reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 1 - GENERAL PROVISIONS › Section 310:641-3-4 - Requirement

Current through Vol. 41, No. 20, July 1, 2024
(a) While performing with a licensed
				  ambulance service and/or a certified emergency medical response agency,
				  emergency medical personnel shall perform authorized procedures, which may not
				  exceed the level of license or certification.
(b) Each licensed ambulance service and/or
				  certified emergency medical response agency shall have a physician medical
				  director who is a fully licensed, non-restricted doctor of medicine (M.D.) or a
				  doctor of osteopathy (D.O.) in the State of Oklahoma. Medical direction for a
				  certified emergency medical response agency shall be provided by or approved by
				  the sponsoring licensed ambulance service. The Department shall be notified
				  within twenty four (24) hours of any lapse of medical direction by the
				  respective agency.
(1) The physician medical
				  director of an air, ground, specialty care ambulance service and/or emergency
				  medical response agency based in another state shall not be required to be
				  licensed to practice in the State of Oklahoma, but shall be fully licensed in
				  good standing in the home state of that air, ground, or specialty care
				  ambulance service and/or certified first response agency.
(2) The physician medical director for an
				  ambulance service and/or emergency medical response agency operated by the
				  federal government shall be fully licensed in good standing in Oklahoma or
				  another state. If not licensed in Oklahoma, the physician shall be actively
				  employed by the federal agency responsible for the operation of the ambulance
				  service or emergency medical response agency.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-10 - License required [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 18 Ok Reg 2501, eff 6-25-01; Amended at 21 Ok Reg 2755, eff 7-12-04;
					 Amended at 23 Ok Reg 2386, eff 6-25-06; Amended at 24 Ok Reg 1183, eff 4-2-07
					 (emergency); Amended at 25 Ok Reg 2443, eff
					 7-11-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-11 - Issuance of a ground ambulance license

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall have sole discretion
				  to approve or deny an application for a ground ambulance service license based
				  on the ability of the applicant to meet the requirements of this
				  subchapter.
(b) A license may be
				  issued for Basic Life Support, Intermediate Life Support, Advanced Life
				  Support, or Paramedic Life Support.
(1) Basic
				  life support means that the ambulance service vehicles are equipped with the
				  minimum basic equipment, and staffed with at least one EMT on each request for
				  emergency medical services.
(2)
				  Intermediate life support means that the ambulance service vehicles are
				  equipped with the minimum intermediate equipment, and staffed with at least one
				  Intermediate on each request for emergency medical services, except as
				  permitted in this subchapter.
(3)
				  Advanced life support means that the ambulance service vehicles are equipped
				  with the minimum advanced EMT equipment and staffed with at least one Advanced
				  EMT on each request for service, except as permitted in this
				  subchapter.
(4) Paramedic life
				  support means that the ambulance service vehicles are equipped with the minimum
				  paramedic equipment, and staffed with at least one EMT-P on each request for
				  emergency medical services, except as permitted in this subchapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-12 - Renewal of a ground ambulance license

Current through Vol. 41, No. 20, July 1, 2024
The Department shall provide to all licensed ground
					 ambulance services a "Survey/Renewal Form" each December. This form shall be
					 considered and utilized as a renewal application, if due. The "Survey/Renewal
					 Form" along with proof of current workers' compensation and liability insurance
					 shall be returned to the Department by January 31 each year.
(1) Upon receipt of a complete and correct
				  renewal application, a renewal fee statement shall be mailed by the Department
				  to each licensee in need of renewal.
(2) A non-refundable fee for the renewal of
				  an ambulance service license shall be one hundred dollars ($100.00), fifty
				  dollars ($50.00) for each substation, plus twenty dollars ($20.00) for each
				  vehicle in excess of two (2).
(3)
				  An ambulance service license shall be renewed if:
(A) The ambulance service has applied for
				  such renewal;
(B) The ambulance
				  service has no outstanding deficiencies or is in need of correction as may be
				  identified during inspection of the service, and;
(C) The proper fee has been received by the
				  Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-13 - Denial of an initial or renewal license

Current through Vol. 41, No. 20, July 1, 2024
(a) An application may be denied for any of
				  the following reasons:
(1) A felony
				  conviction, adjudication, or plea of guilty or nolo contendere of any person,
				  member of the firm, partnership, corporation, or the person designated to
				  supervise the service; to include, but not be limited to, fraud, grand larceny,
				  child abuse, sexual offense(s), drug offense(s), or a conviction, adjudication,
				  or plea of guilty or nolo contendere which might otherwise have a bearing on
				  the operation of the service;
(2)
				  insufficient number of personnel to properly staff one vehicle on a twenty four
				  (24) hour basis at the highest level of the service license.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-13.1 - Denial of an application for renewal of license

