justicedao/ipfs_state_laws huggingface dataset:
333-260-0010 Definitions As used in these rules: (1) “Ambulance” means any privately or publicly owned motor vehicle, aircraft, or marine craft operated by a Division-licensed ambulance service and that is regularly provided or offered to be provided for the emergency and non-emergency transportation of persons suffering from illness, injury or disability. (2) “Ambulance Service” means any individual, partnership, corporation, association, governmental agency or other entity that holds a Division-issued ambulance service license to provide emergency and non-emergency care and transportation to sick, injured or disabled persons. (3) “Ambulance Service Area (ASA)” means a geographic area which is served by one ambulance service provider, and may include all or a portion of a county, or all or portions of two or more contiguous counties. (4) “Ambulance Service Plan (Plan)” means a written document, which outlines a process for establishing a county emergency medical services system. A plan addresses the need for and coordination of ambulance services by establishing ambulance service areas for the entire county and by meeting the other requirements of these rules. Approval of a plan shall not depend upon whether it maintains an existing system of providers or changes the system. For example, a plan may substitute franchising for an open-market system. (5) “Ambulance Service Provider” means a licensed ambulance service that responds to 9-1-1 dispatched calls or provides pre-arranged non-emergency transfers or emergency or non-emergency inter-facility transfers. (6) “County Government or County Governing Body (County)” means a Board of County Commissioners or a County Court. (7) “Division” means the Public Health Division, Oregon Health Authority. (8) “Emergency Medical Service (EMS)” means those prehospital functions and services whose purpose is to prepare for and respond to medical and traumatic emergencies, including rescue and ambulance services patient care, communications and evaluation. (9) “Notification Time” means the length of time between the initial receipt of the request for emergency medical service by either a provider or an emergency dispatch center (9-1-1), and the notification of all responding emergency medical service personnel. (10) “Provider” means any public, private or volunteer entity providing EMS. (11) “Response Time” means the length of time between the notification of each provider and the arrival of each provider's emergency medical service unit(s) at the incident scene. Statutory/Other Authority: ORS 682.205, 682.215, 682.235, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.235, 682.275, 682.315, 682.325, 682.335 & 682.345 History: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0100 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-260-0030 Subjects to be Considered in an Ambulance Service Plan (1) A county is required to include in a plan, each of the subjects or items set forth in these rules and to address and consider each of those subjects or items in the adoption process. (2) The plan submitted to the Division for approval must contain a certification signed by the governing body of the county that: (a) Each subject or item contained in the plan was addressed and considered in the adoption of the plan; (b) In the governing body's judgment, the ASAs established in the plan provides for the efficient and effective provision of ambulance services; and (c) To the extent they are applicable, the county has complied with ORS 682.205(2)(3) and 682.335 and existing local ordinances and rules. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0110 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-260-0040 Boundaries (1) The entire county must be included in a plan. One or more ASAs may be established in a plan. The county or contiguous counties are solely responsible for establishing all ASA boundaries within the county’s jurisdiction. (2) A map showing ASA boundaries and response time zones must be included in the plan, along with a narrative description of each ASA. (3) A map depicting all “9-1-1,” fire district and incorporated city boundaries within the county must be included in the plan. (4) The plan must describe the major alternatives considered, if any, for reducing the effects of artificial and geographical barriers on response times. