GOVERNMENT OF NEWFOUNDLAND AND LABRADOR
DEPARTMENT OF HEALTH AND COMMUNITY SERVICES Board Services
POLICY: Operational Area of POLICY NUMBER: EHS 2003-09-28 Ambulance Services
ORIGINAL DATE: January 22, 1998 LAST REVISED DATE: November 1, 2005
I. PURPOSE:
A. To define the primary operational/service area for ambulance services.
B. To define the secondary operational/service area for ambulance services.
II. POLICY:
A. The area outlined in the Motor Carrier Certificate issued by the Board of Commissioners of Public Utilities shall be recognized by the Department as the primary operational territory of the service named on the license. This area shall be broken down into base service areas for services that are funded for more then one base.
B. Services are required to respond to emergency calls within their primary service area.
C. Calls originating outside an operator’s primary service area shall be deferred to the operator licensed for that area. If an operator cannot respond to a call within their service area then the next closest operator shall be contacted to perform the transport.
D. As a secondary operational area operators have the right to respond to calls between any two points in the Province, upon the request of a medical doctor, registered nurse, or police officer and such calls shall only be honored for payment if transports are performed in accordance with all Departmental requirements including the policies applicable to outside service area authorizations.
E. A call into the secondary operational area shall only be performed providing the primary operator for that service area cannot perform the transport and the secondary operator being requested is the next closest available operator to the incident who can perform the call in accordance with all Departmental requirements.
POLICY: Operational Area of Ambulance POLICY NUMBER: EHS 2003-09-28 Services
III. PROCEDURE:
A. Operators shall respond to all emergency calls within their primary service area when they have an available ambulance. This shall be done from the base responsible for the community where the emergency call is originating given that base has a unit available.
B. The primary service area for each operator shall be as listed in attachment.
C. Operators are to check with the operator responsible for a given area to confirm availability status prior to responding to calls originating from within that given area.
D. It shall be documented on the Patient Information and Billing Form why a call was performed in another operator’s service/base area.
E. Claims shall be rejected for payment if an operator performs a call originating in another operator’s service area that the operator for that area was available to perform the call.
IV. RESPONSIBILITY:
A. It is the responsibility of the operator to confirm the unavailability of the operator responsible for a given service/base area prior to responding to a call into the other operator’s area.
B. It is the responsibility of each operator to document the reason for performing a call originating in another operator’s licensed service area.
C. It is the responsibility of the Department to ensure this policy is adhered to.
D. It is the responsibility of the Department to investigate any and all alleged reports or claims of violations of this policy.
E. It is the responsibility of the operator to ensure all emergency calls originating from within their service area are responded to when an ambulance is available.
F. It is the responsibility of the operator to ensure another service is contacted to complete an emergency call when they cannot perform the transport.
SERVICE AREAS
PRIVATE AMBULANCE SERVICES
Baie Verte Regional Ambulance Service
• Burlington, Middle Arm, Smith’s Harbour, Purbeck’s Cove, Westport, Western Arm, Seal Cove, Wild Cove, Baie Verte, Fleur de Lys, Mings Bight, Pacquet, Woodstock, Coachman’s Cove, Nippers Harbour, Snooks Arm, Round Harbour, Tilt Cove, Shoe Cove, La Scie, Brent’s Cove, Harbour Round.
Broughton’s Ambulance Service
• Brigus, Georgetown, Marysvale, Cupids, Burnt Head.
Cape Shore Ambulance Service
• Branch, Point Lance, St. Bride’s, Cuslett, Angels Cove, Patrick’s Cove, Ship Cove, Gooseberry Cove. . Clowe’s Ambulance Service
• Aquaforte, Ferryland, Calvert, Cape Broyle, Admiral’s Cove, Island Cove, Shores Cove, Brigus South, LaManche.
Collins Ambulance Service
• Burin, Port au Bras, Fox Cove, Mortier, Lewins Cove, Epworth, Salt Pond, Burin Bay Arm, Great Salmonier, Marystown.
