reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 9 - CONTINUING EDUCATION PROGRAMS › Section 8:40A-9.2 - Student attendance requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each student shall
				attend all required program sessions. Attendance shall be recorded on an NJ CEU
				Attendance Verification form, available from OEMS upon request. All completed NJ CEU
				Attendance Verification forms shall be sent to OEMS within 30 calendar days from the
				date of program completion. No student shall be credited with attendance at a
				session who:
1. Fails to attend the entire
				session;
2. Arrives more than 15 minutes
				late for the session;
3. Has been
				expelled from the session for disruptive behavior;
4. Leaves prior to the completion of the
				session;
5. Attends the session, but is
				unwilling to participate in the required activities and instruction for that
				session; or
6. Fails to sign the
				attendance sheet.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 9 - CONTINUING EDUCATION PROGRAMS › Section 8:40A-9.3 - Application to offer a continuing education session

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A training agency
				that seeks to offer a continuing education session shall submit an official
				"Application for Approval of a Continuing Education Course" to OEMS for approval
				prior to offering or conducting any continuing education session. Applications shall
				be delivered to OEMS no later than 30 calendar days prior to the scheduled start of
				the session.
1. Incomplete and/or late
				applications shall be returned to the applicant and shall not be
				processed.
2. Applications for programs
				that do not demonstrate compliance with the requirements of this chapter shall be
				returned to the applicant with an explanation as to why the program is
				insufficient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 9 - CONTINUING EDUCATION PROGRAMS › Section 8:40A-9.4 - Instructional staff

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each continuing
				education session shall be sufficiently staffed so as to provide for the instruction
				of students in the program materials.
(b) Program instructors for elective sessions
				shall demonstrate by experience and education that they possess a superior knowledge
				of the subject matter to be taught. This may be demonstrated by certification from
				another state or jurisdiction, certification from a nationally recognized
				organization, and by submission of a curriculum vitae that outlines the Program
				Instructor's education and experience relative to the subject matter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 9 - CONTINUING EDUCATION PROGRAMS › Section 8:40A-9.5 - Program curriculum

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be two
				categories of continuing education, consisting of core curriculum and elective
				curriculum.
1. Core requirements are as follows:
i. The core portion of a continuing education
				program shall consist of the 12 individual sessions based upon the U.S.D.O.T.
				EMT-Basic National Standards Refresher Curriculum (that is, Core 1 through Core 12).
				Satisfactory completion of an approved continuing education program shall require
				completion of each of those 12 core sessions.
ii. Core lecture sessions may be conducted by an
				EMT-Paramedic, physician, nurse, etc., under the direction of an EMT-Instructor.
				However, the EMT-Instructor shall be responsible for endorsing and submitting all
				appropriate documentation as required by OEMS, as well as supervising the content
				and curriculum of each Core 1 through Core 12 session.
iii. The Core 12 session shall be conducted with
				an EMT-Instructor at each station, with an EMT-Instructor to student ratio of
				1:6.
iv. Core 1 through Core 12 sessions
				shall not be duplicated or substituted.
v. An alternative to completion of each of the
				individual Core 1 to Core 12 sessions shall be completion of an approved Core 13
				program, which covers the entire U.S.D.O.T. EMT-Basic National Standards Refresher
				Curriculum as part of a single, comprehensive program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 9 - CONTINUING EDUCATION PROGRAMS › Section 8:40A-9.6 - Reporting requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each training agency
				shall provide the Department with the number of enrolled students no later than 30
				calendar days after the completion of the program.
(b) Each training agency shall forward completed
				NJ CEU Verification forms and/or data to the OEMS Continuing Education Coordinator.
				All information shall be delivered to OEMS within 30 calendar days after the
				completion of the program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 10 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:40A-10.1 - Scope of practice

