reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 11 - Specialty Care Ambulance Service › Section 310:641-11-24 - Suspension, revocation, probation, or non-renewal of a licensee

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) conduct of any practice that is
				detrimental to the welfare of the patient or potential users of the
				service;
(4) placing a vehicle into
				service before it is properly inspected, approved, and permitted by the
				Department;
(5) failure to comply
				with a written order issued by the Department within the time frame specified
				by the Department;
(6) engaging in
				any act which is designed or intended to hinder, impede, or obstruct the
				investigation of any matter governed by the Act or by any lawful
				authority;
(7) 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;
(8) a
				misleading, deceptive, false, or fraudulent advertisement or other
				representation in the conduct of the profession or occupation;
(9) offering, giving, 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;
(10) 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;
(11) 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 13 - Air Ambulance Service › Section 310:641-13-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this Subchapter is to:
(1) incorporate the authorization, licensure,
				and minimum requirements for operating a fixed wing or rotor wing Air Ambulance
				Service, and
(2) provide standards
				for the enforcement of the provisions of the Act and this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-3 - Issuance of an air 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
				an air ambulance service license based on the ability of the applicant to meet
				the requirements of this Chapter.
(b) Any air ambulance service licensed prior
				to the effective date of these amendments to this Chapter shall remain in
				effect for the period of license issuance, except that all such air ambulance
				services shall be subject to the Act and rules which otherwise pertain
				including the requirement for renewal. At renewal, the agency must be fully
				compliant with all applicable regulations within this Chapter of
				regulation.
(c) The license is not
				transferable or assignable.
(d) A
				air ambulance license may be issued for Paramedic life support or for Specialty
				Care.
(1) Paramedic life support means that
				the air ambulance vehicles are equipped with the minimum Paramedic equipment
				and staffed with at least one Paramedic on each request for service and may
				respond to both pre-hospital requests and interfacility transfers.
(2) Specialty care means the air ambulance
				service vehicles are equipped with the appropriate equipment and staff for each
				request for interfacility transfers within their licensure limits.
(3) Air ambulances providing Paramedic and
				Specialty care services are required to have both types of licenses.
(4) Air ambulances providing specialty care
				shall meet or exceed specialty care regulations as well as air ambulance
				regulations.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-4 - Renewal of an air ambulance license

Current through Vol. 41, No. 20, July 1, 2024
(a)
				The Department shall provide to all air ambulance services a "Survey/Renewal
				Form" in December each year. This form shall be considered and utilized as a
				renewal application if due. The "Survey/Renewal Form" along with proof of
				current workers' compensation and liability insurance shall be returned to the
				Department by January 31st each year.
(1)
				Upon receipt of a complete and correct renewal application, a renewal fee
				statement shall be mailed by the Department to each licensee in need of
				renewal.
(2) A non-refundable fee
				for the renewal of an specialty care air 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 air ambulance service license shall be
				renewed if:
(A) the air ambulance service has
				applied for such renewal;
(B) the
				air ambulance service has no outstanding deficiencies or is not 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 13 - Air Ambulance Service › Section 310:641-13-5 - Denial for an initial license

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				air ambulance license application may be denied for any of the following
				reasons:
(1) A felony conviction,
				adjudication, or plea of guilty or nolo contendere of any person, member of the
				firm, partnership, corporation, or the person designated to supervise the
				service; to include, but not be limited to, fraud, grand larceny, child abuse,
				sexual offense(s), drug offense(s), or a conviction which might otherwise have
				a bearing on the operation of the service;
(2) Falsification of Department required
				information;
(3) Ownership,
				management, or administration by principals of an entity whose license has been
				revoked; and
(4) Licensure may not
				be in the best interest of the public as determined by the
				Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-6 - Denial of an air ambulance application for renewal

Current through Vol. 41, No. 20, July 1, 2024
(a) Any air ambulance license application for
				renewal may be denied for any of the following:
(1) the failure to meet standards set forth
				by statute or rule,
(2) a felony
				conviction, adjudication, or plea of guilty or nolo contendere of any person,
				member of the firm, partnership, corporation, or the person designated to
				manage the service to include, but not limited to fraud, grand larceny, child
				abuse, sexual offense(s), or a conviction, adjudication, or plea of guilty or
				nolo contendere which might otherwise have a bearing on the operation of the
				service,
(3) outstanding notice of
				violation that has not been addressed with an acceptable plan of
				correction,
(4) insufficient
				financial resources,
(5)
				falsification of Department required information,
(6) ownership, management, or administration
				by principals of an entity whose ambulance service license has been
				revoked,
(7) re-licensure may not
				be in the best interest of the public as determined by the
				Department,
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-7 - Severance of action, amendment, and re-instatement

