reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.3 - Licensure and general operating standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Documentation requirements for
					 licensure.
An applicant for an EMS agency license shall have the
					 following documents available for inspection by the Department or a regional
					 EMS council:
(1) A roster of active
					 personnel, including the EMS agency medical director, with certification and
					 registration documentation including certification numbers and dates of
					 registration expiration for each EMS provider and EMSVO.
(2) A record of the age of each EMS provider
					 and EMSVO and a copy of the driver's license for each EMSVO.
(3) Documentation, if applicable, of the
					 initial and most recent review of each EMS provider's competence by the EMS
					 agency medical director and the EMS provider certification level at which each
					 EMS provider is permitted to practice.
(4) Its process for scheduling staff to
					 ensure that the minimum staffing requirements as required by this chapter are
					 met.
(5) Identification of persons
					 who are responsible for making operating and policy decisions for the EMS
					 agency, such as officers, directors and other EMS agency officials.
(6) Criminal, disciplinary and exclusion
					 information for all persons who staff the EMS agency as required under
					 subsection (f).
(7) Copies of the
					 Statewide and applicable regional EMS protocols.
(8) Copies of the written policies required
					 under this section.
(9) Copies of
					 documents by which it agrees to manage another EMS agency or to be managed by
					 another entity.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.5 - Medication use, control and security

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 An EMS agency may stock medications as approved by the Department and shall
					 store medications in a temperature-controlled environment, secured in
					 conformance with the Statewide EMS protocols and the EMS agency's policy and
					 procedures on the storage and environmental control of medications. Additional
					 medications may be stocked by an EMS agency as approved by the EMS agency
					 medical director and the Department if the EMS agency uses PHPEs, PHRNs or
					 PHPs.
(b) The Department will
					 publish at least annually by notice in the
Pennsylvania
					 Bulletin
a list of medications approved for use by EMS agencies, by
					 EMS provider certification level and a list of medications that an EMS agency
					 is required to stock based upon the type of EMS service it is licensed to
					 provide.
(c) An EMS agency may
					 procure and replace medications from a hospital, pharmacy or from a medical
					 supply company, if not otherwise prohibited by law.
(d) EMS providers, other than a PHP, may
					 administer to a patient, or assist the patient to administer, medications
					 previously prescribed for that patient, as specified in the Statewide EMS
					 protocols or as authorized by a medical command physician. A PHP may administer
					 to a patient, or assist the patient to administer, medications that were
					 previously prescribed for the patient.
(1) An
					 EMS provider, other than a PHPE, PHRN or PHP, is restricted to administering
					 medications, not previously prescribed for a patient, as permitted by the
					 Statewide EMS protocols.
(2) A PHPE
					 or PHRN may administer medications, not previously prescribed for a patient, in
					 addition to those permitted by the Statewide EMS protocols, provided the PHPE
					 or PHRN has received approval to do so by the EMS agency medical director, and
					 has been ordered to administer the medication by the medical command physician.
					 A PHP may administer any medication that the PHP has authority to administer by
					 virtue of the PHP's license to practice medicine or osteopathic
					 medicine.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.6 - Statewide EMS response plan

Current through Register Vol. 54, No. 28, July 13, 2024
An EMS agency may provide an EMS service at a location
						through which it is licensed to provide that service, less than 24 hours-a-day,
						7 days-a-week, as follows:
(1) Day or
					 time requirements are not applicable to an EMS agency's operation of an air or
					 water ambulance service.
(2) A
					 tactical EMS response service shall be available at all times that a law
					 enforcement service with which it is affiliated requests its participation in a
					 tactical law enforcement operation.
(3) An EMS agency may operate any EMS service
					 less than 24 hours-a-day, 7 days-a-week, out of any location through which it
					 is licensed to provide the service, in accordance with a county-level or
					 broader-level EMS response plan approved by the Department.
(4) An EMS agency may operate an intermediate
					 ALS ambulance service less than 24 hours-a-day, 7 days-a-week if the EMS agency
					 also operates a BLS ambulance service or an ALS ambulance service at the same
					 location through which it is licensed to provide the intermediate ALS ambulance
					 service.
This section cited in 28 Pa. Code §
													1027.1 (relating to general
						  provisions).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.8 - Removal of EMS vehicles from operation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When an EMS vehicle manifests evidence of
					 a mechanical or equipment deficiency which poses a significant threat to the
					 health or safety of patients or crew, the EMS agency shall immediately suspend
					 the vehicle from operation. An EMS agency may not operate an EMS vehicle that
					 it has suspended from operation until the deficiency has been
					 corrected.
