Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 170.000 - Emergency Medical Services System › Section 170.330 - Written Policies and Procedures for Services

Current through Register 1525, July 5, 2024
(A) Each ambulance service shall have written
			 policies and procedures consistent with
			 105 CMR
			 170.000, the accepted standards of care for EMTs and
			 applicable laws. These policies shall set out guidelines for operating and
			 maintaining the service and ambulances, and shall be provided to EMTs. These
			 policies shall be comprehensive, reflect current day-to-day operations, and
			 address at minimum the following:
(1)
			 Certification and recertification of EMTs;
(2) Orientation of all ambulance service
			 employees;
(3) Responsibility to
			 dispatch, treat and transport in accordance with
			 105
			 CMR 170.355;
(4) Duties of transportation and policies
			 relating to delivery of patients to appropriate health care facilities in
			 accordance with
			 105
			 CMR 170.020;
(5) Nondiscrimination;
(6) Backup services including provisions for
			 when such services are to be used and timely dispatch in accordance with
			 standards set out in the applicable Department-approved service zone plan, to
			 backup services when needed;
(7)
			 Arrangements for securing additional EMS personnel at appropriate certification
			 levels, in order to staff ambulances in accordance with
			 105
			 CMR 170.305;
(8) Dispatch;
(9) Communications;
(10) Stocking of supplies;
(11) Use of lights and warning
			 signals;
(12) Staffing of
			 ambulances;
(13) Conduct of
			 personnel;
(14) Acquisition,
			 security and disposal of controlled substances and other drugs, in accordance
			 with 105 CMR
			 700.000:
Implementation of M.G.L. c.
			 94C
;
(15) Maintenance of
			 biomedical equipment and devices according to manufacturers'
			 recommendations;
(16) Ensuring
			 timely leaving/transmission of patient care reports at receiving
			 hospitals;
(17) Arrangements for
			 securing additional appropriately trained personnel to assist EMTs, whether in
			 providing ALS services in accordance with
			 105
			 CMR 170.305(C)  or for other
			 purposes;
(18) For ALS services,
			 the hours during which ALS service will be provided, if the service is not yet
			 operating 24 hours per day, seven days per week, in accordance with
			 105
			 CMR 170.385(C);
(19) For ALS-Paramedic services that staff
			 with one paramedic and one other certified EMT, all policies required by
			 105
			 CMR 170.305(C)(2);
(20) Mechanical failures;
(21) Inspection authorities;
(22) Infection control procedures including
			 designated infection control officer;
(23) Compliance with the Statewide Treatment
			 Protocols;
(24) Training and skill
			 competency assurance of EMS personnel for new or updated equipment; changes and
			 updates to
			 105 CMR
			 170.000, the Statewide Treatment Protocols;
			 administrative requirements, advisories and memoranda issued by the Department;
			 and as otherwise required by any provision of
			 105 CMR
			 170.000 or the Statewide Treatment
			 Protocols;
(25) Rights of parents
			 of patients who are minors, including the right to accompany the patient in the
			 ambulance in accordance with M.G.L. c. 111C, § 17;
(26) Mandated reporting;
(27) EMT use of patient restraints in
			 accordance with
			 105
			 CMR 170.373 and the Statewide Treatment
			 Protocols;
(28) Sanitary practices;
			 and
(29) Disposal of hazardous
			 waste.