reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-1 - Scope

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-15
Sec. 1.
This rule implements IC 25-1-1.1-6 regarding convictions of concern, which may disqualify an individual for licensure and includes in section 4 of this rule an explicit list of crimes that may disqualify an individual from receiving a license issued under IC 25-15.
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-2 - Issuance of license

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-15
Sec. 2.
An applicant for licensure who has a conviction of concern may still be granted a license based on the criteria stated in IC 25-1-1.1-6(h).
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-3 - Authority to issue license on probation

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-1-9-16; IC 25-15
Sec. 3.
This rule and IC 25-1-1.1-6 do not limit the authority of a board or committee to issue a license on probation if appropriate under IC 25-1-9-16 or any other applicable statute.
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-4 - Convictions of concern

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 6-3-6-11; IC 7.1-5-1-3; IC 7.1-5-7-8; IC 9-26-1-1.1; IC 9-30-5; IC 11-8-8; IC 12-17.2-5-1; IC 12-24-17; IC 16-36-5; IC 16-42-19; IC 23-0.5-2-9; IC 23-19-5-2; IC 25; IC 31-33-22; IC 31-34-2.3; IC 35
Sec. 4.
The following are convictions of concern:
(1) Crimes involving sexual acts that can be considered without respect to age of conviction are as follows:
(A) Child molesting (IC 35-42-4-3).
(B) Child seduction (IC 35-42-4-7).
(C) Criminal deviate conduct (IC 35-42-4-2) (before its repeal).
(D) Incest (IC 35-46-1-3).
(E) Making an unlawful proposition (IC 35-45-4-3).
(F) Prostitution (IC 35-45-4-2).
(G) Rape (IC 35-42-4-1).
(H) Sexual misconduct with a minor (IC 35-42-4-9(a)).
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-5 - Crimes in another jurisdiction

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-15
Sec. 5.
A crime in any other jurisdiction for which the elements of the crime for which conviction was entered are substantially similar to the elements of a crime included on the list in section 4 of this rule shall also be a crime that will disqualify an individual from receiving a license and therefore included on the list.
Indiana Administrative Code › Title 832 - STATE BOARD OF FUNERAL AND CEMETERY SERVICE › Article 9 - CONVICTIONS OF CONCERN › Rule 1 - Convictions of Concern › Section 1-6 - Prelicensure determinations; fee

Current through July 10, 2024
Authority: IC 25-1-1.1-6
Affected: IC 25-15
Sec. 6.
The fee for a petition under IC 25-1-1.1-6(g) for a determination as to whether the individual's misdemeanor or felony conviction may disqualify the individual from receiving a license or certification shall be twenty-five dollars ($25).
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-1 - Definitions

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
				  IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1
Sec. 1.
The following definitions apply throughout this title unless
				  the context clearly denotes otherwise:
(1) "
				14 CFR
				135 and
				14 CFR
				119 " means air carriers with reference to
				F.A.R. 135 and 119, and holding a current F.A.A. air carrier certificate, with
				approved air ambulance operations-helicopter or air ambulance
				operation-airplane operations specifications.
(2) "Advanced life support", for purposes of
				IC 16-31, means the following:
(A) Care given:
(i) at the scene of an:
(AA) accident;
(BB) act of terrorism (as defined in IC
				35-41-1-26.5
[
IC 35-41-1-26.5
was repealed by
				P.L.
				114-2012,
				SECTION
				132, effective July 1, 2012.]
), if
				the governor has declared a disaster emergency under IC
				10-14-3-12 in response to the act
				of terrorism; or
(CC)
				illness;
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-2 - Enforcement

Current through July 10, 2024
Authority: IC
				  16-31-2-7; IC
				  16-31-3-14; IC
				  16-31-3-14.5; IC
				  16-31-3-16; IC
				  16-31-3-17
Affected: IC 16-31
Sec. 2.
Enforcement actions will be taken in accordance with IC
				  16-31.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-3 - Request for waiver

