergency incidents shall require that the closest appropriate level of ambulance, BLS or
ALS, be dispatched as determined by the EMD criteria outlined and approved by the Yakima
County MPD.
(e) The city may provide first response EMS. An ambulance service receiving a direct request
for EMS shall notify the city's 9-1-1 communication center immediately so that the department's
first response can be initiated. The only exception to this requirement shall be for the transport
of nonemergent interfacility transfer of patients, routine medical transports, and BLS standbys.
(f) For emergency responses, ambulances shall maintain a response time of eight minutes or
less on ninety percent as required by WAC 246-976-390, or as amended, of those calls
occurring within the corporate city limits.
(g) Within ten calendar days following the end of each month, the ambulance service shall
provide the fire chief with a written report from the previous month that demonstrates whether
the ambulance service has complied with the city's response criteria. The report will include the
date of each incident, location, the time the call was received, the time of arrival of the
ambulance at the incident scene, and the calculated response time. The report shall include a
separate section that identifies all ambulance service responses that did not comply with the
city's response criteria and description of the reasons for the delay of each such response.
(h) Each ambulance service shall comply with all applicable state and local laws, rules,
regulations, procedures, and protocols, including but not limited to those that are specific to
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ambulances, ambulance service, ambulance equipment, ambulance personnel, EMS, ALS, and
EMT and paramedic personnel.
(i) Each ambulance service shall equip each of its in-service ambulances with a fully
functioning AVL unit of a type and model that is acceptable to the city. City personnel shall
monitor the location of each AVL unit and respective ambulance on a twenty-four-hour basis in
order to ensure that the closest available appropriate ambulance is dispatched to any incident
requiring an ambulance. The ambulance service shall be responsible for all costs associated
with the purchase and maintenance of the AVL unit for each ambulance and are required to pay
the city a monthly monitoring fee within ten calendar days following the end of each month of
monitoring service. The monthly monitoring fee will be set forth in the city of Yakima master fee
schedule adopted via resolution by city council. Any ambulance service contracting for dispatch
services with the city shall be excluded from monthly AVL monitoring fees.
Section 2. This ordinance shall be in full force and effect 30 days after its passage,
approval, and publication as provided by law and by the City Charter.
PASSED BY THE CITY COUNCIL, signed and approved this day of , 2023.
Janice Deccio, Mayor
ATTEST:
Rosalinda Ibarra, City Clerk
Publication Date:
Effective Date:
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ORDINANCE NO. 2023-
AN ORDINANCE amending the City of Yakima Municipal Code Section 5.96.080 entitled
Conditions of ambulance service.
BE IT ORDAINED BY THE CITY OF YAKIMA:
Section 1. City of Yakima Municipal Code Section 5.96.080 Conditions of ambulance
service, is hereby amended to read as follows:
5.96.080 Conditions of ambulance service.
Each ambulance service operating within the city must comply with the following minimum
conditions:
(a) Provide ALS and BLS ambulance services throughout the city on a twenty-four hours per
day, seven days per week basis.
(b) Each ambulance of the ambulance service that is operating in the city must be licensed by
the state of Washington and must meet all standards and requirements set forth in WAC
Chapter 246-976 as now or hereafter amended. Proof of a current state license must be
maintained and available in the ambulance at all times.
(c) Each ambulance of the ambulance service that is on duty and operating in the city shall be
staffed with a minimum of two ambulance attendants, and staffed in accordance with the
applicable ALS and BLS personnel requirements in WAC 246-976-390 as now or hereafter
amended.
(d) Emergency incidents shall require that the closest appropriate level of ambulance, BLS or
ALS, be dispatched as determined by the EMD criteria outlined and approved by the Yakima
County MPD.
(e) The city may provide first response EMS. An ambulance service receiving a direct request
for EMS shall notify the city's 9-1-1 communication center immediately so that the department's
first response can be initiated. The only exception to this requirement shall be for the transport
of nonemergent interfacility transfer of patients, routine medical transports, and BLS standbys.
(f) For emergency responses, ambulances shall maintain a response time as required by
WAC 246-976-390, or as amended, of those calls occurring within the corporate city limits.
