reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100213 - Temporary Suspension Order

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A medical
				  director may temporarily suspend a certificate prior to hearing if, the certificate
				  holder has engaged in acts or omissions that constitute grounds for denial or
				  revocation according to Section
				  100214.3(c) and (d) of
				  this Chapter and if in the opinion of the medical director permitting the
				  certificate holder to continue to engage in certified activity would pose an
				  imminent threat to the public health and safety.
(b) Prior to, or concurrent with, initiation of a
				  temporary suspension order of a certificate pending hearing, the medical director
				  shall consult with the relevant employer of the certificate holder.
(c) The notice of temporary suspension pending
				  hearing shall be served by registered mail or by personal service to the certificate
				  holder immediately, but no longer than three (3) working days from making the
				  decision to issue the temporary suspension. The notice shall include the allegations
				  that allowing the certificate holder to continue to engage in certified activities
				  would pose an imminent threat to the public health and safety.
(d) Within three (3) working days of the
				  initiation of the temporary suspension by the LEMSA, the LEMSA and relevant employer
				  shall jointly investigate the allegation in order for the LEMSA to make a
				  determination of the continuation of the temporary suspension.
(1) All investigatory information, not otherwise
				  protected by the law, held by the LEMSA and the relevant employer shall be shared
				  between the parties via facsimile transmission or overnight mail relative to the
				  decision to temporarily suspend.
(2) The
				  LEMSA shall serve within fifteen (15) calendar days an accusation pursuant to
				  Chapter 5 (commencing with Section
				  11500) of Part 1 of Division 3 of Title
				  2 of the Government Code (Administrative Procedures Act).
(3) If the certificate holder files a Notice of
				  Defense, the administrative hearing shall be held within thirty (30) calendar days
				  of the LEMSA's receipt of the Notice of Defense.
(4) The temporary suspension order shall be deemed
				  vacated if the LEMSA fails to serve an accusation within fifteen (15) calendar days
				  or fails to make a final determination on the merits within fifteen (15) calendar
				  days after the Administrative Law Judge (ALJ) renders a proposed
				  decision.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100214 - Final Determination of Certification Action by the Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Upon determination of certification action following an
					 investigation, and appeal of certification action pursuant to Section
					 100211.1 of this Chapter, if the
					 respondent so chooses, the medical director may take the following final actions on
					 an EMT or Advanced EMT certificate:
(a)
				  Place the certificate holder on probation
(b) Suspension
(c) Denial
(d) Revocation
1. Renumbering
					 and amendment of former section
					 100224 to section
					 100214 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
2. Renumbering of former section
					 100214 to section
					 100214.1 and new section filed
					 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Section
						1797.184,
						Health and Safety Code. Reference: Section
						1798.200,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100214.1 - Placement of a Certificate Holder on Probation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pursuant to Section
					 100207, the medical director may place
					 a certificate holder on probation any time an infraction or performance deficiency
					 occurs which indicates a need to monitor the certificate holder's conduct in the EMS
					 system in order to protect the public health and safety. The term of the probation
					 and any conditions shall be in accordance with MDOs established by the Authority.
					 The medical director that placed the certificate holder on probation may revoke the
					 EMT or Advanced EMT certificate if the certificate holder fails to successfully
					 complete the terms of probation.
1. Renumbering of
					 former section 1000214 to new section
					 100214.1, including amendment of
					 section and NOTE, filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.176,
						1797.184,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100214.2 - Suspension of a Certificate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  medical director may suspend an individual's EMT or Advanced EMT certificate for a
				  specified period of time for disciplinary cause in order to protect the public
				  health and safety.
(b) The term of the
				  suspension and any conditions for reinstatement, shall be in accordance with MDOs
				  established by the Authority.
(c) Upon
				  the expiration of the term of suspension, the individual's certificate shall be
				  reinstated only when all conditions for reinstatement have been met. The medical
				  director shall continue the suspension until all conditions for reinstatement have
				  been met.
(d) If the suspension period
				  will run past the expiration date of the certificate, the EMT or Advanced EMT shall
				  meet the recertification requirements for certificate renewal prior to the
				  expiration date of the certificate.
1. Renumbering of
					 former section 100215 to new section
					 100214.2, including amendment of
					 section and NOTE, filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.175,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100214.3 - Denial or Revocation of a Certificate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A certifying entity, that is not a LEMSA,
				  shall advise a certification or recertification applicant whose conduct indicates a
				  potential for disciplinary cause, based on an investigation by the certifying entity
				  prompted by a DOJ and/or FBI CORI, pursuant to Section
				  100210(a) of this
				  Chapter, to apply to a LEMSA for certification or recertification.
(b) The medical director may deny or revoke any
				  EMT or Advanced EMT certificate for disciplinary cause that have been investigated
				  and verified by application of this Chapter.
(c) The medical director shall deny or revoke an
				  EMT or Advanced EMT certificate if any of the following apply to the applicant:
(1) Has committed any sexually related offense
				  specified under Section
				  290 of the Penal
				  Code.
(2) Has been convicted of murder,
				  attempted murder, or murder for hire.
(3) Has been convicted of two (2) or more
				  felonies.
(4) Is on parole or probation
				  for any felony.
(5) Has been convicted
				  and released from incarceration for said offense during the preceding fifteen (15)
				  years for the crime of manslaughter or involuntary manslaughter.
(6) Has been convicted and released from
				  incarceration for said offense during the preceding ten (10) years for any offense
				  punishable as a felony.
(7) Has been
				  convicted of two (2) or more misdemeanors within the preceding five (5) years for
				  any offense relating to the use, sale, possession, or transportation of narcotics or
				  addictive or dangerous drugs.
(8) Has
				  been convicted of two (2) or more misdemeanors within the preceding five (5) years
				  for any offense relating to force, threat, violence, or intimidation.
(9) Has been convicted within the preceding five
				  (5) years of any theft related misdemeanor.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100215 - Notification of Final Decision of Certification Action