Current through July 10, 2024
Authority: IC 16-31-2-7
Affected: IC 16-31-2-11; IC 16-31-3-5
Sec. 3.
(a) The
				commission shall waive any rule for a person who provides emergency ambulance
				service, an emergency medical technician, an emergency medical technician-basic
				advanced, an emergency medical technician-intermediate, a paramedic, or an
				ambulance when operating from a location in an adjoining state by contract with
				an Indiana unit of government to provide emergency ambulance or medical
				services to patients who are picked up or treated in Indiana. To receive such a
				waiver, an applicant shall submit the following:
(1) An application that shall include the
				following information:
(A) Organizational
				structure, including name, address, and phone number for the owner, chief
				executive officer, chief operations officer, training officer, and medical
				director.
(B) A description of the
				service area.
(C) Hours of
				operation.
(D) Proof of insurance
				coverage in amounts as specified in
				836 IAC 1-3-6.
(E) Other information as required by the
				commission.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-4 - Exemptions

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC 4-21.5; IC
				  16-31-3-3
Sec. 4.
(a) Under IC
				16-31-3-3, a certificate is not
				required for a person who provides emergency ambulance service, advanced life
				support, an emergency medical technician, an ambulance, or a nontransporting
				emergency medical services vehicle when doing any of the following:
(1) Providing assistance to persons certified
				to provide emergency ambulance service or to emergency medical
				technicians.
(2) Operating from a
				location or headquarters outside Indiana to provide emergency ambulance
				services to patients who are picked up outside Indiana for transportation to
				locations within Indiana. This includes the return of that patient to the
				patient's original state of origin if the return trip occurs within twenty-four
				(24) hours of the transport to Indiana.
(3) Providing emergency medical services
				during a major catastrophe or disaster with which persons or ambulance services
				are insufficient or unable to cope.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-6 - Audit and review

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
Sec. 6.
Each emergency medical service provider organization shall
				  conduct audit and review at least quarterly to assess, monitor, and evaluate
				  the quality of patient care as follows:
(1) The audit shall evaluate patient care and
				personnel performance.
(2) The
				results of the audit shall be reviewed with the emergency medical service
				personnel.
(3) Documentation for
				the audit and review shall include the following:
(A) The criteria used to select audited
				runs.
(B) Problem identification
				and resolution.
(C) Date of
				review.
(D) Attendance at the
				review.
(E) A summary of the
				discussion at the review.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-7 - Training

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC 4-21.5; IC
				  16-31-3
Sec. 7.
(a) Each
				emergency medical service provider organization shall designate one (1) person
				as the organization's training officer to assume responsibility for inservice
				training. This person shall be certified as one (1) of the following:
(1) First responder (only for the basic life
				support nontransport provider organization).
(2) An emergency medical
				technician.
(3) An emergency
				medical technician-basic advanced.
(4) An emergency medical
				technician-intermediate.
(5) A
				paramedic.
(6) A registered
				nurse.
(7) A certified physician
				assistant.
(8) A licensed physician
				who is actively involved in the delivery of emergency medical services with
				that organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 1 - Definitions and General Requirements › Section 1-8 - 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 4-21.5; IC 16-31-3
Sec. 8.
(a) All
				emergency medical service provider organizations shall comply with this
				section.
(b) Emergency medical
				service provider organization's premises shall be maintained, suitable to the
				conduct of the provider organizations service, with provision for adequate
				storage of emergency medical service vehicles and equipment.
(c) Each emergency medical service provider
				organization shall provide a written periodic maintenance program to assure
				that:
(1) all emergency medical service
				vehicles, including equipment, are maintained in good working condition at all
				times; and
(2) equipment,
				medication, and supplies have not exceeded the manufacturer's specified
				expiration date.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2 - Certification of Ambulance Service Providers › Section 2-1 - General certification provisions

