reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 4 - EMERGENCY MEDICAL SERVICES FUND ACT › Section 7.27.4.10 - EXTENSION OF TIME

Current through Register Vol. 35, No. 13, July 16, 2024
Extension of time for the filing of an application or
				  document may be granted, if the person seeking the extension can show good
				  cause to the satisfaction of the chief. Requests for extension of time shall be
				  received in writing in advance of the date on which the application or document
				  is due to be filed. No extension shall exceed ten (10) calendar days.
				  Extensions shall be confirmed or denied in writing.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 4 - EMERGENCY MEDICAL SERVICES FUND ACT › Section 7.27.4.11 - LOCAL EMS FUNDING PROGRAM

Current through Register Vol. 35, No. 13, July 16, 2024
In a fiscal year, no less than seventy-five percent (75%) of
				  the money in the fund shall be used for the local emergency medical services
				  funding program. The program shall provide for: the establishment or
				  enhancement of local emergency medical services; operational costs other than
				  salaries and benefits of local emergency medical services personnel, purchase,
				  repair and maintenance of emergency medical services vehicles, equipment and
				  supplies; implementation of prevention program and the training and licensing
				  of local emergency services personnel.
A.
ASSURANCES:
The bureau shall
				authorize distributions from money in the fund to the extent funds are
				available during a fiscal year. Distribution from money in the fund shall be
				made only to applicants on behalf of local recipients, that:
(1) submit an approved application to the
				bureau;
(2) demonstrate a need for
				a distribution from the fund and the amount required;
(3) agree to expend funds distributed from
				the fund only for the purposes stated in the application and approved by the
				bureau;
(4) authorization of the
				chief executive of the incorporated municipality or county on behalf of the
				local recipient upon vouchers issued by the treasurer and/or fiscal agent of
				each political subdivision shall also be required; accountability and reporting
				of these funds shall be in accordance with the requirements set forth by the
				local government division of the New Mexico department of finance and
				administration; and
(5) agree that
				the funds distributed under the act will not supplant other funds budgeted and
				designated for emergency medical service purposes by the applicant;
				applications for distributions of money from the fund shall be accompanied by a
				certified statement that the applicant shall not supplant any other public
				monies available for these same purposes.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 4 - EMERGENCY MEDICAL SERVICES FUND ACT › Section 7.27.4.12 - LOCAL EMS SYSTEM IMPROVEMENT PROJECTS, EMS VEHICLE PURCHASE PROJECTS, STATEWIDE EMS SYSTEM IMPROVEMENT PROJECTS AND EMD AGENCY SUPPORT PROGRAMS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
LOCAL EMS
				SYSTEM IMPROVEMENT PROJECTS, EMS VEHICLE PURCHASE PROJECTS, STATEWIDE EMS
				SYSTEM IMPROVEMENT PROJECTS AND EMD AGENCY SUPPORT PROGRAMS:
In a fiscal year, no more than eighteen percent (18%) of the
				  fund may be used for local and statewide emergency medical services system
				  improvement projects, the purchase of emergency medical services vehicles, and
				  funding for certified emergency medical dispatch agencies. Applicants shall be
				  funded on a competitive basis. Applications under this section shall be
				  submitted by incorporated municipalities or counties on behalf of local
				  recipients, unless it is a statewide system improvement application, where
				  applicant may be a training institution, EMS regional office or the
				  bureau.
B.
APPLICATION:
Applicants and local recipients shall request and use the
				most current forms to apply for these funds. The applications will be made
				available to all applicants and local recipients.
C.
APPLICATION CYCLE:
The
				bureau shall distribute applications for local EMS system improvement projects
				, EMS vehicle purchase projects, statewide EMS system improvement projects, and
				certified EMD agencies as set forth below.
(1) The bureau shall issue a request for
				applications by August 15.
(2) The
				applicant or EMS service, with authorization from its fiscal agent, shall
				submit to the bureau, a completed application which shall be postmarked or
				hand-delivered by November 1. Technical assistance may be provided by the EMS
				regional office.
(3) The bureau
				shall provide copies of each local EMS system improvement application and EMS
				vehicle purchase project application to the respective EMS regional office and
				the statewide EMS system improvement applications to the EMS operations manager
				by no later than December 01, of each year.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 4 - EMERGENCY MEDICAL SERVICES FUND ACT › Section 7.27.4.13 - STATEWIDE TRAUMA CARE SYSTEM PROGRAM

