reglab/statecodes huggingface dataset:
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 12 - PROCEDURES FOR LICENSING ACTIONS AND BOARD ACTIONS › Section 163-12-4 - Other Staff/Board Actions

Current through 2024-29, July 17, 2024
1. A person or
				organization aggrieved by the decision of Maine EMS staff or a subcommittee of
				the Board in taking any non-disciplinary action pursuant to the Board's
				statutes and Rules, including waiving the application of any rule, or in
				interpreting statutes or Rules governing the EMS system, may appeal the
				decision to the Board for a final decision in accordance with
				32 M.R.S.
				§91-A.
2. In order to appeal such a decision, the
				person or organization must notify the Board in writing. The notice must be
				received by the Board within thirty (30) days of the applicant's receipt of
				notice of the challenged decision. Service of the notice of appeal is complete
				when received by Maine EMS by mail, in-hand delivery, fax, or e-mail in
				accordance with
				5 M.R.S.
				§8051(1).
3. The staff's or subcommittee's decision
				stands until the Board issues a decision to uphold, modify or overrule the
				challenged decision.
4. The Board
				may, in its discretion, entertain additional evidence or argument from the
				parties, but need not conduct a full or formal adjudicatory hearing.
5. The decision of the Board shall be in
				writing or stated on the record and contain or reflect the Board's reasoning in
				a manner sufficient to inform the parties and the public of the basis for the
				Board's decision.
6. The Board's
				decision constitutes final agency action, appealable to the Superior Court in
				accordance with the Maine Administrative Procedure Act, 5 M.R.S. Chapter 375,
				Subchapter VII.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 13 - WAIVER OF RULES › Section 163-13-1

Current through 2024-29, July 17, 2024
Upon the request of an individual, organization or on the
				  Board's own initiative, the Board may waive any of these Rules by a two-thirds
				  majority vote of those present and voting and by no less than a majority of the
				  appointed and currently serving members, if it determines that such a waiver
				  would avert a significant injustice while preserving the public safety and the
				  integrity of the statutory and regulatory components of the State's EMS
				  system
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 13 - WAIVER OF RULES › Section 163-13-2

Current through 2024-29, July 17, 2024
When determining whether to waive a rule, the Board will
				  consider a number of factors including, but not necessarily limited to, the
				  following:
1. Whether the person or
				organization seeking the waiver took reasonable steps to ascertain the rule and
				comply with it;
2. Whether the
				person or organization seeking the waiver was given inaccurate information by
				an agent or employee of the State EMS program;
3. Whether the person or organization seeking
				the waiver, or any other individual or group, would be significantly injured or
				harmed if the rule were not waived;
4. Whether waiver of the rule in the
				particular case would pose a health or safety risk to the public at large or a
				particular individual or community; and
5. Whether waiver of the rule in the
				particular case would establish a precedent that would unduly hinder the Board
				or office of EMS in its administration of Maine's EMS system.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 13 - WAIVER OF RULES › Section 163-13-3

Current through 2024-29, July 17, 2024
A waiver is to be granted only under extraordinary
				  circumstances. This means that the Board must find a number of the above
				  factors weighing in favor of a waiver before it is granted
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 13 - WAIVER OF RULES › Section 163-13-4

Current through 2024-29, July 17, 2024
The Board shall notify any person or organization requesting
				  a waiver of its decision to grant or deny this request. The notice shall
				  include a brief summary of the reasons for the Board's
				  decision
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 13 - WAIVER OF RULES › Section 163-13-5

Current through 2024-29, July 17, 2024
Any decision by the Board to deny a waiver may be appealed by
				  the person or organization seeking the waiver, in the manner prescribed in
				  Chapter 12 of the Rules
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 14 - SEXUAL MISCONDUCT › Section 163-14-1 - Definitions

