reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-05 - Nursing Facility Sanctions › Section 33-07-05-12 - Application

Current through Supplement No. 393, July, 2024
An appeal may not suspend or delay the imposition of a
				  remedy under this chapter. All civil penalties received pursuant to this
				  chapter must be paid into a special fund of the department for the cost of
				  implementation of this chapter, to be applied to the protection of the health
				  or property of residents or patients of facilities that the department or the
				  secretary finds in violation, including payment for the costs for relocation of
				  patients, maintenance of temporary management to operate a facility pending
				  correction of a violation or closure of the facility, or for reimbursement to
				  residents and patients for personal funds lost due to a cited violation.
General Authority: NDCC 23-01-03, 28-32-02
Law Implemented: NDCC 23-16-01,
					 23-16-11
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-02 - Nurse aide training

Current through Supplement No. 393, July, 2024
1. Any nurse
				aide employed by a nursing facility or pursuing nurse aide certification and
				entry on the nurse aid registry must successfully complete a
				department-approved training program consisting of a minimum of seventy-five
				hours and a department-approved competency evaluation or a department-approved
				competency evaluation.
2. Nurse
				aides employed by nursing facilities pursuing nurse aid certification must
				complete a minimum of sixteen hours of classroom training in the following
				areas from a department-approved nurse aide training program prior to any
				hands-on contact with residents or patients. The areas are:
a. Communication and interpersonal skills;
b. Infection control;
c. Safety and emergency procedures, including
				the Heimlich maneuver;
d.
				Promoting residents' independence; and
e. Respecting residents' rights.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-03 - Nurse aide competency evaluation programs

Current through Supplement No. 393, July, 2024
1. The department-approved competency
				evaluation program must allow a nurse aide the option of establishing
				competency through written or oral and manual skills examination.
2. The written or oral examination must
				address all areas required in the department-approved training program.
3. The written or oral examination
				must be developed from a pool of test questions, only a portion of which may be
				utilized in any one examination.
4. The competency evaluation program must
				include a demonstration of the randomly selected tasks the individual will be
				expected to perform as part of the individual's function as a nurse aide.
5. The competency evaluation
				program must provide for a system that prevents disclosure of both pool
				questions and the individual competency evaluations.
6. The competency evaluation program must
				ensure that nurse aides employed by or having an offer of employment from a
				facility are not charged for any portion of the competency evaluation program.
General Authority: NDCC 23-01-03, 28-32-02
Law Implemented: NDCC 23-16-01,
					 23-17.3-08
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-04 - Administration of competency evaluation

Current through Supplement No. 393, July, 2024
1.
				The competency evaluation must be administered and evaluated by the department
				or a department-approved entity that is neither a skilled nursing facility or a
				nursing facility licensed by the department.
2. The entity that administers the competency
				evaluation must advise the nurse aide in advance that a record of the
				successful completion of the evaluation will be included on the department's
				nurse aide registry.
3. The skills
				demonstration portion of the test must be administered in the facility or
				laboratory setting comparable to the setting in which the nurse aide will
				function.
4. The skills
				demonstration portion of the test must be administered and evaluated by a
				registered nurse with at least one year of experience in providing care for the
				elderly or chronically ill of any age.
5. The department may permit the written or
				oral examination to be proctored by facility personnel if the department
				determines that the procedure adopted assures the competency evaluation is:
a. Secure from tampering.
b. Standardized and scored by a testing,
				educational, or other organization approved by the department.
c. Exempt from any scoring by facility
				personnel.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-05 - Withdrawal and approval of training program status

