reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-143 - To obtain EMS certification by challenging the educational requirements, based on possession of a current health care providers credential

Current through Register Vol. 24-14, July 15, 2024
To apply for certification, an applicant must submit to the
					 department:
(1) A completed
				  certification application on forms provided by the department; and
(2) Proof of meeting the requirements
				  identified in Table A of this section.
Table A Health Care Providers Seeking to Challenge
					 the Educational Requirements for EMS Certification
REQUIREMENTS
Education:
Course completion documents showing education
								  equivalent to the knowledge and skills at the EMR, EMT or AEMT training
								  level.
Applicants seeking paramedic certification -
								  Successful completion of a paramedic course through a training program
								  accredited by a department-approved national accrediting organization.
Additional education:
Provide proof of a department-approved four-hour
								  infectious disease course or a seven-hour HIV/AIDS course as required by
								  chapter
								  70.24 RCW.
Current credential:
Provide proof of a valid health care provider
								  credential.
Certification examination:
A passing score on a department-approved
								  certification examination. Applicants will have three attempts within twelve
								  months from the first examination date to pass the examination. After twelve
								  months, the applicant must complete an approved initial EMS course to reapply
								  for certification.
Certification application:
High school diploma or GED: Required for EMT,
								  AEMT and paramedic only.
Provide proof of identity - State or federal
								  photo I.D. (military ID, driver's license, passport).
Provide proof of age - At least eighteen years of
								  age. Variances to this age requirement will not be granted.
Provide proof of EMS agency association - Active
								  membership, paid or volunteer with:
Licensed aid or ambulance service;
Law enforcement agency;
Business with organized industrial safety
								  team.
Recommendation of county medical program director
								  - Required. MPD must sign application.
Background check - required. May include
								  requirement for fingerprint card and FBI background check.
Statutory Authority:
						Chapters
						18.71,
						18.73, and 70.168 RCW. 11-07-078,
						§ 246-976-143, filed 3/22/11, effective
						5/15/11.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-144 - EMS certification

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Certification is effective on the date the department issues the certificate.
				  Certifications must be renewed every three years. The expiration date is
				  indicated on the certification card.
(2) The secretary may extend the
				  certification period to accommodate the efficient processing of recertification
				  applications. The expiration date will be indicated on the certification card
				  issued by the department.
(3)
				  Certification of AEMTs and paramedics is valid only:
(a) In the county or counties where
				  recommended by the MPD and approved by the secretary;
(b) In other counties where formal EMS
				  medical control agreements are in place; or
(c) In other counties when accompanying a
				  patient in transit.
(d) While
				  responding to other counties for mutual aid purposes, mass care, or other
				  incidents. In these situations, EMS provider will provide patient care
				  following the prehospital patient care protocols of their supervising
				  MPD.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-161 - General education requirements for EMS provider recertification

Current through Register Vol. 24-14, July 15, 2024
(1) Education is
				  required to recertify as an EMS provider.
(a)
				  The EMS provider must complete the continuing medical education and examination
				  (CME) method, identified in WAC
				  246-976-162 or the ongoing
				  training and evaluation program (OTEP) method, identified in WAC
				  246-976-163 for each
				  certification period.
(b) The EMS
				  provider shall maintain records of successfully completed educational,
				  practical skill evaluation and skill maintenance requirements.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-163 - The OTEP method of recertification

Current through Register Vol. 24-14, July 15, 2024
(1) Ongoing training and evaluation programs
				  (OTEP):
(a) Must provide knowledge and skill
				  evaluations following completion of each topic presentation to determine
				  student competence of topic content.
(i) Must
				  record practical skill evaluations on skill evaluation forms from nationally
				  recognized training programs, or on department-approved practical skill
				  evaluation forms, for the level of certification being taught.
(ii) If an evaluation form is not provided, a
				  skill evaluation form must be developed and approved by the MPD and the
				  department to evaluate the skill;
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-182 - Authorized care - Scope of practice

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Certified EMS personnel are only authorized to provide patient care:
(a) When performing in a prehospital
				  emergency setting or during interfacility ambulance transport; and
(b) When performing for a licensed EMS agency
				  or an organization recognized by the secretary; and
(c) Within the scope of care that is:
(i) Included in the approved instructional
				  guidelines/curriculum for the individual's level of certification; or
(ii) Included in approved specialized
				  training; and
(iii) Included in
				  state approved county MPD protocols.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › CERTIFICATION › Section 246-976-191 - Disciplinary actions