Current through Vol. 41, No. 20, July 1, 2024
(a) A license application for renewal may be
				  denied for any of the following:
(1) the
				  failure to meet standards set forth by statute or rule,
(2) a felony conviction, adjudication, or
				  plea of guilty or nolo contendere of any person, member of the firm,
				  partnership, corporation, or the person designated to manage the service to
				  include, but not limited to fraud, grand larceny, child abuse, sexual
				  offense(s), or a conviction, adjudication, or plea of guilty or nolo contendere
				  which might otherwise have a bearing on the operation of the service,
(3) insufficient number of personnel to
				  properly staff one vehicle on a twenty-four (24) hour basis at the licensure
				  level,
(4) outstanding notice of
				  violation that has not been addressed with an acceptable plan of
				  correction,
(5) insufficient
				  financial resources,
(6)
				  falsification of Department required information,
(7) ownership, management, or administration
				  by principals of an entity whose ambulance service license has been
				  revoked,
(8) re-licensure may not
				  be in the best interest of the public as determined by the
				  Department,
(9) revocation or
				  denial of a governmental letter of support as required in
				  310:641-3-10.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-14 - Severance of action, amendment, and re-instatement

Current through Vol. 41, No. 20, July 1, 2024
(a) The issuance or renewal of a license
				  after notice of a violation(s) has/have been given, shall not constitute a
				  waiver by the Department of its power to rely on the violation(s) for
				  subsequent license revocation or other enforcement action which may arise out
				  of the notice of the violation(s).
(b) Any change in the name of the service,
				  level, service area, addition of substation, or type of service shall
				  necessitate an application to amend the license and shall be accompanied by a
				  fee of one hundred dollars ($100.00).
(c) Addition of a substation that expands the
				  service area shall comply with
				  310:641-3-11.
(d) Changing or moving the location of a
				  substation requires written notification to the Department.
(e) If an existing license is placed on
				  probation or suspension, a fee of one hundred ($100.00) dollars, in addition to
				  any other provision of the action, shall be submitted prior to re-instatement
				  of the license to full privilege
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 22 Ok Reg 2418, eff 7-11-05;
					 Amended at 24 Ok Reg 1991, eff 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 3 - GROUND AMBULANCE SERVICES › Section 310:641-3-15 - Ground ambulance service - personnel staffing

Current through Vol. 41, No. 20, July 1, 2024
(a) Each licensed ground ambulance service
				  shall be staffed and available to respond to any request for service within the
				  primary service area twenty-four (24) hours per day.
(b) Each ground ambulance service shall have
				  on staff an adequate number of emergency medical personnel and a sufficient
				  number of ambulances available in order to be en route to 90% of all emergency
				  calls within five (5) minutes of the time the call is received in dispatch at
				  the highest level of care for which the service is licensed.
(1) The request for emergency medical
				  services shall be considered "received in dispatch" as soon as the licensed
				  agency receives sufficient information to allow an appropriate response, i.e.,
				  location of the emergency and nature of the call.
(2) Staff licensed below the level of the
				  ambulance service may be utilized provided one or more of the following
				  conditions have been met:
(A) The request for
				  service has been screened by a Department approved emergency medical dispatch
				  system, or
(B) The patient is to be
				  transported from a higher to a lower level of care, or
(C) The transport is approved in writing by
				  the transferring physician at a specified lower level of care and scheduled in
				  advance.
(D) An agency that screens
				  emergency calls through an emergency medical prioritization program shall
				  establish en route times for the priority levels established by the agency. The
				  en route times established by the agency shall be included in the agency's
				  policy and/or procedure manual.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-20 - Ground ambulance vehicles