Current through Register Vol. 35, No. 13, July 16, 2024
A.
STATEWIDE TRAUMA CARE SYSTEM
				PROGRAM:
The statewide trauma care system program shall provide for the
				support, development and expansion of the statewide trauma care system in
				accordance with rules adopted by the department. No more than four percent (4%)
				will be set aside from the fund for the purpose of supporting the statewide
				trauma care system program.
B.
PROGRAM:
The program mission shall include but not be limited to
				the continued support of the trauma registry database, statewide trauma system
				leadership, and the development, implementation, expansion, monitoring and
				support of the statewide trauma care system.
C.
BUDGET:
Each fiscal year,
				the bureau, with consultation from the trauma advisory committee, a
				subcommittee of the advisory committee, will propose a budget for the statewide
				trauma care system program to the advisory committee for review no later than
				it's summer meeting. Following this review, the bureau will formally budget
				these funds. The bureau with concurrence from the advisory committee, may make
				budget adjustments to permit expenditure of all or part of a given fiscal
				year's budgeted amount for trauma in the following fiscal year.
D.
REPORT:
The bureau will
				submit a final report to the advisory committee on the program by the end of
				the fiscal year. At a minimum the report will include current activities,
				improvements, evaluation of areas in need and future plans for the continued
				enhancement of the state trauma care program.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 4 - EMERGENCY MEDICAL SERVICES FUND ACT › Section 7.27.4.14 - ADMINISTRATION

Current through Register Vol. 35, No. 13, July 16, 2024
A.
ADMINISTRATION:
From the fund, three percent (3%) may be used by the
				bureau and EMS regional offices for administrative costs, including monitoring
				and providing technical assistance, as set forth in this section.
B.
INSPECTION - STATUTORY
				REQUIREMENT:
Inspections, pursuant to Section
				24
-
10A
-
9, NMSA 1978 are to be constructive and
				informative to the local recipient to insure the highest possible standards of
				equipment and training are instituted by the local recipient and to identify
				any areas which could be of danger or harmful to the health, safety and welfare
				of staff and the public for whom service is provided.
(1) Applicants and local recipients shall be
				subject to reasonable visitation by authorized representatives of the bureau.
				Vehicle maintenance records, records of service under warranties, continuing
				education records, training certificates, and similar records shall be open for
				inspection, as well as tariff billings and fiscal and expenditure records
				relative to an area for which full or partial funding was made under the
				act.
(2) Upon completion of an
				inspection, the findings shall be discussed with the applicant's and/or local
				recipient's representative.
(3) If
				deficiencies are indicated, the applicant and/or local recipient shall submit a
				report stating how the deficiencies will be corrected and the estimated date of
				completion. In most cases corrections should be completed within thirty (30)
				calendar days.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This regulation applies to any air service within New Mexico
				  that transports persons requiring medical care including, but not limited to:
				  basic life support (BLS), advanced life support (ALS), critical care, or
				  specialty care. Out-of-state services that fly into New Mexico to pick up
				  and/or deliver medical patients shall also be certified in accordance with
				  these rules, or through reciprocity in accordance with these rules. The United
				  States department of defense and the New Mexico department of military affairs
				  are exempt from this rule when conducting official military operations. Public
				  safety agencies that routinely provide air ambulance services shall be
				  certified.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the following
				  statutory authorities:
1) the
				Department of Health Act, section
				9-7-6.E.
				NMSA 1978, which authorizes the secretary of the department to "... make and
				adopt such reasonable and procedural rules and rules as may be necessary to
				carry out the duties of the department and its divisions," and;
2) the Emergency Medical Services Act,
				Section
				24-10B-4 -H, NMSA
				1978, which authorizes the department to adopt regulations for the
				certification of air medical transport. Administration and enforcement of these
				regulations is the responsibility of the emergency medical systems bureau of
				the epidemiology and response division, department of health.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this document is to inform the public and air
				  ambulance services about the requirements and standards for the certification
				  of air ambulance services operating within New Mexico, and the process and
				  procedures to become certified as specified below.
A. These rules provide the minimum criteria
				and process for the certification of both fixed and rotor wing air ambulance
				services that operate within the state of New Mexico, based upon the
				recommendations of the air medical transport advisory committee; to provide
				minimum standards for certified services to abide by; and, to assist in the
				provision of a comprehensive system of emergency medical services in the state
				of New Mexico.
B. These rules are
				designed to assist air ambulance services in preparing for, achieving, and
				maintaining certification as a certified air ambulance service in the state of
				New Mexico. Air ambulance services that have and maintain the commission on
				accreditation of medical transport systems (CAMTS) accreditation meet the
				standards for air ambulance certification in the state of New Mexico. The
				bureau shall certify an air ambulance service with CAMTS accreditation
				following review and approval of the application and inspection, if necessary,
				as determined by the bureau, and payment of necessary fees and approval by the
				bureau.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.8 - USE OF TERMS AND ADVERTISING

