reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.700 - EMS Lead Instructor

Current through Register Vol. 48, No. 28, July 12, 2024
a)
All education, training and CE courses for EMT, EMT-I, A-EMT,
				Paramedic, PHRN, ECRN, EMR and EMD
shall
be coordinated by at
				least one approved
Illinois
EMS Lead Instructor. A program
				that includes education, training or CE for more than one type of
EMS
				Personnel
may use
one EMS LI to coordinate the program.
				A single EMS LI may simultaneously coordinate more than one program or
				course
. (Section 3.65(b)(5) of the Act)
b) To be eligible for an Illinois EMS LI
				license, the applicant shall meet at least the following minimum experience and
				education requirements and shall provide a written recommendation from the EMS
				MD of the primary EMS System affiliation:
1)
				A current Illinois license as an EMT, EMT-I, A-EMT, Paramedic, RN or
				physician;
2) A minimum of four
				years of experience in EMS or emergency care;
3) At least two years of documented teaching
				experience;
4) Documented EMS
				classroom teaching experience with a recommendation for LI licensure by an EMS
				MD or licensed LI;
5) Documented
				successful completion of the Illinois EMS Instructor Education Course or
				equivalent to the National Standard Curriculum for EMS Instructors as approved
				by the Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.710 - Emergency Medical Dispatcher

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				EMD Licensure
1) To apply for licensure as an
				EMD, the individual shall request that the EMS System submit the following to
				the Department:
A) A completed electronic
				transaction form recommending initial licensure as an EMD; and
B) Documentation of successful completion of
				a
training course in emergency medical
dispatching that
				meets or exceeds the
national curriculum of the United States
				Department of Transportation for EMS Dispatchers or its equivalent. (Section
				3.70(a)
				of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.715 - Provisional Licensure for Emergency Medical Responders

Current through Register Vol. 48, No. 28, July 12, 2024
a) A person under the age of 18 shall not be
				issued an EMR license. A person between the ages of 16 and 18 who has
				successfully completed a Department-approved EMR course may apply to the
				Department for a provisional EMR license. Upon satisfaction of all other
				applicable requirements, the Department will issue a provisional license,
				subject to the following limitations:
1) A
				person with a provisional license shall not use his or her provisional license
				except when affiliated with a recognized Illinois EMS System and with the
				written authorization of that System's EMS MD;
2) A provisional licensee shall not be placed
				in a position of primary response to emergencies by any licensee of the
				Department, unless the assignment satisfies all other provisions of this
				Part;
3) A provisional licensee
				shall function as an EMR only while under the direct, personal and continuous
				supervision of at least one other non-provisional EMR, EMT, A-EMT, EMT-I,
				Paramedic or PHRN licensed at or above the level of the provider's license.
				Nothing in this Part shall preclude a provisionally licensed EMR from providing
				nationally recognized basic first aid when not participating as part of the
				emergency medical response of his or her affiliated agency;
4) A provisional licensee shall not be
				involved in the transport of a patient unless he or she is under the direct,
				personal and continuous supervision of at least two other non-provisional EMRs,
				EMTs, A-EMTs, EMT-Is, Paramedics or PHRNs licensed at or above the level of the
				transport provider's license. A provisional licensee shall not be used to
				satisfy the staffing requirements of this Part;
5) A provisional licensee shall not operate,
				drive or maneuver a Department licensed transport vehicle, rescue vehicle or
				non-transport agency owned vehicle in connection with an emergency response or
				the transportation of any patient; and
6) A provisional licensee will be recognized
				by the Department as an unrestricted EMR upon turning 18 years of age as
				required in Section
				515.725.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.720 - First Responder (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.730 - Pre-Hospital Registered Nurse, Pre-Hospital Physician Assistant, Pre-Hospital Advanced Practice Registered Nurse

