reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:01 - Definitions › Section 44:05:01:02 - Definition of unprofessional or dishonorable conduct

Current through Register Vol. 51, page 10, July 15, 2024
The term, unprofessional or dishonorable conduct, as used in
				  this chapter includes:
(1) Willfully
				betraying a professional confidence;
(2) Conviction of any felony offense, any
				conviction of a criminal offense arising out of the practice of pre-hospital
				emergency medical care, or one in connection with any criminal offense
				involving moral turpitude;
(3)
				Habits of intemperance or drug addiction, calculated in the opinion of the
				department to affect the licensee's practice of the profession;
(4) Sustaining any physical or mental
				disability that renders the further practice of a licensee's profession
				dangerous;
(5) Failure to comply
				with state or federal laws on keeping records regarding possessing and
				dispensing of narcotics, barbiturates, and habit-forming drugs;
(6) Falsifying the medical records of a
				patient or any official record regarding possession and dispensing of
				narcotics, barbiturates, and habit-forming drugs or regarding any phase of
				medical treatment of a patient;
(7)
				Presenting to the department any license, certificate, or diploma which was
				obtained by fraud or deception practiced in passing a required examination or
				which was obtained by the giving of false statements or information on applying
				for the license;
(8) Illegally,
				fraudulently, or wrongfully obtaining a license required by this article by the
				use of any means, device, deception, or help in passing any examination or by
				making any false statement or misrepresentation in any application or
				information presented;
(9) The
				exercise of influence within the EMR- or EMT-patient relationship for the
				purposes of engaging a patient in sexual activity. For the purpose of this
				subdivision, the patient is presumed incapable of giving free, full, and
				informed consent to sexual activity with the EMR or EMT;
(10) Engaging in gross or immoral sexual
				harassment or sexual contact;
(11)
				Consistently providing or prescribing medical services or treatments which are
				inappropriate or unnecessary;
(12)
				Any practice or conduct that tends to constitute a danger to the health,
				welfare, or safety of the public or patients or engaging in conduct which is
				unbecoming a person certified to practice as an EMR or EMT;
(13) Discipline by another state,
				territorial, or provincial licensing board or the licensing board of the
				District of Columbia; and
(14)
				Violation of any state or federal statute or rule pertaining to the practice of
				pre-hospital emergency care.
General Authority:
SDCL
					 34-11-5,
					 34-11-6.1.
Law Implemented:
SDCL
					 34-11-6.1.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:01 - Application for license - Fee

Current through Register Vol. 51, page 10, July 15, 2024
A person or entity that desires to operate an ambulance
				  service must obtain a ground or air ambulance license. The person or entity
				  must submit a completed application at least 30 days before the expected date
				  of operation when applying for a new license or at least 30 days before the
				  expiration of an existing license. A fee of $12 must accompany the
				  application.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-3,
					 34-11-4.
Note:
Ground or air ambulance applications may
					 be obtained from the Department of Health, 600 E'ast Capitol Avenue, Pierre. SD
					 57501 or
					 http://doh.sd.gov/providers/ruralhealth/E-MS/Ambulance_Licensure.aspx.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:01.01 - Transfer only services not allowed

Current through Register Vol. 51, page 10, July 15, 2024
The department shall only issue a ground ambulance license
				  to an ambulance service that receives and responds to emergency 911 calls. An
				  ambulance service that only provides patient transfer services may not operate
				  in South Dakota.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:03 - Application for ground ambulance hardship exemption

Current through Register Vol. 51, page 10, July 15, 2024
Ground ambulance licensees applying for a hardship exemption
				  must use an application provided by the department and include, in
				  writing:
(1) The statute and rule to
				which the exemption is requested;
(2) The reason why the exemption is
				needed;
(3) The medical support for
				the exemption;
(4) The name of any
				person to be used as a part of the exemption; and
(5) A plan to prevent the need for future
				exemptions.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:03.01 - Public hearing for ground ambulance hardship exemption - Issuance of temporary exemption without hearing