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				  ambulance manufactured prior to January 1, 2021 shall meet or exceed the
				  standards established in the U.S. General Services Administration Federal
				  Specification for the Star-of-Life Ambulance (GSA KKK-A-1822) in effect on
				  November 1, 1994.
(b) A new or
				  remounted production ground ambulance that is ordered or purchased after
				  January 1, 2021 shall comply fully with the ambulance design criteria in
				  either:
(1) The Commission on Accreditation
				  of Ambulance Services Ground Vehicle Standard for Ambulances (GVS), effective
				  July 1, 2019. A decal or letter of verification from the manufacturer
				  certifying that the vehicle meets the GVS standard, if ordered after January 1,
				  2021, shall be made available upon inspection; or
(2) The National Fire Protection Association
				  (NFPA) 1917 Standard for Automotive Ambulances - 2019 Edition. A decal or
				  letter of verification from the manufacturer certifying that the vehicle meets
				  the NFPA standard, if ordered after January 1, 2021, shall be made available
				  upon inspection;
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-21 - Ground transport vehicles currently in use [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Revoked at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Revoked at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-23 - Equipment for ground ambulance vehicles

Current through Vol. 41, No. 20, July 1, 2024
(a) The tampering, modification, or removal
				  of the manufacturer's expiration date is prohibited.
(b) Licensed ambulance services shall ensure
				  that all recalled, outdated, misbranded, adulterated, deteriorated fluids,
				  supplies, and medications are removed from ambulances immediately.
(c) The medical control physician will
				  authorize all equipment and medications placed on the units for patient care.
(1) The authorized equipment and medications
				  will be detailed on a unit checklist and will match the equipment and supplies
				  with defined minimums needed to treat patients in the manner detailed in the
				  agency approved protocols. The checklist will also meet the requirements
				  described in the ambulance file section of this subchapter.
(2) The medications authorized by the medical
				  director will be detailed on the unit checklist will include the number,
				  weight, and volume of the medication containers.
(3) An electronic or paper copy of patient
				  care protocols will be on each in-service ambulance.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-24 - Medical control requirement

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Each Oklahoma licensed ambulance service that initiates and responds to calls
				  within the state shall have a physician medical director who is fully licensed,
				  non-restricted Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) by
				  the State of Oklahoma.
(b) Each
				  licensed ambulance service will have a plan or policy that will address a
				  sudden lapse of medical direction, such as a back-up or reserve medical
				  director, which is used to ensure coverage when a medical director is not
				  available.
(1) The Department shall be
				  notified the next business day of any lapse or change of medical direction by
				  the respective agency. If the agency has made arrangements for a back-up
				  medical director or an immediate replacement, then a lapse has not
				  occurred.
(2) In the event of a
				  lapse in medical direction; in that, there is not a medical director providing
				  the authority for medical interventions for an agency's certified and licensed
				  personnel, the agency will, pursuant to 63 O.S. Section
				  1-2506
				  relating to the medical authority to perform medical procedures:
(A) cease all operations involving patient
				  care,
(B) implement mutual aid
				  plans to ensure requests for service receive responses until the agency is able
				  to implement their plan or policy for substitution or back-up medical
				  direction.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-25 - Sanitation requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  following shall apply regarding sanitation standards for all ambulance services
				  facilities, vehicles, and personnel:
(1) the
				  interior of the vehicle and the equipment within the vehicle shall be sanitary,
				  secured and maintained in good working order, at all times;
(2) the exterior of the vehicle shall be
				  clean and maintained in good working order to ensure the vehicle can operate
				  safely and in accordance with applicable sections of Title 47 of the Oklahoma
				  Statutes;
(3) linen shall be
				  changed after each patient is transported and bagged and stored in an outside
				  or separate compartment;
(4) clean
				  linen, blankets, washcloths, and hand-towels shall be stored in a closed
				  interior cabinet free of dirt and debris;
(5) freshly laundered linen or disposable
				  linen shall be used on the cots and pillows and changed between patients;
(6) pillows and mattresses shall
				  be kept clean and in good repair, and any repairs made to pillows, mattresses,
				  and padded seats shall be permanent;
(7) soiled linen shall be placed in a
				  container that deters accidental exposure. Any linen which is suspected of
				  being contaminated with bodily fluids or other potentially hazardous infectious
				  waste shall be placed in an appropriately marked closed container for
				  disposal;
(8) contaminated
				  disposable supplies shall be placed in appropriately marked or designated
				  containers, in a manner that deters accidental exposure;
(9) exterior and interior surfaces of
				  vehicles shall be cleaned routinely;
(10) blankets and hand towels used in any
				  vehicle shall be clean;
(11)
				  implements inserted into the patient's nose or mouth shall be single-service
				  wrapped and properly stored and handled. When multi-use items are utilized, the
				  local health care facilities should be consulted for instructions in sanitation
				  and handling of such items.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 5 - GROUND TRANSPORT VEHICLES › Section 310:641-3-26 - Storage of intravenous solutions