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For the final decision of certification
				  action, the medical director shall notify the applicant/certificate holder and
				  his/her relevant employer(s) of the certification action within ten (10) working
				  days after making the final determination.
(b) The notification of final decision shall be
				  served by registered mail or personal service and shall include the following
				  information:
(1) The specific allegations or
				  evidence which resulted in the certification action;
(2) The certification action(s) to be taken, and
				  the effective date(s) of the certification action(s), including the duration of the
				  action(s);
(3) Which certificate(s) the
				  certification action applies to in cases of holders of multiple
				  certificates;
(4) A statement that the
				  certificate holder must report the certification action within ten (10) working days
				  to any other LEMSA and relevant employer in whose jurisdiction s/he uses the
				  certificate;
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100216 - Development of Local Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each Relevant Employer, Certifying Entity and LEMSA shall
					 develop and adopt policies and procedures for local implementation of the provisions
					 of this Chapter. All local policies and procedures so adopted must be in accordance
					 with these provisions and must address all of the requirements of this Chapter, as
					 applicable.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Repealer of
					 former section 100216 and renumbering of former
					 section 100226 to section
					 100216, including amendment of section
					 heading and section, filed 2-2-2000; operative 3-3-2000 (Register 2000, No.
					 5).
3. Renumbering of former section
					 100216 to new section
					 100214.3 and renumbering and amendment
					 of former section
					 100218 to section
					 100216 filed 5-18-2010; operative
					 6-17-2010 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798. 1798.200 and 1798.204, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100217 - Reimbursement for Administrative Law Judge Costs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Actual fees paid by a LEMSA for the services
				  of an ALJ, who is on the staff of the Office of Administrative Hearings, for
				  disciplinary action appeals as required by this Chapter and in accordance with
				  Chapter 5 (commencing with Section
				  11500) of Part 1 of Division 3 of Title
				  2 of the Government Code are eligible for reimbursement from the Emergency Medical
				  Technician Certification Fund.
(1) Each LEMSA that
				  has paid for the services of an ALJ under this section during the preceding fiscal
				  year shall submit, to the Authority, copies of invoices for fees charged and proof
				  of the actual amount paid according to the provisions of (a)(2)(A) of this
				  section.
(2) The Authority shall
				  reimburse the LEMSAs no more than the actual payment made for the ALJ in accordance
				  with the following:
(A) Invoices for fees incurred
				  between July 1 and June 30 shall be due at the Authority no later than August
				  31.
(B) The LEMSA has provided evidence
				  of the costs to include an invoice, payment, the name and any other required
				  identifying information for the emergency medical technician(s) whose disciplinary
				  hearing was included in the costs.
(C)
				  If there are insufficient monies available to reimburse each LEMSA the entire actual
				  amount expended for ALJ services, then reimbursements will be allocated
				  proportionately among all the LEMSAs for actual expenditures for ALJ services within
				  that fiscal year.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100218 - Development of Local Policies and Procedures. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 5 heading from section
					 100228 to
					 100218 and renumbering and amendment of
					 former section 100228 to section
					 100218 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
3. Renumbering of former section
					 100218 to section
					 100216 filed 5-18-2010; operative
					 6-17-2010 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798. 1798.200 and 1798.204, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100219 - Evaluation of Information. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 3 heading from section
					 100219 to section
					 100210 and renumbering former section
					 100219 to section
					 100210 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.90,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100220 - Immediate Suspension. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100220 to section
					 100213 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.90,
						1797.160,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.2,
						1798.100,
						1798.102,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100221 - Notification of Formal Investigation. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Repealer filed
					 2-2-2000; operative 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.90,
						1797.160,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100222 - Use of an Investigative Review Panel (IRP) when Suspension, Revocation, Denial, or Denial of Renewal of a Certificate May Occur. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100222 to section
					 100211 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.90,
						1797.160,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100223 - Determination of Appropriate Action by Medical Director. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 4 heading from section
					 100223 to section
					 100212 and renumbering former section
					 100223 to section
					 100212 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100224 - Placement of a Certificate Holder on Probation. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100224 to section
					 100214 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100225 - Suspension of a Prehospital Emergency Medical Care Certificate. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100225 to section
					 100215 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.175,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100226 - Revocation, Denial, or Denial of Renewal of a Prehospital Emergency Medical Care Certificate. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100226 to section
					 100216 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798. 1798.200 and 1798.204, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100227 - Notification of Action. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100227 to section
					 100217 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.160,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 5 - Local Responsibilities › Section 100228 - Development of Local Policies and Procedures. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 5 heading from section
					 100228 to section
					 100218 and renumbering of former
					 section 100228 to section
					 100218 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.176,
						1797.202,
						1797.220,
						1798. 1798.200 and 1798.204, Health and
						Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100236 - Abbreviated Injury Scale