(b) When an EMS vehicle,
					 upon examination by the Department or a regional EMS council, manifests
					 evidence of a mechanical or equipment deficiency which poses a significant
					 threat to the health or safety of patients or crew, the EMS agency shall
					 immediately suspend it from operation as directed by the Department. An EMS
					 agency may not operate as an EMS vehicle a vehicle which has been suspended
					 from operation by the Department until the Department has confirmed to the EMS
					 agency that the deficiency has been corrected.
This section cited in 28 Pa. Code §
													1027.7 (relating to EMS vehicle
						  fleet).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.9 - Right to enter, inspect and obtain records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon the request of an employee or agent
					 of the Department during regular and usual business hours, or at other times
					 when that person possesses a reasonable belief that violations of this subpart
					 may exist, an EMS agency or applicant for an EMS agency license shall:
(1) Produce for inspection records maintained
					 under §
												1021.41 (relating to EMS patient
					 care reports).
(2) Produce for
					 inspection, permit copying and provide within a reasonable period of time as
					 directed by the Department, records that pertain to personnel and their
					 qualifications, staffing, equipment, supplies, and policies and procedures
					 required under §
												1027.3 (relating to licensure and
					 general operating standards).
(3)
					 Permit the person to examine EMS vehicles, equipment and supplies, and security
					 arrangements.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.10 - Notification of deficiencies to applicants

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon completion of an inspection under an
					 application for a license, registration of a license or an amendment of a
					 license, the inspector shall provide the applicant with an inspection report
					 specifying the results of the inspection.
(b) If the inspection reveals deficiencies
					 that can be corrected and the inspector determines that the deficiencies
					 warrant a reinspection, the inspector shall give the applicant written notice
					 of the matters to be reinspected and copy the Department on the
					 notice.
(c) If the type of
					 deficiency requires a plan of correction, the applicant shall have 30 days in
					 which to provide the inspector with a plan to correct the deficiency. If the
					 plan is found to be acceptable by the regional EMS council, the inspector will
					 conduct a reinspection in accordance with the time frame given in the plan of
					 correction.
(d) If the applicant
					 disagrees with a deficiency cited by the inspector following the inspection or
					 reinspection, or the regional EMS council's rejection of a plan of correction,
					 the applicant shall apprise the Department of the matter in dispute in writing
					 within 10 days of the inspection or rejection of the plan of correction and the
					 Department will resolve the dispute within 30 days of receipt of the written
					 notification.
(e) The Department
					 will act upon the application within 30 days after the inspection process has
					 been completed, unless the Department requires additional time to complete an
					 investigation of those qualifications of the applicant which cannot, for just
					 cause, be determined through the inspection process.
(f) Nothing in this section shall be
					 construed to preclude the Department from identifying to the EMS agency
					 statutory or regulatory violations not identified by the inspector, or from
					 requiring the EMS agency to file a plan of correction to correct those
					 deficiencies or taking immediate action to correct those deficiencies, or from
					 taking disciplinary action against an EMS agency for a statutory or regulatory
					 violation that cannot be corrected or for which the Department determines that
					 disciplinary action best serves the public interest.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.11 - Plan of correction

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Notification of violation.
Upon determining that an EMS agency
					 has violated the act or this subpart, the Department may issue a written notice
					 to the EMS agency specifying the violation. The notice will require the EMS
					 agency to take immediate action to discontinue the violation or to submit a
					 plan of correction, or both, to bring the EMS agency into compliance. If the
					 EMS agency cannot remedy the problem immediately and a plan of correction is
					 therefore required, the Department may direct that the violation be remedied
					 within a specified period of time.
(b)
Response by EMS agency.
After receiving the notice of violation, the EMS agency shall do one of the
					 following:
(1) Comply with the requirements
					 specified in the notice of violation.
(2) Refuse to comply with one or more of the
					 requirements specified in the notice of violation and apprise the Department of
					 its decision, with an explanation, within the time and manner specified in the
					 notice of violation.