Current through Supplement No. 393, July, 2024
1. The department shall withdraw approval of
				a facility based program when a determination has been made that the facility
				has been found to be out of compliance with significant federal certification
				or state licensure requirements. The facility may apply for reinstatement after
				providing evidence of remaining in compliance with significant requirements for
				a period of twenty-four consecutive months.
2. The department shall withdraw approval of
				a nurse aide training and competency evaluation program if the entity providing
				the program refuses to permit unannounced visits by the department to ascertain
				compliance with program requirements.
3. Approval of a nurse aide training and
				competency evaluation program shall be granted by the department for a period
				not to exceed two years.
4. The
				department may approve only nurse aide training and competency evaluation
				programs meeting at least the following criteria:
a. Consists of no less than seventy-five
				hours of training.
b. Includes
				training in at least the following subject areas:
(1) Infection control.
(2) Safety and emergency procedures.
(3) Promoting resident or patient
				independence.
(4) Respecting
				resident rights.
(5) Basic nursing
				skills.
(6) Personal care skills.
(7) Mental health and social
				service needs.
(8) Care of
				cognitively impaired residents or patients.
(9) Basic restorative services.
(10) Resident or patient rights.
(11) Communication and interpersonal skills.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-06 - Completion of the competency evaluation program

Current through Supplement No. 393, July, 2024
1. To complete the competency evaluation
				successfully the individual shall, at a minimum, successfully demonstrate
				written or oral competence in the areas listed under subdivision b of
				subsection 4 of section
				33-07-06-05 and successfully
				demonstrate competence in performing a random selection of personal care
				skills.
2. A record of successful
				completion of the competency evaluation for nurse aides seeking certification
				must be included in the nurse aide registry within thirty days of the date the
				individual was found to be competent.
3. If the individual fails to complete the
				evaluation satisfactorily, the competency evaluation program must advise the
				individual of the areas in which the individual was adequate, and that the
				individual has not more than three opportunities to take the examination.
4. If the individual seeking
				certification fails the examination on the third attempt, the individual must
				enroll in and complete a department approved training program prior to taking
				the competency evaluation again.
General Authority: NDCC 23-01-03, 28-32-02
Law Implemented: NDCC 23-16-01,
					 23-17.3-08
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-07 - Registry information

Current through Supplement No. 393, July, 2024
1. The
				department is responsible for the entering of individual names on the nurse
				aide registry upon receipt of information verifying completion of a
				department-approved training and competency evaluation program or a
				department-approved competency evaluation.
2. Information included on the registry must
				include name, address, social security number, birth date, the date the nurse
				aide became eligible for entry on the registry, and the place of employment.
3. The department shall include
				documentation of findings of abuse, neglect, or misappropriation of resident
				property by the nurse aide on the registry when validated by the department.
4. Applicants for the nurse aide
				registry who submit proof of meeting the requirements of another jurisdiction
				will be granted reciprocity and entered on the nurse aide registry and may use
				the title "certified nurse aide". The individual must meet North Dakota
				requirements for active registry status.
5. Nurse aides meeting the waiver provisions
				of twenty-four months of continuous employment as a nurse aide prior to
				December 19, 1989, granted by the department will be listed on the registry
				with a special designation. This designation will signify the nurse aide has
				been waived from training and testing requirements but is not certified.
General Authority: NDCC 23-01-03, 28-32-02
Law Implemented: NDCC 23-16-01,
					 23-17.3-08
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-08 - Disclosure of information

Current through Supplement No. 393, July, 2024
1.
				Information contained in the registry will be disclosable to any medicare or
				medicaid participating facility, nursing facility, home health agency,
				hospital, ombudsman, other representative of an official agency or other
				individuals requesting information, upon request.
2. Upon request, the department shall provide
				the requester with the following information regarding individuals on the
				registry:
a. The date the individual's name
				was eligible for entry on the registry.
b. Any documented findings of abuse, neglect,
				or misappropriation, including the nature of the allegation and evidence
				supporting the allegation, the date and outcome of the hearing if one occurred,
				and any statement by the individual disputing the allegation.
c. Any additional information that the
				department deems necessary.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-09 - Registry renewal

