reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5712 - Onsite Access to Medication-Assisted Treatment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each residential substance use disorder
					 facility licensed as a BHS provider that provides treatment for opioid use
					 disorder shall provide all of the following:
1. onsite access, as defined in the Rule, to
					 at least one form of FDA-approved opioid antagonist treatment; and
2. onsite access, as defined in this Rule, to
					 at least one form of FDA-approved partial opioid agonist
					 treatment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5713 - Client Funds and Assets

Current through Register Vol. 50, No. 6, June 20, 2024
A. If a BHS
					 provider manages clients personal funds accounts, the BHS provider shall
					 develop and implement written policies and procedures governing the maintenance
					 and protection of the client fund accounts that include, but are not limited
					 to:
1. the maximum amount each client may
					 entrust with the provider;
2. the
					 criteria by which clients can access money;
3. the disbursement procedure, including the
					 maximum amount that may be disbursed to the client;
4. staff members who may access such funds;
					 and
5. the method for protecting
					 and maintaining the funds.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5715 - Dietary Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 residential BHS provider shall ensure that:
1. all dietary services are provided under
					 the direction of a Louisiana licensed dietician;
2. menus are approved by a licensed
					 dietician;
3. meals are of
					 sufficient quantity and quality to meet the nutritional needs of clients,
					 including religious and dietary restrictions;
4. meals are in accordance with FDA dietary
					 guidelines and the orders of the authorized licensed prescriber;
5. at least three meals plus an evening snack
					 are provided daily with no more than 14 hours between any two meals;
6. all food is stored, prepared, distributed,
					 and served under safe and sanitary conditions in accordance with the Louisiana
					 state
Sanitary Code
;
7. all equipment and utensils used in the
					 preparation and serving of food are properly cleaned, sanitized and stored in
					 accordance with the LAC 51
, Public Health
-
Sanitary
					 Code;
and
8. if meals are
					 prepared on-site, they are prepared in an OPH approved kitchen.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5717 - Transportation