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0115 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-260-0050 System Elements (1) The following system elements must be addressed and considered in the county’s plan for each ASA: (a) 9-1-1 dispatched calls; (b) Pre-arranged non-emergency transfers and inter-facility transfers, by June 30, 2003; (c) Notification and response times; (d) Level of care, ranging from basic life support to advanced life support; (e) Personnel for first response vehicles and ambulances; (f) Medical supervision of all medically trained emergency response personnel; (g) Patient care equipment for first response vehicles and ambulances; (h) Vehicle, vehicle equipment and safety requirements; (i) Initial and continuing education training for emergency response personnel; and (j) Quality improvement. (2) Notification and response times must be addressed and considered in the plan as follows: (a) Notification times must be expressed in terms of percent of calls which do not exceed a specified number of minutes; (b) Response times must be expressed in terms of percent of calls which do not exceed a specified number of minutes; and (c) Multiple response time standards may be established within the ASA to accommodate climate, weather, access, terrain, staffing and other factors as determined by the county. (3) The plan must address and consider a quality improvement program which at a minimum: (a) Monitors compliance with pertinent statutes ordinances and rules; (b) Monitors compliance with standards for prehospital provider notification times, response times and patient care; and (c) Provides for problem resolution and legal sanctions for non compliant personnel or providers of the plan provisions. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0120 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-260-0060 Coordination The county may delegate authority for development and administration of the plan to an intergovernmental body. The plan must address and consider: (1) A process for the county to receive input from prehospital care consumers, providers and the medical community. (2) Mutual aid agreements for ambulance responses from outside of the service area and responses to other service areas to meet the need for service in unusual circumstances. (3) Ambulance service providers' responsibilities in the event of a disaster, including: coordination with county resources and determination of methods for obtaining out-of-county resources other than ambulances, a process for adoption of a mass-casualty incident plan that is recognized and approved by the county’s emergency management administration. (4) Personnel and equipment resources in addition to the ambulance provider for response to incidents involving but not limited to: (a) Hazardous Materials; (b) Search and Rescue; (c) Specialized Rescue; and (d) Extrication. (5) Emergency radio and telephone communications systems for the county. Mechanisms for the following must be in operation or scheduled for implementation: (a) Access to the Emergency Medical Services System centralized emergency telephone numbers; (b) Dispatch of ambulances staffed in accordance with the plan and other emergency resources based on emergency medical protocols; and (c) U.S. Department of Transportation, National Highway Traffic Safety Administration, Emergency Medical Services Dispatcher: National Standard Curriculum or equivalent training for all emergency medical services dispatchers. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0125 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-260-0070 Provider Selection (1) The county is solely responsible for designating and administering the process of selecting an ambulance service provider. (2) The plan must address and consider a process for: (a) Assigning and reassigning of an ambulance service provider to an ASA; (b) Responding to an application by a provider for an ASA; (c) Responding to notification that an ASA is being vacated; and (d) Maintaining the existing level of service after notification that a provider is vacating an ASA. (3) The county shall designate one emergency ambulance provider for each ASA. The county may designate one or more non-emergency ambulance provider for each ASA. Statutory/Other Authority: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 Statutes/Other Implemented: ORS 682.205, 682.215, 682.275, 682.315, 682.325, 682.335 & 682.345 History: OHD 8-2001, f. & cert. ef. 4-24-01 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0130 HD 11-1990, f. & cert. ef. 5-7-90 HD 16-1986, f. & ef. 9-9-86
