reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0280 - Personnel File Documentation

Current through Register Vol. 63, No. 7, July 1, 2024
The licensed ambulance service must maintain a complete and
				current personnel file for each employee, volunteer, ambulance-based clinician,
				agent and EMS medical director including but not limited to, the following
				information:
(1) Full name;
(2) Current home mailing address;
(3) Affiliation status, listed as either an
			 employee full-time paid, employee part-time paid, contractor or
			 volunteer;
(4) Verifiable written
			 documentation that the employee, volunteer or ambulance-based clinician has
			 completed required training including when and where training was
			 obtained;
(5) Copies of:
(a) Reportable action forms as required under
			 OAR 333-250-0270(10);
(b)
			 Applicable professional certificates or licenses;
(c) A current driver's license;
(d) A current pilot's license if the employee
			 or volunteer operates an air ambulance;
(e) A certified driving record in accordance
			 with OAR 333-250-0270(6)(c);
(f) A
			 current BLS Provider card or proof of course completion that meets or exceeds
			 the 2015 American Heart Association (AHA) ECC and CPR guidelines or
			 equivalent;
(g) Training records
			 that identify completion of an initial orientation program and training
			 requirements specified in these rules;
(h) For an EMS provider licensed as a
			 Transitional Paramedic, material required under OAR
			 333-265-0027(1)(d);
(i) Health
			 records documenting:
(A) Initial tuberculosis
			 (TB) screening and any subsequent screenings in accordance with OAR
			 333-019-0041; and
(B) Hepatitis-B
			 immunizations or a signed statement of declination; and
(j) Qualified driver statement in accordance
			 with OAR 333-250-0270(6)(b)(D).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0290 - Communications and Dispatch

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 licensed ambulance service is responsible for:
(a) Having a valid license from the Federal
			 Communications Commission (FCC) to operate an EMS radio on assigned
			 frequencies, or proper authorization from another agency holding a valid FCC
			 license to operate on designated radio frequencies;
(b) Having 24-hour-a-day telephone answering,
			 or 24-hour-a-day telephone and text-to-9-1-1 answering, and dispatching
			 capabilities or having a signed agreement or contract with a recognized primary
			 or secondary Public Safety Answering Point (PSAP), that will provide telephone
			 answering, or telephone and text-to-9-1-1 answering, and emergency dispatching
			 services;
(c) Providing a reliable
			 means of alerting and communicating with an ambulance crew before, during and
			 after an ambulance call;
(d)
			 Immediately routing all emergency calls received from the public on any of the
			 licensed ambulance service's 10-digit telephone number or if received by text
			 to the primary PSAP. When a licensed ambulance service receives a request for
			 an emergency ambulance and the licensed ambulance service is a recognized
			 secondary PSAP, the licensed ambulance service shall dispatch the ambulance and
			 notify the primary PSAP for coordination of other emergency responder
			 agencies;
(e) Ensuring that any
			 request for an ambulance received on the licensed ambulance service's 10-digit
			 telephone number or if received by text is answered or responded to by a live
			 person or that there is an answering machine referring the caller to the
			 appropriate emergency telephone number; and
(f) Maintaining ambulance dispatch records as
			 prescribed in ORS
			 820.330 and
			 820.340.
			 The records must be kept by the licensed ambulance service or the licensed
			 ambulance service must have a signed agreement with the PSAP, service or agency
			 that provides telephone answering, or telephone and text-to-9-1-1 answering,
			 and dispatching services that they will maintain and make available copies of
			 the official dispatch records for a minimum of seven years.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0300 - EMS Medical Direction

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensed
			 ambulance service must have an EMS medical director responsible for the duties
			 described in OAR 847-035-0025(1)  except:
(a)
			 When the licensed ambulance service operates in non-contiguous counties, then
			 the licensed ambulance service may have one EMS medical director in each
			 non-contiguous county of operation; or
(b) Where a county or regional EMS system
			 prescribes that multiple agencies within a county or region must have a
			 governmentally appointed EMS medical director, that agency may have a different
			 EMS medical director in contiguous counties. In this event, the signed
			 agreement or contract may be between the EMS medical director and the county or
			 regional EMS system.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0310 - Patient Care Report

