reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-20 - Instructor requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) A registry
				  of approved emergency medical services instructors shall be maintained by the
				  Department. Each instructor candidate shall submit to the Department an
				  application for initial instructor certification. The application shall be on
				  forms provided by the Department and accompanied by current documentation of
				  qualification. This application shall constitute authorization for any
				  inspection or investigation by the Department. The initial period for
				  instructor certification will be concurrent with current Oklahoma Emergency
				  Medical Personnel certification or licensure. The initial renewal requirement
				  will be pro-rated based on the remaining time to the expiration date.
(1) Qualifications for a Level 1 and Level II
				  instructor certification include:
(A) A
				  resume or letter documenting two (2) years of direct field experience in
				  emergency medical services within the previous five (5) years which meets or
				  exceeds the level of training being taught;
(B) Successful completion of a Department
				  approved EMS Instructor Training Course or Fire Service Instructor I and/or II,
				  with the EMS Instructor Training Bridge (ITC) Course or equivalent within the
				  previous two (2) years. Applicants with credentials greater than two year old
				  will need to provide documentation of classroom or instructor experience
				  totaling eight (8) hours annually from the date their initial credential(s) was
				  issued, or complete a sixteen (16 hour instructor refresher to update their
				  credential(s);
(C) Current state
				  certification or licensure; and
(D)
				  within three (3) years of the effective date of this regulation, the instructor
				  identified as the lead instructor on a course authorization form of an initial
				  paramedic course at an accredited program must possess a minimum of an
				  associate's degree.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-21 - Instructor and instructor educator renewal

Current through Vol. 41, No. 20, July 1, 2024
(a) Instructors and instructor educators
				  shall submit an application for renewalevery two (2) years.
(b) Each renewal will include verification of
				  instructor continuing education or refresher course.
(1) Level 1instructors are required to submit
				  eight (8) hours of continuing education or refresher course hours.
(2) Level 2 and 3 instructors are required to
				  submit sixteen (16) hours of continuing education or refresher course
				  hours.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-21.1 - Instructor and instructor educator re-entry requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) If expired more than two (2) years, the
				  applicant must complete a new Department approved Instructor Training Course
				  (ITC) and reapply as an initial candidate for EMS Instructor.
(b) If less than two (2) years, the applicant
				  must complete a Instructor Training Course Refresher.
Added at 23 Ok Reg
					 2386, eff 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-22 - Early defibrillation instructor requirements [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 11 Ok Reg
					 3843, eff 7-11-94; Revoked at 17 Ok Reg 392, eff 11-1-99 (emergency); Revoked
					 at 17 Ok Reg 2948, eff 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-23 - Early defibrillation master trainers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 11 Ok Reg
					 3843, eff 7-11-94; Revoked at 17 Ok Reg 392, eff 11-1-99 (emergency); Revoked
					 at 17 Ok Reg 2948, eff 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-24 - Training manager authorization

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Licensed ambulance services and certified emergency medical response agencies
				  shall be authorized to conduct training based upon the need for training and
				  continuing education activities. This agency supplied training is limited to
				  refresher courses, emergency medical responder courses, continuing education,
				  and other training courses as designated by the Department.
(b) Ambulance services and emergency medical
				  response agencies must use Level 1, 2, or 3 instructors to either provide
				  and/or oversee the training. A guest presenter may be used provided an approved
				  instructor is present and responsible for the training session.
(c) An attendance policy or statement shall
				  be sent with course authorization requests for approval by the Department.
(1) Attendance shall be maintained at the
				  agency for three years.
(2)
				  Attendance records will be provided when requested to the Department or to
				  agencies to verify activities.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-25 - Training program, instructor, and course records and files