Current through Register Vol. 48, No. 28, July 12, 2024
a) To be approved and licensed as a PHRN,
				PHPA, PHAPRN:
1) An individual shall:
A) Be a licensed RN, PA or APRN in good
				standing and in accordance with all requirements of the Illinois Department of
				Financial and Professional Regulation;
B) Complete a supplemental education
				curriculum, formulated by an EMS System and approved by the Department, that
				consists of:
i) at least 40 hours of
				classroom and psychomotor education and measurement of competency equivalent to
				the entry level Paramedic program;
ii) practical education, including, but not
				limited to, advanced airway techniques, ambulance operations,
extrication, telecommunications, and pre-hospital cardiac and trauma
				care
of both the adult and pediatric population (Section
				3.80(c)(1)(A)
				of the Act); and
iii) the EMS
				System's policies, protocols and standing orders; and
C) Complete a minimum of 10 ALS runs
				supervised by a licensed EMS System, physician, an approved System PHRN, PHPA,
				PHAPN or a Paramedic, only as authorized by the EMS MD, and shall successfully
				complete a Paramedic examination approved by the Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.740 - Emergency Communications Registered Nurse

Current through Register Vol. 48, No. 28, July 12, 2024
a) To be licensed as an ECRN, an individual
				shall:
1) Be an RN in accordance with the
				Nurse Practice Act;
2) Complete an
				education curriculum formulated by an EMS System and approved by the
				Department, which consists of at least 40 hours of classroom and practical
				education for both the adult and pediatric population, including
telecommunications, System standing medical orders, and the procedures
				and protocols established by the EMS MD
(Section
				3.80(c)(1)(B)
				of the Act);
3) Complete eight
				hours of field experience supervised by a Paramedic, only as authorized by the
				EMS MD.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.750 - Trauma Nurse Specialist

Current through Register Vol. 48, No. 28, July 12, 2024
a) TNS
				Education Sites
1) TNS courses shall be
				conducted only at hospitals that have been designated by the Department as TNS
				education sites.
2) The Department
				shall designate TNS education sites based upon regional needs, the educational
				capabilities of interested hospitals to provide advanced trauma education to
				nurses, and participation in an EMS System.
3) The TNS Program Plan (see Section
				515.760
				) shall serve as a standard TNS program plan. The Department will approve
				program plans based on compliance with Section 515.760.
4) The Chief Executive Officer of the
				hospital designated as a TNS education site shall appoint, and endorse in
				writing to the Department, a TNSCC to plan, coordinate, implement and evaluate
				the TNS course and TNS program activities, who meets the following
				requirements:
A) Is an RN with an
				unencumbered license in the state in which he or she practices;
B) Is employed by the TNS education
				site;
C) Has at least three years
				of experience as an RN in an emergency department or critical care setting in a
				trauma center;
D) Holds a
				certificate of TNS course completion issued by the Department as provided in
				this Section; and
E) Has a minimum
				of 50 hours of teaching experience in emergency/critical care nursing
				courses.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart E - EMS LEAD INSTRUCTOR, EMERGENCY MEDICAL DISPATCHER, EMERGENCY MEDICAL RESPONDER, PRE-HOSPITAL REGISTERED NURSE, EMERGENCY COMMUNICATIONS REGISTERED NURSE, AND TRAUMA NURSE SPECIALIST › Section 515.760 - Trauma Nurse Specialist Program Plan

Current through Register Vol. 48, No. 28, July 12, 2024
A TNS program plan shall contain the following
				  information:
a) The name, address and
				fax number of the TNS site hospital;
b) The names and resumes of the
				TNSCCs;
c) Current letters of
				commitment from the following persons at the TNS site hospital that describe
				the commitment of the writer and his or her office to the development and
				ongoing operation of the TNS program and that state the writer's understanding
				of and commitment to TNS program staffing and educational requirements:
1) The Chief Executive Officer of the
				hospital; and
2) The administrative
				representative responsible for the TNS program;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.810 - EMS Vehicle System Participation

Current through Register Vol. 48, No. 28, July 12, 2024
For each EMS vehicle participating within the System, the
				  following documentation shall be provided:
a) A list of the following:
1) The year, model, make and vehicle
				identification number;
2) The
				license plate number;
3) The
				Department license number;
4) The
				base location address; and
5) The
				level of service (advanced, intermediate or basic);
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.820 - Denial, Nonrenewal, Suspension and Revocation of a Vehicle Service Provider License

