reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 2 - Requirements and Standards for Paramedic Organizations › Section 2-1 - General requirements for paramedic provider organizations

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3; IC 16-41-10
Sec. 1.
(a) A person
				shall not:
(1) furnish;
(2) operate;
(3) maintain;
(4) advertise; or
(5) otherwise engage in providing;
emergency medical services as a paramedic provider
				  organization unless the person is certified by the commission as a paramedic
				  provider organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 2 - Requirements and Standards for Paramedic Organizations › Section 2-2 - Application for certification; renewal

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3
Sec. 2.
(a)
				Application for certification as a paramedic provider organization shall be
				made on forms provided by the agency and shall comply with the following:
(1) Applicants shall complete the required
				forms and submit the forms to the agency not less than sixty (60) days prior to
				the requested effective date of the certificate.
(2) Each application shall include a
				narrative summary of plans for providing advanced life support services,
				including the following:
(A) Defined primary
				area of response, including location of advanced life support response
				vehicles.
(B) A roster of all
				affiliated personnel, signed by the medical director and the chief executive
				officer, including certification numbers.
(C) The staffing pattern of
				personnel.
(D) Base of
				operations.
(E) Organizational
				structure, including name, address, and phone numbers for the:
(i) owner;
(ii) chief executive officer;
(iii) chief operations officer;
(iv) training officer; and
(v) medical director.
(F) Location of paramedic provider
				organizations records.
(G) Proof of
				insurance coverage for emergency medical service vehicles if required by
				836 IAC 1-3-6.
(H) Plans and methodologies to ensure that
				the trained personnel are provided with supervised continuing education to
				maintain proficiency. Continuing education is under the direct supervision of
				the paramedic provider organization medical director with the cooperation of
				the supervising hospital.
(I) A
				listing of medications and special onboard life support equipment to be carried
				on board each vehicle as approved by the medical director.
(J) All scheduled medications shall be stored
				in a locked container within a locked compartment. Medications storage shall be
				approved in writing by medical director or issuing pharmacy.
(K) Letter of approval from the supervising
				hospital stating:
(i) acceptance of the
				paramedics;
(ii) compatibility of
				the UHF communications with the paramedic provider organization's vehicles;
				and
(iii) agreement to fulfill the
				responsibilities of the supervising hospital.
(L) Copy of agreement or interdpartmental
[sic, interdepartmental]
memo as required in section 1(d) of
				this rule.
(M) Other information as
				required by the agency.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 2 - Requirements and Standards for Paramedic Organizations › Section 2-3 - Paramedic provider organization operating procedures

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3
Sec. 3.
(a) Each
				paramedic ambulance service provider organization shall comply with the
				ambulance service provider organization operating procedures of
				836 IAC 1-2-3. The paramedic
				nontransport provider organization shall comply with the operating procedures
				listed in
				836 IAC 1-1-8.
(b) Each paramedic provider organization
				shall establish daily equipment checklist procedures to ensure the following:
(1) Electronic and mechanical equipment are
				in proper operating condition.
(2)
				Emergency response vehicles are maintained in a safe operating condition at all
				times.
(3) All required medications
				and intravenous fluids approved by the medical director of the paramedic
				provider organization and the supervising hospital are on board all
				nontransport emergency medical services vehicles and ambulances when used for
				the provision of advanced life support and available to the
				paramedic.
(4) Equipment,
				medication, fluid, and supplies have not exceeded the manufacturer's specified
				expiration date.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 2 - Requirements and Standards for Paramedic Organizations › Section 2-4 - Application for provisional certification

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC 4-21.5; IC
				  16-31-3-8; IC
				  16-31-3-20
Sec. 4.
(a) An
				applicant may apply for and obtain provisional certification as a paramedic
				provider organization for the purpose of prehospital training of paramedic
				students when in the presence of a preceptor approved by the commission in
				accordance with this section.
(b) A
				provisional certification may only be issued to a certified ambulance service
				provider organization.
(c) The
				applicant shall submit a fully completed application for provisional
				certification on forms provided by the agency.
(d) The provisional certification may only be
				issued after the applicant has demonstrated to the satisfaction of the director
				that the ambulance to be used for such training is certified and meets the
				requirements of this article.
(e)
				The provisional certification may only be issued if the ambulance service
				provider organization has and shall maintain an adequate number of paramedic
				students, preceptors, and ambulances to provide continuous twenty-four (24)
				hour advanced life support service.
(f) The provisional certification expires no
				later than the earlier of the following dates:
(1) Sixty (60) days after the completion date
				of the paramedic course completion as identified on the approved course
				application.
(2) Twenty-four (24)
				months from the starting date of the course contained on the approved course
				application.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 4.1 - Supervising Hospitals › Section 4.1-1 - Certification as a supervising hospital; renewal

