reglab/statecodes huggingface dataset:
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.1 - 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
				and/or business concern that operates, or seeks to operate, a specialty care
				transport service within the State of New Jersey. These rules serve to define the
				operational requirements of such a service, to provide for a uniform application of
				standards, and to specify the personnel, equipment, organization and other resources
				required to successfully operate the service.
(b) No person, public or private institution,
				agency, entity, corporation or business concern shall provide specialty care
				transport services in any form or manner or utilize any vehicle as an SCTU within
				the State of New Jersey until licensed 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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.2 - Patient restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				SCTUs may be utilized to provide ALS inter-facility transfers of patients requiring
				specialized medical intervention or medical monitoring that is beyond the
				capabilities of BLS ambulances and their crewmembers. This shall include, but is not
				limited to, those persons who require:
1.
				Transportation in a prone or supine position;
2. Constant attendance due to a medical and/or
				mental condition;
3.
				Aspiration;
4. Management or observation
				of intravenous fluids and/or intravenous medications;
5. An automatic ventilator or whose breathing is
				ventilator assisted; or
6. Cardiac
				monitoring.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.3 - Specialty care coordinator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each specialty care
				transport service shall have a specialty care coordinator who shall be responsible
				for all activities of that service.
(b)
				The person who serves as the specialty care coordinator shall be a registered nurse
				with at least two years of critical care experience and who has demonstrated by
				education or experience the ability to manage health care organizations.
(c) A representative of the specialty care
				transport service shall notify the Department, in writing, of any change of
				specialty care coordinator within 14 calendar days after the change.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.4 - Medical director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each specialty care
				transport service shall have a medical director who shall be responsible for all
				medical matters that affect that service, its personnel and its vehicles.
(b) The qualifications necessary to serve as the
				medical director of a specialty care transport service shall be as follows:
1. Physician status or possession of a valid
				license as a physician by any state's board of medical examiners or equivalent
				physician licensing agency;
2.
				Possession of ACLS certification, and either PALS or APLS certifications;
3. Experience in the provision of emergency and/or
				critical care; and
4. Knowledge of the
				scope of care, capabilities and limitations of specialty care transport
				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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.5 - Medical command physician

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The qualifications
				necessary to serve as the medical command physician of a specialty care transport
				service shall be as follows:
1. Physician status
				or possession of a valid license as a physician by any state's board of medical
				examiners or equivalent physician licensing agency; or
2. Status as a permit holder as defined at
				8:43G-16.2(f)  (a
				person authorized by any state's board of medical examiners, or equivalent physician
				licensing agency, to engage in the practice of medicine in the second year of a
				graduate medical education program or beyond).
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.6 - Medical command

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provision of
				advanced life support care by ALS EMT-P crewmembers staffing an SCTU is deemed a
				delegated medical practice. The medical command physician provides the authority for
				the ALS EMT-P crewmembers to act.
(b)
				Physician medical command may be accomplished in one of four ways:
1. Direct control: Direct observation and voice
				orders, which may be given by a physician who is physically present on the vehicle
				during the transfer.
i. In the case where a
				physician accompanies a patient during the actual transfer, that physician shall be
				deemed the medical command 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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.7 - Transfer restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A sending health
				care facility may request a patient to be transferred according to
				8:43G-12.2(c)  and the
				Federal regulations at
				42
				C.F.R. 489.24. The provider shall have the
				following requirements met prior to the actual transfer of the patient from the
				sending facility:
1. The name and telephone number
				of the sending physician shall be documented on the transfer record;
2. The name and telephone number of the receiving
				physician shall be documented on the transfer record;
3. The sending physician shall make direct contact
				with a physician at the receiving facility for an agreement to transfer the patient
				in an SCTU;
4. The sending physician
				shall write a transfer order, included in which shall be the specific services to be
				provided by the ALS crewmember(s);
5.
				The receiving facility shall accept the patient and provide a bed assignment for the
				patient;
6. A copy of the patient's
				medical records shall accompany the patient at the time of transfer. The records
				shall include a complete medical record chart, x-rays and other pertinent patient
				care test results; and
7. A copy of the
				patient's medical records, including any patient care report, shall be left with the
				receiving facility.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.8 - Required crewmembers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				each SCTU shall be staffed with a minimum of:
1.
				One registered nurse who meets the requirements set forth at (d) below, and two
				EMTs-Basic; or
2. One registered nurse
				who is also an EMT-Basic and who meets the requirements set forth at (d) below, and
				one EMT-Basic.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.9 - Additional basic equipment and supplies: SCTUs

