reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1800 - Administrative Conferences › Section 61-4.1800.1801 - Authority for Administrative Conferences

Current through Register Vol. 48, No. 6, June 28, 2024
An administrative conference may be ordered or granted by the
				  Director of the Bureau of Drug Control, at his or her discretion, to permit any
				  person against whom criminal and/or civil action is contemplated under the Act
				  an opportunity to present his or her views and his or her proposals for
				  bringing his or her alleged violations into compliance with the law. Such
				  administrative conference will also permit him or her to show cause why
				  prosecution should not be instituted, or to present his or her views on the
				  contemplated proceeding.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1800 - Administrative Conferences › Section 61-4.1800.1802 - Notice; Time and Place

Current through Register Vol. 48, No. 6, June 28, 2024
Appropriate notice designating the time and place for the
				  administrative conference shall be given to the person. Upon request, timely
				  and properly made, by the person to whom notice has been given, the time and
				  place of the administrative conference, or both, may be changed if the request
				  states reasonable grounds for such change. Such request shall be addressed to
				  the Bureau Director who issued the notice.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1800 - Administrative Conferences › Section 61-4.1800.1803 - Conduct of Administrative Conferences

Current through Register Vol. 48, No. 6, June 28, 2024
Presentation of views at an administrative conference under
				  this Subpart shall be private and informal. The views presented shall be
				  confined to matters relevant to bringing violations into compliance with the
				  Act or to other contemplated proceedings under the Act. These views may be
				  presented orally or in writing by the person to whom the notice was given, or
				  by his or her authorized representative.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1901 - Hospital Registration

Current through Register Vol. 48, No. 6, June 28, 2024
All hospitals (except those owned and operated by the federal
				  government) shall be registered with DHEC in controlled substances schedules II
				  through V inclusive.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1902 - Practitioners' Registration

Current through Register Vol. 48, No. 6, June 28, 2024
Physicians and other practitioners who prescribe or order
				  controlled substances for, or administer controlled substances to, patients in
				  a hospital, shall be registered under the provisions of Article 3 of Chapter 53
				  of Title 44 of the 1976 Code.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1903 - Residents' Registration

Current through Register Vol. 48, No. 6, June 28, 2024
A resident may prescribe or order the administration of
				  controlled substances for patients within a hospital or residency training
				  program, provided, that such resident has completed his or her course of study
				  in a recognized college of medicine and has been duly licensed by the Board of
				  Medical Examiners of South Carolina to practice medicine within this state, and
				  has duly registered with DHEC and the DEA under the respective Controlled
				  Substances Acts.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1904 - Responsibility for Controlled Substances

Current through Register Vol. 48, No. 6, June 28, 2024
The administrative head of the hospital as a registrant under
				  the Controlled Substances Act is responsible for the proper safeguarding and
				  handling of controlled substances within the hospital. Responsibility for
				  storage, accountability, and proper dispensing of controlled substances from
				  the pharmacy may be delegated to a pharmacist employed by the hospital.
				  Likewise, the Director of Nursing is usually delegated the authority for proper
				  storage at nursing stations, and use, as directed by physician orders. However,
				  delegation of authority does not relieve the administrator of the hospital of
				  supervisory responsibility to insure detection and correction or any diversion
				  of mishandling. The administrator shall be certain that all possible control
				  measures are observed, and that any suspected diversion or mishandling of
				  controlled substances is reported immediately to the Bureau of Drug Control for
				  investigation. The administrator is ultimately responsible that all thefts be
				  reported to DHEC pursuant to §§410 through 411 of this
				  Regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1906 - Registry Number

Current through Register Vol. 48, No. 6, June 28, 2024
The physician's full name shall appear on the physician's
				  order sheet. The physician's registry number is not required on the sheet, but
				  shall be recorded within the pharmacy or drug room.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1907 - Telephone Orders

Current through Register Vol. 48, No. 6, June 28, 2024
Telephone orders for patients are permissible only in
				  absolute necessity. The nurse receiving the order shall enter it into the
				  patient's medical record, authenticate the practitioner's name, and the nurse's
				  signature. The order for the controlled substance shall be authenticated
				  according to hospital policy.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1908 - Verbal Orders

