reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.207 - Primary Stroke Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Primary stroke center" means a hospital that treats acute
					 stroke patients, and identifies patients who may benefit from transfer to a higher
					 level of care when clinically warranted.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.94,
						1797.103
						and
						1797.176,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.208 - Protocol

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Protocol" means a predetermined, written medical care
					 guideline, which may include standing orders.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.209 - Quality Improvement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Quality improvement" or "QI" means methods of evaluation that
					 are composed of a structure, process, and outcome evaluations which focus on
					 improvement efforts to identify causes of problems, intervene to reduce or eliminate
					 these causes, and take steps to correct the process and recognize excellence in
					 performance and delivery of care.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.174,
						1797.202,
						1797.204,
						1797.220
						and
						1798.175,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.210 - Stroke

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke" means a condition of impaired blood flow to a patient's
					 brain resulting in brain dysfunction, most commonly through vascular occlusion or
					 hemorrhage.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103
						and
						1797.176,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.211 - Stroke Call Roster

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke call roster" means a schedule of licensed health
					 professionals available twenty-four (24) hours a day, seven (7) days a week for the
					 care of stroke patients.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.212 - Stroke Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke care" means emergency transport, triage, diagnostic
					 evaluation, acute intervention and other acute care services for stroke patients
					 that potentially require immediate medical or surgical intervention treatment, and
					 may include education, primary prevention, acute intervention, acute and subacute
					 management, prevention of complications, secondary stroke prevention, and
					 rehabilitative services.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.213 - Stroke Critical Care System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke critical care system" means a subspecialty care
					 component of the EMS system developed by a local EMS agency. This critical care
					 system links prehospital and hospital care to deliver optimal treatment to the
					 population of stroke patients.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.214 - Stroke Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke medical director" means a board-certified physician in
					 neurology or neurosurgery or another board with sufficient experience and expertise
					 dealing with cerebrovascular disease as determined by the hospital credentialing
					 committee that is responsible for the stroke service, performance improvement, and
					 patient safety programs related to a stroke critical care system.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.215 - Stroke Program Manager

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke program manager" means a registered nurse or qualified
					 individual designated by the hospital with the responsibility for monitoring and
					 evaluating the care of stroke patients and the coordination of performance
					 improvement and patient safety programs for the stroke center in conjunction with
					 the stroke medical director.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.216 - Stroke Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke program" means an organizational component of the
					 hospital specializing in the care of stroke patients.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.217 - Stroke Team

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Stroke team" means the personnel, support personnel, and
					 administrative staff that function together as part of the hospital's stroke
					 program.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.218 - Telehealth

