reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0200 - EMS SYSTEMS › Section 13P .0224 - GROUND AMBULANCE VEHICLE MANUFACTURING STANDARDS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  addition to the terms defined in Rule .0102 of this Subchapter, the following
				  definitions apply to this Rule:
(1)
				  "Remounted" means a ground ambulance patient compartment module that has been
				  removed from its original chassis and mounted onto a different
				  chassis.
(2) "Refurbished" means
				  upgrading or repairing an existing ground ambulance patient care module or
				  chassis that may not involve replacement of the chassis.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0300 - SPECIALTY CARE TRANSPORT PROGRAMS › Section 13P .0301 - SPECIALTY CARE TRANSPORT PROGRAM CRITERIA

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMS
				  Providers seeking designation to provide specialty care transports shall submit
				  an application for program approval to the OEMS at least 60 days prior to field
				  implementation. The application shall document that the program has:
(1) a defined service area that identifies
				  the specific transferring and receiving facilities the program is intended to
				  service;
(2) written policies and
				  procedures implemented for medical oversight meeting the requirements of
				  Section .0400 of this Subchapter;
(3) service available on a 24 hour a day,
				  seven days a week basis;
(4) the
				  capability to provide the patient care skills and procedures as specified in
				  "North Carolina College of Emergency Physicians: Standards for Medical
				  Oversight and Data Collection;"
(5)
				  a written continuing education program for EMS personnel, under the direction
				  of the Specialty Care Transport Program Continuing Education Coordinator,
				  developed and modified based upon feedback from program data, review and
				  evaluation of patient outcomes, and quality management review that follows the
				  criteria set forth in Rule .0501 of this Subchapter;
(6) a communication system that provides
				  two-way voice communications for transmission of patient information to medical
				  crew members anywhere in the service area of the program. The SCTP Medical
				  Director shall verify that the communications system is satisfactory for on-
				  line medical direction;
(7) medical
				  crew members that have completed training conducted every six months regarding:
(A) operation of the EMS communications
				  system used in the program; and
(B)
				  the medical and patient safety equipment specific to the program;
(8) written operational protocols
				  for the management of equipment, supplies, and medications. These protocols
				  shall include:
(A) a Specialized Ambulance
				  Protocol Summary document listing of all standard medical equipment, supplies,
				  and medications, approved by the Medical Director as sufficient to manage the
				  anticipated number and severity of injury or illness of the patients, for all
				  vehicles and aircraft used in the program based on the treatment protocols and
				  approved by the OEMS; and
(B) a
				  methodology to ensure that each ground vehicle and aircraft contains the
				  required equipment, supplies, and medications on each response; and
(9) written policies and
				  procedures specifying how EMS Systems will dispatch and utilize the ground
				  ambulances and aircraft operated by the program.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0300 - SPECIALTY CARE TRANSPORT PROGRAMS › Section 13P .0302 - AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA FOR LICENSED EMS PROVIDERS USING ROTARY-WING AIRCRAFT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Air
				  Medical Programs using rotary-wing aircraft shall document that the program
				  has:
(1) medical crew members that have all
				  completed training regarding:
(A) altitude
				  physiology; and
(B) the operation
				  of the EMS communications system used in the program;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0300 - SPECIALTY CARE TRANSPORT PROGRAMS › Section 13P .0303-.0304

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(d)(1); (d)(8);
					 (d)(9);
Temporary Adoption Eff.
					 January 1, 2002;
Eff. April 1, 2003;
Amended Eff.