Current through Register Vol. 56, No. 14, July 15, 2024
(a) EMT-Basics shall
				operate within their approved scope of practice.
(b) The following skills and procedures are within
				the approved scope of practice for an EMT-Basic:
1. Patient assessment, including vital signs and
				ongoing evaluation;
2. Pulmonary or
				cardiopulmonary resuscitation and foreign body airway obstruction
				management;
3. Oxygen
				administration;
4. Oropharyngeal and
				nasopharyngeal airway insertion;
5.
				Oropharyngeal, nasopharyngeal and tracheal suctioning;
6. Assessment and management of cardiac,
				respiratory, diabetic shock, behavioral and heat/cold emergencies, as prescribed
				within the National Standard Curriculum for EMT-Basics;
7. Emergency treatment for bleeding, burns,
				poisoning, seizures, soft tissue injuries, chest-abdominal-pelvic injuries, muscle
				and bone injuries, eye injuries and childbirth (including care of the newborn), as
				prescribed within the National Standard Curriculum for EMTs-Basic;
8. Application of spinal immobilization devices
				and splinting materials, including traction splints;
9. Basic triage and basic maneuvers to gain access
				to the patient;
10. Patient lifting and
				moving techniques;
11. AED
				utilization;
12. Assisting an
				EMT-Paramedic, registered nurse or physician; and
13. Assisting a patient to administer drugs
				previously prescribed for that patient, limited to:
i. Prescribed metered dose inhaler;
ii. Sublingual nitroglycerin;
iii. Epinephrine auto injector.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 10 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:40A-10.2 - Enforcement actions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner, or
				his or her designee, may summarily suspend a person's EMT-Basic and/or
				EMT-Instructor certification when, in his or her opinion, the continued
				certification of that person poses an immediate or serious threat to the public
				health, safety or welfare.
1. A person whose
				EMT-Basic and/or EMT-Instructor certification has been summarily suspended shall
				have the right to apply for emergency relief, as provided for at
				8:40A-10.3(a).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 10 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:40A-10.3 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A person whose
				EMT-Basic and/or EMT-Instructor certification has been summarily suspended shall,
				consistent with 1:1-12.6, have the right to apply to the
				Commissioner for emergency relief.
1. A request for
				emergency relief shall be submitted in writing and shall be accompanied by a
				response to the charges contained in the "Notice of Summary Suspension." Failure to
				submit such written notice shall result in the person forfeiting all rights to
				emergency relief.
2. All applications
				for emergency relief will be handled in accordance with
				1:1-12.6(c).
3. Unless emergency relief is granted, the summary
				suspension shall remain in effect until such time as Department staff has conducted
				a full investigation into the circumstances that formed the basis for the summary
				suspension. Nothing herein shall be construed to prevent the Commissioner from
				simultaneously or thereafter moving to suspend or revoke the person's certification,
				issuing a formal written warning, imposing a probationary period and/or imposing a
				monetary penalty.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 10 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:40A-10.4 - Penalty for impersonating an EMT-Basic or EMT-Instructor

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Consistent with
				8:40A-7.1(a)  and
				8.1(a), no person shall impersonate, refer to himself or herself as, act in the
				capacity of or perform the duties of, an EMT-Basic or EMT-Instructor unless he or
				she is certified or recognized by the Department in accordance with the standards
				set forth in this chapter.
1. Upon notice or
				discovery that a person is impersonating, referring to himself or herself as, or
				acting in the capacity of an EMT-Basic without having first obtained the required
				EMT-Basic or EMT-Instructor certification or recognition or after revocation of an
				EMT-Basic or EMT-Instructor certification previously issued by the Department, the
				Commissioner or his or her designee may issue an order directing that person to
				immediately cease and desist.
i. Failure to comply
				with an order to cease and desist may result in an action by the Department for
				injunctive relief in the Superior Court of New Jersey.
ii. The order to cease and desist shall constitute
				a final agency decision. As such, pursuant to New Jersey Court Rule 2:2-3, any
				appeal from the Commissioner's order to cease and desist shall be filed with the
				Superior Court of New Jersey, Appellate Division.
iii. Orders to cease and desist shall be
				considered public information and shall be posted on the OEMS website (
http://www.state.nj.us/health/ems
)
				as a public notice. Orders to cease and desist shall remain posted on the OEMS
				website permanently or until such time as EMT-Basic or EMT-Instructor certification
				is issued or recognized by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41-1.1 - Authority

