reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter K - HOSPICE LICENSING RULES › Section .1200 - HOSPICE INPATIENT CARE › Section 13K .1212 - APPLICATION OF PHYSICAL PLANT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
The physical plant requirements for each hospice inpatient
					 facility or unit shall be applied as follows:
(1) New construction shall comply with all
				  the requirements of this Section.
(2) Except where otherwise specified,
				  existing buildings shall meet the licensure and code requirements in effect at
				  the time of licensure, construction, alteration, or modification.
(3) Rules contained in this Section are
				  minimum requirements and are not intended to prohibit buildings, systems, or
				  operational conditions that exceed minimum requirements.
(4) The Division may grant an equivalency to
				  allow alternate methods, procedures, design criteria, or functional variation
				  from the requirements of this Rule and the rules contained in this Section. The
				  equivalency may be granted by the Division when a governing body submits a
				  written equivalency request to the Division that states the following:
(a) the rule citation and the rule
				  requirement that will not be met because strict conformance with current
				  requirements would be:
(i)
				  impractical;
(ii) unable to be met
				  due to extraordinary circumstances;
(iii) unable to be met due to new programs;
				  or
(iv) unable to be met due to
				  unusual conditions;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0100 - GENERAL INFORMATION › Section 13L .0101 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions apply throughout this
					 Subchapter:
(1) "Division" means the
				  Division of Health Service Regulation within the Department of Health and Human
				  Services.
(2) "Premises" means a
				  building and the tract of land upon which it sits.
Authority
					 G.S.
					 131E-154.4;
Eff. January 1,
					 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0200 - LICENSING › Section 13L .0201 - APPLICATION FOR LICENSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Requests for a
				  nursing pool license shall be submitted on application forms made available by
				  the Division. Each application shall include the following information:
(1) Business identification consisting of the
				  following:
(A) The business name or names
				  under which the licensed services will be offered in brochures, yellow pages,
				  and other advertisements.
(B) The
				  full street address location of the office premises which the public will
				  contact to obtain the offered nursing pool services.
(C) The postal address of the office for
				  which licensing is requested.
(D) A
				  listing or description of any state issued licenses applicable to the premises
				  for which the application is submitted.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0200 - LICENSING › Section 13L .0202 - ISSUANCE OF LICENSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each site shall
				  be individually licensed when it has been determined by the Division that the
				  site involved is substantially in compliance with this Subchapter. Business
				  sites using the same public business name already licensed by the Division
				  pursuant to G.S. 131E, Articles 5 or 6 shall have "nursing pool" added to their
				  existing license.
(b) Nursing pools
				  administered by health care facilities as defined in
				  G.S.
				  131E-154.2 of the Nursing Pool Licensure Act,
				  and agencies licensed under Article 5 or 6 of Chapter 131E of the General
				  Statutes and not required to be separately licensed may request the issuance of
				  a license as a more visible means of demonstrating their compliance with the
				  provisions of this Subchapter.
(c)
				  All licenses shall be renewed every two years.
Authority
					 G.S.
					 131E-154.3;
					 131E-154.4;
					 131E-154.5;
Eff.
					 January 1, 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0200 - LICENSING › Section 13L .0203 - PROGRAM COMPLIANCE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Division
				  shall employ a system of initial and renewal applications, complaint
				  investigation and on-site inspections for nursing pools with sites in the state
				  as a means for monitoring and determining program compliance. This system shall
				  be applied uniformly to all licensed and license-exempt nursing pool premises.
				  Routine licensing renewal activities may be conducted by mail. Licensing of
				  nursing pools with sites outside the state, but which provide personnel to
				  health care facilities within the state, shall be conducted by mail.
(b) In the event of non-compliance with any
				  rule or rules in this Subchapter or the Nursing Pool Licensure Act, the
				  business shall be given no more than thirty days, the specific time period to
				  be determined by the Division, to correct the non-compliance.
(c) The Division may suspend, revoke, annul,
				  withdraw, recall, cancel, or amend a license in accordance with
				  G.S.