					 January 1, 2004;
Repealed Eff. January 1,
					 2009.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0300 - SPECIALTY CARE TRANSPORT PROGRAMS › Section 13P .0305 - AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA FOR LICENSED EMS PROVIDERS USING FIXED-WING AIRCRAFT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  addition to the general requirements of Specialty Care Transport Programs in
				  Rule.0301 of this Section, Air Medical Programs using fixed-wing aircraft shall
				  document that:
(1) Medical crew members have
				  all completed training regarding:
(A) Altitude
				  physiology; and
(B) The operation
				  of the EMS communications system used in the program;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0401 - COMPONENTS OF MEDICAL OVERSIGHT FOR EMS SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
Each EMS System shall have the following components in
					 place to assure medical oversight of the system:
(1) a medical director for adult and
				  pediatric patients appointed, either directly or by written delegation, by the
				  county responsible for establishing the EMS System. Systems may elect to
				  appoint one or more assistant medical directors. The medical director and
				  assistant medical directors shall meet the criteria defined in the "North
				  Carolina College of Emergency Physicians: Standards for Medical Oversight and
				  Data Collection;"
(2) written
				  treatment protocols for adult and pediatric patients for use by EMS
				  personnel;
(3) for systems
				  providing EMD service, an EMDPRS approved by the medical director;
(4) an EMS Peer Review Committee;
				  and
(5) written procedures for use
				  by EMS personnel to obtain on-line medical direction. On-line medical direction
				  shall:
(a) be restricted to medical orders
				  that fall within the scope of practice of the EMS personnel and within the
				  scope of approved system treatment protocols;
(b) be provided only by a physician, EMS-NP,
				  or EMS-PA. Only physicians may deviate from written treatment protocols;
				  and
(c) be provided by a system of
				  two-way voice communication that can be maintained throughout the treatment and
				  disposition of the patient.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0402 - COMPONENTS OF MEDICAL OVERSIGHT FOR SPECIALTY CARE TRANSPORT PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
Each Specialty Care Transport Program shall have the
					 following components in place to assure Medical Oversight of the system:
(1) a medical director. The administration of
				  the SCTP shall appoint a medical director following the criteria for medical
				  directors of Specialty Care Transport Programs as defined by the "North
				  Carolina College of Emergency Physicians: Standards for Medical Oversight and
				  Data Collection." The program administration may elect to appoint one or more
				  assistant medical directors;
(2)
				  treatment protocols for adult and pediatric patients for use by medical crew
				  members;
(3) an EMS Peer Review
				  Committee; and
(4) a written
				  protocol for use by medical crew members to obtain on-line medical direction.
				  On-line medical direction shall:
(a) be
				  restricted to medical orders that fall within the scope of practice of the
				  medical crew members and within the scope of approved program treatment
				  protocols;
(b) be provided only by
				  a physician, EMS-NP, or EMS-PA. Only physicians may deviate from written
				  treatment protocols; and
(c) be
				  provided by a system of two-way voice communication that can be maintained
				  throughout the treatment and disposition of the patient.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0403 - RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR EMS SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Medical Director for an EMS System is
				  responsible for the following:
(1) ensuring
				  that medical control as set forth in Rule .0401(5) of this Section is available
				  24 hours a day, seven days a week;
(2) the establishment, approval, and annual
				  updating of adult and pediatric treatment protocols as set forth in Rule .0405
				  of this Section;
(3) EMD programs,
				  the establishment, approval, and annual updating of the EMDPRS, including
				  subsequent editions published by the EMDPRS program utilized by the EMS
				  System;
(4) medical supervision of
				  the selection, system orientation, continuing education and performance of all
				  EMS personnel;
(5) medical
				  supervision of a scope of practice performance evaluation for all EMS personnel
				  in the system based on the treatment protocols for the system;
(6) the medical review of the care provided
				  to patients;
(7) providing guidance
				  regarding decisions about the equipment, medical supplies, and medications that
				  will be carried on all ambulances and EMS nontransporting vehicles operating
				  within the system;
(8) determining
				  the combination and number of EMS personnel sufficient to manage the
				  anticipated number and severity of injury or illness of the patients
				  transported in Medical Ambulance/Evacuation Bus Vehicles defined in Rule .0219
				  of this Subchapter; and
(9) keeping
				  the care provided up-to-date with current medical practice.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0404 - RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR SPECIALTY CARE TRANSPORT PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The medical director for a Specialty Care
				  Transport Program is responsible for the following:
(1) the establishment, approval, and updating
				  of adult and pediatric treatment protocols as set forth in Rule .0406 of this
				  Section;
(2) medical supervision of
				  the selection, program orientation, continuing education, and performance of
				  medical crew members;
(3) medical
				  supervision of a scope of practice performance evaluation for all medical crew
				  members in the program based on the treatment protocols for the
				  program;
(4) the medical review of
				  the care provided to patients;
(5)
				  keeping the care provided up to date with current medical practice;
(6) approving the Specialized Ambulance
				  Protocol Summary (SAPS) document listing of all medications, equipment, and
				  supplies for all Specialty Care level ground vehicles and aircraft permitted by
				  the OEMS; and
(7) in air medical
				  programs, determination and specification of the medical equipment required in
				  Rule .0209 of this Subchapter that is carried on a mission based on anticipated
				  patient care needs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0405 - REQUIREMENTS FOR ADULT AND PEDIATRIC TREATMENT PROTOCOLS FOR EMS SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Treatment Protocols used in EMS Systems
				  shall:
(1) Be adopted in their original form
				  from the standard adult and pediatric treatment protocols as defined in the
				  "North Carolina College of Emergency Physicians: Standards for Medical
				  Oversight and Data Collection," incorporated by reference in accordance with
				  G.S.