Current through Register Vol. 48, No. 6, June 28, 2024
Verbal (oral) orders for hospital patients are permitted in a
				  bona fide emergency. Such orders shall be handled in the same manner as
				  telephone orders.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1909 - Controlled Substances Records

Current through Register Vol. 48, No. 6, June 28, 2024
All non-electronic orders and non-electronic records of
				  controlled substances shall be in ink, typed, or indelible pencil. Mechanical
				  or electronic systems may be used to collect and store this data. All data
				  shall be kept in a readily retrievable manner as set forth in §§601,
				  602, 603, 801, and 804 of this regulation. Any mechanical or electronic system
				  shall be designed to retrieve data in such a manner as to show individual
				  controlled substance activity per nursing unit as well as individual controlled
				  substance volume in its entirety. This shall include, but is not limited to,
				  control numbers, date dispensed, identity of the controlled substance,
				  strength, quantity dispensed, and location within the hospital.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1911 - Procedures in Case of Loss, Theft, etc

Current through Register Vol. 48, No. 6, June 28, 2024
(a) Discrepancies in controlled substances
				count: Those involving small amounts (such as single doses) shall be reported
				to a responsible supervisory official. An investigation should be made to
				determine the cause of the loss. A copy of the report of the investigation,
				signed by the responsible supervisor shall be filed with the hospital
				controlled substance records, and appropriate action taken to prevent
				recurrence.
(b) Recurring
				shortages: In cases of recurring shortages or loss of significant quantities of
				controlled substances (several doses), a thorough investigation shall be made,
				making every effort to determine the reason for the shortages, and the person
				responsible for the shortage, if possible. A complete report of the incident
				and findings shall be made to the administrative authority of the hospital.
				Appropriate action shall be taken immediately to prevent recurrence. A copy of
				the report, including any findings resulting from the local investigations, and
				a theft report, as required by §408, shall be forwarded to the Bureau of
				Drug Control, DHEC, 2600 Bull Street, Columbia, SC 29201.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1912 - Controlled Substances of Physician's Office or bag

Current through Register Vol. 48, No. 6, June 28, 2024
It is unlawful for a physician to obtain substances for his
				  or her office or bag use from the controlled substances stock of the hospital.
				  A physician may obtain his or her controlled substances from a drug wholesaler
				  by invoice; Schedule II substances shall be acquired through the use of order
				  forms supplied by the DEA, U. S. Department of Justice (DEA Forms 222). Those
				  hospitals maintaining permitted retail pharmacies, or otherwise licensed as a
				  "drug outlet" by the S.C. Board of Pharmacy, may at their option, furnish
				  controlled substances to practitioners pursuant to the provisions of §1401
				  of this Regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1913 - Dispensing to Outpatients

Current through Register Vol. 48, No. 6, June 28, 2024
It is unlawful for a hospital to dispense controlled
				  substances to outpatients on physicians' orders. Such dispensing shall be done
				  only on the prescription of a duly licensed physician and only from the
				  pharmacy holding a permit as a retail pharmacy of a hospital registered under
				  Article 3 of Chapter 53 of Title 44 of the 1976 Code, and by or under the
				  immediate supervision of a registered pharmacist. With the permission of the
				  hospital, a practitioner may personally dispense limited quantities of
				  controlled substances to their patients for take-home purposes, provided that
				  such substances are properly packaged and labeled as required by provisions
				  elsewhere within this regulation, and in compliance with statutory
				  provisions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1914 - Administering to Outpatients