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensed
			 ambulance service must complete an electronic PCR in each instance where
			 patient contact is initiated. The PCR shall include the data elements
			 identified in section (5) of this rule.
(a) A
			 complete PCR shall be submitted to:
(A)
			 OREMSIS within 24 hours of patient contact; and
(B) A hospital or facility receiving the
			 patient within 24 hours of the patient being transported.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0315 - Electronic Transfer and Access of Patient Encounter and Outcome Data

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensed
			 ambulance service agency shall have access to patient outcome data through
			 OREMSIS and shall not access information for any other purpose than that
			 specifically authorized by law.
(2)
			 An Oregon trauma hospital shall have access to patient encounter data through
			 the OTR and shall not access information for any other purpose than that
			 specifically authorized by law.
(3) The Authority may require that each
			 licensed ambulance service and Oregon trauma center enter into a data use
			 agreement with the Authority, as prescribed by the Authority that governs the
			 use and disclosure of patient encounter data and outcome data.
(4) A data use agreement shall be reviewed
			 and updated as required by the Authority's Information and Security and Privacy
			 Office.
(5) The Authority shall
			 ensure that:
(a) The patient encounter data
			 identified in Appendix 1 is transferred to and made available through the OTR
			 within 60 days of a patient encounter where the patient has been identified as
			 a trauma patient.
(b) The patient
			 outcome data identified in Appendix 2 is transferred to OREMSIS within 60
			 days.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0320 - Quality Assessment and Performance Improvement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The licensed ambulance service shall
			 establish and maintain an effective quality assessment and performance
			 improvement program that is approved by the EMS medical director and ambulance
			 service administrator and may include:
(a) A
			 method to monitor, evaluate and improve organizational efficiency and care
			 delivery;
(b) A method to select
			 and track performance improvement indicators which may include, but are not
			 limited to:
(A) Accurate patient
			 assessment;
(B) Medical
			 intervention delivered in accordance with established protocols;
(C) Success of skills;
(D) Quality of clinical documentation; and
(E) Clinical outcome
			 data;
(c) A process for
			 investigating and addressing patient safety issues raised by means other than
			 measured indicators; and
(d) A
			 defined quarterly reporting process for performance improvement activities and
			 issues including:
(A) Documenting and
			 reporting individual issues and clinical indicator results; and
(B) Documenting and reporting aggregate data
			 of clinical indicators and other activities to staff.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0330 - Patient Rights for Emergency Medical Care and Transportation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An ambulance
			 service licensed by the Authority shall maintain written policies and
			 procedures regarding patient rights.
(2) A statement of patient rights shall be
			 distributed to each employee or volunteer and made available in the business
			 office and in each satellite location.
(3) The statement of patient rights shall
			 include, but is not limited to, the following:
(a) Access to appropriate emergency medical
			 care and transportation without regard to race, ethnicity, religion, age,
			 gender, sexual orientation, or disability;
(b) EMS providers will be considerate and
			 respectful to all patients regardless of status;
(c) Opportunity to refuse any medical care or
			 transportation to a medical facility when informed about the care to be
			 provided and the risks associated with refusing medical care or transportation;
(d) Transportation to a clinically
			 appropriate medical facility of the patient's choice without questioning
			 ability to pay. The agency may elect to transport to a closer, appropriate
			 medical facility if a patient's facility of choice:
(A) Is unreasonable due to unsafe conditions;
			 or
(B) Requires an ambulance to be
			 taken out of service for an unreasonable amount of time;
(e) When appropriate, opportunity to request
			 private transport, for example from a friend or family member;
(f) Patient's health information will be
			 protected in accordance with state and federal privacy laws;
(g) Opportunity to receive, upon request,
			 medical information relating to the care or transport provided by EMS
			 providers;
(h) Opportunity to
			 receive, upon request, a reasonable explanation of any charges for emergency
			 medical care provided by EMS providers or for ambulance services; and
(i) Information on how and where to file a
			 complaint about the services performed is posted and
			 available.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0340 - Waiver or Variance from Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this rule:
(a) "Waiver" means the Authority has excused
			 compliance with a specific rule.
(b) "Variance" means the Authority has
			 permitted a change or deviation from an existing rule.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0350 - Complaints