				  131E-154.6 for any nursing pool that
				  substantially fails to comply with the rules contained in this Subchapter or
				  that fails to implement an approved plan of correction for violations of rules
				  cited by the Division. A nursing pool may appeal any adverse decision made by
				  the Division concerning its license by making such appeal in accordance with
				  the Administrative Procedure Act, G.S. 150B and departmental rules
				  10A NCAC
				  01 et seq. As provided for in
				  G.S.
				  131E-154.7, the Division may seek injunctive
				  relief to prevent a person from establishing or operating a nursing pool
				  without a license.
Authority
					 G.S.
					 131E-154.4;
Eff. January 1,
					 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0200 - LICENSING › Section 13L .0204 - PUBLIC DISPLAY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The nursing
				  pool's license shall be valid only for the premises on which displayed and
				  specified on the license.
(b) The
				  public use of the pool's license status shall not be included in any
				  advertisement which involves any unlicensed services offered by the licensee
				  and has the potential for misleading the public into believing that both
				  covered and non-covered services are represented by the license.
Authority
					 G.S.
					 131E-154.3;
					 131E-154.4;
Eff.
					 January 1, 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0300 - ADMINISTRATION › Section 13L .0301 - WRITTEN POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  nursing pool shall have written administrative and personnel policies to govern
				  the services that it provides. These policies shall include those concerning
				  patient care, personnel, training and orientation, supervision, employee
				  evaluation, and organizational structure.
(b) At the option of the licensee, written
				  policies and procedures may address other services not subject to the Nursing
				  Pool Licensure Act. The Division shall not require separate policies and
				  procedures if the premises from which nursing pool services are offered also
				  offers additional temporary nursing services not subject to
				  licensure.
(c) Policies shall
				  provide that no reprisal action shall be taken against any employee who reports
				  instances of patient rights violations or patient abuse, neglect, or
				  exploitation to the appropriate governmental authority.
(d) The nursing pool shall retain all
				  administrative records for five years and shall make these records available to
				  the Division upon request. Administrative records shall include:
(1) documents evidencing control and
				  ownerships, such as corporation or partnership papers;
(2) policies and procedures governing the
				  operation of the agency;
(3)
				  minutes of the agency's professional and administrative staff
				  meetings;
(4) reports of
				  complaints, inspections, reviews, and corrective actions taken related to
				  licensure; and
(5) contracts and
				  agreements to which the agency is a party.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0300 - ADMINISTRATION › Section 13L .0302 - PERSONNEL RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A nursing pool
				  shall maintain a personnel record on each individual.
(b) Each individual's personnel record shall
				  include:
(1) A legible copy of an unexpired
				  license verification to practice nursing as a registered nurse or a licensed
				  practical nurse or an unexpired Nurse Aide I or Nurse Aide II listing
				  verification.
(2) A completed job
				  application with employment history, training, education, continuing education,
				  and identification data including name, address, and telephone
				  number.
(3) Results of reference
				  checks.
(4) Performance evaluations
				  annually. The annual performance evaluation shall include feedback from the
				  health care facility of the on-site performance of contracted nursing
				  personnel.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter L - NURSING POOL LICENSURE › Section .0300 - ADMINISTRATION › Section 13L .0303 - INSURANCE REQUIRED

Current through Register Vol. 39, No. 2, July 15, 2024
The nursing pool shall carry general and professional
					 liability insurance written by an insurer approved by the North Carolina
					 Department of Insurance. The terms of such insurance shall be disclosed to
					 clients receiving services from the licensee.
Authority
					 G.S.
					 131E-154.4;
Eff. February 1,
					 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter M - MAMMOGRAM AND PAP SMEAR CERTIFICATION › Section .0100 - PAP SMEAR CERTIFICATION › Section 13M .0101 - STATE CERTIFICATION FOR LABORATORIES CONDUCTING PAP SMEARS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All laboratories evaluating Pap smears
				  shall be state certified by the Division of Health Service Regulation,
				  Department of Health and Human Services, in accordance with this
				  Rule.
(b) To be state certified,
				  all laboratories shall be licensed under the federal Clinical Laboratory
				  Improvement Act as amended or certified by the Centers for Medicare and
				  Medicaid Services for the specialty of cytology.
(c) To be state certified, laboratories shall
				  perform Pap smear examinations only on specimens submitted by a health care
				  provider whose scope of practice includes the function of taking Pap
				  smears.
