reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0120 - Informal Enforcement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If
			 during an investigation or survey Authority staff document violations of
			 ambulance vehicle licensing rules or laws, the Authority may issue a statement
			 of deficiencies that cites the law or rule alleged to have been violated and
			 the facts supporting the allegation. The Authority shall share the statement of
			 deficiencies with the ambulance service administrator or designee, the
			 applicable EMS medical director, the county, and the county ASA administrator.
(2) Upon receipt of a statement of
			 deficiencies, an ambulance service shall be provided an opportunity to dispute
			 the Authority's findings but must still comply with sections (3) and (4) of
			 this rule.
(a) If an ambulance service
			 desires an informal conference to dispute the Authority's findings, the
			 ambulance service shall advise the Authority in writing within three business
			 days after receipt of the statement of deficiencies. The written request must
			 include a detailed explanation of why the agency believes the statement of
			 deficiencies is incorrect.
(b) An
			 ambulance service may not seek a delay of any enforcement action against it on
			 the grounds the informal dispute resolution has not been completed.
(c) If an ambulance service is successful in
			 demonstrating the deficiencies should not have been cited, the Authority shall
			 reissue the statement of deficiencies, removing such deficiencies and
			 rescinding or modifying any remedies issued for such deficiencies. The reissued
			 statement of deficiencies shall state that it supersedes the previous statement
			 of deficiencies and shall clearly identify the date of the superseded statement
			 of deficiencies.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0125 - Formal Enforcement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If
			 during an investigation or survey, Authority staff document a substantial
			 failure to comply with ambulance vehicle licensing rules or laws, or if an
			 agency fails to pay a civil penalty imposed under ORS
			 682.224 and these rules, the Authority may issue a Notice of Proposed Suspension or
			 Notice of Proposed Revocation in accordance with ORS
			 183.411 through
			 183.470.
(2) If during an investigation or
			 survey, Authority staff document that an ambulance vehicle manifests evidence
			 of a mechanical or equipment deficiency which poses a significant threat to the
			 health or safety of patients or crew, the Authority shall immediately suspend
			 that vehicle from operation.
(3)
			 No ambulance vehicle that has been suspended from operation may be operated
			 until the licensed ambulance service has certified and the Authority has
			 confirmed that all the violations have been corrected.
(4) The Authority must provide appropriate
			 public notification of the suspension or revocation of an ambulance vehicle
			 license.
(5) The Authority shall
			 immediately notify the county commissioner or county judge, the ambulance
			 service EMS medical director and the administrator of the county ASA plan of
			 any ambulance vehicle license suspension.
Statutory/Other Authority: ORS
				  682.017
Statutes/Other Implemented: ORS
				  682.017 - 682.117 &
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0000 - County and State Relationship

Current through Register Vol. 63, No. 7, July 1, 2024
The following rules reflect the Division's interpretation of
				1989 Oregon Laws Chapter 722. The adoption and amendment of ambulance service
				plans and the establishment of ambulance service areas are a matter for
				regulation by county government within the parameters of relevant statutes and
				these rules.
Stat. Auth.: ORS 682.205, ORS 682.215, ORS 682.275, ORS
				  682.315, ORS 682.325, ORS 682.335 & ORS 682.345
Stats. Implemented: ORS 682.205, ORS 682.215, ORS 682.275,
				  ORS 682.315, ORS 682.325, ORS 682.335 & ORS
				  682.345
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in these rules:
(1) "Ambulance" means any privately or
			 publicly owned motor vehicle, aircraft, or marine craft operated by a
			 Division-licensed ambulance service and that is regularly provided or offered
			 to be provided for the emergency and non-emergency transportation of persons
			 suffering from illness, injury or disability.
(2) "Ambulance Service" means any individual,
			 partnership, corporation, association, governmental agency or other entity that
			 holds a Division-issued ambulance service license to provide emergency and
			 non-emergency care and transportation to sick, injured or disabled
			 persons.
(3) "Ambulance Service
			 Area (ASA)" means a geographic area which is served by one ambulance service
			 provider, and may include all or a portion of a county, or all or portions of
			 two or more contiguous counties.
(4) "Ambulance Service Plan (Plan)" means a
			 written document, which outlines a process for establishing a county emergency
			 medical services system. A plan addresses the need for and coordination of
			 ambulance services by establishing ambulance service areas for the entire
			 county and by meeting the other requirements of these rules. Approval of a plan
			 shall not depend upon whether it maintains an existing system of providers or
			 changes the system. For example, a plan may substitute franchising for an
			 open-market system.
(5) "Ambulance
			 Service Provider" means a licensed ambulance service that responds to 9-1-1
			 dispatched calls or provides pre-arranged non-emergency transfers or emergency
			 or non-emergency inter-facility transfers.
(6) "County Government or County Governing
			 Body (County)" means a Board of County Commissioners or a County
			 Court.
(7) "Division" means the
			 Public Health Division, Oregon Health Authority.
(8) "Emergency Medical Service (EMS)" means
			 those prehospital functions and services whose purpose is to prepare for and
			 respond to medical and traumatic emergencies, including rescue and ambulance
			 services patient care, communications and evaluation.
(9) "Notification Time" means the length of
			 time between the initial receipt of the request for emergency medical service
			 by either a provider or an emergency dispatch center (9-1-1), and the
			 notification of all responding emergency medical service personnel.
(10) "Provider" means any public, private or
			 volunteer entity providing EMS.
(11) "Response Time" means the length of time
			 between the notification of each provider and the
arrival of each provider's emergency medical service unit(s) at
				the incident scene.
Stat. Auth.: ORS 682.205, ORS 682.215, ORS 682.235, ORS
				  682.275, ORS 682.315, ORS 682.325, ORS 682.335 & ORS 682.345
Stats. Implemented: ORS 682.205, ORS 682.215, ORS 682.235,
				  ORS 682.275, ORS 682.315, ORS 682.325, ORS 682.335 & ORS
				  682.345
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0020 - Procedures for Adoption and Approval of Ambulance Service Plans

