EMERGENCY
MEDICAL SERVICES
CHAPTER Saf-C
5900 EMERGENCY MEDICAL SERVICES RULES
Statutory
Authority: RSA 153-A:20
REVISION NOTE #1:
Pursuant to Chapter 345:12, I of the
Laws of 1999, the existing rules in Chapter He-P 1200 on emergency medical
services of the Department of Health and Human Services were transferred to the
Department of Safety. Subsequently the
Department of Safety filed Document #7690, effective 5-21-02, which readopted
with amendments and renumbered the former He-P 1200 as Saf-C
5900 and made extensive changes to the wording, numbering
and format. Document #7690 supersedes
all prior filings affecting rules in the former He-P 1200.
The prior filings affecting rules in
the former He-P 1200 included the following documents:
#1580,
eff 5-19-80 |
#2863,
eff 9-27-84 |
#1749,
eff 5-1-81 |
#2941,
eff 12-28-84 |
#1750,
eff 5-1-81 |
#4231,
eff 2-23-87, EXPIRED 2-23-93 |
#1815,
eff 9-21-81 |
#6081,
eff 8-19-95 |
#2127,
eff 8-24-82 |
#6113,
eff 11-8-95 |
#2262,
eff 1-5-83 |
#6709,
eff 3-4-98 |
#2546,
eff 11-29-83 |
#7056,
eff 8-1-99 |
REVISION
NOTE #2:
Document #12790, effective 5-24-19,
adopted, readopted, readopted with amendment, or repealed all
of the rules in Chapter Saf-C 5900. Document #12790 also made extensive changes in
the numbering of rules within the chapter.
Document #12790 replaces all prior filings
for rules in the former Saf-C 5900. The prior filings affecting rules in the
former Saf-C 5900 since Document #7690, which had
expired 5-21-10, included the following documents:
#8520, INTERIM, eff
12-16-05, EXPIRED 6-14-06
#8630, INTERIM, eff
5-19-06, EXPIRED 11-15-06
#9779-A, eff
9-8-10
#9779-B, eff
9-8-10
#10552, eff
3-24-14
#10786, EMERGENCY, eff
2-20-15, EXPIRED 8-19-15
#10858, eff
6-23-15
#10932, eff
9-15-15
#10940, eff
9-25-15
#10941, eff
9-25-15
Most of the existing rules in Saf-C 5900 had last been filed under Document #9779-A,
effective 9-8-10. The former rules filed
in Document #9779-A did not expire on 9-8-18 but were extended pursuant to RSA 541-A:14-a
until replaced by the rules in Document #12790, effective 5-24-19.
PART
Saf-C 5901
DEFINITIONS
Saf-C
5901.01 “Adult” means a person over the
age of 18.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5901.02 “Advanced cardiac life support training (ACLS)” means training that
meets the standards of the American Heart Association’s guidelines for the
treatment of the adult victim of cardiac arrest or other cardiopulmonary
emergencies.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5901.03 “Advanced emergency medical care
provider” means an individual who is qualified in accordance with these rules as
an advanced emergency medical technician or paramedic.
Source. (See Revision
Note #1 and Revision Note #2 at Chapter heading for Saf-C
5900) #12790, effective 5-24-19
Saf-C
5901.04 “Advanced emergency medical technician (AEMT)” means an emergency
medical care provider that is licensed at the advanced emergency medical
technician level.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.05 “Advanced life support (ALS)” means medical
procedures and the scope of practice rendered by advanced emergency medical
care providers in accordance with RSA 153-A:12.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.06 “Agreement” means the written contract
between:
(a)
An emergency medical service unit and its medical resource hospital,
which covers procedures as defined in Saf-C 5919.01
and Saf-C 5920.02; or
(b)
An emergency medical services instructor or coordinator and hospital or
unit which allows for student clinical or field experience as a part of a
division approved training program.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.07 “Apprentice” means a person who possesses a
current certificate of training in CPR and basic first aid, but who has not
attained the legal age for licensure as a provider in accordance with RSA
153-A:11, III.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.08 “Assistant instructor” means a person who
assists the emergency medical services instructor or coordinator of any lesson
in the demonstration and practice designed to develop and evaluate student
skill competencies.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.09
“Authority to establish courses” means
the form by which authorization is requested for an emergency medical services
training program.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.10 “Basic life support (BLS)” means fundamental
medical procedures and the scope of practice in which emergency medical care
providers at any of the following licensing levels are trained:
(a) Emergency medical responder;
(b) New Hampshire emergency medical technician-basic
(NH EMT-B); or
(c) Emergency medical technician (EMT).
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.11 “Call jumping” means the unauthorized
response to or transport of a patient pursuant to an
emergency medical services call in which a unit or provider was not directly
called, dispatched, or requested to
assist.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.12 “Candidate” means a student who has completed
a training program and has been listed by the training program’s emergency
medical services instructor or coordinator as eligible to test at the final
division approved practical or cognitive examination.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.13 “Cardiopulmonary resuscitation (CPR)” means a
procedure used by a person trained in this technique to provide oxygen to the
brain and heart through ventilations and by rhythmically increasing
intrathoracic pressure.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.14
“Catchment area” means the geographic
area to which a medical resource hospital is responsible for the unit’s medical
protocols, training, and medical control.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.15 “Certificate” means a document serving as an
official representation of the awarding entity confirming that a person has
fulfilled the requirements set forth in Saf-C 5901.16.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.16 “Certification” means successful completion
of National Registry of Emergency Medical Technicians requirements to practice
as an emergency medical care provider which results in receipt of a
certificate.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.17
“Chair van company” means a licensed
entity that operates wheelchair vans for hire. The term includes “wheelchair
van company”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.18
“Chair van operator” means a person who
is trained to operate a wheelchair van for hire and who is employed by a
licensed wheelchair van company. The term includes “wheelchair van operator”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.19 “Clinic” means a physician’s office or healthcare
facility.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.20 “Cognitive examination” means a division
approved final examination required prior to the issuance of a certificate or
initial National Registry classification.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.21 “Commissioner” means the commissioner of the department of safety,
or his designee.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.22 “Complaint” means a written allegation
against a party which is dated by the person making the charge.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.23 “Controlled drug” means any drug, substance,
or immediate precursor, which is scheduled pursuant to RSA 318-B:1-a.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.24
“Coordinating board” means “coordinating
board" as defined in RSA 153-A:2, I.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.25 “Course medical director” means a physician
with emergency medical experience who acts as the ultimate medical authority
regarding training program content, procedures, and protocols at any of the
division approved levels.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.26 “Days” means Monday through Friday excluding
state holidays and weekends, unless otherwise specified in this chapter.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.27
“Defibrillate” means to deliver an
electric current through a person’s chest wall and heart for the purpose of
ending ventricular fibrillation.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.28 “Defibrillator” means a portable, battery
powered device, which is approved by the United States Food and Drug
Administration and used to generate and deliver an electrical stimulus to the
heart.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.29 “Director” means “director” as defined in RSA
153-A:2, III, or his or her designee.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.30 “Division” means “division” as defined in RSA
153-A:2, IV.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.31 “Drug kit” means a container, approved by the
pharmacy of the medical resource hospital, for the storage of controlled drug
medications.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.32 “Educational institution” means an
institution based in NH which is approved by the division to conduct emergency
medical services training programs, in accordance with the requirements set
forth in Saf-C 5916.01.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.33 “Educational training agency” means an agency
based in NH which is approved by the division to conduct emergency medical
services training programs, in accordance with the requirements set forth in Saf-C 5916.02.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.34 “Electrocardiogram (ECG) machine” means a
device used to record the electrical energy generated by the heart, and its
movement through the heart, the results of which are displayed on a paper
strip, a display screen, or both. The
term includes “cardiac monitor”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.35 “Emergency department” means the designated
operational area of a facility, as defined by RSA 153-A:2, XI, which routinely receives patients from
emergency medical care providers.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.36 “Emergency medical care provider” means “emergency
medical care provider” as defined in RSA 153-A:2, V and who has successfully
completed the provider requirements at any of the licensing levels. The term includes "provider" and
“EMS provider”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.37 “Emergency medical responder (EMR)” means an
emergency medical provider that is licensed at the emergency medical responder
level.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.38 “Emergency medical services (EMS)” means
“emergency medical services” as defined in RSA 153-A:2, VI.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.39
“Emergency medical technician (EMT)”
means an emergency medical provider that is licensed at the emergency medical technician
level.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.40 “EMS incident report (EMSIR)” means the
written or electronic report prepared by an EMS provider to record the events
of an incident in which the EMS provider has responded. The term includes “patient
care report (PCR)”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.41 “Emergency medical services
instructor/coordinator (EMS I/C)” means the primary instructor licensed by the
division to be responsible for all aspects of division approved training
programs.