(d) An application for
				  state certification shall be submitted to the Division of Health Service
				  Regulation listing the name and location of the laboratory requesting
				  certification, the name of the laboratory director and evidence that the
				  laboratory meets the requirements listed in Paragraphs (b) and (c) of this
				  Rule. Laboratories will be notified in writing within 45 days of the receipt of
				  the application that they have been certified or, if certification has been
				  denied, of the reasons for denial.
(e) State certification must be renewed by a
				  facility when licensing or certification renewal is required by the program
				  that established state certification eligibility pursuant to Paragraph (b) of
				  this Rule.
(f) If a laboratory's
				  license or certification for one of these programs is suspended or revoked, the
				  laboratory director shall immediately notify the Division of Health Service
				  Regulation and the laboratory's state certification under this Rule shall be
				  revoked. The laboratory may apply for recertification when it can provide
				  evidence that it meets the requirements listed in Paragraphs (a) - (e) of this
				  Rule.
(g) Appeals of the Division's
				  decisions regarding state certification shall be in accordance with the
				  Administrative Procedures Act, G.S. 150B.
Authority
					 G.S.
					 143B-165;
Temporary Adoption Eff.
					 October 11, 1991 For a Period of 141 Days to Expire on February 29,
					 1992;
Eff. March 1, 1992;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter O - HEALTHCARE PERSONNEL REGISTRY › Section .0100 - HEALTH CARE PERSONNEL REGISTRY › Section 13O .0102 - INVESTIGATING AND REPORTING HEALTH CARE PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
The reporting by health care facilities to the Department
					 of all allegations against health care personnel as defined in
					 G.S.
					 131E-256(a)(1), including
					 injuries of unknown source, shall be done within 24 hours of the health care
					 facility becoming aware of the allegation. The results of the health care
					 facility's investigation shall be submitted to the Department in accordance
					 with G.S.
					 131E-256(g).
Authority
					 G.S.
					 131E-256;
Temporary Adoption Eff.
					 December 20, 1996;
Eff. August 1, 1998;
Amended Eff.
					 April 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter O - HEALTHCARE PERSONNEL REGISTRY › Section .0200 - MEDICATION AIDE REGISTRY › Section 13O .0201 - MEDICATION AIDE COMPETENCY EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  competency evaluation candidate shall be advised by the Department after
				  successful completion of a North Carolina Board of Nursing approved medication
				  aide training program and prior to the competency exam that upon successful
				  completion of the competency exam the individual will be listed on the State's
				  medication aide registry.
(b) The
				  competency exam shall include each course requirement specified in the North
				  Carolina Board of Nursing's approved training program as provided for in
				  21 NCAC
				  36.0403 and
				  21 NCAC
				  36.0406.
(c) The competency examination shall be
				  administered and evaluated only by the Department or its agent.
(d) A record of successful completion of the
				  competency exam shall be included in the medication aide registry within 30
				  business days of successful completion of the evaluation.
(e) If the competency exam candidate does not
				  satisfactorily complete the exam, the candidate shall be advised by the
				  Department of the areas which the individual did not pass.
(f) Every competency exam candidate shall
				  have the opportunity to take the exam three times before being required to
				  retake and successfully complete the Medication Aide training
				  program.
Authority
					 G.S.
					 131E-114.2(b);
					 131E-270;
Eff.
					 October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. June 20,
					 2015.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter O - HEALTHCARE PERSONNEL REGISTRY › Section .0200 - MEDICATION AIDE REGISTRY › Section 13O .0202 - REGISTRY OF MEDICATION AIDES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Prior to
				  assigning medication aide duties to a Medication Aide, pursuant to
				  G.S.
				  131E-114.2, the facility shall conduct a
				  clinical skills validation for those medication administration tasks to be
				  performed in the facility. This validation shall be conducted by a registered
				  nurse consistent with his/her occupational licensing law and who has a current
				  unencumbered license to practice in North Carolina. A record of this validation
				  shall be retained in the Medication Aide's file.
(b) The Department shall provide information
				  on the registry within one business day of the request for
				  information.
(c) The medication
				  aide listing on the Medication Aide Registry shall be renewed every two years
				  provided the individual has worked for a minimum of eight hours as a Medication
				  Aide in each consecutive 24 month period following their initial
				  listing.