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC
				  16-31-3-14
Sec. 1.
(a) All
				hospitals supervising, or seeking to supervise, an emergency medical services
				provider organization at the following levels shall be certified by the
				commission:
(1) Paramedic.
(2) Emergency medical
				technician-intermediate.
(3)
				Emergency medical technician-basic advanced.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 4.1 - Supervising Hospitals › Section 4.1-2 - General requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3
Sec. 2.
Hospitals seeking commission certification shall meet the
				  following minimum requirements:
(1)
				Have an emergency department open and staffed by a physician twenty-four (24)
				hours a day.
(2) The hospital's
				administration shall have approved a written agreement, or interdepartmental
				memo if provider organization is hospital-based, with one (1) or more emergency
				medical services provider organizations that furnish advanced life support or
				emergency medical technician-basic advanced services. The agreement or
				interdepartmental memo shall include a detailed description whereby the
				hospital agrees to provide the following services to the certified emergency
				medical service provider organization:
(A)
				Continuing education to include the following:
(i) Frequency of training.
(ii) Length of training.
(iii) Attendance policies.
(iv) Policy on acceptance of training
				obtained outside of supervising hospital.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 7.2 - Requirements and Standards for Emergency Medical Technician-Intermediate Provider Organizations › Section 7.2-1 - General requirements for emergency medical technician-intermediate provider organizations

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 4-21.5; IC 16-31-3; IC 16-41-10
Sec. 1.
(a) A person
				shall not:
(1) furnish;
(2) operate;
(3) maintain;
(4) advertise; or
(5) otherwise engage in providing;
emergency medical services as an emergency medical
				  technician-intermediate provider organization unless the person is certified as
				  an emergency medical technician-intermediate provider organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 7.2 - Requirements and Standards for Emergency Medical Technician-Intermediate Provider Organizations › Section 7.2-2 - Application for certification; renewal

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3
Sec. 2.
(a)
				Application for certification as an emergency medical technician-intermediate
				provider organization shall be made on forms provided by the agency and shall
				include, but not be limited to, the following:
(1) An applicant shall complete and submit
				the required forms to the agency at least sixty (60) days before the requested
				effective date of the certificate.
(2) Each application shall include a
				narrative summary of plans for providing advanced life support services,
				including the following:
(A) Defined primary
				area of response, including location of advanced life support response
				vehicles.
(B) A listing of all
				emergency medical technician-intermediates, including certification numbers, to
				be affiliated by the emergency medical technician-intermediate provider
				organization.
(C) The staffing
				pattern of personnel.
(D) Base of
				operations.
(E) Organizational
				structure, including name, address, and phone numbers for the:
(i) owner;
(ii) chief executive officer;
(iii) chief operations officer;
(iv) training officer; and
(v) medical director.
(F) Location of emergency medical
				technician-intermediate provider organizations records.
(G) Proof of insurance coverage for emergency
				medical service vehicles as required by
				836 IAC 1-3-6.
(H) Plans and methodologies to ensure that
				the trained personnel are provided with supervised continuing education to
				maintain proficiency. Continuing education is under the direct supervision of
				the emergency medical technicianintermediate provider organization medical
				director with the cooperation of the supervising hospital.
(I) A listing of medications and special
				onboard life support equipment to be carried on board each vehicle as approved
				by the medical director.
(J) All
				scheduled medications shall be stored in a locked container within a locked
				compartment. Medications storage shall be approved in writing by medical
				director or issuing pharmacy.
(K)
				Letter of approval from the supervising hospital stating acceptance of the:
(i) emergency medical
				technician-intermediates;
(ii)
				compatibility of the UHF communications with the emergency medical
				technician-intermediate provider organization's vehicles; and
(iii) agreement to fulfill the
				responsibilities of the supervising hospital.
(L) Certification required in section 1(d) of
				this rule.
(M) Other information as
				required by the agency.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 7.2 - Requirements and Standards for Emergency Medical Technician-Intermediate Provider Organizations › Section 7.2-3 - Emergency medical technician-intermediate provider organization operating procedures