Current through Vol. 41, No. 20, July 1, 2024
(a) All required records will be maintained
				  for a minimum of three years.
(b)
				  Each training program shall maintain electronic or paper records at the
				  business office. The files shall be available for review by the Department
				  during normal business hours.
(c)
				  The records to be maintained, based on level and type of instruction include:
(1) Clinical agreements,
(2) student handbook,
(3) course authorization requests and
				  approvals,
(4) initial, amended,
				  and final rosters,
(5) attendance
				  records,
(6) psycho-motor exam
				  guides,
(7) instructor credential
				  file containing the licenses, certifications, training courses, and continuing
				  education required to maintain instructor certification,
(8) course syllabi or course
				  schedules
(9) instructional
				  guidelines and course objectives, and
(10) agreements for support at off-campus
				  sites.
(11) A student portfolio or
				  file will be maintained to reflect the work completed by the student to include
				  classroom evaluations from the cognitive, psycho-motor, and affective learning
				  domains.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 5 - INSTRUCTOR QUALIFICATIONS › Section 310:641-7-29 - Suspension, revocation, probation, or non-renewal of an approved training program or instructor

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department
				  may suspend, revoke, fine, or place on probation an instructor, training
				  program, or agency for the following:
(1)
				  violations of any provision of Oklahoma Statutes, the Act, or regulations
				  promulgated by the Board;
(2)
				  permitting, aiding, or abetting in any illegal act in connection with a program
				  or agency,
(3) conduct of any
				  practice that is detrimental to the welfare of a patient or user of the
				  services;
(4) failure to comply
				  with a written order issued by the Department within the time frame specified
				  by the Department;
(5) engaging in
				  any act which is designed or intended to hinder, impede, or obstruct an
				  investigation by the Department,
(6) a program that fails to renew their
				  certification within the time frame as specified in this Chapter shall be
				  considered as expired and therefore no longer certified as a training program
				  in Oklahoma.
(7) failing as a
				  clinical preceptor or instructor to supervise, manage, or train students under
				  their instruction, regarding and according to:
(A) scope of practice;
(B) generally accepted standards of patient
				  care;
(C) U.S. DOT instructional
				  guidelines;
(D) protocols,
				  policies, and procedures.
(8) willfully harassing, abusing, or
				  intimidating a patient or student,
(9) misleading, deceptive, false, or
				  fraudulent advertisement or other representation in the conduct of the
				  profession or occupation,
(10)
				  offering, giving, or promising anything of value (as defined in Oklahoma
				  statutes or Department policy) to a Federal, state, or local government
				  employee or official for the purpose of influencing the employee or official to
				  circumvent a Federal, state, or local law, rule, or ordinance governing the
				  licensee's profession or occupation;
(11) interfering with an investigation or
				  disciplinary proceeding by willful misrepresentation of facts, by the use of
				  threats or harassment against, or inducement to a client or witness to prevent
				  them from providing evidence in a disciplinary proceeding or other legal
				  action, or by use of threats or harassment against or inducement to a person to
				  prevent or attempt to prevent a disciplinary proceeding or other legal action
				  from being filed, prosecuted, or completed,
(12) failure to report the unprofessional
				  conduct or non-compliance of regulation of individually licensed and certified
				  personnel as defined in this Chapter of regulation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 7 - IN-SERVICE INSTRUCTION PROGRAM [Revoked] › Section 310:641-7-30 - Authorization [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 18 Ok Reg 101, eff 10-30-00 (emergency); Amended at 18 Ok Reg 2501,
					 eff 6-25-01; Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 23 Ok Reg 2386,
					 eff 6-25-06; Amended at 25 Ok Reg 2443, eff
					 7-11-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 7 - IN-SERVICE INSTRUCTION PROGRAM [Revoked] › Section 310:641-7-31 - Qualifications and approval [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Revoked at 18 Ok Reg 101, eff 10-30-00 (emergency); Revoked at 18 Ok Reg 2501,
					 eff 6-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 9 - APPEALS [Revoked] › Section 310:641-7-40 - Adverse actions [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Revoked at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Revoked at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 11 - SPECIAL PROVISIONS [Revoked] › Section 310:641-7-50 - Severance [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Revoked at 18 Ok Reg 101, eff 10-30-00 (emergency); Revoked at 18 Ok Reg 2501,
					 eff 6-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 11 - SPECIAL PROVISIONS [Revoked] › Section 310:641-7-51 - Repealer [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff
					 5-1-92
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 11 - SPECIAL PROVISIONS [Revoked] › Section 310:641-7-52 - Effective date [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Revoked at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Revoked at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 11 - SPECIAL PROVISIONS [Revoked] › Section 310:641-7-53 - Paramedic curriculum [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 18 Ok Reg
					 101, eff 10-30-00 (emergency); Added at 18 Ok Reg 2501, eff 6-25-01; Amended at
					 21 Ok Reg 2755, eff 7-12-04; Amended at 23 Ok Reg 2386, eff
					 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 13 - SEMI-AUTOMATED EXTERNAL DEFIBRILLATOR TRAINING › Section 310:641-7-60 - Approved program providers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 17 Ok Reg
					 2948, eff 7-13-00; Amended at 18 Ok Reg 2501, eff 6-25-01; Amended at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 23 Ok Reg 2386, eff
					 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 7 - Training Programs › Part 13 - SEMI-AUTOMATED EXTERNAL DEFIBRILLATOR TRAINING › Section 310:641-7-61 - Approved course directors and trainers

