reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 175 - FOOD HANDLER TRAINING › Section 333-175-0111 - General

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Upon request by
			 the Oregon Health Authority or a Local Public Health Authority, a licensee of a
			 facility licensed under ORS 624.020 or 624.320 shall make available the
			 certificate of program completion for each food handler in the licensed
			 facility. For purposes of complying with this rule, the licensee may keep
			 photocopies of the food handler certificates of program completion.
(2) If a food handler uses their food manager
			 training program certification in lieu of a food handler certificate of program
			 completion, the licensee shall make available to the inspecting authority the
			 food handler's food manager training certification.
(3) Consistent with civil rights and
			 disability laws, all program providers will make reasonable accommodations for
			 training workers with disabilities, including the issuing of restricted
			 certificates of program completion, and providing culturally, developmentally,
			 and linguistically appropriate training.
(4) The Local Public Health Authority that
			 approves a Designated Agent must provide the Oregon Health Authority with the
			 name, address and telephone number of the individual or organization that has
			 been approved. Such notification must be in writing and must occur before the
			 Designated Agent can commence training and/or certification of food
			 workers.
Stat. Auth.: ORS 624.570
Stats. Implemented: ORS
				  624.570
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0000 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of these rules is to establish the procedures and
				standards for the development and maintenance of a comprehensive statewide
				trauma system as set forth under ORS
				431A.050 through
				431A.105.
Statutory/Other Authority: ORS
				  431A.065
Statutes/Other Implemented: ORS
				  431A.050  - 431A.105
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0020 - Objectives of the Trauma System

Current through Register Vol. 63, No. 7, July 1, 2024
The objective of the statewide trauma system is to reduce
				deaths and disabilities which result from traumatic injuries by:
(1) Identifying the causes of traumatic
			 injuries and recommending, promoting, and coordinating prevention
			 activities;
(2) Developing a
			 statewide trauma system plan to assure timely, quality, definitive care through
			 coordinated identification, transportation and treatment of trauma patients:
(a) The statewide trauma system plan shall be
			 composed of seven area plans; and
(b) Each area trauma system plan shall
			 consist of policies, procedures, and protocols which address each of the
			 following trauma system components:
(A)
			 Communication and dispatch;
(B)
			 Responders and prehospital response times;
(C) Medical direction and
			 treatment;
(D) Triage and
			 transportation;
(E) Hospital
			 resources;
(F) Inter-hospital
			 transfers;
(G)
			 Rehabilitation;
(H) Quality
			 improvement;
(I) Education and
			 research;
(J) Prevention;
			 and
(K) Disaster
			 management.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0030 - State Trauma Advisory Board Functions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The STAB is established in accordance
			 with ORS
			 431A.055.
(2) The STAB shall:
(a) Advise the Authority with respect to the
			 development of a comprehensive emergency medical services and trauma system
			 including meeting the objectives established in OAR 333-200-0020;
(b) Advise the Authority on the adoption of
			 rules, policies, and procedures regarding the trauma system;
(c) Analyze data related to prevention of
			 injuries, monitoring of the trauma system and recommend improvements where
			 indicated; and
(d) Suggest
			 improvements to the emergency medical services and trauma system.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0035 - State Trauma Advisory Board Appointments

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The STAB shall consist of a minimum of 18
			 members. At least 17 voting members shall be appointed by the director of the
			 Authority. The chairperson of the State Emergency Medical Services Committee,
			 or the chairperson's designee, shall be a nonvoting member. Members shall
			 represent each of the seven ATABs. A STAB member may also be a member of an
			 ATAB.
(2) Members shall be chosen
			 in accordance with the provisions of ORS
			 431A.055.
(3) Voting members serve a four
			 year term, but voting members serve at the pleasure of the director of the
			 Authority. Members may be reappointed.
(4) The STAB may recommend to the Authority
			 that:
(a) Membership be expanded to improve
			 coordination of the trauma care system; and
(b) Provider specialty positions are
			 considered for board appointment.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0040 - Trauma System Areas

