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511 6.1 EMERGENCY AMBULANCE SERVICE Each franchised emergency ambulance provider must provide such service on a 24 hour per day, 7 day per week basis, and comply with all requirements for operators and attendants, equipment, ambulances and communications, for an emergency ambulance service franchise, pursuant to this ordinance. Franchised emergency ambulance providers are permitted to engage in the provision of both emergency ambulance service and non-emergency ambulance service. 6.2 NON-EMERGENCYAMBULANCE SERVICE Each franchised non-emergency ambulance provider must provide such service on a 24 hour per day, 7 day per week basis, and comply with all requirements for attendants, equipment, ambulances and communications, for a non-emergency ambulance service franchise, pursuant to this ordinance. Franchised non-emergency ambulance providers may only engage in the provision of non-emergency ambulance service, and may only provide service for non-emergency patients as defined herein, with respect to services originating within the County. Provided, however, that a non-emergency ambulance provider may transport any non-emergency patient to, from or between medical facilities when such facility assumes medical responsibility and liability for patient care at all times during transport, when such facility provides a health care professional licensed to provide all necessary patient care to accompany the patient as attendant at all times during transport (i.e. Staff Physician or Registered Nurse), and when the transportation of the patient will not require the use of emergency warning devices, audible or visual, at any time during transport. Franchised non-emergency ambulance providers may not engage in the provision of emergency ambulance service nor provide service for emergency patients as defined herein. In the event a franchised non-emergency ambulance provider, or an entity providing service as described in Section 2(c), is confronted with a call for emergency service, or is confronted with an emergency patient upon arrival at the scene, the attendant must immediately notify CMED of the situation and request immediate dispatch of an emergency ambulance or other instructions from CMED. In the event a non-emergency patient becomes an emergency patient during provision of non-emergency ambulance service (i.e. in transit), the attendant must immediately notify CMED of the situation. Dependent upon existing circumstances, CMED shall provide instructions to meet an emergency ambulance enroute or authorize transportation of the patient to an emergency medical facility. A non-emergency ambulance may only transport an emergency patient upon receipt of authorization from CMED; and, may only transport such patient to the closest emergency medical facility as defined herein. In any event wherein a non-emergency ambulance service attendant is confronted with an emergency patient, the attendant shall provide appropriate emergency first aid for the patient until such time as an emergency ambulance arrives to assume responsibility for the patient, or the patient is delivered to an emergency medical facility. SECTION 7. STANDARDS FOR OPERATORS AND ATTENDANTS: Each Emergency Medical Technician of a franchised ambulance service provider shall present record of certification as an Emergency Medical Technician awarded by the State of North Carolina when requested by the County. Ambulance service providers shall not allow any person to be employed or act as an ambulance operator or attendant unless such person shall meet all laws and regulations of the State of North Carolina, and be currently certified as an Emergency Medical Technician in and by the State of North Carolina. SECTION 8, STANDARDS FOR AMBULANCE EQUIPMENT: Required equipment in each ambulance of a franchised ambulance provider shall include, as a minimum, at all times when the ambulance is in use as such, equipment conforming to all State regulations and standards for such ambulances designated category. Emergency ambulance service providers ambulances shall meet Category I ambulance equipment regulations and standards. Non-emergency ambulance service providers ambulances shall meet either Category I or Category II ambulance equipment regulations and standards. SECTION 9, STANDARDS FOR AMBULANCES: Each ambulance of a franchised ambulance provider shall at all times, when utilized as such, comply with all State regulations and standards and each such ambulance shall be currently certified by the State of North Carolina.