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A county may
			 obtain technical assistance from the Division as available in developing and
			 amending an ambulance service plan.
(2) A county that does not have a
			 Division-approved plan on July 19, 1989, must adopt and submit a plan by
			 December 31, 1990. A county that has a Division-approved plan that does not
			 meet the requirements of these rules must adopt and submit an amended plan by
			 June 30, 2003. This requirement may be met by a plan submitted in conjunction
			 with another contiguous county or counties. A Division-approved plan which is
			 currently in effect, remains in effect until one of the following occurs:
(a) An amended plan is approved by the
			 Division;
(b) There is a failure to
			 submit an amended plan pursuant to this subsection; or
(c) Where an amended plan was required to be
			 submitted pursuant to this subsection and such amended plan was disapproved by
			 the Division, if 120 days have elapsed since such disapproval and no new
			 amended plan has been adopted and submitted to the Division for
			 approval.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0030 - Subjects to be Considered in an Ambulance Service Plan

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A county is required to include in a
			 plan, each of the subjects or items set forth in these rules and to address and
			 consider each of those subjects or items in the adoption process.
(2) The plan submitted to the Division for
			 approval must contain a certification signed by the governing body of the
			 county that:
(a) Each subject or item
			 contained in the plan was addressed and considered in the adoption of the
			 plan;
(b) In the governing body's
			 judgment, the ASAs established in the plan provides for the efficient and
			 effective provision of ambulance services; and
(c) To the extent they are applicable, the
			 county has complied with ORS 682.205(2)(3) and 682.335 and existing local
			 ordinances and rules.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0040 - Boundaries

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The entire
			 county must be included in a plan. One or more ASAs may be established in a
			 plan. The county or contiguous counties are solely responsible for establishing
			 all ASA boundaries within the county's jurisdiction.
(2) A map showing ASA boundaries and response
			 time zones must be included in the plan, along with a narrative description of
			 each ASA.
(3) A map depicting all
			 "9-1-1 ", fire district and incorporated city boundaries within the county must
			 be included in the plan.
(4) The
			 plan must describe the major alternatives considered, if any, for reducing the
			 effects of artificial and geographical barriers on response times.
Stat. Auth.: ORS 682.205, ORS 682.215, ORS 682.275, ORS
				  682.315, ORS 682.325, ORS 682.335 & ORS 682.345
Stats. Implemented: ORS 682.205, ORS 682.215, ORS 682.275,
				  ORS 682.315, ORS 682.325, ORS 682.335 & ORS
				  682.345
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0050 - System Elements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 following system elements must be addressed and considered in the county's plan
			 for each ASA:
(a)9-1-1 dispatched
			 calls;
(b) Pre-arranged
			 non-emergency transfers and inter-facility transfers, by June 30,
			 2003;
(c) Notification and response
			 times;
(d) Level of care, ranging
			 from basic life support to advanced life support;
(e) Personnel for first response vehicles and
			 ambulances;
(f) Medical supervision
			 of all medically trained emergency response personnel;
(g) Patient care equipment for first response
			 vehicles and ambulances;
(h)
			 Vehicle, vehicle equipment and safety requirements;
(i) Initial and continuing education training
			 for emergency response personnel; and
(j) Quality improvement.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0060 - Coordination

