reglab/statecodes huggingface dataset:
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 33-11-01.2-14 - Transporting of patients

Current through Supplement No. 393, July, 2024
Ambulance services shall transport patients to the nearest
				  appropriate licensed health care facility according to their hospital transport
				  plan except for:
1. Interfacility
				transports must be made in accordance with the referring physician's
				orders.
2. In the following
				specific instances transport must be made to a licensed health care facility
				with specific capabilities or designations. This may result in bypassing a
				closer licensed health care facility for another located farther away. An
				ambulance service may deviate from these rules contained in this section on a
				case-by-case basis if online medical control is consulted and concurs.
a. Trauma patients must be transported to a
				designated trauma center as per
				article
				33-38.
b. A patient suffering acute chest pain that
				is believed to be cardiac in nature or an acute myocardial infarction
				determined by a twelve-lead electrocardiograph must be transported to a
				licensed health care facility capable of performing primary percutaneous
				coronary intervention or fibrinolytic therapy pursuant to the North Dakota
				cardiac system ST-elevation myocardial infarction, non-ST elevation myocardial
				infarction, and acute coronary syndrome guide.
c. A patient suffering a suspected stroke
				must be transported to a designated acute stroke ready hospital, primary stroke
				center, or a comprehensive stoke center pursuant to the North Dakota acute
				stroke treatment guidelines.
d. In
				cities with multiple hospitals an ambulance service may bypass one hospital to
				go to another hospital with equal or greater services if the additional
				transport time does not exceed ten minutes.
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 33-11-01.2-15 - Required advanced life support care

Current through Supplement No. 393, July, 2024
When it would not delay transport time, basic life support
				  ambulance services shall call for a rendezvous with an advanced life support
				  capable agency, paramedic, or its equivalent if the basic life support
				  ambulance is unable to provide the advanced life support interventions needed
				  to fully treat a patient exhibiting:
1. Traumatic injuries that meet the trauma
				code activation criteria as defined in section
				33-38-01-03.
2. Cardiac chest pain or acute myocardial
				infarction.
3. Cardiac
				arrest.
4. Severe respiratory
				distress or respiratory arrest.
5.
				Suspected stroke or stroke-like symptoms.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-16 - Communications

Current through Supplement No. 393, July, 2024
To ensure responder safety and a seamless integration with
				  the broader public safety response system, ground ambulance services shall have
				  the following elements to their communications system:
1. They shall have a radio call sign issued
				by state radio.
2. They shall be
				dispatched directly from a public safety answering point.
3. They shall have a radio capable of
				transmitting and receiving voice communications with the local public safety
				answering point, law enforcement responders, fire responders, and other public
				safety agencies.
4. During the
				response and transport phases of an emergency ambulance run, an ambulance shall
				notify its dispatch center or public safety answering point when it:
a. Is en route to the scene.
b. Has arrived at the scene.
c. Has left the scene.
d. Has arrived at the transport
				destination.
e. Is available for
				the next ambulance run.
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 33-11-01.2-17 - Response times

Current through Supplement No. 393, July, 2024
Ground ambulances shall meet the following time standards
				  ninety percent of the time when dispatched to an emergency request as
				  determined by public safety answering point protocols or to an emergency
				  interfacility transport as determined by the transferring health care
				  provider.
The time of dispatch to the time that the ambulance is en
				  route must not exceed ten minutes to those incidents in which the public safety
				  answering point or transferring health care provider, as appropriate, has
				  determined that a potential life-threat exists.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-18

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
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 33-11-01.2-19

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
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 33-11-01.2-19.1 - Service areas

Current through Supplement No. 393, July, 2024
To ensure reasonably adequate ambulance service coverage and
				  to prevent competition that would impair the long-term availability of services
				  to the public, the department shall designate service areas when requested or
				  at the department's discretion.
1.
				Upon request by a licensed ambulance service the department shall designate its
				service area. The requesting agency shall have a base of operations within that
				service area, currently be providing ambulance response within that service
				area, and be in good standing with the department.
2. The geographic area of the service area
				must be defined by the department based on the reasonableness of a licensed
				ambulance service to respond to all requests for service within the
				area.
3. Service area designation
				may not impede the ability of the designee or health care facility requesting
				interfacility transportation to utilize other licensed ground ambulance
				services for mutual aid when the designee is unable to provide services due to
				capacity, level of service required exceeds what the local ambulance service
				can provide, or for specialty care transport that the designee cannot
				provide.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-20 - Emergency operations plan