Current through Supplement No. 393, July, 2024
1. Registry status
				is limited to twenty-four months. Upon receipt of a completed renewal
				application, and verification of employment within the immediate past
				twenty-four months, the certified nurse aide will be issued a renewal
				certificate indicating current status.
2. An individual who has not performed at
				least eight hours of nursing or nursing-related services for pay within a
				continuous twenty-four month period, shall complete a department-approved
				training and competency evaluation program or a department-approved competency
				evaluation to obtain current registry status.
General Authority: NDCC 23-01-03, 28-32-02
Law Implemented: NDCC 23-16-01,
					 23-17.3-08
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-10 - Complaint appeals process for nurse aides on the state registry

Current through Supplement No. 393, July, 2024
1. Nurse aides against whom allegations of
				abuse, neglect, or theft of resident funds or property are made shall be:
a. Informed by the department of the
				allegations;
b. Informed of the
				investigation results; and
c.
				Provided the opportunity to request a hearing to rebut the charges.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-07 - Licensing Medical Hospitals › Chapter 33-07-06 - Nurse Aide Training, Competency Evaluation, and Registry › Section 33-07-06-11 - Review process for findings of neglect placed on an individual nurse aide's registry listing

Current through Supplement No. 393, July, 2024
1. An individual
				with a finding of neglect placed on the individual's nurse aide registry
				listing after January 1, 1995, may petition the department in writing to have
				the finding removed from the individual's registry listing. The individual must
				provide the department with authorization for any releases of information the
				department deems appropriate in conducting the investigation. The department
				will not consider whether to remove the finding from the registry except upon
				determination by the department that:
a. The
				employment and personal history of the nurse aide does not reflect a pattern of
				abusive behavior or neglect. For the purposes of this section, a pattern is
				defined as two or more occurrences of abusive or neglectful behavior towards
				another individual which resulted in the potential for a negative outcome or an
				actual negative outcome to the other individual;
b. The neglect involved in the original
				finding was a singular occurrence that resulted in a potential or actual
				negative resident outcome; and
c.
				A background check, including a criminal history investigation or report,
				reveals no history of mistreatment findings, including instances of domestic
				abuse, the granting of a restraining order which has not been overturned, an
				adverse finding entered on any child abuse information index, or any conviction
				of any crime involving violence or the threat of violence.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-09 - Certificate of Need for Expansion of Hospital Facilities › Chapter 33-09-03 - Certificate of Need › Section 33-09-03-01 - Definitions

Current through Supplement No. 393, July, 2024
"Replacement equipment" means equipment which will be used
				  instead of existing equipment which is documented to be obsolete, or not
				  serviceable. Such equipment may be expected to possess expanded capabilities
				  due to technical improvements but will not provide expansion into new health
				  services.
General Authority: NDCC 23-01-03, 23-17.2-05
Law Implemented: NDCC
					 23-17.2-05
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-09 - Certificate of Need for Expansion of Hospital Facilities › Chapter 33-09-03 - Certificate of Need › Section 33-09-03-02 - Notification of intent - Filing fee

Current through Supplement No. 393, July, 2024
1. Each
				applicant shall submit a notification of intent on forms prescribed by the
				health council. Each notification of intent must be accompanied by a filing fee
				of seventy-five dollars payable to the North Dakota state department of health
				and consolidated laboratories.
2.
				The department, with concurrence of the health council, will determine purview.
3. The department will notify the
				applicant of the purview determination or seek additional information necessary
				to the determination of purview within fifteen working days of the receipt of a
				notification of intent. When appropriate, application forms prescribed by the
				health council will be sent to the applicant by the department.
4. Notifications of intent will expire one
				year following the mailing of the notice of the purview determination. In the
				case of any notification of intent deemed not subject to review, failure by the
				applicant to obligate funds for implementation of the proposal within the
				designated time will require the filing of a new notification of intent prior
				to implementation. In the case of any notification of intent deemed subject to
				review, failure by the applicant to complete the application form and to
				provide sufficient information to satisfy requirements to deem the application
				complete, as specified in subdivision b of subsection 1 of section
				33-09-03-03, prior to the
				expiration of the notification of intent will cause both the notification of
				intent and the application to expire.
General Authority: NDCC 23-01-03, 23-17.2-05
Law Implemented: NDCC
					 23-17.2-09
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-09 - Certificate of Need for Expansion of Hospital Facilities › Chapter 33-09-03 - Certificate of Need › Section 33-09-03-05 - Certificate of need expiration