Saf-C 5901.42
“Emergency medical services medical
control board (MCB)” means “emergency medical services medical control board”
as defined in RSA 153-A: 2, XIV.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.43
“EMS trauma and emergency medical services information system (TEMSIS) administrator”
means a person who is assigned as a TEMSIS administrator for a unit and who has
permission to access and modify specific TEMSIS data. The term includes “service
TEMSIS administrator (STA)”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.44 “Emergency medical service unit” means
“emergency medical service unit” as defined in RSA 153-A:2, IX. The term includes “unit”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.45 “Emergency medical service vehicle” means
“emergency medical service vehicle” as defined in RSA 153-A:2, X. The term includes “vehicle”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.46
“Emergency physician” means a medical
practitioner who is currently licensed by the NH board of medicine and employed
in the emergency department setting.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.47 “Emergency physician assistant” means a
health professional who practices medicine with the supervision of a licensed
physician, is currently licensed by the NH board of medicine, and employed in
the emergency department setting.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.48 “Emergent” means requiring prompt, urgent, or
immediate attention.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.49
“Evaluator” means a person who has completed
the practical examination evaluator training and education (PEETE) program, and
who has applied and been approved by the division to be part of the state
authorized practical examination team and serves as an observer and recorder of
skills performed by a candidate.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.50
“Examination coordinator” means a
person, designated by the division, who attends and supervises final practical
examinations.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.51
“Facility” means facility” as defined in
RSA 153-A:2, XI.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.52 “First Responder Naloxone Provider” means a
certified law enforcement officer or firefighter who has been trained to
administer naloxone.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.53 “Guest lecturer” means a person who, upon
request by the EMS I/C, conducts specific classroom lectures, presentations, or demonstrations based upon his or her expertise
in a given subject area.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.54
“Head of unit” means the person who is
responsible for the administration of the overall leadership of an EMS unit.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.55 “Incident command system” means the national
incident management system (NIMS) established by Homeland Security Presidential
Directive-5 and as developed and adopted pursuant to RSA 21-P:52.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.56 “Infant” means a person in age from birth to
his or her first birthday.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
Saf-C 5901.57 “Instructor training program” means a
division approved educational program to assist a person to teach or coordinate
EMS training programs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.58
“License” means an official division
approved document and status which allows a person, corporation, association,
or partnership to operate at the applicable level, pursuant to RSA 153-A and
these rules.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.59 “Licensee” means a person, corporation,
association, or partnership to whom a license has been issued pursuant to RSA
153-A and these rules.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.60
“Mass casualty incident (MCI)” means “mass
casualty incident” as defined in RSA 153-A:2, XIII.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.61 “Medical control” means “medical control” as
defined in RSA 153-A:2, XV.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.62 “Medical direction” means on-line or off-line
direction by the medical resource hospital physician or designee and on-line
direction from the receiving hospital’s physician or designee to EMS personnel.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.63 “Medical director” means a medical resource
hospital physician who has the oversight of the following:
(a)
Education;
(b)
Leadership;
(c)
Advice;
(d)
Critiques;
(e)
Performance improvement;
(f)
Medications; and
(g)
Treatment modalities.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.64 “Medical resource hospital (MRH)” means the
acute care hospital(s) through which units obtain medical control.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.65 “Medical resource hospital physician” means
the physician who is responsible for medical control.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.66
“National data elements” means the
specific EMS data elements defined by the national emergency medical services
information system (NEMSIS).
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.67
“National emergency medical services
information system (NEMSIS)” means the national EMS electronic database, as developed and published by USDOT, NHTSA.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.68 “National Registry (NREMT)” means the
National Registry of Emergency Medical Technicians, P.O. Box 29233, Columbus,
Ohio, 43229.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.69 “National Registry representative” means a
person monitored by the division, and approved by the NREMT, to administer
NREMT examinations.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.70 “New Hampshire EMT-Basic (NH EMT-B)” means an
emergency medical provider that is not certified by the National Registry and
has been licensed at the New Hampshire emergency medical technician basic
level.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
Saf-C 5901.71 “NH patient care protocols” means patient
care protocols as set forth in Saf-C 7400.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.72 “Nonprofit
corporation” means a governmental entity or a voluntary
corporation or association registered or incorporated as a nonprofit
organization and in good standing with the secretary of state.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.73 “Non-transport unit” means a licensed unit with
licensed providers but which does not have vehicles licensed for patient
transportation.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.74 “Paramedic” means an advanced emergency
medical care provider that is licensed at the paramedic level.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.75 “Patient” means “patient” as defined in RSA
153-A:2, XVI.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.76 “Patient assessment” means the evaluation of
an injured or sick person by visual and tactile inspection, palpation, percussion,
and auscultation.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.77 “Patient record” means any document which is
part of EMSIR, including confidential information, prepared from direct
interviews with patients, written statements, recordings of vital signs and
other medically related documentation generated during the activities of
providers in the delivery of emergency medical services at the scene and during
transport.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.78 “Pediatric” means a person between the age of
one and 18 years of age.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.79 “Pharmacy” means the place registered by the
pharmacy board, where the profession of pharmacy is practiced and where drugs,
chemicals, medicines, prescriptions, or poisons are compounded, dispensed,
stored, or sold.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.80 “Practical examination” means the division
approved final evaluation of practical skills.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.81
“Practical examination evaluator
training and education (PEETE) program” means the training program developed by
the division, which all BLS and ALS practical examination evaluators must
complete.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.82 “Preceptorship” means the oversight and
supervision of:
(a)
A student enrolled in an EMS training program, pursuant to Saf-C 5902.07(i); or
(b)
The teaching of skills to an EMS I/C applicant, pursuant to Saf-C 5909.04(b).