Current through Register Vol. 24-14, July 15, 2024
(1) The secretary
				  is the disciplining authority under
				  RCW
				  18.130.040(2)(a).
(2) Modification, suspension, revocation, or
				  denial of certification will be consistent with the requirements of the
				  Administrative Procedure Act (chapter 34.05 RCW), the Uniform
				  Disciplinary Act (chapter 18.130
				  RCW), and chapter 246-10 WAC.
(3)
				  MPDs may perform counseling regarding the clinical practice of certified
				  individuals.
(4) Before
				  recommending disciplinary action, the MPD must initiate protocol and procedural
				  counseling with the certified individual, consistent with department
				  guidelines.
(5) The MPD may request
				  the secretary to summarily suspend certification of an individual if the MPD
				  believes that continued certification is an immediate and critical threat to
				  public health and safety.
(6) The
				  MPD may recommend denial or renewal of an individual's certification.
(7) As required by
				  RCW
				  18.130.080, an employing or sponsoring agency
				  is subject to the reporting requirements identified in chapter 246-16 WAC. An
				  employing or sponsoring agency must report to the department the following:
(a) When the certified individual's services
				  have been terminated or restricted based upon a final determination that the
				  individual has either committed an act or acts that may constitute
				  unprofessional conduct; or
(b) That
				  the certified individual may not be able to practice his or her profession with
				  reasonable skill and safety to consumers as a result of a mental or physical
				  condition; or
(c) When a certified
				  individual is disciplined by an employing or sponsoring agency for conduct or
				  circumstances that would be unprofessional conduct under
				  RCW
				  18.130.180 of the Uniform Disciplinary
				  Act.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-260 - Licenses required

Current through Register Vol. 24-14, July 15, 2024
(1) The secretary
				  licenses ambulance and aid services and vehicles to provide service that is
				  consistent with the state plan and approved regional plans.
(2) To become licensed as an ambulance or aid
				  service, an applicant must submit:
(a) A
				  completed application for licensure on forms provided by the
				  department;
(b) Proof of the
				  following insurance coverage:
(i) Motor
				  vehicle liability coverage required in
				  RCW
				  46.30.020 (ambulance and aid services
				  only);
(ii) Professional and
				  general liability coverage;
(c) A map of the proposed response
				  area;
(d) The level of service to
				  be provided: Basic life support (BLS), intermediate life support (ILS), or
				  advanced life support (ALS) (paramedic); and the scheduled hours of operation.
				  Minimum staffing required for each level is as follows:
(i) For aid service response:
(A) A BLS level service will provide care
				  with at least one person qualified in advanced first aid;
(B) An ILS level service will provide care
				  with at least one ILS technician (AEMT);
(C) An ALS level service will provide care
				  with at least one paramedic.
(ii) For ambulance services:
(A) A BLS level service will provide care and
				  transport with at least one emergency medical technician (EMT) and one person
				  trained in advanced first aid;
(B)
				  An ILS service will provide care and transport with at least one ILS technician
				  and one EMT;
(C) An ALS service
				  will provide care and transport with at least one paramedic and one EMT or
				  higher level of EMS certification;
(D) Licensed services that provide critical
				  care interfacility ambulance transports, must have sufficient medical personnel
				  on each response to provide patient care specific to the transport;
(e) For licensed
				  ambulance services, a written plan to continue patient transport if a vehicle
				  becomes disabled, consistent with regional patient care procedures.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-270 - Denial, suspension, revocation

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The secretary may suspend, modify, or revoke an agency's license or
				  verification issued under this chapter. The secretary may deny licensure or
				  verification to an applicant when it finds:
(a) Failure to comply with the requirements
				  of chapters 18.71,
				  18.73, or 70.168 RCW, or other
				  applicable laws or rules, or with this chapter;
(b) Failure to comply or ensure compliance
				  with prehospital patient care protocols or regional patient care
				  procedures;
(c) Failure to
				  cooperate with the department in inspections or investigations;
(d) Failure to supply data as required in
				  chapter 70.168 RCW and this chapter; or
(e) Failure to consistently meet trauma
				  response times identified by the regional plan and approved by the department
				  for trauma verified services.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-290 - Ground ambulance vehicle standards