Current through Supplement No. 393, July, 2024
Each certificate of need is valid for a period of one year
				  from the date of determination. One extension of one hundred eighty days may be
				  granted by the department upon request of the applicant. Failure by the
				  applicant to obligate funds for implementation of the proposal within the
				  designated time will render the certificate of need null and void. However,
				  time spent in a reconsideration action or a court appeal will not count toward
				  the expiration of a certificate of need.
General Authority: NDCC 23-01-03, 23-17.2-05
Law Implemented: NDCC
					 23-17.2-05
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-01 - Definitions

Current through Supplement No. 393, July, 2024
Words defined in North Dakota Century Code chapter 23-27
				  shall have the same meaning in this chapter. For purposes of this
				  chapter:
1. "Department" means the
				department of health and human services.
2. "Driver" means an individual who operates
				a quick response unit vehicle.
3.
				"Driver's license" means the license as required under sections 39-06-01 and
				39-06-02 of the North Dakota Century Code.
4. "Emergency medical responder" means an
				individual who is certified as an emergency medical responder by the
				department.
5. "Emergency medical
				technician" means an individual who is licensed as an emergency medical
				technician by the department.
6.
				"Equivalent" means training of equal or greater value which accomplishes the
				same results as determined by the department.
7. "Patient care provider" means a qualified
				individual on the quick response unit crew responsible for the care of the
				patient.
8. "Personnel" means
				qualified patient care providers, or drivers, or both, within a quick response
				unit service.
9. "Quick response
				unit run" means the response of a quick response unit vehicle and personnel to
				an emergency or nonemergency for the purpose of rendering medical care to
				someone sick or incapacitated, including canceled calls, no transports, and
				standby events where medical care may be rendered.
10. "State radio" means the North Dakota
				department of emergency services division of state radio located at Fraine
				barracks in Bismarck, North Dakota.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-02 - License required

Current through Supplement No. 393, July, 2024
1. The license
				shall expire midnight on June thirtieth of the odd year following issuance.
				License renewal shall be on a biennial basis.
2. A license is valid only for the service
				for which it is issued. A license may not be sold, assigned, or transferred.
General Authority: NDCC 23-27-02
Law Implemented: NDCC
					 23-27-02
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-03 - Application for license

Current through Supplement No. 393, July, 2024
Application for the license shall be made in the manner
				  prescribed by the department.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-04 - Issuance and renewal of licenses

Current through Supplement No. 393, July, 2024
1.
				The department or its authorized agent may inspect the service. If minimum
				standards are met, the department shall issue a license.
2. If minimum standards are not met, the
				department will allow the quick response unit thirty days to comply with the
				standards. The department will work with the quick response unit to obtain
				compliance.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-06 - Driver's license required

Current through Supplement No. 393, July, 2024
All drivers of quick response unit vehicles shall have a
				  current valid driver's license pursuant to requirements under sections 39-06-01
				  and 39-06-02 of the North Dakota Century Code.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-07 - Number of personnel required

Current through Supplement No. 393, July, 2024
The minimum personnel required on each quick response unit
				  run shall be one patient care provider who may function as the driver and is
				  certified as an emergency medical responder or its equivalent.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-08 - Minimum equipment requirements