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Director shall, in accordance with Section
				515.160
				of this Part and after providing notice and an opportunity for an
				administrative hearing to the applicant or licensee, deny, suspend, revoke or
				refuse to renew a vehicle service provider license in any case in which it is
				found that the applicant, licensee or vehicles fail to comply with the
				requirements of the Act or this Part.
b) If the failure to comply relates only to
				one or more specific vehicles operated by the applicant or licensee, and the
				applicant or licensee has one or more vehicles that are in compliance, the
				Director's action shall be limited to those vehicles which fail to comply with
				the Act or this Part.
c) If the
				failure to comply concerns all of the provider's vehicles or the provider's
				operation as a whole, the Director's action shall cover the entire vehicle
				service provider license.
d) In the
				event that an immediate and serious danger to the public health, safety or
				welfare exists, the Director shall issue an emergency suspension order for any
				provider or vehicle licensed under the Act and this Part. (Section 3-85(b)(7)
				of the Act) Subsequent to the emergency suspension order, the Director shall
				promptly initiate proceedings to revoke or suspend the license or portion
				thereof and provide the licensee with an opportunity for an administrative
				hearing. The emergency suspension shall remain in effect throughout the course
				of such proceedings, unless the Director lifts the suspension order after
				determining that the emergency situation has been corrected or remedied. In
				determining whether to lift the suspension, the Director will consider whether
				patient care is compromised.
e) All
				administrative hearings conducted pursuant to this Section shall be governed by
				the Department's Rules of Practice and Procedure in Administrative Hearings (77
				Ill. Adm. Code 100).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.825 - Alternate Response Vehicle

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Ambulance Assistance Vehicles
Ambulance assistance vehicles are dispatched simultaneously
				  with an ambulance and assist with patient care prior to the arrival of the
				  ambulance. Ambulance assistance vehicles include fire engines, trucks, squad
				  cars or chief's cars that contain the staff and equipment required by this
				  Section. Ambulance assistance vehicles shall not function as assist vehicles if
				  staff and equipment required by this Section are not available. The agency
				  shall identify ambulance assistance vehicles as a program plan amendment
				  outlining the type and level of response that is planned. The ambulance
				  assistance vehicle shall not transport or be a primary response vehicle but a
				  supplementary vehicle to support EMS services. The ambulance assistance vehicle
				  shall be dispatched only if needed. Ambulance assistance vehicles shall be
				  classified as either:
1) Advanced
				ambulance assistance vehicles shall be staffed with a minimum of one Paramedic,
				PHRN or physician and shall have all of the required equipment;
2) Intermediate ambulance assistance vehicles
				shall be staffed with a minimum of one EMT, EMT-I, A-EMT, Paramedic, PHRN or
				physician and shall have all of the required equipment;
3) Basic ambulance assistance vehicles shall
				be staffed with a minimum of one EMT, EMT-I, A-EMT, Paramedic, PHRN or
				physician and shall have all of the required equipment; or
4) First Responder assistance vehicles shall
				be staffed with a minimum of one EMR, EMT, EMT-I, A-EMT, Paramedic, PHRN or
				physician and shall have all of the required equipment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.827 - Ambulance Assistance Vehicle Provider Upgrades