Current through Vol. 41, No. 20, July 1, 2024
(a) The issuance or renewal of a license
				after notice of a violation(s) has been given shall not constitute a waiver by
				the Department of its power to rely on the violation(s) for subsequent license
				revocation or other enforcement action which may arise out of the notice of
				violation(s).
(b) Any change in the
				name of the service, level, service area, or addition or removal of substation
				shall necessitate an application to amend the license and shall be accompanied
				by a fee of one hundred dollars ($100.00).
(c) Changing or moving the location of a
				substation requires written notification to the Department.
(d) If an existing license is placed on
				probation or suspension, a fee of one hundred ($100.00) dollars, in addition to
				any other provision of the action, shall be submitted prior to re-instatement
				of the license to full privilege.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-8 - Air ambulance medical staffing

Current through Vol. 41, No. 20, July 1, 2024
(a) Each air ambulance flight originating in
				Oklahoma shall have, as a minimum, one of the following aeromedical crew member
				attending the patient:
(1) a physician
				licensed to practice in the State of Oklahoma. This crew member should at a
				minimum be competent in the principles supported in Advanced Cardiac Life
				Support (ACLS), Pediatric Advanced Life Support (PALS), Pediatric Education for
				the Prehospital Professional (PEPP), Advanced Trauma Life Support (ATLS),
				altitude physiology, and on-board treatment modalities.
(2) a registered nurse licensed to practice
				in the State of Oklahoma. This crew member should at a minimum be competent in
				clinical principles of care related to critical care modalities, such as
				obstetrics, neonatology, pediatrics, burns, cardiology, neurosurgery,
				toxicology and infectious disease specialties, the principles of ATLS, altitude
				physiology, training appropriate to mission profile, and aviation
				communications.
(3) a Paramedic
				licensed to practice in the State of Oklahoma. This crew member should at a
				minimum be competent in altitude physiology, ACLS, PALS, PEPP and Pre-hospital
				Trauma Life Support (PHTLS) or equivalent as approved by the
				Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-9 - Air ambulance vehicle

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				air ambulance vehicle (aircraft) may be fixed wing, single or multi-engine, or
				rotary wing, single or multi-engine.
(b) Operations of the aircraft shall be under
				the appropriate provisions of the Federal Aviation Regulations (FAR) within
				14 CFR, Part
				1 et seq.
(c) The interior of the patient compartment
				of their aircraft shall have the capability of being climate controlled to
				avoid adverse effects on patients and medical personnel on board by a means
				other than flight operations and flying to an altitude.
(d) The aircraft design and configuration
				shall not compromise patient stability in loading, unloading or in-flight
				operations.
(1) The aircraft shall have an
				entry that allows loading and unloading without excessive maneuvering (no more
				than 45 degrees about the lateral axis and 30 degrees about the longitudinal
				axis) of the patient, and does not compromise functioning of monitoring
				systems, intravenous lines, and manual or mechanical ventilation.
(2) A minimum of one stretcher shall be
				provided that can be carried to the patient.
(3) Aircraft stretchers and the means of
				securing it in-flight must be consistent with FAR's.
(4) The type and model of stretcher indicates
				the maximum gross weight allowed (inclusive of patient and equipment) as
				labeled on the stretcher.
(5) The
				stretcher shall be large enough to carry an American adult male.
(6) The stretcher shall be sturdy and rigid
				enough that it can support cardiopulmonary resuscitation. If a backboard or
				equivalent device is required to achieve this, such device will be readily
				available.
(7) The head of the
				stretcher is capable of being elevated at least 30 degrees for patient care and
				comfort.
(8) If the ambulance
				stretcher is floor supported by its own wheels, there is a mechanism to secure
				it in position under all conditions. These restraints permit quick attachment
				and detachment for patient transfer.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-10 - Air ambulance equipment