Current through Supplement No. 393, July, 2024
The quick response unit shall have the following:
1. Automated external defibrillator.
2. Blood pressure manometer, cuff
				in child, adult, and large adult sizes; and stethoscope.
3. Disposable gloves - four pair of each size
				small, medium, and large.
4. One
				blunt shears.
5. One portable
				suction device with catheter.
6.
				One portable oxygen unit size "D" with variable flowmeter.
7. Two nasal cannulas and two nonrebreather
				masks with supply tubing.
8.
				Nasopharyngeal airways in adult and child sizes.
9. Oropharyngeal airways in adult, child, and
				infant sizes.
10. Two cold packs.
11. Four hot packs.
12. Two space blankets.
13. Twelve four-by-four sterile gauze pads.
14. Three sterile soft roller
				self-adhering bandages.
15. Four
				rolls of tape.
16. Two sterile
				occlusive dressings.
17. One
				sterile multitrauma dressing approximately ten inches [25.4 centimeters] by
				thirty-six inches [91.44 centimeters].
18. One sterile burn sheet or its equivalent.
19. Equipment case.
20. Equipment storage - readily accessible
				and safe from the elements.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-09 - Other requirements

Current through Supplement No. 393, July, 2024
1. Personnel
				must be able to identify and locate all equipment items required to be carried
				in a quick response unit.
2. All
				licensed quick response unit agencies shall keep the quick response unit
				vehicle and other equipment clean and in proper working order.
3. All linens, airways, oxygen masks, nasal
				cannulas, and other equipment coming in direct contact with the patient must be
				either a single-use disposable type or cleaned, laundered, or disinfected after
				each use.
4. All licensed quick
				response units must either be affiliated with a licensed ambulance service, as
				defined in chapter 33-11-02.1, that provides medical oversight for the quick
				response unit, or upon approval by the department, have their own medical
				director not affiliated with an ambulance service.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-10 - Quick response units performing advanced life support interventions

Current through Supplement No. 393, July, 2024
Quick response units may provide advanced life support
				  interventions on an as-needed basis if the following requirements are met:
1. The primary care provider is
				licensed to provide the level of care required.
2. The service complies with the equipment
				list as set forth by its medical director.
3. A North Dakota licensed physician has
				authorized advanced life support interventions by verbal or written order.
4. The transporting ambulance's
				primary care provider is licensed to provide or maintain any advanced life
				support intervention provided by the quick response unit.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-11 - Transporting of patients

Current through Supplement No. 393, July, 2024
1. Except as
				otherwise provided in subsection 2, quick response units may not transport
				patients.
2. Notwithstanding
				subsection 1, quick response units may transport patients during a major
				catastrophe or mass casualty incident if all of the following conditions are
				met:
a. An incident command system has been
				established and the incident commander has authorized the use of quick response
				units to transport patients.
b.
				The ambulance services that normally provide service or mutual aid in the area
				of the catastrophe or mass casualty incident are insufficient or unavailable to
				transport.
c. The primary care
				provider on the quick response unit must be an emergency medical technician or
				its equivalent.
d. The quick
				response unit must rendezvous with a licensed ambulance service if one becomes
				available during transport.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.1 - North Dakota Quick Response Units › Section 33-11-01.1-12 - Communications

Current through Supplement No. 393, July, 2024
To ensure responder safety and a seamless integration with
				  the broader public safety response system, quick response units must have the
				  following elements to their communications system:
1. They must have a radio call sign issued by
				state radio.
2. They must be
				dispatched directly from a public safety answering point by radio or pager.
3. They must have a radio capable
				of transmitting and receiving voice communications with the local public safety
				answering point, law enforcement responders, fire responders, and other public
				safety agencies on radio frequencies determined by state radio.
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-02 - License required - Fees