Current through Vol. 41, No. 20, July 1, 2024
To be subject to 76 O.S. § 5A, the Department requires
					 course directors and trainers to complete cardiopulmonary resuscitation
					 training from the American Red Cross, American Heart Association, National
					 Safety Council, or any other similar course that is approved by the
					 Department.
Added at 17 Ok Reg
					 2948, eff 7-13-00; Amended at 18 Ok Reg 2501, eff 6-25-01; Amended at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 23 Ok Reg 2386, eff
					 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 1 - GENERAL PROVISIONS › Section 310:641-9-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules of this subchapter are promulgated to establish
					 standards for certification of trauma transfer and referral
					 centers.
Added at 21 Ok Reg
					 3113, eff 7-14-04 (emergency); Added at 22 Ok Reg 2418, eff
					 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-2 - Certification required

Current through Vol. 41, No. 20, July 1, 2024
No person, partnership, company, governmental authority, or
					 other legal entity including those established by Oklahoma Constitutional
					 authority or trust authority shall operate, advertise or hold themselves out as
					 providing emergency medical trauma transfer and referral center services
					 without first obtaining a certificate from the Department.
Added at 21 Ok Reg
					 3113, eff 7-14-04 (emergency); Added at 22 Ok Reg 2418, eff
					 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-3 - Application

Current through Vol. 41, No. 20, July 1, 2024
(a) The applicant shall complete an
				  application form approved by the Department to apply for a
				  certificate.
(b) The application
				  shall contain, but not be limited to, the following:
(1) A description of proposed trauma,
				  transfer and referral center operations, detailing how transfers will be
				  processed within the region and how transfers into and out of the region will
				  be facilitated;
(2) A staffing plan
				  and roster including an estimate of call volume and distribution;
(3) A plan for supplemental training for
				  trauma, transfer and referral center staff;
(4) An endorsement from the physician who is
				  providing medical control for the center;
(5) A plan that identifies methods of
				  communication with each emergency medical service and hospital that provides
				  trauma care or transport within the region and/or transfers patients into or
				  out of the region;
(6) The methods
				  of data collection, confidential storage, retrieval, and reporting of requested
				  information related to trauma transports and transfers to the Medical Audit
				  Committee, Department and Commissioner of Health;
(7) A copy of the medical protocols used to
				  triage and identify the level of trauma care needed for each patient;
				  and
(8) A continuous quality
				  improvement plan.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-4 - Issuance of certification

