reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.5

Current through June 25, 2024
Each aircraft configured for patient transport shall meet
						the structural, equipment and supply requirements set forth in these
						regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.6

Current through June 25, 2024
An air ambulance license is dependent on, and concurrent
						with, proper FAA certification of the aircraft operator(s) to concurrent with
						proper FAA certification of the aircraft operator(s) to conduct operations
						under the applicable parts of the Federal Aviation Regulations. Certificate
						holder must meet all national authority regulations specific to the operations
						of the medical service in the country of residence, as applicable. This
						includes a national authority regulator's certificate (public service medical
						transport agencies are included in this requirement) and Ambulance Operations
						Specifications specific to EMS operations. The transport service demonstrates
						compliance with the legal requirements and regulations of all local, state, and
						federal agencies under whose authority it operates.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.7

Current through June 25, 2024
Current, full accreditation by the Certified Association
						of Air Medical Transport Services (CAMTS) or equivalent program will be
						accepted by BEMS as compliance with the requirements set
						forth.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.8

Current through June 25, 2024
A provider's license will be suspended or revoked for
						failure to comply with the requirements of these regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.9

Current through June 25, 2024
No licensee shall operate a service if their license has
						been suspended or revoked.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.10

Current through June 25, 2024
Any provider that maintains bases of operation in more
						than one state jurisdiction shall be licensed at each base by BEMS having
						jurisdiction.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 2 - Air Ambulance Licensure › Rule 15-12-31-3.2.11

Current through June 25, 2024
The owner, manager, or medical director of each publicly
						or privately owned ambulance service shall inform the State Department of
						Health, Bureau of EMS of the termination of service in a licensed county or
						defined service area no less than 30 days prior to ceasing operations. This
						communication should also be sent by the owner, manager or medical director of
						each publicly or privately owned ambulance service to related parties and local
						governmental entities such as, but not limited to, emergencies management
						agency, local healthcare facilities, and the public via mass
						media.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.1

Current through June 25, 2024
Any provider who is licensed in another jurisdiction
						whose regulations are at least s stringent as these, and provides proof of such
						license, and who meets all other regulatory requirements shall be regarded as
						meeting the specifications of these regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.2 - Access

Current through June 25, 2024
Access - Inspection of records; equipment/supply
						categories, and air ambulance aircraft.
1. BEMS, after presenting proper
					 identification, shall be allowed to inspect any aircraft, equipment, supplies
					 or records of any licensee to determine compliance with these regulations. BEMS
					 shall inspect the licensee at least twice every licensing period.
2. The finding of any inspection shall be
					 recorded on a form provided for this purpose. BEMS shall furnish a copy of the
					 inspection report form to the licensee or the licensee's authorized
					 representative. Upon completion of an inspection, any violations shall be noted
					 on the form.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.3 - Issuance of Notices

Current through June 25, 2024
1. Whenever BEMS
					 makes an inspection of an air ambulance aircraft and discovers that any of the
					 requirements of these regulations have been violated or have not been complied
					 with in any manner, BEMS shall notify the licensee of the infraction(s) by
					 means of an inspection report or other written notice.
2. The report shall: Set forth the specific
					 violations found; establish a specific period of time for the correction of the
					 violation(s) found, in accordance with the provisions in Violations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.4 - Reports

Current through June 25, 2024
1. Notification
a. Each holder of a license shall notify BEMS
					 of the disposition of any criminal or civil litigation or arbitration based on
					 their actions as a licensee within 5 days after a verdict has been
					 rendered.
b. The licensee will
					 notify BEMS when it removes a permitted aircraft from service or replaces it
					 with a substitute aircraft meeting the same transport capabilities and
					 equipment specifications as the out-of-service aircraft for a period of time
					 greater than 7 days but not to exceed 90 calendar days. Upon receipt of
					 notification, BEMS shall issue a temporary permit for the operation of said
					 aircraft.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.5 - Location identification