Current through Register Vol. 24-14, July 15, 2024
(1) Essential equipment for patient and
				  provider safety and comfort must be in good working order.
(2) All ambulance vehicles must be clearly
				  identified as an EMS vehicle and display the agency identification by emblems
				  and markings on the front, side, and rear of the vehicle. A current state
				  ambulance credential must be prominently displayed in a clear plastic cover
				  positioned high on the partition behind the driver's seat.
(3) Tires must be in good
				  condition.
(4) The electrical
				  system must meet the following requirements:
(a) Interior lighting in the driver
				  compartment must be designed and located so that no glare is reflected from
				  surrounding areas to the driver's eyes or line of vision from the instrument
				  panel, switch panel, or other areas which may require illumination while the
				  vehicle is in motion; and
(b)
				  Interior lighting in the patient compartment must be provided throughout the
				  compartment, and provide an intensity of twenty foot-candles at the level of
				  the patient; and
(c) Exterior
				  lights must be fully operational, and include body-mounted flood lights over
				  the patient loading doors to provide loading visibility; and
(d) Emergency warning lights must be provided
				  in accordance with
				  RCW
				  46.37.380, as administered by the state
				  commission on equipment.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-310 - Ground ambulance and aid service - Communications equipment

Current through Register Vol. 24-14, July 15, 2024
(1) Licensed
				  services must provide each licensed ambulance and aid vehicle with
				  communication equipment which:
(a) Is
				  consistent with state and regional plans;
(b) Is in good working order;
(c) Allows direct two-way communication
				  between the vehicle and its dispatch control point; and
(d) Allows communication with medical
				  control.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-320 - Air ambulance services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this rule is to ensure the consistent
					 quality of medical care delivered by air ambulance services in the state of
					 Washington.
(1) An air ambulance
				  service operating in the state of Washington must:
(a) Be licensed by the department in
				  compliance with this section unless an exception in
				  RCW
				  18.73.130 applies;
(b) Comply with all regulations and standards
				  in this chapter pertaining to licensed and verified ambulance services and
				  vehicles, except that WAC
				  246-976-290 and
				  246-976-300 are replaced for air
				  ambulance services by subsections (7) and (8) of this section; and
(c) Comply with the standards in this section
				  for all types of transports, including interfacility and prehospital
				  transports.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-330 - Ambulance and aid services - Record requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Each ambulance and aid service must
				  maintain a record of, and submit to the department, the following information
				  on request:
(a) Current certification levels
				  of all personnel;
(b) Any changes
				  in staff affiliation with the ambulance and aid service to include new
				  employees or employee severance; and
(c) Make, model, and license number of all
				  EMS response vehicles.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-340 - Ambulance and aid services - Inspections and investigations

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  may conduct periodic, unannounced inspections of licensed ambulances and aid
				  vehicles and services.
(2) If the
				  service is also verified in accordance with WAC
				  246-976-390, the department will
				  include a review for compliance with verification standards as part of the
				  inspections described in this section.
(3) Licensed services shall make available to
				  the department and provide copies of any printed or written materials relevant
				  to the inspection, verification review, or investigative process in a timely
				  manner.
Statutory Authority:
						Chapters
						18.71,
						18.73, and 70.168 RCW. 00-08-102,
						§ 246-976-340, filed 4/5/00, effective 5/6/00. Statutory Authority:
						RCW
						43.70.040 and
						chapters
						18.71,
						18.73 and 70.168 RCW. 93-01-148
						(Order 323), § 246-976-340, filed 12/23/92, effective
						1/23/93.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-390 - Trauma verification of prehospital EMS services

Current through Register Vol. 24-14, July 15, 2024
(1) The secretary verifies prehospital EMS
				  services. Verification is a higher form of licensure that requires
				  twenty-four-hour, seven day a week compliance with the standards outlined in
				  chapter 70.168 RCW and this chapter. Verification will expire with the
				  prehospital EMS service's period of licensure.
(2) To qualify for trauma verification, an
				  agency must be a licensed ambulance or aid service as specified in WAC
				  246-976-260.
(3) The following EMS services may be
				  verified:
(a) Aid service: Basic,
				  intermediate (AEMT), and advanced (paramedic) life support;
(b) Ground ambulance service: Basic,
				  intermediate (AEMT), and advanced (paramedic) life support;
(c) Air ambulance service.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-395 - To apply for initial verification or to change verification status as a prehospital EMS service