Current through Register Vol. 48, No. 28, July 12, 2024
a)
An ambulance assistance vehicle
				provider may submit a
written
proposal to the EMS Medical
				Director requesting approval of an ambulance assistance vehicle provider
				in-field service level upgrade.
(Section 3.88(b) of the Act)
b)
An ambulance assistance vehicle
				provider may be upgraded, as defined by the EMS Medical Director in a
written
policy or procedure, as long as the EMS Medical Director and
				the Department have approved the proposal, to the highest level of EMT license
				(advanced life support/paramedic, intermediate life support, or basic life
				support) or Pre-Hospital RN certification held by any person staffing that
				provider's ambulance assistance vehicle. The ambulance assistance vehicle
				provider's proposal for an upgrade must include all of the
				following
(Section 3.88(b-1) of the Act):
1)
The manner in which the provider
				will secure and store
all
advanced life support equipment,
				supplies, and medications.
(Section 3.88(b-1)(A) of the Act)
2)
The type of quality assurance the
				provider will perform.
(Section 3.88(b-1)(B) of the Act)
3)
An assurance that the provider
				will advertise only the level of care that can be provided 24 hours a
				day.
(Section 3.88(b-1)(C) of the Act)
4)
A statement that the provider will
				have that vehicle inspected by the Department annually.
(Section
				3.88(b-1)(D) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.830 - Ambulance Licensing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Vehicle
				Design
1) Each new vehicle used as an
				ambulance shall comply with the current criteria established by nationally
				recognized standards such as National Fire Protection Association, Ground
				Vehicle Standards for Ambulances, the Federal Specifications for the Star of
				Life Ambulance, or the Commission on Accreditation of Ambulance Services (CAAS)
				Ground Vehicle Standard for Ambulances.
2)
A licensed vehicle
shall
				be exempt
from subsequent vehicle design standards or specifications
				required by the Department
in this Part,
as long as
the
vehicle is continuously in compliance with the vehicle design
				standards and specifications originally applicable to that vehicle, or
				until
the
vehicle's title of ownership is
				transferred
. (Section
				3.85(b)(8) of
				the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.833 - In-Field Service Level Upgrade - Rural Population

Current through Register Vol. 48, No. 28, July 12, 2024
a)
Ambulance Service Provider and
				Vehicle Service Provider Upgrades - Rural Population
1)
An ambulance operated by a rural
				ambulance service provider or a specialized emergency medical services vehicle
				or alternate response vehicle operated by a rural vehicle service provider may
				be upgraded, as defined by the EMS System Medical Director in a policy or
				procedure, as long as the EMS System Medical Director and the Department have
				approved the proposal, to the highest level of EMT license (advanced life
				support/paramedic, intermediate life support,
advanced EMT
or
				basic life support)
or Pre-Hospital RN
held by any person
				staffing that ambulance, specialized emergency medical services vehicle, or
				alternate response vehicle. The ambulance service provider's proposal or rural
				services vehicle provider's proposal for an upgrade must include all of the
				following:
A)
The manner in
				which the provider will secure and store advanced life support equipment,
				supplies and medications.
B)
The type of quality assurance the
				provider will perform.
C)
An assurance that the provider will advertise only the level of care
				that can be provided 24 hours a day.
D)
A statement that the provider will
				have that vehicle inspected by the Department annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.835 - Stretcher Van Provider Licensing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) An application for a stretcher van
				provider license shall be submitted on a form prescribed by the Department. The
				application shall include, but not be limited to:
1) Applicant's and registered agent's name
				and permanent business addresses and telephone numbers; and
2) For each vehicle to be covered by the
				license, the make, model, year, vehicle identification number, State vehicle
				license number and proof of liability insurance.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.840 - Stretcher Van Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				stretcher van shall not be a passenger sedan, limousine, or recreational
				vehicle. Sport utility vehicles with fewer than three passenger doors and a
				wheelbase of less than 100 inches are not permitted to be licensed as stretcher
				vans.
b) A stretcher van shall have
				the capability for continuous and reliable voice communication with staffed
				dispatch bases and receiving facilities, and the ability to contact emergency
				services as necessary.
c) A
				stretcher van shall have sufficient room for two attendants and appropriate
				equipment to secure all passengers and the stretcher to prevent injury or
				aggravation of an existing medical condition and to allow for direct
				observation of the stretcher passenger.
d) A stretcher van shall be in good operating
				condition and equipped with seat belts for each passenger, one working 5-pound
				ABC fire extinguisher, and one working battery-operated flashlight. A stretcher
				van shall not be equipped with emergency (red or blue) lights or other
				emergency warning devices.
e) A
				stretcher van shall have accommodation for a primary wheeled litter, which
				shall be at least 75 inches long and 22 inches wide and fastened securely with
				a crash-stable quick-release three-point fastener (i.e., Ferno Type 175
				fastener or equivalent); in addition, passengers on the primary wheeled litter
				shall be secured with three sets of straps and over-shoulder straps.
f) A stretcher van shall have a flat and
				unencumbered floor with a non-skid surface that is easily cleaned. The patient
				area of the stretcher van shall be constructed of surfaces that are non-porous
				and easily sanitized.
g) A
				stretcher van shall have a loading light capable of illuminating the area
				around the stretcher van.
h) A
				stretcher van shall be equipped with a crash-stable quick-release mounting
				bracket for each oxygen cylinder transported.
i) A stretcher van shall have provisions for
				continuous visual and voice communication between the driver and the
				passenger.
j) A stretcher van shall
				have heating, cooling and ventilation systems in good working condition. The
				passenger area shall be clear and designed to ensure that there are no sharp
				projections that could injure the passenger.
k) Smoking or use of smoking materials or
				devices shall not be permitted in stretcher vans licensed under this Part. A
				stretcher van shall include "No Smoking" and "Fasten Seat Belt" signs
				conspicuously posted in the driver and passenger compartments.
l) A stretcher van shall provide either:
1) A 24-hour written agreement to have
				emergency road service; or
2) One
				spare wheel and tire, one with a jack with the capacity to raise a wheel of the
				stretcher van, and one wheel lug wrench.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.845 - Operation of Stretcher Vans