Current through Register Vol. 63, No. 7, July 1, 2024
The county may delegate authority for development and
				administration of the plan to an intergovernmental body. The plan must address
				and consider:
(1) A process for the
			 county to receive input from prehospital care consumers, providers and
the medical community.
(2) Mutual aid agreements for ambulance
			 responses from outside of the service area and responses to other service areas
			 to meet the need for service in unusual circumstances.
(3) Ambulance service providers'
			 responsibilities in the event of a disaster, including: coordination with
			 county resources and determination of methods for obtaining out-of-county
			 resources other than ambulances, a process for adoption of a mass-casualty
			 incident plan that is recognized and approved by the county's emergency
			 management administration.
(4)
			 Personnel and equipment resources in addition to the ambulance provider for
			 response to incidents involving but not limited to:
(a) Hazardous Materials;
(b) Search and Rescue;
(c) Specialized Rescue; and
(d) Extrication.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 260 - COUNTY AMBULANCE SERVICE AREA PLANS › Section 333-260-0070 - Provider Selection

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The county
			 is solely responsible for designating and administering the process of
			 selecting an ambulance service provider.
(2) The plan must address and consider a
			 process for:
(a) Assigning and reassigning of
			 an ambulance service provider to an ASA;
(b) Responding to an application by a
			 provider for an ASA;
(c) Responding
			 to notification that an ASA is being vacated; and
(d) Maintaining the existing level of service
			 after notification that a provider is vacating an ASA.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0000 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Advanced Emergency Medical Technician
			 (AEMT or Advanced EMT)" means a person who is licensed by the Oregon Health
			 Authority (Authority) as an Advanced Emergency Medical Technician.
(2) "Ambulance service" means any person,
			 governmental unit, or other entity that operates ambulances and holds itself
			 out as providing prehospital care or medical transportation to persons who are
			 ill or injured or who have disabilities.
(3) "Authority" means the Emergency Medical
			 Services and Trauma Systems Program, within the Oregon Health Authority, Public
			 Health Division.
(4) "Business day"
			 means Monday through Friday when the Authority is open for business, excluding
			 holidays.
(5) "Candidate" means an
			 applicant that has completed training in an emergency medical services provider
			 course and has not yet been licensed by the Authority.
(6) "Clinical experience (Clinical)" means
			 those hours of the curriculum that synthesize cognitive and psychomotor skills
			 and are performed under a preceptor.
(7) "Continuing education" means education
			 required as a condition of licensure under ORS chapter 682 to maintain the
			 skills necessary for the provision of competent prehospital care. Continuing
			 education does not include attending EMS related business meetings, EMS
			 exhibits or trade shows.
(8)
			 "Criminal records check" means obtaining and reviewing criminal records and
			 includes any or all of the following:
(a) A
			 check of criminal offender information and driving records conducted through
			 use of the Law Enforcement Data System (LEDS) maintained by the Oregon State
			 Police (OSP), in accordance with the rules adopted and procedures established
			 by OSP;
(b) A check of Oregon or
			 other state criminal offender information, including through fingerprint
			 identification or other means, conducted by OSP at the Authority's request;
			 or
(c) A nationwide check of
			 federal criminal offender information, including through fingerprint
			 identification, conducted by OSP through the Federal Bureau of Investigation
			 (FBI).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0010 - Application for Approval of EMT, AEMT, EMT-Intermediate, and Paramedic Courses

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Authority is responsible for approving EMT, AEMT, EMT-Intermediate and
			 Paramedic courses.
(2) EMT, AEMT,
			 EMT-Intermediate and Paramedic courses must be offered by an educational
			 institution and must meet the standards established by the Oregon Department of
			 Education in OAR chapter 581, division 49.
(3) Notwithstanding section (2) of this rule,
			 the Authority may:
(a) Allow a
			 non-educational institution to conduct an EMT course if there is no training
			 available at an educational institution in a rural part of the state.
(b) Allow a non-educational institution to
			 conduct an EMT-Intermediate course if there is no training available at an
			 educational institution.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0011

