North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-25 - General standards for providing emergency medical services

Current through Supplement No. 393, July, 2024
Regardless of the type of service through which an emergency
				  medical service agency is providing emergency medical services, the following
				  standards apply to the emergency medical service agency and its emergency
				  medical service providers when functioning as an emergency medical service
				  provider on behalf of an emergency medical service agency, except as otherwise
				  provided in this section:
1. An
				emergency medical service provider who encounters a patient before the arrival
				of other emergency medical service providers shall attend to the patient and
				begin providing emergency medical services to the patient at that emergency
				medical service provider's skill level.
2. An emergency medical responder may not be
				the emergency medical service provider who primarily attends to a patient
				unless another higher-level emergency medical service provider is not present
				or all other emergency medical service providers who are present are attending
				to other patients. An emergency medical responder may not attend to a patient
				during transport unless another higher-level emergency medical service provider
				is present.
3. Except as set forth
				in subsection 2, or unless there are multiple patients and the emergency
				medical services needs of other patients require otherwise, among emergency
				medical service providers who are present, an emergency medical service
				provider who is certified at or above the emergency medical services skill
				level required by the patient shall be the emergency medical service provider
				who primarily attends to the patient.
4. If a patient requires emergency medical
				services at a higher skill level than the skill level of the emergency medical
				service providers who are present, unless there are multiple patients and the
				emergency medical services needs of other patients require otherwise, an
				emergency medical service provider who is licensed at the highest emergency
				medical services skill level among the emergency medical service providers who
				are present shall be the emergency medical service provider who primarily
				attends to the patient.
5. A member
				of the emergency medical service vehicle crew with the highest level of
				emergency medical service provider licensure shall be responsible for the
				overall management of the emergency medical services provided to the patient or
				patients by the members of that emergency medical service vehicle crew. If more
				than one member of the emergency medical service vehicle crew is an emergency
				medical service provider above the advanced emergency medical technician level,
				any of those emergency medical service providers may assume responsibility for
				the overall management of the emergency medical services provided to the
				patient or patients by the members of that emergency medical service vehicle
				crew.
6. If an emergency medical
				service vehicle crew needs additional assistance in attending to the needs of a
				patient or patients, it shall contact a public safety answering point or its
				emergency medical service agency dispatch center to request that
				assistance.
7. Except as otherwise
				provided in rule, a ground ambulance service shall operate twenty-four hours
				per day seven days per week, each type of service it is licensed to provide at
				each location it is licensed to operate that service.
8. A member of an emergency medical service
				vehicle crew who responds to a call in a personal vehicle may not transport in
				that vehicle medications, equipment, or supplies that an emergency medical
				technician is not authorized to use.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04