Current through Register Vol. 56, No. 14, July 15, 2024
These rules are promulgated pursuant to
				  26:2K-7 through 20 and 26:2K-35 through
				  38, which authorize the Commissioner to adopt rules pertaining to the operation of
				  programs and services providing, or seeking to provide, advanced life support care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41-1.2 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) These rules shall
				apply to any person, public or private institution, agency, entity, corporation,
				acute care hospital and/or business concern that operates, or seeks to operate, a
				mobile intensive care program, specialty care transport service and/or air medical
				service within the State of New Jersey. These rules serve to define the operational
				requirements of these services, to provide for a uniform application of standards,
				and to specify the personnel, equipment, organization and other resources required
				to successfully operate such services.
(b)N.J.A.C. 8:41-1 through 9 and 12 shall apply to
				mobile intensive care programs.
(c)N.J.A.C. 8:41-1 through 8, 10 and 12 shall
				apply to specialty care transport services.
(d)N.J.A.C. 8:41-1 through 8, 11 and 12 shall
				apply to air medical services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:41-1.4 - Waivers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or
				his or her designee may grant a waiver of any part of this chapter if, in his or her
				opinion, such a waiver would not:
1. Endanger the
				life of any person;
2. Endanger the
				public health, safety or welfare; or
3.
				Adversely affect the provision of advanced life support care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.1 - Application for licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any person, public
				or private institution, agency, entity, corporation, acute care hospital or business
				concern seeking to be licensed to operate a mobile intensive care program, specialty
				care transport service or air medical service shall:
1. Fully complete an OEMS application for
				licensure, listing the name(s), home addresses and telephone numbers of all persons
				with an ownership interest in the proposed service. However, applicants that are
				publicly held corporations need only list the person, corporation and/or entity with
				the controlling interest and those persons, corporations and/or entities holding
				five percent or more of the available shares of the corporation;
i. Incomplete applications shall not be processed
				and shall be returned to the applicant with no action taken. Incomplete applications
				may be completed and returned to the Department within six months from the date on
				which the application was returned to the applicant without the requirement of a
				second application fee. Once an applicant has been notified that the application is
				complete, the applicant shall have six months within which to request an initial
				provider audit and vehicle inspections. Failure to comply with these time frames
				shall require submission of a new application and fee;
ii. No application shall be processed if the
				proposed trade name of the service duplicates or is essentially similar to a
				licensed service's trade name or the proposed trade name of an applicant that has an
				application pending before the Department;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.2 - Track record review

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department shall
				conduct a track record review of each proposed owner to determine whether the
				applicant or applicants have a demonstrated capacity to provide a high quality of
				care and to operate a mobile intensive care program, specialty care transport
				service and/or and air medical service in accordance with the rules contained in
				this chapter.
1. This review shall encompass the
				previous licensing track record of the applicant, both in New Jersey and in any
				other state. This evaluation shall include all other health care facilities and/or
				services owned, operated or managed by the applicant and any such facilities and/or
				services owned, operated or managed by any entity affiliated with the
				applicant.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.3 - General licensing information