(d) The registry shall
				  contain the following information for each individual who is listed on the
				  Medication Aide Registry:
(1) the individual's
				  full name;
(2) the date the
				  individual became eligible for placement on the registry;
(3) the training program and competency exam
				  completed; and
(4) the date of
				  listing renewal and expiration.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter O - HEALTHCARE PERSONNEL REGISTRY › Section .0300 - NURSE AIDE I REGISTRY › Section 13O .0301 - NURSE AIDE I TRAINING AND COMPETENCY EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To be
				  eligible to be listed on the NC Nurse Aide I Registry by the Health Care
				  Personnel Education and Credentialing Section, a person shall:
(1) pass a Nurse Aide I training program
				  approved by the Department in accordance with
				  42 CFR
				  483.151 through
				  42 CFR 483.152 and the State of
				  North Carolina's Nurse Aide I competency exam; or
(2) apply to the Department for approval to
				  be listed on the NC Nurse Aide I Registry by reciprocity of a nurse aide
				  certification or registration from another State to North Carolina.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0100 - DEFINITIONS › Section 13P .0101 - ABBREVIATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
As used in this Subchapter, the following abbreviations
					 mean:
(1) ACS: American College of
				  Surgeons;
(2) AEMT: Advanced
				  Emergency Medical Technician;
(3)
				  AHA: American Heart Association;
(4) ASTM: American Society for Testing and
				  Materials;
(5) CAAHEP: Commission
				  on Accreditation of Allied Health Education Programs;
(6) CPR: Cardiopulmonary
				  Resuscitation;
(7) ED: Emergency
				  Department;
(8) EMD: Emergency
				  Medical Dispatcher;
(9) EMDPRS:
				  Emergency Medical Dispatch Priority Reference System;
(10) EMR: Emergency Medical
				  Responder;
(11) EMS: Emergency
				  Medical Services;
(12) EMS-NP: EMS
				  Nurse Practitioner;
(13) EMS-PA:
				  EMS Physician Assistant;
(14) EMT:
				  Emergency Medical Technician;
(15)
				  FAA: Federal Aviation Administration;
(16) FCC: Federal Communications
				  Commission;
(17) ICD: International
				  Classification of Diseases;
(18)
				  ISS: Injury Severity Score;
(19)
				  NHTSA: National Highway Traffic Safety Administration;
(20) OEMS: Office of Emergency Medical
				  Services;
(21) OR: Operating
				  Room;
(22) PSAP: Public Safety
				  Answering Point;
(23) RAC: Regional
				  Advisory Committee;
(24) RFP:
				  Request For Proposal;
(25) SCTP:
				  Specialty Care Transport Program;
(26) STEMI: ST Elevation Myocardial
				  Infarction; and
(27) US DOT: United
				  States Department of Transportation.
Authority
					 G.S.
					 143-508(b);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2009; January 1, 2004;
Readopted Eff. January 1, 2017;
Amended Eff. July 1,
					 2021.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0100 - DEFINITIONS › Section 13P .0103-.0107

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(b);
					 143-508(d)(1),(d)(3),(d)(4),(d)(8);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Repealed Eff. January 1,
					 2009.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0100 - DEFINITIONS › Section 13P .0108 - REPEALED - EMS INSTRUCTOR

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-155(a)(7a);
					 143-508(b);
					 143-508(d)(3);
					 143-508(d)(4);
Temporary Adoption Eff. January 1, 2002;
Repealed Eff. January 1,
					 2004.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0100 - DEFINITIONS › Section 13P .0109-.0124

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-155(a)(6b);
					 143-508(b);
					 143-508(d)(1), (d)(3), (d)(6),(d)(7), (d)(8),
					 (d)(13);
					 143-518(a)(5);
Temporary Adoption Eff. January 1, 2002;
Eff. January 1, 2004;
					 April 1, 2003;
Amended Eff. January 1, 2004;
Repealed
					 Eff. January 1, 2009.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0202 - REPEALED - MODEL EMS SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(b);
					 143-508(d)(1), (d)(3), (d)(5), (d)(8), (d)(9),
					 (d)(10),(d)(13);
					 143-509(1), (3), (4),
					 (5);
Temporary Adoption Eff.