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208,
				  682.216
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0012 - Requirements for Conducting Emergency Medical Responder Courses

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An ambulance
			 service or any other entity in Oregon may conduct an EMR course that meets the
			 requirements of OAR 333-265-0014, if approved by the Authority.
(2) An ambulance service or entity that wants
			 to conduct an EMR course must submit an application to the Authority on a form
			 prescribed by the Authority that includes all the information necessary to
			 determine whether the course meets the standards prescribed in OAR 333-265-0014  and whether the course director meets the requirements in OAR 333-265-0018. The
			 form must be received by the Authority at least 30 business days prior to the
			 first day of class.
(3) The
			 Authority shall return an application that is incomplete to the
			 applicant.
(4) No entity shall
			 conduct an EMR course until the Authority has approved the course.
(5) The Authority may deny or revoke the
			 approval to conduct an EMR course in accordance with ORS chapter 183 for
			 failure to comply with OAR chapter 333, division 265.
Stat. Auth.: ORS
				  682.017,
				  682.208
Stats. Implemented: ORS
				  682.017,
				  682.208,
				  682.216
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0014 - EMS Provider Course Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All EMS provider courses must have an EMS
			 medical director. The EMS medical director must meet the qualifications of a
			 supervising physician as defined in OAR 847-035-0001.
(2) All EMS provider courses must have a
			 qualified course director as prescribed in OAR 333-265-0020.
(3) An Oregon educational institution
			 conducting EMT, AEMT, or Paramedic courses must have program faculty consisting
			 of a designated program administrator, course EMS medical director, course
			 directors, and may have guest instructors. The number of persons carrying out
			 the responsibilities of conducting an EMT, AEMT, or Paramedic course may vary
			 from program to program. One person, if qualified, may serve in multiple
			 roles.
(4) An Oregon educational
			 institution or Authority approved non-educational institution conducting EMT-
			 Intermediate courses must have program faculty consisting of a designated
			 program administrator, course EMS medical director, and course directors, and
			 may have guest instructors. The number of persons carrying out the
			 responsibilities of conducting an EMT-Intermediate course may vary from program
			 to program. One person, if qualified, may serve in multiple roles.
(5) An EMR course must include:
(a) A curriculum that meets or exceeds the
			 National Emergency Medical Services Education Standards, Emergency Medical
			 Responder Instructional Guidelines, published by the National Highway Traffic
			 Safety Administration, January 2009 (DOT HS 811 077B);
(b) Didactic and skills instruction;
			 and
(c) A psychomotor and cognitive
			 examination.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0015 - Advanced Emergency Medical Technician Field Internships

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A field
			 internship is required as part of an AEMT course and shall include:
(a) Clinical experience performed under the
			 supervision of a preceptor in a hospital emergency department, medical clinic,
			 or in the field where a student must adequately demonstrate the ability to:
(A) Safely administer medications at least 5
			 times to a live patient;
(B) Safely
			 gain vascular access at least 10 times on live patients of various age
			 groups;
(C) Effectively ventilate
			 at least 5 live patients of various age groups;
(D) Perform an adequate assessment and
			 formulate and implement a treatment plan for the following:
(i) Patients with chest pain;
(ii) Patients with respiratory distress;
(iii) Patients with altered mental
			 status; and
(iv) Pediatric, adult
			 and geriatric patients; and
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0016 - Paramedic Field Internships

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 field internship is required as part of a Paramedic course.
(2) A field internship must provide a student
			 the opportunity to demonstrate the integration of didactic, psychomotor skills,
			 and clinical education necessary to perform the duties of an entry-level
			 paramedic.
(3) The student must
			 successfully demonstrate a skill in the classroom lab or hospital clinical
			 setting before that skill is performed and evaluated in a field
			 internship.
(4) During a field
			 internship a student must participate in providing care in at least 40 EMS or
			 AMBULANCE CALLS with no less than eight each in cardiac, respiratory, general
			 medical, and trauma emergencies, and with at least 30 of the calls being
			 AMBULANCE CALLS. All EMS and AMBULANCE CALLS shall be under the direct visual
			 supervision of a preceptor. In order for a call to be accepted, the preceptor
			 must document and verify satisfactory student performance, including
			 application of specific assessment and treatment skills required of a licensed
			 Paramedic.
(5) A student
			 participating in an internship shall not be considered one of the minimum staff
			 required for an ambulance as described in OAR chapter 333, division
			 250.
(6) AMBULANCE CALL and EMS
			 CALL has the same meaning given those terms in OAR 333-265-0015, except that
			 all references to an AEMT are replaced with Paramedic.
Stat. Auth.: ORS
				  682.017,
				  682.208
Stats. Implemented: ORS
				  682.017,
				  682.208,
				  682.216
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0018 - Course Director Qualifications for EMR Courses