Deer Lake Ambulance Service
• Deer Lake, Reidville, Cormack, Wiltondale, Nicholsville, St. Judes, Howley, Pynn’s Brook.
Delaney’s Ambulance Service
• Glovertown, Traytown, Culls Harbour, Burnside, St. Chads, Salvage, Sandy Cove, Happy Adventure, Eastport, Sandringham, Alexander Bay, Saunders Cove, St. Brendan’s, Charlottetown, Terra Nova.
Fewer’s Ambulance Service
• Clarenville, Hillview, Ivany’s Cove, Long Beach, Little Heart’s Ease, Butter Cove, North Harbour, Sunnyside, Southern Harbour, Charlottetown, Deep Bight, Hatchet Cove, North West Brook, Caplin Cove, Southport, Goobies, Garden Cove, Come by Chance, Chance Cove, Shoal Harbour, Adeytown, St. Jones Within, Queen’s Cove, Hodge’s Cove, Gooseberry Cove, Swift Current, Arnold’s Cove, Port Blandford, Milton, Lethbridge, Georges Brook, Aspey Brook, Bunyan’s Cove, Musgravetown, Portland, Charleston, Princeton, Plate Cove West, Tickle Cove, Elliott’s Cove, Harcourt, Cannings Cove, Jamestown, Sweet Bay, Summerville, Openhall, King’s Cove, Snooks Harbour, Monroe, Burgoynes, Bloomfield, Winterbrook, Southern Bay, Plate Cove East, Red Cliff, Siding, Little Harbour, Island Cove, Black Cove, Barton, Somerset, Gin Cove, Waterville, Clipton, Brooklyn, La Manche, Rantem, Goose Bay, Morley’s Siding, Terrenceville, Monkstown, Grand Le Pierre, English Harbour.
• Bonavista, Old and New Bonaventure, Dunfield, Trinity, Port Rexton, Trinity East, Champney’s East, West and Central, English Harbour, Melrose, Catalina, Port Union, Knight’s Cove, Stock Cove, Dantera, Keels, Little Catalina, Trouty, Lockston, Board Cove.
Freake’s Ambulance Service
• Lewisporte, Embree, Little Burnt Bay, Stanhope, Brown’s Arm, Porterville, Laurenceton, Michael’s Harbour, Campbellton, Loon Bay, Comfort Cove, Newstead, Birchy Bay, Baytona, Norris Arm, Northside, Botwood, Peterview, Northern Arm, Point of Bay, Philip’s Head, Cottrell’s Cove, Fortune Harbour.
Back-up: Gander, Grand Falls, Point Leamington, Buchans, Hermitage, Harbour Breton, Mose Ambrose, St. Alban’s, Head Bay D’Espoir.
Don Gibbons Ambulance Service
• Peter’s River, St. Stephens, St. Vincent’s, Gaskiers, Point La Haye, Path End, St. Mary’s, Riverhead, Admiral’s Beach, O’Donnell’s, St. Joseph’s, Salmonier, St. Catherine’s, Mount Carmel, Harricott, Colinet, North Harbour, Cootes Pond, Gulch, Mall Bay, New Bridge, Forest Field, Mitchells Brook.
• Trepassey, St. Shotts, Biscay Bay, Portugal Cove South, Cape Race, Long Beach.
Hickey’s Ambulance Service
• Avondale, Harbour Main, Chapels Cove, Holyrood, Seal Cove, Upper Gullies, Kelligrews, Foxtrap, Long Pond, Manuels, Chamberlains, Topsail, Salmonier, Colliers, Conception Harbour, Woolfries, Lakeview, Kitchuses, Bacon Cove.
• Peter’s River, St. Stephens, St. Vincent’s, Gaskiers, Point La Haye, Path End, St. Mary’s, Riverhead, Admiral’s Beach, O’Donnells, St. Joseph’s, Salmonier, St. Catherine’s, Mount Carmel, Harricott, Colinet, North Harbour, Cootes Pond, Gulch, Mall Bay, New Bridge, Forest Field, Mitchells Brook.