Current through Register Vol. 63, No. 7, July 1, 2024
The Authority has established seven trauma system areas
				utilizing county lines, zip codes, township and range, and roads for the
				purpose of developing, implementing and monitoring the trauma system and not
				for the purpose of restricting patient referrals. The trauma system areas are
				illustrated in Exhibit 1 and are:
(1)
			 Area 1: Clackamas County; Clatsop County; Columbia County; Multnomah County;
			 Tillamook County (except zip codes 97122, 97135 and 97149); Washington County;
			 and Yamhill County (zip codes 97115, 97119, 97123, 97132, 97140 and 97148
			 only);
(2) Area 2: Benton County;
			 Lincoln County; Linn County; Polk County; Marion County; Tillamook County (zip
			 codes 97122, 97135 and 97149 only); and Yamhill County (except zip codes 97115,
			 97132 and 97148);
(3) Area 3: Coos
			 County; Curry County (zip codes 97450, 97465, and 97476 only); Douglas County;
			 and Lane County;
(4) Area 5: Curry
			 County (zip codes 97406, 97415 and 97444 only); Jackson County; and Josephine
			 County;
(5) Area 6: Gilliam County;
			 Hood River County; Sherman County; and Wasco County (except zip codes 97001,
			 97057 and 97761);
(6) Area 7: Crook
			 County; Deschutes County; Grant County; Harney County; Jefferson County;
			 Klamath County; Lake County; Wasco County (zip codes 97001, 97057 and 97761
			 only); and Wheeler County; and
(7)
			 Area 9: Baker County, Malheur County, Morrow County; Umatilla County; Union
			 County; and Wallowa County.
Exhibits referenced are not included in rule text.
Click here for PDF copy of
				  exhibit(s)
.
Statutory/Other Authority: ORS
				  431A.065
Statutes/Other Implemented: ORS
				  431A.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0050 - Area Trauma Advisory Board Functions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Area Trauma Advisory Boards (ATAB) are
			 established in accordance with ORS
			 431.613;
(2) Each ATAB shall:
(a) Act as liaison between the providers and
			 general public in their area and the STAB and the Authority for exchanging
			 information about trauma system issues and developing an area-wide
			 consensus;
(b) Advise the STAB and
			 the Authority on the adoption of rules, policies and procedures regarding area
			 trauma system plans;
(c) Recommend
			 to the Authority an area trauma system plan which meets the standards and
			 objectives of these rules;
(d)
			 Participate in the promotion and function of the implemented area trauma system
			 plan by making recommendations to the Authority and the area trauma care
			 providers; and
(e) Provide an
			 annual report to the Authority which describes a review and any recommended
			 modifications of the area trauma system plan.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0060 - Area Trauma Advisory Board Appointments

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each ATAB shall consist of at least 15
			 members who shall be broadly representative of the trauma area as a
			 whole.
(2) Appointments to the
			 ATABs shall be in accordance with the provisions of ORS
			 431A.070.
(3) Terms of appointment for ATAB members
			 shall be as follows:
(a) Terms shall be for a
			 period of three years;
(b)
			 Vacancies shall be filled by appointment by the Authority in concurrence with
			 the Governor;
(c) Members may serve
			 unlimited terms at the discretion of the Authority; and
(d) Members are subject to removal with cause
			 by the Authority.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0070 - Approval of Area Trauma System Plans