					 January 1, 2002;
Eff. January 1, 2004;
Repealed Eff.
					 March 1, 2009.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0203 - SPECIAL SITUATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon written
				  request from an EMS system or systems, tribal government, or federal
				  jurisdiction having recognized province in North Carolina, the North Carolina
				  Medical Care Commission may approve the furnishing and providing of services
				  within the scope of practice of EMD, EMR, EMT, AEMT, or Paramedic in North
				  Carolina.
(b) This approval shall
				  be granted where the North Carolina Medical Care Commission concludes there
				  exists an inability to address the criteria for EMS System development as set
				  forth in Rule.0201 of this Section and the deficiency cannot be rectified due
				  to insufficient resources or because of a lack of geographical access within
				  the respective EMS system or systems.
Authority
					 G.S.
					 143-508(b);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2004;
Readopted Eff.
					 April 1, 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0205 - EMS PROVIDER LICENSE CONDITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Applications for an EMS Provider License must be received by the OEMS at least
				  30 days prior to the date that the EMS Provider proposes to initiate service.
				  Applications for renewal of an EMS Provider License must be received by the
				  OEMS at least 30 days prior to the expiration date of the current
				  license.
(b) Only one license shall
				  be issued to each EMS Provider. The Department shall issue a license to the EMS
				  Provider following verification of compliance with applicable laws and
				  rules.
(c) EMS Provider Licenses
				  shall not be transferred.
(d) The
				  license shall be posted in a prominent location accessible to public view at
				  the primary business location of the EMS Provider.
(e) EMS Provider Licenses may not be issued
				  by the Department to any firm, corporation, agency, organization or association
				  that does not intend to provide emergency medical services as part of its
				  operation to the citizens of North Carolina.
Authority
					 G.S.
					 131E-155.1(c);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. February 1, 2009; January 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0206 - TERM OF EMS PROVIDER LICENSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMS
				  Provider Licenses remain in effect for six years unless any of the following
				  occurs:
(1) the Department imposes an
				  administrative sanction which specifies license expiration;
(2) the EMS Provider closes or goes out of
				  business;
(3) the EMS Provider
				  changes name or ownership; or
(4)
				  failure to continue to comply with Rule.0204 of this Section.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0207 - GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To be
				  permitted as a Ground Ambulance, a vehicle shall have:
(1) a patient compartment that meets the
				  following interior dimensions:
(A) the
				  length, measured on the floor from the back of the driver's compartment,
				  driver's seat or partition to the inside edge of the rear loading doors, is at
				  least 102 inches; and
(B) the
				  height is at least 48 inches over the patient area, measured from the
				  approximate center of the floor, exclusive of cabinets or equipment;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0208 - CONVALESCENT AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To be permitted as a Convalescent
				  Ambulance, a vehicle shall have:
(1) a
				  patient compartment that meets the following interior dimensions:
(A) the length, measured on the floor from
				  the back of the driver's compartment, driver's seat or partition to the inside
				  edge of the rear loading doors, is at least 102 inches; and
(B) the height is at least 48 inches over the
				  patient area, measured from the approximate center of the floor, exclusive of
				  cabinets or equipment;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0209 - AIR MEDICAL AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
To be permitted as an Air Medical Ambulance, an aircraft
					 shall meet the following requirements:
(1) configuration of the aircraft patient
				  care compartment does not compromise the ability to provide care or prevent
				  performing in-flight emergency patient care procedures as approved by the
				  program Medical Director;
(2) the
				  aircraft has on-board patient care equipment and supplies as defined in the
				  treatment protocols for the program written by the Medical Director and
				  approved by the OEMS. The equipment and supplies shall be clean, in working
				  order, and secured in the aircraft;
(3) there is installed in the rotary-wing
				  aircraft an internal voice communication system to allow for communication
				  between the medical and flight crew;
(4) the program Medical Director designates
				  the combination of medical equipment specified in Item (2) of this Rule that is
				  carried on a mission based on anticipated patient care needs;
(5) the name of the EMS Provider is