Current through June 25, 2024
Location identification: The Licensee shall identify on
						the prescribed form any and all physical locations where a function of their
						operations are conducted. These locations include permanent business office,
						aircraft storage, repair, communications/activation facilities, training and
						sleeping areas.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.6 - Aero Medical Advertisement

Current through June 25, 2024
1. No person,
					 entity or organization shall advertise via printed or electronic media as an
					 air ambulance service provider in the state of Mississippi unless they hold a
					 valid license in the state of Mississippi or has licensure in another state
					 which is reciprocally honored by BEMS.
2. The licensee's advertising shall be done
					 only under the name stated on their license.
3. The licensee's advertising and marketing
					 shall demonstrate consistency with the licensee's actual licensed level of
					 medical care capabilities and aircraft resources. Clear identification of the
					 FAA Part 135 Certificate Holder as the identity that is operating the aircraft
					 is one the program's website, in marketing materials, and on the
					 aircraft.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.7 - Property And Casualty Liability

Current through June 25, 2024
1. Every licensee
					 or applicant shall ensure that the Part 135 Air Carrier Operating certificate
					 holder operating the aircraft carries bodily injury and property damage
					 insurance with solvent insurers licensed to do business in the state of
					 Mississippi, to secure payment for any loss or damage resulting from any
					 occurrence arising out of or caused by the operation or use of any of the
					 certificate holders aircraft. Each aircraft shall be insured for the minimum
					 amount of $1,000,000 for injuries to, or death of, any one person arising out
					 of any one incident or accident; the minimum amount of $3,000,000 for injuries
					 to, or death of, more than one person in any one accident; and, for the minimum
					 amount of $500,000 for damage to property from any one accident.
2. Government-operated service aircraft shall
					 be insured for the sum of at least $500,000 for any claim or judgment and the
					 sum of $1,000,000 total for all claims or judgments arising out of the same
					 occurrence. Every insurance policy or contract for such insurance shall provide
					 for the payment and satisfaction of any financial judgment entered against the
					 licensee or any aircraft owner or pilot(s) operating the insured aircraft. All
					 such insurance policies shall provide for a certificate of insurance to be
					 issued to BEMS.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 3 - Reciprocity › Rule 15-12-31-3.3.8 - Professional Medical Liability (Malpractice)

Current through June 25, 2024
1.
					 Every air ambulance licensee or applicant shall carry professional liability
					 coverage with solvent insurers licensed to do business in the state of
					 Mississippi, to secure payment for any loss or damage resulting from any
					 occurrence arising out of or caused by the care or lack of care of a patient.
					 The licensee or applicant shall maintain professional liability coverage in the
					 minimum amount of $1,000,000.
2. In
					 lieu of such insurance, the licensee or applicant may furnish a certificate of
					 self-insurance establishing that the licensee or applicant has a self-insurance
					 plan to cover such risks and that the plan has been approved by the State of
					 Mississippi Insurance Commissioner.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.1 - BEMS

Current through June 25, 2024
BEMS shall issue a permit to the licensee when the
						licensee initially places the aircraft into service or when the licensee
						changes the level of service relative to that aircraft. The permit shall remain
						valid as long as the aircraft is operated or leased by the licensee subject to
						the following conditions:
1. The
					 licensee submits an aircraft permit application for the aircraft and pays the
					 required fees.
2. Permits issued by
					 BEMS for an aircraft pursuant to this rule shall be carried inboard the
					 aircraft and readily available for inspection.
3. If ownership of any permitted aircraft is
					 transferred to any other person or entity, the permit is void and the licensee
					 shall remove the permit from the aircraft at the time the aircraft is
					 transferred and return the permit to the licensing authority within 10 days of
					 the transfer.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.2

Current through June 25, 2024
If a substitute aircraft is in service for longer than 90
						days, this aircraft shall be required to be permitted. An un-permitted aircraft
						cannot be placed into service, nor can an aircraft be used unless it is
						replacing aircraft that has been temporarily taken out of service. When such a
						substitution is made, the following information shall be maintained by the
						licensee and shall be accessible to BEMS: Registration number of permitted
						aircraft taken out of service; Registration number of substitute aircraft; The
						date on which the substitute aircraft was placed into service and the date on
						which it was removed from service and the date on which the permitted aircraft
						was returned to service.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.3