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to the
				equipment and supplies required at
				8:41-3.4, when "in-service," each SCTU
				shall be equipped with the following:
1. A
				Doppler-type instrument;
2. At least
				four red "biohazard" type bags utilized for disposal of untreated regulated medical
				waste as defined at
				7:26-3A.5 and 3A.6. The "biohazard" bags
				shall meet the requirements set forth at
				7:26-3A.11 and shall only be utilized
				for untreated regulated medical waste materials and shall be disposed of after
				utilization in accordance with all applicable laws, rules and/or
				regulations;
3. Four towels;
4. Two cloth blankets and two cloth or disposable
				sheets at least 60 inches by 80 inches in size; and
5. Two penlights suitable for patient
				examination.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.10 - Pediatric patient equipment and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When transporting a
				patient less than 13 years of age, each SCTU shall be equipped with the following
				items:
1. Pediatric airway management materials
				including:
i. Airways, endotracheal tubes and
				stylets;
ii. Pediatric and infant sized
				laryngoscope blades;
iii. Pediatric and
				infant sized oxygen masks; and
iv. 1,000
				mL and 450 mL sized bag-valve-mask devices;
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.11 - Neonatal patient equipment and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When transporting a
				neonatal patient, each SCTU shall be equipped with the following items:
1. Resuscitation methods, including advanced
				airway;
2. 250 mL sized bag-valve-mask
				devices;
3. Pharmacological agents
				suitable for the treatment of neonatal patients;
4. Neonatal sized cardiac monitoring
				equipment;
5. Neonatal sized hemodynamic
				monitoring equipment;
6. Neonatal sized
				IV monitoring equipment; and
7. An
				isolette.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.12 - Optional equipment and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU may be,
				but is not required to be, equipped with the following equipment and supplies:
1. An esophageal gastric tube airway, a laryngeal
				mask airway and other commercial airways of similar design or function;
2. Adult and pediatric-sized pneumatic anti-shock
				garments (PASG);
3. An automatic blood
				pressure manometer and one each adult, obese adult and pediatric size
				cuffs;
4. Percutaneous needle
				cricothyrotomy equipment to permit transtracheal catheter ventilation;
5. An installed and/or portable air system;
i. The availability shall be for isolette and/or
				ventilated patients that have the need for an oxygen/air concentration blend;
				and
6. Doughnut magnets.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.13 - Oxygen administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall be
				equipped with both an installed and a portable oxygen system in accordance with the
				standards for such equipment as set forth at
				8:41-3.6.
(b) In addition, each SCTU shall be equipped at
				all times with at least two reserve oxygen cylinders with a capacity of at least 300
				liters each.
(c) The SCTU may, but need
				not, carry an installed and/or portable positive pressure device. If carried, the
				positive pressure device shall meet all of the standards set forth at
				8:41-3.6(c).
(d) The portable oxygen system, reserve oxygen
				cylinder and any portable positive pressure oxygen powered resuscitators shall be
				stored in a crashworthy 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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.14 - Automatic transport ventilators

