reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part I - General Provisions › Article 5 - Complaints › Section 12VAC5-31-270 - Investigation process

Current through Register Vol. 40, No. 24, July 15, 2024
A. The Office of
					 EMS may investigate complaints received about conditions, practices, or acts
					 that may violate any provision of either Article 2.1 of Chapter 4 (§
					 32.1-111.1 et seq.) of Title 32.1 of the Code of Virginia or provision of these
					 regulations.
B. If the Office of
					 EMS determines that the conditions, practices, or acts cited by the complainant
					 are not in violation of applicable sections of the Code of Virginia or these
					 regulations, then the Office of EMS will investigate no further.
C. If the Office of EMS determines that the
					 conditions, practices, or acts cited by the complainant may be in violation of
					 applicable sections of the Code of Virginia or these regulations, then the
					 Office of EMS will investigate the complaint fully in order to determine if a
					 violation took place.
D. The Office
					 of EMS may investigate or continue to investigate and may take appropriate
					 action on a complaint even if the original complainant withdraws his complaint
					 or otherwise indicates a desire not to cause it to be investigated to
					 completion.
E. The Office of EMS
					 may initiate a formal investigation or action based on an anonymous or
					 unwritten complaint.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part I - General Provisions › Article 5 - Complaints › Section 12VAC5-31-280 - Action by the Office of EMS

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 If the Office of EMS determines that a violation has occurred, it may apply all
					 provisions of these regulations that it deems necessary and
					 appropriate.
B. At the completion
					 of an investigation and following any appeals, the Office of EMS will notify
					 the complainant.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part I - General Provisions › Article 5 - Complaints › Section 12VAC5-31-290 - Exclusions from these regulations

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any person or privately owned vehicle not
					 engaged in the business, service, or regular activity of providing medical care
					 or transportation of persons who are sick, injured, wounded, or otherwise
					 disabled.
B. Any person or vehicle
					 rendering emergency medical services or medical transportation in the case of a
					 major medical emergency when the EMS agencies, vehicles and personnel based in
					 or near the location of such major emergency are insufficient to render
					 services required.
C. EMS agencies,
					 vehicles or personnel based outside of Virginia, except that any agency,
					 vehicle or person responding from outside Virginia to an emergency within
					 Virginia and providing emergency medical services to a patient within Virginia,
					 whether or not the service includes transportation, shall comply with the
					 provisions of these regulations.
D.
					 An agency of the United States government providing emergency medical services
					 in Virginia and any EMS vehicles operated by the agency.
E. Any vehicle owned by an EMS agency used
					 exclusively for the provision of rescue services.
F. Any medical facility, but only with
					 respect to the provision of emergency medical services within the
					 facility.
G. Personnel employed by,
					 or associated with, a medical facility who provides emergency medical services
					 within the medical facility, but only with respect to the services provided
					 therein.
H. Wheelchair
					 interfacility transport services and wheelchair interfacility transport service
					 vehicles that are engaged, whether or not for profit, in the business, service,
					 or regular activity of and exclusively used for transporting wheelchair bound
					 passengers between medical facilities in the Commonwealth when no ancillary
					 medical care or oversight is necessary. However, such services and vehicles
					 shall comply with Department of Medical Assistance Services regulations
					 regarding the transportation of Medicaid recipients to covered
					 services.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-300 - Requirement for EMS agency licensure and EMS certification

Current through Register Vol. 40, No. 24, July 15, 2024
No person may establish, operate, maintain, advertise or
						represent themselves or any service or organization as an EMS agency or as EMS
						personnel without a valid license or certification, or in violation of the
						terms of a valid license or certification, issued by the Office of
						EMS.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-310 - Provision of EMS within Virginia

Current through Register Vol. 40, No. 24, July 15, 2024
A person providing EMS to a patient received within
						Virginia and transported to a location within Virginia shall comply with these
						regulations.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-320 - General applicability of the regulations