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				stretcher van may be operated with a crew of fewer than two trained attendants.
				One trained attendant shall remain with the passenger.
b) All stretcher van attendants shall be CPR
				certified and have received basic training in the operation of
				stretchers.
c) A stretcher van
				provider may provide transport of a passenger on stretcher provided the
				passenger meets all of the following requirements:
1) He or she needs no medical monitoring or
				clinical observation;
2) He or she
				needs routine non-emergent transportation to or from a medical appointment or
				service if he or she is convalescent or otherwise bed confined and does not
				require clinical observation, aid, care, or treatment during transport.
				(Section 3.86(c) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.850 - Reserve Ambulances

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the
				purposes of this Section, "reserve ambulance" means a vehicle that meets all
				criteria set forth in Section
				515.830
				of this Part, except for the required inventory of medical supplies and durable
				medical equipment, which may be rapidly transferred from a fully functional
				ambulance to a reserve ambulance without the use of tools or special mechanical
				expertise. (Section 3.85(a)(3)(C) of the Act)
b) No changes to the vehicular operating
				systems, such as the electrical, plumbing, lighting, emergency warning or
				dispatch and hospital communication systems, shall be permitted.
c) The vehicle service provider shall
				complete a vehicle inventory of equipment and supplies as required by Section
				515.830
				of this Part and any system specific requirements each time a reserve vehicle
				is placed into service.
d) The
				vehicle provider shall notify the EMS System within 48 hours after a reserve
				ambulance is placed into service. A copy of the vehicle inventory form shall be
				provided to the EMS System.
e) Any
				reserve ambulance placed into service for 10 days or more shall be inspected by
				the EMS System, and the System shall provide notification to the Department on
				a Department prescribed form.
f)
				Reserve ambulances shall be identified on the vehicle provider license in
				accordance with Section
				515.800
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart F - VEHICLE SERVICE PROVIDERS › Section 515.860 - Critical Care Transport

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Critical care transport
may be provided by:
1)
Department-approved critical care
				transport providers, not owned or operated by a hospital, utilizing
				EMT-Paramedics with additional training, nurses, or other qualified health
				professionals; or
2)
Hospitals, when utilizing any vehicle service provider or any
				hospital-owned or operated vehicle service provider. Nothing in
the
Act requires a hospital to use, or to be, a Department-approved
				critical care transport provider when transporting patients, including those
				critically injured or ill. Nothing in
the
Act shall restrict
				or prohibit a hospital from providing, or arranging for, the medically
				appropriate transport of any patient, as determined by a physician licensed to
				practice
medicine
in all of its branches, an APRN, or a
				PA.
(Section 3.10(f-5) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.900 - Licensure of SEMSV Programs - General

Current through Register Vol. 48, No. 28, July 12, 2024
a) No person, either as owner, agent or
				otherwise, shall furnish, operate, conduct, maintain, advertise or otherwise be
				engaged in the provision of emergency medical care or transportation to a sick
				or injured patient using a Specialized Emergency Medical Services Vehicle
				(SEMSV), unless currently licensed by the Department pursuant to this Subpart.
				This requirement applies to:
1) Any air
				medical service that may pick up a patient within the State of Illinois;
				and
2) Any provider that advertises
				that it provides air medical transport services, regardless of its base of
				operation, location of vehicle registration, or percentage of vehicle use for
				air medical transport.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.910 - Denial, Nonrenewal, Suspension or Revocation of SEMSV Licensure