Current through Register Vol. 24-14, July 15, 2024
(1) To select
				  verified prehospital EMS services, the department will:
(a) Provide a description of the documents an
				  applicant must submit to demonstrate that it meets the standards as identified
				  in chapter 70.168 RCW and WAC
				  246-976-390;
(b) Conduct a preverification on-site review
				  for:
(i) All ALS ambulance service
				  applications;
(ii) All ILS
				  ambulance service applications; and
(iii) All BLS ambulance applications if and
				  when there is any question of duplication of services or lack of coordination
				  of prehospital services within the region;
(c) Request comments from the region in which
				  a verification application is received, to be used in the department's
				  review;
(d) Apply the department's
				  evaluation criteria; and
(e) Apply
				  the department's decision criteria.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › LICENSURE AND VERIFICATION › Section 246-976-400 - Verification - Noncompliance with standards

Current through Register Vol. 24-14, July 15, 2024
If the department finds that a verified prehospital trauma
					 care service is out of compliance with verification standards:
(1) The department shall promptly notify in
				  writing: The service, the MPD, and the local and regional EMS/TC
				  councils.
(2) Within thirty days of
				  the department's notification, the service must submit a corrective plan to the
				  department, the MPD, and the local and regional councils outlining proposed
				  action to return to compliance.
(3)
				  If the service is either unable or unwilling to comply with the verification
				  standards, under the provisions of
				  chapter
				  34.05 RCW, the secretary
				  may suspend or revoke the verification. The department shall promptly notify
				  the local and regional councils and the MPD of any revocation or suspension of
				  verification.
If the MPD, the local council, or regional council receives
					 information that a service is out of compliance with the regional plan, they
					 may forward their recommendations for corrections to the department.
(4) The department will review the
				  plan within thirty days, including consideration of any recommendations from
				  the MPD, local council, and regional council. The department will notify the
				  service whether the plan is accepted or rejected.
(5) The department will monitor the service's
				  progress in fulfilling the terms of the approved plan.
(6) A verified prehospital service that is
				  not in compliance with verification standards will not receive a participation
				  grant.
Statutory Authority:
						Chapters
						18.71,
						18.73, and 70.168 RCW. 11-07-078,
						§ 246-976-400, filed 3/22/11, effective 5/15/11; 00-08-102, §
						246-976-400, filed 4/5/00, effective 5/6/00. Statutory Authority:
						RCW
						43.70.040 and
						chapters
						18.71,
						18.73 and 70.168 RCW. 93-01-148
						(Order 323), § 246-976-400, filed 12/23/92, effective
						1/23/93.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › TRAUMA REGISTRY › Section 246-976-420 - Trauma registry-Department responsibilities

Current through Register Vol. 24-14, July 15, 2024
(1) Purpose: The department maintains a
				  trauma registry, as required by
				  RCW
				  70.168.060 and
				  70.168.090.
				  The purpose of this registry is to:
(a)
				  Provide data for trauma surveillance, analysis, and prevention
				  programs;
(b) Monitor and evaluate
				  the outcome of care of trauma patients, in support of statewide and regional
				  quality assurance and system evaluation activities;
(c) Assess compliance with state standards
				  for trauma care;
(d) Provide
				  information for resource planning, system design and management; and
(e) Provide a resource for research and
				  education.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › TRAUMA REGISTRY › Section 246-976-430 - Trauma registry-Provider responsibilities

Current through Register Vol. 24-14, July 15, 2024
(1) A trauma care provider shall protect the
				  confidentiality of data in their possession and as it is transferred to the
				  department.
(2) A verified
				  prehospital agency that transports trauma patients must:
(a) Provide an initial report of patient care
				  to the receiving facility at the time the trauma patient is delivered as
				  described in WAC
				  246-976-330.
(b) Within twenty-four hours after the trauma
				  patient is delivered, send a complete patient care report to the receiving
				  facility to include the data shown in Table A.
Table A: Prehospital Patient Care Report Elements for the
					 Washington Trauma Registry
Data Element
Prehospital-Transport:
Inter-Facility:
Incident Information
Transporting emergency medical services (EMS) agency
							 number
X
X
Unit en route date/time
X
Patient care report number
X
X
First EMS agency on scene identification number
X
Crew member level
X
X
Method of transport
X
X
Incident county
X
Incident zip code
X
Incident location type
X
Patient Information
Name
X
X
Date of birth,
or
age
X
X
Sex
X
X
Cause of injury
X
Use of safety equipment
X
Extrication required
X
Transportation
Facility transported from (code)
X
Times
Unit notified by dispatch date/time
X
X
Unit arrived on scene date/time
X
X
Unit left scene date/time
X
X
Vital Signs
Date/time of first vital signs taken
X
First systolic blood pressure
X
First respiratory rate
X
First pulse
X
First oxygen saturation
X
First Glasgow coma score (GCS) with individual
							 component values (eye, verbal, motor, total, and qualifier)
X
Treatment
Procedure performed
X
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › DESIGNATION OF TRAUMA CARE FACILITIES › Section 246-976-580 - Trauma designation process