Current through 2024-29, July 17, 2024
1. "EMS Provider" is an individual who is
				licensed or certified according to the provisions of
				32 M.R.S.
				§81
et seq.
and the
				Maine EMS Rules.
2. "Sexual
				misconduct" is behavior that exploits the EMS Provider-patient relationship in
				a sexual way. This behavior is non-diagnostic and/or non-therapeutic, may be
				verbal or physical, and may include expressions or gestures that have a sexual
				connotation or that a reasonable person would construe as such. Sexual
				misconduct is considered unprofessional conduct pursuant to
				32 M.R.S.
				§90-A(5)(F) and Chapter
				11 of the Maine EMS Rules. There are two levels of sexual misconduct: sexual
				violation and sexual impropriety. Behavior listed in either category may be the
				basis for disciplinary action.
3.
				"Sexual violation" is any conduct by an EMS Provider with a patient that is
				sexual or may be reasonably interpreted as sexual, even when initiated by or
				consented to by a patient, including but not limited to:
A. Sexual intercourse, genital to genital
				contact;
B. Oral to genital
				contact;
C. Oral to anal contact or
				genital to anal contact;
D. Kissing
				in a sexual manner;
E. Any touching
				of a body part for any purpose other than appropriate examination or
				treatment.
F. Encouraging the
				patient to masturbate in the presence of the EMS Provider or masturbation by
				the EMS Provider while the patient is present; and,
G. Offering to provide practice-related
				services, such as drugs, in exchange for sexual favors.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 14 - SEXUAL MISCONDUCT › Section 163-14-2 - Sanctions

Current through 2024-29, July 17, 2024
1. If the Board finds that an EMS Provider
				has engaged in sexual misconduct as defined in §
									1 of this chapter, the EMS Provider
				shall be disciplined in accordance with Maine statutes and these Rules.
A. All disciplinary sanctions under
				32 M.R.S.
				§§88 and
				90-A are applicable.
B. Sexual Violation - Finding of a sexual
				violation is egregious enough to warrant revocation of an EMS Provider's
				license. The Board may, at times, find that mitigating circumstances do exist
				and may impose a lesser sanction.
C. Sexual Impropriety - Finding of a sexual
				impropriety will result in harsh sanction, which may include license
				revocation.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 15 - MAINE EMS REGIONS AND REGIONAL COUNCILS › Section 163-15-1 - Regions

Current through 2024-29, July 17, 2024
1. The State of Maine shall be divided into
				four distinct EMS regions based on geographical county boundaries. Those
				regions shall be:
A. Region One: Cumberland
				and York Counties.
B. Region Two:
				Androscoggin, Franklin, Kennebec, Oxford, Sagadahoc, and Somerset
				Counties.
C. Region Three: Hancock,
				Knox, Lincoln, Penobscot, Piscataquis, Waldo, and Washington
				Counties.
D. Region Four: Aroostook
				County.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 15 - MAINE EMS REGIONS AND REGIONAL COUNCILS › Section 163-15-2 - Regional Council

Current through 2024-29, July 17, 2024
1.
Designation
A. Each Region shall
				have one (1) Regional Council; an entity may not serve more than one
				region.
B. The Board shall
				designate regional emergency medical services councils, but in no event shall
				the number of regional councils exceed four (4).
C. Such regional councils shall be
				established by application for designation to be submitted by a business
				entity. Such application shall describe, at minimum, the region to be served
				and contain a list of nominees for appointment to voting membership of the
				council, on an application approved by the Board.
D. The Board, upon a finding that the
				regional council has failed to execute its duties, may designate another
				business entity, with a two-thirds majority vote
1. If an entity serving as the regional
				council is terminated for cause, the board may designate an entity to serve as
				the regional council until the Board designates a new entity through the
				designation process described in this sub-section. The temporarily appointed
				entity may be an entity that serves a separate region.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 15 - MAINE EMS REGIONS AND REGIONAL COUNCILS › Section 163-15-3 - Regional Medical Director

Current through 2024-29, July 17, 2024
1. Each region
				shall have one (1) Regional Medical Director, who shall be a Maine licensed
				physician affiliated with a hospital within the region they serve.
2.
Appointment
A. Upon appointment by the region, the
				qualifications and experience of the licensed physician will be submitted to
				the Board. The Board, in consultation with the Medical Direction and Practices
				Board, shall vote to confirm the appointment.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 15 - MAINE EMS REGIONS AND REGIONAL COUNCILS › Section 163-15-4 - Associate Regional Medical Director

Current through 2024-29, July 17, 2024
1. Each
				region may have one (1) Associate Regional Medical Director, who shall be a
				Maine-licensed physician.
2.
Appointment
A. The Associate
				Regional Medical Director shall be designated by, with the advice of the
				Regional Medical Director, the Regional Council.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-1 - Definitions

Current through 2024-29, July 17, 2024
1. "Child" means any natural born or unborn
				child, legally adopted child or stepchild of an emergency medical services
				person who, at the time of the emergency medical services person's death, is:
A. Conceived or less than 19 years of
				age;
B. 19 or more years of age,
				but less than 25 years of age, and accepted for admission or enrolled in a
				full-time postsecondary educational institution; or
C. 19 or more years of age and is incapable
				of self-support because of a physical or mental disability.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-2 - Death Benefit - Amount and Receipt