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.83 “Primary instructor” means the EMS I/C as
defined in Saf-C 5901.40.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.84 “Primary patient caregiver” means the
licensed EMS provider who is the primary provider responsible for patient care.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.85 “Proof of use sheet” means the document provided
with each drug kit for the purpose of documenting the use of controlled drugs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.86 “Protocol” means “protocol” as defined in RSA
153-A:2, XVII.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5901.87 “Provider license number” means
an alpha-numeric identifier assigned by the division to a person who has
successfully completed the provider requirements at any of the licensing levels.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.88 “Quality management program” means “quality
management program” as defined in RSA 153-A:34, I(a) and shall include the term
“performance improvement”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.89 “Receiving hospital” means any acute care
hospital or facility capable of accepting patients and giving on-line medical
control.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.90 “Refresher training program (RTP)” means a
division approved training program designed to refresh the skills and knowledge
of an emergency medical care provider.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.91
“Response” means the action taken by an EMS
unit or provider, either emergent or non-emergent, following a request for
action by a private citizen, dispatch agency, or other means.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.92 “Revocation” means the termination by formal
action of the commissioner of any license or privilege to engage in the business
or service of providing emergency medical services or transportation of
patients pursuant to RSA 153-A.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.93 “Site coordinator” means a person in charge
of organizing the facility, equipment, evaluators, assistants, or patients at a
division approved practical examination.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.94 “Standing orders” means a medical protocol
which provides specific written orders for actions, techniques, or drug administration
when communication for on-line control is not required.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.95
“Student” means a person enrolled in a
division approved training program or a person enrolled in an EMS program
approved by another state authorizing agency.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.96 “Suspension” means the temporary
withdrawal by formal action of the
commissioner of any license or privilege to engage in the business or service
of providing emergency medical services or transportation of patients pursuant
to RSA 153-A.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
Saf-C 5901.97 “Training program” means a division approved
program or course at any of the licensing levels set forth in Saf-C 5904.01 (b) through (f) and Saf-C
5911 or any associated refresher training as listed in Saf-C
5913.01.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.98 “Transportation” means the delivery of a patient
by a vehicle to another vehicle or receiving hospital, facility, or residence.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.99
“Trauma and emergency medical services information
system (TEMSIS)” means the NH EMS electronic database, that meets the
requirements of NEMSIS, provided by the division to all EMS units and providers
to record EMS incidents.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.100
“Unit controlled drug coordinator
(UCDC)” means the paramedic or, if a hospital-based unit, the registered nurse
or physician employee of the hospital or facility, who possesses legend and controlled
drugs, and is designated by the head of unit to serve as the liaison between
the unit, the MRH pharmacy, and other agencies involved with the possession and
use of controlled drugs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.101 “Utilized drug kit” means the container
approved by the MRH pharmacy for the storage of controlled drugs and whose
container seal has been broken or whose seal is intact but with an expired expiration
date identifier.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.102
“Vehicle shelter” means a fixed enclosed
structure to house and protect a vehicle.
The term includes “shelter”.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
Saf-C 5901.103
“Volunteer” means a person or member of
a nonprofit fire department or nonprofit emergency medical service unit who
provides services on an as needed basis and who does not receive compensation,
other than reimbursement for expenses actually incurred.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5901.104 “Volunteer association” means a nonprofit
emergency medical service unit in which the majority of providers are volunteers or the unit is registered as a voluntary
corporation and in good standing with the secretary of state in accordance with
RSA 292:4.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5901.105 “Wheelchair van for hire” means a mode of transportation
that charges a fee for the transportation of medically stable, non-emergent
individuals in a wheelchair, stretcher, or wheeled gurney that does not need
any monitoring equipment, medication, or assistance, including medical
transportation. The term includes “chair
van(s)” and “ambulette(s)”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART Saf-C 5902 EMS
OPERATING STANDARDS
Saf-C 5902.01 Regional Councils and District Committee
Designation.
(a)
A minimum of 3 EMS regional councils shall be designated by the coordinating
board.
(b)
Applicants for a regional council shall submit, in writing, a letter of
intent for regional council designation to the coordinating board.
(c)
Within 6 months of receipt of the application, the coordinating board shall
interview the applicants to determine their candidacy as a regional council.
(d)
The coordinating board shall grant regional council designation if the
applicant meets the criteria identified in (h) through (k) below.
(e)
Regional council designation shall be granted for a period of 5 years,
commencing with the date of approval.
(f)
Renewal of regional council designation shall be made in accordance with
(b) through (d) above.
(g)
Renewal of regional council designation shall be denied for failing to meet
the criteria identified in (h) and (l) below.
(h)
At minimum, each regional council shall be composed of 10 members, at
least one representative from each of the following categories:
(1) Area consumers;
(2)
Area hospitals or facilities;
(3) Area NH-licensed physicians experienced in
emergency medicine, pursuant to RSA 153-A:6;
(4) Area mutual aid organizations, if applicable;
(5) Area law enforcement agencies;
(6) Area career fire service organizations, if applicable;
(7) Area volunteer or call fire service organizations;
(8) Area commercial EMS units, if applicable; and
(9) Area volunteer EMS units, which shall be
non-fire service related, if applicable.
(i) The above listed regional council composition
shall be reviewed by the coordinating board, in accordance with RSA 153-A:4, V.
(j)
Of the council members referenced in (h) above, one member listed shall
be certified at the BLS level, and one member at the ALS level.
(k)
All regional councils shall establish by-laws which shall be submitted
to the coordinating board.
(l)
Regional councils shall implement the objectives of the coordinating
board by:
(1) Facilitating communications between district
committees and the coordinating board by delivering, via any medium available:
a. Information in any form; and
b. Other correspondence pertaining to EMS
services and activities;
(2)
Coordinating communications among EMS units, hospitals or facilities, mutual
aid associations, and district committees through the use of:
a.
Common radio frequencies; and
b. Telephone lines;
(3) Addressing overall patient care issues identified
by regional council constituents; and
(4) Assisting district committees in the
implementation of quality improvement through training in the areas of:
a. Patient care;
b. Provider training; and
c. Communication among:
1. District committees;
2. Regional councils;
3. The coordinating board; and
4. The division.
(m)
Regional councils shall demonstrate their responsibilities as set forth
in (k) and (l) above to the coordinating board by:
(1) Meeting, at minimum, quarterly during the calendar
year;
(2) Providing, on a quarterly basis, a written
record of such meetings to the coordinating board; and
(3) Having at least one regional council designee
attend, at minimum, one meeting of the coordinating board per calendar year.
(n)
District committees shall affiliate with a regional council for
administrative purposes.
(o)
Hospitals/facilities, mutual aid associations, district committees, and
EMS units may apply for multiple regional council affiliation if their
catchment area extends beyond a single regional council area.