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Medication and vascular fluid shall be stored in a manner that complies with
				  manufacturer and FDA standards.
(b)
				  Each agency shall maintain medications in a manner that deters theft and
				  diversion of all medications.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-30 - Air ambulance license [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 23 Ok Reg 2386, eff 6-25-06;
					 Amended at 25 Ok Reg 2443, eff 7-11-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-31 - Air medical service [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 20 Ok Reg 2368, eff 7-11-03; Amended at 21 Ok Reg 2755, eff 7-12-04;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-32 - Air ambulance vehicles [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 25 Ok Reg 2443, eff 7-11-08;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-33 - Air ambulance equipment [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 26 Ok Reg 1498, eff
					 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-34 - Air ambulance medical staffing [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 23 Ok Reg 2386, eff 6-25-06;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-35 - Air medical director [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-36 - Operational protocols [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 26 Ok Reg 1498, eff
					 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-37 - Communications [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 26 Ok Reg 1498, eff
					 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-38 - Aircraft utilization [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 24 Ok Reg 1991, eff 6-25-07; Amended at 26 Ok Reg
					 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 7 - AIR AMBULANCES [Revoked] › Section 310:641-3-39 - Rotorwing standards - certificate of the aircraft operator [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 21 Ok Reg
					 2755, eff 7-12-04; Amended at 26 Ok Reg 1498, eff
					 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-40 - Specialty care [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 23 Ok Reg 2386, eff 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-41 - Application [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 20 Ok Reg 2368, eff 7-11-03; Amended at 23 Ok Reg 2386, eff
					 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-42 - Issuance of a specialty care license [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-43 - Personnel [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-44 - Vehicles [Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 23 Ok Reg 2386, eff 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-45 - Renewal [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-46 - Denial and other requirements [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 9 - SPECIALTY CARE [Revoked] › Section 310:641-3-47 - Equipment [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 26 Ok Reg
					 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48 - Stretcher aid van license [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff 5-13-02; Amended at
					 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff
					 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48.1 - Stretcher aid van services [Revoked]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff 5-13-02; Amended at
					 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff
					 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48.2 - Stretcher aid van vehicles [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff 5-13-02; Amended at
					 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff
					 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48.3 - Stretcher aid van equipment and supplies [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff
					 5-13-02
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48.4 - Stretcher aid van staffing [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff 5-13-02; Amended at
					 23 Ok Reg 2386, eff 6-25-06
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 10 - STRETCHER AID VANS [Revoked] › Section 310:641-3-48.5 - Stretcher aid van medical control [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 19 Ok Reg
					 386, eff 11-19-01 (emergency); Added at 19 Ok Reg 1053, eff
					 5-13-02
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-50 - Requirement [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 11 Ok Reg 3843, eff 7-11-94; Amended at 17 Ok Reg 392, eff 11-1-99 (emergency);
					 Amended at 17 Ok Reg 2948, eff 7-13-00; Amended at 18 Ok Reg 2501, eff 6-25-01;
					 Amended at 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff 6-25-07;
					 Amended at 26 Ok Reg 1498, eff 6-11-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-51 - Authority to carry controlled substances on a vehicle

Current through Vol. 41, No. 20, July 1, 2024
(a) An ambulance service, with personnel
				  licensed to utilize such, is hereby authorized to carry a limited supply of
				  controlled substances, secured and stored in a manner that is compliant with
				  State and Federal statutes and regulations. The utilization, procurement, and
				  accountability of such drugs shall be supervised by medical control for the
				  service. An inventory shall be kept and signed according to the requirement of
				  the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD), and the United
				  States Department of Justice Drug Enforcement Administration (DEA). Each
				  responsible medical director shall maintain a copy of their OBNDD certificate
				  to the Department, for this purpose.
(b) Any loss or deficiency which occurs in
				  the utilization, procurement, and accountability of controlled substances,
				  shall be reported to the OBNDD and DEA through their established procedures and
				  requirements, and to the Department, within ten (10) working days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-53 - Inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall conduct unannounced
				  inspections of every licensed ambulance service. Inspection may include a
				  review of any requirements of the Act and rules promulgated thereunder. The
				  Department may require copies of such records as deemed necessary consistent
				  with the files section of this subchapter.
(b) All inspection reports will be sent to
				  the agency director, license owner, and medical director.
(c) A representative of the agency will be
				  with the Department employee during the inspection.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-55 - Notice of violation