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Director may
				issue an Emergency Suspension Order for any provider or vehicle licensed under
				this Part or the Act, when the Director or his or her designee has determined
				that an immediate and serious danger to the public health, safety and welfare
				exists. Suspension or revocation proceedings which offer an opportunity for
				hearing shall be promptly initiated after the emergency suspension order has
				been issued. (Section 3.85(b)(7) of the Act)
b) The Department, in accordance with Section
				515.160,
				after notice and an opportunity for hearing, shall deny an application for
				licensure or renewal, suspend or revoke a license when:
1) the applicant or license holder has failed
				to meet or has violated any of the requirements of the Act or this Part;
				or
2) any SEMSV personnel, during
				the provision of emergency services, have engaged in dishonorable, unethical or
				unprofessional conduct of a character likely to deceive, defraud or harm the
				public, such as not meeting the requirements of the Act, charging for services
				or equipment not provided or used, or using unqualified personnel as provided
				in Section
				515.940.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.920 - SEMSV Program Licensure Requirements for All Vehicles

Current through Register Vol. 48, No. 28, July 12, 2024
a) The SEMSV Program shall be part of a
				Department-approved EMS System.
b)
				The SEMSV Program shall meet and comply with all State and federal requirements
				governing the specific vehicles employed in the program. (See Section
				515.930,
				515.945
				or
				515.970.)
c) The SEMSV Program shall comply with this
				Part during its hours of operation. The SEMSV Program shall operate 24 hours
				per day, every day of the year, in accordance with weather conditions, except
				when the service is committed to another medical emergency request, or is
				unavailable due to maintenance requirements.
d) The SEMSV Program shall provide
				pre-hospital emergency services within its service area on a per-need basis
				without regard to the patient's ability to pay for the service.
e) The SEMSV Program shall be supervised and
				managed by a Medical Director, who shall be a physician who has met at least
				the following requirements:
1) Educational
				experience in those areas of medicine that are commensurate with the mission
				statement of the medical service (e.g., trauma, pediatric, neonatal,
				obstetrics) or utilize specialty physicians as consultants when
				appropriate;
2) Valid certification
				and experience in Advanced Cardiac Life Support (ACLS), such as the American
				Heart Association's ACLS course or equivalent education;
3) Valid certification and experience in
				Pediatric Advanced Life Support (PALS), such as the American Heart Association
				PALS course or PEPP/American Academy of Pediatrics Advanced Pediatric Life
				Support Course or equivalent education;
4) Valid certification and experience in
				Advanced Trauma Life Support (ATLS), such as the American College of Surgeons'
				ATLS course or equivalent education;
5) In programs using air vehicles,
				documentation, such as certificates or proof of completion in course work
				designed to bring about:
A) Experience and
				knowledge in in-flight treatment modalities;
B) Experience and knowledge in altitude
				physiology;
C) Experience and
				knowledge in infection control as it relates to airborne and intra-facility
				transportation; and
D) Experience
				and knowledge in stress management techniques;
6) In programs using watercraft,
				documentation, such as certificates of completion in course work designed to
				bring about:
A) Experience and knowledge in
				treating persons suffering from submersion incidents (cold, warm, fresh and
				salt water); and
B) Experience and
				knowledge in diving accident physiology and treatment.
7) In programs using air vehicles, the SESMV
				MD shall be knowledgeable and involved in the establishment of flight safety
				and weather-related parameters.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.930 - Helicopter and Fixed-Wing Aircraft Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
In addition to the requirements specified in Sections
				  515.900
				  and
				  515.920,
				  an SEMSV Program using helicopters or fixed-wing aircraft shall submit a
				  program plan that includes the following:
a) Documentation of the SEMSV MD's
				credentials as required by Section
				515.920(e),
				and a statement signed by the MD containing his or her commitment to the
				following duties and responsibilities:
1)
				Supervising and managing the program;
2) Supervising and evaluating the quality of
				patient care provided by the aeromedical crew;
3) Developing written treatment protocols and
				standard operating procedures to be used by the aeromedical crew during
				flight;
4) Developing and approving
				a list of equipment and drugs to be available on the SEMSV during patient
				transfer;
5) Providing periodic
				review, at least monthly, of patient care provided by the aeromedical
				crew;
6) Providing for the CE of
				the aeromedical team (see Section
				515.940(a)(2)
				);
7) Providing medical advice and
				expertise on the use, need and special requirements of aeromedical
				transfer;
8) Submitting
				documentation assuring the qualifications of the aeromedical crew;
9) Notifying the Department when the primary
				SEMSV is unavailable in excess of 24 hours, stating the reason for
				unavailability, the expected date of return to service, and the provisions
				made, if any, for replacement vehicles;
10) Assuring appropriate staffing of the
				SEMSV, with a minimum of one EMS pilot and one aeromedical crew member for BLS
				missions. There shall be two aeromedical crew members for ALS and CCT, one of
				which must be an RN or physician with completion of education required by
				Section 515.940. Two EMS pilots shall be used for fixed-wing aircraft or
				helicopters when required by the Federal Aviation Administration (FAA)
				requiring that staffing. Additional aeromedical personnel may be required at
				the discretion of the SEMSV MD. The SEMSV MD shall provide the Department with
				a list of all approved pilots and aeromedical crew members, and shall update
				the list whenever a change in those personnel is made;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.935 - EMS Pilot Specifications