Current through Register Vol. 24-14, July 15, 2024
The department designates health care facilities to provide
					 adult and pediatric acute care trauma services ("trauma services") and adult
					 and pediatric trauma rehabilitation services ("trauma rehabilitation services")
					 as part of the statewide emergency medical services and trauma care EMS&TC)
					 system. This section describes the designation process.
(1) The department must:
(a) Provide written notification to all
				  licensed hospitals and to other health care facilities that a new designation
				  period is beginning. The written notification and the EMS&TC regional plans
				  are posted on the department's web site;
(b) Provide a trauma designation application
				  schedule outlining the steps and timeline requirements for a facility to apply
				  for trauma service designation. The schedule must provide each facility at
				  least ninety days to complete an application for trauma designation. The
				  application schedule is posted on the department's web site;
(c) Provide an application for each level,
				  type and combination of designation. Designation applications are released
				  region by region, according to the established schedule;
(d) Conduct a site review for any hospital
				  applying for level I, II, or III adult and pediatric trauma service designation
				  to determine compliance with required standards;
(e) Initiate a three-year contract with
				  successful applicants to authorize participation in the trauma
				  system.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-890 - Interhospital transfer guidelines and agreements

Current through Register Vol. 24-14, July 15, 2024
Designated trauma services must:
(1) Have written guidelines consistent with
				  their written scope of trauma service to identify and transfer patients with
				  special care needs exceeding the capabilities of the trauma service;
(2) Have written transfer agreements with
				  other designated trauma services. The agreements must address the
				  responsibility of the transferring hospital, the receiving hospital, and the
				  prehospital transport agency, including a mechanism to assign medical control
				  during interhospital transfer;
(3)
				  Have written guidelines, consistent with their written scope of trauma service,
				  to identify trauma patients who are transferred in from other facilities,
				  whether admitted through the emergency department or directly into other
				  hospital services;
(4) Use verified
				  prehospital trauma services for interfacility transfer of trauma
				  patients.
Statutory Authority:
						Chapters
						18.71,
						18.73, and 70.168 RCW. 11-07-078,
						§ 246-976-890, filed 3/22/11, effective 5/15/11. Statutory Authority:
						RCW
						70.168.060 and
						70.168.070. 04-01-041, §
						246-976-890, filed 12/10/03, effective 1/10/04. Statutory Authority:
						Chapters
						18.71,
						18.73, and 70.168 RCW. 00-08-102,
						§ 246-976-890, filed 4/5/00, effective 5/6/00. Statutory Authority:
						Chapter 70.168 RCW. 98-04-038, § 246-976-890, filed 1/29/98, effective
						3/1/98. Statutory Authority:
						RCW
						43.70.040 and
						chapters
						18.71,
						18.73 and 70.168 RCW. 93-01-148
						(Order 323), § 246-976-890, filed 12/23/92, effective
						1/23/93.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-910 - Regional quality assurance and improvement program

Current through Register Vol. 24-14, July 15, 2024
(1) The department will:
(a) Develop guidelines for a regional EMS/TC
				  system quality assurance and improvement program including:
(i) Purpose and principles of the
				  program;
(ii) Establishing and
				  maintaining the program;
(iii)
				  Process;
(iv) Membership of the
				  quality assurance and improvement program committee;
(v) Authority and responsibilities of the
				  quality assurance and improvement program committee;
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-920 - Medical program director

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Qualifications - Applicants for certification as a medical program director
				  (MPD) must:
(a) Hold and maintain a current
				  and valid license to practice medicine and surgery under
				  chapter
				  18.71 RCW or osteopathic
				  medicine and surgery under
				  chapter
				  18.57 RCW; and
(b) Be qualified and knowledgeable in the
				  administration and management of emergency medical care and services;
				  and
(c) Complete a medical director
				  training course approved by the department; and
(d) Be recommended for certification by the
				  local medical community and local emergency medical services and trauma care
				  council.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-930 - General responsibilities of the department

