Kan. Admin. Regs. § 109-2-7

Current through Register Vol. 43, No. 46, November 14, 2024

Section 109-2-7 - Ground ambulance staffing

Each operator shall staff each licensed ground ambulance in accordance with the board's regulations.

(a) Each operator of a type I ambulance service shall staff each type I ambulance with at least two attendants during patient transport.

(1) At least one attendant shall be one of the following medical personnel:

(A) A paramedic;

(B) a physician;

(C) a licensed physician's assistant;

(D) a licensed professional nurse; or

(E) a licensed advanced practice registered nurse.

(2) The second attendant may be any of the following:

(A) An emergency medical technician;

(B) an emergency medical technician-intermediate;

(C) an emergency medical technician-defibrillator;

(D) an emergency medical technician-Intermediate/defibrillator;

(E) an advanced emergency medical technician;

(F) licensed physician's assistant;

(G) a physician; or

(H) a licensed professional nurse.

(b) Each operator of a type II ambulance service shall staff each type II ambulance with at least two attendants. During patient transport, one of the following shall provide care to the patient in the patient compartment:

(1) An emergency medical technician;

(2) an emergency medical technician-intermediate;

(3) an emergency medical technician-defibrillator;

(4) an advanced emergency medical technician;

(5) a paramedic;

(6) a physician;

(7) a licensed physician's assistant;

(8) a licensed professional nurse; or

(9) a licensed advanced practice registered nurse.

(c) Each operator of a type IIA ambulance service shall staff each ambulance with at least two attendants. In addition, when appropriate staffing is available, ALS, as defined in K.A.R. 109-1-1, may be provided with the appropriate equipment and protocols. One of the following shall provide patient care appropriate to the patient's condition in the patient compartment during patient transport:

(1)

(A) For BLS transports, as BLS is defined in K.A.R. 109-1-1, a care provider who is at or above the level of an emergency medical technician; and

(B) for ALS transports, a care provider who is at or above the level of an emergency medical technician-intermediate, emergency medical technician-defibrillator, emergency medical technician-I/D, or advanced emergency medical technician;

(2) a paramedic;

(3) a physician;

(4) a licensed physician's assistant;

(5) a licensed professional nurse; or

(6) a licensed advanced practice registered nurse.

(d)

(1) Each operator of a type V ambulance service shall staff each type V ground ambulance with a driver and at least the following:

(A) A licensed professional nurse or a physician; and

(B) any of the following:

(i) A paramedic;

(ii) a physician;

(iii) a licensed physician's assistant;

(iv) a licensed professional nurse;

(v) a licensed advanced practice registered nurse; or

(vi) a licensed respiratory therapist.

Additional staffing shall be commensurate with the patient's care needs as determined by the service's medical adviser or as described in the service's medical protocols. The medical personnel shall remain in the patient compartment during patient transport.

(2) When providing critical care transports as defined in K.A.R. 109-1-1, at least one of the medical personnel on each type V ambulance shall be currently certified in advanced cardiac life support by a certifying entity approved by the board.

(3) When performing neonatal or pediatric missions, at least one of the medical personnel on each type V ambulance shall be currently certified in advanced life support for neonatal and pediatric patients by a certifying entity approved by the board.

(4) When responding to the scene of an accident or medical emergency, not including transports between medical facilities, at least one of the medical personnel on each type V ambulance shall be certified in one of the following areas:

(A) Advanced trauma life support (ATLS);

(B) transport professional advanced trauma course (TPATC);

(C) trauma nurse core course (TNCC);

(D) critical care emergency medical transport program (CCEMTP);

(E) pre-hospital trauma life support (PHTLS); or

(F) advanced care and trauma transport (ACTT).

Kan. Admin. Regs. § 109-2-7

Authorized by K.S.A. 1995 Supp. 65-6110; implementing K.S.A. 1995 Supp. 65-6110 and K.S.A. 65-6135; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Jan. 31, 1997.

Authorized by K.S.A. 2013 Supp. 65-6110; implementing K.S.A. 2013 Supp. 65-6110, K.S.A. 65-6128, and K.S.A. 2013 Supp. 65-6135; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Jan. 31, 1997; amended by, Kansas Register Volume 33, No. 25, effective 7/7/2014.