1 The level of ambulance service dispatched to each call (ALS, BLS, SCT) is based on nationally recognized emergency medical service protocols that take into account the patientâs condition, the duration of the injury or illness and the on-going care or monitoring that the patient may require. Each ambulance is appropriately staffed with state-licensed Emergency Medical Technicians (Basic and/or Paramedic) who receive on-going skills development and quality assurance guidance. 2  An Advanced Life Support Ambulance is staffed with at least one Paramedic (EMT-P) and an EMT.
Divestopedia explains Notional Value. In the case of a rate swap, the notional value is an arbitrary amount by which payment of interest is determined. For example, suppose that the notional value in an interest rate swap is $5 million and the two legs of the swap are at floating rate - perhaps LIBOR + 1% and a prefixed rate of 4%.
The exchange of interest rates for the mutual benefit of the exchangers. The exchangers take advantage of interest rates that are only available, for whatever reason, to the other exchanger by swapping them. The two legs of the swap are a fixed interest rate, say 3.5%, and a floating interest rate, say LIBOR + 0.5%. In such a swap, the only things traded are the two interest rates, which are calculated over a notional value. Each party pays the other at set intervals over the life of the swap. For example, one party may agree to pay the other a 3.5% interest rate calculated over a notional value of $1 million, while the second party may agree to pay LIBOR + 0.5% over the same notional value.