• Marysvale, Middle Arm,
Hoyles Ambulance Service
• Trinity, Centreville, Wareham, Indian Bay, North West Arm, Shamblers Cove, Greenspond, Pool’s Island, Valleyfield, Badger’s Quay, Brookfield, Wesleyville, Pound Cove, Templeman, Newtown, Cape Freels South, Cape Freels, Cape Freels North, Lumsden.
Kearney’s Ambulance Service
• Lawn, St. Lawrence, Little St. Lawrence, Webbers Cove, Lord’s Cove, Taylors Bay, Point au Gaul, Lamaline, Allan’s Island, Point May, Lories.
Labrador South Ambulance Service
• Red Bay, Pinware, West St. Modeste, Capstan Island, L’Anse-au-Loup, L’Anse-Armour, Forteau, L’Anse-au- Clair.
Lawlor’s Ambulance Service
• Chance Cove Provincial Park, Cappahayden, Renews, Kingman’s, Fermeuse, Port Kirwan, Aquaforte.
MacKenzie Ambulance Service
• Channel, Port aux Basques, Cape Ray, Red Rocks, McDougall Gulch, Grand Bay, Mouse Island, Margaree, Fox Roost, Isle aux Morts, Burnt Island, Rose Blanche, Harbour Le Cou, St. Andrew’s, Tompkins, Doyles, Searston, Upper Ferry, O’Regan’s, Millville, Codroy, Cape Anguille.
Marystown Ambulance Service
• Marystown, Little Bay, Burin, Spanish Room, Rock Harbour, Jean de Baie, Red Harbour, Bull Cove, Port au Bras, Mortier, Fox Cove, Beau Bois, Burin Bay Arm, Salt Pond, Lewin’s Cove.
Mercer’s Ambulance Service
• Boyd’s Cove, Port Albert, Horwood, Stoneville, Change Islands, Summerford, Cottlesville, Virgin Arm, Carter’s Cove, Chanceport, Bridgeport, Moreton’s Harbour, Valley Pond, Tizzard’s Harbour, Hillgrade, Fairbanks, Newville, Indian Cove, Herring Neck, Cobbs Arm, Toogood Arm, Pikes Arm, Fogo Island, Twillingate, Durrell, Bayview, Wild Cove, Purcell’s Harbour, Kettle Cove South, Kettle Cove North, Crow Head, Little Harbour, Black Duck Dove, Doting Cove, Musgrave Harbour, Ragged Harbour, Aspen Cove, Ladle Cove, Carmanville, Frederickton, Noggin Cove, Davidsville, Main Point, Harris’s Point, Georges Point, Rodgers Cove, Victoria Cove, Wings Point, Dormans Cove, Clarkes Head.
Moore’s Ambulance Service
• Clarke’s Beach, Makinsons, South River, Salmon Cove, North River, Bareneed, Port de Grave, Country Road, Bay Roberts, Shearstown, Spaniard’s Bay, Tilton, Cupids, Marysvale, Georgetown, Brigus, Coley’s Point, Hibbs Cove, Butlerville, Frenchs Cove, Roaches Line, Halls Town, Hodgewater Line, Ocean Pond, Brigus Junction, Bishop’s Cove, Bryant’s Cove, Upper Island Cove, Harbour Grace South, Riverhead, Harbour Grace, Bristol’s Hope, Carbonear, Freshwater, Victoria, Perry Cove.
Pittman’s Ambulance Service
• Norris Point, Parson’s Pond, Three Mile Rock, Belldowns Point, Cow Head, St. Pauls, Sally’s Cove, Green Point, Bakers Brook, Lobster Cove, Bear Cove, Rocky Harbour, Trout River, Shoal Brook, Woody Point, Curzon, Birchy Head, Glenburnie, Gadds Harbour, Neddy Harbour.
Power’s Ambulance Service
• Placentia, South East, Point Verde, Cape Shore, Branch, Point Lance, Freshwater, Jerseyside, Dunville, Fox Harbour, Ship Harbour.