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Telehealth" means the mode of delivering health care services
					 and public health via information and communication technologies to facilitate the
					 diagnosis, consultation, treatment, education, care management, and self-management
					 of a patient's health care while the patient is at the originating site and the
					 health care provider is at a distant site.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.176
						and
						1797.220,
						Health and Safety Code; and Section
						2290.5,
						Business and Professions Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 1 - Definitions › Section 100270.219 - Thrombectomy-Capable Stroke Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Thrombectomy-capable stroke center" means a primary stroke
					 center with the ability to perform mechanical thrombectomy for the ischemic stroke
					 patient when clinically warranted.
1. New section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.94,
						1797.103
						and
						1797.176,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 2 - Local EMS Agency Stroke Critical Care System Requirements › Section 100270.220 - Stroke Critical Care System Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  local EMS agency may develop and implement a stroke critical care system.
(b) The local EMS agency implementing a stroke
				  critical care system shall have a Stroke Critical Care System Plan approved by the
				  EMS Authority prior to implementation.
(c) The Stroke Critical Care System Plan submitted
				  to the EMS Authority shall include, at a minimum, all of the following components:
(1) The names and titles of the local EMS agency
				  personnel who have a role in a stroke critical care system.
(2) The list of stroke designated facilities with
				  the agreement expiration dates.
(3) A
				  description or a copy of the local EMS agency's stroke patient identification and
				  destination policies.
(4) A description
				  or a copy of the method of field communication to the receiving hospital-specific to
				  stroke patients, designed to expedite time-sensitive treatment on arrival.
(5) A description or a copy of the policy that
				  facilitates the inter-facility transfer of stroke patients.
(6) A description of the method of data collection
				  from the EMS providers and designated stroke hospitals to the local EMS agency and
				  the EMS Authority.
(7) A policy or
				  description of how the Local EMS agency integrates a receiving center in a
				  neighboring jurisdiction.
(8) A
				  description of the integration of stroke into an existing quality improvement
				  committee or a description of any stroke-specific quality improvement
				  committee.
(9) A description of programs
				  to conduct or promote public education specific to stroke.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 2 - Local EMS Agency Stroke Critical Care System Requirements › Section 100270.221 - Stroke Critical Care System Plan Updates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The local EMS agency shall submit an annual
				  update of its Stroke Critical Care System Plan, as part of its annual EMS plan
				  submittal, which shall include, at a minimum, all the following:
(1) Any changes in a stroke critical care system
				  since submission of the prior annual plan update or the Stroke Critical Care System
				  Plan addendum.
(2) The status of the
				  Stroke Critical Care System Plan goals and objectives.
(3) Stroke critical care system performance
				  improvement activities.
(4) The progress
				  on addressing action items and recommendations provided by the EMS Authority within
				  the Stroke Critical Care System Plan or status report approval letter, if
				  applicable.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 3 - Prehospital Stroke Critical Care System Requirements › Section 100270.222 - EMS Personnel and Early Recognition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The local EMS agency shall establish prehospital care protocols related to the early
				  recognition, assessment, treatment, and transport of stroke patients for prehospital
				  emergency medical care personnel as determined by the local EMS agency.
(b) The local EMS agency shall require the use of
				  a validated prehospital stroke-screening algorithm for early recognition and
				  assessment.
(c) The local EMS agency's
				  protocols for the use of online medical direction shall be used to determine the
				  most appropriate stroke center to transport a patient in cases of confusing or
				  complex findings.
(d) The prehospital
				  treatment policies for stroke-specific basic life support (BLS), advanced life
				  support (ALS), and limited advanced life support (LALS) shall be developed according
				  to the scope of practice and local accreditation.
(e) Notification of prehospital findings of
				  suspected stroke patients shall be communicated in advance of the arrival to the
				  stroke centers according to the local EMS agency's Stroke Critical Care System
				  Plan.
1. New article 3
					 (section 100270.222) and section filed
					 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.150,
						Health and Safety Code. Reference: Sections
						1797.92,
						1797.103,
						1797.176,
						1797.189,
						1797.206,
						1797.214,
						1797.220,
						1798.150
						and
						1798.170,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 4 - Hospital Stroke Care Requirements and Evaluations › Section 100270.223 - Comprehensive Stroke Care Centers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Hospitals designated as a comprehensive stroke center by the local EMS agency shall
				  meet the following minimum criteria:
(1) Satisfy
				  all the requirements of a thrombectomy-capable and primary stroke center as provided
				  in this chapter.
(2) Neuro-endovascular
				  diagnostic and therapeutic procedures available twenty-four (24) hours a day, seven
				  (7) days a week.
(3) Advanced imaging,
				  available twenty-four (24) hours a day, seven (7) days a week, three hundred and
				  sixty-five (365) days per year, which shall include but not be limited to:
(A) All imaging requirements for
				  thrombectomy-capable centers.
(B)
				  Diffusion-weighted magnetic resonance imaging (MRI) and computed tomography (CT)
				  perfusion imaging.
(4)
				  Transcranial Doppler (TCD) shall be available in a timeframe that is clinically
				  appropriate.
(5) Intensive care unit
				  (ICU) beds with licensed independent practitioners with the expertise and experience
				  to provide neuro-critical care twenty-four (24) hours a day, seven (7) days a week,
				  three hundred and sixty-five days (365) days per year.
(6) Data-driven, continuous quality improvement
				  process including collection and monitoring of standardized performance
				  measures.
(7) A stroke patient research
				  program.
(8) Satisfy all the following
				  staff qualifications:
(A) A neurosurgical team
				  capable of assessing and treating complex stroke and stroke- like
				  syndromes.
(B) A qualified
				  neuro-radiologist, board-certified by the American Board of Radiology or the
				  American Osteopathic Board of Radiology.
(C) If teleradiology is used in image