Current through Register Vol. 51, page 10, July 15, 2024
The department shall conduct a public hearing for each
				  licensee who applies for a hardship exemption. The department shall give 10
				  days notice of the date, time, and location of the public hearing by publishing
				  notice of the hearing in a newspaper located in or as near as possible to the
				  ordinary place of business of the licensee requesting the exemption. Within 10
				  days after the public hearing, the department shall either grant or deny the
				  application for the ground ambulance hardship exemption, stating the reasons
				  for its decisions in writing and mailing the applicant a copy of those
				  reasons.
Upon a showing of exceptional circumstances, the department
				  may grant a nonrenewable temporary hardship exemption for not more than 90 days
				  without a public hearing. The department may revoke a temporary hardship
				  exemption before the expiration of 90 days by mailing to the person or entity
				  that was granted the temporary hardship exemption written notice of revocation,
				  a statement of the reasons for the revocation, and a notice of opportunity for
				  hearing.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:03.02 - Expiration of hardship exemption

Current through Register Vol. 51, page 10, July 15, 2024
Hardship exemptions expire one year after being issued unless
				  revoked earlier by the department for good cause shown and after an opportunity
				  for a hearing.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:04 - Licensing of ambulance service from another state - Fee

Current through Register Vol. 51, page 10, July 15, 2024
A ground or air ambulance operator based in a state other
				  than South Dakota whose service receives requests for patient transport within
				  South Dakota must apply for and receive a South Dakota ambulance license before
				  providing such service. The application must be made in accordance with this
				  article. A fee of $12 must accompany the application. The license expires on
				  July 1 of even-numbered years and may be renewed every two years. The
				  department may revoke or suspend the license for violations of applicable
				  statutes or rules. Procedures for revocation or suspension of a license shall
				  follow §
									44:05:02:13.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-9.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:05 - License does not authorize service where otherwise prohibited

Current through Register Vol. 51, page 10, July 15, 2024
Issuance of a license by the department does not authorize an
				  ambulance service to locate its business within a county, municipality, or
				  authority which requires its own license to operate an ambulance
				  service.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-1,
					 34-11-3.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:06 - Compliance with rules required for issuance of license

Current through Register Vol. 51, page 10, July 15, 2024
Before issuing a license for an operator to provide ground or
				  air ambulance service, the department must determine that the service for which
				  the license is issued meets all requirements in this article.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-3,
					 34-11-4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:10 - License not transferable

Current through Register Vol. 51, page 10, July 15, 2024
An ambulance license is not transferable. Any change in
				  ambulance ownership terminates the license and requires a new application and
				  new license.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-3,
					 34-11-4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:11.01 - Replacement or addition of ambulance

Current through Register Vol. 51, page 10, July 15, 2024
If a licensee purchases, leases, or rents a new or used
				  ground or air ambulance for the purpose of replacing an ambulance or adding to
				  an existing fleet, the licensee must notify the department within five days of
				  the vehicle being ready for service. The department shall then inspect the
				  vehicle within 20 working days of notification for compliance with chapter
				  44:05:04 or chapter 44:05:05. The licensee may use the new or used ground or
				  air ambulance, if fully equipped pursuant to chapter 44:05:04 or chapter
				  44:05:05, prior to the department's inspection.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:12 - Notice required for discontinuance of ambulance operation

Current through Register Vol. 51, page 10, July 15, 2024
A ground or air ambulance licensee must file a notice of
				  intent to discontinue service with the department 30 days before an intended
				  date of discontinuance of operation.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:13 - Revocation or suspension of license

Current through Register Vol. 51, page 10, July 15, 2024
The department may revoke or suspend the license of a ground
				  or air ambulance licensee following a contested case hearing pursuant to SDCL
				  chapter 1-26.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 1-26-27 to
					 1-26-29,
					 34-11-10.
Procedure for contested cases, SDCL
					 1-26-16 to
					 1-26-29.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:14 - Display of license

Current through Register Vol. 51, page 10, July 15, 2024
A licensee must display the ground or air ambulance license
				  at all times where the licensee maintains its ordinary and usual place of
				  business.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-3,
					 34-11-4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:15 - Inspection of ambulance services