Current through Supplement No. 393, July, 2024
Each licensed ambulance service shall be aware of its role as
				  defined by local, county, and state emergency operations plans and shall be
				  able to access the emergency operations plan as needed.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-21 - Denials, suspension, or revocation of licensure

Current through Supplement No. 393, July, 2024
Failure to meet standards outlined in
				  article
				  33-11 may result in
				  sanctions based on the severity of the noncompliance. Based on each individual
				  case, the department may impose the following sanctions on licensed ambulance
				  services:
1. Require the ambulance
				service to submit a detailed plan of correction that acknowledges the
				deficiencies as designated by the department and outlines the steps needed to
				become fully compliant with standards.
2. Require the ambulance service to follow
				sanction requirements as outlined in department policy.
3. Revocation or suspension of ambulance
				service licensure
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-22 - Industrial site ambulance services

Current through Supplement No. 393, July, 2024
An operator of a ground ambulance service intended for
				  industrial site use may be issued a special license by the department.
1. The ambulance service may not advertise or
				offer service to the general public.
2. The ambulance service may provide advanced
				life support interventions on an as-needed basis if all requirements of
				chapter
				33-11-03 are
				satisfied.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-23 - Government agency ambulance services

Current through Supplement No. 393, July, 2024
An operator of a ground ambulance service intended for
				  federal or state government emergency operations may be issued a special
				  license by the department.
1. The
				ambulance service may offer service to the general public and special
				populations during emergency operations.
2. The ambulance service may provide basic
				and advanced life support interventions as needed provided the service has met
				all minimum staffing and equipment requirements of
				chapters
				33-11-02 and
				33-11-03,
				respectively.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
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 33-11-01.2-24 - General operating standards

Current through Supplement No. 393, July, 2024
1.
				Documentation requirements for licensure. An applicant for an emergency medical
				service agency license shall have the following documents available, paper or
				online, for inspection by the department:
a. A
				roster of active personnel, including the emergency medical service agency
				medical director, with licensure numbers and dates of licensure expiration for
				each emergency medical service provider.
b. A record of the age of each emergency
				medical service provider and emergency medical service vehicle operator and a
				copy of the driver's license for each emergency medical service vehicle
				operator.
c. Documentation, if
				applicable, of the initial and most recent review of each emergency medical
				service provider's competence by the emergency medical service agency medical
				director and the emergency medical service provider licensure level at which
				each emergency medical service provider is permitted to practice.
d. The process for scheduling staff to ensure
				that the minimum staffing requirements as required by this chapter are
				met.
e. Identification of
				individuals who are responsible for making operating and policy decisions for
				the emergency medical service agency, such as officers, directors, and other
				emergency medical service agency officials.
f. Criminal, disciplinary, and exclusion
				information for all individuals who staff the emergency medical service agency
				as required under subsection 5.
g.
				Copies of the ambulance service's emergency medical services
				protocols.
h. Copies of the written
				policies required under this section.
i. Emergency medical service patient care
				records.
j. Call volume records
				from the previous year's operations. These records must include a record of
				each call received requesting the emergency medical service agency to respond
				to an emergency, as well as a notation of whether it responded to the call and
				the reason if it did not respond.
k. A record of the time periods for which the
				emergency medical service agency notified the public safety answering point,
				under subdivision a of subsection 6, that it would not be available to respond
				to a call.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-00.1 - Purpose

Current through Supplement No. 393, July, 2024
An emergency medical service agency that operates a basic
				  life support ambulance service employs one or more basic life support
				  ambulances staffed by an ambulance crew capable of providing medical
				  assessment, observation, triage, monitoring, treatment, and transportation of
				  patients who require emergency medical services at or below the skill level of
				  an emergency medical technician or equivalent.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-01 - Standards for emergency medical service vehicle operator

