Or. Admin. Code § 333-255-0071

Current through Register Vol. 63, No. 11, November 1, 2024

Section 333-255-0071 - Ground Ambulance Operating Requirements When Providing Intermediate Level Care

(1) A ground ambulance in operation and providing intermediate life support care must have at a minimum the following staffing:

(a) A qualified driver, an EMT or above, and an advanced emergency medical technician or EMT-Intermediate; or

(b) A driver who is licensed at least at an EMT level and an advanced emergency medical technician.

(2) Notwithstanding section (1) of this rule a rural ambulance service as that term is defined in OAR 333-255-0000(30) is permitted to operate a ground ambulance providing intermediate level care with a qualified driver and one AEMT or an EMT-Intermediate if the rural ambulance service:

(a) Notifies the county responsible in writing for the applicable ASA of the reduced staffing and the county notifies the ambulance service in writing that it does not object to the reduced staffing;

(b) Notifies the licensee's supervising physician in writing of the reduced staffing and the supervising physician notifies the ambulance service in writing that he or she does not object to the reduced staffing; and

(c) Provides, to the Authority in writing by certified mail, the following:

(A) A description of efforts made to comply with the staffing requirements in section (1) of this rule; and

(B) A copy of the county's notice that it does not object.

(3) If a rural ambulance service is operating with reduced staffing pursuant to section (2) of this rule and the ambulance service responds to a call with reduced staffing, a copy of the PCHR must be sent to the Authority within 14 days of responding to the call.

(4) A rural ambulance service operating with reduced staffing pursuant to section (2) of this rule must make a continuous effort to attempt to comply with the staffing requirements in section (1) of this rule and comply with the requirements of section (2) of this rule annually.

(5) A ground ambulance must meet all requirements specified in OAR 333-255-0070.

(6) A ground ambulance in operation and providing intermediate level care must have the following items in satisfactory working condition, kept in a sanitary manner, stored in a secure manner and be readily accessible to the medical personnel:

(a) All items specified in OAR 333-255-0070;

(b) Cardiac Monitoring Equipment:

(A) A portable battery powered manual monitor defibrillator capable of recording ECG reading;

(B) ECG electrodes, adult and pediatric;

(C) Hands-free defibrillation patches, adult and pediatric or defibrillation paddles, adult and pediatric;

(D) Contact gel if using paddles;

(E) Patient cables - 2; and

(F) ECG paper.

(c) Any physiologic isotonic crystalloid solution or combinations thereof - 6000 cc in any size containers;

(d) Medications and fluids authorized for use by an AEMT or EMT-Intermediate as required by the EMS medical director. Storage of controlled substances in an ambulance must adhere to the signed and dated procedures as specified in OAR 333-250-0047(3)(a) and (b);

(e) Vascular access devices:

(A) Over-the-needle catheters in assorted sizes 24-gauge through 14-gauge; and

(B) Specifically-designed needles or device with needles for intraosseous infusions.

(f) A copy of standing orders for AEMTs and/or EMT-Intermediates dated within one year and signed by the EMS medical director.

Or. Admin. Code § 333-255-0071

OHD 5-2001, f. & cert. ef. 4-24-01; PH 2-2007, f. & cert. ef. 2-1-07; PH 12-2010, f. 6-30-10, cert. ef. 7-1-10; PH 1-2011, f. & cert. ef. 1-6-11; PH 1-2013, f. & cert. ef. 1-25-13

Stat. Auth.: ORS 682.017

Stats. Implemented: ORS 682.017 - 682.117, 682.991