Current through 2024-29, July 17, 2024
1. If the Director
				determines that an emergency medical services person died while in the line of
				duty, the State shall pay a benefit of such an amount as pursuant to M.R.S. 25
				§1612 as follows:
A. If there is no
				surviving child of the emergency medical services person, to the surviving
				spouse;
B. If there is a surviving
				child or children and a surviving spouse of the emergency medical services
				person, 1/2 to the surviving child or children in equal shares and 1/2 to the
				surviving spouse;
C. If there is no
				surviving spouse of the emergency medical services person, to the child or
				children in equal shares; or
D. If
				there is no surviving child or spouse, to the parent or parents of the
				emergency medical services person, in equal shares.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-3 - Limitation on Benefit

Current through 2024-29, July 17, 2024
1. Notwithstanding
				a determination by the Director that an emergency medical services person died
				while in the line of duty, a benefit may not be paid:
A. If the death or the injury or illness that
				resulted in the death was caused by the intentional misconduct of the emergency
				medical services person or by the emergency medical services person's intention
				to bring about the death or the injury or illness that resulted in the
				death;
B. If the emergency medical
				services person was voluntarily under the influence at the time of the death or
				the injury or illness that resulted in the death and being under the influence
				was a substantial contributing factor in the death or the injury or illness
				that resulted in the death;
C. If
				the emergency medical services person was performing in a grossly negligent
				manner at the time of the death or the injury or illness that resulted in the
				death;
D. To any person who would
				otherwise be entitled to a benefit pursuant to 25 M.R.S. c. 195-A and this
				chapter, if the person's actions were a substantial contributing factor to the
				death of the emergency medical services person; or
E. If the potentially eligible child, spouse
				or parent dies prior to actual receipt of this death benefit.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-4 - Filing Request for Benefit

Current through 2024-29, July 17, 2024
1. A person who is
				potentially eligible to receive these benefits, or a person authorized to
				request benefits acting as an agent of a potentially eligible person, must
				forward a written request to the Director for a State of Maine Application for
				Line of Duty Death Benefit within 90 days of the emergency medical services
				person's death. The 90 day period may be extended by the Director for good
				cause shown.
2. Upon receipt of the
				written request for a State of Maine Application for Line of Duty Death
				Benefit, the Director shall provide an application package and questionnaire
				that must be completed and returned within 30 days of receipt by the applicant.
				The 30 day period may be extended by the Director for good cause
				shown.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-5 - Determination of Eligibility for Benefit

Current through 2024-29, July 17, 2024
1. Upon
				receipt of a completed State of Maine Application for Line of Duty Death
				Benefit, the Director shall appoint a review panel consisting of at least
				three, but not more than five, persons knowledgeable in the emergency medical
				services person's official duties.
2. The review panel shall convene to review
				the application, investigate the circumstances surrounding the death and make a
				written recommendation to approve or deny the application to the Director
				within 30 days. If the Director determines that further investigation is
				necessary, the Director may extend the review period.
3. The Director, after review of the
				recommendation, shall make the determination to approve or deny the application
				in a timely manner. The Director's determination is the final agency
				decision.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-6 - Interim Benefits

Current through 2024-29, July 17, 2024
The Director may make interim benefits payments in accordance
				  with and subject to the limitations outlined in
				  25 M.R.S.
				  §1612.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 16 - DEATH BENEFITS FOR EMERGENCY MEDICAL SERVICES PERSONS WHO DIE IN THE LINE OF DUTY › Section 163-16-7 - Appeal

Current through 2024-29, July 17, 2024
An appeal of the final agency decision may be filed in
				  accordance with the
Administrative Procedure Act
, 5 M.R.S.
				  Chapter 375 Subchapter VII.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-1 - Required Equipment List for Non-Transporting Services, Ground Ambulance Services, Transfer Air Ambulance Services and Scene Response Air Ambulance Services