(3) Comply
					 with the requirements specified in the notice of violation and apprise the
					 Department of its decision, within the time and manner specified in the notice
					 of violation of any violation identified in the notice of violation with which
					 it disagrees, supported by an explanation for its disagreement.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.12 - Conditional temporary license

Current through Register Vol. 54, No. 28, July 13, 2024
When an EMS agency or an applicant for an EMS agency
						license does not provide service 24 hours-a-day, 7 days-a-week, and does not
						participate in a county-level or broader level EMS response plan, the
						Department will issue the EMS agency a conditional temporary license, subject
						to terms the Department determines to be appropriate, if the Department deems
						it is in the public interest to do so. The conditional temporary license is
						valid for 1 year and may be renewed as many times as the Department deems it is
						in the public interest to do so. If the EMS agency does not agree to the terms
						under which the Department would grant the EMS agency a conditional temporary
						license, the Department will take disciplinary action against the EMS agency
						for failing to either provide service 24 hours-a-day, 7 days-a-week, or
						participate in a county-level or broader level EMS response
						plan.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.13 - Discontinuation or movement of operations or reduction of service

Current through Register Vol. 54, No. 28, July 13, 2024
An EMS agency shall give at least 90 days advance notice
						to each appropriate regional EMS council, PSAP and chief executive officer of a
						political subdivision within its service area, as well as the chief executive
						officer of each political subdivision outside of its service area that relies
						upon it for service even if not provided on a routine basis, before it
						discontinues its operations or providing an EMS service out of any location at
						which it is licensed to provide that service or reducing the days or hours it
						provides the service. The EMS agency shall also advertise notice of its intent
						to discontinue operations or a service, or reduce the days or hours it provides
						the service, in a newspaper of general circulation in its service area at least
						90 days in advance of discontinuing its operations or a service, or reducing
						the days or hours it provides the service, and shall provide the Department
						with written notice that it has met these responsibilities at least 90 days in
						advance of taking action. This section does not apply if the Department
						revokes, suspends or restricts the EMS agency's license under terms that do not
						afford the EMS agency the opportunity to comply with this
						section.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter A - GENERAL REQUIREMENTS › Section 1027.14 - Management companies

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Information required to secure approval.
Subject to Department
					 approval, an entity may offer management services to EMS agencies. Management
					 services involve exercising operational or managerial control over an EMS
					 agency or conducting the day-to-day operations of the EMS agency. To secure
					 Department approval, the entity shall provide to the Department, on a form or
					 through an electronic process, as prescribed by the Department, the following
					 information and other information as the Department may require:
(1) Its name, including a fictitious name it
					 has registered, its mailing address, and a primary contact person and telephone
					 number at which that person can be reached.
(2) The manner in which the applicant is
					 organized-corporation, partnership, limited liability company, sole
					 proprietorship, and the like.
(3) A
					 description of the management services it offers.
(4) The names, titles and summary of
					 responsibilities of persons who will be staffing the entity as officers,
					 directors or other officials, and the same information pertaining to the entity
					 and to its officers, directors or other officials, that an applicant for an EMS
					 provider is required to report under §
												1023.21(b)(1) and
					 (2) (relating to general rights and
					 responsibilities).
(5) A statement
					 attesting to the veracity of the information provided, which shall be signed by
					 the principal official of the entity.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.31 - General standards for providing EMS

Current through Register Vol. 54, No. 28, July 13, 2024
Regardless of the type of service through which an EMS
						agency is providing EMS, the following standards apply to the EMS agency and
						its EMS providers when functioning as an EMS provider on behalf of an EMS
						agency, except as otherwise provided in this subchapter:
(1) An EMS provider who encounters a patient
					 before the arrival of other EMS providers shall attend to the patient and begin
					 providing EMS to the patient at that EMS provider's skill level.
(2) An EMR may not be the EMS provider who
					 primarily attends to a patient unless another higher level EMS provider is not
					 present or all other EMS providers who are present are attending to other
					 patients.
(3) Except as set forth
					 in paragraph (2), or unless there are multiple patients and the EMS needs of
					 other patients require otherwise, among EMS providers who are present, an EMS
					 provider who is certified at or above the EMS skill level required by the
					 patient shall be the EMS provider who primarily attends to the
					 patient.
(4) If a patient requires
					 EMS at a higher skill level than the skill level of the EMS providers who are
					 present, unless there are multiple patients and the EMS needs of other patients
					 require otherwise, an EMS provider who is certified at the highest EMS skill
					 level among the EMS providers who are present shall be the EMS provider who
					 primarily attends to the patient.
(5) A member of the EMS vehicle crew with the
					 highest level of EMS provider certification shall be responsible for the
					 overall management of the EMS provided to the patient or patients by the
					 members of that EMS vehicle crew. If more than one member of the EMS vehicle
					 crew is an EMS provider above the AEMT level, any of those EMS providers may
					 assume responsibility for the overall management of the EMS provided to the
					 patient or patients by the members of that EMS vehicle crew.