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Approval for EMS System participation for a pilot shall be valid for a period
				of one year and may be renewed by the SEMSV MD if the pilot has completed
				renewal education, which shall include, but is not limited to, the requirements
				of subsections (b)(1) and (5)(A) through (H) or subsections (c)(1) and (3)(A)
				through (F).
1) For helicopter programs only:
A) Four EMS pilots per helicopter, excluding
				relief support, shall be dedicated to the SEMSV Program. Temporary staffing by
				three full-time pilots is permitted for no more than six months while finding
				and educating a replacement pilot.
B) An EMS pilot assigned to SEMSV duty shall
				be physically present at the aircraft base to assure timely response.
C) An EMS pilot assigned to SEMSV duty shall
				be provided with work space to carry out assigned duties. If duty time exceeds
				12 continuous hours, separate sleeping quarters shall be provided to assure
				physical rest.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.945 - Aircraft Vehicle Specifications and Operation

Current through Register Vol. 48, No. 28, July 12, 2024
a) All vehicles shall meet the requirements
				of subparts A, B, C, and D of Air Taxi Operations and Commercial Operators ( 14
				CFR 135 ).
b) All vehicles shall
				have communication equipment to permit both internal crew and air-to-ground
				exchange of information between individuals and agencies, including at least
				those involved in SEMSV medical control within the EMS System, the flight
				operations center, air traffic control and law enforcement agencies.
				Helicopters must be able to communicate with law enforcement agencies, EMS
				providers, fire agencies, and referring and receiving facilities.
c) Rotor wing vehicles shall be equipped with
				a Medical Emergency Radio Communications for Illinois (MERCI) radio.
d) All vehicles shall be designed to allow
				the loading and unloading of the patient without rotating the patient more than
				30 degrees along the longitudinal axis or 45 degrees along the lateral
				axis.
e) All vehicles shall be
				climate controlled to prevent temperature extremes that would adversely affect
				patient care in the judgment of the EMS MD or SEMSV MD.
f) All vehicles shall have interior lighting
				to permit patient care to be given and patient status to be monitored without
				interfering with the pilot's vision.
g) All vehicles shall carry survival
				equipment including but not limited to:
1)
				Two sources of heat or fire;
2) Two
				forms of signaling device;
3)
				Equipment to provide shelter: blanket, nylon cord and adhesive tape;
4) Knife; and
5) Food and water supply.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.950 - Aircraft Medical Equipment and Drugs