Current through Register Vol. 40, No. 24, July 15, 2024
These regulations have general application throughout
						Virginia for an EMS agency and an applicant for EMS agency
						licensure.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-330 - Compliance with regulations

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
					 person shall comply with these regulations.
B. An EMS agency, including its EMS vehicles
					 and EMS personnel, shall comply with these regulations, the applicable
					 regulations of other state agencies, the Code of Virginia, and the United
					 States Code.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-340 - EMS agency name

Current through Register Vol. 40, No. 24, July 15, 2024
A person may not apply to conduct business under a name
						that is the same as or misleadingly similar to the name of a person licensed or
						registered by the Office of EMS.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-350 - Ability to pay

Current through Register Vol. 40, No. 24, July 15, 2024
In the case of an emergency illness or injury, an EMS
						agency may not refuse to provide required services including dispatch,
						response, rescue, life support, emergency transport and interfacility transport
						based on the inability of the patient to provide means of payment for services
						rendered by the agency. An EMS agency's decision to refer or refuse to provide
						service must be based upon the "prudent layperson" standard for determination
						of the existence of a medical emergency as defined under "emergency services"
						in § 38.2-4300 of the Code of Virginia.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-360 - Public access

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall provide for a publicly listed
						telephone number to receive calls for service from the public.
1. The number must be answered in person on a
					 24-hour basis.
2. Exception: An EMS
					 agency that does not respond to calls from the public but responds only to
					 calls from a unique population shall provide for a telephone number known to
					 the unique population it serves. The number must be answered during all periods
					 when that population may require service and at all other times must direct
					 callers to the nearest available EMS agency.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-370 - Designated emergency response agency

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency that responds to medical emergencies for
						its primary service area shall be a designated emergency response agency. A
						designated emergency response agency shall provide services within its primary
						service area as defined by the local EMS response plan.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-380 - EMS agency availability

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 An EMS agency shall provide service within its primary service area as defined
					 by the local EMS response plan.
B.
					 Licensed EMS agencies that meet the criteria stated in
					 12VAC5-31-370 but that operate
					 under special conditions, i.e., time of year, etc., must also meet the criteria
					 outlined in
					 12VAC5-31-430 A 2 and C
					 4.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-390 - Destination to specialty care hospitals

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall follow specialty care hospital triage
						plans established in accordance with § 32.1-111.3 of the Code of
						Virginia.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-400 - Nondiscrimination

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall not discriminate due to a patient's
						race, gender, creed, color, national origin, location, medical condition or any
						other reason.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-410 - EMS agency licensure classifications

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency license may be issued for any combination
						of the following classifications of EMS services:
1. Nontransport first response.
a. Basic life support.
b. Advanced life support.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-420 - Application for EMS agency license

Current through Register Vol. 40, No. 24, July 15, 2024
A. An applicant for EMS agency licensure
					 shall file a written application specified by the Office of EMS.
B. The Office of EMS may use whatever means
					 of investigation necessary to verify any or all information contained in the
					 application.
C. An ordinance or
					 resolution from the governing body of each locality where the agency maintains
					 an office, stations an EMS vehicle for response within a locality or is a
					 Designated Emergency Response Agency as required by § 15.2-955 of the Code
					 of Virginia confirming approval. This ordinance or resolution must specify the
					 geographic boundaries of the agency's primary service area within the
					 locality.
D. The Office of EMS will
					 determine whether an applicant or licensee is qualified for licensure based
					 upon the following:
1. An applicant or
					 licensee must meet the personnel requirements of these regulations.
2. If the applicant is a company or
					 corporation, as defined in § 12.1-1 of the Code of Virginia, it must
					 clearly disclose the identity of its owners, officers and directors.
3. An applicant or licensee must provide
					 information on any previous record of performance in the provision of emergency
					 medical service or any other related licensure, registration, certification or
					 endorsement within or outside Virginia.
4. The applicant must submit a written
					 agreement with the local governing body that states the applicant agency will
					 assist in mutual aid requests from the local government if EMS personnel,
					 vehicles, equipment, and other resources are available.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-430 - Issuance of an EMS agency license