Current through Supplement No. 393, July, 2024
The emergency medical service vehicle operator shall have a
				  current driver's license, cardiopulmonary resuscitation certification, and
				  emergency vehicle operators training.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-02 - Staffing

Current through Supplement No. 393, July, 2024
The primary care provider must have current emergency medical
				  technician license or its equivalent and must have current cardiopulmonary
				  resuscitation certification.
1. The
				minimum staffing for a basic life support ambulance crew when responding to a
				call to provide emergency medical services and transporting a patient is:
a. An emergency medical service provider at
				or above the emergency medical technician level; and
b. An emergency medical service vehicle
				operator.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-03 - Minimum equipment requirements

Current through Supplement No. 393, July, 2024
In addition to a vehicle as described in section
				  33-11-01-15, the ambulance shall
				  have the following, unless otherwise approved by the department:
1. Patient transport:
a. Mounted ambulance cot with retaining
				straps.
b. Stretchers with
				retaining straps. Vehicle design dictates quantity.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-04 - Medical direction

Current through Supplement No. 393, July, 2024
1. Each ground
				ambulance service shall have a signed agreement on file with the department
				with a North Dakota licensed physician who shall serve as official medical
				director and whose duties include establishing written medical protocols,
				recommending optional equipment, oversight of a quality assurance program, and
				maintaining current training requirements for personnel.
2. Each ambulance service must have written
				treatment protocols for adult and pediatric medical conditions approved by the
				medical director and available for reference when providing patient care.
3. Ambulance services must have a
				written process for accessing adult and pediatric online medical control that
				includes contacting a medical practitioner at a hospital that has continual
				in-house emergency room coverage or having the ability to directly contact the
				on-call emergency room medical practitioner while the practitioner is not at
				the hospital.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-02 - Basic Life Support Ground Ambulance License › Section 33-11-02-05 - Basic life support ambulance performing advanced life support interventions

Current through Supplement No. 393, July, 2024
Basic life support ambulance services may provide advanced
				  life support interventions on an as-needed basis if the following requirements
				  are met:
1. The primary care provider
				is licensed to provide the level of care required.
2. The service complies with the equipment
				list as set forth by its medical director.
3. A North Dakota licensed physician has
				authorized advanced life support interventions by verbal or written order.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-00.1 - Purpose

Current through Supplement No. 393, July, 2024
An emergency medical service agency that operates an advanced
				  life support ambulance service employs one or more advanced life support
				  ambulances staffed by an ambulance crew capable of providing medical
				  assessment, observation, triage, monitoring, treatment, and transportation of
				  patients who require emergency medical services above the skill level of an
				  advanced emergency medical technician.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-01 - Staffing

Current through Supplement No. 393, July, 2024
1. The minimum staffing requirement for an
				advanced life support licensed ground ambulance must consist of a paramedic or
				equivalent and an emergency medical technician or equivalent. If the crew
				consists of three or more personnel, the paramedic and emergency medical
				technician crew may have an emergency medical service vehicle operator as
				defined in section
				33-11-01.2-01 as a third crew
				member.
2. The primary care
				provider, whose duties include an assessment of each patient, must hold current
				cardiopulmonary resuscitation certification and be a licensed paramedic or its
				equivalent with the following exceptions:
a.
				If, based on the paramedic's, or its equivalent's, assessment findings, a
				patient's condition requires only basic life support, an emergency medical
				technician or its equivalent may assume primary care of the patient.
b. For scheduled basic life support transfers
				with a crew of two personnel, the driver and the primary care provider must be
				at least licensed emergency medical technicians or its equivalent.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-02 - Minimum equipment standards