Current through Vol. 41, No. 20, July 1, 2024
(a) A violation of
				  the Act or this Chapter is ground for the Department to issue a written order,
				  sent via certified mail, citing the violation, affording the agency an
				  opportunity to demonstrate compliance, and indicating the time no less than
				  fifteen (15) days after receipt of the notice in which any needed correction
				  shall be made. The fifteen-day notice period may be reduced as, in the opinion
				  of the Department, may be necessary to render an order of compliance reasonably
				  effectual.
(b) Unless the
				  Department specifies a reduced period, within thirty (30) days after receipt of
				  the notice of violation, the agency shall submit to the Department a written
				  demonstration of compliance and/or plan of correction.
(c) A plan of correction shall include at
				  least the following:
(1) When the correction
				  was or will be completed;
(2) How
				  the correction was or will be made;
(3) What measures will prevent a recurrence;
				  and
(4) Who will be accountable to
				  ensure future compliance.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-57 - Emergency medical services regions

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Region(s), established pursuant to Section 1-2503 (21) and (22) of the Act
				  shall not be recognized, without Department approval for this purpose. Pursuant
				  to Title 74, O.S., Section
				  1006, of
				  the "Interlocal Cooperation Act" (relating to Approval of Agreements), the
				  Department shall exercise authority granted to approve or disapprove all
				  matters within its jurisdiction, in addition to and in substitution for the
				  requirement of submission to and approval by the Attorney General.
(b) The Department shall recognize regions,
				  which comply with the law and this Chapter.
(c) Any regional emergency medical services
				  system shall provide the name of the regional medical director, copies of
				  regional standards, rules, and transport.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 11 - MEDICAL CONTROL › Section 310:641-3-59 - Operational protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Authorized
				  emergency vehicles of licensed ambulance services shall adhere to the
				  requirements of Title 47 O.S. Section
				  1-101
				  et seq. (the "Motor Vehicle Code") for all vehicle operations.
(b) There is a required duty to act within
				  the licensed service area upon acceptance of an ambulance service license. All
				  licensed ambulance services shall respond appropriately; consistent with the
				  level of licensure when called for emergency service, regardless of the
				  patient's ability to pay. Non-emergency interfacility transfers are exempt from
				  the statutory duty to act.
(c) If
				  the ambulance service can not physically respond within the limits of "The
				  Ambulance Services District" Act, then the ambulance service called has a duty
				  to immediately call for mutual aid from a neighboring licensed ambulance
				  service.
(d) If an ambulance
				  service receives a call for an emergency which is in the licensed service area
				  of another licensed ambulance service, the ambulance service called has a
				  responsibility to immediately contact the licensed ambulance service with that
				  licensed service area.
(1) If the emergency
				  is in an area that is not within a licensed service area, the service that
				  received the call will contact the closest ambulance to the call.
(2) Any licensed service that receives a call
				  in an area that is outside of a licensed service area shall report the event to
				  Emergency Systems within the Department.
(3) The Department will report the event to
				  the county commissioners of the county where the call occurred.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 13 - SANITATION › Section 310:641-3-60 - Sanitation requirements [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 21 Ok Reg 2755, eff 7-12-04; Amended at 22 Ok Reg 2418, eff
					 7-11-05
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 13 - SANITATION › Section 310:641-3-61 - Transfer protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Department
				  approved medical and trauma triage, transport, and transfer protocols shall
				  adhere to the principle of delivering time-sensitive medical and trauma
				  patients to appropriate facilities as outlined by the regional advisory boards
				  and the Department approved protocols.
(b) Specific triage, transport, and transfer
				  protocols or destination protocols shall be developed by medical control for
				  the region, area, and/or local service and submitted to the Department for
				  approval.
(c) Each agency shall
				  designate the receiving facility(ies) that are within their reasonable service
				  range.
(1) An agency may still transport to
				  facilities outside of the reasonable service range on a case by case
				  basis.
(2) Repeated transports to
				  facilities that are outside of the agency's reasonable range will require
				  modifications to the designated receiving facility list maintained at the
				  Department with the agency's approved protocols.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 13 - SANITATION › Section 310:641-3-63 - Ambulance service files