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3
Sec. 3.
(a) Each
				emergency medical technician-intermediate provider organization shall do the
				following:
(1) Comply with the ambulance
				service provider operating procedures of
				836 IAC 1-2-3. The emergency
				medical technician-intermediate provider organization nontransport provider
				organization shall comply with the operating procedures listed in
				836 IAC 1-1-8.
(2) Establish daily equipment checklist
				procedures to ensure the following:
(A)
				Electronic and mechanical equipment are in proper operating
				condition.
(B) Emergency response
				vehicles are maintained in a safe operating condition at all times.
(C) All required medications and intravenous
				fluids approved by the medical director of the emergency medical
				technician-intermediate provider organization and the supervising hospital are
				on board all nontransport emergency medical services vehicles and ambulances
				when used for the provision of advanced life support and available to the
				emergency medical technician-intermediate.
(D) Equipment, medication, fluid, and
				supplies have not exceeded the manufacturer's specified expiration
				date.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 7.2 - Requirements and Standards for Emergency Medical Technician-Intermediate Provider Organizations › Section 7.2-4 - Application for provisional certification

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 4-21.5; IC
				  16-31-3-8; IC
				  16-31-3-20
Sec. 4.
(a) An
				applicant may apply for and obtain provisional certification as an emergency
				medical technician-intermediate provider organization for the purpose of
				prehospital training of emergency medical technician-intermediate students when
				in the presence of a preceptor approved by the commission in accordance with
				this section.
(b) A provisional
				certification may only be issued to a certified ambulance service provider
				organization.
(c) The applicant
				shall submit a fully completed application for provisional certification on
				forms provided by the agency.
(d)
				The provisional certification may only be issued:
(1) after the applicant has demonstrated to
				the satisfaction of the director that the ambulance to be used for such
				training is certified and meets the requirements of this article; and
(2) if the ambulance service provider
				organization has and shall maintain an adequate number of emergency medical
				technician-intermediate students, preceptors, and ambulances to provide
				continuous twenty-four (24) hour advanced life support service.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 14 - Advanced Life Support Nontransport Vehicles; Standards and Certification › Section 14-1 - General certification provisions

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3
Sec. 1.
(a) This rule
				is applicable to all advanced life support nontransport vehicles eligible for
				certification.
(b) All advanced
				life support nontransport vehicles shall be in full compliance with the minimum
				specifications and certification requirements established in this rule.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 14 - Advanced Life Support Nontransport Vehicles; Standards and Certification › Section 14-2 - Application for certification

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC
				  16-31-3-2; IC
				  16-31-3-8
Sec. 2.
(a)
				Application for advanced life support nontransport vehicle certification shall
				be made by the provider organization on such forms as provided by the agency
				and shall comply with the following requirements:
(1) An applicant shall complete and submit
				the required forms to the agency with the following information:
(A) Name and address of provider
				organization.
(B) Vehicle
				information including:
(i) make;
(ii) model;
(iii) year; and
(iv) vehicle identification number.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 14 - Advanced Life Support Nontransport Vehicles; Standards and Certification › Section 14-3 - Advanced life support nontransport vehicle specifications

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3
Sec. 3.
(a) All
				advanced life support nontransport vehicles shall meet or exceed the following
				minimum performance characteristics:
(1) The
				vehicle engine shall be an internal combustion, liquid-cooled engine that meets
				advanced life support nontransport vehicle chassis manufacturer's standard
				horsepower/displacement requirements.
(2) The fully loaded vehicle shall be capable
				of a sustained speed of at least sixty-five (65) miles per hour over dry,
				level, or hard-surfaced roads.
(3)
				The steering system shall be the manufacturer's recommended design and be power
				assisted.
(4) Tires shall meet the
				manufacturer's standards for the gross vehicle weight of the vehicle. No tire
				shall display exposed tire cord or have tread depth less than two
				thirty-seconds (2/32) on back tires and four thirty-seconds (4/32) on front
				tires spaced equally around the tire and with no visible defects. Retread tires
				shall not be used on advanced life support nontransport vehicles.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 14 - Advanced Life Support Nontransport Vehicles; Standards and Certification › Section 14-4 - Advanced life support nontransport vehicle rescue equipment