Current through Register Vol. 50, No. 6, June 20, 2024
A. A residential
					 BHS provider shall assist in arranging for or provide transportation necessary
					 for implementing the clients treatment plan, including but not limited to,
					 court-ordered hearings and medically necessary appointments with a health care
					 provider.
B. The BHS provider may
					 provide transportation pursuant to a written agreement with an outside
					 transportation service. If provided pursuant to a written agreement, the
					 provider shall maintain responsibility for ensuring compliance with this
					 Chapter.
C. Any vehicle used to
					 transport a BHS providers client shall be:
1.
					 properly licensed and inspected in accordance with state law;
2. maintained in a safe condition;
3. operated at a climate controlled
					 temperature that does not compromise the health, safety or needs of the client;
					 and
4. operated in conformity with
					 all of the applicable motor vehicle laws, including but not limited to,
					 utilization of seat belts and vehicular child restraint systems.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5719 - Staffing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall ensure that there are at least two staff persons on site at all times
					 when a client is present.
B. House
					 Manager
1. A residential provider shall have
					 a house manager.
2. The house
					 manager shall:
a. be at least 21 years
					 old;
b. have at least two years
					 qualifying experience working for a provider that treats clients with mental
					 illness and/or addiction disorders;
c. supervise the activities of the facility
					 when the professional staff is not on duty;
d. perform clinical duties only if licensed
					 to do so;
e. report incidents of
					 abuse, neglect and misappropriation to the medical director;
f. identify and respond to and report any
					 crisis situation to the clinical supervisor when it occurs; and
g. coordinate and consult with the clinical
					 staff as needed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter N - Additional Requirement for Substance Use/Addictive Residential Treatment Programs › Section I-5721 - Policies and Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. House
					 Rules and Regulations. A residential provider shall:
1. have a clearly written list of house rules
					 and regulations governing client conduct and behavior management;
2. provide a copy of the house rules and
					 regulations to all clients and, where appropriate, the clients parent(s) or
					 legal guardian(s) upon admission;
3. post the rules and regulations in an
					 easily accessible location in the provider and make them available when
					 requested; and
4. have a policy and
					 procedure that pertains to the bedroom assignment of its clients, with
					 consideration given to age, clients diagnosis and severity of clients medical
					 condition.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter O - Additional Requirement for Substance Opioid Treatment Programs › Section I-5723 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 provider with an opioid treatment program shall:
1. meet the requirements of the protocols
					 established by OBH/SOTA;
2. update
					 the Louisiana methadone central registry daily and as needed;
3. upon the death of a client:
a. report the death of a client enrolled in
					 their clinic to the SOTA within 24 hours of the discovery of the client's
					 death;
b. report the death of a
					 client to HSS within 24 hours of discovery if the death is related to program
					 activity;
c. submit documentation
					 on the cause and/or circumstances to SOTA and to HSS, if applicable, within 24
					 hours of the provider's receipt of the documentation; and
d. adhere to all protocols established by LDH
					 on the death of a client; and
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter O - Additional Requirement for Substance Opioid Treatment Programs › Section I-5725 - Treatment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Client Admission
					 Criteria. The program shall only admit clients that:
1. are at least 18 years old, unless the
					 client has consent from a parent, or legal guardian, if applicable;
2. meet the federal requirements regarding
					 the determination that the client is currently addicted to opiates and has been
					 addicted to opiates for at least one year prior to admission or the
					 exceptions;
3. are verified by a
					 physician that treatment is medically necessary;
4. have had a complete physical evaluation by
					 the clients or programs physician before admission to the opioid treatment
					 program;
5. have had a full medical
					 exam, including results of serology and other tests, completed within 14 days
					 of admission; and
6. have a
					 documented history of opiate addiction.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter O - Additional Requirement for Substance Opioid Treatment Programs › Section I-5727 - Additional Staffing Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The providers opioid treatment program
					 shall have the following staff in addition to the general staffing
					 requirements.
1. Pharmacist or Dispensing
					 Physician
a. An opioid treatment program that
					 dispenses prescription medication on-site shall employ or contract with a
					 pharmacist or dispensing physician to assure that any prescription medication
					 dispensed on-site meets the requirements of applicable state statutes and
					 regulations.
b. The pharmacist or
					 dispensing physician shall have a current, valid unrestricted license to
					 practice in the state of Louisiana.
c. The provider's pharmacist or dispensing
					 physician shall:
i. provide on-site
					 services;
ii. dispense all
					 medications;
iii. consult with the
					 provider as needed;
iv. evaluate
					 medication policy and procedure of provider to dispense medications;
v. reconcile inventories of medications that
					 were dispensed and/or administered at least every 30 days;
vi. maintain medication records for at least
					 three years in accordance with state laws, rules and regulations;
vii. approve all transport devices for
					 take-home medications in accordance with the program's diversion control
					 policy;
viii. work collaboratively
					 with the medical director to decrease the dose to accomplish gradual, but
					 complete withdrawal, only when requested by the member;
ix. contribute to the development of the
					 initial treatment plan;
x.
					 contribute to the documentation for the treatment plan review every 90 days in
					 the first two years of treatment; and
xi. document response to treatment in
					 progress notes at least every 30 days.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter O - Additional Requirement for Substance Opioid Treatment Programs › Section I-5729 - Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall ensure that all medications are administered by a nurse, pharmacist or
					 other practitioner licensed under state law and authorized by federal and state
					 law to administer or dispense opioid drugs.
B. Take-Home Dose(s)
1. The provider shall ensure that:
a. determinations for take-home dose(s) and
					 the factors considered are made by the clients treatment team and are
					 documented in the clients record when each take-home dose is
					 authorized;
b. date and recommended
					 dosage are documented in the clients record; and
c. take-home dose(s) are ordered by the
					 medical director.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Subchapter O - Additional Requirement for Substance Opioid Treatment Programs › Section I-5731 - Client Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. In addition
					 to the general requirements for client records, each client record shall
					 contain:
1. recording of medication
					 administration and dispensing in accordance with federal and state
					 requirements;
2. results of five
					 most recent drug screen tests with action taken for positive results;
3. physical status and use of additional
					 prescription medication;
4. monthly
					 or more frequently, as indicated by needs of client, contact notes and progress
					 notes which include employment/vocational needs, legal and social status, and
					 overall individual stability;
5.
					 documentation and confirmation of the factors to be considered in determining
					 whether a take-home dose is appropriate;
6. documentation of approval of any exception
					 to the standard schedule of take-home doses and the physicians justification
					 for such exception; and
7. any
					 other pertinent information.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6001 - Overview