Current through Register Vol. 35, No. 13, July 16, 2024
It shall be prohibited for any air ambulance service to
				  advertise or perform air ambulance services, or use the title "certified air
				  ambulance service," in New Mexico, unless it is certified under these
				  rules.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.9 - DISCLOSURE TO THE PUBLIC

Current through Register Vol. 35, No. 13, July 16, 2024
At the initiation of contact with a potential client, patient
				  or the public, the certified air ambulance service shall disclose the current
				  level of state of New Mexico certification and what level of service can be
				  provided.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.10 - FULL CERTIFICATION PERIOD

Current through Register Vol. 35, No. 13, July 16, 2024
The certification period for all air ambulance services shall
				  be for a 3-year period. Once a certified air ambulance service becomes
				  accredited by CAMTS, the certification period shall be adjusted by the bureau
				  to correspond with the CAMTS accreditation period.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.11 - REPORTING

Current through Register Vol. 35, No. 13, July 16, 2024
Certified air ambulance services shall complete a patient run
				  report for each patient that is transported by air. The minimum data elements
				  identified by the bureau shall be compiled and submitted to the bureau on a
				  quarterly basis, or as determined by the bureau. Certified services shall
				  provide as a minimum, an annual number of runs of patients picked up in New
				  Mexico including location and patient complaint. Review of completed patient
				  care reports may be required during initial and/or subsequent
				  inspections.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.12 - EMERGENCY INFORMATION REQUIRED

Current through Register Vol. 35, No. 13, July 16, 2024
Certified air ambulance services shall provide, during
				  initial/renewal of certification, emergency information about the service to
				  the bureau. This information shall be used by the bureau to provide effective
				  communications and resource management, in the event of a statewide or
				  localized disaster/emergency situation. The information is included in the
				  initial/renewal application for certification of air ambulance
				  services.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.13 - CERTIFICATION PROCESS AND PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
A. General: Prior to beginning air ambulance
				operations within the state of New Mexico, either a temporary or full air
				ambulance certification is required for the levels of service, as outlined
				below.
(1) Levels of service: the following
				levels of service are authorized in New Mexico:
(a) advanced air ambulance service: the air
				medical crew shall at all times consist of at least 2 licensed health care
				providers, one of which, shall be licensed at the advanced life support (ALS)
				level or above (minimum licensed EMT-paramedic or above);
(b) critical care air ambulance service: the
				critical care mission shall consist of at least one critical care provider and
				at least one additional provider which shall be licensed at or above the ALS
				level of care, and/or specifically trained in the area of care required;
				additional providers may be added as necessary;
(c) specialty care air ambulance service: the
				specialty care mission shall consist of at least one specialty care provider
				and at least one additional provider which shall be licensed at or above the
				ALS level of care, and/or specifically trained in the area of care required;
				additional providers may be added as necessary;
(d) generally, services certified to provide
				critical care are certified to perform advanced air ambulance service care; in
				all such cases, the minimum level of certified/licensed health care provider
				staffing, for each level of certification, shall be aboard the
				aircraft;
(e) services that provide
				care at the advanced, critical or specialty air ambulance level care are
				required to remain with the patient until someone of equal or higher training
				assumes care of the patient.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.14 - FEES

Current through Register Vol. 35, No. 13, July 16, 2024
A. A fee shall be
				assessed by the bureau for certification to operate an air ambulance in the
				state of New Mexico. The bureau, with the advice of the air medical transport
				advisory committee and the statewide EMS advisory committee, shall set the
				amount of the fee. Exceptions: fees shall not apply to:
(1) an air ambulance service from another
				state assisting in the response to a major disaster, mass casualty incident or
				other emergency;
(2) an air
				ambulance service transferring patients to or from New Mexico less than two
				times per month.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.15 - ENFORCEMENT