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each ATAB shall recommend to the
			 Authority an area trauma system plan and, when deemed necessary by the
			 Authority or the ATAB, modifications to the plan.
(2) Area trauma system plans shall meet the
			 minimum standards established in OAR 333-200-0080.
(3) The Authority may grant waivers from one
			 or more standards contained in OAR 333-200-0080, in an area trauma system plan
			 if the ATAB can demonstrate, or the Authority finds that compliance with such
			 standards is inappropriate because of special circumstances which would render
			 compliance unreasonable, burdensome or impractical. Such waivers may be limited
			 in time or may be conditioned as necessary to protect the public
			 welfare.
(4) The Authority shall
			 seek the advice of the STAB concerning the approval of area trauma system plans
			 and approval of subsequent proposals for major modifications.
(5) All approved area trauma system plans
			 shall be considered the standard of care for the area covered by the
			 plan.
(6) Each ATAB shall review
			 its area trauma system plan at least once every five years and submit to the
			 Authority:
(a) A copy of the plan;
			 and
(b) A description of any
			 proposed changes including a statement about why such changes are
			 necessary.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0080 - Standards for Area Trauma System Plans

Current through Register Vol. 63, No. 7, July 1, 2024
Area trauma system plans shall describe how each of the
				following standards are met or exceeded. Interpretation and implementation of
				the standards as set forth in this rule shall be in general accordance with the
				guidelines of the Resources for Optimal Care of the Injured Patient: Committee
				on Trauma, American College of Surgeons, 2014. For the purposes of section (4)
				of this rule, interpretation and implementation of standards shall be in
				general accordance with the Guidelines for Field Triage of Injured Patients,
				Recommendations of the National Expert Panel on Field Triage, 2011; Centers for
				Disease Control and Prevention, MMWR, January 13, 2012, Vol. 61, No. 1:
(1) Communications and Dispatch:
(a) System access: Residents and visitors in
			 a communications coverage area shall be able to access emergency medical
			 services by calling 9-1-1 as set forth in ORS
			 403.115;
(b) Dispatch response: Dispatchers for
			 emergency medical care providers shall have protocols which include pre-arrival
			 patient care instructions and which require the dispatch of the appropriate
			 level of available responding units (basic or advanced life support) based on
			 medical need;
(c) Special
			 Resources: All emergency medical services dispatchers shall maintain an
			 up-to-date list of available law enforcement agencies, fire departments, air
			 and ground ambulance services, quick response units that respond to an ill or
			 injured person to provide initial emergency medical care prior to
			 transportation by an ambulance and special responders for extrication, water
			 rescue, hazardous material incidents and protocols for their use;
(d) Prehospital/Hospital: Ambulances shall
			 have either a UHF or VHF radio that will provide reliable communications
			 between the ambulance and central dispatch, the receiving hospital, and online
			 medical direction. If the information has to be relayed through the dispatching
			 agency, that agency shall be responsible to relay patient information to the
			 hospital; and
(e) Training: There
			 shall be training and certification standards for all tele-communicators that
			 process telephone requests for or dispatch emergency care providers. The
			 authorization to establish these standards is the responsibility of the
			 Department of Public Safety Standards and Training in accordance with ORS
			 181.640.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0090 - Trauma Hospital Approval and Categorization