(6) If an EMS vehicle crew needs additional
					 assistance in attending to the needs of a patient or patients, it shall contact
					 a PSAP or its EMS agency dispatch center to request that assistance.
(7) Except as otherwise provided in this
					 subpart, an EMS agency shall operate 24 hours-a-day, 7 days-a-week, each type
					 of service it is licensed to provide at each location it is licensed to operate
					 that service.
(8) A member of an
					 EMS vehicle crew who responds to a call in a personal vehicle may not transport
					 in that vehicle medications, equipment or supplies that an EMT is not
					 authorized to use.
This section cited in 28 Pa. Code §
													1027.41 (relating to special
						  operations EMS services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.32 - Quick response service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An EMS agency that operates a QRS uses EMS providers
					 to respond to calls for EMS and provide EMS to patients before an ambulance
					 arrives.
(b)
Vehicles.
A QRS is not required to use a vehicle when
					 responding to a call. If a QRS responds to a call using a vehicle, it may use a
					 vehicle other than an EMS vehicle, such as a bicycle, motorized cart or
					 all-terrain vehicle.
(c)
Staffing.
The minimum staffing for a QRS is one EMS provider.
					 If the QRS responds to a call with a BLS squad vehicle, intermediate ALS squad
					 vehicle or ALS squad vehicle, the minimum staff shall also include an EMSVO,
					 except that only one person is required if the EMSVO is also the EMS
					 provider.
(d)
Providing
					 EMS.
(1) When a member of an
					 ambulance crew arrives at the scene who is certified at the level for which the
					 patient requires EMS or is a higher-level EMS provider than the EMS provider of
					 the QRS crew exercising primary responsibility for the patient, the member of
					 the QRS crew exercising primary responsibility for the patient shall relinquish
					 that responsibility to that member of the ambulance crew.
(2) Members of a QRS crew who are present
					 shall follow the direction of the member of the ambulance crew who has assumed
					 responsibility for the overall management of the EMS that is provided to the
					 patient or patients at the scene and leave the scene or continue to provide
					 assistance, as requested by that member of the ambulance crew.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.33 - Basic life support ambulance service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An EMS agency
					 that operates a BLS ambulance service employs one or more BLS ambulances
					 staffed by an ambulance crew capable of providing medical assessment,
					 observation, triage, monitoring, treatment and transportation of patients who
					 require EMS at or below the skill level of an EMT.
(b)
Operating at the AEMT
					 level.
An EMS agency that chooses to operate a BLS ambulance service
					 that provides EMS at the AEMT level shall apply for Department approval to
					 operate in that manner through its application for a license as an EMS agency
					 or an application to amend its EMS agency license. It shall satisfy the
					 requirements under §
											1027.34 (relating to intermediate
					 advanced life support ambulance service).
(c)
Staffing.
(1) The minimum staffing for a BLS ambulance
					 crew when responding to a call to provide EMS and transporting a patient is an
					 EMS provider at or above the EMR level, a second EMS provider at or above the
					 EMT level and an EMSVO, except that only a two-person ambulance crew is
					 required if the EMSVO is also one of the EMS providers and an EMS provider
					 above the EMR level is available to attend to the patient during patient
					 transport. Until April 11, 2016, an ambulance attendant who has not yet secured
					 certification as an EMR may substitute for an EMR.
(2) Responding ambulance crew members may
					 arrive at the scene separately, but the ambulance shall be fully staffed at or
					 above the required minimum staffing level before transporting a
					 patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.34 - Intermediate advanced life support ambulance service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An EMS agency
					 that operates an intermediate ALS ambulance service employs one or more
					 intermediate ALS ambulances staffed by an ambulance crew capable of providing
					 medical assessment, observation, triage, monitoring, treatment and
					 transportation of patients who require EMS at the AEMT level.
(b)
Staffing.
The minimum
					 staffing for an intermediate ALS ambulance crew when responding to a call to
					 provide EMS to a patient who requires EMS at the skill level of an AEMT is an
					 EMS provider at or above the AEMT level, a second EMS provider at or above the
					 EMR level and an EMSVO, except that only a two-person ambulance crew is
					 required if the EMSVO is also one of the EMS providers and an EMS provider at
					 or above the AEMT level is available to attend to the patient during patient
					 transport. Responding ambulance crew members may arrive at the scene
					 separately, but the ambulance shall be fully staffed at or above the minimum
					 staffing level before transporting the patient.