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each helicopter or fixed-wing aircraft
				shall be equipped with medical equipment and drugs that are appropriate for the
				various types of missions to which it will be responding, as specified by the
				SEMSV MD.
b) The SEMSV MD shall
				submit for approval to the Department a list of medical equipment and drugs to
				be taken on any particular mission based on patient type (adult, child,
				infant), medical condition (high risk infant, cardiac, burn, etc.) and
				anticipated treatment needs en route. This shall include, but not be limited
				to:
1) Cardiac monitor with extra
				battery;
2) Defibrillator that is
				adjustable for all age groups;
3)
				External pacemaker;
4) Advanced
				airway equipment, including, but not limited to, laryngoscope and tracheal
				intubation supplies for all age ranges;
5) Mechanical ventilator available;
6) Two suction sources; one must be
				portable;
7) Pulse oximeter;
				central and peripheral sensors, adult and pediatric;
8) End tidal CO2 -
				quantitative wave form capnography;
9) Automatic blood pressure
				monitor;
10) Doppler with dual
				capacity to obtain fetal heart tones as well as systolic blood
				pressure;
11) Invasive pressure
				monitor;
12) Intravenous pumps with
				adjustable rates for appropriate age groups;
13) Two sources of oxygen; one must be
				portable;
14) A stretcher that is
				large enough to carry the 95th percentile adult,
				full length in supine position, and that is rigid enough to support effective
				cardiopulmonary resuscitation and has the capability of raising the head
				30°;
15) Electrical power
				source provided by an inverter or appropriate power source of sufficient output
				to meet the requirements of the complete specialized equipment package without
				compromising the operation of any electrical aircraft equipment;
16) If the patient weighs less than 60 lbs.
				(27 kg.), an appropriate (for height and weight) restraint device shall be
				used, which shall be secured by a devise approved by the Federal Aviation
				Administration ( 14 CFR 135 );
17)
				An isolette if the service mission profile includes neonate transports;
				and
18) Opioid antagonist,
				including, but not limited to, Naloxone, with administration equipment
				appropriate for the licensed level of care of the SEMSV.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.955 - Vehicle Maintenance for Helicopter and Fixed-wing Aircraft Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) For helicopter
				programs:
1) The maintenance program shall
				meet the requirements of subpart J of Air Taxi Operations and Commercial
				Operators ( 14 CFR 135 ).
2) One
				certified airframe and power plant (A & P) mechanic with two years
				experience for each helicopter shall be available and dedicated to the program
				24 hours per day.
3) Mechanics
				shall have completed factory-approved education for the makes and models of
				aircraft used in the SEMSV Program.
4) Back-up maintenance support shall be
				available when the primary mechanic is unavailable or during times of extensive
				maintenance needs.
5) Hangar
				facilities shall be available for major maintenance activities, as specified in
				manufacturer's requirements. These facilities need not be located at the base
				of operations.
6) Progressive
				maintenance on aircraft used by the SEMSV Program is recommended, including
				routine daily inspections, as required by the aircraft manufacturer.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.960 - Aircraft Communications and Dispatch Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) The SEMSV Program shall have a designated
				person assigned and available 24 hours per day every day of the year to receive
				and dispatch all requests for aeromedical services. For fixed-wing aircraft
				programs, a telephone answering service may be used.
b) Education of the designated person shall
				be commensurate with the scope of responsibility of the communications center
				and pertinent to the air medical service, including:
1) Knowledge of EMS roles and
				responsibilities of the various levels of education;
2) Knowledge of Federal Aviation
				Administration and Federal Communications Commission regulations;
3) General safety rules, emergency procedures
				and flight following procedures;
4)
				Navigation techniques/terminology and understanding weather
				interpretation;
5) Types of radio
				frequency bands used;
6) Stress
				recognition and management;
7)
				Medical terminology and obtaining patient information;
8) Assistance with all hazards response and
				recognition procedure using appropriate reference materials; and
9) Crew resource management.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.963 - Flight Program Safety Standards

Current through Register Vol. 48, No. 28, July 12, 2024
For rotor-wing and fixed-wing programs:
a) Flight crews shall wear the following
				protective clothing:
1) Reflective material or
				striping on uniforms during night operations;
2) Flame-retardant clothing;
3) Flight helmets for all rotorcraft crews,
				including specialty teams; and
4)
				Boots or sturdy footwear for on-scene operations.