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS agency license may be issued by the
					 Office of EMS provided the following conditions are met:
1. All information contained in the
					 application is complete and correct; and
2. The applicant is determined by the Office
					 of EMS to be eligible for licensure in accordance with these
					 regulations.
3. The applicant is
					 determined by the Office of EMS to provide emergency medical services to the
					 citizens of the Commonwealth in accordance with this chapter.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-440 - Display of EMS agency license

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency license is publicly displayed in the
						headquarters of the EMS agency and a copy displayed in each place of
						operations.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-450 - EMS agency licensure renewal

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS agency license renewal may be
					 granted following an inspection as set forth in these regulations based on the
					 following conditions:
1. The renewal
					 inspection results demonstrate that the EMS agency complies with these
					 regulations.
2. There have been no
					 documented violations of these regulations that preclude a renewal.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-460 - Denial of an EMS agency license

Current through Register Vol. 40, No. 24, July 15, 2024
A. An application for a new EMS agency
					 license or renewal of an EMS agency license may be denied by the Office of EMS
					 if the applicant or agency does not comply with these regulations.
B. An application for a new agency license or
					 renewal of an EMS agency license shall not be issued by the Office of EMS to
					 any firm, corporation, agency, organization, or association that does not
					 intend to provide emergency medical services as part of its operation to the
					 citizens of the Commonwealth.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-470 - Modification of an EMS agency license

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any change in the classifications of the
					 EMS vehicles or medical equipment packages permitted to an EMS agency or in any
					 of the conditions that may apply to the EMS agency requires the notification of
					 the Office of EMS and the modification of the EMS agency license.
B. The procedure for modification of a
					 license is as follows:
1. The licensee shall
					 request the modifications in writing on a form prescribed by the Office of
					 EMS.
2. The Office of EMS may use
					 the full provisions of these regulations in processing a request as an
					 application.
3. Upon receiving a
					 modified license, an EMS agency shall return the original license to the Office
					 of EMS within 15 days and destroy all copies.
4. The issuance of a modified license
					 hereunder may not be construed to authorize an EMS agency to provide emergency
					 medical services or to operate an EMS vehicle without a franchise in any county
					 or municipality that has enacted an ordinance requiring it.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-480 - Termination of EMS agency licensure

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS agency terminating service shall
					 surrender the EMS agency license to the Office of EMS.
B. An EMS agency terminating service shall
					 submit written notice to the Office of EMS at least 90 days in advance. Written
					 notice of intent to terminate service must verify the following:
1. Notification of the applicable OMDs,
					 regional EMS councils or local EMS resource agencies, PSAPs and governing
					 bodies of each locality served.
2.
					 Termination of all existing contracts for EMS services, Mutual Aid Agreements,
					 or both.
3. Advertised notice of
					 its intent to discontinue service has been published in a newspaper of general
					 circulation in its service area and to be posted on the Office of EMS section
					 of the Virginia Department of Health's website.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-490 - EMS agency insurance

Current through Register Vol. 40, No. 24, July 15, 2024
A. An
					 EMS agency shall have in effect and be able to furnish proof on demand of
					 contracts for vehicular insurance as follows:
1. Insurance coverage for emergency vehicles
					 shall meet or exceed the minimum requirements as set forth in § 46.2-920
					 of the Code of Virginia.
2.
					 Insurance coverage for nonemergency vehicles shall meet or exceed the minimum
					 requirements as set forth in § 46.2-472 of the Code of Virginia.
3. Insurance coverage for both classes of
					 aircraft shall meet or exceed the minimum requirements as set forth in §
					 5.1-88.2 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-500 - Place of operations