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon finding that an
				applicant has met all of the requirements for licensure as set forth at
				8:41-2.1 and 2.2, the Department may
				issue the applicant a provider and/or applicable vehicle licenses. The provider
				license shall be prominently displayed at the provider's principal place of
				business. For MICUs that have authorization to transport patients and SCTUs, the
				original vehicle license shall be affixed to the lower right corner of the window of
				the rear (curbside) door of the patient compartment in such a manner that it is
				readable from outside the vehicle. For AMUs and non-transport MICUs, the original
				vehicle license shall be kept in the glove compartment or similar storage area
				within the vehicle, and shall be made available to Department staff upon demand.
1. In order to facilitate the licensure of a new
				vehicle in the field, Department staff may issue a Certificate of Inspection. This
				Certificate of Inspection shall be valid for not more than 30 calendar days from the
				date of issue, and shall serve as authorization for operation of the vehicle while
				the provider is awaiting delivery by OEMS of the computer-generated vehicle
				license.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.4 - Exemptions from licensing requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any person, public
				or private institution, agency, entity, corporation or business concern providing
				pre-hospital advanced life support care in any form or manner and/or ALS
				inter-facility transfers, where the transport originates within the State of New
				Jersey, shall first be licensed by the Department in accordance with the provisions
				of this chapter. For the purpose of this paragraph, areas of exclusive Federal
				jurisdiction shall not be considered "within the State of New Jersey." However, the
				licensing requirements of this chapter shall not apply to providers that are based
				in other states and that provide service in New Jersey when the provider is:
1. Transporting a patient through New Jersey from
				an out-of-State location to another out-of-State location;
2. Transporting a patient from an out-of-State
				location to a New Jersey location and returning that same patient to an out-of-State
				location on the same day; or
3.
				Transporting a patient on a one-way trip from an out-of-State location to a New
				Jersey location.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.5 - Licensure and administrative fees

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Licensure fees shall
				be due when the application is filed, and shall be non-refundable. The application
				shall be accompanied by a single certified bank check (for example, a cashier's
				check), corporate check or money order in the correct amount, and shall be made
				payable to "Treasurer, State of New Jersey." Personal checks shall not be
				accepted.
(b) The fees for licensure as
				a new provider shall be as follows:
1. Specialty
				care transport service: $1,500 plus $100.00 per licensable vehicle.
2. Air medical service: $1,500 plus $100.00 per
				licensable vehicle.
3. Mobile intensive
				care program: $100.00 per licensable vehicle.
4. Specialty care transport service and mobile
				intensive care program: $1,500 plus $200.00 per licensable vehicle.
5. Specialty care transport service and BLS
				ambulance service: $1,500 plus $200.00 per licensable vehicle.
6. Specialty care transport service, BLS ambulance
				service and mobile intensive care program: $1,500 plus $300.00 per licensable
				vehicle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 2 - LICENSURE, INSPECTIONS AND AUDITS › Section 8:41-2.6 - Vehicle inspections and provider audits

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Authorized
				representatives of the Department may conduct periodic vehicle inspections and
				provider audits to determine compliance with this chapter. Representatives from the
				Department shall carry and have visible Department-issued identification at all
				times.
1. The Department may conduct scheduled
				inspections of each vehicle at least once every year.
2. The Department may conduct unscheduled vehicle
				inspections and/or provider audits at its discretion.
i. Unscheduled inspections and/or audits may be
				conducted by an authorized representative of the Department at any time, at any of
				the provider's places of business or at any place a vehicle is located, provided
				that patient care is not compromised. Department staff shall not stop any vehicle
				when it is traveling on a public roadway.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.1 - Minimum crewmember requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MICU and SCTU
				crewmember that is operating the vehicle shall possess a valid driver's license, as
				required by 39:3-10. Each person piloting an AMU
				shall possess a valid pilot's license as issued by the Federal Aviation
				Administration. Licenses shall be made available to Department staff upon
				demand.
(b) Each crewmember that serves
				on a MICU, SCTU or AMU shall:
1. Be at least 18
				years old;
2. Wear identification
				clearly setting forth his or her first and last name and the name of the provider on
				whose behalf he or she is providing care; and
3. Dress in clothing, including any outerwear, of
				a similar uniform appearance that presents a professional appearance.
i. With respect to AMUs only, each pilot and
				crewmember shall wear a uniform consisting of a fire-retardant flight suit (for
				example, a Nomex[R] flight suit), leather boots that cover the person's ankles and a
				flight helmet that meets or exceeds all applicable FAA standards.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.2 - Crewmember competency

