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(rfp),kerala emergency medical services project - National Rural ...

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Kerala Emergency Medical Services Project (KEMP)<br />

9 | P age<br />

and raise societal awareness of, and capability in, Emergency Management<br />

and Response mechanisms and thus save lives and reduce the economic<br />

impact to the citizens, firms and the Government through appropriate<br />

awareness, education and capacity building programs.<br />

7. Operate the ambulances and ensure that ambulance <strong>services</strong> are available on<br />

24 hours per day and 365 days a year basis to the people without any charges<br />

being levied from the public. The ambulances shall reach the required spot<br />

within 20 minutes of alert, on an average.<br />

8. Provide redundant systems for all the important components including voice<br />

logger, call taking, vehicle dispatch, etc to provide hassle free 24 hours per<br />

day and 365 days a year basis <strong>emergency</strong> <strong>medical</strong> <strong>services</strong>.<br />

9. Provide Un-interrupted power supply facility to the Emergency Response<br />

Center to provide un-interrupted <strong>services</strong>.<br />

10. All the ambulances should be provided with GPS/GPRS device on it and two<br />

active mobile phone connections of different service providers with maximum<br />

local coverage. The Emergency Response Center shall communicate with all<br />

the ambulances by means of voice as well data. The data including the<br />

destination name, landmark and other relevant information shall flash on the<br />

GPRS device monitor kept on each of the ambulance. The map shall be<br />

displayed on this monitor with current position of ambulance, destination and<br />

all the nearest hospitals. In the later stage it should be possible to highlight the<br />

shortest distance to the destination as well as the hospital on the map<br />

displayed on the monitor. The device should also have facilities to log the<br />

status of <strong>emergency</strong> calls attended by the ambulances to the control room.<br />

11. On receiving call of <strong>medical</strong> <strong>emergency</strong>, Emergency Response Center shall<br />

communicate with the nearest ambulance and the caller, and arrange to take<br />

the patient to the nearest hospital of the patient’s choice, depending upon the<br />

severity of the patient’s condition. On best effort basis, the concerned hospital<br />

should be informed in advance. Any call requiring assistance from police or<br />

fire fighting authorities shall be transferred accordingly.<br />

12. In the event of multiple causality or major accident more than one ambulance<br />

shall be deployed depending upon the condition within a short time span.<br />

13. If the Government decides to levy charges, the conditions and rates will be<br />

fixed by the government and will be communicated accordingly. The service<br />

provider shall collect user fees from patients and crediting it to an account and<br />

maintain a separate accounting process.<br />

14. Recruit, train and position the required man power, including Pilots (drivers),<br />

and Emergency Medical Technicians [EMT] who will be present in the<br />

ambulance, for attending to and shifting an <strong>emergency</strong> case to a hospital as per<br />

the Appendix 10. The recruitment and training have to be completed prior to<br />

the launch of the <strong>project</strong> in every district without creating any additional<br />

expense to SHFWS.<br />

15. Ensure that in every ambulance operated under this scheme, at least one Pilot<br />

and one EMT shall be present at any given point of time to provide patientstabilization,<br />

first-aid and other pre-hospital care. An illustrative list of total<br />

number of personnel involved in pre hospital <strong>emergency</strong> management and<br />

shall be appointed/hired by the successful bidder is attached as per (Appendix<br />

10). All ambulance should have EMTattention at any given time.

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