Current through 2024-29, July 17, 2024
1. Any
				Non-Transporting Service, Ground Ambulance Service, Transfer Air Ambulance
				Service or Scene Response Air Ambulance Service must possess, at a minimum, the
				equipment listed in this section and must maintain a system to ensure the
				availability of this equipment on any call.
A.
				All medical equipment and medical supplies required in this section must be
				latex free.
B. Each ground
				ambulance vehicle must carry the equipment and medical supplies listed in this
				chapter.
C. The Emergency Medical
				Technician (EMT) set of equipment is the minimum set of required equipment for
				a Ground Ambulance Service.
D. The
				Emergency Medical Responder (EMR) set of equipment is tire minimum set of
				required equipment for a Non-Transporting Service.
E. If a Ground Ambulance Service is licensed
				at the Advanced Emergency Medical Technician (AEMT) or Paramedic level, any
				ground ambulance vehicle of that service responding on an emergency medical
				call will be equipped on those calls with the equipment and supplies pursuant
				to these Rules.
F. If a
				Non-Transporting Service or a Ground Ambulance Service is permitted to a given
				level, it must possess at least one set of equipment and supplies required for
				that level pursuant to these rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-2 - Airway management supplies

Current through 2024-29, July 17, 2024
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1 Automatic, pressure cycled
				  resuscitators are not acceptable.
2 CPAP Device Requirements: Full
				  face mask, continuous flow device, capable of adjusting FiO2, capable of
				  regulating Positive End Expiratory Pressure (PEEP), latex-free, and the ability
				  to attach a nebulizer.
3 Hyperangulated blades are not
				  accepted
4 Suitable for use with adult and
				  pediatric patients
5 Portable unit to provide
				  pharyngeal suction of at least 11,8 inches mercury (300mm Hg) within 4 seconds
				  after the suction tube is clamped closed. Unit must have trap bottle, and be
				  equipped with rigid pharyngeal suction tip and appropriate catheters
6 Capable to provide pharyngeal
				  suction of at least 11,8 inches mercury (300mm Hg) within 4 seconds after the
				  suction tube is clamped closed. Unit must have trap bottle and be equipped with
				  rigid pharyngeal suction tip and appropriate catheters. The unit must be
				  electrically powered - capable of operating from its own (internal)
				  battery.
7 May be commercially prepared,
				  but must contain items listed
8 MDPB approved percutaneous
				  cricothyroidotomy kits only if they follow the method of piercing the
				  cricothyroid membrane
9 recommended 6.0 internal
				  diameter for adults
10 Or other FDA Approved Patient
				  Antiseptic Skin Preparations as a means to prep and cleanse the skin
11 May be commercially prepared,
				  but must contain items listed
12 It is recommended to have NO
				  MORE THAN one device per class (periglottic and transglottic).
13 It is recommended to have NO
				  MORE THAN one device per class (periglottic and transglottic).
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-3 - Diagnostic and Monitoring Equipment

Current through 2024-29, July 17, 2024
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14 Suitable for use with adult and
				  pediatric patients
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-4 - Dressings and Bandages

Current through 2024-29, July 17, 2024
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15 Acceptable Alternative - An
				  occlusive dressing as well as a device for wrapping a newborn, such as a space
				  blanket, must be present.
16 Roller Bandages must be
				  self-adhering and 3 inches minimum width.
17 Must support wound
				  packing
18 Must be a commercially
				  manufactured device in its original packaging, be a minimum of one inch wide,
				  be latex free, and use a windlass or mechanical advantage to tighten the
				  device.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-5 - Fluids and Medications

Current through 2024-29, July 17, 2024
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19 As necessary to secure drugs in
				  a manner consistent with Chapter 6 of these Rules.
20 Must be unexpired, in
				  commercially sealed container(s), and total no less than 500 ml (multiple
				  smaller size containers are acceptable).
21 Suitable for use with adult and
				  pediatric patients
22 All IV catheters must be "over
				  the needle" type catheters.
23 Pump must be; U.S. Food and
				  Drug Administration approved, have a customizable drug library, use latex-free
				  tubing, have needle-free tubing/ports, and have both an AC and battery power
				  source.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-6 - Immobilization

Current through 2024-29, July 17, 2024
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24 Commercially available
25 Soft collars are not
				  acceptable
26 A rigid Flight Frame is an
				  acceptable alternative to a long and short spinal immobilization device
27 Pediatric size is
				  recommended
28 Similar splints such as
				  cardboard, plastic, wire-ladder, or canvas with rigid inserts of like length
				  and width may be carried in place of the 36" and 15" boards. Air splints or
				  vacuum splints may be carried in place of one of the required padded board
				  splints of each length.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-7 - Patient Comfort

Current through 2024-29, July 17, 2024
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Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-8 - Personal Protective and Safetv Eauinment