(c)
Providing EMS when dispatched
					 with a lower level EMS vehicle crew.
If an intermediate ALS ambulance
					 and a lower level EMS vehicle crew are dispatched to provide EMS for a patient,
					 the following shall apply:
(1) If the patient
					 is assessed by the intermediate ALS ambulance crew to require EMS above the
					 skill level at which the lower level EMS vehicle crew is operating, and
					 requires transport to a receiving facility, the EMS provider who is responsible
					 for the overall management of the EMS provided to the patient shall decide,
					 consistent with the Statewide EMS protocols, who will transport the patient. An
					 appropriately certified member of the intermediate ALS ambulance crew shall
					 attend to the patient during the transport. If the lower level EMS vehicle is
					 used to transport the patient, the EMS provider in charge shall use the
					 equipment and supplies on the lower level EMS vehicle, supplemented with the
					 additional equipment and supplies, including medications, from the intermediate
					 ALS ambulance.
(2) If at the scene
					 or during transport by the lower level EMS vehicle crew, the EMS provider of
					 the intermediate ALS ambulance crew who has assumed primary responsibility for
					 the patient determines that the lower level EMS vehicle crew is operating at
					 the skill level needed to attend to the patient's EMS needs, consistent with
					 the Statewide EMS protocols, that EMS provider may relinquish responsibility
					 for the patient to the lower level EMS vehicle crew.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.35 - Advanced life support ambulance service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An EMS agency
					 that operates an ALS ambulance service employs one or more ALS ambulances
					 staffed by an ambulance crew capable of providing medical assessment,
					 observation, triage, monitoring, treatment and transportation of patients who
					 require EMS above the skill level of an AEMT.
(b)
Staffing.
The minimum
					 staffing for an ALS ambulance crew when responding to a call to provide EMS to
					 a patient who requires EMS above the skill level of an AEMT is an EMS provider
					 at or above the EMT level, a second EMS provider above the AEMT level and an
					 EMSVO, except that only a two-person ambulance crew is required if the EMSVO is
					 also one of the EMS providers and an EMS provider above the AEMT level is
					 available to attend to the patient during patient transport. Responding
					 ambulance crew members may arrive at the scene separately, but the ambulance
					 shall be fully staffed at or above the minimum staffing level before
					 transporting a patient.
(c)
Providing EMS when dispatched with a lower level EMS vehicle
					 crew.
If an ALS ambulance and a lower level EMS vehicle crew are
					 dispatched to provide EMS for a patient, the following shall apply:
(1) Upon arrival of an EMS provider from the
					 ALS ambulance crew who is a higher level EMS provider than the highest level
					 EMS provider of the lower level EMS vehicle crew who is present, that EMS
					 provider shall assume primary responsibility for the patient.
(2) If the patient is assessed by the ALS
					 ambulance crew to require EMS above the skill level at which the lower level
					 EMS vehicle crew is operating, and requires transport to a receiving facility,
					 the EMS provider who is responsible for the overall management of the EMS
					 provided to the patient shall decide, consistent with the Statewide EMS
					 protocols, who will transport the patient. An appropriately certified member of
					 the ALS ambulance crew shall attend to the patient during the transport. If the
					 lower level EMS vehicle is used to transport the patient, that EMS provider
					 shall use the equipment and supplies on the lower level EMS vehicle,
					 supplemented with the additional equipment and supplies, including medications,
					 from the ALS ambulance.
(3) If at
					 the scene or during patient transport by the lower level EMS vehicle crew, the
					 EMS provider of the ALS ambulance crew who has assumed primary responsibility
					 for the patient determines that the lower level EMS vehicle crew is operating
					 at the skill level needed to attend to the patient's EMS needs, consistent with
					 the Statewide EMS protocols, that EMS provider may relinquish responsibility
					 for the patient to the lower level EMS vehicle crew.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.36 - Basic life support squad service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
A BLS squad
					 vehicle transports EMS providers, along with basic EMS equipment and supplies,
					 to rendezvous with an ambulance crew or to respond prior to the arrival of an
					 ambulance, to provide EMS at or below the AEMT level of care. A BLS squad
					 vehicle may not transport patients.
(b)
Staffing.
The minimum
					 staffing for a BLS squad vehicle crew when responding to a call to provide EMS
					 is an EMS provider at or above the EMT level and an EMSVO, except that only one
					 person is required if the EMSVO is also the EMS provider.