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				  certificate shall be issued to each center found to be compliant with
				  Department requirements and shall be valid for a period of two years following
				  the date of issuance.
(b) The
				  certificate shall be issued to the legal operating entity for the service area
				  given in the application.
(c) A
				  sole provider determination for any region may be made by the Department after
				  consideration of the following factors:
(1)
				  The needs of the region and state for trauma transfer and referral direction
				  and facilitation;
(2) The ability
				  of the provider to provide adequate direction and facilitation; and,
(3) The current availability of a trauma,
				  transfer and referral center in the region.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-5 - Certificate renewal

Current through Vol. 41, No. 20, July 1, 2024
(a) At least sixty
				  (60) days prior to the expiration of their certificate, a certified trauma
				  transfer and referral center shall reapply for a renewal certificate using
				  forms approved by the Department.
(b) The certified center shall identify any
				  changes in operations from the original application.
(c) The Department shall revaluate, renew or
				  deny the renewal certification based on the center's compliance with Department
				  requirements for certification.
Added at 21 Ok Reg
					 3113, eff 7-14-04 (emergency); Added at 22 Ok Reg 2418, eff
					 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-6 - Transfer and referral center standards

Current through Vol. 41, No. 20, July 1, 2024
(a)
Staff.
Each center shall
				  have adequate numbers of staff to immediately respond to all calls for trauma
				  transfers and referrals. The center shall also have a plan to activate
				  additional staff for peak loads, regional emergencies or disasters.
(b)
Medical direction.
Each
				  center shall have a qualified physician medical director who holds a current,
				  unrestricted, Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.) license for
				  Oklahoma. The physician medical director shall provide medical oversight for
				  center operations, approve triage and transfer protocols, and participate in
				  quality improvement activities. The medical director shall be routinely
				  available for consultation with center staff.
(c)
Administration.
The
				  governing body for each center shall appoint an administrator who shall be
				  responsible for center operations.
(d)
Staff training.
Training for
				  staff shall include at least the following Department approved courses:
(1) Emergency Medical Dispatch
				  Training;
(2) Trauma, triage, and
				  transfer training covering current Oklahoma guidelines; and,
(3) A training course on use of Department
				  supported software designed to identify hospital capability and capacity for
				  all Oklahoma hospitals.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 9 - Trauma Transfer and Referral Centers › Part 2 - CERTIFICATION › Section 310:641-9-7 - Revocation

Current through Vol. 41, No. 20, July 1, 2024
The Department may revoke or suspend any trauma transfer
					 and referral center certificate at any time for failure to comply with
					 requirements.
Added at 21 Ok Reg
					 3113, eff 7-14-04 (emergency); Added at 22 Ok Reg 2418, eff
					 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) Subchapter 11 of this Chapter
				incorporates the authorization, licensure, and the minimum requirements for
				operating a specialty care ambulance service that exceeds the training and
				equipment for a paramedic service and that responds solely to interfacility
				requests for service with appropriately trained, certified, and licensed
				personnel, and
(b) provide
				standards for the enforcement of the provisions of the Act and this
				Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-3 - Issuance of a specialty care ambulance license

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall have sole discretion
				to approve or deny an application for a specialty care ambulance service
				license based on the ability of the applicant to meet the requirements of this
				Chapter.
(b) A specialty care
				transport (SCT) is the interfacility transportation of a critically injured or
				ill patient by a ground or air ambulance vehicle, including the provision of
				medically necessary supplies and services, at a level of service beyond the
				scope of the Paramedic. SCT is necessary when a patient's condition requires
				ongoing care that must be furnished by one or more health professionals in an
				appropriate specialty area, for example emergency or critical care nursing,
				emergency medicine, respiratory care, cardiovascular care or a Paramedic with
				additional training.
(c) Any
				specialty care ambulance service licensed prior to the effective date of this
				Chapter shall remain in effect for the period of license issuance, except that
				all such specialty care ambulance services shall be subject to the Act and
				rules which otherwise pertain, including the requirement for renewal. At
				renewal, the agency must be fully compliant with all applicable regulations
				within this Chapter of regulation.
(d) The license is not transferable or
				assignable.
(e) The initial license
				period shall expire the second June 30th, following the date of issue.
				Subsequent renewal periods shall be twenty-four (24) months, or two (2)
				years.
(f) The specialty care
				license is limited to hospital to hospital transports of patients requiring
				care beyond the scope of practice of Paramedics, as identified in the
				application to include:
(1) medication
				formulary;
(2) patient care
				equipment;
(3) treatment
				protocol(s); and
(4) applicants
				will provide documentation that the medication, equipment, and treatment
				protocols are specific to the type or types of patients identified in the
				application.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-4 - Renewal of a specialty care ambulance license