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Abbreviated Injury Scale" or "AIS" is an anatomic severity
					 scoring system. For the purposes of data sharing, the standard to be followed is AIS
					 90. For the purpose of volume performance measurement auditing, the standard to be
					 followed is AIS 90 using AIS code derived or computer derived
					 scoring.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Repealer and
					 new section filed 7-13-99; operative 8-12-99 (Register 99, No.
					 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100237 - Immediately Available

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Immediately" or "immediately available" means:
(a) unencumbered by conflicting duties or
				  responsibilities;
(b) responding without
				  delay when notified; and
(c) being
				  physically available to the specified area of the trauma center when the patient is
				  delivered in accordance with local EMS agency policies and procedures.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Repealer of
					 section 100237 and renumbering and amendment of
					 former section 100238 to section
					 100237 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100238 - Implementation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Implementation" or "implemented" or "has implemented" means the
					 development and activation of a trauma care system plan by a local EMS agency,
					 including the actual triage, transport, and treatment of trauma patients in
					 accordance with the plan.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100238 to section
					 100237 and renumbering and amendment of
					 former section 100239 to section
					 100238 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100239 - Injury Severity Score

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Injury Severity Score" or "ISS" means the sum of the squares of
					 the Abbreviated Injury Scale score of the three most severely injured body
					 regions.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100239 to section
					 100238 and new section
					 100239 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100240 - On-Call

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"On-call" means agreeing to be available to respond to the
					 trauma center in order to provide a defined service.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Repealer of
					 former section 100240 and renumbering of former
					 section 100241 to section
					 100240 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100241 - Promptly Available

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Promptly" or "promptly available" means
(a) responding without delay when notified and
				  requested to respond to the hospital; and
(b) being physically available to the specified
				  area of the trauma center within a period of time that is medically prudent and in
				  accordance with local EMS agency policies and procedures.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100241 to section
					 100240 and renumbering and amendment of
					 former section 100243 to section
					 100241 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100242 - Qualified Specialist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  "Qualified specialist" or "qualified surgical specialist" or "qualified non-surgical
				  specialist" means a physician licensed in California who is board certified in a
				  specialty by the American Board of Medical Specialties, the Advisory Board for
				  Osteopathic Specialities, a Canadian board or other appropriate foreign specialty
				  board as determined by the American Board of Medical Specialties for that
				  specialty.
(b) A non-board certified
				  physician may be recognized as a "qualified specialist" by the local EMS agency upon
				  substantiation of need by a trauma center if:
(1)
				  the physician can demonstrate to the appropriate hospital body and the hospital is
				  able to document that he/she has met requirements which are equivalent to those of
				  the Accreditation Council for Graduate Medical Education (ACGME) or the Royal
				  College of Physicians and Surgeons of Canada;
(2) the physician can clearly demonstrate to the
				  appropriate hospital body that he/she has substantial education, training, and
				  experience in treating and managing trauma patients which shall be tracked by the
				  trauma quality improvement program; and
(3) the physician has successfully completed a
				  residency program.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100243 - Receiving Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Receiving hospital" means a licensed general acute care
					 hospital with a special permit for basic or comprehensive emergency service, which
					 has not been designated as a trauma center according to this Chapter, but which has
					 been formally assigned a role in the trauma care system by the local EMS agency. In
					 rural areas, the local EMS agency may approve standby emergency service if basic or
					 comprehensive services are not available.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100243 to section
					 100241 and renumbering and amendment of
					 former section 100245 to section
					 100243 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100244 - Residency Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Residency program" means a residency program of the trauma
					 center or a residency program formally affiliated with a trauma center where senior
					 residents can participate in educational rotations, which has been approved by the
					 appropriate Residency Review Committee of the Accreditation Council on Graduate
					 Medical Education.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100244 to section
					 100242 and renumbering and amendment of
					 former section 100246 to section
					 100244 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100245 - Senior Resident