Current through June 25, 2024
Aircraft permits are not transferable.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.4

Current through June 25, 2024
Duplicate aircraft permits can be obtained by submitting
						a written request to BEMS. The request shall include a letter signed by the
						licensee certifying that the original permit has been lost, destroyed, or
						rendered unusable.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.5

Current through June 25, 2024
Each licensee shall obtain a new aircraft permit from
						BEMS prior to returning an aircraft to service following a modification, change
						or any renovation that results in a change to the stretcher placement or
						seating in the aircraft's interior configuration.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 4 - Aircraft Permits Required › Rule 15-12-31-3.4.6

Current through June 25, 2024
The holder of a permit to operate an air ambulance
						service shall file an amended list of its permitted aircraft with BEMS within
						10 days after an air ambulance is removed permanently from
						service.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.1

Current through June 25, 2024
The medical director(s) of the program is a physician who
						is responsible and accountable for supervising and evaluating the quality of
						medical care provided by the medical personnel. The medical director ensures,
						by working with the clinical supervisor and by being familiar with the scope of
						practice of the transport team members and the regulations in which the
						transport team practices, competency and currency of all medical personnel
						working with the service.
1.
					 Qualifications: Each air ambulance service shall designate or employ an offline
					 medical director. The off-line medical director shall meet the following
					 qualifications:
a. The off-line medical
					 director shall be a physician (MD or DO) currently licensed and in
					 practice.
b. The physician shall be
					 licensed to practice medicine in the state(s) where the service is
					 domiciled.
c. Services having
					 multiple bases of operation shall have an off-line medical director for each
					 base. If the off-line medical director for the service's primary location is
					 licensed in the state where the base(s) is/are located, they may function as
					 the off-line medical director for that base in place of a separate
					 individual.
d. Must be a
					 Mississippi licensed physician, M.D. or D.O., and show evidence of board
					 certification in emergency medicine or board eligibility in emergency medicine.
					 Air Ambulances which operate from or based in Mississippi, must have a Offline
					 Medical Director whose primary practice is in Mississippi or at a Mississippi
					 trauma center. (Air Ambulance provided from and based out-of-state must have a
					 Offline Medical Director that is board certified in emergency medicine or board
					 eligible in emergency medicine.) The medical director is ultimately responsible
					 for all aspects of a service's operation which effect patient care. The medical
					 director is responsible for assuring that appropriately trained medical
					 personnel and equipment are provided for each patient transported and that
					 individual aircraft can provide appropriate care environments for patients. The
					 Air Ambulance Service Medical Director must be approved by the State EMS
					 Medical Director.
e. The off-line
					 medical director shall have knowledge and experience consistent with the
					 transport of patient's by air.
f.
					 Beginning January 2013, all Mississippi Off-Line Medical Directors shall take
					 Medical Director's course as prescribed by the Mississippi State Department of
					 Health, Bureau of Emergency Medical Services and the Medical Direction,
					 Training and Quality Assurance Committee.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.3 - On-line Medical Control

Current through June 25, 2024
1. The licensee's
					 off-line medical director shall ensure that there is a capability and method to
					 provide on-line medical control to air medical personnel on board any of its
					 air ambulance aircraft at all times. If patient specific orders are written,
					 there shall be a formal procedure to use them. In addition to on-line medical
					 control capabilities, the licensee shall have a written plan, procedure, and
					 resources in place for off-line medical control. This may be accomplished by
					 use of comprehensive written, guidelines, procedures, or protocols.
2. All Mississippi On-Line Medical Directors
					 are recommended and encouraged to take Medical Director's course as prescribed
					 by the Mississippi State Department of Health, Bureau of Emergency Medical
					 Services and the Medical Direction, Training and Quality Assurance
					 Committee.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.4 - Quality Management process