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS
					 agency shall maintain a fixed physical location. Any change in the address of
					 the primary business location and any satellite location require notification
					 to the Office of EMS before relocation of the office space.
B. Adequate, clean and enclosed storage space
					 for linens, equipment and supplies shall be provided at each place of
					 operation.
C. The following
					 sanitation measures are required at each place of operation established by the
					 CDC and the Virginia occupational safety and health laws (Title 40.1 of the
					 Code of Virginia):
1. All areas used for
					 storage of equipment and supplies shall be kept neat, clean, and
					 sanitary.
2. All soiled supplies
					 and used disposable items shall be stored or disposed of in plastic bags,
					 covered containers or compartments provided for this purpose. Regulated waste
					 shall be stored in a red or orange bag or container clearly marked with a
					 biohazard label.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-510 - Equipment and supplies

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS
					 agency shall hold the permit to an EMS vehicle or have a written agreement for
					 the access to and use of an EMS vehicle. An EMS agency that does not use an EMS
					 vehicle shall maintain the required equipment and supplies for a nontransport
					 response vehicle.
B. Adequate
					 stocks of supplies and linens shall be maintained as required for the classes
					 of vehicles in service at each place of operations. An EMS agency shall
					 maintain a supply of at least 25 triage tags of a design approved by the Office
					 of EMS on each permitted EMS vehicle.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-520 - Storage and security of drugs and related supplies

Current through Register Vol. 40, No. 24, July 15, 2024
A. An area used for storage of drugs and
					 administration devices and a drug kit used on an EMS vehicle shall comply with
					 requirements established by the Virginia Board of Pharmacy and the applicable
					 drug manufacturer's recommendations for climate-controlled storage.
B. Drugs and drug kits shall be maintained
					 within their expiration date at all times.
C. Drugs and drug kits shall be removed from
					 vehicles and stored in a properly maintained and locked secure area when the
					 vehicle is not in use unless the ambient temperature of the vehicle's interior
					 drug storage compartment is maintained within the climate requirements
					 specified in this section.
D. An
					 EMS agency shall notify the Office of EMS in writing of any diversion of (i.e.,
					 loss or theft) or tampering with any controlled substances, drug delivery
					 devices, or other regulated medical devices from an agency facility or vehicle.
					 Notification shall be made within 15 days of the discovery of the
					 occurrence.
E. An EMS agency shall
					 protect EMS vehicle contents from climate extremes.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-530 - Preparation and maintenance of records and reports

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency is responsible for the preparation and
						maintenance of records that shall be available for inspection by the Office of
						EMS as follows:
1. Records and reports
					 shall at all times be stored in a manner to ensure reasonable safety from water
					 and fire damage and from unauthorized disclosure to persons other than those
					 authorized by law.
2. EMS agency
					 records shall be prepared and securely maintained at the principal place of
					 operations or a secured storage facility for a period of not less than five
					 years.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-540 - Personnel records

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS agency
					 shall have a current personnel record for each individual affiliated with the
					 EMS agency. Each file shall contain documentation of certification, training
					 and qualifications for the positions held.
B. An EMS agency shall have a record for each
					 individual affiliated with the EMS agency documenting the results of a criminal
					 history background check conducted through the Central Criminal Records
					 Exchange and the National Crime Information Center via the Virginia State
					 Police, a driving record transcript from the individual's state Department of
					 Motor Vehicles office, and any documents required by the Code of Virginia, no
					 more than 60 days prior to the individual's affiliation with the EMS
					 agency.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-550 - EMS vehicle records

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall have records for each vehicle
						currently in use to include maintenance reports demonstrating adherence to
						manufacturer's recommendations for preventive maintenance, valid vehicle
						registration, safety inspection, vehicle insurance coverage and any reportable
						motor vehicle collision as defined by the Motor Vehicle Code (Title 46.2 of the
						Code of Virginia).
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-560 - Patient care records

