A clear definition must be drawn between the acute primary response and a booked call.
| 1. | An Acute Primary Response is defined as a response to a call that is received for medical assistance to an employee injured at work or in a public area e.g. motor vehicle accident. If an ILS response vehicle is dispatched to the scene of the emergency and the patient is in need of intermediate life support and such support is rendered by the ILS Personnel e.g. AEA, the response vehicle service provider shall be entitled to bill item 125 for such service. However, the same or any other ambulance service provider which is then transporting the patient shall not be able to levy a bill as the cost of transportation is included in the ILS fee under item 125. Furthermore, the ILS response vehicle personnel must accompany the patient to the hospital to entitle the original response vehicle service provider to bill for the ILS services rendered. |
| 2. | In the event of an response vehicle service provider rendering ILS and not having its own ambulance available in which to transport the patient to a medical facility, and makes use of another ambulance service provider, only the bill for the response vehicle service may be levied as the ILS bill under item 125. Since the ILS tariff already includes transportation, the response vehicle service provider is responsible for the bill for the other ambulance service provider, which will be levied at a BLS rate. This ensures that there is only one bill levied per patient. |
| 3. | Should a response vehicle go to a scene and not render any ILS treatment then a bill may not be levied for the said response vehicle. |
| 4. | NATIONALLY APPROVED MEDICATION WHICH MAY BE ADMINISTERED BY HPCSA-REGISTERED AMBULANCE PERSONNEL ACCORDING TO HPCSA-APPROVED PROTOCOLS |
Registered Basic Ambulance Assistant Qualification
Registered Ambulance Emergency Assistant Qualification
As above, plus
| • | Intravenous fluid therapy |
| • | Intravenous dextrose 50% |
| • | B2 stimulant nebuliser inhalant solutions (Hexoprenaline, Fenoterol, Sulbutamol) |
| • | Ipratropium bromide inhalant solution |
Registered Paramedic Qualification
As above, plus
| • | Oral Glyceryl Trinitrate |
| • | Endotracheal Adrenaline and Atropine |
| • | Intravenous Adrenaline, Atropine, Calcium, Corticosteroids, Hydrocortisone, Lignocaine, Naloxone, Sodium Bicarbonate 8,5 %, Metaclopramide |
| • | Intravenous Diazepam, Flumazenil, Furosemide, Glucagon, Lorazepam, Magnesium, Midazolam, Thiamine, Morphine, Promethazine |
| • | Pacing and synchronised cardioversion |