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority shall approve trauma system
			 hospitals by levels of care capability as defined by the standards contained in
			 Exhibit 4 and by any criteria contained in the approved area plan. Approval
			 will be renewed every three years if the hospital submits an application for
			 renewal, and if the Authority's review finds that the hospital continues to
			 meet the prescribed standards in Exhibit 4.
(2) Upon determining the level of a
			 hospital's trauma care capability and whether prescribed hospital resource
			 standards have been met in accordance with OAR 333-200-0080, the Authority
			 shall categorize a trauma system hospital as a Level I, Level II, Level III or
			 Level IV trauma hospital. A trauma hospital may also be categorized as a Level
			 I or Level II Pediatric Trauma Center and must meet prescribed pediatric trauma
			 care standards in Exhibit 4. The Authority may accept ACS verification in
			 accordance with OAR 333-200-0250.
(3) For area trauma system plans prescribing
			 categorization of hospitals, the Authority shall approve all hospitals which
			 meet the standards of the area trauma system plan.
(4) For area trauma system plans prescribing
			 designation of hospitals, the Authority shall approve selected hospitals which
			 meet the standards of the area trauma system plan. The Authority shall select
			 hospitals based on the assessment that the best interests of the patients of
			 the area are served by the particular applicant and expected patient volume.
			 Competing applicants shall be judged on the on-site survey assessments of which
			 hospital(s) provides the highest quality of compliance with the standards in
			 Exhibit 4.
(5) A trauma system's
			 hospital categorization may be transferable to a successor operator if the
			 successor provides written acknowledgment that the successor will comply with
			 all of the responsibilities and obligations imposed upon the transferor and
			 under these rules including probationary status, and the successor agrees to be
			 substituted in pending proceedings regarding the approval status. The Authority
			 may decline, at its discretion, to transfer approval if it reasonably believes
			 the successor cannot meet the standards, rules, policies or protocols set forth
			 in the approved area plan.
(6) A
			 trauma system hospital may, without cause, terminate its trauma system hospital
			 status upon 90-days written notice to the Authority and the ATAB's list of
			 interested parties.
To view tables referenced in rule text, click here to view
				  rule.
To view tables referenced in rule text,
click here to view
				  rule
.
Statutory/Other Authority:
ORS
				  431A.065
Statutes/Other Implemented:
ORS
				  431A.060,
				  431A.065  & 431A.090
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0235 - Trauma Hospital Application

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Application for a hospital to be categorized as a Level I, II, III or IV trauma
			 hospital shall be submitted in writing on a form prescribed by the
			 Authority.
(2) The application
			 process shall provide for at least 60 days in which to complete and submit
			 proposals to the Authority with all supporting information and
			 documents.
(3) The Authority's
			 evaluation of the application shall include:
(a) A review of the hospital's proposal by
			 the Authority or survey team; and
(b) A survey conducted by the Authority and
			 survey team of the hospital in accordance with OAR 333-200-0245.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0245 - Trauma Survey and Survey Team

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority shall conduct an on-site
			 survey using a survey team composed of persons selected by the
			 Authority.
(2) Notwithstanding
			 section (1) of this rule, the Authority, in its discretion may conduct a survey
			 without visiting the hospital in person and instead conduct the survey using
			 alternative survey methods including but not limited to electronic and
			 telecommunication technologies such as video communication, teleconference,
			 landline and wireless communications for:
(a)
			 Any renewal of an existing categorization as a Level I,II, III or IV trauma
			 hospital; or
(b) Any application
			 evaluation, review, re-survey or other process which requires a survey during a
			 Governor-declared emergency, disease outbreak, disaster or other event that
			 impacts local governments, the private sector or the public.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0250 - Hospitals Seeking Verification from American College of Surgeons

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Notwithstanding
			 OAR 333-200-0235  and 333-200-0245, a hospital seeking verification from the
			 American College of Surgeons (ACS) shall submit the following information to
			 the Authority:
(a) Notification of intent to
			 seek verification;
(b) Notification
			 of the date and time of the site visit to be conducted by ACS;
(c) A copy of the ACS Preview Review
			 Questionnaire; and
(d) Any
			 additional information necessary to determine compliance with state specific
			 standards.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0255 - Waivers

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority
			 may grant waivers from standards that are established in OAR 333-200-0080, OAR
			 333-200-0265  or Exhibit 4. Such waivers may be limited in time or may be
			 conditioned as the Authority considers necessary to protect the safety and
			 welfare of the public.
(2) If a
			 hospital seeks a waiver to the Authority's rules, it must submit a request in
			 writing that includes, at a minimum, the following information:
(a) The specific rule for which a waiver is
			 requested;
(b) The special
			 circumstances relied upon to justify the waiver;
(c) Any alternatives that were considered and
			 the reasons those alternatives were not selected;
(d) How the proposed waiver will maintain or
			 improve patient health and safety without jeopardizing patient health and
			 safety; and
(e) The proposed
			 duration of the waiver.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0265 - Trauma System Hospital Responsibilities