Current through Register Vol. 40, No. 24, July 15, 2024
A. An
					 original PPCR shall specifically identify by name the personnel who meet the
					 staffing requirements of the EMS vehicle.
B. The PPCR shall include the name and
					 identification number of all EMS Personnel on the EMS vehicle and the signature
					 of the attendant-in-charge.
C. The
					 required minimum data set shall be submitted on a schedule established by the
					 Office of EMS as authorized in § 32.1-116.1 of the Code of Virginia. This
					 requirement for data collection and submission shall not apply to patient care
					 rendered during local emergencies declared by the locality's government and
					 states of emergency declared by the Governor. During such an incident, an
					 approved triage tag shall be used to document patient care provided unless a
					 standard patient care report is completed.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-570 - EMS Agency Status Report

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 An EMS agency must submit an "EMS Agency Status Report" to the Office of EMS
					 within 30 days of a request or change in status of the following:
1. Chief executive officer.
2. Training officer.
3. Designated infection control
					 officer.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-580 - Availability of these regulations

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall have readily available at each
						station a current copy of these regulations for reference use by its officers
						and personnel.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-590 - Operational Medical Director requirement

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS agency shall have a minimum of one
					 operational medical director (OMD) who is a licensed physician holding
					 endorsement as an EMS physician from the Office of EMS.
An EMS agency shall enter into a written agreement with
						an EMS physician to serve as OMD with the EMS agency. This agreement shall at a
						minimum specify the following responsibilities and authority:
1. This agreement must describe the process
					 or procedure by which the OMD or EMS agency may discontinue the agreement with
					 prior notification of the parties involved pursuant to
					 12VAC5-31-1910.
2. This agreement must identify the specific
					 responsibilities of each EMS physician if an EMS agency has multiple
					 OMDs.
3. This agreement must
					 specify that EMS agency personnel may only provide emergency medical care and
					 participate in associated training programs while acting with the authorization
					 of the operational medical director and within the scope of the EMS agency
					 license in accordance with these regulations.
4. This agreement must provide for EMS agency
					 personnel to have access to the agency OMD in regards to discussion of issues
					 relating to provision of patient care, application of patient care protocols or
					 operation of EMS equipment used by the EMS agency.
5. This agreement must ensure that the
					 adequate indemnification or insurance coverage exists for:
a. Medical malpractice; and
b. Civil claims.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-600 - Quality management reporting

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS agency shall have an ongoing Quality Management
						(QM) Program designed to objectively, systematically and continuously monitor,
						assess and improve the quality and appropriateness of patient care provided by
						the agency. The QM Program shall be integrated and include activities related
						to patient care, communications, and all aspects of transport operations and
						equipment maintenance pertinent to the agency's mission. The agency shall
						maintain a QM report that documents quarterly PPCR reviews, supervised by the
						operational medical director.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-610 - Designated emergency response agency standards

Current through Register Vol. 40, No. 24, July 15, 2024
A. A designated emergency response agency
					 shall develop or participate in a written local EMS response plan that
					 addresses the following items:
1. The
					 designated emergency response agency shall develop and maintain, in
					 coordination with their locality, a written plan to provide 24-hour coverage of
					 the agency's primary service area with the available personnel to achieve the
					 approved responding interval standard.
2. A designated emergency response agency
					 shall conform to the local responding interval, or in the absence of a local
					 standard the EMS agency shall develop a standard in conjunction with OMD and
					 local government in the best interests of the patient and the community. The
					 EMS agency shall use the response time standard to establish a time frame the
					 EMS agency complies with on a 90% basis within its primary service area (i.e.,
					 a time frame in which the EMS agency can arrive at the scene of a medical
					 emergency in 90% or greater of all calls).
a.
					 If the designated emergency response agency finds it is unable to respond
					 within the established unit mobilization interval standard, the call shall be
					 referred to the closest available mutual aid EMS agency.
b. If the designated emergency response
					 agency finds it is able to respond to the patient location sooner than the
					 mutual aid EMS agency, the EMS agency shall notify the PSAP of its availability
					 to respond.
c. If the designated
					 emergency response agency is unable to respond (e.g., lack of operational
					 response vehicle or available personnel), the EMS agency shall notify the
					 PSAP.
d. If a designated emergency
					 response agency determines in advance that it will be unable to respond for
					 emergency service for a specified period of time, it shall notify its
					 PSAP.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 1 - EMS Agency Licensure and Requirements › Section 12VAC5-31-630 - Designated emergency response agency mutual aid