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall be
				equipped with a portable, automatic transport ventilator of the type approved by the
				FDA for pre-hospital utilization, which meets the minimum standards of the American
				Heart Association, as described in the Advanced Cardiac Life Support Guidelines,
				1997 edition, published by the American Heart Association, incorporated herein by
				reference, as amended and supplemented. Copies may be obtained by writing to the
				American Heart Association, National Center, 7272 Greenville Avenue, Dallas, Texas
				75231-4596.
(b) Automatic transport
				ventilators shall be capable of:
1. Giving an
				oxygen concentration between 21 and 100 percent;
2. Adjustable peak pressures;
3. Adjustable inspiratory and expiratory
				times;
4. Adjustable minute ventilatory
				rates;
5. Adjustable tidal volume;
				and
6. Adjustable high and low pressure
				alarms.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.15 - Aspirator/suction equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall be
				equipped with both an installed and a portable aspirator.
1. Each aspirator shall be equipped with a
				non-breakable collection bottle, at least three feet of transparent or translucent
				non-collapsible suction tubing with an interior bore of at least one-quarter inch.
				Three-eighths of an inch bore is recommended. There shall be at least one
				Yankauer-type suction instrument and at least eight suction catheters for each
				aspirator, in not less than four assorted adult and pediatric sizes. At least one
				catheter shall be a size "8" and one shall be a size "18." An infant bulb syringe
				shall also be carried.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.16 - Patient transport devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall be
				equipped with a wheeled patient litter for the transport of stretcher-bound
				patients. The litter shall be at least 72 inches long (when flat) and at least 20
				inches wide. The litter shall have a commercially manufactured stretcher mattress.
				The litter and mattress shall be adjustable from a flat to a semi-sitting position.
				The litter shall be adjustable from a minimum height of nine to 18 inches to a
				maximum height of 33 to 40 inches measured to the top of the mattress. There shall
				be clean linens on the litter.
(b) Each
				patient litter and portable stretcher shall have three sets of two-inch wide patient
				restraints with quick release buckles positioned at the chest, waist and knees. The
				quick release buckles may be of the "slide through" or "metal to metal" type.
				(Reeves[R]-type stretchers may have other types of buckles.) Each stair-chair shall
				have two sets of two-inch wide safety restraints with quick release metal buckles.
				Velcro[R]-type closures shall not be utilized.
(c) When necessitated by the patient's medical
				condition and ordered by a physician, a patient may be transported in a special
				device such as, but not limited to, a "Stryker"[R] frame or specially designed
				isolette.
1. The standard patient transport devices
				identified in (a) above may be temporarily removed from the vehicle during the time
				that the special transport device is being utilized.
2. Special patient transport devices shall fit
				properly into the present litter fastener(s) with less than an inch of movement when
				secured in the transporting position. Adaptations for isolettes are acceptable so
				long as they meet or exceed the manufacturer's guidelines.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.17 - Ramps and lifts