Current through Register Vol. 24-14, July 15, 2024
In addition to the requirements described in
					 chapters
					 18.71,
					 18.73, and 70.168 RCW, and
					 elsewhere in this chapter:
(1) The
				  department shall review, recommend changes to, and approve regional plans and
				  regional patient care procedures based on the requirements of this chapter and
				  recommendations from the steering committee, and upon consideration of the
				  needs of patients.
(a) The department may
				  approve regional plans which include standards that are consistent with chapter
				  70.168 RCW and other state and federal laws, but which exceed the requirements
				  of this chapter.
(b) The department
				  will develop a process for biennial update of regional and statewide planning.
				  The process will include provisions to amend regional plans between biennial
				  updates.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-935 - Emergency medical services and trauma care system trust account

Current through Register Vol. 24-14, July 15, 2024
RCW 70.168.040 establishes the
					 emergency medical services and trauma care system trust account. With the
					 advice of the EMS/TC steering committee, the department will develop a method
					 to budget and distribute funds in the trust account. The department may use an
					 injury severity score to define a major trauma patient. Initially, the method
					 and budget will be based on the department's
Trauma Care Cost
					 Reimbursement Study, final report (October 1991).
The committee and
					 the department will review the method and the budget at least every two
					 years.
(1) Definitions: The following
				  phrases used in this section mean:
(a) "Needs
				  grant" is a trust account payment that is based on a demonstrated need to
				  develop and maintain service that meets the trauma care standards of chapter
				  70.168 RCW and this chapter. Needs grants are awarded to verified trauma care
				  ambulance or aid services. Services must be able to show that they have looked
				  for other resources without success before they will be considered for a needs
				  grant.
(b) "Participation grant"
				  refers to a trust account payment designed to compensate the recipient for
				  participation in the state's comprehensive trauma care system. These grants are
				  intended as a tool for assuring access to trauma care. Participation grants are
				  awarded to:
(i) Verified trauma care
				  ambulance or aid services;
(ii)
				  Designated trauma care services; and
(iii) Designated trauma rehabilitation
				  services.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-940 - Steering committee

Current through Register Vol. 24-14, July 15, 2024
In addition to the requirements of chapter 70.168 RCW and
					 elsewhere in this chapter, the EMS/TC steering committee will:
(1) Review and comment on the department's
				  rules, policies, and standards;
(2)
				  Review and comment on the department's budget for the EMS/TC system at least
				  biennially;
(3) Periodically review
				  and recommend changes to:
(a) The
				  department's prehospital triage procedures;
(b) Regional patient care
				  procedures;
(c) Regional plans;
				  and
(d) Interfacility transfer
				  guidelines.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-960 - Regional emergency medical services and trauma care councils

Current through Register Vol. 24-14, July 15, 2024
(1) In addition to
				  meeting the requirements of chapter 70.168 RCW and elsewhere in this chapter,
				  regional EMS/TC councils must:
(a) Identify
				  and analyze system trends to evaluate the EMS/TC system and its component
				  subsystems, using trauma registry data provided by the department;
(b) Develop and submit to the department
				  regional EMS/TC plans to:
(i) Identify the
				  need for and recommend distribution and level of care (basic, intermediate or
				  advanced life support) for verified aid and ambulance services for each
				  response area. The recommendations will be based on criteria established by the
				  department relating to agency response times, geography, topography, and
				  population density;
(ii) Identify
				  EMS/TC services and resources currently available within the region;
(iii) Describe how the roles and
				  responsibilities of the MPD are coordinated with those of the regional EMS/TC
				  council and the regional plan;
(iv)
				  Describe and recommend improvements in medical control communications and
				  EMS/TC dispatch, with at least the elements of the state communication plan
				  described in
				  RCW
				  70.168.060(1)(h);
(v) Include a schedule for
				  implementation.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-976 - Emergency medical services and trauma care systems › SYSTEM ADMINISTRATION › Section 246-976-970 - Local emergency medical services and trauma care councils