Current through Register Vol. 50, No. 6, June 20, 2024
A. In the
					 non-hospital emergency setting, out-of-hospital care minimizes systemic insult
					 or injury and manages life-threatening conditions through high-quality
					 consistent emergency standards of care. Such care is dependent on continuous
					 quality improvement, effective monitoring, medical oversight of out-of-hospital
					 protocols, and collaboration of medical physicians and licensed emergency
					 services personnel. These licensing standards constitute minimum guidelines
					 that each licensed EMS ambulance service shall meet to ensure the safety of
					 patients of all ages in the out-of-hospital setting.
AUTHORITY
						NOTE: Promulgated in accordance with
						R.S.
						36:254,
						R.S.
						40:1135.1 and
						R.S.
						40:1135.2.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6005 - Licensing Requirements and Types of Licenses [Formerly section 6003]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All ambulance
					 services shall be licensed by the Department of Health (LDH). It shall be
					 unlawful to operate or maintain an ambulance service in the state of Louisiana
					 without possessing a license from the department. The Department of Health is
					 the only licensing agency for ambulance services in the state of
					 Louisiana.
B. No person, firm,
					 corporation, association or government entity shall conduct, manage, operate,
					 or maintain an ambulance service in Louisiana without a valid current license
					 from the department.
1. Exception. No license
					 shall be required for any hospital that operates a vehicle solely for the
					 purpose of moving its own patients between parts of its own campus, provided
					 that all of the following conditions are met:
a. the parts of the hospital's campus are not
					 more than 10 miles apart;
b. at the
					 time of transport, the patient is attended by at least two individuals who are
					 an emergency medical services practitioner, a licensed practical or registered
					 nurse, or a physician; and
c. the
					 vehicle utilized by the hospital for transport contains the same equipment as
					 is required for a licensed ambulance.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6007 - Initial Licensing [Formerly section 6005]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All requirements of the application
					 process for licensing shall be completed by the applicant before the
					 application will be processed by the department.
1. No application will be reviewed until the
					 application fee is paid.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6009 - Service Areas [Formerly section 6007]

Current through Register Vol. 50, No. 6, June 20, 2024
A. An ambulance service/provider's service
					 area is that territory which the ambulance service/provider renders services,
					 has vehicles posted or domiciled, and is legally authorized by the local
					 governing body(ies) to provide services.
B. Upon initial application, an applicant for
					 an EMS license shall declare his service area in writing. The department may
					 require the applicant to provide a map of the service area. The applicant shall
					 also provide copies of all necessary local licenses and permits to operate
					 within the service area, or other legal clearances.
C. Expansion of Service Area. If an ambulance
					 service/provider intends to expand into additional service areas, such notice
					 shall be given to the department at least 72 hours in advance.
1. This notification must include:
a. a description of the territory
					 added;
b. the unit numbers and
					 vehicle identification numbers of vehicles assigned to the area; and
c. the address and telephone number of any
					 substations within the designated service area.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6011 - Governing Body