333-264-0000 Applicability The purpose of OAR 333-264-0000 through OAR 333-264-0140 is to set minimum requirements for the education of emergency medical services providers in Oregon that will foster safe and effective practice. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.208 & ORS 682.216 History: PH 78-2024, adopt filed 10/31/2024, effective 11/01/2024
333-264-0040 Eligibility, Application and Approval of Emergency Medical Responder (EMR) Courses (1) The Oregon Health Authority (Authority) is responsible for approving EMR courses. (2) An ambulance service or any other entity in Oregon may conduct an EMR course that meets the requirements of OAR 333-264-0050, if approved by the Authority. (3) An ambulance service or entity that wants to conduct an EMR course must submit an application to the Authority on a form prescribed by the Authority that includes all the information necessary to determine whether the course meets the standards prescribed in OAR 333-264-0050 and whether the course director meets the requirements in OAR 333-264-0100. The form must be received by the Authority at least 30 business days prior to the first day of class. (4) The Authority shall return an application that is incomplete to the applicant. (5) No entity shall conduct an EMR course until the Authority has approved the course. (6) The Authority may deny or revoke the approval to conduct an EMR course in accordance with ORS chapter 183 and these rules. Statutory/Other Authority: ORS 682.017 & ORS 682.208 Statutes/Other Implemented: ORS 682.216, ORS 682.208 & ORS 682.017 History: PH 78-2024, amend filed 10/31/2024, effective 11/01/2024 PH 71-2024, renumbered from 333-265-0012, filed 08/21/2024, effective 08/21/2024 PH 8-2017, f. & cert. ef. 3-30-17 PH 15-2011, f. 12-28-11, cert. ef. 1-1-12 PH 13-2010, f. 6-30-10, cert. ef. 7-1-10 PH 10-2008, f. & cert. ef. 6-16-08
333-264-0100 Course Director Qualifications and Responsibilities for EMR Courses (1) An ambulance service or entity that has been approved by the Oregon Health Authority (Authority) to conduct an EMR course must have a qualified course director. (2) An EMR course director must: (a) Have appropriate training and experience to fulfill the role and have the credentials that demonstrate such training and experience; (b) Be currently licensed in Oregon as an EMT or higher and in good standing with the Authority, or be a registered nurse, nurse practitioner, physician associate, or physician; (c) Have a minimum of three years of prehospital care experience; (d) Hold a current Basic Life Support (BLS) provider card or proof of course completion that meets or exceeds the American Heart Association (AHA) Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) guidelines (this course must include a practical skills evaluation); and (e) Have successfully completed one of the following: (A) The National Association of EMS Educators Level 1 Instructor I course; (B) The National Fire Protection Association (NFPA) Fire Instructor I course; (C) Have at least 40 hours of the Instructor Development Program offered by the DPSST; (D) A minimum of three college credits in adult educational theory and practice or vocational educational theory and practice from an accredited institution of higher learning; (E) A minimum of three years working as a full time EMT or higher with a licensed ambulance service and has experience conducting training; or (F) Other instructor course approved by the Authority. (3) An EMR course director: (a) Is responsible for course planning, scheduling of instructional activities, monitoring of student learning, assuring consistency of instruction, and issuing student grades; (b) Is responsible for coordinating and conducting the final student competency evaluations as prescribed by the Authority; (c) Is the primary instructor, who instructs, is present at, or facilitates at least 50 percent of the course, unless this requirement is waived by the Authority in advance; (d) Must ensure, if additional or guest instructors are used, that the instructor is qualified to teach the subject matter, meets requirements set forth in OAR 333-264-0050,follows the course curriculum, and meets course objectives for that subject; and (e) Must have written documentation showing whether a student has successfully completed an EMS provider course as described in OAR 333-264-0140. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 History: PH 78-2024, amend filed 10/31/2024, effective 11/01/2024 PH 71-2024, renumbered from 333-265-0018, filed 08/21/2024, effective 08/21/2024 PH 255-2018, amend filed 09/25/2018, effective 09/25/2018 PH 8-2017, f. & cert. ef. 3-30-17 PH 15-2011, f. 12-28-11, cert. ef. 1-1-12 PH 13-2010, f. 6-30-10, cert. ef. 7-1-10 PH 10-2008, f. & cert. ef. 6-16-08