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There may, but need
				not, be a ramp, lift or other device for the safe entry and exit of occupied
				standard size stretchers and/or isolettes. Any such device shall be permanently
				fastened to the vehicle and be capable of accommodating a load of at least 500
				pounds. When the vehicle is in transit, the device shall be secured in a crashworthy
				manner and shall be positioned so as not to obstruct both of the patient compartment
				exterior doorways.
1. Any such ramp, lift or other
				device shall have a slip resistant surface, be structurally sound, free from defects
				and provide a rigid interlocking surface when being utilized.
2. Any ramp, lift or other device that relies on
				electric, hydraulic or other power for its operation shall be capable of manual
				operation by an unassisted person or there shall be a manually operated backup
				device. The manual backup device shall be capable of both lifting and lowering the
				patient and shall perform either function within five minutes.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.18 - Patient compartment requirements and dimensions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each vehicle
				utilized as an SCTU shall have a distinct patient compartment. The patient
				compartment shall be separated from the driver's seating area by a bulkhead or
				partition, which may include a passageway.
(b) The patient compartment shall have the
				following interior dimensions:
1. Height: At least
				54 inches between the floor and the ceiling when measured at, or near, the center of
				the patient compartment;
2. Width: At
				least 56 inches between the vehicle interior sides when measured at any point 52
				inches above the floor. The width of cabinets, etc., shall be included when
				measurements are made;
3. Length: At
				least 116 inches between the interior surface of the rear door and the rear surface
				of the bulkhead or partition, when measured at floor level; and
4. There shall be an aisle at least 10 inches wide
				next to the required patient litter.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.19 - Vehicle certification to Federal specifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall be
				certified to meet the version of Federal Specifications for Ambulances, KKK-A-1822,
				that was current at the time the vehicle was manufactured. The certification shall
				be made by the vehicle manufacturer or converter in accordance with applicable
				paragraphs of the Federal KKK-A-1822 specifications.
(b) Each SCTU shall be equipped with the following
				items:
1. A solid-state inverter for on-board 115
				volt AC power (KKK-A-1822D, Section 3.7.8.3);
2. Electrical 115 volt AC receptacles
				(KKK-A-1822D, Section 3.7.8.2); and
3.
				An appropriate number of electrical receptacles for medical equipment
				utilization.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.20 - Vehicle markings and emergency warning devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall bear
				the following markings:
1. The trade name as it
				appears on the Department issued vehicle license shall be visible on the two
				exterior sides of the vehicle in a size not less than four inches high;
				and
2. The vehicle recognition number
				shall be visible on the rear and the two exterior sides of the vehicle in a size not
				less than three inches high.
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 10 - SPECIFIC SPECIALTY CARE TRANSPORT SERVICE REQUIREMENTS › Section 8:41-10.21 - Two-way communications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each SCTU shall have
				communications equipment, including both a primary and a separate and distinct
				secondary means, which allows the crewmembers to:
1. Directly contact the sending or receiving
				health care facility via utilization of a cellular and/or wireless telephone or
				similar technology;
2. Directly contact
				the medical command physician;
3.
				Directly contact any acute care hospital's Emergency Department via utilization of
				the JEMS 2 (HEAR) system (155.340 mHz);
4. Interface with appropriate disaster control
				agencies in accordance with local and county emergency plans;
5. Directly capable of transmitting and receiving
				on the County or Regional Communication Center on the frequencies in the JEMS 1 Plan
				for the region or regions in which the provider primary operates;
6. Directly capable of transmitting and receiving
				on the EMS Statewide coordination on JEMS 3 with a frequency of 155.280 mHz;
				and
7. Directly capable of transmitting
				and receiving on the Spen 4 or JEMS 4 with a frequency of 153.785 mHz.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.1 - 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
				and/or business concern that operates, or seeks to operate, an air medical service
				within the State of New Jersey. These rules serve to define the operational
				requirements of such a service, to provide for a uniform application of standards,
				and to specify the personnel, equipment, organization and other resources required
				to successfully operate the service.
(b)
				No person, public or private institution, agency, entity, corporation or business
				concern shall provide air medical services in any form or manner or utilize any AMU
				within the State of New Jersey until licensed 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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.2 - Patient restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				an AMU may be utilized to provide pre-hospital advanced life support emergency
				medical care and transportation or ALS inter-facility transfers of patients
				requiring specialized medical intervention or medical monitoring that is beyond the
				capabilities of BLS ambulances and their crewmembers. This shall include, but is not
				limited to, those persons who require:
1.
				Transportation in a prone or supine position;
2. Constant attendance due to a medical and/or
				mental condition;
3.
				Aspiration;
4. Treatment in the
				emergency department of an acute care hospital (for other than a set appointment or
				routine non-emergency follow-up care of a previously diagnosed condition);
5. Treatment in, or admission to, the obstetrical
				unit (labor and delivery suite) or the intensive and/or coronary care unit of an
				acute care hospital;
6. Management or
				observation of intravenous fluids and/or intravenous medications;
7. An automatic ventilator or whose breathing is
				ventilator assisted; or
8. Cardiac
				monitoring.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.3 - Director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each air medical
				service shall have a director who shall be responsible for all activities of that
				service.
(b) The person who serves as
				the director shall be either an EMT-Paramedic or a registered nurse with at least
				one year of critical care experience or who has demonstrated by education or
				experience the ability to manage health care organizations.
(c) A representative of the air medical service
				shall notify the Department, in writing, of any change of director within 14
				calendar days after the change.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.4 - Medical director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each air medical
				service shall have a medical director who shall be responsible for all medical
				matters that affect that service, its personnel and its vehicles.
(b) The qualifications necessary to serve as the
				medical director of an air medical service shall be as follows:
1. Physician status;
2. Successful completion of the Advanced Trauma
				Life Support course to the standards of the American College of Surgeons;
3. Possession of CPR and ACLS certifications, and
				either PALS or APLS certification; and
4. Experience in the provision of emergency
				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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.5 - Medical command physician