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 ambulance services unless the person is certified
				  by the commission as an ambulance service provider organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2 - Certification of Ambulance Service Providers › 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 16-31-3-8
Sec. 2.
(a)
				Application for ambulance service provider organization certification shall be
				made on forms as provided by the agency, and the applicant shall comply with
				the following requirements:
(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 ambulance and
				its equipment shall be made available for inspection by the agency.
(3) The premises on which:
(A) ambulances are parked or garaged;
				and
(B) ambulance supplies are
				stored;
shall be open during business hours to the agency for
				  inspection.
(4)
				Each application shall include the following information:
(A) A description of the service
				area.
(B) Hours of
				operation.
(C) Number and location
				of ambulances.
(D) Organizational
				structure, including name, address, and phone number for the:
(i) owner;
(ii) chief executive officer;
(iii) chief operations officer;
(iv) training officer; and
(v) medical director.
(E) Current Federal Communications Commission
				license or letter of authorization.
(F) Location of ambulance service provider
				organization's records.
(G) Proof
				of insurance coverage for ambulances and nontransport vehicles as required by
				836 IAC 1-3-6.
(H) Staffing pattern of personnel.
(I) Base of operations.
(J) Roster of all affiliated personnel,
				signed by the medical director and chief executive officer, including
				certification numbers.
(K) Copy of
				protocols and standing orders established and signed by the medical
				director.
(L) Other information as
				required by the commission.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2 - Certification of Ambulance Service Providers › Section 2-3 - Ambulance service 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 16-31-3-2; IC 34-6-2-49
Sec. 3.
(a) Each
				ambulance service provider organization shall maintain accurate records under
				836 IAC 1-1-5.
(b) An ambulance service provider
				organization shall not operate a land ambulance on any public way in Indiana
				unless the ambulance is in full compliance with the ambulance certification
				requirements established and set forth in this article, except an ambulance
				service provider organization may operate, for a period not to exceed sixty
				(60) consecutive days, a noncertified ambulance if the noncertified ambulance
				is used to replace a certified ambulance that has been taken out of service
				providing the following:
(1) The replacement
				ambulance shall meet all certification requirements.
(2) The ambulance service provider
				organization shall notify the agency in writing within seventy-two (72) hours
				of the time the replacement ambulance is placed in service. The written notice
				shall identify the following:
(A) The
				replacement date.
(B) The
				certification number of the replaced ambulance.
(C) The:
(i)
				vehicle identification number; and
(ii) make and type;
of the replacement ambulance.
Upon receipt of the notification, a temporary certificate
				  shall be issued effective the date the certified ambulance was replaced.
				  Temporary certification shall not exceed sixty (60) days from the date that the
				  replacement ambulance is placed in service, and, upon return to service of the
				  certified ambulance, the use of the replacement vehicle shall cease.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2 - Certification of Ambulance Service Providers › Section 2-5 - Interfacility transfers and response

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-18-2-7; IC
				  16-28-2-161; IC 16-31
Sec. 5.
(a) A basic
				life support ambulance service provider organization may transport an emergency
				patient who would normally require transport by an advanced life support
				ambulance service provider organization if the following conditions are met:
(1) The emergency patient is being
				transported from one (1) health care facility to another health care facility.
				Health care facility has the meaning set forth in IC
				16-28-2-161.
(2) The transferring physician has issued
				written approval of the interfacility transfer by the basic life support
				ambulance service provider organization.
(3) The ambulance is equipped with the
				medical supplies and equipment determined by the transferring physician to be
				necessary to maintain the patient's medical condition and to manage patient
				complications that may be reasonably anticipated to occur en route to the
				patient's destination.
(4) The
				patient compartment of the ambulance is staffed by at least one (1) employee of
				the transferring health care facility who the transferring physician has
				determined has the training and skills necessary to maintain the patient's
				medical condition and to manage patient complications that may be reasonably
				anticipated to occur en route to the patient's destination.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-1 - Purpose