Current through Register Vol. 24-14, July 15, 2024
(1) If a county or
				  group of counties creates a local EMS/TC council, it must be composed of
				  representatives of hospital and prehospital trauma care and EMS providers,
				  local elected officials, consumers, local law enforcement officials, local
				  government agencies, physicians, and prevention specialists involved in the
				  delivery of EMS/TC.
(2) In addition
				  to meeting the requirements of chapter 70.168 RCW and this chapter, local
				  EMS/TC councils must:
(a) Participate with
				  the MPD and emergency communication centers in making recommendations to the
				  regional council about the development of regional patient care procedures;
				  and
(b) Review applications for
				  initial training classes and OTEP programs, and make recommendations to the
				  department.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-978 - Death with Dignity Act requirements › Section 246-978-001 - Purpose and authority

Current through Register Vol. 24-14, July 15, 2024
The Washington state department of health adopts this
				  chapter to implement the provisions of chapter 70.245 RCW, the Washington Death
				  with Dignity Act.
Statutory Authority: Chapter 70.245 RCW. 09-06-010, §
					 246-978-001, filed 2/20/09, effective
					 3/5/09.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-978 - Death with Dignity Act requirements › Section 246-978-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
In addition to the definitions contained in
				  RCW
				  70.245.010, the following definitions in this
				  section apply throughout this chapter unless the context clearly requires
				  otherwise.
(1) "Act" means the
				"Washington Death with Dignity Act" or Initiative Measure No. 1000 as adopted
				by the voters on November 4, 2008, codified as chapter 70.245 RCW, and as
				amended.
(2) "Department" means the
				department of health.
Statutory Authority: Chapter 70.245 RCW. 09-06-010, §
					 246-978-010, filed 2/20/09, effective
					 3/5/09.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-978 - Death with Dignity Act requirements › Section 246-978-020 - Reporting

Current through Register Vol. 24-14, July 15, 2024
(1) To comply with
				the act, within 30 calendar days of writing a prescription for medication to
				end the life of a qualified patient, the attending qualified medical provider
				shall send the following completed documents to the department electronically,
				by mail, or fax:
(a) The patient's written
				request for medication to end life, either using the Written Request for
				Medication to End My Life in a Humane and Dignified Manner form or in
				substantially the same form as described in the act;
(b) Attending qualified medical provider's
				compliance form;
(c) Consulting
				qualified medical provider's compliance form; and
(d) Psychiatric/psychological consultant's
				compliance form, if an evaluation was performed.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-978 - Death with Dignity Act requirements › Section 246-978-030 - Confidentiality-Liability (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.245 RCW. 09-06-010, §
					 246-978-030, filed 2/20/09, effective
					 3/5/09.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-978 - Death with Dignity Act requirements › Section 246-978-040 - Qualifications of witness in a long-term care facility (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.245 RCW. 09-06-010, §
					 246-978-040, filed 2/20/09, effective
					 3/5/09.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › Section 246-980-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section and in
				  RCW
				  74.39A.009 apply throughout this chapter
				  unless the context clearly requires otherwise.
(1) "Activities of daily living" means
				self-care abilities related to personal care such as bathing, body care, bed
				mobility, eating, locomotion, medication assistance, use of the toilet,
				personal hygiene, dressing, and transfer.
(2) "Date of hire" means:
(a) The date of service authorization for
				individual providers hired by the department of social and health services;
				or
(b) The date the long-term care
				worker provides direct care for pay from any employer, other than the
				department of social and health services;
(c) The date of hire is specific to each
				long-term care worker, not to the employer, and does not change if a long-term
				care worker changes employers. If a long-term care worker is or has been
				employed by more than one employer, the earliest date of hire will be the date
				of hire for that worker.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-020 - Long-term care workers and home care aide certification

Current through Register Vol. 24-14, July 15, 2024
Any person who is hired on or after January 7, 2012, as a
					 long-term care worker for the elderly or persons with disabilities, regardless
					 of the employment title, must obtain certification as a home care aide, unless
					 exempt under WAC 246-980-025. This includes, but is not limited to:
(1) An individual provider of home care
				  services who is reimbursed by the state;
(2) A direct care employee of a home care
				  agency;
(3) A provider of home care
				  services to persons with developmental disabilities under Title 71A
				  RCW;
(4) A direct care worker in a
				  state licensed assisted living facility;
(5) A direct care worker in a state licensed
				  adult family home;
(6) A respite
				  care provider who is reimbursed by the state or employed by a private agency or
				  facility licensed by the state to provide personal care services; and
(7) Any other direct care workers providing
				  home or community-based services to the elderly or persons with developmental
				  disabilities.
Statutory
					 Authority: Chapters 18.88B and
					 18.130 RCW,
					 2012 c
					 164 , and 2013 c 259 . WSR 13-19-087, §
					 246-980-020, filed 9/18/13, effective 10/19/13. Statutory Authority:
					 2012 c
					 1 (Initiative 1163) and chapter 18.88B RCW. WSR
					 12-08-043, § 246-980-020, filed 3/30/12, effective 4/4/12. Statutory
					 Authority: Chapters 18.88B and 74.39A RCW. WSR 10-15-103, § 246-980-020,
					 filed 7/20/10, effective 1/1/11. WSR 13-18-003, § 246-980-020, filed
					 8/21/2013, effective 9/21/2013
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-025 - Individuals exempt from obtaining a home care aide certification