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person may
			 make a complaint verbally or in writing to the Authority regarding an
			 allegation against a licensed ambulance service of a violation of any licensing
			 law.
(2) The identity of a person
			 making a complaint will be kept confidential as permitted by law.
(3) An investigation will be carried out as
			 soon as practicable after the receipt of the complaint in accordance with OAR
			 333-250-0360.
(4) If the complaint
			 involves an allegation of criminal conduct or an allegation that is within the
			 jurisdiction of another local, state or federal agency, the Authority will
			 refer the matter to that agency.
(5) The Authority does not have jurisdiction
			 over and shall not take action on complaints that relate solely to rates
			 charged to a patient by a licensed ambulance service.
Stat. Auth.: ORS
				  682.017 & 682.068
Stats. Implemented: ORS
				  682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0360 - Investigations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As soon as
			 practicable after receiving a complaint, taking into consideration the nature
			 of the complaint, Authority staff will begin an investigation.
(2) An ambulance service shall permit
			 Authority staff access to the service agency during an investigation. For
			 purposes of an investigation, giving advanced notice to the licensed ambulance
			 service is not required.
(3) An
			 investigation may include but is not limited to:
(a) Interviews of the complainant, patients
			 of the ambulance service, patient family members, witnesses, ambulance service
			 management and staff;
(b) On-site
			 observations of staff performance and the physical environment of the ambulance
			 service or ambulance; and
(c)
			 Review of documents and records.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0370 - Surveys

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to
			 any investigation conducted under OAR 333-250-0360, the Authority may conduct a
			 survey for the purpose of evaluating the eligibility of an ambulance service or
			 an ambulance to receive or retain a license and to ensure the health, safety,
			 and welfare of the persons who utilize ambulances.
(2) An ambulance service that acquires and
			 maintains current status with a nationally recognized EMS service accreditation
			 program that meets or exceeds Oregon requirements may be exempted from the
			 survey process. A copy of the survey report from the nationally recognized EMS
			 service accreditation program must be filed with the Authority for
			 approval.
(3) Routine surveys of an
			 ambulance service or an ambulance shall be scheduled with the management of the
			 ambulance service at least 72 hours in advance of the survey unless otherwise
			 mutually agreed upon by the Authority and the ambulance service
			 representative.
(4) In conducting a
			 survey or interview, the Authority representative must:
(a) Identify themself by presenting the
			 Authority identification to the owner, manager, or ranking employee or
			 volunteer present at the site of a survey or interview;
(b) Inform the ambulance service
			 representative of the purpose for the survey or interview; and
(c) Inform the ambulance service
			 representative when the survey or interview has been completed and the
			 preliminary results of the survey only.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0380 - Violations