Current through June 25, 2024
1. The licensee
					 shall have an ongoing collaborative process within the organization that
					 identifies issues affecting patient care.
2. These issues should address the
					 effectiveness and efficiency of the organization, its support systems, as well
					 as that of individuals within the organization.
3. When an issue is identified, a method of
					 information gathering shall be developed. This shall include outcome studies,
					 chart review, case discussion, or other methodology.
4. Findings, conclusions, recommendations,
					 and actions shall be made and recorded. Follow-up, if necessary, shall be
					 determined, recorded, and performed.
5. Training and education needs, individual
					 performance evaluations, equipment or resource acquisition, safety, and risk
					 management issues all shall be integrated with the Performance Improvement
					 process.
6. The QM program has
					 written objective evidence of actions taken in problem areas and the evaluation
					 of the effectiveness of that action.
7. The QM program must be integrated and
					 include activities related to patient care, communications and all aspects of
					 transport operations and equipment maintenance pertinent to the service's
					 mission statement.
8. QM plan
					 should include the following components:
a.
					 Responsibility/assignment of accountability.
b. Scope of care.
c. Quality metrics that are identified,
					 measured and compared to metrics/outcomes of evidence based
					 standards.
d. Indicators.
e. Thresholds for evaluation, which are
					 appropriate to the individual service.
f. Methodology - the QI process and QI tools
					 utilized; and
g. Evaluation of the
					 improvement process.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.5 - Certification of Air Medical Personnel

Current through June 25, 2024
There shall be at least one certified air medical
						provider on board an air ambulance to perform patient care duties on that air
						ambulance as certified by the Bureau of EMS. The requirements for air medical
						personnel shall consist of not less than the following:
1. A valid license or certificate to practice
					 their level of care (MD, DO, RN, Advanced Practice Provider - Licensed Nurse
					 Practitioner and Physician's Assistant, Critical Care Paramedic, Paramedic, RT)
					 in the state
2.
Note: The
					 requirements of this section are established in regard to scope of practice for
					 air medical personnel and the mission of the air ambulance service. The medical
					 director of the service will outline requirements in the medical control plan
					 of the service and upon approval of BEMS, verification of these requirements
					 will be required
.
3. The
					 licensee shall maintain documentation of each clinician's training and
					 qualifications and shall insure that the attendant meets the continuing
					 education requirements for their licensed specialty.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.6

Current through June 25, 2024
Staffing must be commensurate with the mission statement
						and scope of care of the medical transport service. The aircraft or ambulance,
						by virtue of medical staffing and retrofitting of medical equipment becomes a
						patient care unit specific to the needs of the patient. A well-developed
						position description for each discipline is written.
1. Advanced level care (ALS) - Paramedic: An
					 advanced life support (ALS) mission is defined as the transport of a patient
					 from emergency department, critical care unit or scene who receives care
					 commensurate with scope of practice of a Paramedic.
a. Fixed-wing aircraft requires at least two
					 personnel, one of which must be at least a state of Mississippi current
					 certified Paramedic.
b. Rotor-wing
					 aircraft requires at least a state of Mississippi current certified
					 Paramedic.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.7

Current through June 25, 2024
Additional medical staff not certified as air medical
						personnel can be added to or in place of licensed air medical personnel as long
						a s at least one certified air medical personnel with the highest level of
						certification (EMT-P, RN) required to care for the patient is also on
						board.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.8

Current through June 25, 2024
Air medical personnel will not assume cockpit duties when
						it may interfere with patient care responsibilities.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.9