Current through Register Vol. 50, No. 6, June 20, 2024
A. The ambulance
					 service/provider shall have a governing body that is responsible for
					 establishing and implementing policies regarding the management and operation
					 of the ambulance service.
1. The governing
					 body shall develop, approve, implement, and re-evaluate policies and procedures
					 which define and describe the:
a. scope of
					 services offered;
b. maintenance
					 and availability of equipment and supplies necessary to perform such services;
					 and
c. maintenance of the vehicles
					 to ensure such are in safe and working order.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6013 - Fees [Formerly section 6009]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any
					 remittance submitted to the department in payment of a required fee must be in
					 the form/manner specified by the department.
B. Fee amounts shall be determined by the
					 department in accordance with
					 R.S.
					 40:1135.4 et seq.
C. Fees paid to the department are not
					 refundable.
D. A fee is required to
					 be submitted with:
1. an initial
					 application;
2. a renewal
					 application;
3. a change of
					 controlling ownership;
4. a change
					 of name or physical address; and
5.
					 each application for a permit to add a vehicle to the service.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6015 - Inspections, Surveys or Investigations [Formerly section 6011]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Initial
					 Inspections. An applicant must successfully complete an initial inspection by
					 the department which includes:
1. an
					 inspection of all vehicles to determine that they are safe and in working order
					 and that they are equipped with all of the prescribed medical equipment as
					 required by these provisions and in accordance with state and local laws and
					 regulations:
a. safe and working order shall
					 be determined pursuant to the provisions of
					 R.S.
					 32:1 et seq. and the Louisiana Motor Vehicle
					 Inspection Manual, in addition to the provisions of this Chapter and
					 R.S.
					 40:1135.1 et seq.;
b. for aircraft, the safe and working order
					 shall be determined by the rules of the FAA, in addition to the provisions of
					 this Chapter and
					 R.S.
					 40:1135.1 et seq.;
c. each vehicle successfully completing the
					 inspection shall receive a permit (evidenced by a department-issued decal)
					 authorizing it to be operated as part of the applicant's fleet;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6017 - Statement of Deficiencies

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except
					 as may otherwise be required by the Louisiana Public Records Law (La.
					 R.S.
					 44:1 et seq.), any statement of deficiencies
					 issued by the department to the ambulance service/provider shall be available
					 for disclosure to the public 30 days after the ambulance service/provider
					 submits an acceptable plan of correction or 90 days after the statement of
					 deficiencies is issued to the ambulance service/provider, whichever occurs
					 first.
1. A statement of deficiencies shall:
a. cite the law or rule of the
					 deficiency,
b. be reviewed and
					 signed by a representative of the ambulance service/provider on the day of the
					 inspection, and
c. be delivered,
					 during the exit interview at the time of the survey or by registered mail,
					 return receipt requested, to the ambulance service/provider representative and
					 administrator/chief of EMS no later than two business days following the
					 surveys.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6019 - Changes [Formerly section 6013]

Current through Register Vol. 50, No. 6, June 20, 2024
A. An ambulance service/provider shall notify
					 the Louisiana Department of Health, in writing, within five working days of the
					 occurrence of any changes in:
1. physical
					 address of the headquarters;
2.
					 agency name;
3. phone
					 number;
4. 24-hour contact
					 procedure;
5. ownership (CHOW form
					 is required);
6. physical address,
					 email address or phone number of any substation or the addition of any
					 substation;
7.
					 administrator(s)/chief of EMS (a completed key personnel change form is
					 required);
8. director of
					 operations (a completed key personnel change form is required);
9. medical directors (a completed key
					 personnel change form is required);
10. insurance coverage;
11. cessation of business in accordance with
					 §6029; or
12. change in the
					 service area.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6023 - Denial, Revocation or Suspension of a License [Formerly section 6017]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Denial of an
					 Initial License. An applicant may be denied an initial license for one of the
					 following nonexclusive reasons:
1. the
					 background investigation indicates any convictions pursuant to
					 R.S.
					 40:1203.3 et seq.;
2. has had any license pertaining to the
					 provision of emergency medical services revoked in any jurisdiction;
3. failure to comply with applicable federal,
					 state, and local laws, statutes, rules or regulations;
4. intentional falsification of material
					 information provided pursuant to this Chapter; or
5. conviction, guilty plea or plea of nolo
					 contendre of a felony by the following, as shown by a certified copy of the
					 record of the court of the conviction:
a.
					 director of operations;
b. members
					 or officers; or
c. the person(s)
					 designated to manage or supervise the ambulance service if the applicant is a
					 firm or corporation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6025 - Sanctions