				  permanently displayed on each side of the aircraft;
(6) the rotary-wing aircraft is equipped with
				  a two-way voice radio licensed by the FCC capable of operation on any frequency
				  required to allow communications with public safety agencies such as fire
				  departments, police departments, ambulance and rescue units, hospitals, and
				  local government agencies, within the service area;
(7) in addition to equipment required by
				  applicable air worthiness certificates and Federal Aviation Regulations 14 CFR
				  Part 91 and Part 135 which are herein incorporated by reference, including all
				  subsequent amendments and editions, any rotary-wing aircraft permitted shall
				  have the following functioning equipment to help ensure the safety of patients,
				  crew members, and ground personnel, patient comfort, and medical care:
(a) Global Positioning System;
(b) an external search light that can be
				  operated from inside the aircraft;
(c) survival gear appropriate for the service
				  area and the number, age, and type of patients; and
(d) permanently installed environmental
				  control unit (ECU) capable of both heating and cooling the patient compartment
				  of the aircraft;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0210 - WATER AMBULANCE: WATERCRAFT AND EQUIPMENT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
To be permitted as a Water Ambulance, a watercraft shall
					 meet the following requirements:
(1)
				  The watercraft shall have a patient care area that:
(a) provides access to the head, torso, and
				  lower extremities of the patient while providing sufficient working space to
				  render patient care;
(b) is covered
				  to protect the patient and EMS personnel from the elements; and
(c) has an opening of sufficient size to
				  permit the safe loading and unloading of a person occupying a litter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0211 - AMBULANCE PERMIT CONDITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An EMS
				  provider shall apply to the OEMS for the appropriate Ambulance Permit prior to
				  placing an ambulance in service.
(b) The Department shall issue a permit for
				  an ambulance following verification of compliance with applicable laws and
				  rules.
(c) Only one Ambulance
				  Permit shall be issued for each ambulance.
(d) An ambulance shall be permitted in only
				  one category.
(e) Ambulance Permits
				  shall not be transferred except in the case of Air Medical Ambulance
				  replacement aircraft when the primary aircraft is out of service.
(f) The Ambulance Permit shall be posted as
				  designated by the OEMS inspector.
Authority
					 G.S.
					 131E-157(a);
					 143-508(d)(8);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0212 - TERM OF AMBULANCE PERMIT

Current through Register Vol. 39, No. 2, July 15, 2024
Ambulance Permits remain in effect for two years unless any
					 of the following occurs:
(1) The
				  Department imposes an administrative sanction which specifies permit
				  expiration;
(2) The EMS Provider
				  closes or goes out of business;
(3)
				  The EMS Provider changes name or ownership; or
(4) Failure to comply with the applicable
				  Paragraphs of Rules.0207,.0208,.0209, or.0210 of this Section.
Authority
					 G.S.
					 131E-157(a);
					 143-508(d)(8);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2009;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0213 - EMS NONTRANSPORTING VEHICLE REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To be
				  permitted as an EMS Nontransporting Vehicle, a vehicle shall:
(1) have patient care equipment and supplies
				  as defined in the treatment protocols for the system. The equipment and
				  supplies shall be clean, in working order, and secured in the
				  vehicle.
(2) have the name of the
				  EMS Provider permanently displayed on each side of the vehicle.
(3) have reflective tape affixed to the
				  vehicle such that there is reflectivity on all sides of the vehicle.
(4) have emergency warning lights and audible
				  warning devices mounted on the vehicle as required by
				  G.S.
				  20-125 in addition to those required by
				  Federal Motor Vehicle Safety Standards. All warning devices shall function
				  properly.
(5) not have structural
				  or functional defects that may adversely affect the EMS personnel or the safe
				  operation of the vehicle.
(6) have
				  one fire extinguisher that is a dry chemical or all-purpose type with a
				  pressure gauge, mounted in a quick-release bracket.
(7) have an operational two-way radio that:
(A) is mounted to the EMS Nontransporting
				  Vehicle and installed for safe operation and controlled by the
				  driver;
(B) has sufficient range,
				  radio frequencies, and capabilities to establish and maintain two-way voice
				  radio communication from within the defined service area of the EMS System to
				  the emergency communications center or PSAP designated to direct or dispatch
				  the deployment of the ambulance;
(C) is capable of establishing two-way voice
				  radio communication from within the defined service area to facilities that
				  provide on-line medical direction to EMS personnel; and
(D) is licensed or authorized by the
				  FCC.
