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,