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Complaint/Incident Procedures: Any person may communicate a complaint or
				knowledge of an incident to the bureau. Complaints shall be submitted in signed
				written form to the bureau as soon as practical. The bureau may begin an
				investigation if there is sufficient cause.
(1) When a complaint is received by the
				bureau, written acknowledgement shall be made within 10 working days and the
				staff shall decide whether or not a preliminary or formal investigation of the
				complaint shall be initiated.
(2)
				If no investigation is warranted, the service or person filing the complaint
				will be notified, as determined by the bureau.
(3) Services being formally investigated
				shall receive written notification within ten (10) working days after a
				decision is made to begin a formal investigation, unless extenuating
				circumstances exist which would reasonably preclude notification.
(4) At the conclusion of the bureau's formal
				investigation, the bureau may report its findings to the investigated service
				in written form. If the bureau investigation warrants disciplinary action
				against a service, the service will be given a notice of contemplated action
				(see right to appeal and hearing in 7.27.15.D NMAC).
(5) If the bureau makes a good faith judgment
				that the health and/or safety of the public would be jeopardized, it may take
				immediate action to suspend an air ambulance service's certification to prevent
				a service from operating within New Mexico. The suspended service shall be
				afforded an expedited appeal and hearing process.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.16 - STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
The most recent standards for air ambulance services
				  published by the CAMTS are incorporated by reference, with the written
				  permission of CAMTS. Air ambulance services shall meet the standards outlined
				  in the CAMTS
accreditation standards
, with following
				  exceptions:
A. Rotor Wing
				Scene Response Protocol (Rotor Wing): All rotor wing air ambulance services
				certified to operate in the state of New Mexico shall adhere to the response
				and transportation policy outlined below. Failure to adhere to the response
				protocol policy may be investigated by the department and may result in
				disciplinary action against the service(s) involved in the non-compliance. The
				department recognizes that air ambulance services may need to occasionally
				deviate from this policy in the best interest of patient care.
(1) Response: When a request from a EMS
				provider, law enforcement officer, or the incident commander for a rotor wing
				air ambulance is received by telephone or radio at a dispatch center to respond
				to a scene, the dispatcher or air ambulance service shall ensure that the
				closest available service shall respond. If another rotor wing service is
				closer to the scene and their aircraft is available to respond, the request
				shall be transferred and communicated to that service, without delay.
(2) Transportation: All patients shall be
				transported by the rotor wing air ambulance service to the closest appropriate
				facility. For trauma patients, the regional or local trauma transportation
				protocols/guidelines should guide the destination decision. Regional or EMS
				system transportation protocols/guidelines shall also guide transportation
				decisions.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.17 - RADIO COMMUNICATION FREQUENCIES

Current through Register Vol. 35, No. 13, July 16, 2024
A. The following UHF medical frequencies are
				required in all air ambulance vehicles to communicate with the New Mexico EMS
				system and to conduct medical communication in the state of New Mexico.
(1) Transmit 463.000, receive
				468.000.
(2) Transmit 463.235,
				receive 468.025.
(3) Transmit
				463.050, receive 468.050.
(4)
				Transmit 463.075, receive 468.075.
(5) Transmit 463.100, receive
				468.100.
(6) Transmit 463.125,
				receive 468.125.
(7) Transmit
				463.150, receive 468.150.
(8)
				Transmit 463.175, receive 468.175.
(9) Transmit 462.950, receive
				467.950.
(10) Transmit 462.975,
				receive 467.975.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.18 - STANDARDS AND REQUIREMENTS CHECKLISTS

Current through Register Vol. 35, No. 13, July 16, 2024
Standards and requirements are outlined in the CAMTS
				  accreditation standards incorporated by reference, with the written permission
				  of CAMTS, with the noted exceptions in section
				  7.27.5.16
				  NMAC.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.19 - APPLICATION FOR AIR AMBULANCE CERTIFICATION