Current through Register Vol. 48, No. 6, June 28, 2024
Controlled substances may be administered to outpatients or
				  emergency patients when admitted to the emergency room of the hospital when
				  ordered by the physician in charge of the case, provided a record is kept
				  showing the name and address of the patient, kind and quantity of controlled
				  substance administered, date and physician's order. Under no conditions may the
				  patient be given controlled substances to take out of the hospital except as
				  provided in § 1913.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1915 - Emergency Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
The stock of controlled substances maintained in hospital
				  emergency rooms or outpatient facilities is kept for the use by or at the
				  direction of physicians in the emergency room. Therefore, in order to receive
				  such medication, a patient shall be examined by a physician in the emergency
				  room or outpatient facility and the need for the particular controlled
				  substance determined by such physician. It is not possible under federal
				  requirements for the use of controlled substances for a physician to see a
				  patient outside of the emergency room setting, or talk to the patient over a
				  telephone, and then call the emergency room and order the administration of a
				  stocked controlled substance upon the patient's arrival at the emergency
				  facility. Cf., S.C. Code Ann. §
									44-53-110,
				  "administer" ['...in his presence...']; §§1103 and 1204 of this
				  Regulation, requiring personal attendance, etc.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1916 - Storage of Controlled Substances

Current through Register Vol. 48, No. 6, June 28, 2024
All controlled substances shall be kept in a locked, secure
				  place. Large reserve stocks should be kept in a strong safe, substantial enough
				  to deter entry and heavy enough to prevent being carried away. Other valuable
				  property may be kept in the safe provided adequate security of the controlled
				  substances contained therein is maintained. See also §§401 through
				  406, inclusive.
(a) Nursing station
				controlled drug box: Responsibility: Only a very limited number of persons
				should possess the key to the controlled substances on the nursing station.
				When such person(s) are relieved from duty, the person(s) taking charge should
				count and transfer the controlled substances in the presence of the person(s)
				being relieved, and all controlled substances should be accounted for. The
				responsibility rests with the person(s) assigned to possession of the key on
				each shift. The administrator shall be responsible for control of these keys.
				This responsibility may be delegated to the Director of Nursing. Written
				documentation of accountability of controlled substances (i.e., shift change
				nurses' signatures) shall be stored in a readily retrievable manner and
				maintained for a period of not less than two years, after which they may be
				destroyed.
(b) Responsibility of
				drug room: In those hospitals not maintaining a pharmacy under the supervision
				of a registered pharmacist, the drug room shall be restricted to the Director
				of Nurses, a designated assistant, or a designated registered nurse, not more
				than one of whom shall be in possession of the key to the drug room at the same
				time. The nurse in possession of the key to the drug room shall be responsible
				for all transactions in the drug room on his or her respective shift.
				(Observance of (a) and (b) does not relieve the Administrator of his or her
				responsibilities.)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1917 - Availability of Records for Inspectors

Current through Register Vol. 48, No. 6, June 28, 2024
The administrative head of the hospital shall, upon service
				  of an inspection warrant by an inspector of the Bureau of Drug Control, DHEC,
				  or if such administrative head chooses, voluntarily without inspection warrant,
				  (acting pursuant to the informed consent to inspection delineated as a
				  condition of registration upon the application for registration and the
				  registration certificate issued to the registrant by DHEC) make available to
				  such inspector all dispensing and administering records of controlled
				  substances, for the purpose of audit of said controlled substances, as well as
				  records of receipt and disposition of all controlled substances acquired by the
				  hospital. Inspectors shall not divulge information contained on patient records
				  that do not concern controlled substances or other drugs restricted to
				  prescription use only.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1918 - Labeling of Substances. (Schedule II)

Current through Register Vol. 48, No. 6, June 28, 2024
The requirements of §1106 do not apply when a controlled
				  substance listed in schedule II is prescribed for administration to an ultimate
				  user who is institutionalized; Provided, that:
(1) Not more than 7-day supply of the
				controlled substance listed in schedule II is dispensed at one time;
(2) The controlled substance listed in
				schedule II is not in the possession of the ultimate user prior to the
				administration;
(3) The institution
				maintains appropriate safeguards and records regarding the proper
				administration, control, dispensing, and storage of the controlled substances
				listed in schedule II; and
(4) The
				system employed by the pharmacist in filling a prescription is adequate to
				identify the supplier, the product, and the patient, and to set forth the
				directions for use and cautionary statements, if any, contained in the
				prescription or required by law.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1919 - Labeling of Substances. (Schedules III, IV, V)