Current through Supplement No. 393, July, 2024
The ambulance must contain all the equipment requirements as
				  found in section
				  33-11-02-03, except for having an
				  automated external defibrillator, unless the required manual cardiac monitor is
				  not able to function as an automated external defibrillator, plus the
				  following, unless otherwise approved by the department:
1. Oxygen delivery. End-tidal carbon dioxide
				detectors with pediatric and adult capability.
2. Suction. One meconium aspirator
				adaptor.
3. Airway adjuncts:
a. Adult endotracheal airway
				equipment.
b. Pediatric
				endotracheal airway equipment.
c.
				One size zero straight laryngoscope blade.
d. One size one straight laryngoscope
				blade.
e. One size two straight
				laryngoscope blade.
f. One size
				three or four straight laryngoscope blade.
g. One size two curved laryngoscope
				blade.
h. One size three or four
				curved laryngoscope blade.
i. One
				adult stylette.
j. One pediatric
				stylette.
k. One pair of adult
				Magill forceps.
l. One pair of
				pediatric Magill forceps.
m. One
				adult laryngoscope handle with extra batteries.
n. One pediatric laryngoscope handle with
				extra batteries.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-03 - Minimum medication requirements

Current through Supplement No. 393, July, 2024
The ambulance must carry the following functional
				  classification of medications in pediatric and adult dosages:
1. Alkalinizer agent.
2. Bronchodilator - adrenergic intravenous or
				subcutaneous.
3. Bronchodilator for
				nebulized delivery.
4.
				Antidysrhythmic or antiarrhythmic.
5. Anticholinergen
				parasympatholitic.
6. Opioid
				antagonist.
7. Coronary
				vasodilator, antianginal.
8.
				Anxiolytic.
9. Dextrose containing
				solution.
10.
				Anticonvulsant.
11.
				Analgesic.
12.
				Antiemetic.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-04 - Medical direction

Current through Supplement No. 393, July, 2024
1. Each ground
				ambulance service shall have a signed agreement on file with the department
				with a North Dakota licensed physician who shall serve as official medical
				director and whose duties include establishing written medical protocols,
				recommending optional equipment, oversight of a quality assurance program, and
				maintaining current training requirements for personnel.
2. Each ambulance service must have written
				treatment protocols for adult and pediatric medical conditions approved by the
				medical director and available for reference when providing patient care.
3. Ambulance services must have a
				written process for accessing adult and pediatric online medical control that
				includes contacting a medical practitioner at a hospital that has continual
				in-house emergency room coverage or having the ability to directly contact the
				on-call emergency room medical practitioner while the practitioner is not at
				the hospital.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-05 - Number of ambulances staffed

Current through Supplement No. 393, July, 2024
One advanced life support ambulance must be staffed.
				  Additional ambulances may be required to meet community needs, demand, or the
				  response time standards as defined in section
				  33-11-01.2-17 and may be staffed
				  and equipped at the basic life support level.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-03 - Advanced Life Support Ground Ambulance License › Section 33-11-03-06 - Advertising restrictions

Current through Supplement No. 393, July, 2024
No ambulance service may advertise itself as an advanced
				  life support ambulance service unless it is so licensed.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-01 - Definitions

Current through Supplement No. 393, July, 2024
1. "Air ambulance run" means the response of
				an aircraft and personnel to an emergency or nonemergency for the purpose of
				rendering medical care or transportation, or both, to someone who is sick or
				injured. Includes canceled calls, no transports, and standby events where
				medical care may be rendered.
2.
				"Aircraft" means either an airplane also known as a fixed-wing, or a helicopter
				also known as a rotor-wing.
3.
				"Commission on accreditation of medical transport systems" means a nationally
				recognized body for accreditation of air medical transportation systems.
4. "Department" means the
				department of health and human services.
5. "Equivalent" means qualifications
				reasonably comparable to those specifically listed as required for training,
				certification, licensure, credentialing, or recognition.
6. "Personnel" means an individual maintained
				on an air ambulance roster.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-02 - License required - Fees

Current through Supplement No. 393, July, 2024
1. No air
				ambulance service as defined in North Dakota Century Code chapter 23-27 shall
				be advertised or offered to the public or any person unless the operator of
				such air ambulance service is licensed by the department.
2. The license shall expire midnight on
				October thirty-first of the even year following issuance. The department shall
				relicense for a two-year period, expiring on October thirty-first, an air
				ambulance service successfully meeting the requirements of the North Dakota air
				ambulance licensure program.
3. A
				license is valid only for the service for which it is issued. A license may not
				be sold, assigned, or transferred.
4. The license shall be displayed in a
				conspicuous place inside the patient compartment of the aircraft. An operator
				operating more than one aircraft out of a town, city, or municipality will be
				issued duplicate licenses for each aircraft at no additional charge.
5. The biennial license fee shall be fifty
				dollars for each air ambulance service operated.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-03 - Application for license