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3
Sec. 4.
Advanced life support nontransport vehicles shall carry the
				  following assembled and readily accessible minimum rescue equipment:
(1) Equipment for safeguarding personnel,
				including one (1) fire extinguisher with an Underwriters Laboratory rating of
				not less than a five (5) pound rating for 2A:4-B; C; that shall have a current
				inspection date and be mounted so that they are readily accessible.
(2) Equipment for release from entrapment or
				confinement, including the following:
(A) One
				(1) hammer, four (4) pound, fifteen (15) inch handle (hammer weight and length
				are minimums).
(B) One (1) wrecking
				bar, twenty-four (24) inch combination tool minimum.
(C) One (1) self-contained portable light
				source.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 14 - Advanced Life Support Nontransport Vehicles; Standards and Certification › Section 14-5 - Advanced life support nontransport vehicle emergency care equipment

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31-3
Sec. 5.
Each advanced life support nontransport vehicle shall wrap,
				  properly store, and handle all the single-service implements to be inserted
				  into the patient's nose or mouth. Multiuse items are to be kept clean and
				  sterile when indicated and properly stored. The vehicle shall carry the
				  following assembled and readily accessible minimum equipment:
(1) Respiratory and resuscitation equipment
				as follows:
(A) Portable suction apparatus,
				capable of a minimum vacuum of three hundred (300) millimeters mercury,
				equipped with two (2) each of the following:
(i) wide-bore tubings;
(ii) rigid catheters;
(iii) soft pharyngeal suction tips in child
				size; and
(iv) soft pharyngeal
				suction tips in adult size.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 1 - Definitions › Section 1-1 - Definitions

Current through July 10, 2024
Authority: IC 16-31-2-7
Affected: IC 16-31-3-20
Sec. 1.
The definitions in
				  836 IAC 1-1-1 apply throughout
				  this article.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-1 - Air ambulances; general requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC 16-31
Sec. 1.
(a) Any
				organization providing, or seeking to provide, rotorcraft ambulance services
				utilizing rotorcraft aircraft is required to be certified as an advanced life
				support rotorcraft ambulance service provider organization by the commission.
				The advanced life support rotorcraft ambulance service provider organization
				shall be certified in accordance with this article under IC 16-31 as
				appropriate.
(b) The provider
				organization of rotorcraft ambulance services shall ensure that the aircraft
				used in conjunction with the provision of advanced life support services meets
				the guidelines as specified in this article under IC 16-31 and is certified by
				the commission. Each rotorcraft ambulance service provider organization shall
				meet all applicable parts of F.A.A. regulation and shall hold a valid
				14 CFR
				135 air carrier certificate or shall have a
				contract with the holder of a
				14 CFR
				135 air carrier certificate to provide
				aviation services under their certificate. Either must also have current F.A.A.
				approved air ambulance operations specifications.
(c) Advanced life support rotorcraft
				ambulance service provider organizations will have an agreement with one (1) or
				more supervising hospitals for the following services:
(1) Continuing education.
(2) Audit and review.
(3) Medical control and direction.
(4) Provide liaison and direction for supply
				of medications, fluids, and other items utilized by the provider
				organization.
(5) Safety and
				survival programs and education.
The agreement shall include a detailed description of how
				  such services will be provided to the advanced life support rotorcraft
				  ambulance service provider organization. In those cases where more than one (1)
				  hospital enters into an agreement, or seeks to enter into an agreement, with an
				  advanced life support rotorcraft ambulance service provider organization as a
				  supervising hospital, an interhospital agreement will be provided to the
				  commission that clearly defines the specific duties and responsibilities of
				  each hospital to ensure medical, safety, and administrative accountability of
				  system operation. An agreement is not required when the hospital and the
				  provider are the same organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-2 - Certification; application

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31
Sec. 2.
(a)
				Application for certification as an advanced life support rotorcraft ambulance
				service provider organization will be made on forms provided by the agency and
				include, but not be limited to, the following:
(1) A narrative summary of plans for
				providing rotorcraft ambulance services, including the following:
(A) The staffing pattern of air-medical
				personnel and pilots.
(B) Defined
				area of primary and secondary response and an area wide coordination
				plan.
(C) Base of operations, a
				description of the visual flight rules weather minimums for both cross-county
				and local flight, and the definition of the "local flying area" quoted from the
				approved F.A.A. Part 135 operations specifications. (D) Aircraft types and
				identification numbers.
(E) A
				listing of all personnel and their qualifications by category who will
				regularly serve as pilots and air-medical personnel on the aircraft.
(F) A copy of the patient care transport
				record to be utilized on each transport.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-4 - Operating procedures; flight and medical