Current through Register Vol. 48, No. 6, June 28, 2024
The requirements of §1201 do not apply when a controlled
				  substance listed in schedule III or IV is prescribed for administration to an
				  ultimate user who is institutionalized; Provided, that:
(1) Not more than a 30-day supply or 100
				dosage units, whichever is less, of the controlled substance listed in schedule
				III, IV or V is dispensed at one time.
(2) The controlled substance listed in
				schedule III, IV or V is not in the possession of the ultimate user prior to
				administration;
(3) The institution
				maintains appropriate safeguards and records regarding the proper
				administration, control, dispensing and storage of the controlled substance
				listed in schedule III, IV or V; and
(4) The system employed by the pharmacist in
				dispensing a prescription is adequate to identify the supplier, the product,
				and the patient, and to set forth the directions for use and cautionary
				statements, if any, contained in the prescription or required by law.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1920 - Clarification and Intent

Current through Register Vol. 48, No. 6, June 28, 2024
These regulations are considered to be a general but minimal
				  required control level in the opinion of the Bureau of Drug Control, DHEC. More
				  stringent control for the institution in question or special interpretations of
				  these regulations may be approved by a special meeting with the Bureau of Drug
				  Control, and the administrator or designated pharmacy and therapeutics
				  committee of the respective hospital every 3 to 5 years when the need is felt
				  for such clarification. The intent of Part 1900 of this regulation is to insure
				  adequate control and accountability of controlled substances utilized in health
				  care without duly hindering or restraining the delivery of such care.
				  Accountability and an accurate audit at periodic intervals are the crux of the
				  adequate control system.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1921 - Consultation Procedure

Current through Register Vol. 48, No. 6, June 28, 2024
At the request of the institution under examination and/or
				  the Bureau of Drug Control, DHEC, the S.C. Society of Hospital Pharmacists may
				  furnish a recognized local authority on Institutional Medication Delivery and
				  Control Systems to accompany the agent/or inspector and act as a consultant to
				  the institution in question on rectifying flaws in the system under
				  scrutiny.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
A. Abandoned. For
				the purpose of Section 302.B.3.h, unilateral termination by the EMS Personnel
				of the provider-Patient relationship when continuing care was still needed.
				This includes the termination of care without the Patient's consent or without
				assurance that a level of care meeting the assessed needs of the Patient's
				condition is present and available. The provider-patient relationship must have
				been established for abandonment to occur and the event must be without
				extenuating circumstances such as provider safety or patients who act against
				medical advice (AMA).
B. Abuse.
				Physical Abuse or Psychological Abuse.
1.
				Physical Abuse. The act of intentionally inflicting or allowing infliction of
				physical injury on a Patient by an act or failure to act. Physical Abuse
				includes, but is not limited to, slapping, hitting, kicking, biting, choking,
				pinching, burning, actual or attempted sexual battery, use of medication
				outside the standards of reasonable medical practice for the purpose of
				controlling behavior, and unreasonable confinement. Physical Abuse also
				includes the use of a restrictive or physically intrusive procedure to control
				behavior for the purpose of punishment except that of a therapeutic procedure
				prescribed by a licensed physician or other legally authorized healthcare
				professional. Physical Abuse does not include altercations or acts of assault
				between Patients.
2. Psychological
				Abuse. The deliberate use of any oral, written, or gestured language or
				depiction that includes disparaging or derogatory terms to a Patient or within
				the Patient's hearing distance, regardless of the Patient's age, ability to
				comprehend, or disability, including threats or harassment or other forms of
				intimidating behavior causing fear, humiliation, degradation, agitation,
				confusion, or other forms of serious emotional distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.102 - Licensure