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to non-compliance with any rules or laws that
				governs an ambulance service or ambulance service vehicle, it is a violation
				to:
(1) Refuse to cooperate with an
			 investigation or survey, including but not limited to failure to permit
			 Authority staff access to the ambulance service, its documents or
			 records;
(2) Fail to implement a
			 corrective action plan;
(3) Refuse
			 or fail to comply with an order issued by the Authority;
(4) Refuse or fail to pay a civil
			 penalty;
(5) Be convicted of a
			 crime, including Medicare or Medicaid fraud, relating adversely to the person's
			 capability of owning or operating an ambulance service;
(6) Make a material omission or
			 misrepresentation of facts on an application for a license or variance, or in
			 response to an inquiry or investigation. This includes fraud or deception in
			 obtaining or attempting to obtain a license or variance or in any other
			 transaction with the Authority;
(7)
			 Loan, borrow, or use the license of another, or knowingly aid or abet the
			 improper granting of a license;
(8)
			 Deface, alter, remove or obliterate any portion of any official entry upon a
			 license, licensing decal, or variance issued by the Authority;
(9) Refuse to respond to or render
			 prehospital emergency care because of a patient's race, ethnicity, religion,
			 age, gender, sexual orientation, disability, medical problem or financial
			 inability to pay;
(10) Fail to
			 promptly notify the Authority of a change of ownership;
(11) Fail to report to the Authority any
			 matter required by ORS
			 682.220(4)
			 and OAR 333-265-0080;
(12) Fail to
			 protect health information from unlawful use or disclosure in accordance with
			 state and federal privacy laws;
(13) Alter or inappropriately destroy medical
			 records;
(14) Willfully prepare or
			 file false reports or records, or induce another to do so;
(15) Engage in a pattern of any of the
			 following:
(a) Incompetence, negligence or
			 misconduct in operating the ambulance service or in providing emergency medical
			 care and transportation to patients;
(b) Abuse or abandonment of
			 patients;
(c) Failure to comply
			 with the county ASA plan, area trauma plan, or other lawfully promulgated
			 policies, plans, or procedures;
(d)
			 Failure to meet response time standards as prescribed by the county ASA plan or
			 if no ASA plan is in effect, the area trauma plan;
(e) Misuse or misappropriation of medications
			 or medical materials; and
(f) Other
			 conduct determined by the Authority to pose a significant threat to the health,
			 safety and well-being of ambulance patients.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0390 - 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 service 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 may share the statement of
			 deficiencies with the applicable EMS medical director, local government, or
			 county ASA administrator.
(2) Upon
			 receipt of a statement of deficiencies, an ambulance service shall be provided
			 an opportunity to dispute the Authority's survey 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 survey 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0400 - 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 service 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 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
			 ambulance from operation. No ambulance that has been suspended from operation
			 may be operated until the licensed ambulance service has certified and the
			 Authority has confirmed that all of the violations have been
			 corrected.
(3) In the event that a
			 license is suspended or revoked, the licensee must cease ambulance service
			 operations and no person except the Authority may permit or cause the service
			 to continue.
(4) The Authority
			 shall notify applicable local government, county ASA administrator, and the EMS
			 medical director of the ambulance service of the suspension or revocation of an
			 ambulance service license, or the placing of a service on probation.
(5) If a principal owner of an ambulance
			 service has had its ambulance service license revoked, following the
			 opportunity for a hearing as provided by ORS chapter 183, that person may not
			 be eligible to apply for or hold an ambulance service license for a period of
			 two years from the date of revocation as specified in ORS chapter 682.
Stat. Auth.: ORS
				  682.017 & 682.068
Stats. Implemented: ORS
				  682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0410 - Civil Penalties

Current through Register Vol. 63, No. 7, July 1, 2024
A person that violates licensed ambulance service rules or
				laws, an administrative order, or settlement agreement is subject to the
				imposition of a civil penalty not to exceed $5,000 per
				violation.
Stat. Auth.: ORS
				  682.017
Stats. Implemented: ORS
				  682.224
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0000 - 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 Authority as an Advanced Emergency Medical
			 Technician.
(2) "Ambulance" or
			 "Ambulance vehicle" means a privately or publicly owned motor vehicle,
			 aircraft, or watercraft that is regularly provided or offered to be provided
			 for the emergency transportation of persons who are ill or injured or who have
			 disabilities.
(3) "Ambulance-based
			 clinician" means a registered nurse, physician, or physician assistant who:
(a) Has an active license in Oregon and is in
			 good standing with the Oregon Board of Nursing or the Oregon Medical Board;
			 and
(b) Staffs an ambulance for a
			 licensed ambulance service.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0010 - Application for an Ambulance Vehicle License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An ambulance vehicle operated by a
			 licensed ambulance service must be licensed by the Authority and comply with
			 ORS chapter 682; OAR chapter 333, division 250; and these rules before being
			 placed into operation.
(2) An
			 ambulance service owner applying for an ambulance vehicle license must:
(a) Have a current ambulance service license;
			 and
(b) Comply with all applicable
			 federal, state and local laws and regulations governing the operation of a
			 licensed ambulance vehicle.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0015 - Review of Ambulance Vehicle License Application