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-20
Affected: IC 4-21.5-1
Sec. 4.
(a) Each
				provider organization shall maintain accurate records concerning the emergency
				care provided to each patient within the state as well as the following:
(1) All advanced life support rotorcraft
				ambulance service provider organizations shall utilize a patient care transport
				record.
(2) All advanced life
				support rotorcraft ambulance service provider organizations shall maintain
				accurate records under
				836 IAC
				1-1-5.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-5 - Staffing

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC
				  4-21.5-1
Sec. 5.
(a) Each
				certified rotorcraft ambulance, while transporting an emergency patient, will
				be staffed by no fewer than three (3) people that have completed air-medical
				oriented training as prescribed by the air-medical director. Staffing will
				include the following requirements:
(1) The
				first person shall be a properly certified pilot who shall complete an
				orientation program covering flight and airmedical operations as prescribed by
				the air-medical director.
(2) The
				second person shall be currently certified, registered, or licensed in Indiana
				as:
(A) a paramedic;
(B) a registered nurse; or
(C) a physician;
within the state the air-ambulance is stationed and
				  operating.
(3) The
				third person shall be any appropriate personnel required to properly care for
				the medical needs of the patient at the discretion of the air-medical director.
				The air-medical personnel on board the aircraft shall be trained in air
				transport problems and flight physiology.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-6 - Equipment list