Current through June 25, 2024
The aircraft shall be operated by a pilot or pilots
						certified in accordance with applicable FAR's. The captain or pilot in command
						will meet the following requirements:
1. Fixed-wing air ambulance:
a. The pilot-in-command must possess airplane
					 flight hours, as outlined in the tables below, prior to assignment with a
					 medical service. If the aircraft is to be operated using a single
					 pilot-in-command, with no second in command, the following applies:
Cat/Class of Aircraft
Total Flight Exp
Multi Engine Exp
PIC Exp
Make/Model
Single Engine Turbo Prop
2500
N/A
1000
50
Multi Eng Piston
2500
500
1000
50
Multi Eng Turbo Prop
2500
500
1000
100
b. Must possess airplane flight hours as
					 outline in the table below if the aircraft is to be operated with two fully
					 trained and qualified pilots:
Cat/Class of Aircraft
Total Flight Exp
Multi Engine Exp
PIC Exp
SIC Total Exp
Single Engine Turbo Prop
2000
N/A
1000
500
Multi Eng Piston
2000
500
1000
500
Multi Eng Turbo Prop
2000
500
1000
800
Multi Eng Turbo Jet
2000
500
1500
1000
c. Possess an Airline Transport Pilot (ATP)
					 certificate.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 5 - Medical Direction › Rule 15-12-31-3.5.10

Current through June 25, 2024
A First Officer or co-pilot, if used, will meet the
						following requirements:
1. Fixed-wing
					 air ambulance; Has accumulated at least 500 hours total time as a pilot; Must
					 have accumulated at least 100 hours as pilot of a multi-engine aircraft; Has
					 accumulated at least 25 hours as pilot in command of the specific make and
					 model of aircraft being used as an air ambulance; Possess a Commercial Pilot
					 certificate;
2. Rotor-wing air
					 ambulance: Has accumulated at least 500 rotor craft flight hours total time as
					 a pilot; Factory school or equivalent in aircraft type (ground and flight);
					 Must possess at least a commercial rotor craft-helicopter rating.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 6 - Training › Rule 15-12-31-3.6.1

Current through June 25, 2024
The orientation, training and continuing education must
						be directed and guided by the transport program's scope of care and patient
						population, mission statement and medical direction.
1. Initial - The licensee shall ensure that
					 all full-time and part-time Critical Care and ALS providers successfully
					 complete a comprehensive training program as approved by the Bureau. Air
					 medical personnel successfully complete initial training and orientation to
					 their position including adequate instruction, practice, and drills.
2. Didactic Component of Initial Training
					 must be specific and appropriate for the mission statement and scope of care of
					 the medical transport service. Measurable objectives need to be developed and
					 documented for each experience.
3.
					 Continuing Education/Staff Development - must be provided and documented for
					 all full time and part time Critical Care and ALS providers. These must be
					 specific and appropriate for the mission statement and scope of care of the
					 medical transport service.
a. Didactic
					 continuing education must include an annual review of Human factors; Infection
					 Control; "Just Culture"; Sleep Deprivation; State EMS rules and regulations;
					 Stress recognition and management; safety and risk management
					 training.
b. Clinical and
					 laboratory continuing education must be developed and documented on an annual
					 basis as pertinent to scope of care.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 6 - Training › Rule 15-12-31-3.6.2 - Flight Crew Member

Current through June 25, 2024
The licensee shall have a structured program of initial
						and recurrent training for the aviation personnel specific to their function in
						the medical transport environment. The aviation specific requirements of FAR
						(section 135.345 ) are controlling, however, BEMS recommended guidelines are
						listed below:
1. Initial - The
					 licensee shall ensure that all cockpit crew members successfully complete
					 initial training and orientation to the skills and knowledge necessary to
					 perform their functions in air medical transport operations. Training shall
					 include the following topics:
a. Pre-flight
					 planning to accommodate special patient needs including weather considerations,
					 altitude selection, fuel requirements, weight and balance, effective range and
					 performance and selection of alternate airports appropriate for a medial or
					 aviation diversion.
b. Flight
					 release - effective communication between communications specialist, air
					 medical personnel and pilot(s). Aviation considerations for release (approval
					 to proceed) based on the latest weather and aircraft status.
c. Ground ambulance handling in direct
					 vicinity of aircraft; Baggage and equipment handling (pressurized and
					 non-pressurized compartments) (fixed-wing pilots); Patient enplaning -
					 passenger briefing. (fixed-wing pilots); Coordination of aircraft movement with
					 air medical personnel activities prior to taxi to ensure their safety; Smooth
					 and coordinated control of the aircraft when maneuvering, transition of control
					 surface configurations and ground operations for patient, air medical personnel
					 and passenger comfort; Intermediate stop procedures - (fueling, fire equipment
					 standby, customs); Medical emergencies during flight; Aircraft emergency
					 procedures - evacuations including patient; Cabin temperature control to
					 maintain comfortable cabin temperature for the occupants.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.1 - Activation Capability