Current through Supplement No. 393, July, 2024
1. A person,
				as an owner, agent or otherwise, may not operate, conduct, maintain, advertise,
				or otherwise engage in or profess to be engaged in operating a basic life
				support ambulance service or advanced life support ambulance service in this
				state unless that person holds a license as a basic life support ambulance
				service or advanced life support ambulance service or is exempt from these
				requirements.
2. The license shall
				expire midnight on October thirty-first of the even year following issuance.
				The department shall relicense for a two-year period, expiring on October
				thirty-first, a basic life support or advanced life support ambulance service
				successfully meeting the requirements of the North Dakota ambulance service
				licensure program.
3. A license is
				valid only for the entity for which it is issued. A license may not be sold,
				assigned, or transferred.
4. The
				license decal shall be displayed in a conspicuous place inside the patient
				compartment of the ambulance vehicle.
5. The nonrefundable biennial license fee
				shall be fifty dollars for each ground ambulance service, including
				headquarters, substations, and industrial ambulance services.
6. Entities solely providing nonemergency
				health transportation services are not required to obtain a license under
				chapter 23-27 of the North Dakota Century Code as long as they do not advertise
				or offer emergency medical services to the general public or render acute
				medical care.
General Authority:
NDCC 23-27-01
Law Implemented:
NDCC
					 23-27-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-03 - Application for license

Current through Supplement No. 393, July, 2024
An application for a basic life support ambulance service or
				  advanced life support ambulance service license shall be submitted on a form or
				  through an electronic process, as prescribed by the department. The application
				  must contain the following information as well as additional information and
				  documents that may be solicited by the application form:
1. The name and mailing address of the
				applicant and a primary contact individual and telephone number and electronic
				mail address at which that individual can be reached.
2. The name under which the applicant shall
				hold itself out to the public in conducting its emergency medical service
				operations and the address of its primary location in this state out of which
				it shall conduct its emergency medical service operations. If the applicant
				seeks to conduct emergency medical service agency operations out of more than
				one location, the address of its primary operational headquarters and each
				other location out of which it intends to operate must be provided. If the
				applicant holds itself out to the public under different fictitious names for
				the emergency medical service operations it conducts at different locations,
				the fictitious name under which it intends to operate at each location must be
				provided.
3. The manner in which
				the applicant is organized.
4. The
				tax status of the applicant.
5. The
				geographic area for which the applicant intends to provide service. If the
				service is a type of service that is dispatched by a public safety answering
				point, the applicant shall detail the geographic area, if any, in which it
				plans to routinely respond to emergency dispatches.
6. A personnel roster.
7. The number and types of emergency medical
				service vehicles to be operated by the applicant and identifying information
				for each emergency medical service vehicle.
8. The communication access and capabilities
				of the applicant.
9. A full
				description of the emergency medical service agency services that the applicant
				intends to provide out of each location and how it intends to respond to
				emergency calls if it will not conduct operations out of a fixed location or
				locations.
10. The names, titles
				and summary of responsibilities of individuals who will be staffing the
				emergency medical service operation as officers, directors, or other emergency
				medical service agency officials.
11. A statement attesting to the veracity of
				the application, which shall be signed by the principal official of the
				applicant.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-04 - Issuance and renewal of licenses

Current through Supplement No. 393, July, 2024
1. The
				department or its authorized agent may inspect the service. If minimum
				standards for either basic life support ground ambulance services or advanced
				life support ground ambulance services are met, the department may issue a
				license and designate its service area. The department may designate a new
				ambulance service to operate in a service area if the following conditions are
				present:
a. The existing ambulance service
				has not complied with the performance standards outlined in section
				33-11-01.2-14 or
				33-11-01.2-17 or
				33-11.2-15; or
b. The county commission or city commission
				having governing authority within an ambulance service area has petitioned the
				department requesting another ambulance service to operate in their area due to
				poor performance. Ambulance service performance issues must be documented,
				quantifiable, and persistent.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-05 - Waivers