Current through Register Vol. 35, No. 13, July 16, 2024
All applications for certification as an air ambulance shall
				  contain the following:
A. service
				name;
B. ownership structure: sole
				proprietor, partnership, corporation, etc.;
C. service mailing address;
D. physical location of facilities: use
				additional sheets as necessary;
E.
				communications;
(1) business
				telephone;
(2) facsimile
				number;
(3) dispatch center
				telephone;
(4) emergency point of
				contact;
(5) operations
				telephone;
(6) cellular
				telephone;
(7) pager
				number;
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.20 - AIRCRAFT EQUIPMENT STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Standards and requirements are outlined in the CAMTS
				  accreditation standards incorporated by reference, with the noted exceptions in
				  section
				  7.27.5.16
				  NMAC.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 5 - CERTIFICATION OF AIR AMBULANCE › Section 7.27.5.21 - TRAINING STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Standards and requirements are outlined in the CAMTS
				  accreditation standards incorporated by reference, with the noted exceptions in
				  section
				  7.27.5.16
				  NMAC.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Department of Health (DOH), Epidemiology and
				  Response Division (ERD), Emergency Medical Systems Bureau
				  (EMSB).
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This regulation applies to all people of New Mexico who have
				  capacity, or by a person duly appointed under a durable power of attorney for
				  health care, physicians, advanced practice nurses, or physician assistants, and
				  emergency medical services personnel.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations are promulgated pursuant to the following
				  statutory authorities:
A. the
				Department of Health Act, Section
				9-7-6.
				E NMSA 1978, which authorizes the secretary of the department of health to make
				and adopt such reasonable and procedural rules and regulations as may be
				necessary to carry out the duties of the department and its divisions";
				and
B. the Emergency Medical
				Services Act (as amended by Laws of 2003, Chapter 243), Section 24-10B-4I NMSA
				1978, which authorizes the department of health to adopt "regulations
				pertaining to authorization of providers to honor advance directives to
				withhold or terminate care in certain pre-hospital or inter-facility
				circumstances, as guided by local medical protocols".
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 12, 2017, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations will inform the public and New Mexico
				  emergency medical services providers of the procedures to authorize the use of
				  advance directives in pre-hospital and inter-facility
				  settings.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.8 - EMS DO NOT RESUSCITATE (DNR) ORDER

Current through Register Vol. 35, No. 13, July 16, 2024
A. Execution and duration of an EMS DNR
				order, including Section A of the MOST form.
(1) Any physician, advanced practice nurse,
				or PA may execute an EMS DNR order on behalf of any person with capacity, with
				the person's informed consent. The physician, advanced practice nurse, or PA or
				designee shall explain to the person the full meaning of the order, the
				available alternatives, how the order may be revoked, and answer any questions
				the person may have about the order. The person for whom the order is being
				executed shall sign the document, as well as the physician, advanced practice
				nurse, or PA. A registered nurse may sign the EMS DNR or MOST if a verbal order
				for the EMS DNR or MOST has been received from a physician, advanced practice
				nurse, or PA; the name of the physician, advanced practice nurse, or PA must be
				printed beneath the signature.
(2)
				If the person for whom an EMS DNR order is contemplated has appointed an agent
				under a durable power of attorney, and the person for whom the DNR order is
				contemplated lacks capacity, the physician, advanced practice nurse, or PA or
				designee may discuss the situation with the person's authorized health care
				decision maker, if any. The physician, advanced practice nurse, PA, or designee
				shall explain to the authorized health care decision maker the full meaning of
				the order, the available alternatives, how the order may be revoked, and answer
				any questions the authorized health care decision maker may have about the
				order. If the authorized health care decision maker gives informed consent to
				the order, the decision maker will sign the EMS DNR or MOST, as will the
				physician, advanced practice nurse, or PA. A registered nurse may sign the EMS
				DNR or MOST if a verbal order for the EMS DNR or MOST has been received from a
				physician, advanced practice nurse, or PA; the name of the physician, advanced
				practice nurse, or PA must be printed beneath the signature.
(3) An EMS DNR or MOST order shall remain in
				effect indefinitely unless revoked or unless an expiration date is specified in
				the document.
(4) An EMS DNR or
				MOST order shall be periodically reviewed by the person for whom the EMS DNR
				order is executed or by the authorized health care decision maker.
(5) A person for whom an EMS DNR order is
				executed may choose to wear an optional EMS bracelet indicating the existence
				of the order.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.9 - EMS PERSONNEL AND PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Authorization of EMS personnel: EMS personnel shall follow EMS DNR orders, MOST
				form instructions or durable powers of attorney when encountering persons in
				pre-hospital settings in accordance with these regulations and local EMS
				medical protocols.
B. EMS
				procedures for verifying EMS DNR orders: EMS personnel shall comply with the
				following procedures when encountering a possible EMS DNR order:
(1) primary assessment - perform initial
				primary assessment, i.e., assess airway, breathing and carotid pulse;
(2) verification of identification - verify
				by:
(a) using a driver's license or other
				signed photo identification; or
(b)
				identification by a family member; or
(c) positive third party identification by
				someone who knows the person;
(3) verification of existence of the
				appropriately completed MOST form by the steps in Subsection D of 7.27.6.9
				NMAC;
(4) verification of EMS DNR
				or MOST order - verify the existence of an EMS DNR or MOST order for the
				person, using the following indicators:
(a)
				EMS DNR order only: if a valid EMS DNR order is immediately accessible, proceed
				to Subsection C of 7.27.6.9 NMAC;
(b) intact EMS bracelet: if the person is
				wearing an EMS bracelet that is fully intact and not defaced, proceed to
				Subsection C of 7.27.6.9 NMAC;
(c)
				non-intact or defaced EMS bracelet with an EMS DNR order: if the person is
				wearing an EMS bracelet that is not fully intact or is defaced, but an EMS DNR
				order is immediately accessible, proceed to Subsection C of 7.27.6.9
				NMAC;
(d) non-intact or defaced EMS
				bracelet without an EMS DNR order: follow the regular resuscitation protocol
				and ask family member(s) or others present to locate the EMS DNR order; if the
				EMS DNR order is located, proceed to Subsection C of 7.27.6.9 NMAC; if the EMS
				DNR order is not located, continue the regular resuscitation protocol and
				contact medical control for consultation;
(e) no EMS bracelet and no EMS DNR order: if
				the person is not wearing an EMS bracelet but there are other indications that
				the person is on DNR status, follow the regular resuscitation protocol and ask
				family member(s) or others present to locate the EMS DNR order; if the EMS DNR
				order is located, proceed to Subsection C of 7.27.6.9 NMAC; if the EMS DNR
				order is not located, continue the regular resuscitation protocol and contact
				medical control for consultation.
(5) if there is any question about the
				validity of an EMS DNR order or MOST form, or there is any indication of an
				attempted homicide, initiate resuscitation until such time that the questions
				have been answered; if possible, contact medical control for
				consultation.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 6 - EMERGENCY MEDICAL SERVICES ADVANCE DIRECTIVES › Section 7.27.6.10 - ENFORCEABILITY AND PROGRAM ADMINISTRATION

