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%.
A swap is an agreement between two parties to exchange a series of future cash flows. Swaps are financial agreements to exchange cash flows. Swaps can be based on interest rates, stock indices, foreign currency exchange rates and even commodities prices. Let's walk through an example of a plain vanilla swap, which is simply an interest rate swap in which one party pays a fixed interest rate and the other pays a floating interest rate.