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall provide to all
				licensed specialty care ambulance services a "Survey/Renewal Form" each
				December. This form shall be considered and utilized as a renewal application,
				if due. The "Survey/Renewal Form" along with proof of current workers'
				compensation and liability insurance shall be returned to the Department by
				January 31st each year.
(1) Upon receipt of a
				complete and correct renewal application, a renewal fee statement shall be
				mailed by the Department to each licensee in need of renewal.
(2) A non-refundable fee for the renewal of
				an ambulance service license shall be one hundred dollars ($100.00), fifty
				dollars ($50.00) for each substation, plus twenty dollars ($20.00) for each
				vehicle in excess of two (2).
(3)
				An ambulance service license shall be renewed if:
(A) The ambulance service has applied for
				such renewal;
(B) The ambulance
				service has no outstanding deficiencies or is in need of correction as may be
				identified during inspection of the service, and;
(C) The proper fee has been received by the
				Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-5 - Denial for an initial license

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				specialty care ambulance license application may be denied for any of the
				following reasons:
(1) A felony conviction,
				adjudication, or plea of guilty or nolo contendere of any person, member of the
				firm, partnership, corporation, or the person designated to supervise the
				service; to include, but not be limited to, fraud, grand larceny, child abuse,
				sexual offense(s), drug offense(s), or a conviction, adjudication, or plea of
				guilty or nolo contendere which might otherwise have a bearing on the operation
				of the service;
(2) Falsification
				of Department required information;
(3) Ownership, management, or administration
				by principals of an entity whose license has been revoked; and
(4) Licensure or re-licensure may not be in
				the best interest of the public as determined by the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-6 - Denial of an application for renewal of license

Current through Vol. 41, No. 20, July 1, 2024
(a) A license application for renewal may be
				denied for any of the following:
(1) the
				failure to meet standards set forth by statute or rule,
(2) a felony conviction, adjudication, or
				plea of guilty or nolo contendere of any person, member of the firm,
				partnership, corporation, or the person designated to manage the service to
				include, but not limited to fraud, grand larceny, child abuse, sexual
				offense(s), or a conviction, adjudication, or plea of guilty or nolo contendere
				which might otherwise have a bearing on the operation of the service,
(3) outstanding notice of violation that has
				not been addressed with an acceptable plan of correction,
(4) insufficient financial
				resources,
(5) falsification of
				Department required information,
(6) ownership, management, or administration
				by principles of an entity whose ambulance service license has been
				revoked,
(7) re-licensure may not
				be in the best interest of the public as determined by the
				Department,
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-7 - Severance of action, amendment, and re-instatement

Current through Vol. 41, No. 20, July 1, 2024
(a) The issuance or renewal of a license
				after notice of a violation(s) has been given shall not constitute a waiver by
				the Department of its power to rely on the violation(s) for subsequent license
				revocation or other enforcement action which may arise out of the notice of
				violation(s).
(b) Any change in the
				name of the service, level, service area, addition of substation, or type of
				specialty care provided service shall necessitate an application to amend the
				license and shall be accompanied by a fee of one hundred dollars
				($100.00).
(c) Changing or moving
				the location of a substation requires written notification to the
				Department.
(d) If an existing
				license is placed on probation or suspension, a fee of one hundred ($100.00)
				dollars, in addition to any other provision of the action, shall be submitted
				prior to re-instatement of the license to full privilege.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-8 - Personnel