Current through Register Vol. 51, page 10, July 15, 2024
The department shall inspect as needed each ground and air
				  ambulance service operating within this state for compliance with the
				  provisions of this article to protect the public safety.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:16 - Twenty-four hour, seven-day service required

Current through Register Vol. 51, page 10, July 15, 2024
A licensee must provide ambulance service to the public 24
				  hours a day. 7 days a week. A ground ambulance licensee that is not connected
				  to a 911 emergency service may not use any mechanical answering machine to
				  redirect any emergency call.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:17 - Mandatory response time

Current through Register Vol. 51, page 10, July 15, 2024
A ground ambulance licensee must respond to 90 percent of
				  all emergency calls received within 15 minutes after receiving the call. The
				  licensee must respond to any emergency call within a maximum of 20 minutes
				  after receiving the call. "Respond to" means the ground ambulance is enroute to
				  the location where emergency medical services have been
				  requested.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:18 - Publication of phone number when not on 911

Current through Register Vol. 51, page 10, July 15, 2024
A ground ambulance licensee that is not connected to a 911
				  emergency service must publish the telephone number at which persons can access
				  the licensee's service for emergency medical services 24 hours a day, 7 days a
				  week in the telephone directory serving the community listed on the licensee's
				  ambulance application as its usual and ordinary place of business. The licensee
				  must publish its number in the white pages of the telephone directory under the
				  heading "Ambulance Service/Emergency" as long as it holds a valid ambulance
				  license or until its service is connected to 911 or E-911.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:19 - Ground ambulance used exclusively on private property exempt from chapter

Current through Register Vol. 51, page 10, July 15, 2024
A ground ambulance used exclusively on private property or
				  exclusively on territory outside the jurisdiction of this state is exempt from
				  the requirements of this chapter. A ground ambulance used exclusively for the
				  delivery of emergency tare services on private property may not display the
				  word "AMBULANCE" on the exterior of the vehicle.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL 34-11
					 -5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:20 - Ambulance trip report forms

Current through Register Vol. 51, page 10, July 15, 2024
Each ground response by a licensed ambulance service must be
				  recorded on a patient care report form approved by the department. Completed
				  patient care report forms shall be submitted to the department on a e monthly
				  basis. All licensed ambulance services shall keep either an electronic or paper
				  copy of each patient care report on file for a minimum of seven years, or in
				  the case of a minor, until they are 21 years of age.
General Authority:
SDCL 34-11 -5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:02 - Licenses › Section 44:05:02:21 - List of drivers and attendants required

Current through Register Vol. 51, page 10, July 15, 2024
A licensee must provide the department at the time of
				  initial licensing, annually, and on request a list of all ambulance personnel,
				  including their names, license or certification numbers, and expiration
				  dates.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-6.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:01 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:02 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:02.01 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:02.02 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:02.03 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:03 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:04 - Minimum ambulance personnel required

Current through Register Vol. 51, page 10, July 15, 2024
On every call a licensee must provide a minimum of 44 44 one
				  advanced life support personnel licensed pursuant to SDCL 36-4B or one EMT
				  certified pursuant to SDCL
				  34-11-6 and one driver. The driver
				  must complete a state-approved course to demonstrate competencies in:
(1) Cardiopulmonary resuscitation
				(CPR);
(2) Health Insurance
				Portability and Accountability Act (HIPAA) compliance;
(3) Infection control;
(4) Patient movement;
(5) Equipment and communication systems;
				and
(6) Emergency vehicle
				operation.
A physician licensed pursuant to SDCL 36-4, physician
				  assistant licensed pursuant to SDCL 36-4A. nurse licensed pursuant to SDCL
				  36-9. or nurse practitioner or nurse midwife licensed pursuant to SDCL 36-9A
				  may replace any advanced life support personnel or EMT on any type of
				  response.
Documentation of completion of driver competencies must be
				  maintained by the licensee and available upon request.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:04.01 - Ambulance personnel minimum requirements