Current through June 25, 2024
1. The licensee
					 shall have facilities and plans in place to provide the telephonic and radio
					 systems necessary to carry verbal communication. The system should be
					 consistent with the services scope of care and includes three elements: receipt
					 of incoming inquiries and transport requests; activation and communications
					 with aircraft flight crews and air medical personnel during transport
					 operations; and medical control communications.
2. Pilot is able to control and override
					 radio transmission from the cockpit in the event of an emergency
					 situation.
3. Medical Team must be
					 able to communicate with each other during flight.
4. If cellular phones are part of the onboard
					 communications equipment, they are to be used in accordance with FCC
					 regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.2 - Initial contact/coordination point

Current through June 25, 2024
The licensee shall have a plan to receive requests for
						service and assign resources to handle the transport
						requests.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.3 - Contact data resources

Current through June 25, 2024
The licensee shall maintain an information file available
						to the person handling communications that contains the necessary contact
						person's phone numbers and other pertinent data to manage routine and emergency
						communication needs.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.4 - Documentation

Current through June 25, 2024
The licensee shall record the chronological events of
						each transport. The following data elements shall be included: Time of initial
						request; Time of aircraft liftoff; Time of aircraft arrival at pickup point;
						Time of aircraft liftoff; Time of any intermediate aircraft stops; Time of
						aircraft arrival at destination; and Time aircraft and crew are returned to
						service and available.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.5 - Communications Continuity and Flight Following Capability

Current through June 25, 2024
There shall be a well-defined process to track transport
						activities and provide the necessary support to efficiently follow aircraft,
						flight crews and air medical personnel movement. The licensee shall have a
						written emergency plan which addresses the actions to be taken in the event of
						an aircraft incident or accident, breakdown, or patient deterioration during
						transport operations.
A readily accessible post accident/incident plan must be
						part of the transport following protocol so that appropriate search and rescue
						efforts may be initiated in the event the aircraft is overdue, radio
						communications cannot be established, nor location verified. There must be a
						written plan to initiate assistance in the event the ambulance is
						disabled.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.6 - Communications Equipment

Current through June 25, 2024
on the aircraft and ambulance - All communications must
						be maintained in full operating condition and in good repair. Radios on
						aircraft (as range permits) must be capable of transmitting and receiving the
						following:
1. Medical Control
					 Communications: The licensee shall have a means of providing communications
					 between the aircraft, the coordination point, medical control personnel and
					 other agencies by telephonic or radio as appropriate. This shall be
					 accomplished by local or regional EMS radio systems; and/or radio or flight
					 phone as available inboard the aircraft. All aircraft shall have 155.340
					 statewide hospitals net available for air crew member(s) in the patient
					 area.
2. Communications
					 Center
3. Air Traffic
					 Control
4. Emergency Medical
					 Services.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 7 - Communications › Rule 15-12-31-3.7.7

Current through June 25, 2024
There is a policy designed to discourage "shopping" by
						first responders and other requesting agents that specifically addresses how
						the program interfaces with other air medical services in the same coverage
						area to alert them of a weather turn-down. It is recognized that programs in a
						common geographic area may experience differing weather conditions and that
						programs may have differing capabilities.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.1