(p)
District committees shall embody any of the following:
(1) One or more hospitals or facilities;
(2)
Mutual aid associations; or
(3) An affiliation of at least 3 units.
(q)
Applicants for a district committee shall submit, in writing, a letter
of intent for designation as a district to the regional council to which it
seeks affiliation.
(r)
The regional council shall grant district committee designation if the
applicant meets the criteria identified in (p) and (q) above.
(s)
District committee designation shall be granted for a period of 5 years,
commencing with the date of approval.
(t) Renewal of district committee designation
shall be made in accordance with (p) and (q) above.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5902.02 Medical Resource Hospital.
(a) Each unit shall have a valid written agreement
with only one hospital to serve as its medical resource hospital (MRH).
(b)
Notwithstanding (a) above, each unit currently under agreement with more
than one MRH may continue such relationship until a change in unit ownership
occurs.
(c)
A unit located in the state shall retain a NH acute care hospital as its
MRH if such hospital exists as specified in (g) below.
(d)
On-line adult and pediatric medical control shall be available to all NH
units during an emergency event or patient transport and may be provided by any
receiving hospital.
(e)
Off-line adult and pediatric medical control shall be the responsibility
of a unit’s MRH.
(f)
The MRH shall be responsible for oversight of the adult and pediatric
patient care procedures of the unit and shall act as the intermediary between
the unit and the receiving hospital or facility concerning patient care,
on-line medical directives, or provider conduct.
(g)
Designation of a MRH by the unit shall be made on the
basis of the hospital being geographically located nearest to the
population served by the unit or which receives the majority of the unit’s
patients.
(h)
A MRH may transfer its off-line medical control to any other hospital with
prior agreement from both hospitals.
(i) Changes to a unit’s MRH shall require written
approval from the unit’s current MRH and proposed MRH.
(j) Each unit and MRH shall retain a copy of the
valid agreement and submit the agreement to the division in accordance with the
provisions of these rules.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5902.03 Communications.
(a)
At minimum, each unit’s vehicle shall have 2-way communication capabilities
on the following:
(1) A VHF frequency of 155.175 megahertz; and
(2) A VHF frequency of 155.340 megahertz.
(b)
Each unit shall abide by the requirements set forth in 47 CFR 90.
(c)
Each unit’s vehicle shall provide capabilities to relay medical information
through its dispatcher from the scene to the receiving hospital or facility.
(d)
Each unit’s vehicle shall be capable of relaying and receiving medical
information directly to and from its MRH or receiving hospital or facility by utilizing
the appropriate tone-coded squelch radio signal.
(e)
A request for dispatch of air medical transport to the scene of an
emergency may be made by providers licensed pursuant to this chapter and in
accordance with the NH patient care protocols.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5902.04
Call Jumping.
(a)
Call jumping shall constitute unethical conduct and fines for the
violation of such conduct shall be imposed in accordance with Saf-C 5908.02.
(b)
Notwithstanding (a) above, a licensed emergency medical care provider
may render care at his or her level of training on a voluntary basis due to
happenstance, mutual aid, or a mass casualty response. Emergency medical care providers assisting in
such an emergency situation shall be immune from civil
liability in accordance with the requirements set forth in RSA 508:12-a.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5902.05 Mass Casualty Incident. Any unit or provider responding to a mass
casualty incident shall follow the incident command system as defined in Saf-C 5901.54.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5902.06 Emergency Medical Care Provider
Requirements.
(a)
For the purposes of this section, “neonatal patient” means a patient in age
from birth to one month.
(b)
All providers shall be licensed in accordance with Saf-C
5904.
(c)
The staffing level in each EMS land or water vehicle shall, at minimum,
include 2 providers during patient transport, at least one of whom shall attend
the patient.
(d)
The 2 providers on board a land or water vehicle shall be licensed at
any of the levels set forth in Saf-C 5904.01 (b)
through (f).
(e)
During transport of a patient(s) in a land or water vehicle, the
provider who is responsible for the patient care shall be licensed at any
levels set forth in Saf-C 5901.04 (c) through (f).
(f)
An EMR provider shall only attend a patient during transport if the
treatment is within the scope of practice for the EMR.
(g)
Apprentice providers:
(1) May accompany the 2 providers in the land or
water vehicle, if space permits; and
(2) Shall not serve as one of the 2 providers set
forth in (c) above.
(h)
Students may assist a provider in the land or water vehicle with patient
care if:
(1) The unit permits students;
(2) The unit has a written agreement with the
training program’s primary instructor;
(3) Space permits;
(4) The unit has designated at least one of the
providers as the student’s preceptor; and
(5) The preceptorship has been detailed, in
writing, by the training program’s primary instructor to the course medical
director and the EMS coordinator for the unit’s MRH.
(i) A person acting in a student capacity who is
not already a licensed provider shall not serve as a provider.
(j)
Each air medical transport vehicle shall:
(1) Meet the requirements set forth in Saf-C 5906.03; and
(2) Have at minimum, one provider on board licensed
at any level set forth in Saf-C 5904.01(c) through
(f).
(k)
Notwithstanding any other rule to the contrary, a land or water vehicle
that performs interfacility transport of neonatal patients shall not be
required to have more than one licensed EMS provider on board during such
transports, provided that the patient is cared for by one or more non-EMS
healthcare provider(s) with a more advanced licensure designation, as warranted
by the patient acuity as determined by the sending facility.
(l)
Notwithstanding any other rule to the contrary, an air medical transport
vehicle that performs inter-facility transport of neonatal patients shall not
be required to have a licensed EMS provider on board during such transports,
provided that the patient is cared for by one or more non-EMS healthcare
provider(s) with a more advanced licensure designation, as warranted by the
patient acuity as determined by the sending facility.
(m) In the event of a state of emergency declared
by the governor, a public health or safety incident declared in writing to the
governor by the commissioner of the department of safety or the commissioner of
the department of health and human services, or a mass casualty incident as
described in Saf-C 5901.60 and Saf-C
5902.05, the staff required to attend a patient during transport may be reduced
to one provider at the EMT, AEMT or Paramedic level per each EMS land or water
vehicle. The staffing requirements in Saf-C 5902.6
(c) & (d) shall not be modified except if one of the aforementioned
events occurs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, eff 5-24-19; amd by #13006,
EMERGENCY, eff 3-20-20, EXPIRED 9-16-20 (in para (m)); ss by #13178, eff 3-5-21
Saf-C
5902.07 Recordkeeping and Reporting.
(a)
All units and providers shall be responsible for recordkeeping and reporting
to the division and hospital or facilities.
(b) All providers shall report the
following, in writing, to the division within 30 calendar days:
(1)
Change of name, mailing address, or
email address; and
(2)
Change of unit affiliation(s).