Current through Register Vol. 40, No. 24, July 15, 2024
A. A designated emergency response agency
					 shall provide aid to all other designated emergency response agencies within
					 the locality.
B. A designated
					 emergency response agency shall maintain written mutual aid agreements with
					 adjacent designated emergency response agencies in another locality with which
					 it shares a common border. Mutual aid agreements shall specify the types of
					 assistance to be provided and any conditions or limitations for providing this
					 assistance.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-640 - EMS vehicle permit requirement

Current through Register Vol. 40, No. 24, July 15, 2024
A. A person may not operate or maintain any
					 motor vehicle, vessel or craft as an EMS vehicle without a valid permit or in
					 violation of the terms of a valid permit.
B. An EMS agency shall file written
					 application for a permit on forms specified by the Office of EMS.
C. The Office of EMS may verify any or all
					 information contained in the application before issuance.
D. The Office of EMS shall inspect the EMS
					 vehicle for compliance with the vehicle requirements for the class in which a
					 permit is sought.
E. An EMS vehicle
					 permit may be issued provided all of the following conditions are met:
1. All information contained in the
					 application is complete and correct.
2. The applicant is an EMS agency.
3. The EMS vehicle is registered or permitted
					 by the Department of Motor Vehicles or approved equivalent.
4. The inspection meets the minimum
					 requirements as defined in these regulations.
5. The issuance of an EMS vehicle permit does
					 not authorize any person to operate an EMS vehicle without a franchise or
					 permit in any county or municipality that has enacted an ordinance requiring
					 one.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-650 - Temporary EMS vehicle permit

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 A temporary EMS vehicle permit may be issued for a permanent replacement or
					 additional EMS vehicle pending inspection. A temporary EMS vehicle permit will
					 not be issued for a vehicle requesting a "reserved" permit.
B. An EMS agency shall file written
					 application for a temporary permit on forms specified by the Office of EMS.
					 Submission of this application requires the EMS agency to attest that the
					 vehicle complies with these regulations.
C. The Office of EMS may verify any or all
					 information contained in the application before issuance.
D. The procedure for issuance of a temporary
					 EMS vehicle permit is as follows:
1. An EMS
					 agency requesting a temporary permit shall submit a completed application for
					 an EMS vehicle permit attesting that the vehicle complies with these
					 regulations.
2. The Office of EMS
					 may inspect an EMS vehicle issued a temporary permit at any time for compliance
					 with these regulations and issuance of an EMS vehicle permit.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-660 - Denial of an EMS vehicle permit

Current through Register Vol. 40, No. 24, July 15, 2024
A. An application for an EMS vehicle permit
					 shall be denied by the Office of EMS if any conditions of these regulations
					 fail to be met.
B. The Office of
					 EMS will notify the applicant or licensee of the denial in writing in the event
					 that a permit is denied.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-670 - Display of EMS vehicle permit

Current through Register Vol. 40, No. 24, July 15, 2024
A. An EMS vehicle permit shall be affixed on
					 the EMS vehicle, readily visible, and in a location and manner specified by the
					 Office of EMS.
B. An EMS vehicle
					 may not be operated without a properly displayed EMS vehicle permit.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-680 - EMS vehicle advertising

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS vehicle may not be marked or lettered to indicate
						a level of care or type of service other than that for which it is
						permitted.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 2 - Emergency Medical Services Vehicle Permit › Section 12VAC5-31-690 - Renewal of an EMS vehicle permit