(8) not use a
				  radiotelephone device such as a cellular telephone as the only source of
				  two-way radio voice communication.
(9) have a copy of the local EMS System
				  patient care treatment protocols.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0214 - EMS NON-TRANSPORTING VEHICLE PERMIT CONDITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  licensed EMS provider shall apply to the OEMS for an EMS non-transporting
				  Vehicle Permit prior to placing such vehicle in service.
(b) The OEMS shall issue a permit for a
				  vehicle following verification of compliance with applicable laws and
				  rules.
(c) Only one EMS
				  Non-transporting Vehicle Permit shall be issued for each vehicle.
(d) EMS Non-transporting Vehicle Permits
				  shall not be transferred.
(e) The
				  EMS Non-transporting Vehicle Permit shall be posted on the vehicle by the OEMS
				  inspector.
(f) Vehicles that are
				  not owned or leased by the licensed EMS Provider are ineligible for
				  permitting.
Authority
					 G.S.
					 143-508(d)(8);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2009; January 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2, 2016;
Amended Eff.
					 January 1, 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0215 - TERM OF EMS NONTRANSPORTING VEHICLE PERMIT

Current through Register Vol. 39, No. 2, July 15, 2024
EMS Nontransporting Vehicle Permits remain in effect for
					 two years, unless any of the following occurs:
(1) The Department imposes an administrative
				  sanction that specifies permit expiration;
(2) The EMS Provider closes or goes out of
				  business;
(3) The EMS Provider
				  changes name or ownership; or
(4)
				  Failure to comply with Rule.0213 of this Section.
Authority
					 G.S.
					 143-508(d)(8);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Amended Eff. January 1, 2009;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0216 - WEAPONS AND EXPLOSIVES FORBIDDEN

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Weapons, whether lethal or non-lethal, and explosives shall not be worn or
				  carried aboard an ambulance or EMS non- transporting vehicle within the State
				  of North Carolina when the vehicle is operating in any patient treatment or
				  transport capacity or is available for such function.
(b) Conducted electrical weapons and chemical
				  irritants such as mace, pepper (oleoresin capsicum) spray, and tear gas shall
				  be considered weapons for the purpose of this Rule.
(c) This Rule shall apply whether such
				  weapons and explosives are concealed or visible.
(d) If any weapon is found to be in the
				  possession of a patient or person accompanying the patient during
				  transportation, the weapon shall be safely secured in accordance with the
				  weapons policy as set forth in Rule .0201 of this Section.
(e) Weapons authorized for use by EMS
				  personnel attached to a law enforcement tactical team in accordance with the
				  weapons policy as set forth in Rule .0201 of this Section may be secured in a
				  locked, dedicated compartment or gun safe mounted within the ambulance or
				  non-transporting vehicle for use when dispatched in support of the law
				  enforcement tactical team, but are not to be worn or carried open or concealed
				  by any EMS personnel in the performance of normal EMS duties under any
				  circumstances.
(f) This Rule shall
				  not apply to duly appointed law enforcement officers.
(g) Safety flares are authorized for use on
				  an ambulance with the following restrictions:
(1) these devices are not stored inside the
				  patient compartment of the ambulance; and
(2) these devices shall be packaged and
				  stored to prevent accidental discharge or ignition.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0218 - PEDIATRIC SPECIALTY CARE GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A Pediatric Specialty Care Ground
				  Ambulance is an ambulance used to transport only those patients 18 years old or
				  younger with traumatic or medical conditions or for whom the need for specialty
				  care or emergency or non-emergency medical care is anticipated during an
				  inter-facility or discharged patient transport.
(b) To be permitted as a Pediatric Specialty
				  Care Ground Ambulance, a vehicle shall have:
(1) a patient compartment that meets the
				  following interior dimensions:
(A) the
				  length, measured on the floor from the back of the driver's compartment,
				  driver's seat or partition to the inside edge of the rear loading doors, is at
				  least 102 inches; and
(B) the
				  height is at least 48 inches over the patient area, measured from the center of
				  the floor, exclusive of cabinets or equipment;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0219 - STAFFING FOR MEDICAL AMBULANCE/EVACUATION BUS VEHICLES

Current through Register Vol. 39, No. 2, July 15, 2024
Medical Ambulance/Evacuation Bus Vehicles are exempt from
					 the requirements of
					 G.S.