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 1.
The purpose of this rule is to provide a regulatory plan to ensure that injured patients in the pre-hospital setting are transported to the most appropriate hospital facility within the Indiana state trauma system based on field assessment by emergency medical services personnel of the potential severity of injury, available transportation, and hospital resources.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-2 - Exceptions

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 2.
This rule does not apply to interfacility transfers.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-3 - Definitions

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 3.
The following definitions apply throughout this rule:
(1) "ACS" means the American College of Surgeons, 633 N. Saint Clair Street, Chicago, IL 60611-3211.
(2) "Hospital" means a hospital that is licensed under IC  16-21-2 or another hospital, located in Illinois, Kentucky, Michigan, that is licensed under a statute in that state that is substantially equivalent to IC  16-21-2, or another hospital, located in Ohio that is legally operating under the laws of the state of Ohio and that provides substantially the same level of care as an Indiana hospital that is licensed under IC  16-21-2.
(3) "Field triage decision scheme" means the document incorporated by reference in section 6 of this rule.
(4) "Incident" means the site where the conditions requiring emergency medical services occurred.
(5) "Protocol" means a written guidance, prepared by the provider's medical director, detailing trauma field triage and transport destination procedures that shall be based on the field triage decision scheme.
(6) "Transport time" means the time from when the patient has been placed in the ambulance and the ambulance is ready to depart the incident and ends when the patient's care is transferred to the hospital.
(7) "Trauma center" means a hospital that is verified by the ACS as meeting its requirements to be a trauma center, or is designated a trauma center under a state designation system that is substantially equivalent to the ACS verification process, or is in the ACS verification process.
(8) "Trauma center care" means care provided to patients at a high risk of dying or serious injury, as determined by reference to the field triage decision scheme and medical judgment.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-4 - Transportation destination procedures

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 4.
(a) Upon arrival at an incident, emergency medical services personnel shall assess the condition of each patient using the field triage decision scheme to determine the appropriate transport destination.
(b) Patients determined to need trauma center care by virtue of their satisfying either step one or step two of the field triage decision scheme shall be transported to a trauma center, unless transport time exceeds 45 minutes or, in the judgment of the emergency medical services certified responder, a patient's life will be endangered if care is delayed by going directly to a trauma center, in which case the patient shall be transported to the nearest appropriate hospital as determined by the provider's protocols.
(c) Patients determined to need trauma center care by virtue of their satisfying either step three or step four of the field triage decision scheme shall be transported to either a trauma center or the nearest appropriate hospital, as determined by the provider's protocols.
(d) Patients who do not meet the field triage decision scheme criteria for trauma center care may nonetheless be transported to a trauma center if permitted under the provider's protocols.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-5 - Advance notification

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 5.
Emergency medical services personnel shall provide advance notification to the receiving hospital or trauma center whenever possible to allow appropriate activation of resources prior to patient arrival.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.1 - Certification of Ambulance Service Providers - Trauma Field Triage and Transport Destination Protocol › Section 2.1-6 - Adoption by reference

Current through July 10, 2024
Authority: IC  16-31-2-7
Affected: IC  10-14-3-12; IC 16-18; IC  16-21-2; IC  16-31-2-9; IC  16-31-3; IC  25-22.5-1-1.1; IC  25-23-1-1.1
Sec. 6.
"Figure 2, Field triage of injured patients-United States 2011" as contained at pages 6-7 of that certain document being titled the "Guidelines for Field Triage of Injured Patients - Recommendations of the National Expert Panel on Field Triage", as published on January 13, 2012, in the Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, MMWR /January 13, 2012/ Vol. 61/ No. 1, is hereby adopted by reference as if fully set out in this rule.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.2 - Certification of Ambulance Service Providers - Stroke Field Triage and Transport Destination Protocol › Section 2.2-1 - Purpose