Current through Register Vol. 50, No. 6, June 20, 2024
A. In accordance
					 with R.S.
					 40:1135.5 et seq., any person or ambulance
					 service/provider violating the provisions of this Chapter when such violation
					 poses a threat to the health, safety, rights, or welfare of a patient or client
					 may be liable for sanctions and other penalties, to be assessed by the
					 department, in addition to any criminal action which may be brought under other
					 applicable laws. Such actions may include, but not be limited to:
1. civil fine(s) pursuant to
					 R.S.
					 40:1135.5(B)2(a-e) et
					 seq.;
2. provisional
					 licensure;
3. denial of license
					 renewal; or
4. license
					 revocation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6027 - Notices, Informal Reconsideration and Appeals [Formerly section 6021]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Following any
					 inspection or complaint investigation, the department will issue a notice of
					 deficient practice if deficiencies are found and cited. The ambulance
					 service/provider shall receive written notice, via registered mail, return
					 receipt requested.
B. Informal
					 Reconsideration. Upon notice of an initial license denial, suspension,
					 revocation of a license or denial of license renewal, due to non-compliance
					 with any of the provisions of this Chapter or any applicable statute, or of the
					 imposition of a civil fine, or other sanction, the ambulance service/provider
					 may request an informal reconsideration. An informal reconsideration may also
					 be referred to as administration reconsideration.
1. A request for an informal reconsideration
					 shall be submitted in writing to the department within 30 calendar days of
					 receipt of the notification.
2. The
					 reconsideration shall be conducted by a designated official(s) of the
					 department who did not participate in the initial decision to impose the action
					 taken.
3. The ambulance
					 service/provider shall have the right to appear in person at the informal
					 reconsideration and may be represented by counsel.
4. Reconsideration shall be made based on the
					 documents before the official(s). The ambulance service/provider may present
					 documents at the informal reconsideration.
5. Correction of a violation shall not be the
					 basis for reconsideration.
6. There
					 is no right to an informal reconsideration of the department's decision to
					 issue a provisional license or to allow a provisional license to expire, or for
					 a license that has been voluntarily surrendered or non-renewed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6029 - Cessation of Business

Current through Register Vol. 50, No. 6, June 20, 2024
A. Except as
					 provided in
					 §6031 or
					 §6032 of this
					 Chapter, a license shall be immediately null and void if an ambulance service
					 ceases to operate.
B. A cessation
					 of business is deemed to be effective as of the date on which the ambulance
					 service stopped offering or providing services to the community.
C. Upon the cessation of business, the
					 ambulance service shall immediately return the original license to the
					 department.
D. Cessation of
					 business is deemed to be a voluntary action on the part of the ambulance
					 service. The ambulance service does not have the right to appeal a cessation of
					 business.
E. Once the ambulance
					 service has ceased doing business, the ambulance service/provider shall not
					 provide services until the provider has obtained a new initial
					 license.
AUTHORITY
						NOTE: Promulgated in accordance with
						R.S.
						36:254,
						R.S.
						40:1134.1 and
						R.S.
						40:1135.2.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6021 - License Renewal [Formerly section 6015]

Current through Register Vol. 50, No. 6, June 20, 2024
A. An ambulance service license must be
					 renewed annually.
B. An ambulance
					 service seeking a renewal of its license shall:
1. access the renewal application
					 electronically on the Bureau of EMS Information Management System at least 45
					 days prior to license expiration;
2. complete all forms and attachments and
					 submit to the department at least 15 days prior to license expiration;
					 and
3. electronically submit the
					 current annual licensing fees using the Bureau of EMS Information Management
					 System
a. An application is not considered to
					 have been submitted unless the licensing fees are received.
4. submit any changes in medical
					 protocols, if made since the last license renewal.
5. submit ambulance crash data on the
					 provided form.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6031 - Inactivation of License Due to a Declared Disaster or Emergency