Current through Register Vol. 63, No. 7, July 1, 2024
A trauma system hospital shall:
(1) Be responsible for all expenses incurred
			 by the hospital in planning, developing and participating in the trauma system,
			 including attorney fees and costs;
(2) Be responsible for all expenses incurred
			 when a re-survey of the hospital is conducted by the Authority or its
			 designee(s);
(3) Comply with all
			 requirements in these rules, all current state and area trauma system
			 standards, and all policies, protocols and procedures as set forth in the
			 approved area trauma system plan;
(4) Comply with any reasonable survey process
			 that the Authority may utilize including but not limited to submission of
			 information such as attestations, electronic medical records, and other
			 documents determined necessary by the Authority to evaluate the hospital's
			 trauma program;
(5) Meet or exceed
			 the standards for hospital resources as set forth in Exhibit 4 and hospital
			 activation and transfer criteria as set forth in Exhibits 3 and 5;
(6) Provide the resources, personnel,
			 equipment and response required by these rules;
(7) Provide care to trauma system patients
			 which is consistent with the standards advocated by the Advanced Trauma Life
			 Support Course, American College of Surgeons, Committee on Trauma;
(8) Report to the Oregon Trauma Registry all
			 required data as set forth in the Oregon Trauma Registry Abstract Manual for
			 each and every trauma patient as defined in these rules:
(a) Data must be reported within 60 days of
			 death or discharge of that patient; and
(b) Data shall be submitted in electronic
			 media using a format prescribed by the Authority.
(c) The Authority may, at its sole
			 discretion, permit data submission by alternative means where use of the
			 Authority's prescribed format would impose a severe hardship on the reporting
			 institution.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0275 - Authority Responsibilities

Current through Register Vol. 63, No. 7, July 1, 2024
When requested, the Authority shall provide statistical reports
				in formats prescribed by the Authority in consultation with the STAB, to the
				STAB and ATAB Quality Improvement Committees within 90 days of the close of the
				calendar quarter following receipt of the data submitted pursuant to OAR
				333-200-0265(8).
Statutory/Other Authority: ORS
				  431A.065
Statutes/Other Implemented: ORS
				  431A.065
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0285 - Violations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) No person,
			 emergency medical service, medical clinic, or hospital shall by any means
			 advertise, assert, represent, offer, provide or imply that such person,
			 service, clinic or hospital is a trauma system hospital or has the capabilities
			 for providing treatment to trauma patients beyond the status for which the
			 approval has been granted.
(2) No
			 trauma system hospital shall in any manner advertise or publicly assert that
			 its trauma approval affects the hospital's care capabilities for non-trauma
			 system patients, nor that the approval should influence the referral of
			 non-trauma system patients.
(3)
			 Where a hospital is greater than three months in arrears in reporting required
			 trauma patient data, the Authority may contract with an independent data
			 collection and abstraction service to perform the data collection. The
			 Authority shall assess the trauma system hospital for all costs associated with
			 such collection of required data.
Statutory/Other Authority: ORS
				  431A.065
Statutes/Other Implemented: ORS
				  431A.060,
				  431A.065  & 431A.090
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0295 - Enforcement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Following a
			 survey, a member of the survey team may conduct an exit conference with the
			 applicant or his or her designee. During the exit conference, a survey team
			 member shall:
(a) Inform the applicant or
			 designee of the preliminary findings of the survey; and
(b) Give the person a reasonable opportunity
			 to submit additional facts or other information to the surveyor in response to
			 those findings.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 200 - EMERGENCY MEDICAL SERVICES AND SYSTEMS › Section 333-200-0300