Current through July 10, 2024
Authority: IC 16-31-2-9.5
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC
				  16-31-2-9.5; IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1
Sec. 1.
The purpose of this rule is to provide a regulatory plan to
				  ensure that suspected stroke patients in the Indiana prehospital setting are
				  transported to the most appropriate hospital based on field assessment by
				  emergency medical services personnel.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.2 - Certification of Ambulance Service Providers - Stroke Field Triage and Transport Destination Protocol › Section 2.2-2 - Definitions

Current through July 10, 2024
Authority: IC 16-31-2-9.5
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
				  IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1
Sec. 2.
The following definitions apply throughout this rule:
(1) "Hospital" means a hospital that is
				licensed under IC 16-21-2 or another hospital, located in Illinois, Kentucky,
				or Michigan, that is licensed under a statute in that state that is
				substantially equivalent to IC 16-21-2, or another hospital, located in Ohio
				that is legally operating under the laws of the state of Ohio and that provides
				substantially the same level of care as an Indiana hospital that is licensed
				under IC 16-21-2.
(2) "Protocol"
				means a written guidance, prepared by the ambulance service provider
				organization's medical director, defining stroke treatment and destination
				procedures that shall be based on the findings of the stroke screening tool.
				Written protocols include protocols required for:
(A) ambulance service provider organizations
				in
				836 IAC
				1-2-1;
(B)
				nontransport provider organizations in
				836
				IAC 1-11-3;
(C) paramedic provider organizations in
				836
				IAC 2-2-1; and
(D) advanced emergency medical technician
				provider organizations in
				836
				IAC 2-7.2-1.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.2 - Certification of Ambulance Service Providers - Stroke Field Triage and Transport Destination Protocol › Section 2.2-3 - Identification, transport, and treatment protocol

Current through July 10, 2024
Authority: IC 16-31-2-9.5
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
				  IC 16-31-2-9.5; IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1
Sec. 3.
(a) Ambulance
				service provider organization and nontransport provider organization medical
				directors shall develop protocols that address the identification, transport
				destination determination, and treatment protocols specifically addressing
				stroke as part of the medical director responsibilities in creating
				protocols.
(b) After an emergency
				medical dispatch agency, through the process of emergency medical dispatch,
				determines the possibility of a stroke and notifies responding emergency
				medical services units, the emergency medical services crews shall then be
				dispatched per dispatch protocols.
(c) Upon emergency medical services personnel
				arrival at the scene of a patient with suspected stroke, an emergency medical
				services provider must perform and document the following:
(1) An initial stroke assessment utilizing a
				stroke screening tool, as listed in section 2(3) of this rule and as approved
				by protocol.
(2) Obtain a blood
				glucose, if available.
(3) Identify
				and document time of last known well time and time of symptom
				discovery.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 2.2 - Certification of Ambulance Service Providers - Stroke Field Triage and Transport Destination Protocol › Section 2.2-4 - Advance notification

Current through July 10, 2024
Authority: IC 16-31-2-9.5
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
				  IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1
Sec. 4.
Emergency medical services personnel shall provide early
				  advance notification to the receiving facility whenever possible to allow
				  appropriate activation of resources prior to patient arrival.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-1 - 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 emergency medical service vehicles eligible for
				certification.
(b) All emergency
				medical service vehicles shall be in full compliance and meet minimum
				specifications and certification requirements set forth in this rule to be
				certified.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-2 - 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 emergency medical service vehicle certification shall be made
				by the emergency medical service provider organization on such forms as
				provided by the agency and shall comply with the following requirements:
(1) Applicants shall complete the required
				forms and submit the forms to the agency with the following information:
(A) Name and address of the emergency medical
				service provider organization.
(B)
				Vehicle information, including make, model, year, and vehicle identification
				number.
(C) Color scheme of
				emergency medical service vehicle.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-3 - Land ambulance specifications