Current through Supplement No. 393, July, 2024
An application for an air ambulance service license shall be
				  submitted on a form or through an electronic process, as prescribed by the
				  department. The application must contain the following information as well as
				  additional information and documents that may be solicited by the application
				  form:
1. Contact information:
a. The name, mailing address, and electronic
				mail address of the applicant.
b. A
				primary contact person, including telephone number, to be reached twenty-four
				hours per day seven days per week.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-04 - Issuance and renewal of licenses

Current through Supplement No. 393, July, 2024
1. The
				department or its authorized agent may inspect the air ambulance service. If
				minimum standards are met, the department shall issue a license.
2. A service may request that the department
				consider it in compliance with this chapter if it is fully accredited by the
				commission on accreditation of medical transport systems or its
				equivalent.
3. Services requesting
				their compliance with this chapter be verified through an accrediting agency
				shall submit to the department a copy of the entire accrediting agency survey
				report. Subsequent accreditation or revisit documentation must be submitted
				prior to license renewal.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-05 - Availability of air ambulance services

Current through Supplement No. 393, July, 2024
Critical care air ambulance services shall be available
				  twenty-four hours per day and seven days per week, except as limited by weather
				  or aircraft maintenance or by unscheduled pilot duty limitations in accordance
				  with federal aviation administration regulations.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-06 - Number of personnel required

Current through Supplement No. 393, July, 2024
For a licensed critical care air ambulance service, the
				  minimum number of personnel required is two providers as defined in
				  chapter
				  33-11-07 and one
				  pilot.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-07 - Out-of-state operators

Current through Supplement No. 393, July, 2024
1. Operators
				licensed in another state may pick up patients within North Dakota for
				transportation to locations within this state under the following
				circumstances:
a. When there is a disaster or
				incident which may require elevated response to transport the
				injured.
b. When an out-of-state
				air ambulance is traveling through the state for whatever purpose comes upon an
				accident or medical emergency where immediate emergency air ambulance services
				are necessary.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-08 - Required certificate of airworthiness

Current through Supplement No. 393, July, 2024
An air ambulance service must have a certificate of
				  airworthiness from the federal aviation administration for each aircraft it
				  uses as an air ambulance, which is maintained current by compliance with all
				  required federal aviation administration inspections as defined by federal
				  aviation administration regulation 14 CFR 135.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-09 - Securing of equipment

Current through Supplement No. 393, July, 2024
All equipment and materials used in an air ambulance must be
				  secured in accordance with title 14, Code of Federal Regulations, part
				  135.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-10 - Aircraft doors

Current through Supplement No. 393, July, 2024
Aircraft doors must accommodate passage of a patient lying
				  on a stretcher with no more than thirty degrees rotation or forty-five degrees
				  pitch.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-11 - Required lighting

Current through Supplement No. 393, July, 2024
Lighting of at least forty foot-candles of illumination must
				  be available in the patient care area to afford observation by medical
				  personnel. Lighting must be shielded from the pilot of the aircraft so as not
				  to interfere with operation of the aircraft.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-12 - Required power source

Current through Supplement No. 393, July, 2024
The aircraft will be equipped with a federal aviation
				  administration approved electrical power source that will accommodate commonly
				  carried medical equipment, both AC and DC powered, and that is not dependent
				  upon a portable battery.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-13 - Required radio communication

Current through Supplement No. 393, July, 2024
The aircraft must have a radio communication system that
				  will allow the communications between the aircraft and medical facilities,
				  between the medical crew and the pilot, and between the medical crew on board
				  the aircraft.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-14 - Medical direction

Current through Supplement No. 393, July, 2024
1. Each air
				ambulance service shall have a signed agreement on file with the department
				with a North Dakota licensed physician who shall serve as official medical
				director and whose duties include establishing written medical protocols,
				recommending optional equipment, oversight of a quality assurance program, and
				maintaining current training requirements for personnel.
2. Each air ambulance service must have
				written treatment protocols for adult and pediatric medical conditions approved
				by the medical director and available for reference when providing patient
				care.
3. Air ambulance services
				must have a written process for accessing adult and pediatric online medical
				control that includes contacting a medical practitioner at a hospital that has
				continual in-house emergency room coverage or having the ability to directly
				contact the on-call emergency room medical practitioner while the practitioner
				is not at the hospital.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-04 - North Dakota Air Ambulance Services › Section 33-11-04-15 - Other requirements