Current through Register Vol. 63, No. 7, July 1, 2024
Exhibits referenced are not included in rule text.
Click here for PDF copy of
				  exhibit(s)
.
Stat. Auth.: ORS
				  431.611
Stats. Implemented: ORS
				  431.611
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 205 - TRAUMA SYSTEM HOSPITAL DESIGNATION IN TRAUMA AREA # 1 › Section 333-205-0000 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules establish standards for the approval and
				designation of Level I trauma system hospitals in Trauma Area #1. These rules
				establish standards in addition to OAR
				333-200-0000  through
				333-200-0295. For all standards addressed in both OAR
				333-200-0000  through
				333-200-0295  and
				333-205-0000  through
				333-205-0050,
				the rules contained in OAR
				333-205-0000  through
				333-205-0050 shall apply.
Stat. Auth: ORS
				  431.611
Stats. Implemented: ORS
				  431.575 -
				  431.635
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 205 - TRAUMA SYSTEM HOSPITAL DESIGNATION IN TRAUMA AREA # 1 › Section 333-205-0010 - Designation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The designation
			 method of selecting Level I trauma system hospitals shall be implemented in
			 accordance with the provisions of OAR 333-200-0090(1) and (4), 333-200-0235,
			 and 333-200-0245.
(2) Written
			 notification of the trauma system hospital designation shall be provided to the
			 applicant by the Division. An applicant shall have 30 days from the receipt of
			 notification of non-designation to file a request with the Division for
			 reconsideration.
Stat. Auth: ORS
				  431.611
Stats. Implemented: ORS
				  431.609,
				  431.611 &
				  431.627
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 205 - TRAUMA SYSTEM HOSPITAL DESIGNATION IN TRAUMA AREA # 1 › Section 333-205-0020 - Hospital Resource Criteria

Current through Register Vol. 63, No. 7, July 1, 2024
Trauma system hospitals shall meet or exceed the standards for
				Hospital Resources as set forth in OAR 333-200-0090, Exhibit 4.
Exhibits referenced are not included in rule text.
Click here for PDF copy of
				  exhibit(s)
.
Statutory/Other Authority:
ORS
				  431.611
Statutes/Other Implemented:
ORS
				  431.609,
				  431.611  & 431.627
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 205 - TRAUMA SYSTEM HOSPITAL DESIGNATION IN TRAUMA AREA # 1 › Section 333-205-0040 - Number of Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division shall designate a sufficient number of Level I trauma system hospitals
			 to assure resources within ATAB 1 are routinely available to treat at least
			 four major trauma patients within a 90-minute time period. Major trauma means
			 serious injury caused by external forces which results in death or an injury
			 severity score of 16 or greater, a three day hospital length of stay, or
			 requires intensive care admission or major surgical procedure within six hours
			 of hospital admission.
(2) The
			 Division shall designate a maximum of two Level I hospitals and shall not
			 designate any Level III or Level IV hospitals in Clackamas, Multnomah and
			 Washington Counties.
Stat. Auth: ORS
				  431.611
Stats. Implemented: ORS
				  431.609,
				  431.611 &
				  431.627
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 205 - TRAUMA SYSTEM HOSPITAL DESIGNATION IN TRAUMA AREA # 1 › Section 333-205-0050 - Hospital Designation Criteria

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Division shall utilize criteria as set forth in OAR 333-200-0090(4)  and
			 may, in addition, utilize the following criteria for selecting trauma system
			 hospitals:
(a) Locations of major trauma
			 incidents; and
(b) Geographical
			 barriers which impede air or ground transportation.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0000 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS 682.015 & 682.215
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 333-250-0010 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0020 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0030 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0040 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0041 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0042

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0043 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0044

Current through Register Vol. 63, No. 7, July 1, 2024
Exhibits referenced are not included in rule text.
Click here for PDF
				  copy of exhibit(s)
.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0046 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0047 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0050 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0060 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0070 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0080 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0085 - 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0200 - Effective Date and Preemption