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each ALS-certified
				crewmember shall have knowledge of and/or skills in the following:
1. Application, operation, care and removal of the
				on-board medical equipment, as well as knowledge of potential in-transport
				complications which may arise from the utilization of the equipment and the
				treatment of these complications;
2. The
				policies and procedures for the operation of a MICU, SCTU or AMU, as
				applicable;
3. Safety operations for
				vehicle accident and incident procedures;
4. All communications equipment;
5. All applicable laws, rules and/or regulations
				including, but not limited to, those set forth at
				26:2K-7 through 20,
				26:2K-35 through 38 and N.J.A.C. 8:40,
				8:40A, 8:41 and 8:41A; and
6. The scope
				of practice applicable to his or her respective profession.
i. No crewmember shall draw a patient's blood for
				the purpose of determining blood alcohol levels to be solely utilized for legal
				purposes. Blood drawn by a crewmember shall not be provided to any law enforcement
				agency, except under the order of a court of competent jurisdiction.
ii. No crewmember shall perform phlebotomy for the
				purpose of collecting a blood specimen to determine the alcohol content solely for
				legal purposes in the Emergency Department of an acute care hospital, nor shall any
				crewmember draw any blood sample to be utilized for law enforcement
				purposes.
iii. Nothing in this chapter
				shall be construed to prohibit an ALS crewmember from providing any care or
				treatment that is construed to be a BLS function. This shall include all skills and
				procedures incorporated in the U.S.D.O.T. EMT-Basic National Standards Curriculum as
				adopted by the Department in accordance with N.J.A.C. 8:40A. These functions may be
				performed prior to and without the order of a physician.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.5 - Physical behavioral restraints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patients shall not
				be placed and/or transported in physical behavioral restraints unless:
1. A physician or court has authorized the
				placement of the restraints;
2. The
				patient is in the custody of a law enforcement officer; or
3. The medical condition of the patient mandates
				transportation to, and treatment at, a health care facility, and the patient
				manifests such a degree of behavior that he or she:
i. Poses serious physical danger to himself or
				herself or to others; or
ii. Causes
				serious disruption to ongoing medical treatment that is necessary to sustain his or
				her life or to prevent disability.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.7 - Biomedical equipment testing and maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider shall
				develop and maintain a testing and maintenance schedule for its biomedical equipment
				in accordance with the manufacturer's recommendations or in compliance with Federal
				standards, whichever is more frequent. All biomedical equipment and devices shall
				comply with all applicable provisions set forth by the Federal Food and Drug
				Administration for safe care, utilization and maintenance of medical
				devices.
(b) For the purposes of this
				section, biomedical equipment includes, but is not limited to:
1. Cardiac resuscitators (that is,
				Thumpers[R]);
2. Cardiac defibrillators
				and/or pacers;
3. Automatic
				ventilators;
4. Incubators;
5. Specialized respirators;
6. External pacemakers;
7. IV pumps; and
8. Balloon pumps.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.8 - Patient care reports

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provider shall
				develop a patient care report to be utilized each time a crewmember makes physical
				or verbal contact with a patient.
1. A separate
				patient care report shall be prepared for each patient transported in the same
				vehicle.
2. The patient care report
				shall be signed by all of the ALS crewmembers who made direct contact with the
				patient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.9 - Pronouncement of death

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All pronouncements
				of death shall be made in accordance with the New Jersey State Board of Medical
				Examiners' rules, which are set forth at
				13:35-6.2, as amended and supplemented.
1. All patients who appear dead shall be checked
				for vital signs (including any cardiac activity) and, where appropriate, given a
				complete external examination. An ALS crewmember shall then contact the medical
				command physician and relay all findings. These findings shall include a telemetered
				electrocardiogram sent when requested by the medical command physician unless the
				condition of the patient precludes the application of electrocardiogram tracing
				leads.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.10 - Reportable events