				  interpretation, all staffing and staff qualification requirements contained in this
				  section shall remain in effect and shall be documented by the hospital.
(D) Written call schedule for attending
				  neurointerventionalist, neurologist, neurosurgeon providing availability twenty-four
				  (24) hours a day seven (7) days a week.
(9) Provide comprehensive rehabilitation services
				  either on-site or by written transfer agreement with another health care facility
				  licensed to provide such services.
(10)
				  Written transfer agreements with primary stroke centers in the region to accept the
				  transfer of patients with complex strokes when clinically warranted.
(11) A comprehensive stroke center shall at a
				  minimum, provide guidance and continuing stroke-specific medical education to
				  hospitals designated as a primary stroke center with which they have transfer
				  agreements.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 4 - Hospital Stroke Care Requirements and Evaluations › Section 100270.224 - Thrombectomy-Capable Stroke Centers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Hospitals designated as a thrombectomy-capable stroke center by the local EMS agency
				  shall meet the following minimum criteria:
(1)
				  Satisfy all the requirements of a primary stroke center as provided in this
				  chapter.
(2) The ability to perform
				  mechanical thrombectomy for the treatment of ischemic stroke twenty-four (24) hours
				  a day, seven (7) days a week, three hundred and sixty-five (365) days per
				  year.
(3) Dedicated neuro-intensive care
				  unit beds to care for acute ischemic stroke patients twenty-four (24) hours a day,
				  seven (7) days a week, three hundred and sixty-five (365) days per year.
(4) Satisfy all the following staff
				  qualifications:
(A) A qualified physician, board
				  certified by the American Board of Radiology, American osteopathic Board of
				  Radiology, American Board of Psychiatry and Neurology, or the American osteopathic
				  Board of Neurology and Psychiatry, with neuro-interventional angiographic training
				  and skills on staff as deemed by the hospital's credentialing committee.
(B) A qualified neuro-radiologist, board-certified
				  by the American Board of Radiology or the American Osteopathic Board of
				  Radiology.
(C) A qualified vascular
				  neurologist, board-certified by the American Board of Psychiatry and Neurology or
				  the American Osteopathic Board of Neurology and Psychiatry, or with appropriate
				  education and experience as defined by the hospital credentials committee.
(D) If teleradiology is used in image
				  interpretation, all staffing and staff qualification requirements contained in this
				  section shall remain in effect and shall be documented by the
				  hospital.
(5) The ability to
				  perform advanced imaging twenty-four (24) hours a day, seven (7) days a week, three
				  hundred and sixty-five (365) days per year, which shall include, but not be limited
				  to, the following:
(A) Computed tomography
				  angiography (CTA).
(B)
				  Diffusion-weighted MRI or CT Perfusion.
(C) Catheter angiography.
(D) Magnetic resonance angiography
				  (MRA).
(E) And the following modalities
				  available when clinically necessary:
(i) Carotid
				  duplex ultrasound.
(ii) Transesophageal
				  echocardiography (TEE).
(iii)
				  Transthoracic Echocardiography (TTE).
(6) A process to collect and review data regarding
				  adverse patient outcomes following mechanical thrombectomy.
(7) Written transfer agreement with at least one
				  comprehensive stroke center.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 4 - Hospital Stroke Care Requirements and Evaluations › Section 100270.227 - EMS Receiving Hospitals (Non-Designated for Stroke Critical Care Services)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An EMS receiving
				  hospital that is not designated for stroke critical care services shall do the
				  following, at a minimum and in cooperation with stroke receiving centers and the
				  local EMS agency in their jurisdictions:
(1)
				  Participate in the local EMS agency's quality improvement system, including data
				  submission as determined by the local EMS agency medical director.
(2) Participate in the inter-facility transfer
				  agreements to ensure access to a stroke critical care system for a potential stroke
				  patient.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 5 - Data Management, Quality Improvement and Evaluation › Section 100270.228 - Data Management Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  local EMS agency shall implement a standardized data collection and reporting
				  process for stroke critical care systems.
(b) The system shall include the collection of
				  both prehospital and hospital patient care data, as determined by the local EMS
				  agency.
(c) The prehospital stroke
				  patient care elements shall be compliant with the most current version of the
				  California EMS Information Systems (CEMSIS) database and the National EMS
				  Information System (NEMSIS) database.
(d) The hospital stroke patient care elements
				  shall be consistent with the U.S. Centers for Disease Control and Prevention, Paul
				  Coverdell National Acute Stroke Program Resource Guide, dated October 24, 2016,
				  which is hereby incorporated by reference.
(e) All hospitals that receive stroke patients via
				  EMS shall participate in the local EMS agency data collection process in accordance
				  with local EMS agency policies and procedures.
(f) The prehospital care record and the hospital
				  data elements shall be collected and submitted by the local EMS agency, and
				  subsequently to the EMS Authority, on no less than a quarterly basis.
1. New article 5
					 (sections 100270.228-100270.229) and section
					 filed 4-17-2019; operative 7-1-2019 (Register 2019, No.
					 16).
Note: Authority cited: Sections. 1797.107, 1797.176 and
						1798.150, Health and Safety Code. Reference: Section
						1797.102,
						1797.103,
						1797.204,
						1797.220,
						1797.222,
						1797.227
						and
						1798.172,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 7.2 - Stroke Critical Care System › Article 5 - Data Management, Quality Improvement and Evaluation › Section 100270.229 - Quality Improvement and Evaluation Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each stroke critical care system shall have a
				  quality improvement process that shall include, at a minimum:
(1) Evaluation of program structure, process, and
				  outcome.
(2) Review of stroke-related
				  deaths, major complications, and transfers.
(3) A multidisciplinary Stroke Quality Improvement
				  Committee, including both prehospital and hospital members.
(4) Participation in the QI process by all
				  designated stroke centers and prehospital providers involved in the stroke critical
				  care system.
(5) Evaluation of regional
				  integration of stroke patient movement.
(6) Participation in the stroke data management
				  system.
(7) Compliance with the
				  California Evidence Code, Section
				  1157.7 to ensure
				  confidentiality, and a disclosure-protected review of selected stroke
				  cases.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100276 - Advanced Life Support