(g) Within ten calendar days following the end of each month, the ambulance service shall
provide the fire chief with a written report from the previous month that demonstrates whether
the ambulance service has complied with the city's response criteria. The report will include the
date of each incident, location, the time the call was received, the time of arrival of the
ambulance at the incident scene, and the calculated response time. The report shall include a
separate section that identifies all ambulance service responses that did not comply with the
city's response criteria and description of the reasons for the delay of each such response.
(h) Each ambulance service shall comply with all applicable state and local laws, rules,
regulations, procedures, and protocols, including but not limited to those that are specific to
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ambulances, ambulance service, ambulance equipment, ambulance personnel, EMS, ALS, and
EMT and paramedic personnel.
(i) Each ambulance service shall equip each of its in-service ambulances with a fully
functioning AVL unit of a type and model that is acceptable to the city. City personnel shall
monitor the location of each AVL unit and respective ambulance on a twenty-four-hour basis in
order to ensure that the closest available appropriate ambulance is dispatched to any incident
requiring an ambulance. The ambulance service shall be responsible for all costs associated
with the purchase and maintenance of the AVL unit for each ambulance and are required to pay
the city a monthly monitoring fee within ten calendar days following the end of each month of
monitoring service. The monthly monitoring fee will be set forth in the city of Yakima master fee
schedule adopted via resolution by city council. Any ambulance service contracting for dispatch
services with the city shall be excluded from monthly AVL monitoring fees. (Ord. 2022-040 § 26,
2022; Ord. 2022-025 § 1, 2022; Ord. 97-71 § 1 (part), 1997).
Section 2. This ordinance shall be in full force and effect 30 days after its passage,
approval, and publication as provided by law and by the City Charter.
PASSED BY THE CITY COUNCIL, signed and approved this day of , 2023.
Janice Deccio, Mayor
ATTEST:
Rosalinda Ibarra, City Clerk
Publication Date:
Effective Date:
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WAC 246-976-390 Trauma verification of prehospital EMS services .
(1) The secretary verifies prehospital EMS services . Verification is a
higher form of licensure that requires twenty-four-hour, seven day a
week compliance with the standards outlined in chapter 70 . 168 RCW and
this chapter. Verification will expire with the prehospital EMS serv-
ice ' s period of licensure .
(2) To qualify for trauma verification, an agency must be a li-
censed ambulance or aid service as specified in WAC 246-976-260 .
(3) The following EMS services may be verified:
(a) Aid service : Basic, intermediate (AEMT) , and advanced
(paramedic) life support;
(b) Ground ambulance service : Basic, intermediate (AEMT) , and ad-
vanced (paramedic) life support;
(c) Air ambulance service .
(4) Personnel requirements :
(a) Verified aid services must provide personnel on each trauma
response including:
(i) Basic life support : At least one individual who is an EMR or
above;
(ii) Intermediate life support : At least one AEMT;
(iii) Advanced life support - Pramedic: At least one paramedic;
(b) Verified ambulance services must provide personnel on each
trauma response including:
(i) Basic life support : At least two certified individuals - one
EMT plus one EMR;
(ii) Intermediate life support : One AEMT, plus one EMT;
(iii) Advanced life support - Paramedic: At least two certified
individuals - One paramedic and one EMT;
(c) Verified air ambulance services must provide personnel as
identified in WAC 246-976-320 .
(5) Equipment requirements :
(a) Verified BLS vehicles must carry equipment identified in WAC
246-976-300, Table A;
(b) Verified ILS and paramedic vehicles must provide equipment
identified in Table A of this section, in addition to meeting the re-
quirements of WAC 246-976-300;
(c) Verified air ambulance services must meet patient care equip-
ment requirements described in WAC 246-976-320 .