Random Island Ambulance Service
• Hickman’s Harbour, Britannia, Lower Lance Cove, Petley, Lady Cove, Weybridge, Elliott’s Cove, Snooks Harbour, Aspen Brook, Deer Harbour.
Reliable Ambulance Service
• Corner Brook, Massey Drive, Little Rapids, Steady Brook, Irishtown, Summerside, Meadows, Gillams, McIver’s, Cox’s Cove, Lark Harbour, Bottle Cove, York Harbour, Frenchman’s Cove, John’s Beach, Benoit’s Cove, Halfway Point, Mount Moriah, Gallants, Georges Lake, Spruce Brook, Pasadena.
Russell’s Ambulance Service
• Stephenville, Kippens, Tea Cove, Long Point, Berry Head, Port au Port, Campbells Creek, Abraham Cove, Gerry’s Nose, Mainland, Three Rock Cove, Salmon Cove, Lourdes, Felix Cove, Winterhouse, Black Duck Brook, West Bay Centre, Piccadilly, Boswarlos, Aquathuna, Romaines, Point au Mal, Fox Island River, Stephenville Crossing, Cold Brook, Noels Pond, Mattis Point, Black Duck Siding, Barachois Brook, St. George’s, Flat Bay, St. Theresa’s, Journois Brook.
Ryan’s Ambulance Service
• Trepassey, St. Shotts, Peter’s River, St. Stephens, Biscay Bay.
Sibley’s Ambulance Service
• Burgeo.
Smith’s Ambulance Service
TCH (Route 1). Between Route 70 and Route 201. Route 100 between Route 1 and Fitzgerald’s Pond Park. Route 101. Route 73 between Old Track Road and Route 80.
• Heart’s Delight, Islington, Cavendish, Whiteway, Green’s Harbour, Hopeall, New Harbour, Dildo, South Dildo, Blaketown, Bellevue, Thornlea, Long Cove, Norman’s Cove, Chapel Arm, Long Harbour, Markland, Old Shop, Whitbourne, Fair Haven, Broad Cove, Mount Arlington Heights, Chance Cove, Bellevue Beach, Tickle Harbour, Ocean Pond, Placentia Junction.
Tremblett’s Ambulance Service
• Bell Island (Wabana, Lance Cove, Freshwater).
Young’s Ambulance Service
• Upper Island Cove, Bishop’s Cove, Spaniard’s Bay, Tilton, Bryants Cove, Southside (Harbour Grace South). COMMUNITY AMBULANCE SERVICES
Bay D’Espoir Ambulance Service
• St. Alban’s, Swanger Cove, St. Joseph’s, St. Veronica’s, Morrisville, Milltown, Conne River, Head Bay D’Espoir.
Bay L’Argent Ambulance Service
• Harbour Mille, Little Harbour East, Little Bay East, Bay L’Argent, Jacques Fontaine, St. Bernard’s, Boat Harbour West, Bonavista, Parkers Cove, Baine Harbour, Rushoon, Terrenceville, Grand Le Pierre, English Harbour East.
Cape St. George Ambulance Service
• Cape St. George, Red Brook, Petit Jardin, De Grau, Marches Point, Sheaves Cove, Lower Cove, Ship Cove.
Citizen’s Health Group Ambulance Service
• Mose Ambrose, Coomb’s Cove, Wreck Cove, Boxey, English Harbour West, St. Jacques, Belleoram, Pool’s Cove.
Daniel’s Harbour Ambulance Service
• Bakers Brook, Greenpoint, Sally’s Cove, St. Pauls, Cowhead, Belldowns Point, Three Mile Rock, Parsons, Pond, Portland Creek, Daniel’s Harbour, Bellburns, River of Ponds, Hawkes Bay, Port Saunders, Gargamelle, Port au Choix, Eddies Cove West, Barr’d Harbour.
Fogo Island Ambulance Service
• Tilting, Sandy Cove, Joe Batt’s Arm, Barr’d Islands, Shoal Bay, Fogo, Hare Bay, Deep Bay, Island Harbour, Stag Harbour, Little Seldom, Seldom, Cape Cove.