				  150B-21.6, including subsequent amendments
				  and editions. This document is available from the OEMS, 2707 Mail Service
				  Center, Raleigh, North Carolina 27699-2707, at no cost; and
(2) Not contain medical procedures,
				  medications, or intravenous fluids that exceed the scope of practice defined by
				  the North Carolina Medical Board pursuant to
				  G.S.
				  143-514 for the level of care offered in the
				  EMS System and any other applicable health care licensing board.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0406 - REQUIREMENTS FOR ADULT AND PEDIATRIC TREATMENT PROTOCOLS FOR SPECIALTY CARE TRANSPORT PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult and
				  pediatric treatment protocols used by medical crew members within a Specialty
				  Care Transport Program shall:
(1) be approved
				  by the OEMS Medical Director and incorporate all skills, medications,
				  equipment, and supplies for Specialty Care Transport Programs as defined by the
				  "North Carolina College of Emergency Physicians: Standards for Medical
				  Oversight and Data Collection," incorporated by reference in accordance with
				  G.S.
				  150B-21.6, including subsequent amendments
				  and editions. This document is available from the OEMS, 2707 Mail Service
				  Center, Raleigh, North Carolina 27699-2707, at no cost; and
(2) not contain medical procedures,
				  medications, or intravenous fluids that exceed the scope of practice of the
				  medical crew members.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0407 - REQUIREMENTS FOR EMERGENCY MEDICAL DISPATCH PRIORITY REFERENCE SYSTEM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMDPRS used by an EMD within an approved
				  EMD program shall:
(1) be approved by the OEMS
				  Medical Director and meet or exceed the statewide standard for EMDPRS as
				  defined by the "North Carolina College of Emergency Physicians: Standards for
				  Medical Oversight and Data Collection;"
(2) not exceed the EMD scope of practice
				  defined by the North Carolina Medical Board pursuant to G.S. 143-514;
(3) have a written plan how the agency is to
				  maintain a current roster of EMD personnel in the OEMS credentialing and
				  information database;
(4) have a
				  written plan how the emergency medical dispatching agency applying the
				  principles of EMD or offering EMD services, procedures, or program will comply
				  with subsequent editions and compliance standards defined by the EMDPRS program
				  and the EMS System; and
(5)
				  participate and report compliance data at EMS System peer review
				  meetings.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0408 - EMS PEER REVIEW COMMITTEE FOR EMS SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
The EMS Peer Review Committee for an EMS System
					 shall:
(1) be composed of membership
				  as defined in
				  G.S.
				  131E-155(6b).
(2) appoint a physician as
				  chairperson;
(3) meet at least
				  quarterly;
(4) use information
				  gained from the analysis of system data submitted to the OEMS to evaluate the
				  ongoing quality of patient care and medical direction within the
				  system;
(5) use information gained
				  from the analysis of system data submitted to the OEMS to make recommendations
				  regarding the content of continuing education programs for all EMS personnel
				  functioning within the EMS system;
(6) review adult and pediatric treatment
				  protocols of the EMS System and make recommendations to the medical director
				  for changes;
(7) establish and
				  implement a written procedure to guarantee due process reviews for EMS
				  personnel temporarily suspended by the medical director;
(8) record and maintain minutes of committee
				  meetings throughout the approval period of the EMS System;
(9) establish and implement EMS system
				  performance improvement guidelines that meet or exceed the statewide standard
				  as defined by the "North Carolina College of Emergency Physicians: Standards
				  for Medical Oversight and Data Collection," incorporated by reference in
				  accordance with
				  G.S.