Current through Vol. 41, No. 20, July 1, 2024
(a) Each licensed specialty care ambulance
				service shall be staffed in accordance with the agency's policy and standards.
(1) The additional training required by the
				Act for licensed emergency medical personnel to conduct specialty care
				transports will be beyond the scope of practice of an Oklahoma licensed
				Paramedic.
(2) All Oklahoma
				licensed Paramedics that have completed training beyond the scope of practice
				of a Paramedic for the purposes of specialty care transport shall be registered
				with the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-9 - Specialty care ground vehicles

Current through Vol. 41, No. 20, July 1, 2024
Specialty care ground vehicles shall conform to
				  310:641-3-20,
				  except for specifications of medical and extrication equipment required for
				  ground ambulance vehicles. If a specialty care service has the need to utilize
				  a vehicle for ground ambulance other than the310:641-3-20
				  compliant vehicle, a written waiver may be granted upon request with the
				  application. A determination for this exception shall be made by the
				  Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-11 - Specialty care air ambulance aircraft

Current through Vol. 41, No. 20, July 1, 2024
(a) An air ambulance aircraft may be fixed
				wing, single or multi-engine; or rotary wing, single or multi-engine.
(b) Operations of the aircraft shall be under
				the appropriate provisions of the Federal Aviation Regulations
				(FARs).
(c) The interior of the
				patient compartment of their aircraft shall have the capability of being
				climate controlled to avoid adverse effects on patients and medical personnel
				on board by a means other than flight operations and flying to an
				altitude.
(d) The aircraft design
				and configuration shall not compromise patient stability in loading, unloading,
				or in- flight operation to include:
(1) the
				aircraft shall have an entry that allows loading and unloading without
				excessive maneuvering (no more than 45 degrees about the lateral axis and 30
				degrees about the longitudinal axis) of the patient and does not compromise
				functioning of monitoring systems, intravenous lines, and manual or mechanical
				ventilation;
(2) a minimum of one
				stretcher shall be provided that can be carried to the patient;
(3) aircraft stretchers and the means of
				securing it in-flight must be consistent with applicable Supplemental Type
				Certificates (STCs).
(4) the type
				and model of stretcher indicates the maximum gross weight allowed (inclusive of
				patient and equipment) as labeled on the stretcher;
(5) the stretcher shall be large enough to
				carry an American adult male.
(6)
				the stretcher shall be sturdy and rigid enough that it can support
				cardiopulmonary resuscitation. If a backboard or equivalent device is required
				to achieve this, such device will be readily available;
(7) the head of the stretcher is capable of
				being elevated at least 30 degrees for patient care and comfort;
(8) if the ambulance stretcher is floor
				supported by its own wheels, there is a mechanism to secure it in position
				under all conditions. These restraints permit quick attachment and detachment
				for patient transfer.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-12 - Equipment for specialty care transport vehicles (air and ground)

Current through Vol. 41, No. 20, July 1, 2024
(a) The tampering, modification, or removal
				of the manufacturer's expiration date is prohibited.
(b) Licensed specialty care ambulance
				services shall ensure that all recalled, outdated, misbranded, adulterated, or
				deteriorated fluids, supplies, and medications are removed from ambulances
				immediately.
(c) The medical
				control physician will authorize all equipment and medications placed on the
				units for patient care.
(1) The authorized
				equipment and medications will be detailed on a unit checklist and will match
				the equipment and supplies with detailed defined minimums needed to treat
				patients in the manner in the agency approved protocols. The checklist will
				also meet the requirements described in the ambulance file section of this
				subchapter.
(2) The medications
				authorized by the medical director will be detailed on the unit checklist to
				include the number, weight, and volume of the medication
				containers.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-13 - Specialty care medical control requirement