(c)
Providing EMS when dispatched
					 with a higher level ambulance crew.
If a BLS squad vehicle and a
					 higher level ambulance crew are dispatched to provide EMS for a patient, the
					 following shall apply:
(1) BLS squad vehicle
					 crew members shall begin providing EMS to the patient at their skill levels
					 until higher level EMS is afforded by the arrival of a higher level EMS
					 provider.
(2) Upon the arrival of a
					 higher level ambulance crew, the BLS squad vehicle shall release the patient to
					 be transported by the higher level ambulance crew, consistent with the
					 Statewide EMS protocols, as directed by the EMS provider exercising primary
					 responsibility for the patient.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.37 - Intermediate advanced life support squad service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An intermediate
					 ALS squad vehicle transports EMS providers at the AEMT level, along with
					 equipment and supplies, to rendezvous with an ambulance crew or to respond
					 prior to the arrival of an ambulance, to provide medical assessment,
					 monitoring, treatment and observation of a patient who requires advanced EMS.
					 An intermediate ALS squad vehicle may not transport patients.
(b)
Staffing.
The minimum
					 staffing for an intermediate ALS squad vehicle crew when responding to a call
					 to provide EMS is an EMS provider at or above the AEMT level and an EMSVO,
					 except that only one person is required if the EMSVO is also the EMS
					 provider.
(c)
Providing EMS
					 when dispatched with a lower level ambulance crew.
If an intermediate
					 ALS squad vehicle and a lower level ambulance crew are dispatched to provide
					 EMS for a patient, the following shall apply:
(1) If the patient is assessed by the
					 intermediate ALS squad vehicle crew to require EMS above the skill level at
					 which the lower level ambulance crew is operating, and requires transport to a
					 receiving facility, an appropriately certified member of the intermediate squad
					 vehicle shall attend to the patient during the transport by the lower level
					 ambulance crew. That EMS provider shall use the equipment and supplies on the
					 lower level ambulance, supplemented with the additional equipment and supplies,
					 including medications, from the intermediate ALS squad vehicle.
(2) If at the scene or during patient
					 transport by the lower level ambulance crew, the intermediate ALS squad vehicle
					 crew determines that the lower level ambulance crew is operating at the skill
					 level needed to attend to the patient's needs, consistent with Statewide EMS
					 protocols, the EMS provider of the intermediate ALS squad vehicle who is
					 responsible for the overall management of the EMS provided to the patient may
					 relinquish responsibility for the patient to the lower level ambulance
					 crew.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.38 - Advanced life support squad service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Purpose.
An ALS squad
					 vehicle transports EMS providers above the AEMT level, along with equipment and
					 supplies, to rendezvous with an ambulance crew or to respond prior to the
					 arrival of an ambulance, to provide medical assessment, monitoring, treatment
					 and observation of a patient who requires EMS at or above the skill level of an
					 AEMT. An ALS squad vehicle may not transport patients.
(b)
Staffing.
The minimum
					 staffing for an ALS squad vehicle crew when responding to a call to provide EMS
					 is an EMS provider above the AEMT level and an EMSVO, except that only one
					 person is required if the EMSVO is also the EMS provider.
(c)
Providing EMS when dispatched
					 with a lower level ambulance crew.
If an ALS squad vehicle and a lower
					 level ambulance crew are dispatched to provide EMS for a patient, the following
					 shall apply:
(1) Upon arrival of an EMS
					 provider from the ALS squad vehicle who is a higher level EMS provider than the
					 highest level EMS provider of the lower level ambulance crew who is present,
					 that EMS provider shall assume primary responsibility for the
					 patient.
(2) If the patient is
					 assessed by the ALS squad vehicle crew to require EMS above the skill level at
					 which the lower level ambulance crew is operating, and requires transport to a
					 receiving facility, an appropriately certified member of the ALS squad vehicle
					 shall attend to the patient during the transport by the lower level ambulance
					 crew. That EMS provider shall use the equipment and supplies on the lower level
					 ambulance, supplemented with the additional equipment and supplies, including
					 medications, from the ALS squad vehicle.
(3) If at the scene or during patient
					 transport by the lower level ambulance crew, the ALS squad vehicle crew
					 determines that the lower level ambulance crew is operating at the skill level
					 needed to attend to the patient's EMS needs, consistent with the Statewide EMS
					 protocols, the EMS provider of the ALS squad vehicle who is responsible for the
					 overall management of the EMS provided to the patient may relinquish
					 responsibility for the patient to the lower level ambulance crew.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter B - EMS AGENCY SERVICES › Section 1027.42 - Water ambulance service

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Generally.