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The qualifications
				necessary to serve as the medical command physician of an air medical service shall
				be as follows:
1. Physician status, or status as a
				permit holder as defined at
				8:43G-16.2(f)  (a
				person authorized by the New Jersey State Board of Medical Examiners to engage in
				the practice of medicine in the second year of a graduate medical education program
				or beyond);
2. Possession of CPR and
				ACLS certification and either PALS or APLS certifications; and
3. Receipt of instruction in the proper
				utilization of the base station and the provision of medical command to ALS
				crewmembers, including viewing the Department's "Medical Command in New Jersey"
				videotape.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.6 - Medical command

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provision of
				advanced life support care by ALS crewmembers staffing an AMU is deemed a delegated
				medical practice. The medical command physician provides the authority for the ALS
				crewmembers to act.
1. In the instance where a
				physician arrives on the scene prior to the arrival of the crewmembers, the on-scene
				physician is deemed to have assumed medical command and shall remain in charge of
				the care of the patient until such time as he or she relinquishes control to the
				medical command physician or until such time as the patient is loaded onto the AMU.
				The crewmembers shall inform the on-scene physician as to the policy for contact
				with the medical command physician and request that the on-scene physician initiate
				contact so as to coordinate patient care.
2. In the instance where a physician arrives on
				the scene after the arrival of the crewmembers, the crewmembers shall advise the
				physician that they are already operating under the direct supervision of a medical
				command physician. If the on-scene physician has relevant knowledge about a
				particular patient and feels that he or she may be helpful in the patient's medical
				treatment, he or she should speak to the medical command physician to relay
				information and discuss care. The medical command physician may then, as he or she
				deems appropriate, either retain medical command or turn over medical command to the
				on-scene physician, who shall relinquish medical command at such time as the patient
				is loaded onto the AMU.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.7 - Required crewmembers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				each AMU shall be staffed by at least two persons, in addition to the pilot(s), as
				follows:
1. Two registered nurses who meet the
				standards set forth at
				8:41-9.9 and who have received
				additional specialized training in air medical care (that is, persons recognized by
				the Department as flight nurses); or
2.
				One registered nurse who meets the standards set forth at
				8:41-9.9 and one EMT-Paramedic, both of
				whom have received additional specialized training in air medical care (that is,
				persons recognized by the Department as flight nurses and flight medics).
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.8 - Additional basic equipment and supplies: AMUs

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to the
				equipment and supplies required at
				8:41-3.4, when "in-service," each AMU
				shall be equipped with the following:
1. Pediatric
				airway management materials including:
i. Airways,
				endotracheal tubes and stylets;
ii.
				Pediatric and infant sized laryngoscope blades;
iii. Pediatric and infant sized oxygen masks;
				and
iv. 1,000 mL and 450 mL sized
				bag-valve-mask devices;
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.9 - Oxygen administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall be
				equipped with both an installed and a portable oxygen system in accordance with the
				standards for such equipment as set forth at
				8:41-3.6.
(b) In addition, each AMU shall be equipped at all
				times with at least one reserve oxygen cylinder with a capacity of at least 300
				liters.
(c) The AMU may, but need not,
				carry an installed and/or portable positive pressure device. If carried, the
				positive pressure device shall meet all of the standards set forth at
				8:41-3.6(c).
(d) When the aircraft is in motion, the portable
				oxygen system and any portable positive pressure oxygen powered resuscitators shall
				be secured in a safe, crashworthy manner. In addition, all oxygen cylinders shall be
				secured in oxygen tank holders affixed to the aircraft frame which meet the same "g"
				requirements as those contained in Federal Aviation Regulations (FAR)
				14 C.F.R.
				§
										27.561, "Airworthiness Standards: Normal
				Category Rotorcraft/Emergency Landing Conditions: General" or
				14 C.F.R.
				§
										29.561, "Airworthiness Standards: Transport
				Category Rotorcraft/Emergency Landing Conditions: General" for seats.
(e) Each oxygen system shall comply with the
				requirements of 8:41-3.6, except that the installed
				system may not provide less than 1,500 liters capacity. Liquid oxygen systems are
				permitted, provided the system is capable of meeting all other standards with regard
				to oxygen flow rates and pressures.
(f)
				Any protruding outlets or flowmeters shall be padded, flush mounted or located so as
				to prevent injury to crewmembers and patients, or other catastrophic failure of the
				outlet port.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.10 - Automatic transport ventilators