Current through 2024-29, July 17, 2024
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29 A-B-C or B-C five-pound size or
				  larger, must be secured in vehicle, and professionally inspected on an annual
				  basis
30 Small, Medium, Large &
				  Extra-Large Sizes
31 Material and design must
				  provide a protective barrier against contact with patient's body fluids,
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-9 - Transnortinff Enuinment

Current through 2024-29, July 17, 2024
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32 Any of the following are
				  acceptable: Stair chair, army D-ring stretcher, ambulance folding stretcher,
				  scoop stretcher,
33 9' Length, 2" wide with
				  buckles. Quick-clip and other commercial straps are acceptable; however, at
				  least three 9-foot straps are required.
34 Must have external continuous
				  waveform end-tidal Carbon Dioxide monitoring.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 17 - MINIMUM REQUIRED EQUIPMENT LISTS FOR MAINE EMS SERVICES AND REGIONAL EMS RADIO FREQUENCIES › Section 163-17-10 - Hospital Frequencies

Current through 2024-29, July 17, 2024
Region 1
Southern Maine
155.325
Region 2
Tri County
155.340
Region 3
Kennebec Valley
155.400
Region 4
Northeast
155.355
Region 5
Aroostook
155.340
Region 6
Mid-Coast
155.340
"Statewide Net"
155.385
(Maine EMS mobile-to-mobile)
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 18 - QUALITY ASSURANCE AND IMPROVEMENT › Section 163-18-1 - Definitions

Current through 2024-29, July 17, 2024
1.
Emergency Medical Services (EMS)
				Quality Assurance Committee
means a quality assurance committee
				approved by the Board or Maine EMS pursuant to
				32 M.R.S.
				§92-A, including but not limited to
				service-level quality assurance committees.
2.
Maine EMS Quality Assurance and
				Improvement Committee
mean the standing committee established by the
				Board pursuant to
				32 M.R.S.
				§88(2)(J).
3.
Quality Improvement
				Initiative
means review and assessment of Maine EMS system data by
				Maine-EMS-approved quality assurance committees for the purpose of improving
				patient care.
4.
Quality
				Improvement Marker
means a measurable standard within a Maine EMS
				protocol established by an emergency medical services quality assurance
				committee.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 18 - QUALITY ASSURANCE AND IMPROVEMENT › Section 163-18-2 - Maine EMS Quality Assurance and Improvement Committee

Current through 2024-29, July 17, 2024
1. The Maine EMS Quality Assurance and
				Improvement Committee is authorized by the Board to perform EMS system quality
				assurance and improvement, including, but not limited to:
A. Creating statewide quality improvement
				markers;
B. Conducting Quality
				Improvement Initiatives, as approved by the Board;
C. Receiving and interpreting results of
				quality marker reports;
D.
				Responding, in concert with regional medical directors and regional
				coordinators, to requests for assistance regarding local services' sub regional
				quality assurance and improvement plans;
E. Publishing and updating the Maine EMS
				Quality Assurance and Improvement Manual;
F. Leading or participating in state-based
				quality management education; and,
G. Reviewing quality assurance and
				improvement management of Board-approved pilot projects when requested by the
				Board, the Medical Direction and Practices Board or the pilot project
				participant(s).
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 18 - QUALITY ASSURANCE AND IMPROVEMENT › Section 163-18-3 - Emergency Medical Services Quality Assurance Committees

Current through 2024-29, July 17, 2024
1. A Board or Maine EMS -approved emergency
				medical services quality assurance committee must participate in EMS quality
				assurance activities, including, but not limited to:
A. Gathering and submitting data as part of a
				Maine EMS Quality Assurance and Improvement Committee Quality Improvement
				Initiative; and,
B. Conducting a
				program of quality assurance and improvement in accordance with 32 M.R.S.A
				Chapter 2-B, and these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 18 - QUALITY ASSURANCE AND IMPROVEMENT › Section 163-18-4 - Emergency Medical Services Persons and EMS Services

Current through 2024-29, July 17, 2024
Licensed emergency medical services personnel and licensed
				  EMS services shall participate in Maine EMS quality assurance activities in
				  accordance with 32 M.R.S.A Chapter 2-B and these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 18 - QUALITY ASSURANCE AND IMPROVEMENT › Section 163-18-5 - Emergency Medical Dispatchers and Emergency Medical Dispatch Centers

Current through 2024-29, July 17, 2024
Emergency Medical Dispatchers and Emergency Medical Dispatch
				  Centers shall participate in Maine EMS quality assurance activities in
				  accordance with 32 M.R.S.A Chapter 2-B and these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 19 - COMMUNITY PARAMEDICINE › Section 163-19-1 - Definitions