Current through Register Vol. 48, No. 6, June 28, 2024
A. No person, firm,
				corporation, association, county, district, municipality, or metropolitan
				government or agency, either as owner, agent, or otherwise, shall furnish,
				operate, conduct, maintain, advertise, or otherwise engage in or profess to
				engage in the business or service of providing emergency medical response or
				Ambulance service, or both, without obtaining a License and Ambulance Permit
				issued by the Department. When it has been determined by the Department that
				services are being provided and the owner, agent, or otherwise has not been
				issued a License from the Department, the owner, agent, or otherwise shall
				cease operation immediately and ensure the safety, health, and well-being of
				Patients. Current and/or previous violations of the South Carolina Code and/or
				Department regulations may jeopardize the issuance of a License or the
				licensing of any party(ies) to provide emergency medical response or Ambulance
				service or both that is owned/operated by the applicable party(ies). An EMS
				Agency shall not operate or advertise that it provides a level of life support
				above the level for which it is licensed. (I)
B. An EMS Agency that applies to the
				Department for any additional initial or amended EMS Agency Licenses shall be
				in substantial compliance with this regulation to obtain any additional initial
				or amended EMS Agency Licenses.
C.
				Issuance and Terms of License.
1. The EMS
				Agency shall ensure the License issued by the Department is posted in a
				conspicuous place in a public area.
2. The EMS Agency's License is not assignable
				or transferable and is subject to Revocation at any time by the Department for
				the EMS Agency's failure to comply with the laws or regulations of this
				state.
3. A License shall be
				effective for a specified EMS Agency, at a specific location, and for a period
				of two (2) years following the date of issue. A License shall remain in effect
				until the Department notifies the EMS Agency of a change in that
				status.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.104 - Emergency Medical Technicians

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				No person may hold himself or herself out as an EMT-basic, AEMT, or Paramedic,
				or provide Patient care that is within the scope of an EMT-basic, AEMT, or
				Paramedic as defined in South Carolina Code Section
				44-61-20
				and this regulation without obtaining a proper Certificate from the Department.
				When it has been determined by the Department that an individual is engaged as
				an EMT-basic, AEMT, or Paramedic, and the individual has not been issued a
				Certificate from the Department, the individual shall cease engaging as an
				EMT-basic, AEMT, or Paramedic immediately. Current and/or previous violation(s)
				of the South Carolina Code of Laws or Department regulations may jeopardize the
				issuance of an EMT-basic, AEMT, and Paramedic Certificate. (I)
B. No person shall provide Patient care
				within the scope of an Emergency Medical Technician (EMT-basic, AEMT, or
				Paramedic) without a current Certificate from the Department. The EMT shall:
				(I)
1. Engage only in those practices for
				which he or she has been trained, within the scope of the Department-issued
				Certificate, and as authorized by the EMS Agency's Medical Control Physician;
				and
2. Perform procedures only
				under the direction and oversight of a Medical Control
				Physician.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.105 - Initial EMT-basic, AEMT, and Paramedic Certification

Current through Register Vol. 48, No. 6, June 28, 2024
A. Applicants for an initial EMT-basic, AEMT,
				or Paramedic Certificate shall submit to the Department a completed application
				on a form prescribed, prepared, and furnished by the Department prior to
				issuance of an initial Certificate. The applicant shall submit, along with the
				application, the following:
1. Documentation
				that he or she has successfully passed the National Registry of Emergency
				Medical Technicians (NREMT) examination for the level of certification desired
				and possesses a current NREMT credential. In lieu of the NREMT credential, the
				Special Purpose EMT applicant shall submit documentation demonstrating that he
				or she is a licensed registered nurse who works in a critical care hospital
				setting;
2. A Criminal History
				Background Check. A person seeking EMT-basic, AEMT, or Paramedic certification
				shall undergo a state criminal history background check supported by
				fingerprints by the South Carolina Law Enforcement Division (SLED) and a
				national criminal history background check supported by fingerprints by the
				Federal Bureau of Investigation (FBI) and report the results of the criminal
				history background check to the Department; and (I)
3. The Department may require additional
				information including affirmative evidence of the applicant's ability to comply
				with this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.106 - Issuance and Terms of Certification