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Medical control shall determine the patient's needs and level of care required
				when deciding what equipment shall be aboard each flight and the type of
				aircraft required for transport. Equipment kits, cases and/or packs which are
				carried on any given flight shall be available for the following categories:
				trauma, cardiac, burn, toxicologic, pediatric, neonatal, and
				obstetrics.
(b) controlled
				substances shall be in a locked system and kept in a manner consistent with
				Federal and States requirements and applicable sections of this
				Chapter.
(c) storage of medications
				shall allow for protection from extreme temperature changes if environment
				deems it necessary.
(d) The
				following medical equipment shall be required to be on board every aircraft
				certified by the Department for air medical services:
(1) readily available IV supplies and fluids,
				readily available;
(2) hangers or
				hooks to secure IV solutions in place and equipment to provide high flow fluids
				if needed. Glass IV containers shall not be used unless required by specific
				medications and properly secured;
(3) a minimum of three (3) IV infusion pumps
				immediately available for critical care transports;
(4) accessible medications, consistent with
				the service's medical protocols;
(5) a cardiac monitor, defibrillator and
				external pacemaker shall be secured and positioned so that displays are
				visible. Two (2) extra batteries or a power source shall be available for
				cardiac monitor / defibrillator or external pacemaker (adult and
				pediatric);
(6) laryngoscope and
				tracheal intubation supplies, to include laryngoscope blades, bag-valve-mask,
				and oxygen supplies, including PEEP valves; appropriate for ages and potential
				needs of patient transported;
(7) a
				mechanical ventilator appropriate for critical care transports;
(8) two (2) suction units, one of which is
				portable and both of which are capable of delivering adequate suction to clear
				the airway with wide bore (1/4") tubing and rigid and soft suction catheters
				for adults, children, and infants;
(9) pulse oximetry with adult and pediatric
				capability;
(10) continuous
				waveform capnography monitoring capabilities and equipment;
(11) automatic blood pressure
				device;
(12) devices for
				decompressing a pneumothorax and performing an emergency
				cricothyroidotomy;
(13) doppler
				stethoscope;
(14) continuous/bi
				level positive airway pressure device as allowed by protocol; and
(15) arterial line blood pressure monitoring
				as allowed by protocol.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-11 - Air medical director

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				air medical director shall be a physician, fully licensed to practice in the
				State of Oklahoma, with a background in flight medicine, pre-hospital and/or
				emergency medicine. The physician shall know the aircraft limitations for
				in-flight patient care.
(b) An air
				ambulance service based in another state may have as its air medical director a
				physician who is not licensed to practice in the State of Oklahoma but is fully
				licensed in good standing in the home state of the air ambulance service. The
				air medical director shall meet all other qualifications listed in this
				subchapter.
(c) Licensed air
				ambulance services will have a plan or policy describing how the agency will
				address a sudden lapse of medical direction, such as a back-up medical
				director, that is used to ensure coverage when a physician is not
				available.
(d) The Department shall
				be notified the next business day of any lapse or change of medical direction
				by air ambulance service. If the agency has made arrangements for a back-up
				medical director or an immediate replacement, then no lapse has
				occurred.
(e) In the event of a
				lapse in medical direction, in that, there is not a medical director providing
				the authority for the agency's licensed personnel, the agency will, pursuant to
				63 O.S. Section
				1-2506,
				relating to the medical authority to perform medical procedures
(1) cease all operations involving patient
				care,
(2) implement mutual aid
				plans to ensure requests for service receive responses until the agency is able
				to implement their plan or policy for a substitute or back-up medical
				director.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-12 - Operational protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Air ambulance
				medical services shall be maintained to provide medical treatment, stability,
				and transportation to ambulance patients within the capability and capacity of
				the medical crew and aircraft.
(b)
				Patient related policies and procedures will be maintained at the agency.
				Documentation reflecting crew training on policies and procedures shall be
				maintained.
(c) A written policy
				shall be utilized for rapid patient loading and unloading if
				practiced.
(d) A written protocol
				shall be developed and in place to address the combative patient.
(1) Physical and/or chemical restraints shall
				be available and used for combative patients who potentially endanger himself,
				the personnel or the aircraft.
(2)
				The written protocol shall address refusal to transport patients, family
				members or others who may be considered a threat to the safety of the transport
				personnel.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-13 - Communications

Current through Vol. 41, No. 20, July 1, 2024
(a) All air ambulance aircraft shall have
				radio capability to communicate air to ground, air to air, and ground to air.
				The aircraft communication system will include two-way communications:
(1) with physician(s) who are responsible for
				directing patient care in transit, and
(2) with ground personnel who coordinate the
				transfer of the patient by surface transportation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-15 - Storage of intravenous solutions