333-264-0120 EMS Education Program Administrator and Faculty Responsibilities at an Educational Institution (1) A program administrator is a non-faculty supervisor that provides oversight of the EMS education department, such as a dean or associate dean at a college. (2) A program director is responsible for the coordination, oversight, and quality improvement of courses within an EMS education program. A program director may also have a title of program coordinator at the educational institution. (3) The program administrator or program director shall report the verification of student competencies and course completion to the National Registry. (4) A course EMS medical director shall: (a) Provide medical direction for the instructional, clinical and field experiences, and field internship portions of an EMS provider course; and (b) Act as the ultimate medical authority regarding course content and exams, procedures and protocols. (5) A course director for a specific course: (a) Is responsible for course planning, scheduling of instructional activities, monitoring of student learning, assuring consistency of instruction, and issuing student grades. When applicable, the course director also assures that students are scheduled for clinical experiences, field experiences, and field internships; (b) Is the primary instructor, who instructs, is present at, or facilitates at least 50 percent of the course, unless this requirement is waived by the Oregon Health Authority in advance; (c) Must ensure that: (A) Course requirements described in these rules are incorporated in the EMS provider course; (B) Additional instructors utilized in the course meet the qualifications described in OAR 333-264-0050; and (C) There is written or electronic documentation showing whether a student has successfully completed an EMS provider course as described in OAR 333-264-0140 and is retained in accordance with the educational institution’s policies and procedures. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 History: PH 78-2024, amend filed 10/31/2024, effective 11/01/2024 PH 71-2024, renumbered from 333-265-0022, filed 08/21/2024, effective 08/21/2024 PH 255-2018, amend filed 09/25/2018, effective 09/25/2018 PH 8-2017, f. & cert. ef. 3-30-17 PH 15-2011, f. 12-28-11, cert. ef. 1-1-12 PH 13-2010, f. 6-30-10, cert. ef. 7-1-10 PH 10-2008, f. & cert. ef. 6-16-08
333-264-0140 Requirements for Successful Completion of EMR, EMT, AEMT, EMT-Intermediate, and Paramedic Courses (1) Successful EMR course completion includes: (a) Completing and passing all requirements described in the course syllabus; (b) Demonstrating technical proficiency of skills in the Oregon EMR scope of practice described in OAR 847-035-0030 and in accordance with course policies; and (c) Completing and passing the final student competency evaluations within the course and in a manner prescribed by the Oregon Health Authority (Authority) and course policies. (2) Successful EMT course completion includes: (a) Demonstrating technical proficiency of skills in the 2019 National EMS Scope of Practice Model (DOT HS 813 151) and in the Oregon EMT scope of practice described in OAR 847-035-0030 in accordance with course policies; (b) Demonstrating achievement of all state-required performance outcomes in a competency-based assessment (CBA) program prescribed by the Authority; and (c) Completing all clinical and field requirements in the course in accordance with OAR 333-264-0090. (3) Successful AEMT course completion includes: (a) Completing and passing all requirements described in the AEMT course syllabus; (b) Demonstrating technical proficiency of skills in the 2019 National EMS Scope of Practice Model (DOT HS 813 151) and in the Oregon AEMT scope of practice described in OAR 847-035-0030 in accordance with AEMT course policies; (c) Demonstrating achievement of all state-required performance outcomes in a CBA program prescribed by the Authority; and (d) Completing all clinical and field requirements in the AEMT course in accordance with OAR 333-264-0090. (4) Successful EMT-Intermediate course completion includes: (a) Completing and passing all requirements described in the EMT-Intermediate course syllabus; (b) Demonstrating technical proficiency of skills in the Oregon EMT-Intermediate scope of practice described in OAR 847-035-0030 and in accordance with course policies; and (c) Demonstrating achievement of all state-required performance outcomes in a CBA program prescribed by the Authority. (5) Successful Paramedic course completion includes: (a) Completing and passing all requirements described in the Paramedic course syllabus; (b) Demonstrating technical proficiency of skills described in the 2019 National EMS Scope of Practice Model (DOT HS 813 151) and in the Oregon Paramedic scope of practice described in OAR 847-035-0030 in accordance with course policies; and (c) Completing all clinical requirements, and the field internship in accordance with OAR 333-264-0090. Statutory/Other Authority: ORS 682.017 Statutes/Other Implemented: ORS 682.017 History: PH 78-2024, adopt filed 10/31/2024, effective 11/01/2024