Current through Register Vol. 48, No. 6, June 28, 2024
A. The EMT-basic, AEMT, and Paramedic
				Certificate is issued pursuant to South Carolina Code Sections
				44-61-80
				et seq. and this regulation.
B. The
				EMT-basic, AEMT, and Paramedic Certificate is not assignable or transferable
				and shall be subject to Denial, Suspension, or Revocation by the Department for
				failure to comply with the South Carolina Code of Laws and this
				regulation.
C. The EMT-basic, AEMT,
				and Paramedic Certificate shall be valid for a period not exceeding four (4)
				years from the date of issuance. A Certificate shall remain in effect until the
				Department notifies the EMT-basic, AEMT, or Paramedic of a change in that
				status.
D. EMS Personnel shall at
				all times while on duty or otherwise rendering Patient care have the
				Department-issued identification on their person and available for view upon
				request. Patches from other certifying or licensing agencies are not an
				acceptable substitute.
E. The
				EMT-basic, AEMT, and Paramedic shall maintain current information in the
				Department's credentialing system.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.107 - EMT-basic, AEMT, or Paramedic Certification Renewal

Current through Register Vol. 48, No. 6, June 28, 2024
A. To renew his or her EMT-basic, AEMT, or
				Paramedic Certificate, the EMT-basic, AEMT, or Paramedic shall submit a
				complete application with the Department, on a form prescribed, prepared, and
				furnished by the Department, at least thirty (30) calendar days prior to the
				expiration date of his or her Certificate and shall not have pending
				enforcement actions by the Department. If the Certificate renewal is delayed
				due to enforcement actions, the Certificate renewal shall be issued only when
				the matter has been resolved satisfactorily by the Department or when the
				adjudicatory process is completed, whichever is applicable. The EMT-basic,
				AEMT, or Paramedic shall submit, along with the renewal application, the
				following:
1. Documentation of current NREMT
				credentials for the appropriate level of certification, EMT-basic, AEMT, or
				Paramedic, or documentation that the EMT-basic, AEMT, or Paramedic was
				certified by the Department prior to October 1, 2006, and has continuously
				maintained Certification. In lieu of the NREMT credential, the Special Purpose
				EMT shall submit documentation demonstrating he or she is a licensed registered
				nurse who works in a critical care hospital setting;
2. A state and national criminal history
				background check pursuant to S.C. Code Section
				44-61-80(D);
				and
3. Department-approved CPR
				credential for all EMTs and Department-approved Advanced Cardiac Life Support
				(ACLS) credential for all Paramedics.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.108 - Special Purpose EMT

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				Special Purpose EMT certified by the Department prior to the effective date of
				the most recent regulatory amendment shall be considered grandfathered in terms
				of their Certification and shall be recognized as a Special Purpose EMT so long
				as he or she possesses a current Certificate issued by the Department, renews
				his or her Certificate pursuant to Section 107 of this regulation, and
				maintains employment in an EMS Agency.
B. The Special Purpose EMT shall only engage
				in those practices for which he or she has been trained.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.109 - Reciprocity

Current through Register Vol. 48, No. 6, June 28, 2024
A. Candidates
				seeking reciprocity in South Carolina as an EMT-basic, AEMT, or Paramedic
				shall:
1. Hold either an NREMT credential or
				a current certification from another state for the level for which they are
				applying; and
2. Complete the
				criminal history background check in accordance with S.C. Code Section
				44-61-80(D)
				and pursuant to Section 105.A.2.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.110 - Certification Examinations

Current through Register Vol. 48, No. 6, June 28, 2024
Applicants for an EMT-basic, AEMT, and Paramedic Certificate
				  shall successfully complete a Department-approved training program that meets
				  or exceeds the NREMT standards for the desired level of certification. After
				  completion of the training program and prior to certification, the applicant
				  shall successfully pass the NREMT cognitive and the Department-approved
				  psychomotor examinations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.111 - Training Programs. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Training programs are offered in approved technical colleges, other colleges
				and universities, vocational schools, and State Regional EMS training offices.
				No training program shall advertise as an EMT-basic, AEMT, or Paramedic
				training program or conduct EMT-basic, AEMT, or Paramedic training prior to
				approval as a training program from the Department. The training program
				applicant shall:
1. Submit a complete
				application to the Department in a format determined by the Department.
				Training program applicants shall submit documentation of accreditation as
				required by the NREMT with their application to the Department;
2. Designate one (1) person as the EMT-basic,
				AEMT, or Paramedic program coordinator; and
3. Have equipment for training purposes as
				approved by the Department available and in working condition.
4. The provisions of this Section shall not
				affect training programs approved by the Department as of the date of this
				regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.112 - Certified EMT-basic, AEMT, and Paramedic Instructors