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An ambulance service or entity that has
			 been approved by the Authority to conduct an EMR course must have a qualified
			 course director.
(2) An EMR course
			 director must:
(a) Have appropriate training
			 and experience to fulfill the role and have the credentials that demonstrate
			 such training and experience;
(b)
			 Be currently licensed in Oregon as an EMT or higher, have a minimum of three
			 years of prehospital care experience and be in good standing with the
			 Authority, or be an EMS medical director;
(c) Have a current Basic Life Support (BLS)
			 instructor card or certificate of course completion that meets or exceeds the
			 2015 American Heart Association ECC guidelines or equivalent, unless this
			 requirement is waived by the Authority in advance; and
(d) Have successfully completed one of the
			 following:
(A) The National Association of EMS
			 Educators Instructor I Course, developed in accordance with the U.S. Department
			 of Transportation, National Highway Transportation Safety Administration,
			 2002;
(B) The National Fire
			 Protection Association (NFPA) Fire Instructor I course;
(C) Have at least 40 hours of the Instructor
			 Development Program offered by the DPSST;
(D) A minimum of three college credits in
			 adult educational theory and practice or vocational educational theory and
			 practice from an accredited institution of higher learning;
(E) A minimum of three years working as a
			 full time EMT or higher with a licensed ambulance service and has experience
			 conducting training; or
(F) Other
			 instructor course approved by the Authority.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0020 - Approved EMT, AEMT, EMT-Intermediate, and Paramedic Course Director

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A course
			 director for an EMT, AEMT, EMT-Intermediate or Paramedic course must:
(a) Be an EMS medical director; or
(b) Hold at least the level of Oregon
			 licensure as the course being taught, be in good standing with the Authority,
			 and have at least three years of experience at that licensure level or higher,
			 and:
(A) Have a current Basic Life Support
			 (BLS) instructor card or certificate of course completion that meets or exceeds
			 the 2015 American Heart Association ECC guidelines or equivalent standards
			 approved by the Authority; and
(B)
			 Have successfully completed one of the following:
(i) The National Association of EMS Educators
			 Instructor Course, developed in accordance with the U.S. Department of
			 Transportation, National Highway Transportation Safety Administration,
			 2002;
(ii) The National Fire
			 Protection Association (NFPA) Fire Instructor I course;
(iii) At least 40 hours of the Instructor
			 Development Program offered by the DPSST; or
(iv) A minimum of three college credits in
			 adult educational theory and practice or vocational educational theory and
			 practice from an accredited institution of higher learning.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0022 - Program Administrator and Faculty Responsibilities

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A program administrator is responsible
			 for course planning, the organization and administration of courses, periodic
			 review of courses, program evaluation, and continued development and
			 effectiveness of courses.
(2) A
			 program administrator, or designee, shall report EMT psychomotor evaluations to
			 the National Registry.
(3) A course
			 EMS medical director shall:
(a) Provide
			 medical direction for the didactic, clinical and field internship portions of
			 an EMS provider course; and
(b) Act
			 as the ultimate medical authority regarding course content, procedures and
			 protocols.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0023 - EMS Provider Examinations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) EMR Exam:
(a) In order to be licensed as an EMR, a
			 candidate shall complete and pass both a cognitive and psychomotor examination
			 within 12 months of completing the required course.
(b) The EMR cognitive and psychomotor
			 examination must be administered by an entity approved by the Authority to
			 conduct EMR courses and shall use a cognitive and psychomotor exam approved by
			 the Authority.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0024 - EMT-Intermediate Provider Examination

