Ala. Admin. Code r. 420-2-1-.18
Current through Register Vol. 43, No. 1, October 31, 2024
Section 420-2-1-.18 - Air Provider Services, Equipment, Fluids And Medications(1) Air Ambulance Providers are subject to all rules in this chapter except Rule 420-2-1-.17.(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 aircraft 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. The Minimum Equipment Standards and Supplies for Licensed EMS Provider Services will be maintained by the EMS and will be available upon request or can be found posted at http://www.alabamapublichealth.gov/ems.(4) All permitted aircraft are subject to inspection by the OEMS.(5) Air Ambulance Providers shall:(a) Comply with current applicable provisions of Part 135 FAR and be authorized by the FAA to provide air ambulance operations.(b) Cause the interior of the aircraft to be climate controlled to avoid adverse effects on patients and personnel. 1. The inside cabin shall be capable of maintaining temperature ranges of no less than 50 degrees Fahrenheit and no greater than 95 degrees Fahrenheit to prevent adverse effects on the patient. (This applies when patient is on board in flight - not during take-off or landing.)2. Cabin temperatures shall be measured and documented every 15 minutes during a patient transport. A thermometer shall be secured inside the cabin.3. The provider shall have written policies that address measures to be taken to avoid adverse effects of temperature extremes on patients and personnel on board.4. In the event cabin temperatures are less than 50 degrees Fahrenheit or greater than 95 degrees Fahrenheit, the provider shall require documentation be red flagged for the quality improvement process to evaluate what measures were taken to mitigate adverse effects on the patient and crew and what outcomes resulted.(6) All provider service aircraft shall have two forms of communication capabilities that provide vehicle-to-hospital communications and for entry of patients into ATCC. Additionally, all aircraft shall have radio communication capabilities with the following VHF 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) |
(7) 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.(8) All fluids and medications shall be stored in a locked (keyed or combination) compartment when not in use by appropriately licensed EMSP.(9) The individual ALS EMSP is responsible for ensuring that all fluids and medications are present and have not expired (regardless of the supply or resupply source).(11) All pre-hospital medical personnel shall provide medical treatments and interventions as described in the Alabama EMS Patient Care Protocols as applicable to their level of licensure.(12) 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-.18
New Rule: Filed April 20, 2011; effective May 25, 2011.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-.08 was renumbered 420-2-1-.18 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.