Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0265 - Policies and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 licensed ambulance service must have written policies and procedures to carry
			 out daily ambulance service operations including, but not limited to:
(a) Work practice controls for bloodborne
			 pathogens in compliance with OAR chapter 437, division 2, subdivision
			 Z;
(b) Storage and security of
			 medications including controlled substances if authorized by the EMS medical
			 director that meet the requirements of the Oregon Board of Pharmacy in OAR
			 chapter 855 and the US Drug Enforcement Administration found in
			 21 CFR
			 1301.75(b);
(c) Identification, storage and security of
			 all medications, fluids and controlled substances that are deteriorated,
			 outdated, misbranded, adulterated or otherwise unfit for use that are readily
			 identified as defective and stored in a separate location from usable products.
			 Security procedures must be the same as for usable supplies;
(d) Destruction of outdated medications
			 including controlled substances if authorized by the EMS medical director that
			 meets the requirements of the Oregon Board of Pharmacy in OAR chapter 855 and
			 the US Drug Enforcement Administration found in
			  21 CFR
			 1307.21 ;
(e) Identification and storage of
			 malfunctioning patient care equipment clearly marked "out-of-service" to assure
			 that defective equipment will not be used, if applicable;
(f) Employee, volunteer or ambulance-based
			 clinician notification requirements to the licensed ambulance service when an
			 employee, volunteer or ambulance-based clinician is impaired by excessive
			 fatigue, illness, injury or other factors that may reasonably be anticipated to
			 constitute a threat to the health and safety of patients or the
			 public;
(g) Reporting of suspected
			 child abuse as required in ORS
			 419B.005 through
			 419B.050;
(h) Reporting of suspected elder abuse as
			 required in ORS 124.050 through
			 124.095;
(i) Patient rights in accordance with OAR
			 333-250-0330;
(j) Providing secure
			 transport for patients in custody in accordance with OAR 309-033-0435, if the
			 licensed ambulance service has been authorized to perform this
			 service;
(k) Operation of an
			 ambulance for both emergency and non-emergency situations;
(l) Vehicle cleanliness standards including
			 frequency of cleaning and cleaning required after each patient
			 transport;
(m) Removal of an
			 ambulance from service when the mechanical condition of an ambulance is
			 sufficiently unreliable so as to endanger or potentially endanger the health,
			 safety, or welfare of a patient or crew member;
(n) Managing a mechanical breakdown including
			 repairing or replacing a damaged tire or wheel when the ambulance is in
			 operation;
(o) Actions necessary
			 when an ambulance is involved in an accident, including the submission of a
			 legible copy of the Department of Motor Vehicles Accident Report to the Oregon
			 Health Authority (Authority) within 10 business days of the accident;
(p) Release of continuing education records
			 completed by an EMS provider or employee through the licensed ambulance service
			 in a verifiable format to a requesting party within five business days of the
			 request;
(q) Release and
			 destruction of patient care reports (PCRs) in accordance with OAR 333-250-0310;
			 and
(r) If the agency sponsors an
			 EMS provider seeking licensure as a Transitional Paramedic, requirements
			 necessary for the agency to sponsor the Transitional Paramedic applicant
			 including but not limited to:
(A) Providing
			 the necessary information prescribed by the Authority and specified under OAR
			 333-265-0027  to the Transitional Paramedic applicant;
(B) Requiring a Transitional Paramedic to
			 submit accurate, annual reports to the ambulance service on the status of
			 meeting the requirements under OAR 333-265-0025(7)(a)(C);
(C) Requiring a Transitional Paramedic to
			 notify the ambulance service of any request to the Authority seeking hardship
			 status in accordance with OAR 333-265-0027  and the Authority's approval if
			 applicable; and
(D) Steps that will
			 be taken or resources given to ensure the success of a Transitional Paramedic
			 in obtaining a Paramedic license.