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The EMT-Intermediate examinations for licensure will be administered by an EMS
			 licensing officer and hosted by an educational institution or Authority
			 approved non-educational institution that offers EMT-Intermediate
			 courses.
(2) In order to take the
			 EMT-Intermediate provider examination, a candidate shall be currently licensed
			 as an AEMT or be registered with the National Registry as an AEMT.
(3) An EMT-Intermediate candidate who fails:
(a) Three or fewer skill stations of the
			 EMT-Intermediate psychomotor examination may retest those skill stations failed
			 on the same day with no additional charge by the Authority.
(b) One or more skill stations a second time
			 must submit a re-examination fee and be scheduled through the Authority to
			 retest any skill station failed.
(c) More than three skill stations of the
			 EMT-Intermediate psychomotor examination must schedule a retest for a separate
			 day, and submit a re-examination fee to the Authority.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0025 - Application Process to Obtain an EMS Provider License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For any person to act as an EMS provider,
			 a license must be obtained from the Oregon Health Authority
			 (Authority).
(2) All applicants for
			 initial licensure:
(a) Must submit a completed
			 electronic application in a manner prescribed by the Authority along with the
			 applicable fees;
(b) Hold a current
			 American Heart Association Basic Life Support (BLS) Provider or equivalent CPR
			 course completion document (this course must include a practical skills
			 evaluation); and
(c) Consent to a
			 criminal records check by fingerprint identification in accordance with ORS
			 181A.195, ORS
			 181A.200 and OAR chapter 125,
			 division 7.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0026 - EMS Licensing Officer Application and Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Effective March 31, 2019, an EMS
			 licensing officer must be approved by the Authority.
(2) Any person wishing to act as an EMS
			 licensing officer shall complete an electronic application in a manner
			 prescribed by the Authority.
(3) A
			 course director may not serve as a licensing officer for an educational
			 institution or non-educational institution in which the course director was the
			 primary instructor for an EMS provider course.
(4) The following minimum training,
			 experience, and credentials are necessary for consideration:
(a) Hold a current Oregon EMT license or
			 higher with a minimum of five years of prehospital care experience, and be in
			 good standing with the Authority;
(b) Attend an initial EMS Licensing Officer
			 course offered by the Authority;
(c) Complete and successfully pass an
			 electronic EMS Licensing Officer examination; and
(d) Successful completion of at least one of
			 the courses specified in OAR 333-265-0018(2)(d).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0027 - Transitional Paramedic License

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Oregon Health Authority (Authority) may issue a Transitional Paramedic
			 license to an individual who:
(a) Submits an
			 application in accordance with OAR 333-265-0025  and pays the applicable fee
			 under OAR 333-265-0030;
(b)
			 Satisfies the requirements of OAR 333-265-0025(7)(a)(A), (B), and (D)  and has a
			 GED or high school diploma;
(c) Is
			 currently certified by the NREMT as a Paramedic; and
(d) Submits on a form prescribed by the
			 Authority, information that demonstrates:
(A)
			 The applicant is sponsored by a licensed ambulance service in Oregon that will
			 immediately employ or has conditionally offered employment, whether in a paid
			 or volunteer capacity;
(B) The
			 sponsoring licensed ambulance service's EMS medical director will serve as the
			 applicant's EMS medical director while the applicant is licensed as a
			 Transitional Paramedic;
(C) The
			 applicant agrees to obtain an associate degree or higher from an accredited
			 institution of higher learning within the time period specified in this rule;
			 and
(D) Any other information
			 required by the Authority.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0028 - Application for Licensure by service member, Military Spouse or Domestic Partner

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A person
			 licensed under this rule to practice as an EMR, EMT, Advanced EMT or Paramedic
			 as those terms are defined in these rules may perform services in accordance
			 with the scope of practice designated by the Oregon Medical Board under OAR
			 847-035-0030.
(a) A license issued under this
			 rule is valid for the period described in OAR 333-265-0045.
(b) A license issued under this rule may be
			 renewed in accordance with OAR 333-265-0045.
(c) A person licensed under this rule is
			 subject to all applicable rules and requirement in OAR chapter 333, division
			 265 including but not limited to OAR 333-265-0080  to OAR 333-265-0087  and OAR
			 333-265-0110  to OAR 333-265-0170.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0030 - Fees for Licensure and License Renewal of an EMS Provider