Current through Register Vol. 35, No. 13, July 16, 2024
A. Enforceability of DNR orders and durable
				powers of attorney from other states: EMS personnel may honor DNR orders and
				durable powers of attorney that are executed in another state or jurisdiction
				in compliance with the laws of that state or jurisdiction, or in compliance
				with the laws of New Mexico, to the extent the document is not inconsistent
				with the public policy of New Mexico.
B. Program administration: the bureau shall
				distribute, or arrange for the distribution of, EMS DNR order forms and
				relevant information to interested citizens and appropriate health care
				providers. These materials shall include specific guidance on how to obtain
				additional forms and the EMS bracelet.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Department of Health, Public Health Division,
				  Injury Prevention and Emergency Medical Services (EMS)
				  Bureau.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations apply to all agencies providing EMS
				  services, local EMS Medical Directors, Regional Trauma Advisory Committees, the
				  Trauma Advisory Committee, the Injury Prevention and EMS Bureau (IPEMS), the
				  New Mexico Department of Health and hospitals participating in the New Mexico
				  Trauma Care System.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations are promulgated by the Secretary of Health
				  by the authority of Section
				  9-7-6.E.
				  NMSA 1978, and the Emergency Medical Services (EMS) Act, Section
				  24-10B-4.H. NMSA
				  1978 (as amended by Laws of 1993, Chapter 161). Administration and enforcement
				  of the Act is the responsibility of the Injury Prevention and Emergency Medical
				  Services Bureau of the Public Health Division, Department of
				  Health.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of these regulations is to implement the trauma
				  system provisions of the EMS Act (as amended by the Laws of 1993, Chapter
				  161).
A.
These regulations set
				forth standards governing the statewide trauma system in order to:
(1) prevent unnecessary death and disability
				due to injury,
(2) develop a
				statewide trauma system to assure timely, quality, cost-efficient and
				definitive care through coordination of pre-hospital, hospital and post-acute
				care,
(3) provide optimal care for
				the trauma patient,
(4) study and
				identify the epidemiology of injury; and,
(5) pursue trauma prevention activities to
				decrease the incidence of trauma.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.8 - SYSTEM ADMINISTRATION