Current through Register Vol. 51, page 10, July 15, 2024
On every response a licensee must provide a minimum of one
				  advanced life support personnel licensed pursuant to SDCL Chapter 36-4 B or one
				  EMT certified pursuant to SDCL
				  34-11-6 and one driver or EMR. The
				  driver must complete a state-approved course to demonstrate competencies
				  in:
(1) Cardiopulmonary resuscitation
				(CPR) and automated external defibrillation (AED);
(2) Health Insurance Portability and
				Accountability Act (HIPAA) compliance;
(3) Infection control;
(4) Patient movement;
(5) Equipment and communication systems;
				and
(6) Emergency vehicle
				operation.
A physician licensed pursuant to SDCL Chapter 36-4, physician
				  assistant licensed pursuant to SDCL Chapter 36-4 A, nurse licensed pursuant to
				  SDCL Chapter 36-9, or nurse practitioner or nurse midwife licensed pursuant to
				  SDCL Chapter 36-9 A may replace any ambulance service personnel on any type of
				  response.
Documentation of completion of driver competencies must be
				  maintained by the licensee and available upon request.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:04.02 - Ambulance personnel minimum age requirement

Current through Register Vol. 51, page 10, July 15, 2024
All ambulance service personnel shall be a minimum of 18
				  years of age.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05 - Transferred

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-6.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:06.02

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-6.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.01 - EMR certification

Current through Register Vol. 51, page 10, July 15, 2024
The department may certify an EMR following completion of a
				  department approved application. The application must include a current NREMT
				  EMR certification and current CPR certification approved by the
				  department.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.02 - EMR reciprocity

Current through Register Vol. 51, page 10, July 15, 2024
The department may grant reciprocity following completion of
				  a department approved application. The application must include a current NREMT
				  EMR certification card and current CPR certification approved by the
				  department. Candidates holding a current state EMR certification must show
				  proof of successfully completing the NREMT EMR examination at least once. EMR
				  reciprocity may be granted following completion of a department approved
				  application including current CPR certification approved by the
				  department.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.03 - EMR recertification

Current through Register Vol. 51, page 10, July 15, 2024
An EMR shall submit application and record of required
				  continuing medical education hours approved by the department by September 30
				  biennially. The recertification year will be based on the date issued by the
				  NREMT or department reciprocity.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.04 - EMR scope of practice

Current through Register Vol. 51, page 10, July 15, 2024
The emergency medical responder core scope of practice
				  includes simple, noninvasive skills focused on lifesaving interventions for
				  critical patients based on assessment findings. The emergency medical responder
				  renders on-scene emergency care while awaiting additional emergency medical
				  services response and may serve as part of the transporting crew, but not as
				  the primary care provider. An emergency medical responder may not make
				  decisions regarding the appropriate disposition of patients. An emergency
				  medical responder must function with an emergency medical technician or higher
				  level personnel during the transportation of patients.
The following skills may be performed by an EMR:
(1) Airway and Breathing:
(a) Insertion of airway adjuncts intended to
				go into the oropharynx;
(b) Use of
				positive pressure ventilation devices such as the bag-valve-mask;
(c) Suction of the upper airway;
(d) Supplemental oxygen therapy;
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.05 - EMT certification

Current through Register Vol. 51, page 10, July 15, 2024
The department may certify an EMT following completion of a
				  department approved application. The application must include a current NREMT
				  EMT certification and current CPR certification approved by the
				  department.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.06 - EMT reciprocity

Current through Register Vol. 51, page 10, July 15, 2024
The department may grant reciprocity following completion of
				  a department approved application. The application must include a current NREMT
				  EMT certification card and current CPR certification approved by the
				  department. Candidates holding a current state EMT certification must show
				  proof of successfully completing the NREMT EMT examination at least once. EMT
				  reciprocity may be granted following completion of a department approved
				  application including current CPR certification approved by the
				  department.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.07 - EMT recertification

Current through Register Vol. 51, page 10, July 15, 2024
An EMT shall submit application and record of required
				  continuing medical education hours approved by the department by March 31
				  biennially. The recertification year will be based on the date issued by the
				  NREMT or department reciprocity.
General Authority:
SDCL
					 34-11-6.
Law Implemented:
SDCL
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:05.08 - EMT scope of practice