(c) All units shall report the following, in
writing, to the division within 30 calendar days:
(1) All new providers affiliated with the unit,
which shall include the provider’s:
a. Legal name(s); and
b. License number(s);
(2) All providers who are no longer affiliated
with the unit, which shall include the provider’s:
a. Legal name(s); and
b. License number(s);
(3) Relocation of the unit, which shall include
both the old and the new unit’s:
a. Street and mailing address;
b. City or town;
c. State;
d. Zip code;
e. Telephone number;
f. Primary contact person’s name; and
g. A preferred E-mail address;
(4)
Closing of a unit or any unit substation;
(5) Additions and deletions of vehicles licensed
to the unit;
(6)
Changes to the head of unit;
(7)
Additions and deletions of persons
authorized to sign all applications and documents;
(8)
Changes to the service TEMSIS administrator;
(9)
Change of mailing address or email
address; and
(10)
Copies of EMS vehicle` crash reports required
by law.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5902.08 Required EMSIR Documentation.
(a) Recordkeeping and reporting of EMS incidents
by a provider or unit shall be made by providing the information in Saf-C 5902.07, as applicable, using one of the following methods:
(1)
Electronically, by completing all data
elements on an EMSIR with an assigned validation value, using software developed
and distributed by the division; or
(2)
Electronically, using software developed or purchased by the unit or receiving
hospital or facility, that complies with the following:
a.
The software shall meet all requirements
of NEMSIS;
b.
The software shall be compatible with the
division’s EMS TEMSIS database and any compatibility issues shall be the
responsibility of the unit or receiving hospital or facility to resolve with
its third party vendor;
c.
The software shall comply with formatting,
EMS dataset, schema and demographic dataset schema standards set by NEMSIS;
d.
Each record shall be uniquely
identified; and
e.
Each record’s field codes shall be
accurately mapped to the EMS TEMSIS database.
(b) A provider from each of the responding EMS
units shall complete an EMSIR for each incident, and each patient originating
in this state, in which emergency medical care, transport, response, or
transfer was:
(1)
Requested;
(2) Rendered;
(3)
Refused; or
(4)
Canceled.
(c) When there is no patient contact made or the patient
is not transported to a hospital or facility, the primary patient caregiver
shall complete an EMSIR and submit it to the division within 24 hours.
(d) When a patient is transported to a hospital or
facility, the primary patient caregiver shall complete an EMSIR and submit it
to the hospital or facility in accordance with the valid MRH agreement.
(e) The provider shall submit the EMSIR to the
division within 24 hours.
(f) The provider shall submit the EMSIR to the receiving
hospital or facility, utilizing one of the following methods:
(1) By printing a TEMSIS report;
(2)
By FAX, to a secure location within the
hospital or facility; or
(3)
By other secure electronic means that is in compliance with
federal health insurance portability and accountability act (HIPAA)
regulations.
(g) The division shall provide standard, non-mobile
access to TEMSIS at no cost to the unit.
(h) EMSIR documentation shall be:
(1) Accurate;
(2) Complete; and
(3) Submitted in accordance with
(e) above.
(i) Failure to submit EMSIR documentation in
accordance with the requirements of (h) above shall be brought to the attention
of the service TEMSIS administrator for remedial action.
(j) Repeated violations of (h) above that occur
after remedial action has been taken shall subject the unit or provider to
disciplinary action pursuant to Saf-C 5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5902.09
Requests for EMSIR Data.
(a) All requests for aggregated or
specific, multi-service EMSIR data for research or quality management purposes shall
be submitted, in writing, to the division, in accordance with the requirements
of RSA 21-P:12-b, II (g).
(b) All requests for a specific
patient care report by authorized law enforcement agencies investigating
criminal activity relating to a patient care incident shall obtain EMSIR data
through a court order, subpoena, or other legal method, directly from the EMS
service(s) that responded to the EMS incident for the record being requested
for the investigation.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5902.10 Computation of Time. Unless otherwise specified in these rules or
by other applicable law relating to the period in
which an action shall be performed, if the last day of the period so computed
falls on a Saturday, Sunday, or legal holiday, then the time
period shall be extended to include the first business day following the
Saturday, Sunday, or legal holiday.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5903
UNIT LICENSING STANDARDS
Saf-C 5903.01 Types of Unit Licenses.
(a)
A unit license shall be issued as a transport unit or non-transport
unit.
(b)
“Transport unit” means an EMS service capable of transporting patients
to a hospital or facility in an EMS vehicle; or
(c) “Non-transport unit” means an EMS service
which has no capability of transporting patients to a hospital or facility in
an EMS vehicle.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5903.02 Transport and Non-Transport Unit License Application. Each applicant for a transport
or non-transport unit license shall complete and submit “New Hampshire Bureau
of EMS UNIT Application” form, as revised 6/6/15, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/emsunitlicenseappl.pdf.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5903.03 Unit License Application Statement of
Certification. By signing the unit
license application, the head of unit, or his or her designee, shall certify
that:
(a) The unit shall abide by the FCC’s regulations
relating to:
(1) Radio broadcast frequencies;
(2) Access to, and retention of, communications
maintenance records;
(3) Restricting communications to official and
emergency purposes; and
(4) Disabling the transmitting capabilities, when
necessary;
(b) The unit shall operate in accordance with all
applicable local ordinances regarding emergency medical services;
(c) He or she is authorized to sign the
application; and
(d)
He or she understands any material falsification of information shall
result in license denial, suspension or revocation, in
accordance with Saf-C 5922.03, Saf-C
5922.04, or Saf-C 5922.05.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5903.04 Unit Licensing Requirements.
(a)
Each applicant for a unit license shall provide the following:
(1)
The signed agreement on the application, if the unit intends to use the
division’s FCC license, that the unit shall be bound by the FCC's requirements
imposed upon the division;
(2) Proof of general liability and professional
liability insurance in the form of a document from the insurer, which shall
include:
a. The name of the insurer(s);
b. A statement that the unit has at least one
million dollars of coverage, for general and professional liability; and
c. The period of coverage for the insurance;
(3) Proof of a valid written MRH agreement as
described in Saf-C 5902.03; and
(4) The license fee set forth in Saf-C 5907.01(d).
(b) For a private for-profit or a private
non-profit organization, the division shall verify with the secretary of state
of NH that the organization is in good standing.
(c)
Proof of renewal of insurance shall be submitted to the division on an annual basis.
(d) The unit shall submit any updated documentation
from the insurance company to the division, as it becomes available.
(e)
The unit shall retain all communications maintenance records for a
minimum period of one year and shall provide the division with access to those
records.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5903.05 Unit License Initial Approval
Process.
(a)
Completed applications shall be approved in accordance with RSA
541-A:29.
(b) Upon approval of an initial unit application
pursuant to Saf-C 5903.02 and Saf-C
5903.04, the division shall issue a unit license commencing with the date of
the approval and expiring on the 31st day of December in the year approved.
(c)
All standards, certifications, and
documents showing compliance with the requirements of Saf-C
5903.04, shall be maintained and not allowed to lapse
during the unit’s licensing period listed in (b) above. The division shall request any documentation that
it deems necessary in order to verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5903.06 Unit License Renewal Process.
(a)
Any currently licensed unit shall be eligible for renewal, prior to
lapse, by complying with the unit requirements set forth in Saf-C
5903.02 and Saf-C 5903.04, and shall be issued a
license, commencing with the date of approval and
expiring on the 31st day of December, 2 years later.