Current through 2024-29, July 17, 2024
1.
"Community
				Paramedicine"
means the practice by an emergency medical
				services provider primarily in an out-of-hospital setting of providing episodic
				patient evaluation, advice, and treatment directed at preventing or improving a
				particular medical condition, within the scope of practice of the emergency
				medical services provider as specifically requested or directed by a physician
				pursuant to
				32
				M.R.S.§84(4).
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 19 - COMMUNITY PARAMEDICINE › Section 163-19-2 - How to Apply

Current through 2024-29, July 17, 2024
1. To obtain a new
				or renewed Community Paramedicine designation anemergency medical services
				provider, including but not limited to an ambulance service or non-transporting
				emergency medical service,must apply to Maine EMS for approval.In order to
				obtain this designation, the provider must:
A.
				Apply on forms available from Maine EMS;
B. Provide a description of the intended
				Community Paramedicine plan to be approved by the Board or Maine EMS
				staff;
C. Have a quality assurance
				and quality improvement plan that directly addresses Community
				Paramedicine;
D. Identify a primary
				care medical director with whom it plans to work; and
E. Demonstrate to Maine EMS that it has
				designated an emergency medical services medical director.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 19 - COMMUNITY PARAMEDICINE › Section 163-19-3 - Scope of Practice

Current through 2024-29, July 17, 2024
1. A Maine EMS
				approved Community Paramedicine Provider may provide care consistent with its
				license level as described in these rules
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 19 - COMMUNITY PARAMEDICINE › Section 163-19-4 - Education Requirements

Current through 2024-29, July 17, 2024
1. A Maine EMS
				approvedCommunity Paramedicine Provider must ensure training of its staff in
				line with its proposed Community Paramedicine plan.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 19 - COMMUNITY PARAMEDICINE › Section 163-19-5 - Patient Care Report

Current through 2024-29, July 17, 2024
For each request for service, or for each patient when more
				  than one patient is involved in a call, a Maine-EMS approved Community
				  Paramedicine Provider must complete and submit an electronic Maine EMS patient
				  care report, as specified by Maine EMS, within twenty-four hours from the time
				  it arrived at patient's location.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-1 - Definitions

Current through 2024-29, July 17, 2024
1. "Certificate of Immunization" means a
				written statement from a physician, nurse practitioner, physician assistant or
				other health care provider who has administered an immunization to a Covered
				Emergency Medical Services Person, specifying the vaccine administered and the
				date it was administered. For purposes of this chapter, such Certificate of
				Immunization shall be specific to COVID-19.
2. "Covered Emergency Medical Services
				Person" means an advanced emergency medical services person, a basic emergency
				medical services person or any person who routinely provides direct patient
				care. For the purposes of this definition, EMS students that provide direct
				patient care are Covered Emergency Medical Services Persons.
3. "Direct patient care" means any activity
				that places an individual within 6 feet of a patient for a period of 15 minutes
				or more.
4. "Entity" means an
				organization which holds a license issued by the Board that authorizes it as an
				organization to provide emergency medical services, or a training center
				licensed by the Board.
5.
				"Exemption" means a formal procedure to procure discharge from the requirement
				to vaccinate under this rule in accordance with Section 3 below. For purposes
				of this chapter, such Exemption shall be specific to COVID-19.
6. "Immunization" means a vaccine, antitoxin
				or other substance used to increase an individual's immunity to
				disease.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-2 - Immunization Required

Current through 2024-29, July 17, 2024
1. Each Entity with
				which a Covered Emergency Medical Services Person is associated must require
				that the Covered Emergency Medical Services Person provide to the Entity a
				Certificate of Immunization against COVID-19 or documentation of an
				Exemption.
2. From October 15, 2021
				through November 21, 2021, no Entity may permit a Covered Emergency Medical
				Services Person to provide direct patient care without a Certificate of
				Immunization for COVID-19, or documentation of an Exemption.
3. The number of recommended COVID-19
				immunization doses shall be in accordance with the COVID-19 immunization
				manufacturer's Emergency Use Authorization or labelling, or after final FDA
				approval, the subsequent applicable manufacturer's dosing specification or
				labelling.
4. Any such immunization
				must meet the standards for biological products which are approved by the
				United States Public Health Service.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-3 - Exemptions