Current through Vol. 41, No. 20, July 1, 2024
(a) All
				  required records for licensure will be maintained for a minimum of three
				  years.
(b) Each licensed ambulance
				  service shall maintain electronic or paper records about the operation,
				  maintenance, and such other required documents, at the business office. These
				  files shall be available for review by the Department, during normal work
				  hours. Files which shall be maintained include the following:
(1) Patient care records:
(A) At the time a patient is transported to a
				  receiving facility, the following information will be, at a minimum, provided
				  to the facility staff members at the time the patient(s) are accepted:
(i) personal information such as name, date
				  of birth, and address;
(ii) patient
				  assessment with medical history;
(iii) medical interventions and patient
				  responses to interventions;
(iv)
				  any known allergies;
(v) other
				  information from the medical history that would impact the patient outcomes if
				  not immediately provided.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 13 - SANITATION › Section 310:641-3-65 - Sole source ordinances

Current through Vol. 41, No. 20, July 1, 2024
(a) An ambulance
				  service which operates as a sole source provider established by EMS regions,
				  ambulance service districts or municipalities shall file with the Department a
				  copy of the ordinance or regulation and a copy of the contract to operate as a
				  sole source provider. This requirement shall be retroactive and includes all
				  established sole source ambulance services.
(b) An ambulance service which operates as a
				  sole source provider for a "region" as established pursuant to the Oklahoma
				  Interlocal Cooperation Act (Title 74, Section
				  1001 et seq.)
				  shall file, with the Department, a copy of the interlocal agreement and any
				  ordinance or other regulations or contract or agreement established by the
				  region for ambulance service provision.
(c) Violation of contracts established herein
				  may be cause for enforcement action by the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 13 - SANITATION › Section 310:641-3-67 - Suspension, revocation, probation, or non-renewal of a license

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department may suspend or revoke a
				  license, and/or fine or place on probation a license or licensee for the
				  following:
(1) violations of any of the
				  provision of the Oklahoma Statutes, the Act or this chapter;
(2) permitting, aiding or abetting in any
				  illegal act in connection with the ambulance service;
(3) failure to provide emergency service to
				  any person, unless a vehicle and/or personnel is not available, and failure to
				  summon mutual aid;
(4) conduct of
				  any practice that is detrimental to the welfare of the patient or potential
				  users of the service;
(5) failure
				  to operate the service on a twenty four (24) hour basis,
(6) placing a vehicle into service before it
				  is properly inspected, approved and permitted by the Department;
(7) failure to comply with a written order
				  issued by the Department within the time frame specified by the
				  Department;
(8) engaging in any act
				  which is designed or intended to hinder, impede or obstruct the investigation
				  of any matter governed by the Act, by any lawful authority;
(9) an ambulance service who fails to renew
				  their Oklahoma license within the time frame and other requirements as
				  specified in these rules, shall be considered an expired or lapsed licensee,
				  and therefore no longer licensed as an ambulance service in the State of
				  Oklahoma.;
(10) a misleading,
				  deceptive, false, or fraudulent advertisement or other representation in the
				  conduct of the profession or occupation;
(11) offering, giving, or promising anything
				  of value or benefit, as defined in Oklahoma Statutes or Department policy to a
				  Federal, state, or local governmental official for the purpose of influencing
				  the employee or official to circumvent a Federal, state, or local law, rule, or
				  ordinance governing the licensee's profession or occupations;
(12) interference with an investigation or
				  disciplinary proceeding by willful misrepresentation of facts, by the use of
				  threats or harassment against or inducement to a client or witness to prevent
				  them from providing evidence in a disciplinary proceeding or other legal
				  action, or by use of threats or harassment against or inducement to a person to
				  prevent or attempt to prevent a disciplinary proceeding or other legal action
				  from being filed, prosecuted, or completed; or
(13) failure to report the unprofessional
				  conduct or non-compliance of regulations by individually licensed and certified
				  personnel as defined in this this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 15 - INTRAVENOUS SOLUTIONS [Revoked] › Section 310:641-3-70 - Storage of intravenous solutions [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff
					 7-13-00
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 17 - CONTROLLED SUBSTANCES [Revoked] › Section 310:641-3-80 - Authority to carry controlled substances on a vehicle [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 24 Ok Reg 1991, eff 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 3 - Ground Ambulance Service › Part 19 - INSPECTION, CORRECTION, ACTIONS [Revoked] › Section 310:641-3-90 - Inspections [Amended and Renumbered]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg
					 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
					 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00;
					 Amended at 18 Ok Reg 2501, eff 6-25-01; Amended at 23 Ok Reg 2386, eff
					 6-25-06