<div class="chunk-title">Sec. 82-38. - Records.</div>
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               Each ambulance provider shall maintain the following records:
               
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                  (1)
                  
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                  <span class="ital">Daily dispatch log.</span> The daily dispatch log shall show time call received, time ambulance dispatched,
                  time arrived on scene, time departed scene, time arrived destination, time in service
                  and time returned to base. This log shall also include caller's name, address, phone
                  number; address of point of pick-up; address of destination; dispatcher's name and
                  whether call was emergency or nonemergency in nature. This log shall be kept in chronological
                  order, by call, and shall provide a specific identifier, for each call, to allow for
                  correlation with individual ambulance call reports related to patient information.
                  
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                  (2)
                  
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                  <span class="ital">Ambulance call report.</span> The ambulance call report form shall include all times recorded in the subsection
                  (1) of this section, and address of point of pick-up, address of destination, whether
                  call was emergency or convalescent in nature and the identifier which correlates the
                  ambulance call report to the daily dispatch log. This form shall also include patient
                  name, patient address, patient phone number, patient condition, type of assistance
                  or medical care provided the patient prior to arrival at destination, speedometer
                  readings at beginning and end of trip, total trip miles, schedule of charges and signature
                  of driver and attendant. The ambulance call report shall be so designed as to provide
                  the patient with a copy thereof containing all required information. A copy of the
                  ambulance call report may serve as receipt for any charges paid. The state ambulance
                  call report form shall meet all the requirements set forth in this subsection for
                  an ambulance call report.
                  
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                  (3)
                  
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                  <span class="ital">Ambulance check list and inspection report.</span> The ambulance check list and inspection report shall list contents and description
                  of operational readiness of each ambulance and shall be compiled daily and signed
                  by a crew chief or attendant.
                  
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                  (4)
                  
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                  <span class="ital">Accounts receivable form.</span> The accounts receivable form shall be kept on all partial and full payments with
                  date of payments and account number.
                  
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                  (5)
                  
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                  <span class="ital">Data sheet.</span> A data sheet shall be submitted quarterly to the county, through the county emergency
                  medical service office, and shall contain the following:
                  
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                  a.
                  
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                  Number of total calls.
                  
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                  b.
                  
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                  Number of emergency calls.
                  
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                  c.
                  
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                  Number of convalescent calls.
                  
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                  d.
                  
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                  Number of emergency patients transported.
                  
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                  e.
                  
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                  Number of convalescent patients transported.
                  
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                  f.
                  
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                  List of staff, employment status (driver, attendant, etc.) and copies of their current
                  state certification.
                  
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                  g.
                  
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                  List of vehicles, equipment inventory, operating condition, and copies of vehicle
                  state inspection reports.
                  
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                  h.
                  
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                  Copies of all daily dispatch logs and ambulance call reports.
                  
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               Provided, to the extent that the state office of emergency medical services forms,
               or other applicable state forms provide information required by this subsection, such
               forms may be submitted to meet these requirements.
               
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            <p class="historynote0">
               (Ord. of 9-4-90, Â§ 12)
               
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