Current through 2024-29, July 17, 2024
1. A Covered Emergency Medical Services
				Person who does not obtain a Certificate of Immunization may be permitted to
				provide direct patient care if that Covered Emergency Medical Services Person
				possesses an Exemption.
2. An
				Exemption is available to a Covered Emergency Medical Services Person who
				provides a written statement from a licensed physician, nurse practitioner or
				physician assistant that, in the physician's, nurse practitioner's or physician
				assistant's professional judgment, immunization against COVID-19 may be
				medically inadvisable.
3.
				Contingent upon a service's ability to obtain Binax NOW, or equivalent antigen
				testing at no cost, a Covered Emergency Medical Services Person with an
				Exemption must receive a Binax NOW or an equivalent antigen test three times
				per week, or at the start at each scheduled shift, whichever is less, if that
				person is available for response to emergency medical calls.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-4 - Record Keeping

Current through 2024-29, July 17, 2024
1. An Entity must
				keep a record of the COVID-19 immunization status of each Covered Emergency
				Medical Services Person associated with the Entity. The record must include, at
				a minimum, the month and year that each COVID-19 immunization was administered.
2. Where an Exemption has been
				granted to a Covered Emergency Medical Services Person, the Entity must
				maintain the written documentation of the Exemption on file.
3. Each Entity must maintain a listing of the
				names of all Covered Emergency Medical Services Person associated with the
				Entity who are not currently immunized against COVID-19. The list must also
				include the names of all Covered Emergency Medical Services Persons with
				Exemptions.
4. All records
				required under this chapter shall be deemed, for the purposes of public access,
				confidential medical records under statute. Notwithstanding this statement, the
				Board may obtain and disclose records required under this chapter in accordance
				with
				32 M.R.S.
				§91-B.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-5 - Required Reports

Current through 2024-29, July 17, 2024
1. Periodic
				Reporting Each Entity must submit a summary report on the COVID-19 immunization
				status of all Covered Emergency Medical Services Persons associated with the
				Entity on a form prescribed by the Board or Maine EMS on September 1, 2021,
				September 15, 2021, and September 30, 2021. The summary report will include the
				following information at a minimum: specific contact information identifying
				the Entity, the total number of Covered Emergency Medical Services Persons who
				are immunized against COVID-19, the total number of Covered Emergency Medical
				Services Persons who possess Exemptions, and the total number of Covered
				Emergency Medical Services Persons who do not possess a Certificate of
				Immunization or an Exemption. Each report must be signed by a representative of
				the Entity as a certification that the information is accurate.
2.
Additional Requests
An Entity must provide to the Board, within 48 hours of the
				  request, any requested information pertaining to those Covered Emergency
				  Medical Services Persons who do not possess a Certificate of Immunization or an
				  Exemption. Such information shall be subject to the confidentiality provisions
				  of
				  32 M.R.S.
				  §91-B.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 20 - COVID-19 IMMUNIZATION REQUIREMENTS › Section 163-20-6 - Enforcement

Current through 2024-29, July 17, 2024
The failure to comply with the provisions of this chapter
				  could be considered a violation of standards of professional conduct.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 21 - IMMUNIZATION REQUIREMENTS › Section 163-21-1 - Definitions

Current through 2024-29, July 17, 2024
1. "Certificate of Immunization" means
				documentation from a health official of the administration of an immunization,
				specifying the vaccine administered and the date it was administered.
				Electronic health records, having been compiled and maintained as an official
				document based on certificates of immunization, which provide at a minimum the
				month and year that the immunization was administered may also be accepted as
				proof of immunization.
2. "Covered
				Emergency Medical Services Person" means an advanced emergency medical services
				person, a basic emergency medical services person or any person licensed by
				this board who routinely provides Direct Patient Care. For the purposes of this
				definition, EMS students that provide Direct Patient Care are Covered Emergency
				Medical Services Persons.
3. "Direct
				Patient Care" means any activity that places an individual within 6 feet of a
				patient for a period of 15 minutes or more.
4. "Disease" means the following conditions
				which may be preventable by immunization:
1.
				Influenza; and
2.
				COVID-19.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 21 - IMMUNIZATION REQUIREMENTS › Section 163-21-2 - Immunization Required