Current through Register Vol. 51, page 10, July 15, 2024
The emergency medical technicians core scope of practice
				  includes basic interventions to reduce the morbidity and mortality associated
				  with a medical response. Emergency care is based on assessment findings.
In addition to the skills listed in 44:05:03:05.04, the
				  following skills may be performed by an EMT:
(1) Airway and Breathing:
(a) Insertion of airway adjuncts intended to
				go into the oropharynx or nasopharynx;
(b) Insertion of supraglottic airway
				devices
(b) Use of positive
				pressure ventilation devices;
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:06.03

Current through Register Vol. 51, page 10, July 15, 2024
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:08 - Periodic retraining required

Current through Register Vol. 51, page 10, July 15, 2024
Each licensee must provide, for members of the ambulance
				  squad, annual refresher training totaling at least 15 hours in emergency care
				  techniques.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-6.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:03 - Personnel requirements › Section 44:05:03:10 - Revocation of certification

Current through Register Vol. 51, page 10, July 15, 2024
The department shall revoke the certification of any EMT or
				  EMR found by the department to have engaged in any unprofessional or
				  dishonorable conduct as defined in §
									44:05:01:02. No person whose
				  certification has been revoked pursuant to this rule is eligible to retest for
				  their certification until all court-ordered sanctions or requirements,
				  including incarceration or participation in the 24/7 program, have been
				  discharged.
General Authority:
SDCL
					 34-11-6.4.
Law Implemented:
SDCL
					 34-11-6.4.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:01 - Types of permitted vehicles

Current through Register Vol. 51, page 10, July 15, 2024
Any vehicle that meets federal KKK specifications when
				  manufactured may be used as a ground ambulance if the vehicle is equipped
				  according to SDCL
				  32-31-4:
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:04 - Vehicle registration

Current through Register Vol. 51, page 10, July 15, 2024
Each ground ambulance licensee must supply the department
				  with a list of all ground ambulances within five days after being ready for
				  service.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:05 - Vehicle sticker issuance

Current through Register Vol. 51, page 10, July 15, 2024
The department shall issue vehicle registration stickers to
				  each ground or air ambulance operator for all ground or air ambulances in the
				  service.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:06 - Vehicle sticker display

Current through Register Vol. 51, page 10, July 15, 2024
Each ground ambulance must display the vehicle registration
				  sticker in the lower right-hand comer of the right rear window in the back door
				  of the ground ambulance.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-U-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:07 - Suction equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following suction equipment must be available and
				  operable on all ground ambulances:
(1)
				Fixed suction apparatus with regulator;
(2) Portable battery powered and manual
				suction devices:
(3) Wide bore
				tubing: and
(4) Rigid pharyngeal
				curved suction tip.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:08 - Ventilation equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following ventilation equipment maintained in good
				  working condition must be available on all ground ambulances:
(1) Fixed and portable oxygen equipment with
				variable flow regulator;
(2) Oxygen
				administration equipment:
(a) Oxygen
				tubing;
(b) Partial or
				non-rebreathing masks in adult, child, and infant sizes; and
(c) Nasal cannulas in adult and pediatric
				sizes;
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:09 - Bandage and hemorrhage control supplies

Current through Register Vol. 51, page 10, July 15, 2024
The following bandage and dressing equipment must be
				  available on all ground ambulances:
(1) Multi-trauma dressings;
(2) Gauze pads:
(3) Gauze rolls;
(4) 1" and 2" adhesive tape:
(5) 1" and 2" hypoallergenic tape:
(6) Burn sheets commercially packaged and
				sterilized:
(7) Abdominal
				dressings:
(8) Occlusive dressing
				or equivalent:
(9) Triangluar
				bandages; and
(10) Arterial
				tourniquets.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:10 - Obstetric kit

Current through Register Vol. 51, page 10, July 15, 2024
The following obstetric kit supplies and equipment
				  maintained in good working condition must be available on all ground
				  ambulances. A commercially packed obstetric kit or:
(1) Towels or drapes;
(2) Bulb suction;
(3) Sterile pads or dressings;
(4) Plastic bags or basin;
(5) Cord clamps, umbilical tape, or
				ties;
(6) Sterile shears, scissors,
				or scalpel;
(7) Sterile
				gloves;
(8) Thermal blanket and
				head cover or other external infant warming device; and
(9) An Apgar chart.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:11 - Medications