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 No person shall operate an ambulance service unless issued an ambulance service
			 license by the Oregon Health Authority, Public Health Division.
(2) These rules preempt any local ambulance
			 ordinances and county ambulance service area plans that are in conflict. This
			 rule does not prevent a city or county from establishing requirements more
			 stringent than those set forth in these rules.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0205 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Advertise"
			 means to communicate information to the public, or to any person concerned, by
			 any oral, written, or graphic means including, but not limited to, pamphlets,
			 newspapers, television, billboards, radio, Internet and telephone
			 directories.
(2) "Agent" has the
			 same meaning given that term in OAR 847-035-0001.
(3) "Ambulance" or "ambulance vehicle" means
			 any 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.
(4) "Ambulance-based clinician":
(a) 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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0210 - Application for an Ambulance Service License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person who furnishes, operates,
			 conducts, maintains, advertises, engages in, proposes to engage in, or
			 professes to engage in the provision of ambulance service must be licensed by
			 the Authority and comply with ORS chapter 682; OAR chapter 333, division 255
			 and these rules before offering such service to the public.
(2) An applicant for an ambulance service
			 license must:
(a) Possess at least one
			 ambulance, facilities, equipment, and a communications system meeting the
			 requirements of these rules and OAR chapter 333, division 255;
(b) Have adequate staffing that supports the
			 type of service, local call volume and the needs of the area as approved by the
			 Authority; and
(c) Comply with all
			 applicable state and federal regulations if laboratory tests are conducted by
			 the ambulance service.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0215 - Review of License Application

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 In reviewing an application for a license to operate an ambulance service, the
			 Authority shall:
(a) Verify compliance with
			 ORS chapter 682; ORS 820.300 through ORS
			 820.380; OAR chapter 333,
			 division 255; OAR 847-035-0020  through 0025 and these rules; and
(b) Conduct an on-site licensing survey in
			 accordance with OAR 333-250-0370.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0220 - Approval of License Application

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Authority shall notify an applicant in writing if a license application is
			 approved and include instructions on how to access the license
			 electronically.
(2) A license shall
			 be conspicuously displayed in the main business office of the ambulance
			 service, or as otherwise directed by the Authority.
(3) An ambulance service license shall be
			 issued only to the owner of the ambulance service named in the application and
			 shall not be transferable to any other person, governmental unit, or ambulance
			 service.
(4) Except when
			 specifically exempted by ORS
			 682.035, an out-of-state
			 ambulance service that operates or advertises in Oregon must be licensed by the
			 Authority. An out-of-state ambulance service is not required to obtain an
			 ambulance service license and ambulance license for the following situations:
(a) Transporting a patient through the
			 state;
(b) Delivering a patient to
			 a medical facility or other location within the state, if the beginning of the
			 transport originated outside of the state;
(c) Picking up a patient at a medical
			 facility or airport within the state for the purpose of transporting the
			 patient to a medical facility or other location outside of the state, unless
			 prohibited by the county's Ambulance Service Area plan; or
(d) In the event of a man-made or natural
			 disaster declared by federal, state or local officials and resulting in the
			 need to utilize all available resources to provide patient care and
			 transportation in the affected area.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0225 - Denial of License Application

Current through Register Vol. 63, No. 7, July 1, 2024
If the Authority intends to deny a license application, it
				shall issue a Notice of Proposed Denial of License Application in accordance
				with ORS chapter 183.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0230 - Expiration and Renewal of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each license to operate an ambulance
			 service:
(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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0235 - Return of License