Current through Register Vol. 50, No. 6, June 20, 2024
A. An ambulance
					 service licensed in a parish which is the subject of an executive order of
					 proclamation of emergency or disaster issued in accordance with
					 R.S.
					 29:724 or
					 R.S.
					 29:766 may seek to inactivate its license for
					 a period not to exceed one year, provided that the following conditions are
					 met:
1. the ambulance service shall submit
					 written notification to the Bureau of EMS within 60 days of the date of the
					 executive order or proclamation of emergency or disaster that:
a. the ambulance service has experienced an
					 interruption in the provision of services as a result to events that are the
					 subject of such executive order or proclamation of emergency or disaster issued
					 in accordance with
					 R.S.
					 29:724 or
					 R.S.
					 29:766;
b. the ambulance service intends to resume
					 operation as an ambulance service in the same service area;
c. includes an attestation that the emergency
					 or disaster is the sole causal factor in the interruption of the provision of
					 services;
d. the ambulance
					 service's initial request to inactivate does not exceed one year.
NOTE: Pursuant to these provisions, an extension of the
						60-day deadline for initiation of request may be granted at the discretion of
						the department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6033 - Inactivation of License due to a Non-Declared Disaster or Emergency

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 ambulance service in an area or areas which have been affected by a
					 non-declared emergency or disaster may seek to inactive its license, provided
					 that the following conditions are met:
1. the
					 ambulance service/provider shall submit written notification to the Bureau of
					 Emergency Medical Services within 30 calendar days of the date of the
					 non-declared emergency or disaster stating that:
a. the ambulance service has experienced an
					 interruption of the provisions of services as a result of events that are due
					 to a non-declared emergency or disaster:
b. the ambulance service intends to resume
					 operation in the same service area;
c. the ambulance attests that the emergency
					 or disaster is the sole causal factor in the interruption of the provision of
					 services; and
d. the ambulance
					 service's initial request to inactivate does not exceed one year.
NOTE: Pursuant to these provisions, an extension of the
						30-day deadline for initiation of request may be granted at the discretion of
						the department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6035 - Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A. All medications,
					 including IV fluids, shall be current in accordance with the manufacturer's
					 expiration date.
B. All ambulance
					 services shall have a system in place to identify and remove recalled
					 pharmaceuticals from the service's inventory.
C. Controlled Dangerous Substances
1. All paramedic ambulance services must have
					 both a Louisiana Controlled Dangerous Substance (CDS) license and a U.S. Drug
					 Enforcement Administration (DEA) controlled substance registration. This
					 license and registration shall be for the services, headquarters or central
					 location.
a. If the ambulance service is
					 owned by a hospital that holds a CDS license and DEA registration it is exempt
					 from this requirement.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6037 - Medical Protocol