Current through Supplement No. 393, July, 2024
1. The
				aircraft must have sufficient space to accommodate at least one pilot, one
				patient on a stretcher, two medical personnel, and the medical equipment
				required.
2. The aircraft must be
				configured to allow medical personnel to have a good patient view and access to
				equipment and supplies in order to initiate both basic and advanced life
				support.
3. All licensed air
				ambulance services shall keep the aircraft and other equipment clean and in
				proper working order.
4. All
				linens, and all equipment and supplies coming in direct contact with the
				patient, must be either a single-use disposable type or cleaned, laundered, or
				disinfected after each use.
5. When
				an aircraft has been utilized to transport a patient known to have a
				communicable disease, the aircraft and all exposed equipment shall be
				disinfected before the transport of another patient.
6. Each air ambulance run must be reported to
				the department electronically via an electronic patient care record that is
				compatible with the North Dakota emergency medical service data repository
				within seventy-two hours.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-07 - Critical Care Air Ambulance License › Section 33-11-07-01 - Training standards for care providers

Current through Supplement No. 393, July, 2024
Both care providers shall be critical care providers as
				  listed in subsection 3 of section
				  33-11-01.2-12.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-07 - Critical Care Air Ambulance License › Section 33-11-07-02 - Minimum equipment requirements

Current through Supplement No. 393, July, 2024
In addition to an aircraft as described in subsection 3 of
				  section 33-11-04-01, the air ambulance
				  shall have the following, unless otherwise approved by the department:
1. Patient litter or stretcher for patient
				transport.
2. Spinal
				immobilization:
a. One pediatric-safe
				transport device.
b. One adult
				cervical collar.
c. One pediatric
				cervical collar.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-07 - Critical Care Air Ambulance License › Section 33-11-07-03 - Advertising restrictions

Current through Supplement No. 393, July, 2024
No air ambulance service may advertise itself as a critical
				  care air ambulance service unless it has been issued a critical care air
				  ambulance license by the department.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-08 - Emergency Medical Services Grants › Section 33-11-08-01 - Eligibility for emergency medical services grants

Current through Supplement No. 393, July, 2024
Certain ambulance services may be eligible for grants on an
				  annual basis dependent upon legislative appropriation. In addition to
				  compliance with chapter 23-40 of the North Dakota Century Code the following
				  conditions must be met to be eligible for an emergency medical services grant.
1. Application for the grant shall be
				made in the manner and timeframe prescribed by the department.
2. The ambulance service must be based in
				North Dakota.
3. The ambulance
				service must be licensed as a basic life support ground ambulance as described
				in chapter 33-11-02 or licensed as an advanced life support ground ambulance as
				described in 33-11-03 for at least twelve months prior to the filing of the
				application.
4. The ambulance
				service must bill for services at a level at least equivalent to the medicare
				billing level.
5. Criteria for
				grant approval shall be established by the state health council and shall at a
				minimum include consideration of:
a. The
				transportation distance to hospitals.
b. The size of the ambulance service area.
c. Contributing factors that may
				affect the number of patient care providers on the ambulance service.
d. The volume of ambulance runs.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-08 - Emergency Medical Services Grants › Section 33-11-08-02 - Use of funds

Current through Supplement No. 393, July, 2024
The state health officer or designee shall determine the
				  scope of the project, eligibility of emergency medical services operations, and
				  distribution amounts on an annual basis. Considerations shall include:
1. How the emergency medical services
				operation fits into the overall structure of provision of emergency medical
				services in the state;
2. The
				needs of the emergency medical services operation and neighboring operations;
3. Compliance with the
				requirements set forth in section 23-40-06 of the North Dakota Century Code;
				and
4. Existence of local matching
				funds.
General Authority: NDCC 23-40-01
Law Implemented: NDCC
					 23-40-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-01 - Purpose