					 131E-158(a). The EMS System
					 Medical Director, as set forth in Rule.0403(8) of this Subchapter, shall
					 determine the combination and number of EMT, AEMT, or Paramedic personnel that
					 are sufficient to manage the anticipated number and severity of injury or
					 illness of the patients transported in the Medical Ambulance/Evacuation Bus
					 Vehicle.
Authority
					 G.S.
					 131E-158(b);
Eff. July 1, 2011;
Readopted Eff. January 1,
					 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0220 - STAFFING FOR PEDIATRIC SPECIALTY CARE GROUND AMBULANCES

Current through Register Vol. 39, No. 2, July 15, 2024
Pediatric Specialty Care Ground Ambulances operated within
					 the approved Specialty Care Transport Program dedicated for inter-facility
					 transport of non-emergent, emergent, and critically ill or injured or
					 discharged Neonatal and Pediatric patients are exempt from the requirements of
					 G.S.
					 131E-158(a). The Specialty
					 Care Program Medical Director shall determine the staffing that is sufficient
					 to manage the severity of illness or injury of the patients transported in the
					 Pediatric Specialty Care Ground Ambulance.
Authority
					 G.S.
					 131E-158(b);
Eff. July 1, 2011;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0221 - PATIENT TRANSPORTATION BETWEEN HOSPITALS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) For the
				  purpose of this Rule, hospital means those facilities as defined in Rule .0102
				  of this Subchapter.
(b) Every
				  ground ambulance when transporting a patient between hospitals shall be
				  occupied by all of the following:
(1) one
				  person who holds a credential issued by the OEMS as an emergency medical
				  responder or higher who is responsible for the operation of the vehicle and
				  rendering assistance to the patient caregiver when needed; and
(2) at least one of the following individuals
				  as determined by the transferring physician to manage the anticipated severity
				  of injury or illness of the patient who is responsible for the medical aspects
				  of the mission:
(A) emergency medical
				  technician;
(B) advanced
				  EMT;
(C) paramedic;
(D) nurse practitioner;
(E) physician;
(F) physician assistant;
(G) registered nurse; or
(H) respiratory therapist.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0222 - TRANSPORT OF STRETCHER BOUND PATIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Any person
				  transported on a stretcher as defined in Rule.0102 of this Subchapter meets the
				  definition of patient as defined in
				  G.S.
				  131E-155(16).
(b) Stretchers may only be utilized for
				  patient transport in an ambulance permitted by the OEMS in accordance with
				  G.S.
				  131E-156 and Rule.0211 of this
				  Section.
(c) The Medical Care
				  Commission exempts wheeled chair devices used solely for the transportation of
				  mobility impaired persons seated in an upright position in non-permitted
				  vehicles from the definition of stretcher.
Authority
					 G.S.
					 131E-156;
					 131E-157;
					 143-508(d)(8);
Eff. January 1, 2017;
Amended Eff. July 1, 2021; July 1,
					 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0223 - REQUIRED DISCLOSURE AND REPORTING INFORMATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Applicants for initial and renewal EMS Provider licensing shall disclose the
				  following background information:
(1) any
				  prior name(s) used for providing emergency medical services in North Carolina
				  or any other state;
(2) any felony
				  criminal charges and convictions, under Federal or State law, and any civil
				  actions taken against the applicant or any of its owners or officers in North
				  Carolina or any other state;
(3)
				  any misdemeanor or felony conviction, under Federal or State law, relating to
				  the unlawful manufacture, distribution, prescription, or dispensing of a
				  controlled substance;
(4) any
				  misdemeanor or felony conviction, under Federal or State law, related to theft,
				  fraud, embezzlement, breach of fiduciary duty, or other financial misconduct in
				  connection with the delivery of EMS care or service;
(5) any current or prior investigations,
				  including outcomes, for alleged Medicare, Medicaid, or other insurance fraud,
				  tax evasion, and fraud;
(6) any
				  revocation or suspension of accreditation; and
(7) any revocation or suspension by any State
				  licensing authority of a license to provide EMS.