Current through Register Vol. 51, page 10, July 15, 2024
The following medications must be available on all ground
				  ambulances:
(1) Baby aspirin;
				and
(2) Glucose.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:11.01 - Recommended medications

Current through Register Vol. 51, page 10, July 15, 2024
The following medication types are recommended on all ground
				  ambulances:
(1) Medication for the
				treatment of anaphylaxis: and
(2)
				Opioid antagonist for the treatment of a suspected opioid overdose.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:12 - Immobilization devices

Current through Register Vol. 51, page 10, July 15, 2024
The following immobilization devices maintained in good
				  working condition must be available on all ground ambulances:
(1) Upper and lower extremity immobilization
				devices that support the joint above and below the fracture site sized
				appropriately for the adult and pediatric patient;
(2) Adult size radiolucent spine boards with
				at least three appropriate restraint straps;
(3) Rigid cervical collars for the adult and
				pediatric patient or adjustable cervical collars for the adult and pediatric
				patient;
(4) Head immobilization
				device using firm padding or a commercial device;
(5) Pediatric immobilization device with
				appropriate padding; and
(6) Short
				immobilization device
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:12.01 - Cardiac equipment

Current through Register Vol. 51, page 10, July 15, 2024
One The following cardiac equipment approved by the Food and
				  Drug Administration and maintained in good working condition must be available
				  on all ground ambulances:
(1) An
				automated external defibrillator (AED) with pediatric capabilities including
				child-sized pads and cables or a dose attenuator with adult pads: or
(2) A manual monitor defibrillator used by
				appropriately trained personnel.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:13 - Patient transportation equipment

Current through Register Vol. 51, page 10, July 15, 2024
All ground ambulances shall be equipped with an adjustable
				  wheeled ambulance cot equipped with mattress. The cot must be capable of being
				  secured by mechanical means to the floor or sides of the ground ambulance
				  interior.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:13.01 - Wheelchairs prohibited

Current through Register Vol. 51, page 10, July 15, 2024
An ambulance service may not use a wheelchair to transport
				  any patient in an ambulance.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:14 - Examination equipment and reference materials

Current through Register Vol. 51, page 10, July 15, 2024
The following medical examination equipment and reference
				  materials maintained in good working condition must be available on all ground
				  ambulances:
(1) A sphygmomanometer
				with adult, child, and infant cuffs;
(2) An adult stethoscope;
(3) A pediatric stethoscope;
(4) Disposable hypoallergenic examination
				gloves;
(5) Pen light;
(6) Glasgow coma scale reference;
(7) Pediatric trauma score
				reference;
(8) Pediatric vital
				signs card;
(9) Thermometer
				with-low temperature capability:
(10) State defined trauma team activation,
				criteria;
(11) A length-based
				resuscitation tape or reference material that provides appropriate guidance for
				pediatric drug-.dosing and equipment sizing based on length or age:
				and
(12) Access to pediatric and
				adult patient care guidelines.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:15 - Miscellaneous equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following miscellaneous equipment must be available on
				  all primary and secondary ground ambulances:
(1) Emesis basin or convenience
				bag;
(2) Towels:
(3) Cold packs.
(4) Linen or paper sheets;
(5) Pillows;
(6) Heavy duty shears;
(7) Sterile saline solution or sterile water
				for irrigation;
(8) Functional
				flashlights;
(9)
				Blankets;
(10) Disposable
				bedpan;
(11) Disposable
				urinal;
(12) Hot packs;
				and
(13) Triage tags.
General Authority:
SDCL
					 34-11-5
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:15.01 - Infection control equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following infection control equipment must be available
				  on all ground ambulances and latex-free equipment should be used when
				  available:
(1) Eye protection to
				include full peripheral glasses or goggles and face shield:
(2) High-Efficiency Particulate Air mask for
				respiratory protection;
(3)
				Non-sterile examination gloves in multiple sizes;
(4) Fluid-resistant jumpsuits or
				gowns:
(5) Commercial antimicrobial
				hand wash;
(6) Disinfectant for
				cleaning surfaces and equipment;
(7) Sharps container;
(8) Disposable trash bags; and
(9) Bio-hazard bags.
General Authority:
SDCL
					 34-11-5
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:17 - Storage of ground ambulance equipment