333-265-0040 Application Review and Approval (1) The Authority will review an application for licensure as an EMS provider and will conduct a criminal records check in accordance with OAR 333-265-0025. (2) If there are no issues that arise during the review of the application and the applicant meets all the requirements of ORS chapter 682 and these rules, the Authority will grant the applicant a license. (3) If the applicant does not meet the standards for licensure or there are criminal history or personal history issues that call into question the ability of the applicant to perform the duties of a licensed EMS provider in accordance with ORS chapter 682 or these rules, the Authority may deny the applicant on the basis of the information provided in the application, or conduct an investigation in accordance with OAR 333-265-0085. (4) Following an investigation the Authority may: (a) Deny the application; (b) Grant the application but place the applicant on probation; (c) Grant the application but place practice restrictions on the applicant; or (d) Grant the application if the criminal or personal history issues were resolved through the investigation to the Authority’s satisfaction. (5) Final actions taken by the Authority in denying an applicant, placing an applicant on probation, or by placing restrictions on the applicant’s practice shall be done in accordance with ORS chapter 183. (6) Nothing in this rule precludes the Authority from taking an action authorized in ORS chapter 682. Statutory/Other Authority: ORS 682.017 & 682.208 Statutes/Other Implemented: ORS 682.017, 682.204, 682.208 682.216 & 682.220 History: PH 27-2020, amend filed 04/27/2020, effective 07/01/2020 PH 8-2017, f. & cert. ef. 3-30-17 PH 15-2011, f. 12-28-11, cert. ef. 1-1-12 PH 13-2010, f. 6-30-10, cert. ef. 7-1-10 PH 11-2008(Temp), f. 6-19-08, cert. ef. 6-20-08 thru 12-12-08 PH 10-2008, f. & cert. ef. 6-16-08 OHD 9-2001, f. & cert. ef. 4-24-01 HD 8-1995, f. & cert. ef. 11-6-95 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0015 HD 19-1991, f. & cert. ef. 10-18-91 HD 16-1986, f. & cert. ef. 9-9-86 HD 19-1984, f. & cert. ef. 9-10-84 HD 1-1981, f. & cert. ef. 1-14-81, Renumbered from 333-023-0615 HD 63, f. 6-6-74, cert. ef. 6-25-74
333-265-0045 Renewal of License (1) The licenses of EMRs expire on June 30 of even-numbered years. (2) The licenses of EMTs, Advanced EMTs, EMT-Intermediates and Paramedics expire on June 30 of odd-numbered years. (3) An applicant for license renewal must: (a) Complete and sign an application form prescribed by the Authority certifying that the information in the application is correct and truthful; (b) Meet the requirements of ORS chapter 682 and these rules; (c) Consent to a criminal records check in accordance with OAR 333-265-0025; (d) Provide an authorization for the release of information to the Authority, as necessary, from any persons or entities, including but not limited to employers, educational institutions, hospitals, treatment facilities, institutions, organizations, governmental or law enforcement agencies in order for the Authority to make a complete review of the application. (e) Complete the continuing education requirements in OAR 333-265-0110; and (f) Submit a fee specified in OAR 333-265-0030. Statutory/Other Authority: ORS 682.017 & 682.208 Statutes/Other Implemented: ORS 682.017, 682.204, 682.208, 682.212 & 682.216 History: PH 27-2020, amend filed 04/27/2020, effective 07/01/2020 Renumbered from 333-265-0100, PH 8-2017, f. & cert. ef. 3-30-17 PH 15-2011, f. 12-28-11, cert. ef. 1-1-12 PH 13-2010, f. 6-30-10, cert. ef. 7-1-10 PH 10-2008, f. & cert. ef. 6-16-08 OHD 9-2001, f. & cert. ef. 4-24-01 HD 8-1995, f. & cert. ef. 11-6-95 HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0040 HD 19-1991, f. & cert. ef. 10-18-91 HD 16-1986, f. & ef. 9-9-86 HD 19-1984, f. & ef. 9-10-84 HD 1-1981, f. & ef. 1-14-81, Renumbered from 333-023-0640 HD 63, f. 6-6-74, ef. 6-25-74