				  150B-21.6, including subsequent amendments
				  and editions. This document is available from the OEMS, 2707 Mail Service
				  Center, Raleigh, North Carolina 27699-2707, at no cost; and
(10) adopt written guidelines that address:
(a) structure of committee
				  membership;
(b) appointment of
				  committee officers;
(c) appointment
				  of committee members;
(d) length of
				  terms of committee members;
(e)
				  frequency of attendance of committee members;
(f) establishment of a quorum for conducting
				  business; and
(g) confidentiality
				  of medical records and personnel issues.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0400 - MEDICAL OVERSIGHT › Section 13P .0409 - EMS PEER REVIEW COMMITTEE FOR SPECIALTY CARE TRANSPORT PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The EMS Peer Review Committee for a
				  Specialty Care Transport Program shall:
(1)
				  be composed of membership as defined in
				  G.S.
				  131E-155(6b);
(2) appoint a physician as
				  chairperson;
(3) meet at least
				  quarterly;
(4) analyze program data
				  to evaluate the ongoing quality of patient care and medical direction within
				  the program;
(5) use information
				  gained from program data analysis to make recommendations regarding the content
				  of continuing education programs for medical crew members;
(6) review adult and pediatric treatment
				  protocols of the Specialty Care Transport Programs and make recommendations to
				  the Medical Director for changes;
(7) establish and implement a written
				  procedure to guarantee due process reviews for medical crew members temporarily
				  suspended by the Medical Director;
(8) record and maintain minutes of committee
				  meetings throughout the approval period of the Specialty Care Transport
				  Program;
(9) establish and
				  implement EMS system performance improvement guidelines that meet or exceed the
				  statewide standard as defined by the "North Carolina College of Emergency
				  Physicians: Standards for Medical Oversight and Data Collection;" and
(10) adopt written guidelines that address:
(A) structure of committee
				  membership;
(B) appointment of
				  committee officers;
(C) appointment
				  of committee members;
(D) length of
				  terms of committee members;
(E)
				  frequency of attendance of committee members;
(F) establishment of a quorum for conducting
				  business; and
(G) confidentiality
				  of medical records and personnel issues.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0502 - INITIAL CREDENTIALING REQUIREMENTS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In order to be credentialed by the OEMS
				  as an EMR, EMT, AEMT, or Paramedic, individuals shall:
(1) Be at least 18 years of age. An
				  examination may be taken at age 17; however, the EMS credential shall not be
				  issued until the applicant has reached the age of 18.
(2) Complete an approved educational program
				  as set forth in Rule .0501 of this Section for their level of
				  application.
(3) Complete a scope
				  of practice performance evaluation that uses performance measures based on the
				  cognitive, psychomotor, and affective educational objectives set forth in Rule
				  .0501 of this Section and that is consistent with their level of application,
				  and approved by the OEMS. This scope of practice evaluation shall be completed
				  no more than one year prior to examination. This evaluation shall be conducted
				  by a Level I or Level II EMS Instructor credentialed at or above the level of
				  application or under the direction of the primary credentialed EMS instructor
				  or educational medical advisor for the approved educational program.
(4) Within 90 days from their course graded
				  date as reflected in the OEMS credentialing database, complete a written
				  examination administered by the OEMS. If the applicant fails to register and
				  complete a written examination within the 90-day period, the applicant shall
				  obtain a letter of authorization to continue eligibility for testing from his
				  or her EMS Educational Institution's program director to qualify for an
				  extension of the 90-day requirement set forth in this Paragraph. If the EMS
				  Educational Institution's program director declines to provide a letter of
				  authorization, the applicant shall be disqualified from completing the
				  credentialing process. Following a review of the applicant's specific
				  circumstances, OEMS staff will determine, based on professional judgment, if
				  the applicant qualifies for EMS credentialing eligibility. The OEMS shall
				  notify the applicant in writing within 10 business days of the decision.
(A) a maximum of three attempts within six
				  months shall be allowed.
(B) if
				  unable to pass the written examination requirement after three attempts, the
				  educational program shall become invalid and the individual may only become
				  eligible for credentialing by repeating the requirements set forth in Rule
				  .0501 of this Section.
(5) Submit to a criminal background history
				  check as set forth in Rule .0511 of this Section.
(6) Submit evidence of completion of all
				  court conditions resulting from any misdemeanor or felony
				  conviction(s).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0503 - TERM OF CREDENTIALS FOR EMS PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
EMR, EMT, AEMT, Paramedic, and Instructor credentials shall
					 be valid for a period of four years, and the EMD credential shall be valid for
					 a period of two years, barring any delay in expiration as set forth in Rule
					 .0504 of this Section.