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Medication and vascular fluid shall be stored in a manner that complies with
				manufacturer and FDA standards.
(b)
				Each agency shall maintain medications in a manner that deters theft and
				diversion of all medications.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-16 - Air ambulance service authority to carry controlled substances on a vehicle

Current through Vol. 41, No. 20, July 1, 2024
(a) An air
				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 the OBNDD and DEA through their
				procedures and requirements and to the Department within ten (10) working
				days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-17 - Air ambulance inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				Department shall conduct unannounced inspections of every licensed air
				ambulance service. Inspection may include a review of any requirements of the
				Act and rules promulgated thereunder. The Department may require copies of such
				records as deemed necessary consistent with the files section of this sub
				chapter.
(b) All inspection reports
				will be sent to the agency director, license owner, and medical
				director.
(c) A representative of
				the agency will be with the Department employee during the
				inspection.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 13 - Air Ambulance Service › Section 310:641-13-18 - Air ambulance 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 air ambulance 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 air ambulance 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 13 - Air Ambulance Service › Section 310:641-13-20 - Air Ambulance triage, transport and transfer protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Medical and trauma Department approved
				triage, transport, and transfer protocols or destination 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
				Department approved protocols.
(b)
				Specific triage, transport, and transfer protocols or destination protocols
				shall be developed by medicalcontrol for the region, area, or local service and
				submitted to the Department for approval.
(c) Each patient or legal guardian of a
				patient has the right to refuse treatment or transportation from an air
				ambulance agency.
(d) Each air
				ambulance agency shall ensure that the care of each patient is transferred
				appropriately to the receiving facility's licensed staff. The transfer of care
				will include verbal and written reports summarizing the assessment and
				treatment of the patient by the ambulance service.
(e) All air ambulance agencies are required
				to participate in the regional and statewide systems, established through
				statute and administered by the Department, to ensure the patients are
				transported to the appropriate facility in a timely manner to receive
				appropriate care.
(f) Each agency
				shall designate the receiving facilities that are within their reasonable
				service range.
(1) An air 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 13 - Air Ambulance Service › Section 310:641-13-21 - Air ambulance service records and files

Current through Vol. 41, No. 20, July 1, 2024
(a) All required records for licensure will
				be maintained for a minimum of three years.
(b) Each licensed air 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) At the
				time a patient is transported to a receiving facility, the following patient
				care records will be, at a minimum, provided to the facility staff members at
				the time the patient(s) are accepted:
(A)
				personal information such as name, date of birth, and address,
(B) patient assessment with medical
				history,
(C) medical interventions
				and patient responses to interventions,
(D) any known allergies,
(E) 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 13 - Air Ambulance Service › Section 310:641-13-22 - Air Ambulance Suspension, revocation, probation, or non-renewal of a licensee

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) conduct of any practice that is
				detrimental to the welfare of the patient or potential users of the
				service;
(4) placing a vehicle into
				service before it is properly inspected, approved, and permitted by the
				Department;
(5) failure to comply
				with a written order issued by the Department within the time frame specified
				by the Department;
(6) engaging in
				any act which is designed or intended to hinder, impede, or obstruct the
				investigation of any matter governed by the Act or by any lawful
				authority;
(7) 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;
(8) a
				misleading, deceptive, false, or fraudulent advertisement or other
				representation in the conduct of the profession or occupation;
(9) 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;
(10) 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;
(11) failure to report the unprofessional
				conduct or non-compliance of regulations by individually licensed and certified
				personnel as defined in this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this Subchapter is to:
(1) incorporate the authorization, licensure,
				and minimum requirements for operating an emergency medical response agency,
				and
(2) provide standards for the
				enforcement of the provisions of the Act and this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-4 - Issuance of a prehospital emergency medical response agency certification

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall issue a pre-hospital
				emergency medical response agency certification to applicants that meet
				certification requirements.
(b) The
				certificate shall be issued for the name and service area only.
(c) The certificate is not transferable or
				assignable.
(d) The initial license
				period shall expire the second June 30 following the date of issue. Subsequent
				renewal periods shall be twenty-four (24) months, or two (2) years.
(e) The original, or a copy of the original
				certification, shall be posted in a conspicuous place in the principal business
				office. If an office or other public place is not available, then the
				certificate shall be available to anyone requesting to see certification during
				regular business hours.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-5 - Issuance of an event standby emergency medical response agency certification