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Providers shall
				notify the Department by telephone, followed by written confirmation, of:
1. Any death or injury that occurred to a patient,
				passenger or crewmember while being treated, transported, riding in the provider's
				vehicle or while on duty as a result of an accident or unusual occurrence;
2. Any accident reportable pursuant to
				39:4-129 et seq. in which one or more
				of the provider's vehicles is involved, regardless of whether or not the accident is
				actually reported to the police as required pursuant to
				39:4-129 et seq.;
3. Any event occurring on or within the provider's
				vehicle(s) or place of business that results in any damage to any medical
				records;
4. Any instance where a
				crewmember acts outside of his or her approved scope of practice;
5. Any and all incidents or series of incidents
				which, upon objective evaluation, lead to the good faith belief that the conduct of
				a crewmember is in violation of any law, rule and/or regulation (including, but not
				limited to, any instances of child abuse or neglect, elder abuse, domestic violence
				and/or the utilization of physical behavioral restraints);
6. The loss of any controlled dangerous substance
				identified at Schedules I through V, as set forth at
				24:21-1 et seq. This does not relieve
				the provider of any responsibility for reporting as required at N.J.A.C. 8:65;
				and/or
7. For AMUs and MICUs only, any
				instance when an interruption in service occurs for more than six hours.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.11 - Maintenance of records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provider shall
				maintain full, complete and accurate records as required by this chapter. Records
				shall not be falsified, altered or destroyed. Records may be stored in a computer
				format, provided that adequate safeguards are in place to prevent unauthorized
				access and tampering, and adequate provisions for back-up data are in
				place.
(b) The provider shall keep a
				copy of each required record, including patient care reports at its principal place
				of business. The records shall be made available to Department staff upon
				demand.
(c) The provider shall retain
				and safely store all patient medical records, including patient care reports, for at
				least 10 years. However, in those instances where a patient is less than 18 years of
				age at the time of treatment, the patient medical records shall be retained and
				stored until the patient's 23rd birthday or for 10 years, whichever is greater. The
				provider shall retain and safely store all other required records for at least five
				years. In the event the provider ceases operation for any reason, the provider shall
				arrange for the safe storage of required records at a place, and in a manner, that
				will ensure their safety, integrity, legibility, and accessibility will not be in
				jeopardy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.12 - Standard operating procedures manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider shall
				develop and maintain a written standard operating procedures (SOP) manual. The SOP
				manual shall reflect the methods of daily operation, and shall be consistent with
				the provisions of this chapter. A copy of the SOP manual shall be available at each
				location where a vehicle is garaged, shall be readily accessible to all crewmembers
				and shall be made available to Department staff upon demand.
(b) The SOP manual shall contain, but is not
				limited to, policies addressing the following:
1.
				Crewmember functions in the emergency department of an acute care
				hospital;
2. Narcotic control, storage
				and procurement;
3. Medication control
				(both vehicle and station);
4.
				Pronouncement of death;
5. Air medical
				service utilization;
6. Triage to
				regional trauma centers, including trauma triage policies;
7. Hospital diversions;
8. State HAZ-MAT Annex and local policies for
				responding to HAZ-MAT incidents;
9. Mass
				casualty incidents, which shall include a copy of the Emergency Operating Plan (EMS
				Annex);
10. Physician and nurse
				orientation to the base station curriculum;
11. A current copy of N.J.A.C. 8:41;
12. The quality assurance plan;
13. Vehicle sanitation and maintenance, including
				the provider's procedures for both DIOOS and PIOOS status;
14. The required reporting of certain events as
				set forth at 8:41-3.10;
15. Communicable disease guidelines;
16. Patient rights;
17. Abuse reporting, such as child, elder and
				domestic;
18. A nondiscrimination
				statement, outlining the provider's willingness to transport and treat patients
				regardless of a person's race, sex, creed, national origin, sexual preference, age,
				disability, medical condition (including, but not limited to, patients with
				AIDS/HIV,TB, Hepatitis B or other communicable diseases) or ability to
				pay;
19. Procedures for handling
				patients with physician issued "Do not resuscitate" orders and/or a living will;
				and
20. Employees' responsibilities
				including, but not limited to, cooperating with Department staff during inspections,
				the possibility of incurring monetary penalties in case of licensure violations, the
				importance of having all required credentials available for inspection by Department
				staff, approved scope of practice and the performance of duties in a professional
				manner.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.13 - Personnel files