Authority
					 G.S.
					 131E-159(a);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2, 2016;
Amended Eff.
					 January 1, 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0504 - RENEWAL OF CREDENTIALS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMR, EMT, AEMT, and Paramedic applicants
				  shall renew credentials by meeting the following criteria:
(1) presenting documentation to the OEMS or
				  an approved EMS educational institution or program as set forth in Rule .0601
				  or.0602 of this Subchapter that they have completed an approved educational
				  program as described in Rule.0501 of this Section;
(2) submit to a criminal background history
				  check as set forth in Rule.0511 of this Section;
(3) submit evidence of completion of all
				  court conditions resulting from applicable misdemeanor or felony conviction(s);
				  and
(4) be a resident of North
				  Carolina or affiliated with an EMS provider approved by the
				  Department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0505 - SCOPE OF PRACTICE FOR EMS PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
EMS Personnel educated in approved programs, credentialed
					 by the OEMS, and functioning under physician medical oversight may perform acts
					 and administer intravenous fluids and medications as allowed by the North
					 Carolina Medical Board pursuant to
					 G.S.
					 143-514.
Authority
					 G.S.
					 143-508(d)(6);
					 143-514;
Temporary
					 Adoption Eff. January 1, 2002;
Eff. April 1, 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 2, 2016;
Amended Eff.
					 July 1, 2018.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0506 - PRACTICE SETTINGS FOR EMS PERSONNEL

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Credentialed EMS Personnel may function in the following practice settings in
				  accordance with the protocols approved by the OEMS and by the Medical Director
				  of the EMS System or Specialty Care Transport Program with which they are
				  affiliated:
(1) at the location of a
				  physiological or psychological illness or injury;
(2) at public or community health facilities
				  in conjunction with public and community health initiatives;
(3) in hospitals and clinics;
(4) in residences, facilities, or other
				  locations as part of wellness or injury prevention initiatives within the
				  community and the public health system;
(5) at mass gatherings or special events;
				  and
(6) community paramedicine
				  programs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0507 - INITIAL CREDENTIALING REQUIREMENTS FOR LEVEL I EMS INSTRUCTORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Applicants for credentialing as a Level I
				  EMS Instructor shall:
(1) be currently
				  credentialed by the OEMS as an EMT, AEMT, or Paramedic;
(2) have completed post-secondary level
				  education equal to or exceeding a minimum of an Associate Degree from an
				  institution accredited by an approved agency listed on the U.S. Department of
				  Education website, www.ed.gov:
(A) The
				  Department shall accept degrees from programs accredited by the Accreditation
				  Commission for Education in Nursing (ACEN) and the Commission on Accreditation
				  of Allied Health Education Programs.
(B) Additional degrees may be accepted based
				  on the professional judgment of OEMS staff following a comparison of
				  standards;
(3) have
				  three years experience at the scope of practice for the level of
				  application;
(4) within one year
				  prior to application, complete an in-person evaluation that demonstrates the
				  applicant's ability to provide didactic and clinical instruction based on the
				  cognitive, psychomotor, and affective educational objectives in Rule.0501 of
				  this Section consistent with their level of application and approved by the
				  OEMS:
(A) for a credential to teach at the
				  EMT level, this evaluation shall be conducted under the direction of a Level II
				  EMS Instructor credentialed at or above the level of application; and
(B) for a credential to teach at the AEMT or
				  Paramedic level, this evaluation shall be conducted under the direction of the
				  educational medical advisor, or a Level II EMS Instructor credentialed at or
				  above the level of application and designated by the educational medical
				  advisor;
(5) have 100
				  hours of teaching experience at or above the level of application in an
				  approved EMS educational program or a program determined by OEMS staff in their
				  professional judgment equivalent to an EMS education program;
(6) complete an educational program as
				  described in Rule.0501 of this Section; and
(7) within one year prior to application,
				  attend an OEMS Instructor workshop sponsored by the OEMS. A listing of
				  scheduled OEMS Instructor workshops is available from the OEMS at
https://info.ncdhhs.gov/dhsr/ems
.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0508 - INITIAL CREDENTIALING REQUIREMENTS FOR LEVEL II EMS INSTRUCTORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Applicants for credentialing as a Level
				  II EMS Instructor shall:
(1) be currently
				  credentialed by the OEMS as an EMT, AEMT, or Paramedic;
(2) be currently credentialed by the OEMS as
				  a Level I Instructor at the EMT, AEMT, or Paramedic level;
(3) have completed post-secondary level
				  education equal to or exceeding a Bachelor's Degree from an institution
				  accredited by an approved agency listed on the U.S. Department of Education
				  website, www.ed.gov:
(A) The Department shall
				  accept degrees from programs accredited by the Accreditation Commission for
				  Education in Nursing (ACEN) and the Commission on Accreditation of Allied
				  Health Education Programs.