Current through Vol. 41, No. 20, July 1, 2024
(a) Each specialty care ambulance service
				licensed in Oklahoma that initiates and responds to interfacility calls within
				the state shall have a physician medical director who is a fully licensed,
				non-restricted Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) by
				the State of Oklahoma.
(b) Licensed
				ambulance services will have a plan or policy that describes how the agency
				will address a sudden lapse of medical direction, such as a back-up medical
				director, that is used to ensure coverage when the medical director is not
				available.
(1) The Department shall be
				notified the next business day of any lapse or change of medical direction by
				the respective agency. If the agency has made arrangements for a back-up
				medical director or an immediate replacement, then a lapse has not
				occurred.
(2) In the event of a
				lapse in medical direction; in that, there is no a medical director providing
				the authority for medical interventions for an agency's certified and licensed
				personnel, the agency will, pursuant to O.S. Section 63-1-2506:
(A) cease all operations involving patient
				care, and
(B) implement mutual aid
				plans to ensure requests for service receive responses until the agency is able
				to implement their plan or policy for substitution or back-up medical
				direction.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-15 - Storage of intravenous solutions

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Medication and vascular fluid shall be stored in a manner that complies with
				manufacturer and FDA standards.
(b)
				Each agency shall maintain medications in a manner that deters theft and
				diversion of all medications.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-16 - Specialty care service authority to carry controlled substances on a vehicle

Current through Vol. 41, No. 20, July 1, 2024
(a) An ambulance
				service, with personnel licensed to utilize such, is hereby authorized to carry
				a limited supply of controlled substances, secured and stored in a manner that
				is compliant with State and Federal statutes and regulations. The utilization,
				procurement, and accountability of such drugs shall be supervised by medical
				control for the service. An inventory shall be kept and signed according to the
				requirements of the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD),
				and the United States Department of Justice Drug Enforcement Administration
				(DEA). Each responsible medical director shall maintain a copy of their OBNDD
				certificate to the Department for this purpose.
(b) Any loss or deficiency which occurs in
				the utilization, procurement, and accountability of controlled substances shall
				be reported the OBNDD and DEA through their procedures and requirements and to
				the Department, within ten (10) working days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-17 - Inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall conduct unannounced
				inspections of every licensed specialty care ambulance service. Inspection may
				include a review of any requirements of the Act and rules promulgated
				thereunder. The Department may require copies of such records as deemed
				necessary consistent with the files section of this sub chapter.
(b) All inspection reports will be sent to
				the agency director, license owner, and medical director.
(c) A representative of the agency will be
				with the Department employee during the inspection.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-18 - Speciality care notice of violation

Current through Vol. 41, No. 20, July 1, 2024
(a)
				A violation of the Act or this Chapter is ground for the Department to issue a
				written order, sent via certified mail, citing the violation, affording the
				agency an opportunity to demonstrate compliance, and indicating the time no
				less than fifteen (15) days after receipt of the notice in which any needed
				correction shall be made. The fifteen-day notice period may be reduced as, in
				the opinion of the Department, may be necessary to render an order of
				compliance reasonably effectual.
(b) Unless the Department specifies a reduced
				period, within thirty (30) days after receipt of the notice of violation, the
				agency shall submit to the Department a written demonstration of compliance
				and/or plan of correction.
(c) A
				plan of correction shall include at least the following:
(1) When the correction was or will be
				completed;
(2) How the correction
				was or will be made;
(3) What
				measures will prevent a recurrence; and
(4) Who will be accountable to ensure future
				compliance.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-19 - Emergency medical services regions