Current through Register Vol. 63, No. 7, July 1, 2024
If an ambulance service license is suspended, revoked, or
				expires, the license certificate and any applicable license decals shall be
				returned to the Authority by registered mail immediately.
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 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0240 - Surrender of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 ambulance service license is non-transferable.
(2) When an owner sells or closes the
			 ambulance service, the owner must:
(a)
			 Provide a minimum 30-days written notice of the intent to cease operation to
			 the Authority;
(b) Provide the
			 required notice as prescribed in the county ASA plan to the county health
			 department and the ASA authority in which the ambulance service operates;
			 and
(c) Take such other actions as
			 may be determined to be necessary by the Authority or the county health
			 department, or the ASA authority to assure the smooth transition to a new
			 ambulance service provider, including but not limited to permitting the
			 continued operation of the existing provider for more than the required period
			 of legal notice or making equipment and supplies available to an interim
			 ambulance service provider.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0250 - Operational Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 licensed ambulance service may only utilize an ambulance for the provision of
			 providing ambulance services that has been issued a license by the Authority,
			 and that complies with all of the requirements of these rules, ORS chapter 682,
			 ORS
			 820.300 through
			 820.380,
			 OAR division 333, chapter 255, and other applicable federal, state and local
			 laws and regulations governing the operation of a licensed ambulance
			 service.
(2) A licensed ambulance
			 service must:
(a) Document the organizational
			 structure of the agency including identifying lines of responsibility and
			 authority;
(b) Notify the
			 Authority, upon making initial application or within 14-days of the date of
			 registration, of any new "trading as", "division of", or "doing business as"
			 names utilized by the licensed ambulance service;
(c) Transport only patients for which it has
			 the resources to provide appropriate medical care and transportation unless in
			 transfers between medical facilities, the sending or receiving facility has
			 provided medically appropriate life support measures, personnel, and equipment
			 to sustain the patient during the transfer; and
(d) Document any mutual aid agreements with
			 other licensed ambulance service organizations that are necessary to respond in
			 emergency situations.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0255 - Facility

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A building used
			 by the licensed ambulance service shall be kept clean, in good repair and free
			 from fire and safety hazards.
(2) A
			 licensed ambulance service must provide:
(a)
			 A facility or area for sleeping or resting for an employee or volunteer working
			 a 24-hour shift;
(b) Adequate
			 toilet, hand-washing and shower facilities with hot and cold running water,
			 antiseptic soap and clean towels for hand and body drying. If the licensed
			 ambulance service does not have shower facilities, the licensed ambulance
			 service must have a signed agreement or contract with a medical facility or
			 other entity to make available shower facilities to ambulance personnel for the
			 purpose of showering after coming in contact with medical or other biohazardous
			 waste;
(c) Clean and soiled linen
			 receptacles in separate areas in accordance with the Oregon Occupational Safety
			 and Health Division and other rules governing the handling of special medical
			 wastes;
(d) Designated secure
			 storage for all medications which are deteriorated, outdated, misbranded,
			 adulterated or otherwise unfit for use;
(e) Designated storage for malfunctioning
			 patient care equipment clearly marked "out-of-service" until the equipment has
			 been repaired or replaced; and
(f)
			 Secure storage for patient care equipment, supplies and medications, or
			 alternatively, a signed agreement with a medical facility that the medical
			 facility will provide the patient care equipment, supplies, and
			 medications.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 250 - AMBULANCE SERVICE LICENSING › Section 333-250-0270 - Personnel

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The licensed
			 ambulance service must ensure that the service, employees, volunteers,
			 ambulance-based clinicians, agents and EMS medical directors comply with all of
			 the requirements of these rules, ORS chapter 682, ORS
			 820.300 through
			 820.380, OAR division 333,
			 chapter 255, and other applicable federal, state and local laws and regulations
			 governing the operation of a licensed ambulance service.
(2) Prior to an employee, volunteer, or
			 ambulance-based clinician being allowed to staff an ambulance, the licensed
			 ambulance service shall:
(a) Provide and
			 require that each employee, volunteer, and ambulance-based clinician complete
			 an initial orientation program that includes but is not limited to:
(A) Ambulance service standing
			 orders;
(B) Ambulance service
			 policies and procedures;
(C)
			 Driving and operating requirements for ambulance vehicles; and
(D) Operations of equipment.