Current through Register Vol. 50, No. 6, June 20, 2024
A. In those
					 parishes where the parish or component medical society has established a
					 written pre-hospital EMS protocol for use in the parish, the ambulance service
					 must follow that protocol, and/or the protocols of the Louisiana Emergency
					 Response Network as applicable.
B.
					 In those parishes where the parish or component medical society have not
					 established a written pre hospital EMS protocol for use in the parish, the EMS
					 service must develop a protocol to be used by its personnel. The appropriate
					 portions of this protocol must be approved by the parish or component medical
					 society.
C. These protocols shall
					 include protocols for the care of:
1. cardiac
					 arrest;
2. ventricular
					 tachycardia;
3. supraventricular
					 tachycardia;
4. suspected
					 cardiogenic chest pain or suspected myocardial infarction;
5. stroke or suspected stroke;
6. bradydysrhythmias;
7. hypoglycemia;
8. anaphylactic reactions;
9. hypovolemic shock;
10. unconsciousness or altered mental
					 status;
11. suspected drug
					 overdose;
12. treatment induced
					 unconsciousness, altered mental status, hypotension, or respiratory depression
					 from physician ordered or protocol appropriate paramedic administered
					 narcotics;
13. respiratory failure
					 or respiratory arrest;
14. active
					 seizure;
15. hospital patient
					 destination;
16. pre-hospital
					 diversion;
17. patient with
					 advanced directives;
18. mass
					 casualty incidents;
19. injuries
					 from weapons of mass destruction;
20. pediatric specific care; and
21. traumatic injuries.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter A - General Provisions › Section I-6039 - Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. There shall be a
					 permanent record of each patient encounter made by the ambulance service. These
					 records may be maintained as hard copy and/or electronically. The record shall
					 be maintained to assure that the medical treatment of each patient is
					 completely and accurately documented. Records shall be readily available and
					 systematically organized to facilitate the compilation and copying of such
					 information.
B. The record of each
					 patient encounter shall include at a minimum:
1. pertinent demographic information about
					 the patient;
2. location of the
					 response;
3. date and time of
					 response;
4. situation;
5. patient's chief complaint;
6. patient's signs and symptoms;
7. a synopsis of the assessment of the
					 patient to include both the initial and complete assessment of the
					 patient;
8. vital signs;
9. pertinent past medical history;
10. any interventions or treatments
					 conducted;
11. transport
					 destination and arrival time if applicable; and
12. any other significant information that
					 pertains to the patient or to the response.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6041 - General Provisions [Formerly section 6031]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Insurance Coverage
1. Each ambulance service/provider shall
					 continuously have in effect the following minimum amounts of insurance:
a. general liability insurance in the amount
					 of $500,000 per occurrence and $500,000 in the aggregate;
b. automobile and/or aircraft liability
					 insurance, as applicable, in the amount of $500,000 per occurrence and $500,000
					 in the aggregate; and
c. medical
					 malpractice liability insurance in the amount of $500,000.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6045 - Medications [Formerly section 6035]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All medications, including IV fluids,
					 shall be in accordance with the manufacturer's guidelines and utilized prior to
					 the expiration date.
1. Medical directors are
					 authorized to extend expiration dates up to one year for critical
					 medications.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6047 - Medical Protocol [Formerly section 6037]

Current through Register Vol. 50, No. 6, June 20, 2024
A. In parishes where the parish or component
					 medical society has established a written out-of-hospital EMS protocol for use
					 within its jurisdiction, the ambulance service shall follow that protocol,
					 and/or the protocols of the Louisiana Emergency Response Network as
					 applicable.
B. In parishes where
					 the parish or component medical society have not established a written
					 out-of-hospital EMS protocol for use within its jurisdiction, the EMS service
					 shall develop a protocol to be used by its personnel. The appropriate portions
					 of this protocol shall be approved by the parish or component medical
					 society.
C. At a minimum, protocols
					 shall include the care of the following conditions for adult (if applicable),
					 geriatric (if applicable) and pediatric (if applicable) patients:
1. abuse and neglect;
2. active seizure;
3. acute coronary syndrome (STEMI,
					 bradydysrhythmias, supraventricular tachycardia, suspected cardiogenic chest
					 pain or suspected myocardial infarction, ventricular tachycardia);
4. anaphylactic reactions;
5. behavioral health;
6. bites and envenomation;
7. burns;
8. cardiac arrest;
9. childbirth;
10. drowning;
11. eclampsia;
12. functional needs (special healthcare and
					 technology dependent);
13. head
					 injury;
14. hemorrhage (internal,
					 external);
15.
					 hyperthermia;
16.
					 hypoglycemia;
17. injuries from
					 weapons of mass destruction;
18.
					 mass casualty incidents;
19.
					 neonatal resuscitation;
20.
					 obstetrical emergencies;
21.
					 orthopedic injuries;
22. pain
					 management;
23. patient with
					 advanced directives;
24.
					 prehospital diversion/patient destination;
25. respiratory emergencies (distress,
					 failure, arrest);
26. shock
					 (all-inclusive);
27. stroke or
					 suspected stroke;
28.
					 sepsis;
29. suspected
					 poisoning/drug overdose;
30.
					 syncope;
31. traumatic
					 injuries;
32. treatment induced
					 unconsciousness, altered mental status, hypotension or respiratory depression
					 from physician ordered or protocol appropriate paramedic administered
					 narcotics; and
33. unconsciousness
					 or altered mental status;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6049 - Records [Formerly section 6039]