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				  individuals are not required to obtain certification as a home care aide. If
				  they choose to voluntarily become certified, they must successfully pass the
				  entry level training required by
				  RCW
				  74.39A.074 and meet the requirements of WAC
				  246-980-040(1)(b)
				  and (c).
(a) An individual provider caring only for a
				  biological, step, or adoptive child or parent.
(b) An individual provider who provides
				  twenty hours or less of care for one person in any calendar month.
(c) An individual employed by a community
				  residential service business.
(d)
				  An individual employed by a residential habilitation center licensed under
				  chapter 71A.20 RCW or a facility certified under 42 C.F.R. Part 483.
(e) A direct care worker who is not paid by
				  the state or by a private agency or facility licensed by the state to provide
				  personal care services.
(f) A
				  person working as an individual provider who only provides respite services and
				  works less than three hundred hours in any calendar year.
(g) Any direct care worker exempt under RCW
				  18.88B.-041(1).
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-030 - Working while obtaining certification as a home care aide

Current through Register Vol. 24-14, July 15, 2024
(1) A long-term
				  care worker may provide care before receiving certification as a home care aide
				  if all the following conditions are met:
(a)
				  Before providing care, the long-term care worker must complete the training
				  required by
				  RCW
				  74.39A.074(1)(d)(i)(A) and
				  (B).
(b) The long-term care worker must submit an
				  application for home care aide certification to the department within fourteen
				  calendar days of hire. An application is considered to be submitted on the date
				  it is post-marked or, for applications submitted in person or online, the date
				  it is accepted by the department.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-040 - Certification requirements

Current through Register Vol. 24-14, July 15, 2024
(1) To
				  qualify for certification as a home care aide, the applicant must:
(a) Successfully complete all training
				  required by
				  RCW
				  74.39A.074(1) within one
				  hundred twenty calendar days of the date of hire as a long-term care
				  worker;
(b) Successfully pass the
				  home care aide certification examination, after completing training;
				  and
(c) Become certified within two
				  hundred days of date of hire, or two hundred sixty days if granted a
				  provisional certificate under
				  RCW
				  18.88B.041.
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-050

Current through Register Vol. 24-14, July 15, 2024
Statutory
					 Authority: Chapters 18.88B and
					 18.130 RCW,
					 2012 c
					 164 , and 2013 c 259 . WSR 13-19-087, §
					 246-980-050, filed 9/18/13, effective 10/19/13. Statutory Authority: Chapters
					 18.88B and 74.39A RCW. WSR 10-15-103, § 246-980-050, filed 7/20/10,
					 effective 1/1/11. WSR 13-18-003, § 246-980-050, filed 8/21/2013, effective
					 9/21/2013
Washington Administrative Code › Title 246 - Health, Department of › TRAUMA/EMERGENCY MEDICAL SERVICES › Chapter 246-980 - Home care aide rules › REQUIREMENTS FOR LONG-TERM CARE WORKERS THAT ARE REQUIRED TO BE CERTIFIED AS A HOME CARE AIDE › Section 246-980-060

Current through Register Vol. 24-14, July 15, 2024
Statutory
					 Authority: Chapters 18.88B and
					 18.130 RCW,
					 2012 c
					 164 , and 2013 c 259 . WSR 13-19-087, §
					 246-980-060, filed 9/18/13, effective 10/19/13. Statutory Authority: Chapters
					 18.88B and 74.39A RCW. WSR 10-15-103, § 246-980-060, filed 7/20/10,
					 effective 1/1/11. WSR 13-18-003, § 246-980-060, filed 8/21/2013, effective
					 9/21/2013