An EMS agency that operates a water ambulance
					 service employs one or more water ambulances staffed by an ambulance crew
					 capable of providing medical assessment, observation, triage, monitoring,
					 treatment and transportation of patients who require EMS.
(b)
Application.
The
					 requirements for ambulances, EMS agencies and EMS vehicles under this subpart
					 apply to water ambulance services except as otherwise provided in this
					 subpart.
(c)
Specific
					 provisions.
(1) A BLS water
					 ambulance service shall meet the requirements of §
												1027.33 (relating to basic life
					 support ambulance service).
(2) An
					 intermediate ALS water ambulance service shall meet the requirements of §
												1027.34 (relating to intermediate
					 advanced life support ambulance service).
(3) An ALS water ambulance service shall meet
					 the requirements of §
												1027.35 (relating to advanced life
					 support ambulance service).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter C - MISCELLANEOUS › Section 1027.51 - Stretcher and wheelchair vehicles

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Stretcher vehicle.
A stretcher vehicle is a ground vehicle,
					 other than an ambulance, that is commercially used to transport by stretcher a
					 person who does not receive and cannot reasonably be anticipated to require
					 medical assessment, monitoring, treatment or observation by EMS providers
					 during transport, but who, due to the person's condition, requires vehicle
					 transportation on a stretcher or in a wheelchair.
(b)
Wheelchair vehicle.
A
					 wheelchair vehicle is a ground vehicle, other than an ambulance, that is
					 commercially used to transport by wheelchair a person who does not receive and
					 cannot reasonably be anticipated to require medical assessment, monitoring,
					 treatment or observation by EMS providers during transport, but who, due to the
					 person's condition, requires vehicle transportation on a stretcher or in a
					 wheelchair.
(c)
Prohibition.
An entity may not operate a stretcher or
					 wheelchair vehicle to transport a person who the entity knows or should
					 reasonably know requires medical assessment, monitoring, treatment or
					 observation during transport.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1027 - EMS AGENCIES › Subchapter C - MISCELLANEOUS › Section 1027.52 - Out-of-State providers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An entity
					 located or headquartered outside of this Commonwealth, that is not licensed as
					 an EMS agency by the Department, may not engage in the business of providing
					 EMS to patients within this Commonwealth except when dispatched by a PSAP to
					 provide EMS. This is to occur only when a PSAP determines that an EMS agency is
					 unable to respond within a reasonable time or its response is not sufficient to
					 deal with the emergency.
(b) An
					 entity located or headquartered outside of this Commonwealth that is not
					 licensed as an EMS agency by the Department, may provide EMS to patients when
					 transporting them from locations outside this Commonwealth to locations within
					 this Commonwealth.
(c) An entity
					 located or headquartered outside this Commonwealth, which is not an agency of
					 the Federal government, needs to be licensed as an EMS agency by the Department
					 to provide EMS to patients within this Commonwealth other than as described in
					 subsections (a) and (b).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1029 - MEDICAL COMMAND FACILITIES AND RECEIVING FACILITIES › Subchapter A - MEDICAL COMMAND FACILITIES › Section 1029.1 - General provisions

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Certification and registration required.
To operate as a
					 medical command facility, a medical unit shall be certified and currently
					 registered as a medical command facility.
(b)
Certification
					 requirements.
(1) The Department
					 will certify as a medical command facility a facility that was recognized by
					 the Department as a medical command facility immediately prior to October 12,
					 2013.
(2) The Department will
					 certify other applicants for certification as a medical command facility if the
					 Department is satisfied that the applicant has met the following requirements:
(i) It is a distinct medical unit operated by
					 a hospital or consortium of hospitals.
(ii) It has the equipment and personnel
					 needed to provide medical command to and control over EMS providers.
(iii) It employs a medical command facility
					 medical director.
(iv) It has
					 adopted policies and procedures to ensure that a medical command physician is
					 available to provide medical command at all times.
(v) It satisfies the communications,
					 recordkeeping and other requirements imposed under this chapter.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1029 - MEDICAL COMMAND FACILITIES AND RECEIVING FACILITIES › Subchapter A - MEDICAL COMMAND FACILITIES › Section 1029.2 - Operational requirements

Current through Register Vol. 54, No. 28, July 13, 2024
The operational requirements of a medical command
						facility are as follows:
(1) It shall
					 continue to satisfy all requirements under §
											1029.1 (relating to general
					 provisions).