Current through Register Vol. 35, No. 13, July 16, 2024
A.
General Responsibilities of the IPEMS Bureau:
(1) the Bureau shall administer the process,
				to designate and re-designate hospitals/healthcare facilities to provide trauma
				care services in accordance with these regulations.
(2) the Bureau shall establish and manage the
				Statewide Trauma Registry.
(3) the
				Bureau shall approve and periodically review statewide and regional
				pre-hospital trauma triage criteria guidelines, inter-facility transfer
				criteria for adult and pediatric patients, trauma center standards and the
				trauma register data set with the advice of the Trauma Advisory Committee
				(TAC).
(4) the Bureau may recognize
				the establishment of Regional Trauma Councils (ReTrACs) as
				appropriate.
(5) the Bureau shall
				develop and update the State Trauma System Plan periodically with advice from
				the TAC.
(6) the Bureau shall
				review, recommend changes to, and approve any proposed regional plans submitted
				by a ReTrAC, through TAC and shall take into account recommendation from the
				TAC. This approval shall be based upon consideration of the needs of trauma
				patients whose care may require resources from more than one (1) region and/or
				from adjacent states.
(7) the
				Bureau shall provide technical assistance and support to the TAC, ReTrACs and
				to hospitals/healthcare facilities and EMS providers as necessary to carry out
				the Trauma System Plan.
(8) the
				Bureau shall exercise, as necessary, the right to review, inspect, evaluate and
				audit all trauma patient records, trauma process improvement plans and
				committee minutes, physical facilities, and any other documents relevant to
				trauma care in any designated trauma center to verify compliance with trauma
				center standards. The Bureau shall maintain the confidentiality of such records
				in accordance with state and/or federal law.
(9) the Bureau shall facilitate the
				establishment of a statewide "inclusive" trauma system by encouraging
				participation of all agencies, facilities and services that treat or admit
				trauma patients in the statewide trauma data collection process, or in injury
				prevention programs, or in ReTrAC or in any other manner deemed by the Bureau
				to improve trauma care.
(10) the
				Bureau may periodically conduct special studies on the Statewide Trauma System
				to determine system coverage, quality and extent of care, and financial effect
				of the system components.
(11) the
				Bureau may develop other trauma regulations, with advice from TAC, and as
				necessary, to ensure the quality of the Statewide Trauma System.
(12) the Bureau shall facilitate, and where
				necessary, develop and maintain public information/education and prevention
				programs as an integral component of the trauma system.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.9 - TRAUMA CENTER DESIGNATION PROCESS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Levels of trauma centers: the Bureau shall identify trauma centers by
				levels of care capability as defined in these regulations.
The levels
				are as follows:
(1) level I trauma
				center
(2) level II trauma
				center
(3) level III trauma
				center
(4) level IV trauma
				center
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.10 - TRAUMA SYSTEMS DATA COLLECTION