Current through 2024-29, July 17, 2024
1. Each Entity with
				which a Covered Emergency Medical Services Person is associated must require
				that the Covered Emergency Medical Services Person provide to the Entity a
				Certificate of Immunization or documentation of an Exemption pertaining to the
				Diseases enumerated in the Chapter.
2. No Entity may permit a Covered Emergency
				Medical Services Person to provide Direct Patient Care without a Certificate of
				Immunization demonstrating compliance with paragraph 3 of this section, or
				documentation of an Exemption pertaining to the Diseases enumerated in the
				Chapter. Covered Emergency Medical Service Persons must have begun the COVID-19
				series, or have an approved medical exemption, prior to providing Direct
				Patient Care, and must come into compliance with the remaining administrations
				in compliance with paragraph 3 of this section. The Seasonal Influenza vaccine
				is required annually, or as otherwise recommended by the US Centers for Disease
				Control.
3. Covered Emergency
				Medical Services Persons are considered vaccinated against COVID-19 when they
				have received all recommended doses in the primary series.
4. Any such immunization must meet the
				standards for biological products which are approved by the United States
				Public Health Service.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 21 - IMMUNIZATION REQUIREMENTS › Section 163-21-3 - Exemptions

Current through 2024-29, July 17, 2024
1. A Covered Emergency Medical Services
				Person who does not provide a Certificate of Immunization may be permitted to
				provide direct patient care if that Covered Emergency Medical Services Person
				possesses an Exemption.
2. An
				Exemption is available to a Covered Emergency Medical Services Person who
				provides a written statement from a licensed physician, nurse practitioner or
				physician assistant that, in the physician's, nurse practitioner's or physician
				assistant's professional judgment, on forms approved by Maine EMS, immunization
				against any of the Diseases enumerated in this Chapter may be medically
				inadvisable, provided that, the Covered Emergency Medical Services Person has
				an established patient-qualified provider relationship with the provider
				issuing the written statement. An exemption is considered
				permanent.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 21 - IMMUNIZATION REQUIREMENTS › Section 163-21-4 - Record Keeping

Current through 2024-29, July 17, 2024
1. An Entity must
				keep a record of the immunization status of each Covered Emergency Medical
				Services Person associated with the Entity. The record must include, at a
				minimum, the month and year that each immunization dose was
				administered.
2. Where an Exemption
				has been granted to a Covered Emergency Medical Services Person, the Entity
				must maintain the written documentation of the Exemption on file.
3. Each Entity must maintain a listing of the
				names of all Covered Emergency Medical Services Person associated with the
				Entity who are not currently immunized against Diseases enumerated in the
				Chapter. The list must also include the names of all Covered Emergency Medical
				Services Persons with Exemptions.
4.
				All records required under this chapter shall be deemed, for the purposes of
				public access, confidential medical records under statute. Notwithstanding this
				statement, the Board may obtain and disclose records required under this
				chapter in accordance with
				32 M.R.S.
				§91-B.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 21 - IMMUNIZATION REQUIREMENTS › Section 163-21-5 - Required Reports

Current through 2024-29, July 17, 2024
1.
Periodic
				Reporting
Each Entity must, on an annual basis, submit a summary report
				  on the immunization status of all Covered Emergency Medical Services Persons
				  associated with the Entity on a form prescribed by Maine EMS no later than
				  November 30th of that year as part of the EMS
				  service license renewal. The summary report will include the following
				  information at a minimum: specific contact information identifying the Entity,
				  the total number of Covered Emergency Medical Services Persons who are
				  immunized, the total number of Covered Emergency Medical Services Persons who
				  possess Exemptions, and the total number of Covered Emergency Medical Services
				  Persons who do not possess a Certificate of Immunization or an Exemption. Each
				  report must be signed by a representative of the Entity as a certification that
				  the information is accurate.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 22 - EMERGENCY MEDICAL SERVICES DATA › Section 163-22-1 - Definitions

Current through 2024-29, July 17, 2024
1. "National data elements" means the
				specific EMS data elements defined by the national emergency medical services
				information system (NEMSIS).
2.
				"National emergency medical services information system (NEMSIS)" means the
				national EMS electronic database, as developed, and published by USDOT,
				NHTSA.
3. "Maine EMS patient care
				reporting System" means the Maine EMS electronic database, that meets the
				requirements of NEMSIS, provided by Maine EMS to all EMS agencies and EMS
				clinicians to record EMS incidents.
4. "Receiving Facility" means the hospital or
				any other facility the patient was transported to.
5. "Health Info Net (HIN)" means the
				independent, nonprofit information services organization that manages the
				statewide health information exchange (HIE) in Maine.
6. "Health Information Exchange (HIE)" is the
				statewide HIE designed to link an individual's clinical information from
				unaffiliated healthcare sites to create a single electronic health record,
				allowing authorized providers across the state to better support and coordinate
				patient care.