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall be
				equipped with a portable, automatic transport ventilator of the type approved by the
				FDA for pre-hospital utilization, which meets the minimum standards of the American
				Heart Association, as described in the Advanced Cardiac Life Support Guidelines,
				2000 edition, published by the American Heart Association, incorporated herein by
				reference, as amended and supplemented. Copies may be obtained by writing to the
				American Heart Association, National Center, 7272 Greenville Avenue, Dallas, Texas
				75231-4596.
(b) Automatic transport
				ventilators shall be capable of:
1. Giving an
				oxygen concentration between 21 and 100 percent;
2. Adjustable peak pressures;
3. Adjustable inspiratory and expiratory
				times;
4. Adjustable minute ventilatory
				rates;
5. Adjustable tidal volume;
				and
6. Adjustable high and low pressure
				alarms.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.11 - Aspirator/suction equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall be
				equipped with both an installed and a portable aspirator.
1. Each aspirator shall be equipped with a
				non-breakable collection bottle, at least three feet of transparent or translucent
				non-collapsible suction tubing with an interior bore of at least one-quarter inch.
				Three-eighths of an inch bore is recommended. There shall be at least one
				Yankauer-type suction instrument and at least eight suction catheters for each
				aspirator, in not less than four assorted adult and pediatric sizes. At least one
				catheter shall be a size "8" and one shall be a size "18." An infant bulb syringe
				shall also be carried.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.12 - Patient transport devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall be
				equipped with a litter for the transport of stretcher bound patients. The litter
				shall be at least 72 inches long (when flat) and at least 20 inches wide. The litter
				shall have a commercially manufactured stretcher mattress. There shall be clean
				linens on the litter.
(b) The litter
				shall have three sets of two-inch wide patient restraints with quick release buckles
				positioned at the chest, waist and knees. The quick release buckles may be of the
				"slide-through" or "metal to metal" type. Velcro-type closures shall not be
				utilized.
(c) The litter shall be
				restrained by a litter fastener whenever the aircraft is in motion. The litter
				fastener shall be securely fastened to the aircraft, shall be installed under a FAA
				Supplemental Type Certificate and shall meet the same "g" requirements as those
				contained in FAR Part 27.561, "Airworthiness Standards: Normal Category Rotorcraft/
				Emergency Landing Conditions: General" or FAR Part 29.561, "Airworthiness Standards:
				Transport Category Rotorcraft/Emergency Landing Conditions: General" for seats.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.13 - Patients triaged to MICUs or BLS ambulances

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patients with whom a
				crewmember makes physical or verbal contact shall be evaluated to determine the
				nature of their illness and/or injury. This exam shall be detailed enough to
				provide:
1. At least one complete set of vital
				signs;
2. Documentation of chief
				complaint, past history and medications;
3. A clinical picture of the patient's status;
				and
4. Sufficient information to provide
				a reasonably complete narrative of the patient's medical condition.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.14 - Patient compartment requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The AMU shall have a
				distinct patient compartment. If the patient compartment is not separate from the
				pilot's seating area, the pilot shall be protected from the movements of the
				personnel, patient and equipment contained within the patient compartment by a
				partition, bulkhead or similar device.
(b) The patient compartment shall have the
				following interior dimensions:
1. Height: At least
				30 inches (40 inches preferable) between the top of the required litter and the
				ceiling;
2. Width: At least 24 inches
				from the inboard side of the required litter to the other side of the aircraft
				interior; and
3. Length: At least long
				enough to accommodate the required litter.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.15 - Vehicle markings and exterior lighting

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall be
				identified with a unique FAA-issued tail number.
(b) Each AMU shall be equipped with a
				forward-facing, high intensity searchlight or floodlight.
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.16 - Two-way communications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AMU shall have
				communications equipment that allows the crewmembers to:
1. Directly contact the regional dispatch center
				while in or away from vehicle;
i. Regional dispatch
				centers for air medical units are: Gloucester County Communications (GCC) and New
				Jersey Regional Emergency Medical Communication Center (REMCS);
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.17 - Dispatch