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) All land
				ambulances shall meet or exceed the following minimum performance
				characteristics:
(1) Vehicle brakes shall be
				of the heavy-duty power assist type.
(2) Parking brake shall hold vehicle when
				engaged.
(3) The vehicle engine
				shall be a six (6) or eight (8) cylinder internal combustion, liquid cooled
				engine that meets ambulance chassis manufacturer's standard
				horsepower/displacement requirements.
(4) 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.
(5)
				The vehicle transmission shall have a minimum of three (3) forward gears and
				one (1) reverse gear. Automatic transmission is required.
(6) The steering system shall be:
(A) the manufacturer's recommended design;
				and be
[sic]
(B)
				power assisted.
(7) Shock
				absorbers shall be of the heavy-duty, double action type.
(8) Tires shall meet the manufacturer's
				standards for the gross vehicle weight of the vehicle. Retread tires shall not
				be used on ambulances. No tire shall:
(A)
				display exposed tire cord; or
(B)
				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, with no
				visible defects.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-4 - Land ambulance rescue 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. 4.
Land ambulances shall carry the following assembled and
				  readily accessible minimum rescue equipment:
(1) Equipment for safeguarding personnel
				includes:
(A) one (1) fire extinguisher with
				an Underwriters Laboratory rating of not less than 4A; 4-B; C; or
(B) two (2) fire extinguishers with
				individual Underwriters Laboratory ratings of not less than 2A:4-B; C;
that shall have a current inspection date within the last
				  twelve (12) months and be mounted so that they are readily accessible.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-5 - 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 and every land ambulance will have the following
				  minimum emergency care equipment, and this equipment shall be assembled and
				  readily accessible:
(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 1 - EMERGENCY MEDICAL SERVICES › Rule 3 - Standards and Certification Requirements for Ambulances › Section 3-6 - Insurance

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
				  16-31-3-17; IC
				  34-13-3
Sec. 6.
(a) This
				section is applicable to the following emergency medical service vehicles:
(1) Ambulance.
(2) Emergency medical technician-basic
				advanced nontransport vehicles.
(3)
				Advanced life support nontransport vehicles.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 4 - Communications System Requirements › Section 4-1 - Provider dispatch requirements

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
Sec. 1.
All emergency medical service provider organizations
				  dispatch centers shall be:
(1) capable
				of two-way communications with associated provider vehicles;
(2) used exclusively for dispatch and
				tactical communications; and
(3)
				apart from any involved in the Indiana Hospital Emergency Radio
				Network.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 4 - Communications System Requirements › Section 4-2 - Emergency medical services vehicle radio 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
				  16-31-3-2
Sec. 2.
(a) All
				communication used in emergency medical service vehicles for the purpose of
				dispatch or tactical communications shall demonstrate and maintain the ability
				to provide a voice communications linkage with the emergency medical service
				provider organization's dispatch center within the area that the emergency
				medical service provider organization normally serves or proposes to
				serve.
(b) Communication equipment
				used in emergency medical services vehicles shall be appropriately licensed
				through the Federal Communications Commission, when applicable. The maximum
				power of the transmitter shall be not more than the minimum required for
				technical operation, commensurate with the:
(1) size of the area to be served;
				and
(2) local conditions that
				affect radio transmission and reception.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 11 - Emergency Medical Services Nontransport Providers › Section 11-1 - General certification provisions