TABLE A:EQUIPMENT FOR VERIFIED TRAUMA SERVICES AMBULANCE AID VEHICLE
(NOTE: "ASST"MEANS ASSORTMENTS."X"INDICATES REQUIRED.) PAR ILS PAR ILS
AIRWAY MANAGEMENT
Airway adjuncts
Adjunctive airways,assorted per protocol X X X X
Laryngoscope handle, spare batteries 1 1 1 1
Adult blades, set 1 1 1 1
Pediatric blades, straight(0, 1,2) 1 ea 1 ea 1 ea 1 ea
Pediatric blades,curved(2) 1 ea 1 ea 1 ea 1 ea
McGill forceps,adult&pediatric 1 1 1 1
ET tubes,adult and pediatric asst 0 asst 0
Supraglottic airways per MPD protocol X X X X
End-tidal CO2 detector 1 ea 1 ea 1 ea 1 ea
Oxygen saturation monitor 1 ea 1 ea 1 ea 1 ea
TRAUMA EMERGENCIES
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TABLE A:EQUIPMENT FOR VERIFIED TRAUMA SERVICES AMBULANCE AID VEHICLE
(NOTE: "ASST"MEANS ASSORTMENTS."X"INDICATES REQUIRED.) PAR ILS PAR ILS
IV access
Administration sets and intravenous fluids per protocol:
Adult 4 4 2 2
Pediatric volume control device 2 2 1 1
Catheters,intravenous(14-24 ga) asst asst asst asst
Needles
Hypodermic asst asst asst asst
Intraosseous,per protocol 2 2 1 1
Sharps container 1 1 1 1
Syringes asst asst asst asst
Glucose measuring supplies Yes Yes Yes Yes
Pressure infusion device 1 1
Length based tool for estimating pediatric medication and 1 1 1 1
equipment sizes
Medications according to local patient care protocols
( 6) Aid service response time requirements : Verified aid services
must meet the following minimum agency response times as defined by
the department and identified in the regional plan:
(a) To urban response areas : Eight minutes or less, eighty per-
cent of the time;
(b) To suburban response areas : Fifteen minutes or less, eighty
percent of the time;
(c) To rural response areas : Forty-five minutes or less, eighty
percent of the time;
(d) To wilderness response areas : As soon as possible .
(7) Ground ambulance service response time requirements : Verified
ground ambulance services must meet the following minimum agency re-
sponse times for all EMS and trauma responses to response areas as de-
fined by the department and identified in the regional plan:
(a) To urban response areas : Ten minutes or less, eighty percent
of the time;
(b) To suburban response areas : Twenty minutes or less, eighty
percent of the time;
(c) To rural response areas : Forty-five minutes or less, eighty
percent of the time;
(d) To wilderness response areas : As soon as possible .
(8) Verified air ambulance services must meet minimum agency re-
sponse times as identified in the state plan.
(9) Verified ambulance and aid services must comply with the ap-
proved prehospital trauma triage procedures defined in WAC
246-976-010 .
(10) The department will :
(a) Identify minimum and maximum numbers of prehospital services,
based on:
(i) The approved regional EMS and trauma plans, including: Dis-
tribution and level of service identified for each response area; and
(ii) The Washington state EMS and trauma plan;
(b) With the advice of the steering committee, consider all
available data in reviewing response time standards for verified pre-
hospital trauma services at least biennially;
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(c) Administer the BLS/ILS/ALS verification application and eval-
uation process;
(d) Approve an applicant to provide verified prehospital trauma
care, based on satisfactory evaluations as described in this section;
(e) Obtain comments from the regional council as to whether the
application (s) appears to be consistent with the approved regional
plan;
(f) Provide written notification to the applicant (s) of the final
decision in the verification award;
(g) Notify the regional council and the MPD in writing of the
name, location, and level of verified services;
(h) Approve renewal of a verified service upon reapplication, if
the service continues to meet standards established in this chapter
and verification remains consistent with the regional plan.
(11) The department may:
(a) Conduct a preverification site visit; and
(b) Grant a provisional verification not to exceed one hundred
twenty days . The secretary may withdraw the provisional verification
status if provisions of the service ' s proposal are not implemented
within the one hundred twenty-day period, or as otherwise provided in
chapter 70 . 168 RCW and this chapter.
[Statutory Authority: Chapters 18 . 71, 18 . 73, and 70 . 168 RCW. WSR
11-07-078, § 246-976-390, filed 3/22/11, effective 5/15/11 . Statutory
Authority: RCW 18 . 73 . 140 . WSR 00-22-124, § 246-976-390, filed 11/1/00,
effective 12/2/00 . Statutory Authority: Chapters 18 . 71, 18 . 73, and
70 . 168 RCW. WSR 00-08-102, § 246-976-390, filed 4/5/00, effective
5/6/00 . Statutory Authority: RCW 43 . 70 . 040 and chapters 18 . 71, 18 . 73
and 70 . 168 RCW. WSR 93-01-148 (Order 323) , § 246-976-390, filed
12/23/92, effective 1/23/93 . ]
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