(b) All standards, certifications, and documents
showing compliance shall be maintained and not allowed to lapse in order to renew a unit license with the division. The division
shall request any documentation that it deems necessary in order
to verify compliance.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
PART Saf-C
5904 PROVIDER LICENSING STANDARDS
REVISION NOTE:
Document
#13221, effective 6-25-21, readopted with amendments the “New Hampshire Bureau
of EMS Provider License Application” form pursuant to the expedited revisions
to agency forms process in RSA 541-A:19-c. The “New Hampshire Bureau of EMS Provider
License Application” form is incorporated by reference in paragraph (a) of Saf-C 5904.02 titled “Provider License Application” and,
pursuant to RSA 541-A:19-c, Document #13221 contained only the updated form. Since Document #13221 updated the revision date
on the form from “1/2021” to “May 2021”, the revision date of “1/2021” in Saf-C 5904.02(a) was subsequently updated to “May 2021” as
an editorial change. The prior filing
affecting rule Saf-C 5904.02 was Document #13174,
effective 2-24-21, and the effective date of the rule remained unchanged.
Although
other requirements on the form were set forth in Saf-C
5904.02(b) and (c), Saf-C 5904.04(b)(4) and (b)(5), and
Saf-C 5904.03, the form as revised in the May 2021
revision would be the valid and enforceable rule as the later enactment since a
“form” is defined as a “rule” in RSA 541-A:1, XV.
Saf-C
5904.01 Levels of License. A provider license shall be issued for the
following levels:
(a) Apprentice;
(b) Emergency medical responder (EMR);
(c) New Hampshire EMT-basic (NH EMT-B);
(d) Emergency medical technician (EMT);
(e) Advanced emergency medical technician (AEMT);
(f) Paramedic; or
(g) First responder naloxone provider.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5904.02
Provider License Application.
(a) Each applicant for a provider license shall
complete and submit “New Hampshire Bureau of EMS Provider License Application” form,
https://www.nh.gov/safety/divisions/fstems/documents/providerlicenseapplication.pdf, as revised May
2021.
(b) The application shall be signed and dated by:
(1) The applicant;
(2) When applicable, the primary EMS service's
head of unit or his/her designee to certify that the applicant is affiliated
with the licensed unit; and
(3) In the case of an apprentice, a parent or legal
guardian.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19; ss by #13174, eff 2-24-21; (see also Revision
Note at part heading for Saf-C 5904)
Saf-C 5904.03 Provider
License Application Statement of Certification. By signing the provider license application,
the applicant shall certify that:
(a) The information provided in the application
is complete, truthful, and correct under penalties of unsworn falsification pursuant
to RSA 641:3;
(b)
He or she has not been convicted or
found guilty of an offense pursuant to RSA 153-A:13, I;
(c) He or she complies with RSA 153-A and these rules;
(d) He or she understands any material falsification
of information shall result in license denial, suspension, or revocation, in accordance
with Saf-C 5922.03 or Saf-C
5922.05 and may be grounds for a misdemeanor conviction pursuant to RSA 641:3;
(e) He or she has not been subject to limitation,
suspension from, or under revocation or probation of the ability to practice in
a health care occupation or voluntarily surrendered a health care license in
any state or to any agency authorizing the right to work; and
(f) If the applicant is unable to certify compliance
with Saf-C 5904.03(b) to 5904.03(e) the applicant
shall provide official documentation that fully describes the offense, current status, and disposition of the case.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19;
(see also Revision Note at part heading for Saf-C
5904)
Saf-C
5904.04 Provider Licensing Requirements.
(a)
Each applicant for an initial apprentice provider license shall provide
the following with the application:
(1) Documentation of current CPR training that
meets the American Heart Association’s guidelines for cardiopulmonary
resuscitation and emergency cardiac care-basic life support for health care providers;
(2) A written statement signed by the applicant,
parent, or legal guardian, and the primary EMS service's head of unit, which
indicates the following:
a. The unit accepts apprentice
providers;
b. The applicant meets the unit's
apprentice age requirements;
c. The head of unit assumes
responsibility for the supervision of the applicant;
d. The applicant, as an
apprentice, shall not be left with a patient without the presence of a provider
licensed at a higher level; and
e. The applicant, as an
apprentice, shall not be permitted to use warning devices on his or her personal
vehicle; and
(3) A written statement signed by the primary EMS
service's head of unit affirming that the applicant is affiliated with the
licensed unit and has met the licensed unit’s requirement for first aid training.
(b) Each applicant for an initial provider
license or all levels other than those set forth in (a) above shall provide the
following with the application:
(1) Proof of current registration at the
applicable classification level with the National Registry;
(2) A current certificate of successful
completion of the division approved scope of practice program, if the licensing
level requires it;
(3) A current certificate of successful
completion of the division approved protocol education, if the licensing level
requires it; and
(4) If applying as affiliated with a licensed
unit, a written statement signed by the primary EMS service’s head of unit
affirming the applicant is affiliated with that licensed unit.
(5) If applying as non-affiliated, a written
statement signed by applicant affirming that the applicant is not affiliated
with any licensed unit.
(c)
Each applicant applying for an
initial first responder naloxone provider license shall provide the following
with the application:
(1) Documentation of current CPR
training that meets or exceeds the American Heart Association’s guidelines for cardiopulmonary resuscitation
and emergency cardiac care-basic life support for health care providers;
(2) Proof of
current successful completion of the division developed opioid antagonist
(Narcan) training program and skills verification;
(3) Proof of current successful completion of a first aid training program that
follows OSHA Best Practices Guide: Fundamentals of a Workplace First-Aid Program;
(4) A written statement signed by
the primary EMS service's head of unit affirming that the applicant is affiliated with the licensed EMS unit;
and
(5) If the applicant’s agency
leader is not the EMS service head, then the applicant shall obtain a written statement signed by their agency leader
acknowledging the relationship between the 2 agencies.
(d)
All standards, certifications, and documents showing compliance shall be
maintained and not allowed to lapse in order to retain
a provider license. The division shall request any documentation that it deems
necessary in order to verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19;
ss by #13174, eff 2-24-21; (see also Revision Note at part
heading for Saf-C 5904)
Saf-C
5904.05 Provider License Initial Approval
Process.
(a) Completed applications shall be approved in accordance
with RSA 541-A:29.
(b) Upon approval of an initial provider
application pursuant to Saf-C 5904.02 and Saf-C 5904.04, the division shall issue a provider license
as follows:
(1)
Apprentice provider
applicants shall be issued a license commencing with the date of approval and
expiring on the 31st day of December in the year approved;
(2)
Applicants certified at any
classification level with the National Registry shall be issued a license,
commencing with the date of approval and expiring 30 calendar days after the
expiration date listed on the National Registry documentation provided for licensure; and
(3) First responder naloxone provider shall be
issued a license commencing with the date of approval and expiring on the date
when the primary service’s unit license expires.
(c) All standards, certifications, and documents
showing compliance with the requirements of Saf-C
5904.04 shall be maintained and not allowed to lapse during the provider’s
licensing period listed in (b) above. The division shall request any
documentation that it deems necessary in order to
verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5904.06
Provider License Renewal Process.