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC
				  16-31-3-20
Sec. 6.
(a) The
				advanced life support rotorcraft ambulance service provider organization shall
				ensure that the following basic life support and advanced life support
				equipment is carried on board each rotorcraft ambulance at the time of
				dispatch:
(1) Portable suction apparatus,
				capable of a minimum vacuum of three hundred (300) millimeters of mercury,
				equipped with wide-bore tubing and other rigid and soft pharyngeal suction
				tips.
(2) Oropharyngeal airways
				(adult, child, and infant sizes).
(3) Nasopharyngeal airways (small, 20-24
				french; medium, 26-30 french; large, 30 french or greater).
(4) Bag mask ventilation units, hand
				operated, one (1) unit in each of the following sizes, each equipped with clear
				face masks and oxygen reservoirs with oxygen tubing:
(A) Adult.
(B) Child.
(C) Infant (mask only).
(D) Neonatal (mask only).
(5) Portable oxygen equipment of
				at least three hundred (300) liters capacity (D size cylinder) with yoke,
				medical regulator, pressure gauge, and nondependent flowmeter.
(6) Oxygen delivery devices shall include the
				following:
(A) High concentration devices, two
				(2) each, in adult, child, and infant sizes.
(B) Low concentration devices, two (2) in
				adult size.
(7) Blood
				pressure manometer, one (1) each in the following cuff sizes:
(A) Large adult.
(B) Adult.
(C) Child.
(8) Stethoscope in adult size.
(9) Wound care supplies to include the
				following:
(A) Sterile gauze pads four (4)
				inches by four (4) inches.
(B)
				Airtight dressing.
(C) Adhesive
				tape, two (2) rolls.
(D) Bandage
				shears.
(10) Rigid
				extrication collars, two (2) each capable of the following sizes:
(A) Pediatric.
(B) Small.
(C) Medium.
(D) Large.
(11) Portable defibrillator with
				self-contained cardiac monitor and ECG strip writer and equipped with
				defibrillation pads or paddles, appropriate for both adult and pediatric
				defibrillation, that will not interfere with the aircraft's electrical and
				radio system.
(12) Endotracheal
				intubation devices, including the following equipment:
(A) Laryngoscopes with spare batteries and
				bulbs.
(B) Laryngoscope blades
				(adult and pediatric, curved and straight).
(C) Disposable endotracheal tubes, a minimum
				of two (2) each, sterile packaged, in sizes 3, 4, 5, 6, 7, 8, and 9 millimeters
				inside diameter.
(13)
				Medications, intravenous fluids, administration sets, syringes, and needles
				will be specified by the air-medical director identifying types and
				quantities.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 2 - Advanced Life Support Rotorcraft Ambulance Service Provider › Section 2-7 - Communications systems requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC 16-31-3-20
Sec. 7.
(a) Each
				rotorcraft ambulance shall have all communications equipment required under
				14 CFR
				135 for the type of aircraft and service
				provided. In addition, the rotorcraft ambulance shall have radio communications
				equipment that allows it to communicate directly with Indiana hospitals
				utilizing either the Indiana Hospital Emergency Radio Network (IHERN) system or
				the ultrahigh frequency medical communications channels used for advanced life
				support.
(b) Transmitters are to
				operate with an output power not to exceed ten (10) watts as applicable to FCC
				rules and regulations.
(c) The
				rotorcraft ambulance service provider organization shall maintain a dispatch
				and tactical communications system with the capability to provide a coordinated
				voice communications linkage within the flying area of the rotorcraft ambulance
				service provider organization. This channel or these channels will be used
				exclusively for dispatch and tactical communications and shall be apart from
				any involved in the IHERN.
(d)
				Authorization or authorizations for the use of any frequencies necessary for
				the required communications linkages with ground personnel identified in
				section 3(m) of this rule shall be part of the area wide coordinated plan
				identified in section 2(a)(1)(B) of this rule.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-1 - Air ambulances; general requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC 16-31-3-20
Sec. 1.
(a) Any
				organization based in Indiana providing, or seeking to provide, fixed-wing air
				ambulance services utilizing fixed-wing aircraft is required to be certified as
				an advanced life support fixed-wing air ambulance service provider organization
				by the commission. The advanced life support fixed-wing air ambulance service
				provider organization shall be certified in accordance with this article under
				IC 16-31 as appropriate.
(b) The
				provider organization of fixed-wing air ambulance services shall ensure that
				the aircraft used in conjunction with the provision of advanced life support
				services meets the guidelines as specified in this article under IC 16-31 and
				is certified by the commission. Each fixed-wing air ambulance service provider
				organization shall meet all applicable parts of F.A.A. regulation and shall
				hold a valid 14 CFR
				135 air carrier certificate or shall have a
				contract with the holder of a
				14 CFR
				135 air carrier certificate to provide
				aviation services under their certificate. Either must also have current F.A.A.
				approved air ambulance operations specifications.
(c) Advanced life support fixed-wing air
				ambulance service provider organizations will have an agreement with one (1) or
				more supervising hospitals for the following services:
(1) Continuing education.
(2) Audit and review.
(3) Medical control and direction.
(4) Provide liaison and direction for supply
				of medications, fluids, and other items utilized by the provider
				organization.
(5) Safety and
				survival programs and education.
The agreement will include a detailed description of how such
				  services will be provided to the advanced life support fixed-wing air ambulance
				  service provider organization. In those cases where more than one (1) hospital
				  enters into an agreement, or seeks to enter into an agreement, with an advanced
				  life support fixed-wing air ambulance service provider organization as a
				  supervising hospital, an interhospital agreement will be provided to the agency
				  that clearly defines the specific duties and responsibilities of each hospital
				  to ensure medical, safety, and administrative accountability of system
				  operation. An agreement is not required when the hospital and the provider are
				  the same organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-2 - Certification; application

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 16-31
Sec. 2.
(a)
				Application for certification as an advanced life support fixed-wing air
				ambulance service provider organization will be made on forms provided by the
				agency and include, but not be limited to, the following:
(1) A narrative summary of plans for
				providing fixed-wing air ambulance services, including the following:
(A) The staffing pattern of air-medical
				personnel and pilots.
(B) Base of
				operations.
(C) Aircraft types and
				identification numbers.
(D) A
				listing of all personnel and their qualifications by category who will
				regularly serve as pilots and air-medical personnel on the aircraft.
(E) A description of the weather minimums for
				both cross-country and local flights.
(F) A copy of the patient care transport
				record to be utilized on each transport.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-4 - Operating procedures; flight and medical

Current through July 10, 2024
Authority: IC 16-31-2-7; IC 16-31-3-20
Affected: IC 4-21.5-1
Sec. 4.
(a) Each
				provider organization shall maintain accurate records concerning the emergency
				care provided to each patient within the state as well as the following:
(1) All advanced life support fixed-wing
				ambulance service provider organizations shall utilize a patient care transport
				record.
(2) All advanced life
				support fixed-wing ambulance provider organizations shall maintain accurate
				records under
				836 IAC
				1-1-5.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-5 - Staffing