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
					 shall be a permanent record of each patient encounter made by the ambulance
					 service. These records may be maintained as hard copy and/or electronically.
					 The record shall be maintained to assure that the medical treatment of each
					 patient is completely and accurately documented. Records shall be readily
					 available and systematically organized to facilitate the compilation and
					 copying of such information.
B. The
					 record of each patient encounter shall include at a minimum:
1. pertinent demographic information about
					 the patient;
2. location of the
					 response;
3. date and time of
					 response;
4. situation;
5. patient's chief complaint;
6. patient's signs and symptoms;
7. a synopsis of the assessment of the
					 patient to include both the initial and complete assessment of the
					 patient;
8. vital signs;
9. pertinent past medical history;
10. any interventions or treatments
					 conducted;
11. transport
					 destination and arrival time if applicable; and
12. any other significant information that
					 pertains to the patient or the response.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6051 - Emergency Preparedness [Formerly section 6041]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All ambulance services/providers shall
					 have an all hazards disaster plan on file that has been approved by their local
					 Office of Emergency Preparedness and/or Homeland Security.
B. All ambulance services shall have disaster
					 mutual aid agreements with all ambulance services that are located in the same
					 LDH established region(s) in which the ambulance service operates.
C. All ambulance services shall have
					 appropriate medical protocols as a part of their disaster plan.
D. All ambulance services shall have an
					 emergency communications plan
E.
					 All ambulance services shall have policies and procedures addressing emergency
					 preparedness, inclusive of training of all employees, either contracted or
					 directly employed. Such shall be reviewed and approved at least annually by the
					 ambulance service's governing body and medical director.
F. All ambulance services shall have safe
					 haven relinquishment policies and procedures, in accordance with the applicable
Louisiana Safe Haven
statutes, which shall be reviewed and
					 approved at least annually by the ambulance service's/provider's governing body
					 and medical director.
AUTHORITY
						NOTE: Promulgated in accordance with
						R.S.
						36:254,
						R.S.
						40:1135.1 and
						R.S.
						40:1135.2.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6043 - Personnel [Formerly section 6033]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Director of Operations
1. The director of operations (DOO), or
					 equivalent job title, shall be designated, in writing, to supervise:
a. all activities of professional staff and
					 allied health personnel; and
b.
					 responsible for compliance with regulatory requirements.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 60 - Emergency Medical Transportation Services › Subchapter B - Ambulance Service/Provider Responsibilities › Section I-6053 - Quality Assurance [Formerly section 6043]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The ambulance service shall have an
					 on-going comprehensive, integrated, self-assessment quality improvement process
					 that provides assurance that patient care is provided at all times in
					 compliance with accepted standards of professional practice.
B. The ambulance service shall have written
					 plans, policies, and procedures addressing quality assurance.
C. The ambulance service shall follow a
					 written plan for continually assessing and improving all aspects of operations
					 which include:
1. goals and
					 objectives;
2. the identity of the
					 person responsible for the program;
3. a system to ensure systematic, objective
					 regular reports are prepared and distributed to the ambulance service/
					 provider's governing body and any other committees as directed by the governing
					 body;
4. the method for evaluating
					 the quality and the appropriateness of care;
5. a method for resolving identified
					 problems; and
6. a method for
					 implementing practices to improve the quality of patient care.
7. a method to document EMS Practitioner
					 skills competencies including a process for demonstrating correct use of
					 pediatric-specific equipment based on the agency or local
					 protocols/guidelines.