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The following
			 fees apply:
(a) The initial application fee
			 for EMS providers:
(A) EMR - $45
(B) EMT - $110;
(C) AEMT - $125;
(D) EMT-Intermediate - $125; and
(E) Paramedic - $290.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0040 - Application Review and Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Authority will review an application for licensure as an EMS provider and
			 will conduct a criminal background check in accordance with OAR 125-007-0200  through 125-007-0330.
(2) If there
			 are no issues that arise during the review of the application and the applicant
			 meets all the requirements of ORS chapter 682 and these rules, the Authority
			 will grant the applicant a license.
(3) If the applicant does not meet the
			 standards for licensure or there are criminal history or personal history
			 issues that call into question the ability of the applicant to perform the
			 duties of a licensed EMS provider in accordance with ORS chapter 682 or these
			 rules, the Authority may deny the applicant on the basis of the information
			 provided in the application, or conduct an investigation in accordance with OAR
			 333-265-0085.
(4) Following an
			 investigation the Authority may:
(a) Deny the
			 application;
(b) Grant the
			 application but place the applicant on probation;
(c) Grant the application but place practice
			 restrictions on the applicant; or
(d) Grant the application if the criminal or
			 personal history issues were resolved through the investigation to the
			 Authority's satisfaction.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0045 - Renewal of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The licenses
			 of EMRs expire on June 30 of even-numbered years.
(2) The licenses of EMTs, Advanced EMTs,
			 EMT-Intermediates and Paramedics expire on June 30 of odd-numbered
			 years.
(3) An applicant for license
			 renewal must:
(a) Complete and sign an
			 application form prescribed by the Authority certifying that the information in
			 the application is correct and truthful;
(b) Meet the requirements of ORS chapter 682
			 and these rules;
(c) Consent to a
			 criminal background check in accordance with OAR 333-265-0025;
(d) Provide an authorization for the release
			 of information to the Authority, as necessary, from any persons or entities,
			 including but not limited to employers, educational institutions, hospitals,
			 treatment facilities, institutions, organizations, governmental or law
			 enforcement agencies in order for the Authority to make a complete review of
			 the application.
(e) Complete the
			 continuing education requirements in OAR 333-265-0110; and
(f) Submit a fee specified in OAR
			 333-265-0030.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0050 - Licensure by Reciprocity

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 person registered with the National Registry as an EMR, EMT, AEMT, or Paramedic
			 may apply to the Oregon Health Authority (Authority) for licensure by
			 reciprocity.
(2) A person
			 registered with the National Registry may request licensure at a lower level
			 than their National Registry certification if the person has previously been
			 certified by the National Registry at the level of licensure for which the
			 person is applying.
(3) A person
			 applying for Oregon EMS provider licensure by reciprocity shall:
(a) Submit a completed electronic application
			 in a manner prescribed by the Authority along with the applicable nonrefundable
			 fee;
(b) Submit documentation of
			 the EMS provider training which meets or exceeds the requirements for Oregon
			 EMS provider licensure at the level of licensure for which the person is
			 applying;
(c) If applying for
			 Paramedic licensure by reciprocity:
(A) Submit
			 proof of having received an associate degree or higher from an accredited
			 institution of higher learning approved by the Authority; or
(B) Submit proof of having at least two years
			 out of the last five years of advanced life support, first response Paramedic
			 experience in either another state or in the United States military at the
			 National Registry Paramedic level.
(C) An applicant who does not meet the
			 requirement in paragraph (3)(c)(A) or (B) may apply for a Transitional
			 Paramedic license in accordance with OAR 333-265-0027.
(d) If licensed in another state, be in good
			 standing with that state's licensing agency and with the National Registry;
			 and
(e) Consent to a criminal
			 records check in accordance with OAR 333-265-0025.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0056

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  682.017 &
				  682.216
Statutes/Other Implemented: ORS
				  682.017 &
				  682.216
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0058 - Emergency Initial Provisional License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Definitions:
(a) "Home licensing state" means the
			 licensing state that currently licenses or certifies an individual seeking an
			 emergency initial provisional license from the Authority.
(b) "Emergency initial provisional license"
			 is a short-term provisional license issued under this rule during a declared
			 emergency or public health emergency to an applicant who is licensed or
			 certified as an EMS provider in another state or an EMS provider who has been
			 issued a provisional certification from the National Registry of Emergency
			 Medical Technicians (NREMT).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0060 - Paramedic Provisional Licensure

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Oregon Health Authority (Authority)
			 shall discontinue issuing provisional licenses under this rule effective
			 December 1, 2023.
(2)
			 Notwithstanding section (1) of this rule, any Paramedic with a current, active
			 provisional license must continue to meet the requirements in this
			 rule.
(3) A Paramedic with a
			 provisional license issued under these rules shall enter into an agreement with
			 the Authority and shall submit quarterly reports to the Authority describing
			 the license holder's progress in obtaining an associate degree or higher from
			 an accredited institution for higher learning.
(4) A Paramedic provisional license shall be
			 revoked if the person:
(a) Ceases active
			 involvement with the sponsoring EMS agency;
(b) Fails to meet the conditions set forth in
			 the agreement;
(c) Fails to
			 cooperate or actively participate in a request from the Authority in order to
			 obtain more information or required materials;
(d) Has their EMS provider scope of practice
			 revoked or restricted by their EMS medical director; or
(e) Does not submit written documentation of
			 the successful completion of any of the educational requirements set out in
			 this rule.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0070 - Out-of-State EMS Provider Rendering Patient Care in Oregon