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced life support" or "ALS" as used in this Chapter means
					 any definitive prehospital emergency medical care role approved by the local EMS
					 agency, in accordance with state regulations, which includes all of the specialized
					 care services listed in Section
					 1797.52
					 of the Health and Safety Code.
1. New Chapter 8
					 (Articles 1-5, Sections
					 100276-100306, not consecutive) filed
					 3-29-88; operative 4-28-88 (Register 88, No. 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.206,
						1797.218,
						1797.220,
						1797.252,
						1798.2
						and
						1798.102,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100277 - Basic Life Support

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Basic life support" or "BLS" as used in this Chapter means
					 those procedures and skills contained in the EMT-I scope of practice as listed in
					 Section 100063, Title 22, California Code of
					 Regulations.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.80,
						1797.103,
						1797.170
						and
						1797.252,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100278 - Medical Flight Crew

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Medical flight crew" as used in this Chapter means the
					 individual(s), excluding the pilot, specifically assigned to care for the patient
					 during aircraft transport.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1,
						1797.107,
						1797.160,
						1797.171
						and
						1797.172,
						Health and Safety Code. Reference: Sections
						1797.80,
						1797.82,
						1797.84,
						1797.103,
						1797.160,
						1797.170,
						1797.171,
						1797.172
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100279 - Emergency Medical Services Aircraft

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Emergency medical services aircraft" or "EMS aircraft" as used
					 in this Chapter means any aircraft utilized for the purpose of prehospital emergency
					 patient response and transport. EMS aircraft includes air ambulances and all
					 categories of rescue aircraft.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.178,
						1797.204,
						1797.206
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100280 - Air Ambulance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Air ambulance" as used in this Chapter means any aircraft
					 specially constructed, modified or equipped, and used for the primary purposes of
					 responding to emergency calls and transporting critically ill or injured patients
					 whose medical flight crew has at a minimum two (2) attendants certified or licensed
					 in advanced life support.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.52,
						1797.82,
						1797.84,
						1797.103,
						1797.171,
						1797.172,
						1797.206,
						1797.218
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100281 - Rescue Aircraft

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Rescue aircraft" as used in this Chapter means an aircraft
					 whose usual function is not prehospital emergency patient transport but which may be
					 utilized, in compliance with local EMS policy, for prehospital emergency patient
					 transport when use of an air or ground ambulance is inappropriate or unavailable.
					 Rescue aircraft includes ALS rescue aircraft, BLS rescue aircraft and Auxiliary
					 rescue aircraft.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.52,
						1797.60,
						1797.82,
						1797.84,
						1797.103,
						1797.171,
						1797.172,
						1797.206
						and
						1797.218,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100282 - Advanced Life Support Rescue Aircraft

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced life support Rescue aircraft" or "ALS rescue aircraft"
					 as used in this Chapter means a rescue aircraft whose medical flight crew has at a
					 minimum one attendant certified or licensed in advanced life
					 support.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.52,
						1797.82,
						1797.84,
						1797.103,
						1797.171,
						1797.172,
						1797.206,
						1797.218
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100283 - Basic Life Support Rescue Aircraft