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC
				  4-21.5-1; IC
				  16-31-3-14
Sec. 5.
(a) Each
				certified fixed-wing ambulance while transporting an emergency patient shall be
				staffed by no less than three (3) people and include the following
				requirements:
(1) The first person shall be a
				properly certified pilot who shall complete an orientation program covering
				flight and airmedical operations as prescribed by the air-medical
				director.
(2) The second person
				shall be an Indiana certified paramedic or registered nurse or a
				physician.
(3) The third person
				shall be any appropriate personnel to properly care for the medical needs of
				the patient as required on board the fixed-wing aircraft in the patient
				compartment.
(4) All medical
				personnel on board the aircraft must be trained in air transport problems and
				principles of flight physiology.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-6 - Equipment list

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC
				  16-31-3-20
Sec. 6.
(a) The
				advanced life support fixed-wing air ambulance service provider organization
				shall ensure that the following basic life support and advanced life support
				equipment is available on board each aircraft and is appropriate for the age
				and medical condition of the patient to be transported at the time of
				transport:
(1) Portable or fixed suction
				apparatus, capable of a minimum vacuum of three hundred (300) millimeters of
				mercury, equipped with wide-bore tubing and other rigid and soft pharyngeal
				suction tips.
(2) Oropharyngeal
				airways (adult, child, and infant sizes).
(3) Nasopharyngeal airways (small, 20-24
				french; medium, 26-30 french; large, 30 french or greater).
(4) Bag mask ventilation units, hand
				operated, one (1) unit in each of the following sizes, each equipped with clear
				face masks and oxygen reservoirs with oxygen tubing:
(A) Adult.
(B) Child.
(C) Infant (mask only).
(D) Neonatal (mask only).
(5) Portable oxygen equipment of
				at least three hundred (300) liters capacity (D size cylinder) with yoke,
				medical regulator, pressure gauge, and nondependent flowmeter.
(6) Oxygen delivery device shall include the
				following:
(A) High concentration devices, two
				(2) each, in adult, child, and infant sizes.
(B) Low concentration devices, two (2) in
				adult size.
(7) Blood
				pressure manometer, one (1) each in the following cuff sizes:
(A) Large adult.
(B) Adult.
(C) Child.
(8) Stethoscope in adult size.
(9) Wound care supplies to include the
				following:
(A) Sterile gauze pads four (4)
				inches by four (4) inches.
(B)
				Airtight dressing.
(C) Bandage
				shears.
(D) Adhesive tape, two (2)
				rolls.
(10) Rigid
				extrication collars, two (2) each capable of the following sizes:
(A) Pediatric.
(B) Small.
(C) Medium.
(D) Large.
(11) Portable defibrillator with
				self-contained cardiac monitor and ECG strip writer and equipped with
				defibrillation pads or paddles, appropriate for both adult and pediatric
				defibrillation, that will not interfere with the aircraft's electrical and
				radio system.
(12) Endotracheal
				intubation devices, including the following equipment:
(A) Laryngoscopes with spare batteries and
				bulbs.
(B) Laryngoscope blades
				(adult and pediatric, curved and straight).
(C) Disposable endotracheal tubes, a minimum
				of two (2) each, sterile packaged, in sizes 3, 4, 5, 6, 7, 8, and 9 millimeters
				inside diameter.
(13)
				Medications, intravenous fluids, administration sets, syringes, and needles
				will be specified by the air-medical director identifying types and
				quantities.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 3 - Fixed-Wing Air Ambulance Service Provider Organization › Section 3-7 - Communications systems requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC 16-31-3-20
Sec. 7.
(a) Each
				fixed-wing ambulance shall have all communications equipment required under
				14 CFR
				135 for the type of aircraft and service
				provided. In addition, the fixed-wing ambulance shall have radio communications
				equipment that allows it to communicate directly with Indiana hospitals
				utilizing either the Indiana Hospital Emergency Radio Network (IHERN) system,
				the ultrahigh frequency medical communications channels used for advanced life
				support, or air-to-ground radio telephone.
(b) Transmitters are to operate with an
				output power not to exceed ten (10) watts as applicable to FCC rules and
				regulations.
(c) The fixed-wing air
				ambulance service provider organization shall maintain a dispatch and tactical
				communications system with the capability to provide a voice communications
				linkage with the fixed-wing air ambulance service provider organization's base
				station. This channel will be used exclusively for dispatch and tactical
				communications and shall be apart from any involved in the IHERN.
(d) In addition to subsection (a), each
				multiengine fixed-wing air ambulance shall be equipped with a minimum of two
				(2) VHF aircraft band transceivers and two (2) independently functioning audio
				panels allowing each required pilot to communicate with ground resources
				separately.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 3 - AIR AMBULANCES › Rule 5 - Registry for Out-of-State Advanced Life Support Fixed-Wing Ambulance Service Provider Organization › Section 5-1 - Certificate of registry