Current through Register Vol. 48, No. 6, June 28, 2024
A. All EMT-basic, AEMT, and Paramedic
				instructors shall be certified by the Department prior to providing any
				instruction in a training program and meet the following requirements:
1. Submit a complete and signed certified
				EMT-basic, AEMT, or Paramedic instructor application in a format as determined
				by the Department;
2. Have three
				(3) years' experience at the level for which he or she intends to
				teach;
3. Possess a high school
				diploma or GED;
4. Possess a
				current state EMT-basic, AEMT, or Paramedic Certificate. The certified
				EMT-basic, AEMT, or Paramedic instructor shall only teach at or below the level
				of his or her Certificate level;
5.
				Successfully complete a forty (40) hour instructor methodology course offered
				by the National Association of EMS Educators (NAEMSE), International Fire
				Service Accreditation Congress (IFSAC), ProBoard or Department of Defense (DOD)
				fire instructor, South Carolina Criminal Justice Academy, or other
				Department-approved course; and
6.
				Possess a current and valid CPR instructor credential.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.113 - Continuing Education (CE) Program. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. No EMS Agency shall begin or conduct a CE
				Program prior to receiving approval by the Department. EMS Agencies seeking
				approval for a CE program shall file an application with the Department in a
				format as determined by the Department.
B. The EMS Agency's CE Program approval shall
				be effective for no more than four (4) years. The CE Program shall submit a
				renewal application in a format as determined by the Department prior to the
				expiration date of the Department's approval.
C. The EMS Agency shall ensure all CE
				Programs meet the requirements established by the NREMT for
				recertification.
D. CE Programs may
				verify skills for currently credentialed state and NREMT personnel on their
				roster. Provisional credentialed EMTs must have their NREMT skills verified at
				a Department-approved NREMT testing site.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.114 - Continuing Education Units (CEUs)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Department may approve additional CEUs
				on a case-by-case basis from medical schools, hospitals, simulation centers,
				formal conventions, seminars, workshops, educational classes, symposiums, and
				other Department approved continuing education events.
B. Applicants for CEUs shall submit requests
				in writing for approval from the Department at least thirty (30) calendar days
				prior to the scheduled event.
C.
				The written requests for approval shall include the following:
1. Date, time, and agenda of the
				event;
2. Topics covered;
				and
3. List of speakers and their
				credentials.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.115 - Pilot Programs

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				EMS Agency that wishes to initiate a pilot program shall provide in writing to
				the Department a detailed proposal of the program and any supporting materials
				requested by the Department. The South Carolina Medical Control Committee and
				the South Carolina EMS Advisory Council shall provide a written recommendation
				to the Department.
B. The EMS
				Agency shall not initiate a pilot program without prior written approval by the
				Department. (I)
C. The EMS Agency,
				approved by the Department to initiate a pilot program, shall ensure
				participating EMT-basics, AEMTs, and Paramedics perform the pilot procedures
				under their Medical Control Physician's oversight during the period of the
				pilot program.
D. The EMS Agency
				shall present a detailed report to the Medical Control Committee and EMS
				Advisory Council upon the conclusion of the pilot program which includes all
				information requested by the approving committees.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.116 - Endorsement of Specialty Credentials

Current through Register Vol. 48, No. 6, June 28, 2024
A. A Department-endorsed specialty credential
				may include, but is not limited to, the following areas of specialized
				training:
1. Community Paramedic;
2. Critical Care Paramedic; and
3. Tactical Paramedic.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.117 - Certification Patches