(a)
Any currently licensed provider shall be eligible for renewal, prior to
lapse, at the same provider level, by complying with the requirements set forth
in Saf-C 5904.02, Saf-C 5904.03,
and Saf-C 5904.04.
(b) Notwithstanding (a) above, any currently licensed
NH EMT-B provider that is not certified by the National Registry shall be eligible
for renewal, prior to lapse, by complying with the application requirements of Saf-C 5904.02 and providing the following:
(1)
Documentation of current CPR training that meets the American Heart Association’s
guidelines for cardiopulmonary resuscitation and emergency cardiac care-basic
life support for health care providers;
(2)
Proof of
successful completion of a division approved EMT RTP;
(3)
A statement of unit affiliation in accordance with Saf-C
5904.04(c)(4);
(4)
Proof of successful completion of the division
approved EMT scope of practice program; and
(5)
Proof of successful completion of the
division approved protocol education.
(c) The division shall issue a renewal license as
follows:
(1)
Apprentice providers and currently licensed
NH EMT-B providers who are not certified by the National Registry shall be
issued a renewal license, commencing with the date of approval and expiring on
the 31st day of December of the following year;
(2)
Providers at any level other than those set
forth in (c)(1) above shall be issued a renewal license, commencing with the
date of approval and expiring 30 calendar days after the expiration date listed
on the National Registry level documentation provided for licensure;
and
(3)
First responder naloxone providers shall
be issued a license commencing with the date of approval and expiring on the date
when the primary service’s unit license expires.
(d) Providers shall maintain their certification
with the National Registry in order to remain licensed
at any of the licensing levels set forth in Saf-C
5904.01(b) through (f), excluding (c).
(e) A provider whose ALS or BLS certification has
lapsed shall follow the reregistration process set forth by the National Registry.
(f) All standards, certifications, and documents
showing compliance shall be maintained and not allowed to lapse in order to renew a license with the division. The division
shall request any documentation that it deems necessary in order
to verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19; amd by #13006, EMERGENCY, eff
3-20-20, EXPIRED 9-16-20 (in para (g))
PART Saf-C 5905 WAIVER OF
LICENSURE
Saf-C
5905.01 Definition. For the purposes of this part, the demonstration
of good cause shall include the following:
(a)
Evidence of a prior good faith effort to comply with each requirement
for which a waiver is requested;
(b)
A statement documenting why the unit or provider cannot comply with each
requirement for which a waiver is requested,
including any financial or other significant hardship resulting from efforts to
comply;
(c)
A statement and supporting documentation that non-compliance with each requirement
for which a waiver is requested shall not prevent the unit or provider from
providing adequate care to patients;
(d)
Reasons why non-compliance with each requirement
for which a waiver is requested is not possible for a given period
of time; and
(e) A plan for compliance with each
requirement within the period requested on the waiver application.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5905.02 Request for Waiver of Unit and Provider License
Application.
(a)
Pursuant to RSA 153-A:10, VI, an applicant for a unit or provider license
may request a waiver of licensure from the commissioner for good cause.
(b)
Requests for waivers shall be submitted in writing to the commissioner.
(c)
The waiver request application from the unit or provider applicant shall
include:
(1) Full name;
(2) Current mailing address;
(3)
Telephone number(s);
(4) The specific rule for which the waiver is requested;
(5) The reason for requesting the waiver;
(6) The hardship that would occur if the waiver
was not approved;
(7) A plan of compliance with the rule to be
waived and the date of compliance; and
(8) Signature of the applicant.
(d)
Notwithstanding any rules to the contrary, a plan of compliance pursuant
to (c)(7) above shall not be required if the applicant articulates exigent
system resource circumstances in which a denial of a waiver may result in the
compromise of the health or safety of the patient(s) or community.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5905.03 Decision on Request for Waiver
of Licensure.
(a)
The commissioner shall issue a written approval or denial of a waiver
request to the applicant within 60 days of receipt of the request.
(b)
Upon a finding of good cause, the commissioner shall approve a waiver of
licensure for the period set forth in the plan for compliance pursuant to Saf-C 5905.01(e).
(c) A waiver of licensure shall be considered as a
fulfillment of the licensing requirements only for the period specified in the
waiver.
(d)
The commissioner shall deny the waiver request if, after reviewing the
material submitted in Saf-C 5905.02 above, it is
determined that:
(1)
Granting the request shall result in the
waiver circumventing the rule for which the waiver was requested;
(2) The unit or provider shall be unable to meet
the needs of the patient(s) or community; or
(3) The health or safety of the patient(s) or
community shall be jeopardized.
(e)
A decision
by the commissioner to deny a waiver request shall be final.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5906 EMS
VEHICLE EQUIPMENT AND UNIT SUPPLIES
Saf-C
5906.01 EMS Vehicle License
Application. Each applicant for an
EMS vehicle license shall complete and submit “New Hampshire Bureau of EMS Transporting
Vehicle Application” form, as revised 01/07/19, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/formvehicle.pdf.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5906.02 Vehicle License Application Statement of
Certification. By signing the
vehicle license application, the head of unit, or his or her designee, shall
certify that:
(a)
All equipment and supplies required in Saf-C
5906.08 shall be included in the vehicle;
(b)
He or she understands any material falsification of information shall
result in license denial, suspension, or revocation, in accordance with Saf-C 5922.06 through Saf-C 5922.08
and may be grounds for a misdemeanor conviction pursuant to RSA 641:3; and
(c)
Failure to maintain the equipment and supplies in the vehicle as
required in Saf-C 5906.08, shall result in license
denial, suspension, or revocation, in accordance with Saf-C
5922.06 through Saf-C 5922.08.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5906.03 Vehicle Requirements.
(a)
Each applicant for a land or water EMS vehicle license shall provide the
following with the application:
(1) A copy of the current motor vehicle registration
certificate or the vessel registration certificate, as appropriate;
(2) Proof of insurance in accordance with Saf-C 5903.04(a)(2);
(3) The vehicle identification number or the hull
identification number, as appropriate;
(4)
For an out-of-state land vehicle requiring a license because the vehicle covers
NH communities for emergency transport of patients or hospital or facilities for
patient transfers, excluding mutual aid situations, a copy of the current motor
vehicle registration certificate;
(5)
For a water vehicle, proof that the vehicle contains all emergency medical
equipment necessary, as required in Saf-C 5906.08;
(6)
For a water vehicle, proof that the
vehicle complies with all state watercraft laws and rules; and
(7)
The license fee set forth in Saf-C 5907.01(d)(2).
(b)
Each applicant for an air medical transport vehicle, both rotor and
fixed wing, based in this state, shall provide the following with the application:
(1) Proof that the air medical transport vehicle
contains all emergency medical equipment necessary, as required in Saf-C 5906.08;
(2) Proof that the air medical transport vehicle
complies with all current Federal Aviation Regulations (FAR’S);
(3)
A current copy of the USDOT, Federal Aviation Administration (FAA) “Air Carrier
Certificate”;
(4) A current copy of the “Commercial Aviation
Operator Registration Certificate” in order to document
compliance with the standards of the state of NH, department of transportation
(DOT), division of aeronautics, for a commercial aviation operator; and
(5) A statement that within 3 years of the
initial license application, the applicant shall become accredited through the
Commission on Accreditation of Medical Transport Systems (CAMTS).