Current through Register Vol. 63, No. 7, July 1, 2024
In reviewing a complete application for an ambulance vehicle
				license, the Authority:
(1) Shall
			 verify compliance with ORS chapter 682; ORS
			 820.300 through
			 820.380;
			 OAR chapter 333, division 250; OAR 847-035-0020  through 0025 and these rules;
			 and
(2) May conduct an on-site
			 licensing survey in accordance with OAR 333-255-0110.
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 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0020 - Approval of Ambulance Vehicle License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority shall issue an ambulance
			 vehicle license to a licensed ambulance service that:
(a) Submits a completed application as
			 described in OAR 333-255-0010;
(b)
			 Submits the nonrefundable ambulance vehicle license fee as specified in ORS
			 682.047;
(c) Successfully completes the survey
			 requirements as described in OAR 333-255-0110; and
(d) Is found by the Authority to be in
			 compliance with ORS chapter 682; ORS
			 820.300 through
			 820.380;
			 OAR chapter 333, division 250; and these rules.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0021 - Denial of Ambulance Vehicle License Application

Current through Register Vol. 63, No. 7, July 1, 2024
If the Authority intends to deny an ambulance vehicle license
				application, it shall issue a Notice of Proposed Denial of License Application
				in accordance with ORS chapter 183.
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 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0022 - Expiration and Renewal of Ambulance Vehicle License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each license to operate an ambulance
			 vehicle:
(a) Shall be valid until June 30 of
			 each year, unless sooner revoked or suspended. The initial licensing period may
			 not exceed 15 months; and
(b) Shall
			 expire on June 30 of the following year, if a license is applied for and issued
			 between April 1 and June 30.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0023 - Return of Ambulance Vehicle License

Current through Register Vol. 63, No. 7, July 1, 2024
If an ambulance vehicle license is suspended, revoked, or
				expires, the ambulance service administrator shall submit a statement to the
				Authority acknowledging that the license certificate and any applicable license
				decals have been removed and destroyed.
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 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0030 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0040 - Surrender of License for Ambulance Vehicle

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An ambulance vehicle license is
			 non-transferable.
(2) When an
			 owner sells, trades, or donates an ambulance vehicle, the licensed ambulance
			 service must, within 10 calendar days:
(a)
			 Notify the Authority of the transaction by providing the date that the sale was
			 completed and the full name and address of the purchaser of the ambulance
			 vehicle; and
(b) Submit a statement
			 signed by the ambulance service administrator acknowledging that all applicable
			 ambulance vehicle licenses have been removed and destroyed.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0050 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0060 - Ground Ambulance Vehicle Construction Criteria for Initial Licensure

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this
			 rule:
(a) "New ground ambulance vehicle"
			 means a ground ambulance vehicle constructed by an ambulance vehicle
			 manufacturer that has not been previously operated and is not a
			 remount.
(b) "Previously operated
			 ground ambulance vehicle" means a used or previously licensed ground ambulance
			 vehicle, or a currently licensed ground ambulance vehicle that is being
			 transferred to a licensed ambulance service, and is not a remount.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0065 - Ambulance Reserve Vehicles and Ambulance Vehicles for Loan