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A provider shall maintain a personnel file for
				each crewmember that contains, at a minimum:
1.
				The name and home address of the crewmember;
2. A copy of the crewmember's valid driver's
				license;
3. A copy of the crewmember's
				photo I.D. (a valid photo driver's license may be utilized);
4. A copy of the crewmember's EMT-Basic
				certification card, EMT-Paramedic certification card or in the case of a registered
				nurse, a provider shall have written documentation that the registered nurse's
				license was physically presented to the provider;
5. Copies of the crewmember's certification cards
				in CPR, ACLS, PALS and either PHTLS or ITLS, as applicable;
6. With respect to EMTs-Paramedic, documentation
				of continuing education hours and skills for the previous recertification period if
				applicable; and
7. With respect to
				MICNs, official correspondence from the mobile intensive care program with regard to
				the person's endorsement status. The MIC program must submit an endorsement letter,
				endorsing the registered nurse for every certification period as an MICN.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.14 - Quarterly reports

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider shall
				file a report with the Department outlining all activities for that quarter. The
				reports shall be made on a form and in the manner specified by the Department
				(Appendices A, B and C, incorporated herein by reference) and shall be delivered to
				OEMS on or before the due date. The reporting periods and due dates are as follows:
Click
				  here to view image.
(b) The Department shall keep the data on file and
				shall generate a yearly report reflecting the activities of the providers. Yearly
				reports shall be available at OEMS for public inspection.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.15 - Quality assurance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A continuous quality
				improvement structural organization shall be made a part of a provider's
				organizational structure.
1. The governing
				authority of the hospital (such as the board of trustees) or provider shall have
				ultimate responsibility for the continuous quality improvement program.
2. The provider shall have a continuous quality
				improvement program based on a written continuous quality improvement plan that is
				implemented and that monitors the quality of patient care.
3. Each provider shall have continuous quality
				improvement activities that are part of the overall quality assurance
				plan.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.16 - Insurance coverage

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to initial
				provider licensure and upon subsequent license renewal, an applicant shall be
				required to arrange for each insurance carrier or agent to submit an official
				"Certificate of Insurance" form, issued by the insurance carrier. Each such form
				shall show that insurance has been purchased and is in force.
(b) The "Certificate of Insurance" shall include
				the following information:
1. The name of the
				insurance company or companies issuing each policy;
2. The name of the policyholder, which shall
				include the provider's trade name;
3.
				All policy numbers;
4. The Vehicle
				Identification Number or FAA number for each vehicle;
5. The expiration date of each policy;
				and
6. The types and limits of coverage
				for each policy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.17 - Vehicle registration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MICU and SCTU
				shall be registered, maintained and operated in accordance with
				39:1-1 et seq. The vehicle registration
				card shall be made available to Department staff upon demand.
1. Vehicles registered as a motor vehicle in New
				Jersey shall display a valid motor vehicle inspection decal issued by the New Jersey
				Motor Vehicle Commission (NJMVC). The vehicle shall only be utilized to provide
				service after it has successfully passed all motor vehicle tests conducted by the
				NJMVC, or by an authorized Reinspection Station. No vehicle shall be utilized to
				provide services while it bears an expired inspection sticker or a "Reject" sticker
				issued by the NJMVC.
2. Vehicles
				registered as motor vehicles in other states shall display a valid motor vehicle
				inspection decal issued in accordance with the requirements of the state registering
				the vehicle. The vehicle shall only be utilized to provide service after it has
				successfully passed all tests conducted in accordance with the requirements of the
				state registering the vehicle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.18 - Vehicle PIOOS logs