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each air medical
				service shall utilize a designated center for the dispatching of its AMUs. The air
				medical service shall obtain the Department's approval of its choice of regional
				dispatch center prior to utilizing that center's services.
1. Regional dispatch centers for air medical units
				are: Gloucester County Communications (GCC) and New Jersey Regional Emergency
				Medical Communication Center (REMCS).
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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.18 - Air medical unit PIOOS logs

Current through Register Vol. 56, No. 14, July 15, 2024
A provider shall keep a log for each air medical unit indicating
				  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 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS › Section 8:41-11.19 - Special prohibitions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In recognition of
				the potential hazards of the aircraft environment, the following activities are
				specifically prohibited while the AMU is in "in-service":
1. Conducting a flight contrary to the
				recommendations of the aircraft pilot or in violation of any applicable law, rule
				and/or regulation;
2. Refueling the
				aircraft while a patient is on board, unless prompt refueling is necessary to
				sustain human life;
3. Any patient care
				procedure or the utilization of any equipment that causes, or may cause,
				electromagnetic interference with the aircraft equipment; and
4. Cigarette/cigar/pipe smoking with 100 feet of
				the aircraft.
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 12 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41-12.1 - Scope of practice for EMT-Paramedics

Current through Register Vol. 56, No. 14, July 15, 2024
(a) EMT-Paramedics shall
				operate within their approved scope of practice.
(b) The following skills and procedures are within
				the approved scope of practice for an EMT-Paramedic, an EMT-Paramedic student
				(provided that the student is under the direct supervision of an EMT-Paramedic,
				registered nurse, physician or in-hospital skilled clinician) or a provisionally
				certified EMT-Paramedic (within the limits set forth at
				8:41A-4.2(a)2  ):
1. Performance of all of the skills and procedures
				approved for EMT-Basic, as set forth at
				8:41-12.2;
2. Performance of history taking and physical
				examination of patients in order to obtain necessary information to permit the
				rendering of appropriate medical care;
3. Utilization of telemetry and proper
				communications procedures in the field, as defined by the Federal Communications
				Commission and good professional practice;
4. Visualization of the airway by utilization of
				the laryngoscope and removal of foreign bodies with forceps;
5. Application of electrodes and monitoring of
				cardiac electrical activity, including electrocardiograms;
6. Utilization of mechanical cardiopulmonary
				resuscitation devices; and
7. Assessing
				and managing patients in accordance with the U.S. Department of Transportation
				EMT-Paramedic National Standards Curriculum (EMT-P), 1998 edition, published by the
				National Highway Traffic Safety Administration, incorporated herein by reference, as
				amended and supplemented. Copies may be obtained by writing to the National Highway
				Traffic Safety Administration, EMS Division, 400 Seventh Street, SW (NTS 14),
				Washington, D.C. 20590.
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 12 - SCOPE OF PRACTICE, ENFORCEMENT ACTIONS AND HEARINGS › Section 8:41-12.2 - Scope of practice for EMT-Basic

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An EMT-Basic shall
				operate within his or her 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 or
				nasopharyngeal airway insertion;
5.
				Oropharyngeal and nasopharyngeal suctioning;
6. Assessment and management of cardiac,
				respiratory, diabetic shock, behavioral and heat/cold emergencies, as prescribed
				within the U.S. Department of Transportation EMT-Basic National Standards Curriculum
				(EMT-B), 1994 edition, published by National Highway Traffic Safety Administration,
				incorporated herein by reference, as amended and supplemented. Copies may be
				obtained by writing to the National Highway Traffic Safety Administration, EMS
				Division, 400 Seventh Street, SW (NTS 14), Washington, D.C. 20590.
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;
13. Assisting a patient to administer drugs
				previously prescribed for that patient, limited to:
i. Prescribed metered dose inhaler;
ii. Sublingual nitroglycerin; or
iii. Epinephrine auto injector; and
14. Able to transport patients without
				ALS with self contained, self maintained medical devices that require no
				intervention from an EMT-Basic.