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC 4-33; IC
				  10-11-8-2; IC 16-21; IC 16-31; IC
				  22-12-1-12
Sec. 1.
(a) The
				following organizations are required to obtain certification as a basic life
				support nontransport provider organization prior to providing first response
				emergency patient care that includes defibrillation:
(1) Fire department as defined in IC
				22-12-1-12.
(2) Any provider organization required to be
				certified under IC 16-31.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 11 - Emergency Medical Services Nontransport Providers › Section 11-2 - 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 16-31-3-2; IC 16-31-3-8
Sec. 2.
(a)
				Application for basic life support nontransport provider organization
				certification shall be made on forms as provided by the agency, and the
				applicant shall comply with the following requirements:
(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 vehicle with emergency medical
				services equipment required by section 4 of this rule shall be made available
				for inspection by the agency.
(3)
				The premises on which emergency medical service nontransport vehicles are
				stored shall be open during operating hours to the agency for
				inspection.
(4) Each application
				shall include the following information:
(A) A
				description of the service area.
(B) Hours of operation.
(C) Number and location of emergency medical
				services vehicles.
(D)
				Organizational structure, including names, addresses, and telephone numbers of
				the:
(i) owner;
(ii) chief executive officer;
(iii) chief operations officer;
(iv) training officer; and
(v) medical director.
(E) Current Federal Communications Commission
				license or letter of authorization.
(F) Location of emergency medical services
				nontransport provider organization's records.
(G) Proof of insurance coverage for vehicles
				if required by
				836 IAC 1-3-6.
(H) Medical director approval form provided
				by the agency.
(I) Personnel roster
				form provided by the agency.
(J) A
				copy of the agreement with an ambulance service provider organization as
				required by subsection (e).
(K)
				Other information as required by the commission.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 11 - Emergency Medical Services Nontransport Providers › Section 11-3 - Emergency medical services nontransport 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 16-41-10
Sec. 3.
Each basic life support nontransport provider organization
				  shall do the following:
(1) Provide
				and maintain a communication system that meets or exceeds the requirements set
				forth in 836 IAC 1-4. The basic life
				support nontransporting vehicles are not required to be equipped with the
				Indiana Hospital Emergency Radio Network frequency (155.340 MHZ) as specified
				in 836 IAC
				1-4-2(c)(2).
(2) Follow the rigid sanitation procedures
				listed in
				836 IAC 1-1-8.
(3) Conduct quarterly audit and review under
				836 IAC 1-1-6.
(4) Secure a medical director. The duties and
				responsibilities of the medical director are as follows:
(A) Provide liaison between the local medical
				community and the emergency medical services provider organization.
(B) Assure compliance with defibrillation
				training standards and curriculum established by the commission.
(C) Monitor and evaluate the day-to-day
				medical operations of the emergency medical service provider organization. (D)
				Assist in the continuing education programs of the emergency medical service
				provider organization.
(E) Provide
				technical assistance concerning the delivery of automated defibrillation and
				other medical issues.
(F) Provide
				individual consultation to the emergency medical personnel affiliated with the
				emergency medical services provider organization.
(G) Participate in the audit and review of
				cases treated by the emergency medical defibrillation personnel of the
				emergency medical service provider organization.
(H) Assure compliance with approved medical
				standards established by the commission performed by the provider
				organization.
(I) Establish
				protocols for automatic defibrillation, airway management, and medication
				administration as approved by the commission.
(J) Provide liaison between the:
(i) emergency medical service provider
				organization;
(ii) emergency
				medical service personnel; and
(iii) hospital;
in regards to communicable disease testing under IC
				  16-41-10.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 11 - Emergency Medical Services Nontransport Providers › Section 11-4 - Basic life support nontransport provider organization emergency care equipment