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				individual initially certified in South Carolina at any level shall receive a
				complimentary patch for the level which he or she received his or her
				certification.
B. Additional
				patches may be purchased for individuals for services which meet the following
				criteria:
1. The individual holds a current
				South Carolina certification; or
2.
				The individual is an EMS agency director, logistics officer, or training
				officer and is purchasing patches in bulk for his or her service.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.100 - DEFINITIONS, LICENSURE, AND CERTIFICATION › Section 61-7.100.118 - Variance

Current through Register Vol. 48, No. 6, June 28, 2024
An EMS Agency, EMT-basic, AEMT, Paramedic, training program,
				  or instructor may request a Variance to a provision or provisions of this
				  regulation in a format specified by the Department. Variances shall be
				  considered on a case-by-case basis by the Department. The Department may revoke
				  issued Variances as determined to be appropriate by the
				  Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.200 - ENFORCEMENT OF REGULATIONS › Section 61-7.200.201 - Inspections and Investigations. (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The EMS Agency is subject to Department
				inspections prior to initial licensing and subsequently as deemed appropriate
				by the Department.
B. All EMS
				Agencies, permitted Ambulances, equipment, and vehicles, EMTs, training
				programs, and instructors are subject to inspection by individuals authorized
				by the Department at any time without prior notice. The EMS Agency, EMT,
				training program, and instructor shall provide the Department all requested
				records and documentation in the manner and within the timeframe specified by
				the Department.
C. The EMS Agency
				shall maintain records that include approved Patient care report forms,
				employee or member rosters, or both, and training records. The EMS Agency shall
				grant individuals authorized by the Department access to all properties and
				areas, objects, requested records, and documentation at the time of the
				inspection or investigation. The EMS Agency shall provide the Department with
				photocopies of documentation and records required in the course of inspections
				or investigations for the purpose of enforcement of regulations. The Department
				shall maintain confidentiality of the documentation in accordance with South
				Carolina Code Section
				44-61-160.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.200 - ENFORCEMENT OF REGULATIONS › Section 61-7.200.202 - Plan of Correction

Current through Register Vol. 48, No. 6, June 28, 2024
When the Department cites a violation of this regulation, the
				  EMS Agency, EMT-basic, AEMT, or Paramedic, Training Program, or EMT-basic,
				  AEMT, or Paramedic Instructor shall submit an acceptable plan of correction in
				  a format determined by the Department. The EMS Agency, EMT-basic, AEMT, or
				  Paramedic, Training Program, or EMT-basic, AEMT, or Paramedic Instructor shall
				  ensure:
A. The plan of correction is
				signed by the EMS Agency administrator or individual and returned by the date
				specified on the report of inspection or investigation.
B. The plan of correction describes: (II)
1. The actions taken to correct each cited
				deficiency;
2. The actions taken to
				prevent recurrences (actual and similar); and
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.200 - ENFORCEMENT OF REGULATIONS › Section 61-7.200.203 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations may be provided by the Department as requested
				  by the Licensee or Certificate holder, or as deemed appropriate by the
				  Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.300 - ENFORCEMENT ACTIONS › Section 61-7.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may suspend a License pending an investigation
				  of an alleged violation or complaint. The Department may impose a civil
				  monetary penalty up to five hundred dollars ($500.00) per offense per day to a
				  maximum of ten thousand dollars ($10,000.00), revoke, or Suspend the License if
				  the Department finds that an EMS Agency has:
1. Allowed uncertified personnel to perform
				Patient care;
2. Falsified forms or
				documentation as required by the Department;
3. Failed to maintain required equipment as
				evidenced by past compliance history;
4. Failed to maintain a Medical Control
				Physician;
5. Failed to maintain
				equipment in working order; or
6.
				Failed to respond to a call within the EMS Agency's service area without
				providing for response by an alternate service provider.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.300 - ENFORCEMENT ACTIONS › Section 61-7.300.303 - Investigative Review Committee

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may convene, at its discretion, the
				  Investigative Review Committee when the findings of an official investigation
				  against an entity or an individual regulated by the Department may warrant
				  Suspension or Revocation of a License or Certificate. This committee shall
				  consist of the State Medical Control Physician, three (3) regional EMS office
				  representatives, at least one (1) Paramedic, and at least one (1) emergency
				  room physician who is also a Medical Control Physician.