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensed
			 ambulance vehicle may be placed in reserve by a licensed ambulance service. A
			 licensed ambulance vehicle placed in reserve shall meet the requirements of
			 Oregon Administrative Rules, chapter 333, division 255 except OAR
			 333-255-0072.
(2) Prior to placing
			 a reserve ambulance into service, the reserve ambulance must be inspected by
			 appropriate agency personnel, authorized by the owner or manager of the
			 ambulance service, to ensure compliance with these rules and verify that the
			 equipment requirements specified in OAR 333-255-0072  are met.
(3) A licensed ambulance service may
			 temporarily use a licensed ambulance vehicle of another licensed ambulance
			 service through a loan. Ambulance vehicle loans may occur if mechanical
			 problems, or other hardships, prevent a licensed ambulance service from
			 deploying its existing licensed ambulance vehicle.
(4) The receiving and loaning ambulance
			 service agencies shall enter into a written agreement on the terms of the loan.
			 The written agreement shall include, but is not limited to, the following
			 information:
(a) Name of contact person for
			 each licensed ambulance service along with address, phone number, electronic
			 mail address, and ambulance service license number;
(b) Ambulance vehicle identification
			 including make, model, year, VIN and plate number;
(c) What level of ambulance transport service
			 will be provided by the receiving ambulance service;
(d) Responsibility of each licensed ambulance
			 service for providing, replacing or repairing equipment, if applicable;
			 and
(e) Requirements for and proof
			 of insurance coverage.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0070 - Ground Ambulance Staffing and Response Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensed ambulance service shall
			 provide one of the following transport services using a licensed ground
			 vehicle:
(a) Basic life support the maximum
			 functions that may be assigned to an EMR or EMT in accordance with OAR
			 847-035-0030;
(b) Advanced life
			 support the maximum functions that may be assigned to an AEMT, EMT-Intermediate
			 or Paramedic in accordance with OAR 847-035-0030; or
(c) Specialty care as defined in these
			 rules.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0071 - Ground Ambulance Operating Requirements When Providing Intermediate Level Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A ground
			 ambulance in operation and providing intermediate life support care must have
			 at a minimum the following staffing:
(a) A
			 qualified driver, an EMT or above, and an advanced emergency medical technician
			 or EMT-Intermediate; or
(b) A
			 driver who is licensed at least at an EMT level and an advanced emergency
			 medical technician.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0072 - Ground Ambulance Vehicle Equipment Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this rule, "surgical mask"
			 means a mask that covers the user's nose and mouth and provides a physical
			 barrier to fluids and particulate materials. The mask meets certain fluid
			 barrier protection standards and Class I or Class II flammability tests.
			 Surgical masks are tested for biocompatibility and are considered personal
			 protective equipment (PPE).
(2) A
			 licensed ambulance service must ensure that appropriate equipment and all
			 ancillary supplies necessary for the proper use of equipment is available in
			 the ground ambulance vehicle, is in satisfactory working condition, is
			 maintained in accordance with manufacturer requirements, and is stored in a
			 sanitary and secure manner that protects the viability and safe operation of
			 medications and equipment.
(3)
			 Required equipment for a ground ambulance vehicle that is used by an ambulance
			 service to provide basic life support includes but is not limited to:
(a) Installed medical oxygen cylinder with a
			 capacity of at least 3,000 liters and having not less than 500 psi:
(A) The installed medical oxygen cylinder
			 must be located in a vented compartment; and
(B) The compartment shall not be utilized for
			 storage of any non-secured equipment. No combustible items shall be stored in
			 the oxygen compartment;
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0073 - Specialty Care Ground Ambulance Vehicle Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A ground ambulance vehicle in operation
			 and providing only specialty care transport during inter-facility transfers
			 must be staffed by a minimum of two qualified persons or additional staff, the
			 number and type, specified by the transferring physician:
(a) A qualified driver who meets the
			 requirements specified in OAR 333-250-0270(6); and
(b) A person who is a Paramedic with
			 additional specialty care training, an ambulance-based clinician or other
			 qualified person who has additional specialty care training and who must be in
			 the patient compartment when a patient is receiving specialty level
			 care.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0079