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Senior resident" or "senior level resident" means a physician,
					 licensed in the State of California, who has completed at least three (3) years of
					 the residency or is in their last year of residency training and has the capability
					 of initiating treatment and who is in training as a member of the residency program
					 as defined in Section
					 100244 of this Chapter, at the
					 designated trauma center.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100245 to section
					 100243 and renumbering and amendment of
					 former section 100247 to section
					 100245 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100246 - Service Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Service area" means that geographic area defined by the local
					 EMS agency in its trauma care system plan as the area served by a designated trauma
					 center.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100246 to section
					 100244 and renumbering and amendment of
					 former section 100248 to section
					 100246 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100247 - Trauma Care System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Trauma care system" or "trauma system" or "inclusive trauma
					 care system" means a system that is designed to meet the needs of all injured
					 patients. The system shall be defined by the local EMS agency in its trauma care
					 system plan as described in Section
					 100256 of this
					 Chapter.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100247 to section
					 100245 and renumbering and amendment of
					 former section 100249 to section
					 100247 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Sections
						1798.160
						and
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100248 - Trauma Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Trauma center" or "designated trauma center" means a licensed
					 hospital, accredited by the Joint Commission on Accreditation of Healthcare
					 Organizations, which has been designated as a Level I, II, III, or IV trauma center
					 and/or Level I or II pediatric trauma center by the local EMS agency, in accordance
					 with Articles 2 through 5 of this Chapter.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100248 to section
					 100246 and renumbering and amendment of
					 former section 100250 to section
					 100248 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Sections
						1798.160
						and
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100249 - Trauma Resuscitation Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Trauma Resuscitation Area" means a designated area within a
					 trauma center where trauma patients are evaluated upon arrival.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100249 to section
					 100247 and renumbering and amendment of
					 section heading and section of former section
					 100251 to section
					 100249 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100250 - Trauma Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A "trauma service" is a clinical service established by the
					 organized medical staff of a trauma center that has oversight and responsibility of
					 the care of the trauma patient. It includes, but is not limited to, direct patient
					 care services, administration, and as needed, support functions to provide medical
					 care to injured persons.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100250 to section
					 100248 and new section
					 100250 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100251 - Trauma Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Trauma team" means the multidisciplinary group of personnel who
					 have been designated to collectively render care for trauma patients at a designated
					 trauma center. The trauma team consists of physicians, nurses and allied health
					 personnel. The composition of the trauma team may vary in relationship to trauma
					 center designation level and severity of injury which leads to trauma team
					 activation.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100251 to section
					 100249 and renumbering and amendment of
					 former section 100252 to section
					 100251 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 1 - Definitions › Section 100252 - Triage Criteria

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Triage criteria" means a measure or method of assessing the
					 severity of a person's injuries that is used for patient evaluation and that
					 utilizes anatomic considerations, physiologic and/or mechanism of
					 injury.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100252 to section
					 100251 and renumbering and amendment of
					 former section 100253 to section
					 100252 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Section
						1798.161,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 2 - Local EMS Agency Trauma System Requirements › Section 100253 - Application of Chapter