Current through Register Vol. 40, No. 24, July 15, 2024
A. Renewal of an EMS vehicle permit may be
					 granted following an inspection if the EMS agency and EMS vehicle comply with
					 these regulations.
B. If the Office
					 of EMS is unable to take action on renewal of an EMS vehicle permit before
					 expiration, the permit will remain in effect until the Office of EMS completes
					 processing of the renewal inspection.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 3 - Emergency Medical Services Vehicle Classifications and Requirements › Section 12VAC5-31-700 - EMS vehicle safety

Current through Register Vol. 40, No. 24, July 15, 2024
An EMS vehicle shall be maintained in good repair and
						safe operating condition and shall meet the same motor vehicle, vessel or
						aircraft safety requirements as apply to all vehicles, vessels or craft in
						Virginia:
1. Virginia motor vehicle
					 safety inspection, FAA Airworthiness Permit or Coast Guard Safety Inspection or
					 approved equivalent must be current.
2. Exterior surfaces of the vehicle including
					 windows, mirrors, warning devices and lights shall be kept clean of dirt and
					 debris.
3. Ground vehicle operating
					 weight shall be no more than the manufacturer's gross vehicle weight (GVW)
					 minus 700 pounds (316 kg).
4.
					 Emergency operating privileges including the use of audible and visible
					 emergency warning devices shall be exercised in compliance with the Code of
					 Virginia and local motor vehicle ordinances.
5. The use of any and all tobacco products is
					 prohibited in EMS transport vehicles at all times.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 3 - Emergency Medical Services Vehicle Classifications and Requirements › Section 12VAC5-31-710 - EMS vehicle occupant safety

Current through Register Vol. 40, No. 24, July 15, 2024
A. An occupant shall use mechanical
					 restraints as required by the Code of Virginia. Stretcher patients shall be
					 secured on the stretcher utilizing a minimum of three straps unless
					 contraindicated by patient condition.
B. Equipment and supplies in the patient
					 compartment shall be stored within a closed and latched compartment or fixed
					 securely in place while not in use.
Statutory Authority
§§ 32.1-12 and 32.1-111.4 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 31 - VIRGINIA EMERGENCY MEDICAL SERVICES REGULATIONS › Part II - EMS Agency, EMS Vehicle and EMS Personnel Standards › Article 3 - Emergency Medical Services Vehicle Classifications and Requirements › Section 12VAC5-31-720 - EMS vehicle sanitation

Current through Register Vol. 40, No. 24, July 15, 2024
The following requirements for sanitary conditions and
						supplies apply to an EMS vehicle in accordance with standards established by
						the Centers for Disease Control and Prevention (CDC) and the Virginia
						Occupational Safety and Health Law:
1.
					 The interior of an EMS vehicle, including storage areas, linens, equipment, and
					 supplies shall be kept clean and sanitary.
2. Linen or disposable sheets and pillowcases
					 or their equivalent used in the transport of patients shall be changed after
					 each use.
3. Blankets, pillows and
					 mattresses used in an EMS vehicle shall be intact and kept clean and in good
					 repair.
4. A device inserted into
					 the patient's nose or mouth that is single-use shall be disposed of after use.
					 A reusable item shall be sterilized or high-level disinfected according to
					 current CDC guidelines before reuse. If not individually wrapped, this item
					 shall be stored in a separate closed container or bag.
5. A used sharp item shall be disposed of in
					 a leakproof, puncture-resistant and appropriately marked biohazard container
					 (needle-safe device/sharps box) that is securely mounted.
6. Following patient treatment/transport
					 within the vehicle and before being occupied by another patient:
a. Contaminated surfaces shall be cleaned and
					 disinfected using a method recommended by the Centers for Disease Control and
					 Prevention.
b. All soiled supplies
					 and used disposable items shall be stored or disposed of in plastic bags,
					 covered containers or compartments provided for this purpose. Regulated waste
					 shall be stored in a red or orange bag or container clearly marked with a
					 biohazard label.