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0080 - Air Ambulance Configuration and Survival Equipment Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An air
			 ambulance in operation must be in compliance with all Federal Aviation
			 Administration (FAA) regulations contained in Part 135, and ORS chapter 682.
(2) An air ambulance must be
			 maintained and maintenance records kept and made available for inspection by
			 the Authority:
(a) The aircraft must have:
(A) A climate control system to prevent
			 temperature extreme that would adversely affect patient care;
(B) Interior lighting, so that patient care
			 can be given and patient status monitored. The interior lighting must not
			 interfere with the pilot's operation of the aircraft;
(C) At least one outlet per patient and
			 current for 110 volts (50/60 cycle) alternating current or other current which
			 is capable of operating all electrically-powered medical equipment;
(D) A back-up source of electric current or
			 batteries capable of operating all electrically-powered life support equipment
			 for a minimum of one-hour;
(E) An
			 adequate door to allow loading and unloading of a patient without rotating the
			 patient and stretcher more than 30 degrees about the longitudinal (roll) axis
			 or 45 degrees about the lateral (pitch) axis;
(F) A configuration that allows the medical
			 personnel access to the patient in order to begin and maintain treatment
			 modalities. There must always be complete access to the patient's head and
			 upper body for effective airway management;
(G) The stretcher and medical equipment
			 placed in a manner that shall not impede rapid egress by personnel or patient
			 from the aircraft;
(H)
			 Communications equipment to ensure both internal crew and air-to-ground
			 exchange of information between individuals and agencies appropriate to the
			 mission. Scene response aircraft must be able to communicate with EMS and law
			 enforcement personnel at the scene; and
(I) An installed self-activating emergency
			 locator transmitter.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0081 - Air Ambulance Operating Requirements for Interfacility Transfers

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As used in this
			 rule, "respiratory therapist (RT)" means a person licensed under ORS chapter
			 688, actively registered and in good standing with the Oregon Respiratory
			 Therapists and Polysomnographic Technologist Licensing Board.
(2) Air ambulance in operation and providing
			 interfacility transfers must have a minimum medical staff of two persons and a
			 pilot:
(a) A pilot adhering to all regulations
			 set forth in FAA Part 135 for air medical transport; and
(b) Any combination of two medical personnel
			 consisting of a Paramedic, RN, PA, physician or RT having:
(A) Documentation that at least one member of
			 the medical crew has successfully completed -employer orientation. The
			 orientation must include emergency care procedures, emergency egress
			 procedures, aircraft safety, altitude physiology and survival procedures. There
			 must be written documentation of an annual review of the orientation course
			 material. The length and content of the review must be established by the EMS
			 medical director and be kept on file with the ambulance service;
(B) A current BLS Provider card or proof of
			 course completion that meets or exceeds the 2015 American Heart Association
			 (AHA) Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care
			 (ECC) guidelines or equivalent;
(C)
			 If providing care to neonate, infant or pediatric patients, documentation of
			 completing one of the following courses or equivalent:
(i) Advanced Pediatric Life Support
			 (APLS);
(ii) Pediatric Advanced
			 Life Support (PALS); or
(iii)
			 Neonatal Resuscitation Program (NRP);
(D) If providing care to adult patients,
			 documentation of completing one of the following courses or equivalent:
(i) Advanced Cardiac Life Support (ACLS);
			 or
(ii) Prehospital Trauma Life
			 Support (PHTLS);
(E) The
			 ability to properly assist in lifting and moving a patient; and
(F) The knowledge to properly operate all
			 patient care equipment that may be used.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0082 - Air Ambulance Operating Requirements for Scene Response

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Air ambulance
			 in operation and providing scene response care must have a minimum medical
			 staff of two persons and a pilot:
(a) A pilot
			 adhering to all regulations set forth in FAA Part 135; and
(b) Any combination of two medical personnel
			 consisting of at least one Paramedic or ambulance-based clinician meeting the
			 requirements specified in OAR 333-250-0270  sections (4) and (5).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0090

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0091

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117 &
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0092

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0093

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017 - 682.117,
				  682.991
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0100 - Complaints

