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 called a âpayerâ swap if you are the. party paying the fixed leg. A swap is called a âreceiverâ swap if you are the party paying the floating leg and therefore. receiving the fixed leg. The value of an interest rate swap is the difference between the paying leg and the receiving leg. Fundamentally, the. legs are no different from other financial instruments; each coupon payment is the present value of the product of a. principal, an accrual fraction, and a coupon rate.