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Regions established pursuant to Section
				1-2503(21) and
				(22) of Title 63 shall not be recognized
				without Department approval for this purpose. Pursuant to Title 74, O.S.,
				Section
				1006, of
				the "Interlocal Cooperation Act" (relating to Approval of Agreements), the
				Department shall exercise authority granted to approve or disapprove all
				matters within its jurisdiction, in addition to and in substitution for the
				requirement of submission to and approval by the Attorney General.
(b) The Department shall recognize regions
				which comply with the law and this Chapter.
(c) Any regional emergency medical services
				system shall provide the name of the regional medical director, copies of
				regional standards, rules, and transport protocols established for the regional
				emergency medical services system to the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-20 - Operational protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Authorized
				emergency vehicles of licensed ambulance services shall adhere to the
				requirements of Title 47 O.S. Section
				1-101
				et seq. ("Motor Vehicle Code") for all vehicle operations.
(b) When a facility requests a specialty care
				transport, the specialty care agency will provide an accurate estimated time of
				arrival and ensure the patient needs will be able to be met for the service
				being requested.
(c) Mutual aid
				plan(s), regarding interfacility transports only, with licensed services shall
				be developed and placed in the agency files for inspection. Plans will be
				periodically reviewed to ensure accuracy and completeness. Licensed specialty
				care agencies shall provide mutual aid, if the agency has the capability and if
				the requested activity is within the licensure requirements.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-21 - Transfer protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) As the
				specialty care license is limited to interfacility transfers only for specific
				patients, the agency shall designate as part of their protocols, the
				destinations to which the agency will transport to, and which facilities are
				within a reasonable distance.
(b)
				All specialty care agencies transferring patients from hospitals outside
				regions seven and eight to hospitals in those regions shall contact the
				Department approved referral center in accordance with the regional and state
				plans. The center shall maintain a record of the transfers for regional
				continuous quality improvement activities.
(c) Each patient or legal guardian of a
				patient has the right to refuse treatment or transportation from a specialty
				care agency.
(d) Each specialty
				care agency shall ensure that the care of each patient is transferred
				appropriately to the receiving facility's licensed staff. The transfer of care
				will include verbal and written reports summarizing the assessment and
				treatment of the patient by the ambulance service.
(e) All specialty care agencies are required
				to participate in the regional and statewide systems established through
				statute and administered by the Department to ensure patients are transported
				to the appropriate facility in a timely manner to receive appropriate
				care.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-22 - Specialty care ambulance service records and files

Current through Vol. 41, No. 20, July 1, 2024
(a) All required records for licensure will
				be maintained for a minimum of three (3) years.
(b) Each licensed specialty care ambulance
				service shall maintain electronic or paper records about the operation,
				maintenance, and such other required documents at the business office. These
				files shall be available for review by the Department during normal work hours.
				Files which shall be maintained include the following:
(1) Patient care records:
(A) at the time a patient is transported to a
				receiving facility, the following information will be, at a minimum provided to
				the facility staff members at the time the patient is accepted:
(i) personal information such as name, date
				of birth, and address;
(ii) patient
				assessment with medical history;
(iii) medical interventions and patient
				responses to interventions;
(iv)
				any known allergies; and
(v) other
				information from the medical history that would impact the patient outcomes if
				not immediately provided.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-23 - Sole source ordinances

Current through Vol. 41, No. 20, July 1, 2024
(a) A specialty
				care ambulance service which operates as a sole source provider established by
				EMS regions, ambulance service districts or municipalities shall file with the
				Department a copy of the ordinance or regulation and a copy of the contract to
				operate as a sole source provider. This requirement shall be retroactive and
				includes all established sole source ambulance services.
(b) A specialty care ambulance service which
				operates as a sole source provider for a "region" as established pursuant to
				the Oklahoma Interlocal Cooperation Act (Title 74, Section
				1001, et
				seq.), shall file with the Department a copy of the interlocal agreement and
				any ordinance or other regulations or contract or agreement established by the
				region for ambulance service provision.
(c) Violation of contracts established herein
				may be cause for enforcement action by the Department.