Current through Supplement No. 393, July, 2024
1. Based on each individual case, the
				department may waive any provisions of this chapter.
2. The waiver provision must only be used for
				a specific period in specific instances, provided such a waiver does not
				adversely affect the health and safety of the individual transported, and then
				only if a nonwaiver would result in unreasonable hardship upon the ambulance
				service.
General Authority:
NDCC 23-27-01
Law Implemented:
NDCC
					 23-27-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-06

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-01
Law Implemented: NDCC
					 23-27-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-06.1 - Headquarter and substation ambulance requirements

Current through Supplement No. 393, July, 2024
In addition to requirements as listed in the remainder of
				  chapter
				  33-11-01.2, the
				  following items apply to headquarter ambulance services and substations:
1. Application for licensure by a headquarter
				ambulance service shall be made as described in section
				33-11-01.2-03 and shall include
				all information regarding all substations under the control of the headquarters
				ambulance service.
2. A substation
				ambulance operation and all of its operational assets must be fully owned or
				leased and operated by a headquarters ambulance service. A substation ambulance
				may not establish a separate business structure independent of the headquarters
				service.
3. A substation ambulance
				service may not have its own governing board separate from a governing board of
				the headquarters ambulance service.
4. All logos, vehicle lettering, personnel
				uniforms, and signage on any substation building must reflect the name of the
				headquarters ambulance service. However, a logo, vehicle lettering, personnel
				uniforms, or signage on a substation building may include the name of the
				substation.
5. A licensed advanced
				life support ambulance service meeting the requirements of
				33-11-03 may operate a
				substation ambulance that meets the basic life support ambulance standards
				outlined in
				33-11-02.
6. A substation ambulance service may not be
				established in a city that has a licensed ambulance service based in that
				city.
7. A substation ambulance
				service may be available intermittently. The headquarters ambulance service is
				responsible for responding when the substation ambulance is unavailable. In
				lieu of responding, the headquarters ambulance service may request that the
				quickest available ambulance to respond be dispatched when the substation is
				unavailable. The headquarters ambulance service must inform its dispatching
				entity as to the time of availability of its substation ambulance
				service.
General Authority:
NDCC 23-27-01
Law Implemented:
NDCC
					 23-27-01
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-07 - Ground ambulance service requirements

Current through Supplement No. 393, July, 2024
1. A headquarters ambulance service shall be
				available twenty-four hours per day and seven days per week, except as exempted
				through waiver by the department.
2. A substation ambulance service may be
				available intermittently. When the substation ambulance is not available it is
				the responsibility of the headquarters service to respond to calls within that
				area if no closer ambulance can respond. The headquarters ambulance service
				must inform its dispatching entity as to the time of availability of its
				substation ambulance service.
3.
				All drivers of ambulance or emergency medical service vehicles shall have a
				current valid driver's license pursuant to requirements under sections 39-06-01
				and 39-06-02 of the North Dakota Century Code.
4. All licensed ambulance services shall keep
				the ambulance vehicle and other equipment clean and in proper working
				order.
5. All supplies and other
				equipment coming in direct contact with the patient must be either a single-use
				disposable type or cleaned, laundered, or disinfected after each use.
6. When a vehicle has been utilized to
				transport a patient known to have a communicable disease, the vehicle and all
				exposed equipment must be disinfected before the transport of another
				patient.
7. Each ambulance run must
				be reported to the department electronically via the North Dakota emergency
				medical services data repository.
8. All ambulance services shall give the
				receiving health care facility a detailed patient report at the time of patient
				transfer.
9. All ambulance services
				shall submit a trauma, stroke, cardiac, and other time-critical condition
				transport plan to the department upon request.
10. All licensed ambulance services shall
				keep either an electronic or paper copy of each patient care report on file for
				a minimum of seven years.
11. All
				licensed ambulance services shall have current written protocols developed and
				signed by their medical director. The current version of the protocols must be
				kept on file with ambulance service management. The ambulance service manager
				shall keep inactive protocols for a period of seven years after deactivating
				the protocol.
12. All ambulance
				services shall report any collision involving an ambulance that results in
				property damage of four thousand dollars or greater, or personal injury. The
				report must be made within thirty days of the event and on a form or in a
				manner provided by the department.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-08

