MONROE COUNTY MEDICAL CONTROL AUTHORITY
COORDINATION OF SERVICES
 
THIS AGREEMENT, made and entered into as of the day of __________ ,
19 by and between __and
_____, confirms that each operate ambulance services and are desirous of entering into an agreement where each service may back up, reinforce and support the other at times of necessity and mutually work together to assist one another.

NOW, THEREFORE, it is agreed by and between the above ambulance services, all of the following:

1. At such times as an ambulance and crew is unavailable from one agency area, the dispatcher from that agency may request the service and ambulance response of the other agency and the responding agency shall provide such ambulance service to the requesting agency, if possible.

2. All requests for a supporting ambulance service from a responding agency shall originate with the dispatcher and not from the patient or citizens in general.

3. All charges for such ambulance services furnished pursuant to the agreement shall be billed and collected by the responding agency, there being no charges to the requesting agency for such back-up ambulance services other than the mutual reciprocity of service hereupon agreed.

4. The agency providing assistance through mutual aid shall follow all policies and protocols of the service area to which it responds.

5. This agreement may be terminated by either party at any time upon fifteen (15) days written notice from the Chief Executive Office of one agency to the other.

6. The parties shall indemnify and hold each other harmless from all loss, liabilities or damages arising out of aid or assistance rendered by one agency to the other pursuant to this Agreement.

7. Upon ratification by the agencies which are a party hereto, this Agreement shall become fully, effective.

Agency ____________________________________________________

CEO______________________________________________________

Date______________________________________________________
 
 
SPECIAL CONSIDERATIONS IN TERRITORIAL BORDER
AND MUTUAL AID COOPERATION

1. A BLS patient may be transported by the first transporting unit on-scene if person of highest medical training on-scene and Medical Control Authority agree the patient requires only BLS care. Transporting unit may be from either side of the territorial border.

2. Any patient requiring ALS care must be transported by an ALS unit if one is available. The first ALS unit on-scene will take charge of patient care and has the option to transport that patient.

3. All medical personnel from both sides of a territorial border will cooperate fully with each other in the best interest of patient care.

4. Territorial border cooperation will take place at any location within one (1) mile of either Medical Control zone, county or state border.

All agencies participating in mutual aid must file an incident report with the Medical Control Authority in the area in which the incident occurred. This incident report should explain why mutual aid was called and to what extent mutual aid was given. Also a run report should be filed with the Medical Control Authority on all patients who were transported by the agency assisting under the mutual aid guidelines. All incident reports and run reports must be filed within seven (7) days of the incident.

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