Current through Register Vol. 51, page 10, July 15, 2024
Closed compartments must be provided within the ground
				  ambulance for minimum medical supplies. The compartments and supplies must be
				  kept free from dust, insects, and rodents. All equipment, both medical and
				  nonmedical, stored in the patient compartment must be secured in such a way as
				  to prevent injury to the patient or attendant if the vehicle suddenly stops or
				  moves.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:18 - Available nonmedical equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following nonmedical equipment must be available on all
				  ground ambulances or immediately available from other sources:
(1) One crescent wrench;
(2) One screwdriver with regular
				blade;
(3) One Phillips
				screwdriver;
(4) One vise-grip
				pliers;
(5) One sixteen-ounce
				hammer;
(6) One fire axe, crowbar
				with a pinch point, or wrecking bar;
(7) One bolt cutter; and
(8) One portable hydraulic jack or spreader
				tool with four-ton capacity
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:19 - Nonmedical equipment

Current through Register Vol. 51, page 10, July 15, 2024
The following nonmedical equipment maintained in good
				  working condition must be available on all ground ambulances:
(1) One five-pound dry chemical multi-use
				hand held fire extinguisher approved by Underwriters Laboratories and certified
				by an independent fire extinguisher company within the past calendar year,
				mounted for easy access:
(2)
				Emergency response handbook;
(3)
				Reflective non-igniting warning devices to mark road hazards;
(4) "No Smoking" signs permanently affixed in
				the front and rear compartments; and
(5) Appropriate restraints for patient, crew,
				and family.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:20 - Communication equipment

Current through Register Vol. 51, page 10, July 15, 2024
Ground ambulances must be equipped with a two-way radio
				  communications link with a dispatch center and a hospital.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:21 - Ambulance cleanliness and disinfection of patient use items

Current through Register Vol. 51, page 10, July 15, 2024
An ambulance licensee must keep both the ambulance interior
				  and exterior and the equipment clean and in working order. All blankets,
				  linens, airways, oxygen masks, nasal cannulas, or other equipment coming in
				  direct patient contact must be single-use, disposable, or cleaned, laundered,
				  and disinfected after each use.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:22 - Disinfection of vehicles and equipment in cases of contagious disease

Current through Register Vol. 51, page 10, July 15, 2024
If a vehicle has been used to transport a patient known to
				  have a communicable disease other than a common cold, the vehicle and all
				  exposed equipment must be disinfected immediately after use.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:23 - Disposal of medical waste

Current through Register Vol. 51, page 10, July 15, 2024
An ambulance must carry a sealable, puncture-resistant,
				  labeled or color-coded sharps container that meets the standards of the
				  Occupational Safety and Health Administration,
				  29 C.F.R. §
										1910.1030 (1992), into which all sharp items
				  which have been exposed to blood or bodily fluids are placed for disposal in
				  conformance with chapter 74:35:01.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:04 - Vehicle requirements › Section 44:05:04:24 - Report of property damage or personal injury

Current through Register Vol. 51, page 10, July 15, 2024
All ambulance licensees must report to the department any
				  property damage in excess of $1,000 caused by or to a licensed ambulance
				  vehicle and any personal injury to the public or ambulance personnel that
				  requires medical attention. The report must be made to the department within
				  five working days after the event which caused the loss or
				  injury.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.
South Dakota Administrative Rules › Title 44 - Department of Health › Article 44:05 - Ambulance Operation › Chapter 44:05:05 - Air ambulances › Section 44:05:05:01 - Criteria for aircraft

Current through Register Vol. 51, page 10, July 15, 2024
An air ambulance is used to respond to medical emergencies
				  and to transport the sick and injured. Aircraft used for air ambulance service
				  must comply with the regulations of the Federal Aviation Administration (FAA)
				  in 14 C.F.R. Part 135 (2007) and with this chapter.
General Authority:
SDCL
					 34-11-5.
Law Implemented:
SDCL
					 34-11-5.