(B)
				  Additional degrees may be accepted based on the professional judgment of OEMS
				  staff following a comparison of standards;
(4) within one year prior to application,
				  complete an in-person evaluation that demonstrates the applicant's ability to
				  provide didactic and clinical instruction based on the cognitive, psychomotor,
				  and affective educational objectives in Rule.0501 of this Section consistent
				  with their level of application and approved by the OEMS:
(A) for a credential to teach at the EMT
				  level, this evaluation shall be conducted under the direction of a Level II EMS
				  Instructor credentialed at or above the level of application; and
(B) for a credential to teach at the AEMT or
				  Paramedic level, this evaluation shall be conducted under the direction of the
				  educational medical advisor, or a Level II EMS Instructor credentialed at or
				  above the level of application and designated by the educational medical
				  advisor;
(5) a minimum
				  two concurrent years teaching experience as a Level I EMS Instructor at or
				  above the level of application, or as a Level II EMS Instructor at a lesser
				  credential level applying for a higher level in an approved EMS educational
				  program, or teaching experience determined by OEMS staff in their professional
				  judgment to be equivalent to an EMS Level I education program;
(6) complete the "EMS Education
				  Administration Course" conducted by a North Carolina Community College or the
				  National Association of EMS Educators Level II Instructor Course that is valid
				  for the duration of the active Level II Instructor credential; and
(7) within one year prior to application,
				  attend an OEMS Instructor workshop sponsored by the OEMS. A listing of
				  scheduled OEMS Instructor workshops is available from the OEMS at
https://info.ncdhhs.gov/dhsr/ems
.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0509 - CREDENTIALING OF INDIVIDUALS TO ADMINISTER LIFESAVING TREATMENT TO PERSONS SUFFERING AN ADVERSE REACTION TO AGENTS THAT MIGHT CAUSE ANAPHYLAXIS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To become credentialed by the North
				  Carolina Medical Care Commission to administer epinephrine to persons who
				  suffer adverse reactions to agents that might cause anaphylaxis, a person shall
				  meet the following:
(1) Be 18 years of age or
				  older; and
(2) successfully
				  complete an educational program taught by a physician licensed to practice
				  medicine in North Carolina or designee of the physician. The educational
				  program shall instruct individuals in the appropriate use of procedures for the
				  administration of epinephrine to pediatric and adult victims who suffer adverse
				  reactions to agents that might cause anaphylaxis and shall include the
				  following:
(A) definition of
				  anaphylaxis;
(B) agents that might
				  cause anaphylaxis and the distinction between them, including drugs, insects,
				  foods, and inhalants;
(C)
				  recognition of symptoms of anaphylaxis for both pediatric and adult
				  victims;
(D) appropriate emergency
				  treatment of anaphylaxis as a result of agents that might cause
				  anaphylaxis;
(E) availability and
				  design of packages containing equipment for administering epinephrine to
				  victims suffering from anaphylaxis as a result of agents that might cause
				  anaphylaxis;
(F) pharmacology of
				  epinephrine including indications, contraindications, and side
				  effects;
(G) discussion of legal
				  implications of rendering aid; and
(H) instruction that treatment is to be
				  utilized only in the absence of the availability of physicians or other
				  practitioners who are authorized to administer the treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0510 - RENEWAL OF CREDENTIALS FOR LEVEL I AND LEVEL II EMS INSTRUCTORS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Level I and Level II EMS Instructor
				  applicants shall renew credentials by presenting documentation to the OEMS that
				  they:
(1) are credentialed by the OEMS as an
				  EMT, AEMT, or Paramedic;
(2) within
				  one year prior to application, complete an evaluation that demonstrates the
				  applicant's ability to provide didactic and clinical instruction based on the
				  cognitive, psychomotor, and affective educational objectives in Rule.0501 of
				  this Section consistent with their level of application and approved by the
				  OEMS:
(A) to renew a credential to teach at
				  the EMT level, this evaluation shall be conducted under the direction of a
				  Level II EMS Instructor credentialed at or above the level of application;
				  and
(B) to renew a credential to
				  teach at the AEMT or Paramedic level, this evaluation shall be conducted under
				  the direction of the educational medical advisor, or a Level II EMS Instructor
				  credentialed at or above the level of application and designated by the
				  educational medical advisor;
(3) completed 96 hours of EMS instruction at
				  the level of application. Individuals identified as EMS program coordinators or
				  positions as determined by OEMS staff in their professional judgment to the
				  equivalent to an EMS program coordinator may provide up to 72 hours related to
				  the institution's needs, with the remaining 24 hours in EMS
				  instruction;
(4) completed 24 hours
				  of educational professional development as defined by the educational
				  institution that provides for:
(A) enrichment
				  of knowledge;
(B) development or
				  change of attitude in students; or
(C) acquisition or improvement of skills;
				  and
(5) within one year
				  prior to renewal application, attend an OEMS Instructor workshop sponsored by
				  the OEMS.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0511 - CRIMINAL HISTORIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The criminal
				  background histories for all individuals who apply for, seek to renew, or hold
				  EMS credentials shall be reviewed pursuant to
				  G.S.