Current through Register Vol. 56, No. 14, July 15, 2024
A provider shall keep a log for each vehicle, specifying PIOOS
				  time, the cause of the problem and its resolution. Additionally, a provider shall
				  develop and maintain a program of preventive maintenance for each vehicle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.19 - Vehicle safety

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The vehicle shall be
				maintained in a safe operating condition. The vehicle and all required equipment
				shall be functional and operable when the MICU, SCTU or AMU is
				"in-service."
(b) The responsibility for
				the safe operation of each MICU or SCTU shall rest with the crewmembers staffing
				that vehicle. The responsibility for the safe operation of each AMU shall rest with
				the pilot.
(c) No crewmember shall
				operate any vehicle without due regard for the safety of the general public or
				without adhering to all applicable laws, rules and/or regulations. No provider shall
				allow the operation of any vehicle that is patently unsafe to drive or fly, presents
				a hazard to personnel and/or bystanders, has not passed New Jersey Motor Vehicle
				Commission (NJMVC) inspection or Federal Aviation Administration (FAA) requirements
				(as applicable) or does not display a valid NJMVC or FAA inspection sticker (as
				applicable).
(d) No person shall staff
				or operate, or be allowed to staff or operate, a MICU, SCTU or AMU:
1. While under the influence of alcohol, narcotics
				or any substance that substantially compromises a person's decision-making
				abilities;
2. In a reckless
				manner;
3. At an excessive rate of
				speed; or
4. While engaging in any
				illegal conduct.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.20 - Communications performance standards

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All communications
				equipment utilized for the purpose of medical command shall:
1. Provide for clear, concise voice communications
				between the medical command physician and the crewmembers;
2. Provide adequate coverage to the vehicle's
				service area; and
3. With respect to
				MICUs and AMUs only, produce an auditable recording of the conversation and
				electrocardiogram tracings at least 90 percent of the time.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.21 - Communications failure protocols

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Communications
				failure exists only when:
1. Standard biotelemetry
				communications equipment fails;
2.
				Back-up biotelemetry equipment fails, including cellular and/or wireless
				telephones;
3. The crewmembers cannot
				access any medical command physician by the Hospital Emergency Ambulance Radio
				(HEAR) system;
4. Telephone service is
				not available or is inoperative; and
5.
				The crewmembers cannot access any medical command physician by any means.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.22 - Biomedical telemetry communications: MICUs and AMUs only

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider of
				mobile intensive care and air medical services shall ensure that each of its
				vehicles has operational biomedical telemetry communications as may be required to
				meet the requirements of
				26:2K-10 and this chapter.
(b) Each provider shall ensure that there is a
				working communications base station at the medical command site that shall permit
				the receiving of voice communications as well as telemetered electrocardiograms.
				Such base station shall be readily accessible to the medical command physician.
1. Each provider of mobile intensive care and air
				medical services shall make sure the base station has the proper number of channels
				to ensure that all units can have telemetry with the base station at one time form
				the field.
i. Mobile intensive care and air
				medical services adding addition units or temporary units shall ensure the base
				station has the ability to receive telemetry from the additional unit without
				interference of other units in-service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.23 - Business locations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provider shall
				maintain a principal place of business at one location. The Department shall be
				informed of the specific location of the principal place of business and shall be
				notified 14 calendar days in advance of any change in the location of the principal
				place of business.
1. Consistent with
				8:41-2.1(a)2, the
				principal place of business shall be located on an actual piece of real property and
				shall not be a post office box or mail drop.