Current through July 10, 2024
Authority: IC
				  16-31-2-7
Affected: IC
				  16-31-3-2
Sec. 4.
Every basic life support nontransport provider organization
				  shall have one (1) set of the following assembled and readily accessible
				  emergency care equipment for every vehicle utilized as an emergency medical
				  service nontransport vehicle:
(1)
				Respiratory and resuscitation equipment as follows:
(A) Portable suction apparatus, capable of a
				minimum vacuum of three hundred (300) millimeters mercury, equipped with
				wide-bore tubing and both rigid and soft pharyngeal suction tips.
(B) 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:
(i) Adult.
(ii) Child.
(iii) Infant.
(iv) Neonatal (mask only).
(C) Portable oxygen equipment of
				at least three hundred (300) liters capacity (D size cylinder) with yoke,
				medical regulator, pressure gauge, and nondependent flowmeter. Oxygen delivery
				devices shall include high concentration devices, one (1) each of the
				following:
(i) Adult.
(ii) Child.
(iii) Infant.
(D) Oropharyngeal airways, two (2) each of
				adult, child, and infant.
(E) One
				(1) pocket mask with one-way valve.
(F) Nasopharyngeal airways, two (2) each of
				the following:
(i) Small (20-24
				french).
(ii) Medium (26-30
				french).
(iii) Large (31 french or
				greater).
(G)
				Semiautomatic or automated external defibrillator and a minimum of two (2) sets
				of pads.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 12 - Emergency Medical Technician-Basic Advanced Provider Organizations; Requirements; Standards › Section 12-1 - Emergency medical technician-basic advanced provider organizations; general requirements

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 an emergency medical
				  technician-basic advanced provider organization unless the person is certified
				  by the commission as an emergency medical technician-basic advanced provider
				  organization.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 12 - Emergency Medical Technician-Basic Advanced Provider Organizations; Requirements; Standards › Section 12-2 - 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. 2.
(a) An
				applicant may apply for and obtain provisional certification as an emergency
				medical technician-basic advanced provider organization for the purpose of
				prehospital training of emergency medical technician-basic advanced 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 expires no later than the earlier of the
				following dates:
(1) Sixty (60) days after the
				completion date of the emergency medical technician-basic advanced course
				completion as identified on the approved course application.
(2) Six (6) 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 1 - EMERGENCY MEDICAL SERVICES › Rule 12 - Emergency Medical Technician-Basic Advanced Provider Organizations; Requirements; Standards › Section 12-3 - 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 16-31-3-8; IC 16-31-3-20
Sec. 3.
(a)
				Application for certification as an emergency medical technician-basic advanced
				provider organization shall be made on forms provided by the agency and shall
				include the following:
(1) Each application
				shall include the following information:
(A) A
				description of the service area.
(B) Hours of operation.
(C) Number and location of ambulances and
				nontransport vehicles.
(D)
				Organizational structure, including name, address, and phone number for the:
(i) owner;
(ii) chief executive officer;
(iii) chief operations officer;
(iv) training officer; and
(v) medical director.
(E) Current Federal Communications Commission
				license or letter of authorization.
(F) Location of provider organization's
				records.
(G) Proof of insurance
				coverage for ambulances and nontransport vehicles as required by
				836 IAC 1-3-6.
(H) Staffing pattern of personnel.
(I) Base of operations.
(J) Roster of all affiliated personnel,
				signed by the medical director and the chief executive officer, including
				certification numbers.
(K) Other
				information as required by the commission.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 1 - EMERGENCY MEDICAL SERVICES › Rule 12 - Emergency Medical Technician-Basic Advanced Provider Organizations; Requirements; Standards › Section 12-4 - Emergency medical technician-basic advanced 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. 4.
(a) Each
				emergency medical technician-basic advanced provider organization shall do the
				following:
(1) Comply with the emergency
				medical service provider organization operating procedures of
				836 IAC 1-1-8.
(2) Establish daily equipment checklist
				procedures to ensure the following:
(A)
				Mechanical and electronic equipment is in proper operating condition.
(B) Emergency response vehicles are
				maintained in a safe operating condition at all times.
(C) Intravenous fluids and administration
				sets are available and functional.
(D) Equipment, medication, fluid, and
				supplies do not exceed the manufacturer's specified expiration date.
Indiana Administrative Code › Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSION › Article 2 - ADVANCED LIFE SUPPORT › Rule 1 - Definitions › Section 1-1 - Definitions

Current through July 10, 2024
Authority: IC 16-31-2-7
Affected: IC 16-31-3
Sec. 1.
The definitions in
				  836 IAC 1-1-1 apply throughout
				  this article.