Current through Supplement No. 393, July, 2024
It is the purpose of this article to provide inpatient and
				  outpatient care to persons afflicted or suspected of being afflicted with
				  tuberculosis in order to protect the public health, safety, and welfare of the
				  people of the state of North Dakota. It is also the intent of this article to
				  promote and apply procedures necessary to prevent the spread of tuberculosis in
				  the state. This article shall be applied in conjunction with North Dakota
				  Century Code chapters 23-01 and 23-07.1.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC
					 23-07.1-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-01.1 - Authority

Current through Supplement No. 393, July, 2024
The North Dakota state department of health has been
				  authorized to promulgate and administer this article under North Dakota Century
				  Code chapters 23-01 and 23-07.1.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC
					 23-07.1-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-01.2 - Definitions

Current through Supplement No. 393, July, 2024
As used in this article, the following words shall have the
				  meanings given to them in this section, unless otherwise made inappropriate by
				  use and context.
1. "Afflicted" means having documented active tuberculous
				  disease.
2. "Communicable" means capable of being transmitted from one
				  person to another.
3. "Contagious" means bearing contagion and communicable by
				  contact.
4. "Contract" means an agreement (monetarily) between the
				  state health department and any hospital for the care of a tuberculosis
				  patient.
5. "Designee" means a state health department employee
				  designated to administer the tuberculosis control program.
6. "Epidemiology" means the process of controlling a disease
				  in a population.
7. "Evaluation" means medical and medication status,
				  determined by physician, nurse practitioner, or nurse.
8. "Inpatient" means hospitalized for treatment of
				  tuberculous disease.
9. "Isolation" means separation, for the period of
				  communicability, of infected persons from others, to prevent conveyance of
				  infectious agent to susceptible persons.
10. "License hospital" means any hospital which is licensed
				  by the hospital facilities division of the state department of health.
11. "Outpatient" means being followed for treatment,
				  diagnostic, and epidemiologic purposes.
12. "Practicing physician" means any licensed medical doctor
				  practicing medicine.
13. "Quarantine" means limitation of freedom of movement of a
				  diseased person until the person is no longer a public health hazard.
14. "Recalcitrant" means a person with active, contagious
				  tuberculosis not responsive to handling or treatment.
15. "State health council" means the policymaking body of the
				  state health department.
16. "Suspect" means a person whose medical history and
				  symptoms suggests that the person may be developing some communicable disease.
17. "Temporary order" means process by which an individual in
				  question is commanded to appear and answer cause.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC
					 23-07.1-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-02 - Contract fee for general hospitals

Current through Supplement No. 393, July, 2024
1.
				The department should establish a contract with the general hospitals in the
				larger cities for the care of tuberculosis patients, who do not have a
				third-party payment source.
2. The
				department will pay the standard fee for hospitalization.
3. The department will only pay for services
				relevant to the treatment of tuberculosis. Payment for services above the
				normal treatment requirement for tuberculosis will be the responsibility of the
				patient and/or provider.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC
					 23-07.1-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-03 - Hospitalization

Current through Supplement No. 393, July, 2024
The state department of health will authorize therapeutic
				  admissions and the patients being treated for established tuberculosis are
				  eligible for continued hospitalization as long as medically indicated; however,
				  the state department of health will not pay for any patient care, treatment,
				  maintenance, or transportation if assistance is available through other sources
				  or that third-party payers are required to provide.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC 23-01-03,
					 23-07.1-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-12 - Care of Tubercular Persons › Chapter 33-12-01 - Tuberculosis › Section 33-12-01-04 - Outpatient services

Current through Supplement No. 393, July, 2024
1. Tuberculosis
				diagnostic services are available at state supported outpatient clinics.
				Payment for diagnostic services performed at a facility other than the state
				supported outpatient clinics will be the responsibility of the patient.
2. Upon discharge from a contract
				hospital for treatment of active tuberculosis, each patient may receive some or
				all of the patient's medical supervision at an existing state supported
				outpatient clinic.
General Authority: NDCC 23-01-03, 23-07.1-04
Law Implemented: NDCC 23-01-03,
					 23-07.1-04