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				Department shall issue an event standby emergency medical response agency
				certification to applicants that meet certification requirements:
(b) The certificate shall be issued for the
				name only.
(c) The certificate is
				not transferable or assignable.
(d)
				The initial certification period shall expire the second June 30 following the
				date of issue. Subsequent renewal periods shall be twenty-four (24) months, or
				two (2) years.
(e) The original or
				a copy of the original certification shall be posted in a conspicuous place in
				the principal business office. If an office or other public place is not
				available then the certificate or a copy shall be available to anyone
				requesting to see the certification during regular business hours.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-6 - Renewal of an emergency medical response agency certificate

Current through Vol. 41, No. 20, July 1, 2024
(a) Each agency shall complete a renewal form
				in a manner prescribed by the Department. The Department shall send to all
				certified emergency medical response agency a "survey/renewal" form in December
				of each year.
(1) Upon receipt of a complete
				and correct renewal application, a renewal fee statement shall be provided by
				the Department to each certificate holder due to renew.
(2) A non-refundable fee for the renewal of
				any emergency medical response agency certification shall be twenty ($20.00)
				dollars.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-7 - Denial for an initial emergency medical response agency application

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)
				Falsification of Department required information;
(3) Ownership, management, or administration
				by principals of an entity whose license has been revoked; and
(4) certification may not be in the best
				interest of the public as determined by the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-8 - Denial of a certificate being renewed

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 a
				service;
(3) outstanding notice of
				violation that has not been addressed with an acceptable plan of
				correction;
(4) insufficient
				financial resources;
(5)
				falsification of Department required information;
(6) ownership, management, or administration
				by principals of an entity whose certification has been revoked;
(7) re-certification may not be in the best
				interest of the public as determined by the Department;
(8) revocation or denial of a governmental
				letter of support as required for initial certification;
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-9 - Severance of action, amendment, and re-instatement

Current through Vol. 41, No. 20, July 1, 2024
(a) The issuance or renewal of a certificate
				after notice of a violation(s) has been given shall not constitute a waiver by
				the Department of its power to rely on the violation(s) for subsequent license
				revocation or other enforcement action which may arise out of the notice of
				violation(s).
(b) Any change in the
				name of the service, level, service area, addition of substation, or services
				provided service shall necessitate an application to amend the
				certification.
(c) The addition of
				a substation that expands the service area shall comply with initial
				certification requirements such as letters of support and maps of the proposed
				service area.
(d) Changing or
				moving the location of a substation requires written notification to the
				Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-10 - Emergency medical response agency personnel

Current through Vol. 41, No. 20, July 1, 2024
(a) Emergency medical response agencies shall
				have at least one person of the responding personnel providing patient care
				certified or licensed by the Department.
(b) All drivers that operate emergency
				vehicles for an agency shall complete an emergency vehicle operator's course
				prior to emergency vehicle operations. Emergency vehicle operators shall
				complete an emergency vehicle operator's renewal course every two (2)
				years.
(c) Only emergency personnel
				authorized by this Act, except for a physician, shall be utilized by any
				emergency medical response agency.
(d) Agencies will maintain training records
				demonstrating competency in medical skills, patient handling, and emergency
				vehicle operations for all personnel employed or associated with the agency and
				utilized for patient care.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-11 - Prehospital emergency medical response agency equipment

Current through Vol. 41, No. 20, July 1, 2024
(a) The tampering, modification, or removal
				of the manufacturer's expiration date is prohibited.
(b) Certified agencies shall ensure that all,
				recalled, outdated, misbranded, adulterated, or deteriorated fluids, supplies,
				and medications are removed from the response vehicles immediately.
(c) The unit checklist will establish the
				equipment, supplies, and medications for each unit. A list of the equipment,
				supplies, and medication will be included in the application. For medications
				this is to include the number, weight, and volume of the containers.
(d) At a minimum, the following equipment and
				supplies will be present on for each emergency medical response:
(1) one (1) each adult, pediatric, and infant
				size bag-valve-mask resuscitators;
(2) one (1) complete set of oropharyngeal
				airways, single wrapped for sanitation purposes;
(3) portable oxygen system with two (2) each
				oxygen masks in adult, pediatric, and infant sizes;
(4) two (2) adult nasal cannulas;
(5) portable suction device with age and size
				appropriate tubing and tips;
(6)
				one (1) bulb syringe with saline drops, sterile, in addition to any bulb
				syringes in an obstetric kit;
(7)
				instant cold packs;
(8) sterile
				dressing and bandages, to include:
(A)
				sterile burn sheets,
(B) sterile
				4"x4" dressings,
(C) sterile 6"x8"
				or 8"x10" dressings,
(D) roller
				bandages, 2" or larger,
(E) rolls
				of tape (minimum of one (1) inch width),
(F) sterile occlusive dressings, 3" x 8" or
				larger,
(G) triangular bandages,
				and
(H)
				scissors;
(9) blood
				pressure cuff kit in adult, pediatric, and infant sizes;
(10) obstetrics kit;
(11) blankets;
(12) universal precaution kit for each person
				attending a patient;
(13)
				blood-glucose measurement equipment per medical direction and Department
				approval;
(14) AED with adult and
				pediatric capability;
(15) adult
				and pediatric upper and lower extremity splints;
(16) spinal immobilization equipment per
				medical control authorization;
(17)
				adult traction splint per medical control authorization and;
(18) patient care
				reports.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-12 - Event standby emergency medical response agency equipment