				  131E-159(g).
(b) In addition to Paragraph (a) of this
				  Rule, the OEMS shall carry out the following for all EMS Personnel whose
				  primary residence is outside North Carolina, individuals who have resided in
				  North Carolina for 60 months or less, and individuals under investigation by
				  the OEMS who may be subject to administrative enforcement action by the
				  Department under the provisions of Rule.1507 of this Subchapter:
(1) obtain a signed consent form for a
				  criminal history check;
(2) obtain
				  fingerprints on an SBI identification card or live scan electronic
				  fingerprinting system at an agency approved by the North Carolina Department of
				  Public Safety;
(3) obtain the
				  criminal history from the Department of Public Safety; and
(4) collect any processing fees from the
				  individual identified in Paragraph (a) or (b) of this Rule as required by the
				  Department of Public Safety pursuant to
				  G.S.
				  143B-952 prior to conducting the criminal
				  history background check.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0512 - REINSTATEMENT OF LAPSED EMS CREDENTIAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMS
				  personnel enrolled in an OEMS approved continuing education program as set
				  forth in Rule .0601 of this Subchapter and who were eligible for renewal of an
				  EMS credential prior to expiration, may request the EMS educational institution
				  submit documentation of the continuing education record to the OEMS. OEMS shall
				  renew the EMS credential to be valid for four years from the previous
				  expiration date.
(b) An individual
				  with a lapsed North Carolina EMS credential is eligible for reinstatement
				  through the legal recognition option defined in G.S. 131E-159(c) and Rule .0502
				  of this Section.
(c) EMR, EMT,
				  AEMT, and Paramedic applicants for reinstatement of an EMS credential, lapsed
				  up to 12 months, shall:
(1) be ineligible for
				  legal recognition pursuant to G.S. 131E-159(c);
(2) be a resident of North Carolina or
				  affiliated with a North Carolina EMS provider or employed with an alternative
				  practice setting in compliance with Rule .0506 of this Section;
(3) at the time of application, present
				  evidence that renewal education requirements were met prior to expiration or
				  complete a refresher course at the level of application taken following
				  expiration of the credential;
(4)
				  complete an OEMS administered written examination for the individual's level of
				  credential application;
(5) undergo
				  a criminal history check performed by the OEMS as defined in Rule .0511 of this
				  Section; and
(6) submit evidence of
				  completion of all court conditions resulting from applicable misdemeanor or
				  felony conviction(s).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0500 - EMS PERSONNEL › Section 13P .0513 - REFRESHER COURSES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Approved EMS
				  educational institutions as set forth in Rule.0601 and.0602 of this Subchapter
				  may develop refresher courses for the renewal or reinstatement of EMS
				  credentials.
(b) The application
				  for OEMS approval of a refresher course shall include:
(1) course objectives, content outline, and
				  time allocation to topics of the course;
(2) teaching methodologies for measuring the
				  student's abilities to perform at his or her level of application;
				  and
(3) the method to be used to
				  conduct a technical scope of practice evaluation for students seeking
				  reinstatement of a lapsed EMS credential for their level of
				  application.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS › Section 13P .0601 - CONTINUING EDUCATION EMS EDUCATIONAL PROGRAM REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Continuing Education EMS Educational Programs shall be credentialed by the OEMS
				  to provide only EMS continuing education. An application for credentialing as
				  an approved EMS continuing education program shall be submitted to the OEMS for
				  review.
