Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-2-1 - EMERGENCY MEDICAL SERVICES › Section 420-2-1-.17 - Ground Provider Services, Equipment, Fluids And Medications

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Ground Provider
			 Services are subject to all rules in this chapter except Rule
			 420-2-1-.08.
(2) No unlicensed emergency medical provider
			 service or personnel shall transport a patient from one point within Alabama to
			 another point within Alabama.
(3)
			 All permitted vehicles listed on an emergency medical provider service's
			 application shall meet the
Minimum Equipment Standards and Supplies for
			 Licensed EMS Provider Services
that pertain to their type of provider
			 service and vehicles. The
Minimum Equipment Standards and Supplies for
			 Licensed EMS Provider Services
will be maintained by the OEMS for each
			 type of vehicle and will be available upon request or can be found posted at
http://www.alabamapublichealth.gov/ems
.
(4) Permitted ambulances may utilize locking
			 wheelchair devices for restricted patients and the device shall be secured
			 appropriately and permanently in accordance with the manufacturer's
			 instructions. Safety harnesses and belts for the patient shall comply with all
			 provisions contained in the Federal Motor Vehicle Safety Standards (FMVSS) at
			 49 CFR Part 571.
(5) Seat belts and
			 shoulder harnesses shall not be used in lieu of a device which secures the
			 wheelchair or mobility aid itself.
(6) All ambulances shall meet or exceed the
			 federal trade industry specifications or standards for ambulance
			 vehicles.
(7) Ambulances shall not
			 have exterior wording which may mislead the public as to the type of service
			 that the emergency medical provider service is licensed to provide.
(8) All ambulances shall have the same color
			 schemes, lettering, and striping which shall be approved by the OEMS prior to
			 being placed in service.
(9) All
			 provider service names as designated on the license issued by the OEMS shall be
			 displayed prominently on each side of the ambulance as outlined in the current
			 OEMS approved specifications.
(10)
			 All permitted vehicles are subject to inspection by the OEMS.
(11) All provider service ground ambulances
			 shall have two forms of communication capabilities that provide
			 vehicle-to-hospital communications and for entry of patients into ATCC.
			 Additionally, all ground ambulances shall have radio communication capabilities
			 with the following Very High Frequencies (VHF) frequencies to be used for
			 mutual aid and disaster responses.
(a)
155.175
EMS-TAC-1
(b)
155.205
EMS-TAC-2
(c)
155.235
EMS-TAC-3
(d)
155.265
EMS-TAC-4
(e)
155.340
Hospital 1 (HEAR) (VMED28)
(f)
155.3475
(VMED 29)
(12)
			 Medications and fluids shall be approved by the Board and listed on the
Formulary for EMS.
These medications and fluids shall be
			 properly stored and inventoried in a fluid and medication container. Medication
			 containers shall be kept properly secured and accessible only by authorized
			 EMSP.
(13) All fluids and
			 medications shall be stored in a locked (keyed or combination) compartment when
			 not in use by appropriately licensed EMSP.
(14) The individual ALS EMSP is responsible
			 for ensuring that all fluids and medications are present and have not
			 expired.
(15) The Board approved
Formulary for EMS
medications is available upon request or can
			 be found at
http://www.alabamapublichealth.gov/ems
.
(16) All pre-hospital medical personnel shall
			 provide ALS medical treatments and interventions as described in the
Alabama EMS Patient Care Protocols
as applicable to their
			 level of licensure.
(17)
			 Medications, I.V. fluids, and other ALS equipment supply or resupply system for
			 approved ALS certificate holders shall be established and maintained with an
			 approved pharmacy or a pharmaceutical distributor. The OEMS will conduct
			 periodic inspections of medications, I.V. fluids, and ALS equipment. All
			 sources of supply or resupply for each ALS service participating in the
			 medication, I.V. fluid, and other ALS equipment supply or resupply program must
			 be submitted and approved by the OEMS.
Rule
				  420-2-1-.09 was renumbered
				  420-2-1-.17 as per certification Filed February 20, 2019; effective April 7,
				  2019.
Authors:
William Crawford, M.D.; Jamie
				  Gray
Statutory Authority:
Code of Ala.
				  1975
, §
										22-18-1,
et
				  seq
.