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Basic life support rescue aircraft" or "BLS rescue aircraft" as
					 used in this Chapter means a rescue aircraft whose medical flight crew has at a
					 minimum one attendant certified as an EMT-IA, or an EMT-I-NA with at least eight (8)
					 hours of hospital clinical training and whose field/clinical experience specified in
					 Section 100074(c) of Title 22,
					 California Code of Regulations, is in the aeromedical transport of
					 patients.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.60,
						1797.80,
						1797.103
						and
						1797.170,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100284 - Auxiliary Rescue Aircraft

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Auxiliary rescue aircraft" as used in this Chapter means a
					 rescue aircraft which does not have a medical flight crew, or whose medical flight
					 crew do not meet the minimum requirements established in Section
					 100283.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Section
						1797.103,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100285 - Air Ambulance Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Air ambulance service" as used in this Chapter means an air
					 transportation service which utilizes air ambulances.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.206,
						1797.218
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100286 - Air Rescue Service

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Air rescue service" as used in this Chapter means an air
					 service used for emergencies, including search and rescue.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.206
						and
						1797.218,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100287 - Air Ambulance or Air Rescue Service Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Air ambulance or air rescue service provider" as used in this
					 Chapter means the individual or group that owns and/or operates an air ambulance or
					 air rescue service.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.206,
						1797.218
						and
						1797.222,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100288 - Classifying EMS Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Classifying EMS agency" or "classifying agency" as used in this
					 Chapter means the agency which categorizes the EMS aircraft into the groups
					 identified in Section
					 100300(c)(3). This
					 shall be the local EMS agency in the jurisdiction of origin except for aircraft
					 operated by the California Highway Patrol, the California Department of Forestry or
					 the California National Guard which shall be classified by the EMS
					 Authority.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No. 16).
2. Change without
					 regulatory effect amending section filed 1-8-97 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 97, No. 2).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.54,
						1797.94,
						1797.103,
						1797.204
						and
						1797.206,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100289 - Authorizing EMS Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Authorizing EMS agency" or "authorizing agency" as used in this
					 Chapter means the local EMS agency which approves utilization of specific EMS
					 aircraft within its jurisdiction.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.84,
						1797.103,
						1797.204,
						1797.206
						and
						1797.218,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100290 - Jurisdiction of Origin

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Jurisdiction of origin" as used in this Chapter means the local
					 EMS jurisdiction within which the authorized air ambulance or rescue aircraft is
					 operationally based.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.94,
						1797.103,
						1797.204,
						1797.206,
						1797.218,
						1797.222
						and
						1797.250,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 1 - Definitions › Section 100291 - Designated Dispatch Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Designated dispatch center" as used in this Chapter means an
					 agency which has been designated by the local EMS agency for the purpose of
					 coordinating air ambulance or rescue aircraft response to the scene of a medical
					 emergency within the jurisdiction of a local EMS agency.
1. New section
					 filed 3-29-88; operative 4-28-88 (Register 88, No.
					 16).
Note: Authority cited: Sections
						1797.1
						and
						1797.107,
						Health and Safety Code. Reference: Sections
						1797.103,
						1797.204,
						1797.206,
						1797.218,
						1797.222,
						1797.252
						and
						1798.6,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 2 - General Provisions › Section 100300 - Application of Chapter

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) It is the
				  scope of this Chapter to establish minimum standards for the integration of EMS
				  Aircraft and personnel into the local EMS prehospital patient transport system as a
				  specialized resource for the transport and care of emergency medical
				  patients.
(b) A local EMS agency may
				  integrate aircraft into its prehospital patient transport system. Each local EMS
				  agency choosing to integrate such aircraft into its prehospital care system shall
				  develop a program which at minimum:
(1) Classifies
				  EMS aircraft in accordance with Section
				  100300(c)(3).
(2) Incorporates into their EMS plan the
				  utilization of EMS aircraft including but not limited to an inventory of:
(A) The number and type of authorized EMS
				  aircraft.
(B) The patient capacity of
				  authorized EMS aircraft.
(C) The level
				  of patient care provided by EMS aircraft personnel.
(D) Receiving facilities with landing sites
				  approved by the State Department of Transportation, Aeronautics
				  Division.
(3) Establishes
				  policies and/or procedures to assure compliance with the provisions of this
				  Chapter.
(4) Develops written agreements
				  with air ambulance or rescue aircraft providers specifying conditions to routinely
				  serve their jurisdiction.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 3 - Personnel › Section 100302 - Medical Flight Crew