(b) Continuing Education
				  EMS Educational Programs shall have:
(1) at
				  least a Level I EMS Instructor as program coordinator and shall hold a Level I
				  EMS Instructor credential at a level equal to or greater than the highest level
				  of continuing education program offered in the EMS System, Specialty Care
				  Transport Program, or Agency;
(2) a
				  continuing education program shall be consistent with the services offered by
				  the EMS System, Specialty Care Transport Program, or Agency;
(A) In an EMS System, the continuing
				  education programs shall be reviewed and approved by the system continuing
				  education director and Medical Director;
(B) In a Specialty Care Transport Program,
				  the continuing education program shall be reviewed and approved by Specialty
				  Care Transport Program Continuing Education director and the Medical Director;
				  and
(C) In an Agency not affiliated
				  with an EMS System or Specialty Care Transport Program, the continuing
				  education program shall be reviewed and approved by the Agency Program Medical
				  Director;
(3) written
				  educational policies and procedures to include each of the following;
(A) the delivery of educational programs in a
				  manner where the content and material is delivered to the intended audience,
				  with a limited potential for exploitation of such content and
				  material;
(B) the record-keeping
				  system of student attendance and performance;
(C) the selection and monitoring of EMS
				  instructors; and
(D) student
				  evaluations of faculty and the program's courses or components, and the
				  frequency of the evaluations;
(4) access to instructional supplies and
				  equipment necessary for students to complete educational programs as defined in
				  Rule .0501 of this Subchapter;
(5)
				  meet the educational program requirements as defined in Rule .0501 of this
				  Subchapter;
(6) Upon request, the
				  approved EMS continuing education program shall provide records to the OEMS in
				  order to verify compliance and student eligibility for credentialing;
				  and
(7) approved education program
				  credentials are valid for a period not to exceed four years.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS › Section 13P .0602 - BASIC AND ADVANCED EMS EDUCATIONAL INSTITUTION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Basic and Advanced EMS Educational
				  Institutions may offer educational programs for which they have been
				  credentialed by the OEMS.
(1) EMS Educational
				  Institutions shall complete a minimum of two initial courses at the highest
				  level educational program approved for the Educational Institution's credential
				  approval period.
(2) EMS
				  Educational Institutions that do not complete two initial courses for each
				  educational program approved shall be subject to action as set forth in Rule
				  .1505 of this Subchapter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS › Section 13P .0603 - REPEALED - ADVANCED EMS EDUCATIONAL INSTITUTION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(d)(4);
					 143-508(d)(13);
Temporary Adoption Eff. January 1, 2002;
Eff. February 1,
					 2004;
Amended Eff. January 1, 2009;
Repealed Eff.
					 January 1, 2017.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS › Section 13P .0604 - REPEALED - TRANSITION FOR APPROVED TEACHING INSTITUTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(b);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Repealed Eff. January 1,
					 2004.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS › Section 13P .0605 - ACCREDITED EMS EDUCATIONAL INSTITUTION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) EMS
				  Educational Institutions who already possess accreditation by the CAAHEP shall
				  be credentialed by the OEMS by presenting:
(1) an application for
				  credentialing;
(2) evidence of
				  current CAAHEP accreditation;
(3) a
				  copy of the self study;
(4) a copy
				  of the executive analysis; and
(5)
				  documentation reflecting compliance with Rule.0602(b) and (c) of this
				  Section.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0700 - ENFORCEMENT › Section 13P .0701 - REPEALED - DENIAL, SUSPENSION, AMENDMENT OR REVOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131E-155.1(d);
					 131E-157(c);
					 131E-159(a),(f);
					 131E-162;
					 143-508(d)(10);
Temporary Adoption Eff. January 1, 2002;
Eff. January 1,
					 2004;
Amended Eff. January 1, 2009;
Repealed Eff.
					 January 1, 2013.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES › Section .0700 - ENFORCEMENT › Section 13P .0702 - REPEALED - PROCEDURES FOR DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143-508(d)(10);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
					 2003;
Repealed Eff. January 1,
					 2013.