Gambo Ambulance Service
• Gambo, Dark Cove, Middle Brook, Hare Bay, Dover, Wellington, Trinity, Wareham, Centreville.
Grand Bank-Fortune Ambulance Service
• Grand Bank, Fortune, Point May, Lories, Molliers, Grand Beach, Frenchman’s Cove, Garnish.
Hampden Ambulance Service
• Hampden, Bayside, Rooms, The Beaches, Galeville.
Happy Valley-Goose Bay Ambulance Service
• Within the local area of Happy Valley.
- Happy Valley-Goose Bay, Mud Lake, North West River, Sheshatsheits.
Harbour Breton Ambulance Service
• Harbour Breton
Heart’s Delight-Islington Ambulance Service
• Heart’s Desire, Heart’s Delight, Islington, Whiteway, Cavendish.
Hermitage Ambulance Service
• Hermitage, Sandy Valley, Seal Cove, Furby’s Cove, Dawson’s Cove, Pass Island.
Jackson’s Arm Ambulance Service
• Jackson’s Arm, Sop’s Arm, Pollards Point, Schooner Cove.
Jeffrey’s Ambulance Service
• Jeffrey’s, St. David’s, St. Fintan’s, Highlands, Lock Leven, South Branch, Codroy, McKay’s, Cartyville, Robinsons, Heatherton, Maidstone, Codroy Pond, North Branch, Coal Brook, Tompkins, Doyles, St. Andrew’s, Upper Ferry, Searston, O’Regan’s, Millville, Cape Anguille.
Town of La Scie
• Nipper’s Harbour, Round Harbour, Snook’s Arm, Tilt Cove, Shoe Cove, La Scie, Brent Cove, Harbour Round.
(Motor Carrier Certificate Approval Pending as of 2000/09/18)
Lourdes Ambulance Service
• Black Duck Brook, Winterhouse, Lourdes, Three Rock Cove, Mainland, West Bay, West Bay Centre, Piccadilly.
North Shore Ambulance Service
• Kingston, Small Point, Broad Cove, Blackhead, Adams Cove, Western Bay, Ochre Pit Cove, Northern Bay, Gull Island, Burnt Point, Smooth Cove, Job’s Cove, Lower Island Cove, Bradley Cove, Long Beach, Burnt Cove.
Old Perlican Ambulance Service
• Long Beach, Gull Island, Burnt Point, Job’s Cove, Red Lands, Lower Island Cove, Caplin Cove, Lower Point, Red Head Cove, Northern Bay, Bay de Verde, Grates Cove, Old Perlican.
Point Leamington Ambulance Service
• Point Leamington, Leading Tickles, Culls Harbour, Glover Harbour, Paradise, Fleury Blight, Fortune Harbour, Cottrell’s Cove, Point of Bay, Phillips Head, Northern Arm.
Robert’s Arm Ambulance Service
• Robert’s Arm, Port Anson, Pilley’s Island, Brighton, Triton, Jim’s Cove, Cards Harbour.
St. Lunaire-Griquet Ambulance Service
• St. Lunaire, Griquet, Gunners Cove, Noddy Bay, Straitsview, Hay Cove, L’Anse aux Meadows, Quirpon, Cape Onion, Ship Cove, Raleigh, Spillars Cove.
Triton Ambulance Service
• Brighton, Triton, Pilley’s Island, Beaumont.
Winterton Ambulance Service
• Winterton, Hant’s Harbour, New Chelsea, New Melbourne, Sibley’s Cove, Brownsdale, Lead Cove, New Perlican, Turks Cove, Heart’s Delight, Heart’s Desire, Heart’s Content, Islington, New Harbour, Green’s Harbour, Cavendish, Whiteway, South Dildo, Dildo, Hopeall.
HOSPITAL AMBULANCE SERVICES
A. M. Guy Memorial Hospital
• Buchans, Buchans Junction, Millertown, Millertown Junction.
Capt. Wm. Jackman Memorial Hospital
Between any two points in the Province of Newfoundland.
• Labrador City, Wabush.