Current through June 25, 2024
When being used as an air ambulance, in addition to
						meeting other requirements set forth in these rules, and aircraft shall:
1. The aircraft should be a twin-engine or
					 turbine single engine aircraft appropriate to the mission statement and scope
					 of care of the medical service and listed on the air carrier's Operations
					 Specifications.
2. Pressurized
					 aircraft with air conditioning are strongly preferred for medical transports. A
					 physician familiar with altitude physiology must be consulted or written
					 policies address altitude limits for specific disease processes of the patient
					 to be transported in an unpressurized cabin.
3. Be equipped for Instrument Flight Rules
					 (IFR) flight.
4.
Note:
					 Fixed-wing aircraft should be equipped and rated for IFR operations in
					 accordance with Federal Aviation Regulations (FAR). Rotor-wing aircraft should
					 be equipped for inadvertent IFR if operating as a Visual Flight Rules (VFR)
					 operator.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.2

Current through June 25, 2024
Have a door large enough to allow a patient on a
						stretcher to be enplaned without excessive maneuvering or tipping of the
						patient which compromises the function of monitoring devices, IV lines or
						ventilation equipment.
The aircraft/ambulance configuration and patient
						placement allow for safe medical personnel egress. Doors must be fully operable
						from the interior. Doors must be capable of being opened fully and held by a
						mechanical device.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.3

Current through June 25, 2024
Be designed or modified to accommodate at least 1
						stretcher patient.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.4

Current through June 25, 2024
Have a lighting system which can provide adequate
						intensity to illuminate the patient care area and an adequate method (curtain,
						distance) to limit the cabin light from entering the cockpit and impeding
						cockpit crew vision during night operations. Use of red lighting or low
						intensity lighting in the patient care area is acceptable if not able to
						isolate the patient care area from effects on the cockpit or on a
						driver.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.5

Current through June 25, 2024
The interior of the aircraft must be climate controlled
						to avoid adverse effects on patients and personnel on board. Cabin temperatures
						must be measured and documented every 15 minutes during a patient transport
						until temperatures are maintained within the range of 50 - 95 degrees F (10 -
						35 degrees C) for aircraft and range of 68-78 degrees F (20-25.5 degrees C) for
						ground vehicles. Thermometer is to be mounted inside the
						cabin.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.6

Current through June 25, 2024
Have an interior cabin configuration large enough to
						accommodate the number of air medical personnel needed to provide care to the
						patient in accordance with Required Staffing, as well as an adult stretcher in
						the cabin area with access to the patient. The configuration shall not impede
						the normal or emergency evacuation routes.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.7

Current through June 25, 2024
Have an electrical system capable of servicing the power
						needs of electrically powered on-board patient care equipment. Electric power
						outlet must be provided with an inverter or appropriate power source of
						sufficient output to meet the requirements of the complete specialized
						equipment package without compromising the operation of any electrical
						aircraft/ambulance equipment. Extra batteries are required for critical patient
						care equipment.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.8

Current through June 25, 2024
All aircraft equipment (including specialized equipment)
						and supplies must be secured according to national aviation
						regulations.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.9

Current through June 25, 2024
Have sufficient space in the cabin area where the patient
						stretcher is installed so that equipment can be stored and secured with FAA
						approved devices in such a manner that it is accessible to the air medical
						personnel.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 8 - Requirements For Aircraft › Rule 15-12-31-3.8.10

Current through June 25, 2024
A fire extinguisher - fully charged with valid inspection
						- must be accessible to medical transport personnel and pilot/driver while in
						motion. If not accessible, two fire extinguishers are
						required.
Miss. Code Ann.
						§
												41-59-5
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 3 - AERO MEDICAL SERVICES › Subchapter 9 - Medical Equipment and Supplies › Rule 15-12-31-3.9.1

Current through June 25, 2024
Medical transport personnel must ensure that all medical
						equipment is in working order and all equipment/supplies are validated through
						documented checklists for both the primary and backup aircraft/ambulance. Each
						air ambulance aircraft shall carry the following minimum equipment set forth in
						the following section unless a substitution is approved by BEMS and an off-line
						medical director.
Miss. Code Ann.
						§
												41-59-5