(2) It shall satisfy
					 the following communication and recordkeeping requirements:
(i) Compatibility with regional
					 telecommunication systems plans, if in place.
(ii) Communication by way of
					 telecommunications equipment/radios with EMS providers providing EMS for an EMS
					 agency within the area in which medical command is exercised.
(iii) Audio recording of medical command
					 communications or, when medical command is provided at the scene, otherwise
					 documenting medical command sessions.
(iv) Maintenance of the recording of a
					 medical command session, or documentation of a medical command session when
					 medical command is provided at the scene, for 7 years.
(v) An appropriate program for training
					 emergency department staff in the effective use of telecommunication
					 equipment.
(vi) Protocols to
					 provide for prompt response to requests from EMS providers for both radio and
					 telephone medical guidance, assistance or advice.
(vii) Documentation that each medical command
					 physician has been educated on all updates to Statewide EMS
					 protocols.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1029 - MEDICAL COMMAND FACILITIES AND RECEIVING FACILITIES › Subchapter A - MEDICAL COMMAND FACILITIES › Section 1029.3 - Processing certification and registration applications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A regional EMS council that receives an
					 application for medical command facility certification or an application to
					 register that certification shall review the application for completeness. The
					 regional EMS council shall apprise the applicant if the application is
					 incomplete and obtain a completed application from the applicant.
(b) The regional EMS council shall conduct an
					 onsite inspection of the applying facility to verify information contained
					 within the application and to complete a physical inspection of the medical
					 command area.
(c) After completing
					 its review, the regional EMS council shall forward a copy of its recommendation
					 to the Department and to the applying facility. If the applying facility
					 disagrees with the recommendation of the regional EMS council, it may submit a
					 written rebuttal to the Department within 10 days of its receipt of the
					 recommendation.
(d) The Department
					 will review the application, information and recommendation submitted by the
					 regional EMS council and the rebuttal statement, if any, submitted by the
					 applying facility and make a decision within 30 days from the time of its
					 receipt of the regional EMS council's recommendation to grant or deny the
					 application.
(e) The Department may
					 inspect the facility and gather additional information to aid it in making a
					 decision on the application.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1029 - MEDICAL COMMAND FACILITIES AND RECEIVING FACILITIES › Subchapter A - MEDICAL COMMAND FACILITIES › Section 1029.4 - Inspections and investigations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will conduct inspections of a medical command facility from time to
					 time, as deemed appropriate and necessary, but at least once every 3 years,
					 including when necessary to investigate a complaint or a reasonable belief that
					 a violation of this subchapter may exist. The Department may have a regional
					 EMS council conduct or assist the Department in conducting an inspection or
					 investigation.
(b) A medical
					 command facility and an applicant for medical command facility certification
					 shall fully respond to an inquiry of the Department or a regional EMS council
					 regarding its compliance with this subchapter and provide them full and free
					 access to examine the facility and its records relating to its operation as a
					 medical command facility.
This section cited in 28 Pa. Code §
													1031.11 (relating to discipline of
						  medical command facilities).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part VII - Emergency Medical Services › Subpart A - EMS System › Chapter 1029 - MEDICAL COMMAND FACILITIES AND RECEIVING FACILITIES › Subchapter A - MEDICAL COMMAND FACILITIES › Section 1029.5 - Plan of correction

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Notification of violation.
Upon determining that a medical
					 command facility has violated the act or this subchapter, the Department may
					 issue a written notice to the medical command facility specifying the violation
					 or violations. The notice will require the medical command facility to take
					 immediate action to discontinue the violation or violations or to submit a plan
					 of correction, or both, to bring the medical command facility into compliance.
					 If the medical command facility cannot remedy the problem immediately and a
					 plan of correction is therefore required, the Department may direct that the
					 violation be remedied within a specified period of time.
(b)
Response by medical command
					 facility.
After receiving the notice of violation or violations, the
					 medical command facility shall do one of the following:
(1) Comply with the requirements specified in
					 the notice.
(2) Refuse to comply
					 with one or more of the requirements specified in the notice and apprise the
					 Department of its decision, with an explanation, within the time and manner
					 specified in the notice.
(3) Comply
					 with the requirements specified in the notice and apprise the Department of its
					 decision, within the time and manner specified in the notice of any violation
					 identified in the notice with which it disagrees, supported by an explanation
					 for its disagreement.