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Bureau Responsibilities: the bureau
				shall:
(1) establish a statewide
				trauma data registry to collect and analyze data on the incidence, severity,
				and causes of trauma, including traumatic brain and spinal cord injury for the
				purposes of:
(a) monitoring and providing
				information necessary to evaluate qualifying trauma patient care, outcome and
				cost,
(b) assessing compliance of
				pre-hospital providers, designated trauma centers, and other
				hospital/healthcare facilities with the standards of the state trauma system
				operation and designation,
(c)
				providing information necessary for resource planning and management,
(d) providing data for injury surveillance,
				analysis, and prevention programs, and
(e) providing a resource for research and
				education.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.11 - PRE-HOSPITAL TRANSPORT GUIDELINES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Each pre-hospital EMS provider
				shall:
ensure, upon arrival at the location of an injury, a trained
				first responder or EMT assessment of the condition of each trauma patient using
				the local/regional trauma triage criteria to determine the transport
				destination according to local trauma transport protocols (TTPs).
B.
The local TTPs will take into
				consideration the following exceptions:
(1) EMS Air Ambulance; when transporting by
				ground is not appropriate due to distance, terrain, traffic or other reasons,
				activation of an EMS air ambulance should be considered as provided for in the
				local TTPs. Consideration for EMS air ambulance activation shall include:
(a) multiple trauma patients,
(b) disaster situations,
(c) poorly accessible terrain,
(d) excessive or impeding traffic,
(e) transport time greater than thirty (30)
				minutes, or,
(f) potential to
				overload the closest hospital or EMS service.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.13 - APPENDIX B TRAUMA PATIENT INTERFACILITY TRANSFER CRITERIA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Transfer
				Criteria:
All patients from the following categories are at high risk
				for death or disability and should be considered for transfer to a Level I or
				Level II Trauma Center.
(1) Central Nervous
				System
(a) head injury: penetrating injury or
				depressed skull fracture
(i) open injury with
				or without CSF(Cerebral Spinal Fluid) leak
(ii) Glasgow Coma Score (GCS) 12 or GCS
				deterioration of 1 point or more
(iii) lateralizing signs
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 7 - TRAUMA CARE SYSTEM › Section 7.27.7.14 - APPENDIX C: TRAUMA DATA COLLECTION/ DOCUMENTATION CRITERIA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Prehospital
(1) scene calls, first
				responders, licensed ground or certified air ambulance services data shall
				include:
(a) pre-hospital incident run
				number
(b) name or name code, when
				available
(c) date of birth when
				available
(d) age
(e) sex
(f) social security number when
				available
(g) agency identification
				number
(h) first agency on scene
				(yes/ no)
(i) transporting agency
				identification
(j) level of
				transporting agency (BLS/ ALS)
(k)
				incident county code
(l) date of
				incident
(m) time
(i) call received
(ii) dispatched
(iii) arrived at scene
(iv) departed scene
(n) initial systolic blood pressure (if
				obtainable, palpable or best pulse)
(o) respiratory rate
(p) Glasgow coma score- (eye, verbal, and
				motor when applicable)
(q)
				narrative description of the mechanism of injury
(r) meets trauma triage criteria (yes/
				no)
(s) extrication
				required
(t) safety restraint or
				device used
(u) field interventions
				done
(v) additional information if
				patient died at scene
(i) patient home zip
				code
(ii) patient race when
				available
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 8 - CARDIAC ARREST TARGETED RESPONSE PROGRAM › Section 7.27.8.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Department of Health (DOH), Epidemiology and
				  Response Division (ERD), Emergency Medical Systems Bureau
				  (EMSB).
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 8 - CARDIAC ARREST TARGETED RESPONSE PROGRAM › Section 7.27.8.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations are applicable to all persons or entities
				  operating an automated external defibrillator (AED) program within the state of
				  New Mexico. The regulations also apply to all AED training organizations,
				  trainers, and trained targeted responders affiliated with an AED
				  Program.
Exemptions: Certain individuals and agencies are exempted
				  from this regulation, as described below:
A. Individuals authorized by physicians: As
				stated in the Cardiac Arrest Response Act, 24-10C-1 NMSA 1978, nothing
				precludes a physician or a physician assistant, advanced practice registered
				nurse or certified nurse-midwife working within that person's scope of practice
				from prescribing an automated external defibrillator to a patient for use by
				the patient's caregiver on an individual patient, and the use does not require
				the individual to function in an approved program.
B. Health care professionals: EMS personnel
				or other health care professionals, who are authorized by other laws,
				regulations, and scopes of practice to use and perform defibrillation in the
				out-of-hospital environment, while performing official duties or within the
				scope of their employment.
C.
				Military services, other federal entities, and AED programs on tribal land: The
				United States department of defense, other federal agencies, AED programs on
				tribal lands, and the New Mexico department of military affairs are exempt from
				this rule.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 8 - CARDIAC ARREST TARGETED RESPONSE PROGRAM › Section 7.27.8.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These regulations are promulgated pursuant to the following
				  statutory authorities:
A. The
				Department of Health Act, Subsection E of Section
				9-7-6
				NMSA 1978, which authorizes the secretary of the department of health to "make
				and adopt such reasonable and procedural rules and regulations as may be
				necessary to carry out the duties of the department and its
				divisions".
B. The Cardiac Arrest
				Response Act, Subsection B of Section
				24-10C-4
				NMSA 1978, which authorizes the department of health to approve training
				programs; and.
C. The Emergency
				Medical Services Act, Subsection M of Section
				24-10B-4 NMSA
				1978, which authorizes the department of health to adopt "rules to establish a
				cardiac arrest targeted response program pursuant to the Cardiac Arrest
				Response Act."
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 8 - CARDIAC ARREST TARGETED RESPONSE PROGRAM › Section 7.27.8.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 12, 2017, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 8 - CARDIAC ARREST TARGETED RESPONSE PROGRAM › Section 7.27.8.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of these regulations is to outline requirements
				  for the New Mexico cardiac arrest targeted response program including:
				  Establishment of a cardiac arrest targeted response program, AED program
				  registration, medical direction, training, notification of local EMS services
				  and public safety answering points, reporting, fees, and bureau
				  responsibilities.