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The medical
				  flight crew of an EMS aircraft shall have training in aeromedical transportation as
				  specified and approved by the authorizing EMS agency including but not limited to:
(1) General patient care in-flight.
(2) Changes in barometric pressure, and pressure
				  related maladies.
(3) Changes in partial
				  pressure of oxygen.
(4) Other
				  environmental factors affecting patient care.
(5) Aircraft operational systems.
(6) Aircraft emergencies and safety.
(7) Care of patients who require special
				  consideration in the airborne environment.
(8) EMS system and communications
				  procedures.
(9) The prehospital care
				  system(s) within which they operate including local medical and procedural
				  protocols.
(10) Use of onboard medical
				  equipment.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 4 - System Operation › Section 100304 - System Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Those
				  local EMS agencies choosing to integrate aircraft into the prehospital patient
				  transport system shall develop policies and procedures for:
(1) the authorization of EMS aircraft to be
				  utilized in prehospital patient care.
(2) requesting EMS aircraft including but not
				  limited to the types of personnel and/or organizations that may request or cancel
				  EMS aircraft. EMS aircraft requests shall only be made through a dispatch center
				  which has been designated by a local EMS agency.
(3) the dispatching of EMS aircraft. These
				  policies and procedures shall include but not be limited to:
(A) Availability and appropriateness of
				  transportation and medical personnel resources including:
1. Ground versus air transport as related to
				  proximity and type of incident.
2.
				  Medical capability of potential responders.
(B) Notification of and coordination with other
				  responding agencies.
(C) Termination of
				  EMS aircraft response.
(4)
				  Determining EMS aircraft patient destination including consideration of an interim
				  stop at a rural hospital and continuation of care until the responsibility is
				  assumed by the emergency or other staff of a final destination hospital.
(5) Orientation of pilots and medical flight crews
				  to the local EMS system.
(6) Addressing
				  and resolving formal complaints regarding the integration of aircraft into the
				  prehospital patient transport system.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 8 - Prehospital EMS Aircraft Regulations › Article 5 - Equipment and Supplies, Aircraft Specifications › Section 100306 - Space and Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All EMS
				  Aircraft shall be configured so that:
(1) There is
				  sufficient space in the patient compartment to accommodate one (1) patient on a
				  stretcher and one (1) patient attendant. Air ambulances shall at a minimum have
				  space to accommodate one (1) patient and two (2) patient attendants.
(2) There is sufficient space for medical
				  personnel to have adequate access to the patient in order to carry out necessary
				  procedures including CPR on the ground and in the air.
(3) There is sufficient space for medical
				  equipment and supplies required by State regulations or authorizing EMS agency
				  policy.
(4) Additional authorizing EMS
				  agency requirements are met.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 9 - Poison Control Center Regulations › Article 1 - DEFINITIONS › Section 100321 - Immediately Available

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Immediately available" means unencumbered by conflicting duties
					 or responsibilities and being within the specified area of the poison control
					 center.
1. New section
					 filed 2-18-92; operative 3-19-92 (Register 92, No.
					 13).
Note: Authority cited: Sections
						1797.1,
						1797.107
						and
						1798.180,
						Health and Safety Code. Reference: Section
						1798.180,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 9 - Poison Control Center Regulations › Article 1 - DEFINITIONS › Section 100322 - On-Call

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"On-call" means agreeing to be available by telephone or beeper
					 to respond to the poison control center in order to provide a defined
					 service.
1. New section
					 filed 2-18-92; operative 3-19-92 (Register 92, No.
					 13).
Note: Authority cited: Sections
						1797.1,
						1797.107
						and
						1798.180,
						Health and Safety Code. Reference: Section
						1798.180,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 9 - Poison Control Center Regulations › Article 1 - DEFINITIONS › Section 100323 - Poison Control Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Poison control center" or "PCC" or "regional poison control
					 center" or "regional poison center" means a facility designated by the EMS Authority
					 that provides information and advice to the public and health professionals
					 regarding the management of individuals who have or may have ingested or otherwise
					 been exposed to poisonous or possibly toxic substances. This information and advice
					 shall be given by the medical director, program director, specialist in poison
					 information, poison information provider, or a poison center specialty consultant as
					 defined in Section
					 100330.
1. New section
					 filed 2-18-92; operative 3-19-92 (Register 92, No.
					 13).
Note: Authority cited: Sections
						1797.1,
						1797.107
						and
						1798.180,
						Health and Safety Code. Reference: Sections
						1797.97,
						1798.180
						and
						1799.105,
						Health and Safety Code.