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-20
Affected: IC
				  16-31-3-20
Sec. 1.
(a)
				Application for certificate of registry as a fixed-wing ambulance service
				provider organization shall be made on forms provided by the agency and
				include, but are not limited to, a narrative summary of plans for providing
				fixed-wing ambulance services, including the following:
(1) The staffing pattern of
				personnel.
(2) Base of operations
				and a level of care to be provided.
(3) The training and experience of the
				applicant in the transportation and care of patients.
(4) A description and general location of
				each aircraft to be used as an air ambulance, including the make, model, year
				of manufacture, insignia, name or monogram, or other distinguishing
				characteristics.
(5) Types and
				quantity of medical equipment on board.
(6) Proof of current valid certification or
				license issued by another state.
(7) Other information as requested by the
				commission.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 4 - TRAINING AND CERTIFICATION › Rule 1 - Definitions › Section 1-1 - Definitions

Current through July 10, 2024
Authority: IC 16-31-2-7
Affected: IC 16-31
Sec. 1.
The definitions in
				  836 IAC 1-1-1 apply throughout
				  this article.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 4 - TRAINING AND CERTIFICATION › Rule 2 - Emergency Medical Services Training Institution › Section 2-1 - General requirements for training institutions; staff

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC 4-21.5; IC 16-21; IC
				  16-31-3-2; IC
				  20-12-62-3; IC
				  20-12-71-8; IC
				  20-18-2-7
Sec. 1.
(a) All
				institutions administering or seeking to administer emergency medical services
				training programs shall:
(1) be certified by
				the commission prior to providing such training; and
(2) comply with this section.
Any multiple campus institution administering or seeking to
				  administer such programs shall have its training institution certified by the
				  commission on a campus-by-campus basis.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 4 - TRAINING AND CERTIFICATION › Rule 2 - Emergency Medical Services Training Institution › Section 2-2 - Institutional responsibilities

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC
				  16-31-3
Sec. 2.
A certified training institution seeking commission approval
				  for administering emergency medical services training courses shall meet the
				  following minimum requirements:
(1)
				Designate one (1) person as a training institution official responsible for:
(A) administering all of the activities of
				the emergency medical services training institution; and
(B) communicating with the agency.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 4 - TRAINING AND CERTIFICATION › Rule 2 - Emergency Medical Services Training Institution › Section 2-3 - Educational staff qualifications and responsibilities

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-20
Affected: IC
				  16-31-3
Sec. 3.
(a) Minimum
				personnel qualifications for the training institution's education staff shall
				be as follows:
(1) A medical
				director.
(2) A program director
				who shall:
(A) have appropriate education and
				experience necessary to teach in the assigned areas at the discretion of the
				medical director;
(B) be thoroughly
				and appropriately knowledgeable about all subject matter;
(C) be able to demonstrate all skills
				assigned to teach or evaluate;
(D)
				be a certified primary instructor; and
(E) hold a clinical certification or license
				at least equal to that of the curriculum of the course in which the individual
				acts as the program director.
(3) The primary instructor shall be certified
				by the commission.
(4)
				Instructional staff members will be selected from various specialties and have
				appropriate education and experience necessary to teach in the assigned areas
				at the discretion of the training institution official. The individual must be:
(A) thoroughly and appropriately
				knowledgeable about all subject matter; and
(B) able to demonstrate all skills that the
				individual is assigned to teach or evaluate.
Instructional staff members involved in the skills testing of
				  students shall be persons who hold a clinical certification or license at least
				  equal to that of the curriculum of the course in which the individual acts as
				  instructional staff.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 4 - TRAINING AND CERTIFICATION › Rule 2 - Emergency Medical Services Training Institution › Section 2-4 - Institution reporting requirements

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3
Sec. 4.
(a) Each
				training institution shall submit any changes within thirty (30) days to the
				agency that includes the following information:
(1) Name, address, and telephone number of
				the training institution official.
(2) List of affiliated educational staff,
				including name, certification level, and certification number.
(3) Changes in the training institutions
				standards and criteria.