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-09

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-10

Current through Supplement No. 393, July, 2024
General Authority: NDCC 23-27-04
Law Implemented: NDCC
					 23-27-04
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-11 - Out-of-state operators

Current through Supplement No. 393, July, 2024
1. Operators
				licensed in another state may pick up patients within this state for
				transportation to locations within this state under the following
				circumstances:
a. When there is a natural
				disaster, such as a tornado, earthquake, or other disaster, which may require
				all available ambulances to transport the injured; or
b. When an out-of-state ambulance is
				traveling through the state for whatever purpose comes upon an accident or
				medical emergency where immediate emergency ambulance services are
				necessary.
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-12 - Specialty care transport

Current through Supplement No. 393, July, 2024
1. Specialty
				care transport is necessary when a patient's condition requires ongoing care
				that must be provided by one or more health care professionals in an
				appropriate specialty area, for example, nursing, emergency medicine,
				respiratory care, cardiovascular care, or paramedic with additional training.
2. Qualifying interventions for
				specialty care transports are patients with:
a. One of the following:
(1) Intravenous infusions;
(2) Vasopressors;
(3) Vasoactive compounds;
(4) Antiarrhythmics;
(5) Fibrinolytics;
(6) Paralytics; or
(7) Any other pharmaceutical unique to the
				patient's special health care needs; and
North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-11 - Licensing of Emergency Medical Services › Chapter 33-11-01.2 - North Dakota Ground Ambulance Services › Section 33-11-01.2-13 - Ground ambulance service vehicle requirements

Current through Supplement No. 393, July, 2024
1. All ground ambulances must have a vehicle
				manufactured to be an ambulance.
2.
				A ground ambulance must have a patient care compartment that is designed to
				carry at least one patient on a stretcher that is securely mounted to the
				ambulance and that enables transportation in both the supine and seated upright
				positions.
3. A ground ambulance
				must have a patient care compartment that is designed to provide sufficient
				access to a patient's body to perform and maintain advanced life support
				skills, including adequate space for one caregiver to sit superior to the
				patient's head to perform required advanced life support airway skills, and
				other emergency medical services skills required by the emergency medical
				service agency's emergency medical services protocols.
4. A ground ambulance must have a design that
				does not compromise patient safety during loading, unloading, or patient
				transport. A ground ambulance must be equipped with a door that will allow
				loading and unloading of the patient without excessive maneuvering.
5. A ground ambulance must be equipped with
				permanently installed climate control equipment to provide an environment
				appropriate for the medical needs of a patient.
6. A ground ambulance must have interior
				lighting adequate to enable medical care to be provided and patient status
				monitored without interfering with the vehicle operator's vision.
7. A ground ambulance must be designed for
				patient safety so that the patient is isolated from the operator's compartment
				in a manner that minimizes distractions to the vehicle operator during patient
				transport and prevents interference with the operator's manipulation of vehicle
				controls.
8. A ground ambulance
				must be equipped with appropriate patient restraints and with restraints in
				every seating position within the patient compartment.
9. A ground ambulance must be equipped with
				two-way radios capable of communication with medical command facilities,
				receiving facility communications centers, public safety answering points, and
				ambulances for the purpose of communicating medical information and assuring
				the continuity of resources for patient care needs.
10. A ground ambulance must carry an oxygen
				supply that is cable of providing high flow oxygen at twenty-five or more
				liters per minute to a patient for the anticipated duration of patient
				transport.
11. All ground ambulance
				service vehicles must be equipped with a siren and flashing lights as described
				for class A emergency vehicles in subsection 2 of section 39-10-03 of the North
				Dakota Century Code.
General Authority:
NDCC 23-27-04
Law Implemented:
NDCC
					 23-27-04