Carbonear General Hospital
• Carbonear, Victoria, Salmon Cove, Freshwater, Broad Cove, Perry’s Cove, Harbour Grace, Bristol’s Hope, Blow Me Down, Spout Cove, Small Point.
Central Newfoundland Hospital Corporation
• Grand Falls, Windsor, Bishop’s Falls, Norris Arm
Grenfell Regional Health Services
• St. Genevieve, St. Barbe, Pond Cove, Reefs Harbour, Shoal Cove West, Shoal Cove East, Deadman’s Cove, New Ferolle, Forresters Point, Nameless Cove, Lower Cove, St. Anthony, Cook’s Harbour, Griquet, St. Lunaire, Raleigh, Ship Cove, Goose Cove, St. Anthony Bight, Great Brehat, Little Brehat, St. Carol’s, Pidgeon Cove, Quirpon, L’Anse-aux-Meadows, Hay Cove, Sandy Cove, Green Island Cove, Green Island Brook, Anchor Point, Plum Point, Brig Bay, Bird Cove, Bear Cove, Salvage Cove, Big Brook, Blue Cove, Black Duck Cove, Flower’s Cove, Eddies Cove, Boat Harbour, Cape Onion, Straitsview, Englee, Roddickton, Bide Arm, Conche, Croque, Main Brook.
General Hospital Corporation
• St. John’s and Metropolitan Area of St. John’s (entire Northeast portion of the Avalon from Topsail Hill in Conception Bay South and Bay Bulls out to Cape St. Francis and all points in between).
James Paton Memorial Hospital
• Gander, Appleton, Glenwood, Benton.
Notre Dame Bay Memorial Hospital
• Twillingate and any point on New World Island (Strong’s Island, Summerford, Village Cove, Cottle’s Cove, Cottlesville, Luke’s Arm, Virgin Arm, Carter’s Cove, Chanceport, Bridgeport, Hayward Cove, Moreton’s Harbour, Valley Pond, Little Harbour, Tizzard’s Harbour, Fairbank, Tilt Cove, Hillgrade, Newville, Cobbs Arm, Pikes Arm, Green Cove, Toogood Arm, Herring Neck, Merritt’s Harbour, Salt Harbour Island, Sunnyside, Ship Island, Black Duck Cove, Kettle Cove, Manuels Cove, Gillard’s Cove, Bluff Head Cove, Twillingate, Back Harbour, Crow Head, Wild Cove, Harts Cove, Jenkins Cove, Gilesport, Durrell, Little Harbour, Bayview, Purcell’s Harbour.
Port Saunders Hospital
• Port Saunders, Brig Bay, Gargamelle, Bird Cove, Reefs Harbour, New Ferolle, Eddies Cove West, Shoal Cove, Bartletts Harbour, Barr’d Harbour, Castors River, Port au Choix, Hawke’s Bay, River of Ponds.
Springdale Hospital Corporation
• King’s Point, Jackson’s Cove, Birchy Cove, Harry’s Harbour, Rattling Brook, Beachside, Little Bay, St. Patricks, South Brook.
Western Memorial Hospital Corporation
• Corner Brook, Massey Drive, Little Rapids, Steady Brook, Irishtown, Summerside, Meadows, Gillams, McIvers, Cox’s Cove, Lark Harbour, Bottle Cove, York Harbour, Frenchman’s Cove, John’s Beach, Benoit’s Cove, Halfway Point, Mount Moriah, Gallants, Georges Lake, Spruce Brook, Hughes Brook.
Baie Verte Peninsula Health Centre
• Baie Verte, Fleur de Lys, Coachman’s Cove, Smith’s Harbour, Westport, Bear Cove, Ming’s Bight, Wild Cove, Seal Cove, Burlington, Middle Arm, Western Arm, Purbeck’s Cove, La Scie, Shoe Cove, Brent’s Cove, Tilt Cove, Round Harbour, Snooks Arm, Harbour Round, Pacquet, Woodstock, Nippers Harbour.
[Please note the service operated by the Town of La Scie formerly operated under this Motor Carrier Certificate]