Current through Vol. 41, No. 20, July 1, 2024
(a) The event standby agency will be equipped
				with the minimum equipment described for pre-hospital emergency medical
				response agencies.
(b) In the event
				the medical control physician does not approve procedures or interventions
				requiring this equipment, the minimum equipment list may be modified for the
				applicant.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-13 - Emergency medical response agency medical control requirement

Current through Vol. 41, No. 20, July 1, 2024
(a) Each certified emergency medical response
				agency certified in Oklahoma shall have a physician medical director who is a
				fully licensed, non-restricted Doctor of Medicine (M.D.) or a Doctor of
				Osteopathy (D.O.) by the State of Oklahoma.
(b) Certified emergency medical response
				agencies will have a plan or policy that describes how the agency will address
				a sudden lapse of medical direction, such as a back-up medical director, that
				is used to ensure coverage when the medical director is not available.
(1) The Department shall be notified the next
				business day of any lapse or change of medical direction by the respective
				agency. If the agency has made arrangements for a back-up medical director or
				an immediate replacement, then a lapse has not occurred.
(2) In the event of a lapse in medical
				direction, in that, there is no a medical director providing the authority for
				medical interventions for an agency's certified and licensed personnel, the
				agency will, pursuant to 63 O.S. Section 1-2506 relating to the medical
				authority to perform medical procedures:
(A)
				may respond to a request for service to provide first aid, CPR, and the use of
				an AED, and
(B) implement mutual
				aid plans to ensure requests for service receive responses until the agency is
				able to implement their plan or policy for substitution or back-up medical
				direction.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-14 - Emergency medical response agency operational protocols

Current through Vol. 41, No. 20, July 1, 2024
(a) Emergency medical response agencies are
				not licensed or permitted to transport patients.
(b) Emergency medical response agencies do
				not have a duty to act, as defined within the Act.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-15 - Emergency medical response agency sanitation requirements

Current through Vol. 41, No. 20, July 1, 2024
(a) The following shall apply regarding
				sanitation standards for each emergency medical response agency's equipment,
				facilities, vehicles, and personnel:
(1) the
				interior of the vehicle and the equipment within the vehicle shall be sanitary
				and maintained in good working order when in service;
(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) clean linen,
				blankets, washcloths, and hand-towels shall be stored in a manner that is free
				of dirt and debris,
(4) medical
				supplies and equipment shall be stored in a safe and secure
				manner.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-16 - Emergency medical response agency 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 15 - Emergency Medical Response Agency › Section 310:641-15-17 - Emergency medical response agency authority to carry controlled substances on a vehicle

Current through Vol. 41, No. 20, July 1, 2024
(a) An emergency
				medical response agency, 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, or accountability of
				controlled substances shall be reported the OBNDD and DEA through their
				procedures and requirements, and to the Department, within ten (10) working
				days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 641 - Emergency Medical Services › Subchapter 15 - Emergency Medical Response Agency › Section 310:641-15-18 - Emergency medical response agency inspections

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department shall conduct unannounced
				inspections of every certified emergency medical response agency. Inspection
				may include a review of any requirements of the Act and rules promulgated
				thereunder. The Department may require copies of such records as deemed
				necessary consistent with the files section of this sub chapter.
(b) All inspection reports will be sent to
				the agency director, certificate 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 15 - Emergency Medical Response Agency › Section 310:641-15-19 - Emergency medical response agency 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.