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(f) Advance Life Support, Level 2 (ALS2): Means either transportation by ground ambulance <br />vehicle, medically necessary supplies and services, and the administration of at least three (3) <br />medications by intravenous pus/bolus or by continuous infusion excluding crystalloid, hypotonic, <br />isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or transportation, <br />medically necessary supplies and services, and the provision of at least one (1) of the following: <br />(1) Manual defibrillation /cardioversion <br />(2) Endotracheal intubation <br />(3) Central venous line <br />(4) Cardiac pacing <br />(5) Chest decompression <br />(6) Surgical airway <br />(7) Intraosseous line <br />(g) Non - Transport Medical Calls: Means a response to a medical emergency call by ambulance <br />vehicle and the administration of ALS skills upon or medication given to a patient who then <br />refuses transport to the hospital. <br />(h) Mileage, Rural, shall apply to vehicle runs made to areas in zones or zip codes designated as rural <br />by Medicare and the U.S. Department of Health and Human Services in its Medicare regulations. <br />(i) The above fees shall take effect on?anu^f^WAueust 1, 2015. <br />Section II. This ordinance shall be in full force and effect from and after its passage by <br />the Common Council and approval by the Mayor. <br />Member of the Common Council <br />ill lame an <br />Attest: Oppxws fty k i baz tmft 8-4 <br />CDtmd aam or, rNs ban. <br />City Clerk <br />Presented by me to the Mayor of the City of South Bend, Indiana on the day of <br />2015, at o'clock m. <br />City Clerk <br />