Ala. Admin. Code r. 420-2-1-.17

Current through Register Vol. 43, No. 02, November 27, 2024
Section 420-2-1-.17 - Ground Provider Services, Equipment, Fluids And Medications
(1) Ground Provider Services are subject to all rules in this chapter except Rule 420-2-1-.08.
(2) No unlicensed emergency medical provider service or personnel shall transport a patient from one point within Alabama to another point within Alabama.
(3) All permitted vehicles listed on an emergency medical provider service's application shall meet the Minimum Equipment Standards and Supplies for Licensed EMS Provider Services that pertain to their type of provider service and vehicles. The Minimum Equipment Standards and Supplies for Licensed EMS Provider Services will be maintained by the OEMS for each type of vehicle and will be available upon request or can be found posted at http://www.alabamapublichealth.gov/ems.
(4) Permitted ambulances may utilize locking wheelchair devices for restricted patients and the device shall be secured appropriately and permanently in accordance with the manufacturer's instructions. Safety harnesses and belts for the patient shall comply with all provisions contained in the Federal Motor Vehicle Safety Standards (FMVSS) at 49 CFR Part 571.
(5) Seat belts and shoulder harnesses shall not be used in lieu of a device which secures the wheelchair or mobility aid itself.
(6) All ambulances shall meet or exceed the federal trade industry specifications or standards for ambulance vehicles.
(7) Ambulances shall not have exterior wording which may mislead the public as to the type of service that the emergency medical provider service is licensed to provide.
(8) All ambulances shall have the same color schemes, lettering, and striping which shall be approved by the OEMS prior to being placed in service.
(9) All provider service names as designated on the license issued by the OEMS shall be displayed prominently on each side of the ambulance as outlined in the current OEMS approved specifications.
(10) All permitted vehicles are subject to inspection by the OEMS.
(11) All provider service ground ambulances shall have two forms of communication capabilities that provide vehicle-to-hospital communications and for entry of patients into ATCC. Additionally, all ground ambulances shall have radio communication capabilities with the following Very High Frequencies (VHF) frequencies to be used for mutual aid and disaster responses.

(a)

155.175

EMS-TAC-1

(b)

155.205

EMS-TAC-2

(c)

155.235

EMS-TAC-3

(d)

155.265

EMS-TAC-4

(e)

155.340

Hospital 1 (HEAR) (VMED28)

(f)

155.3475

(VMED 29)

(12) Medications and fluids shall be approved by the Board and listed on the Formulary for EMS. These medications and fluids shall be properly stored and inventoried in a fluid and medication container. Medication containers shall be kept properly secured and accessible only by authorized EMSP.
(13) All fluids and medications shall be stored in a locked (keyed or combination) compartment when not in use by appropriately licensed EMSP.
(14) The individual ALS EMSP is responsible for ensuring that all fluids and medications are present and have not expired.
(15) The Board approved Formulary for EMS medications is available upon request or can be found at http://www.alabamapublichealth.gov/ems.
(16) All pre-hospital medical personnel shall provide ALS medical treatments and interventions as described in the Alabama EMS Patient Care Protocols as applicable to their level of licensure.
(17) Medications, I.V. fluids, and other ALS equipment supply or resupply system for approved ALS certificate holders shall be established and maintained with an approved pharmacy or a pharmaceutical distributor. The OEMS will conduct periodic inspections of medications, I.V. fluids, and ALS equipment. All sources of supply or resupply for each ALS service participating in the medication, I.V. fluid, and other ALS equipment supply or resupply program must be submitted and approved by the OEMS.

Ala. Admin. Code r. 420-2-1-.17

New Rule: Filed September 20, 1996; effective October 24, 1996. Amended: Filed March 20, 2001; effective April 24, 2001. Amended: Filed June 23, 2004; effective July 28, 2004. Repealed and New Rule: Filed December 17, 2007; effective January 21, 2008.
Amended by Alabama Administrative Monthly Volume XXXV, Issue No. 06, March 31, 2017, eff. 4/30/2017.
Adopted by Alabama Administrative Monthly Volume XXXVII, Issue No. 05, February 28, 2019, eff. 4/7/2019.
Adopted by Alabama Administrative Monthly Volume XXXVIII, Issue No. 07, April 30, 2020, eff. 6/14/2020.
Adopted by Alabama Administrative Monthly Volume XL, Issue No. 05, February 28, 2022, eff. 4/14/2022.

Rule 420-2-1-.09 was renumbered 420-2-1-.17 as per certification Filed February 20, 2019; effective April 7, 2019.

Authors: William Crawford, M.D.; Jamie Gray

Statutory Authority:Code of Ala. 1975, § 22-18-1, et seq.