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A local EMS
				  agency which has implemented or plans to implement a trauma care system shall
				  develop a written trauma care system plan that includes policies and/or procedures
				  to assure compliance of the trauma system with the provisions of this
				  Chapter.
(b) A local EMS agency may
				  specify additional requirements in addition to those specified in this
				  Chapter.
(c) A local EMS agency that
				  implements a trauma care system on or after the effective date of this Chapter shall
				  submit its trauma system plan to the EMS Authority and have it approved prior to
				  implementation.
(d) A local EMS agency
				  that has implemented a trauma system prior to the effective date of the revisions to
				  this Chapter shall submit its updated trauma system plan to the EMS Authority within
				  two (2) years of the effective date of the revisions to this Chapter, which is
				  August 12, 1999.
(e) The EMS Authority
				  shall notify the local EMS agency submitting its trauma care system plan within
				  fifteen (15) days of receiving the plan that:
(1)
				  its plan has been received, and
(2) it
				  contains or does not contain the information requested in Section
				  100255 of this
				  Chapter.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 2 - Local EMS Agency Trauma System Requirements › Section 100254 - Trauma System Criteria

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A local EMS
				  agency that plans to implement or modify a trauma system shall include with the
				  trauma plan, a description of the rationale used for trauma system design planning
				  for number and location of trauma centers including:
(1) projected trauma patient volume and projected
				  number and level of trauma centers necessary to provide access to trauma care;
(A) No more than one (1) Level I or Level II
				  trauma center shall be designated for each 350,000 population within the service
				  area.
(B) Where geography and population
				  density preclude compliance with subsection (a)(1)(A), exemptions may be granted by
				  the EMS Authority with the concurrence of the Commission on EMS on the basis of
				  documented local needs.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 2 - Local EMS Agency Trauma System Requirements › Section 100255 - Policy Development

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A local EMS agency planning to implement a trauma system shall
					 develop policies which provide a clear understanding of the structure of the trauma
					 system and the manner in which it utilizes the resources available to it. The trauma
					 system policies shall address at least the following:
(a) system organization and management;
(b) trauma care coordination within the trauma
				  system;
(c) trauma care coordination
				  with neighboring jurisdictions, including EMS agency/system agreements;
(d) data collection and management;
(e) fees, including those for application,
				  designation and redesignation, monitoring and evaluation;
(f) establishment of service areas for trauma
				  centers;
(g) trauma center
				  designation/redesignation process to include a written agreement between the local
				  EMS agency and the trauma center;
(h)
				  coordination with all health care organizations within the trauma system to
				  facilitate the transfer of an organization member in accordance with the criteria
				  set forth in Article 5 of this Chapter;
(i) coordination of EMS and trauma system for
				  transportation including intertrauma center transfer and transfers from a receiving
				  hospital to a trauma center;
(j) the
				  integration of pediatric hospitals, if applicable;
(k) trauma center equipment;
(l) ensuring the availability of trauma team
				  personnel;
(m) criteria for activation
				  of trauma team;
(n) mechanism for prompt
				  availability of specialists;
(o) quality
				  improvement and system evaluation to include responsibilities of the
				  multidisciplinary trauma peer review committee;
(p) criteria for pediatric and adult trauma
				  triage, including destination;
(q)
				  training of prehospital EMS personnel to include trauma triage;
(r) public information and education about the
				  trauma system;
(s) marketing and
				  advertising by trauma centers and prehospital providers as it relates to the trauma
				  care system; and
(t) coordination with
				  public and private agencies and trauma centers in injury prevention
				  programs.
1. New section
					 filed 9-18-86, operative 10-18-86; Register 86, No. 38.
2. Renumbering of
					 former section 100255 to section
					 100254 and renumbering and amendment of
					 former section 100256 to section
					 100255 filed 7-13-99; operative 8-12-99
					 (Register 99, No. 29).
Note: Authority cited: Sections
						1797.107
						and
						1798.161,
						Health and Safety Code. Reference: Sections
						1798.161
						and
						1798.163,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7 - Trauma Care Systems › Article 2 - Local EMS Agency Trauma System Requirements › Section 100256 - Trauma Plan Development

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  initial plan for a trauma care system that is submitted to the EMS Authority shall
				  be comprehensive with objectives that shall be clearly stated. The initial trauma
				  care system plan shall contain at least the following:
(1) Summary of the plan;
(2) organizational structure;
(3) needs assessment;
(4) inclusive trauma system design, which includes
				  those facilities involved in the care of acutely injured patients, including
				  coordination with neighboring agencies;
(5) documentation that any intercounty trauma
				  center agreements have been approved by the EMS agencies of both counties;
(6) objectives;
(7) implementation schedule;
(8) fiscal impact of the system;
(9) policy and plan development process;
(10) written documentation of local approval;
				  and
(11) table of contents identifying
				  where the information in this Section and Sections
				  100254,
				  100255 and
				  100257 of this Chapter can be found in
				  the plan.