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person may
			 make a complaint verbally or in writing to the Authority regarding an
			 allegation that a licensed ambulance vehicle is in violation of any licensing
			 law.
(2) The identity of a person
			 making a complaint will be kept confidential as permitted by law.
(3) An investigation will be carried out as
			 soon as practicable after the receipt of the complaint in accordance with OAR
			 333-255-0105.
(4) If the complaint
			 involves an allegation of criminal conduct or an allegation that is within the
			 jurisdiction of another local, state or federal agency, the Authority will
			 refer the matter to that agency.
(5) The Authority does not have jurisdiction
			 over and shall not take action on complaints that relate solely to rates
			 charged to a patient transported by a licensed ambulance service in an
			 ambulance.
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 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0105 - Investigations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As soon as
			 practicable after receiving a complaint, taking into consideration the nature
			 of the complaint, Authority staff will begin an investigation.
(2) An ambulance service shall permit
			 Authority staff access to the service agency and ambulance vehicles during an
			 investigation. For purposes of an investigation, giving advanced notice to the
			 licensed ambulance service is not required.
(3) An investigation may include but is not
			 limited to:
(a) Interviews of the complainant,
			 patients of the ambulance service, patient family members, witnesses, ambulance
			 service management and staff;
(b)
			 On-site observations of staff performance and the physical environment of the
			 ambulance service or ambulance vehicle; and
(c) Review of documents and
			 records.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0110 - Survey of Ambulance Vehicle

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 In addition to any investigation conducted under OAR 333-255-0105, the
			 Authority may conduct a survey of an ambulance vehicle for the purpose of
			 evaluating the eligibility of an ambulance service to receive or retain an
			 ambulance vehicle license and to ensure the health, safety, and welfare of the
			 persons who utilize ambulance vehicles.
(2) An ambulance vehicle may be exempt from
			 the survey process if:
(a) An initial survey
			 of the ambulance service was conducted by the Authority previously and the
			 ambulance service license remains active and in good standing;
(b) The ambulance service is accredited by a
			 nationally recognized EMS accreditation program that meets or exceeds Oregon
			 requirements. A copy of the survey report from the nationally recognized EMS
			 accreditation program must be filed with the Authority for approval; or
(c) The ambulance service and
			 ambulance vehicle has undergone a survey from a designee approved by the
			 Authority or a local city or county governmental agency. A copy of the survey
			 report from the local city or county governmental agency or state designee must
			 be filed with the Authority for approval.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 255 - AMBULANCE VEHICLE LICENSING › Section 333-255-0115 - Violations

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to non-compliance with any rules or laws that
				govern an ambulance service or ambulance service vehicle, it is a
				violation:
(1) To make a material
			 omission or misrepresentation of facts on an application for a license or
			 waiver, or in response to an inquiry or investigation. This includes the
			 intentional misrepresentation or misstatement of a material fact, concealment
			 of or failure to make known any material fact or any other means by which
			 misinformation or false impression is knowingly given or deceit in obtaining or
			 attempting to obtain a license or waiver or in any other transaction with the
			 Authority;
(2) To fail to have the
			 appropriate personnel, medical equipment and supplies required for operation at
			 the highest level of service provided when the ambulance vehicle is in
			 operation as prescribed by these rules;
(3) Upon inspection by the Authority, for an
			 ambulance to manifest evidence of a mechanical or equipment deficiency that
			 poses a significant threat to the health or safety of patients or crew;
(4) To fail to produce records for
			 inspection or to permit examination of an ambulance or patient care
			 equipment;
(5) To deface, alter,
			 remove or obliterate any portion of any official entry upon a license,
			 licensing decal, or waiver issued by the Authority; and
(6) For other reasons determined by the
			 Authority to pose a significant threat to the health, safety and well-being of
			 ambulance patients.
Statutory/Other Authority: ORS
				  682.017
Statutes/Other Implemented: ORS
				  682.017 - 682.117 &
				  682.991