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person who provides prehospital
			 emergency or non-emergency care in Oregon must be licensed as an Oregon EMS
			 provider and function under an Authority-approved EMS medical
			 director.
(2) Oregon EMS provider
			 licensure is not required when:
(a)
			 Specifically exempted by ORS
			 682.035;
(b) An out-of-state licensed EMS provider is
			 transporting a patient through the state;
(c) An out-of-state licensed EMS provider is
			 caring for and transporting a patient from an Oregon medical facility to an
			 out-of-state medical facility or other out-of-state location;
(d) An out-of-state licensed EMS provider is
			 caring for and transporting a patient originating from outside of Oregon to a
			 medical facility or other location in Oregon; or
(e) A disaster or public health emergency has
			 been declared under ORS chapter 401 or 433 and licensing provisions have been
			 waived by the Governor.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0080 - Reporting Obligations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In
			 accordance with ORS 676.150 and using a written or
			 electronic form prescribed by the Oregon Health Authority (Authority), an EMS
			 provider must notify the Authority within 10 calendar days of any action or
			 event listed in sections (2) or (3) of this rule. Failure to comply with the
			 reporting requirements of this rule may result in disciplinary action against
			 the EMS provider.
(2) An EMS
			 provider who has reasonable cause to believe another EMS provider has engaged
			 in prohibited, dishonorable or unprofessional conduct as defined in ORS
			 676.150,
			 682.025,
			 682.220, and OAR 333-265-0083  shall report that conduct to the Authority after the EMS provider learns of the
			 conduct unless state or federal laws relating to confidentiality or the
			 protection of health information prohibit such a disclosure.
(3) An EMS provider shall report to the
			 Authority the following:
(a) Conviction of a
			 misdemeanor or felony;
(b) A felony
			 arrest;
(c) A disciplinary
			 restriction placed on a scope of practice of the license holder by the EMS
			 medical director;
(d) A legal
			 action being filed against the license holder alleging medical malpractice or
			 misconduct;
(e) A physical
			 disability that affects the ability of the license holder to meet the
			 applicable Functional Job Analysis of the National Standard Curriculum and the
			 license holder continues to respond to calls and is providing patient
			 care;
(f) A change in mental health
			 which may affect a license holder's ability to perform as a licensed EMS
			 provider; or
(g) If a Transitional
			 Paramedic, separation of employment from the sponsoring licensed ambulance
			 service.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0085 - Investigations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Oregon
			 Health Authority (Authority) may conduct an investigation of an EMS provider
			 if:
(a) The Authority receives a report in
			 accordance with ORS 676.150 or complaint concerning
			 an EMS provider;
(b) Personal or
			 criminal history questions arise during a review of an application that raise
			 questions about the EMS provider's ability to safely perform the duties of an
			 EMS provider;
(c) A reportable
			 action is received pursuant to OAR 333-265-0080;
(d) An EMS provider licensed as a
			 Transitional Paramedic has failed to submit accurate annual progress reports;
			 or
(e) The Authority receives
			 information in any manner that indicates an EMS provider:
(A) Has violated ORS chapter 682 or these
			 rules;
(B) May be medically
			 incompetent;
(C) May be guilty of
			 prohibited, unprofessional or dishonorable conduct; or
(D) May be mentally or physically unable to
			 safely function as an EMS provider.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 265 - EMERGENCY MEDICAL SERVICES PROVIDERS › Section 333-265-0087 - Discipline

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Upon completion
			 of an investigation the Authority may do any of the following:
(a) Close the investigation and take no
			 action;
(b) Issue a letter of
			 reprimand or instruction;
(c) Place
			 the EMS provider on probation;
(d)
			 Place a practice restriction on the EMS provider;
(e) Suspend the EMS provider;
(f) Revoke the license of the EMS
			 provider;
(g) Enter into a
			 stipulated agreement with the EMS provider to impose discipline; or
(h) Take such other disciplinary action as
			 the Authority, in its discretion, finds proper, including assessment of a civil
			 penalty not to exceed $5,000.