(c) All standards, certifications, and
documents showing compliance shall be maintained and not allowed to lapse in order to retain a vehicle license. The division shall request
any documentation that it deems necessary in order to
verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5906.04 Approval Process for Vehicle
License Application.
(a)
Upon receipt of a completed application for an EMS vehicle license, the
division shall conduct an inspection of the vehicle and its shelter in accordance
with Saf-C 5906.08, as applicable, prior to the
issuance of a vehicle license, for:
(1) All newly purchased vehicles requiring an initial
EMS inspection; and
(2) All vehicles upon renewal.
(b)
Failure of a vehicle or applicable vehicle shelter to pass an EMS
inspection, pursuant to Saf-C 5906.07 shall result in
a reinspection for correction of deficiencies within 10 days of the original
inspection.
(c)
Failure to pass the reinspection shall require the applicant to file a
new application with the division.
(d)
Upon passing an EMS inspection, the division shall issue a vehicle
license in the form of one decal, which shall be affixed to the lower left corner
of the rear left window of the vehicle.
(e)
A vehicle license shall be issued commencing with the month of the EMS
inspection and expiring on the last day of that month 2 years later.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5906.05 Waivers of Vehicle License Application. Pursuant to RSA 153-A:10, an applicant for an
EMS vehicle license may request a waiver of licensure from the commissioner in
accordance with Saf-C 5905.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5906.06 Accountability for Vehicle and Unit Equipment
and Supplies. The unit shall be
responsible to ensure that each vehicle is maintained in a safe and working
manner, which means the vehicle shall be:
(a)
Garaged in a safe and clean environment; and
(b)
Kept free from unsanitary conditions to maintain infection control by:
(1) Ensuring that the interior of the patient
compartment and equipment are clean at the beginning of each call and after each
call;
(2) Disposing all bio-hazard waste materials in
appropriate receptacles after each call; and
(3) Ensuring that sterile supplies and medications
are stored in sealed packages in a dry location.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5906.07 Vehicle and Shelter Inspection and Reinspection
Procedures.
(a)
The division, prior to the issuance of an initial vehicle license, shall
conduct an EMS inspection of all vehicles and their shelters, as applicable.
(b)
Initial inspections shall be conducted within 30 days of acceptance of
an application for a vehicle license.
(c)
During the EMS inspection, the person responsible for the maintenance
and operation of the unit, or his or her designee, shall be present, in order to:
(1) Test the equipment;
(2) Prove that the required equipment is on the
vehicle and in good working condition pursuant to Saf-C
5906.08; and
(3) Witness and assist in the inspection of the
vehicle(s) and the inventory of supplies.
(d)
The EMS vehicle inspection shall ensure that:
(1) The vehicle complies with the equipment required
in Saf-C 5906.08;
(2) The patient compartment of the vehicle is free
of unsanitary conditions that might jeopardize the health and safety of the
patient or provider; and
(3) A test of the 2-way radio communication(s)
capabilities is conducted, by documenting the test call to:
a. The unit’s medical resource hospital; and
b. The unit’s dispatch control center.
(e)
All transporting land vehicles shall:
(1) Be garaged in a shelter constructed of
material other than fabric or plastic sheeting;
(2) Be kept free from snow, sleet, and ice; and
(3) Have the interior maintained at a minimum of
50 degrees Fahrenheit when the vehicle is not in use.
(f)
Upon completion of the inspection, the EMS inspector shall notify the
unit representative that:
(1) The vehicle(s) passed the inspection;
(2)
A deficiency exists that needs to be
corrected; or
(3)
Reinspection of the vehicle or shelter
is required.
(g)
Reinspection of a vehicle shall be warranted for either one or both of
the following:
(1) Deficiencies found in the vehicle, equipment,
or applicable vehicle shelter which threaten the life and safety of the
patient(s) or provider(s); or
(2)
Hazardous conditions found relative to
the vehicle, equipment, or vehicle shelter which could jeopardize the vehicle
performance or the health and safety of the patient(s) or provider(s).
(h)
A notice of deficiencies shall be:
(1) Recorded by the EMS inspector; and
(2) Issued to the unit named on the vehicle application.
(i) The appearance of unsafe operating conditions
on an EMS vehicle shall be reported by the EMS inspector to the appropriate authorities
as follows:
(1) The department of safety, division of motor
vehicles, if a land vehicle and the division of state police, if a water vehicle;
or
(2) The department of transportation, division of
aeronautics, if an air medical transport vehicle.
(j) Unsafe operating conditions of a land vehicle
shall include:
(1) Bald tires;
(2) Inoperable doors, windows, or both;
(3) Missing door handles;
(4) Open holes in the vehicle body;
(5) Exhaust leaks; and
(6) Any other operating condition which the EMS
inspector determines to be unsafe.
(k)
Reinspection shall be recorded and conducted within 10 days of the
initial inspection.
(l)
If a reinspection is not necessary, the person responsible for the maintenance
and operation of the unit’s vehicles(s), or his or her designee, shall report,
in writing, that any deficiencies have been corrected by:
(1) Replacing missing equipment, items, or both;
(2) Repairing or replacing malfunctioning equipment;
(3) Restoring the patient compartment; or
(4) Restoring the vehicle itself.
(m) Upon successful completion of a vehicle
inspection or reinspection, the commissioner shall issue one inspection decal
to the applicant, in accordance with Saf-C 5906.04(d).
(n)
Failure to pass a reinspection shall result in denial of the vehicle
application in accordance with Saf-C 5922.06.
(o)
Subsequent inspections shall be conducted every 2 years.
(p)
All vehicles and their shelters shall be subject to an inspection by the
division at any time with or without prior notice. An inspection shall not affect ambulance
response unless there is a threat to public health or safety.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5906.08 Vehicle Equipment and
Supplies.
(a) A unit provider shall equip each land or water
vehicle operating at the EMT or EMT-B level, AEMT level or paramedic level with
the required equipment specified in Table 5906.1; and
(b) A unit provider shall equip each air medical
transport vehicle with the required equipment specified in Table 5906.2.
Item Name: |
Size or Description |
Number or Criteria |
BLS |
AEMT |
Paramedic |
Mass
Casualty Tags |
Undefined |
50
each |
Yes |
Yes |
Yes |
Ambulance
Cot Safety Straps |
Full
Set: Shoulder Harness system with hip and leg straps |
1
each |
Yes |
Yes |
Yes |
Ambulance
Cot Vehicle Mounting Bracket System |
Undefined |
1
each |
Yes |
Yes |
Yes |
Ambulance
Cot with Mattress |
Undefined |
1
each |
Yes |
Yes |
Yes |
Infant/Child
Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements |
System
for Pediatric Patients weighing 5-80 Pounds |
1
system |
Yes |
Yes |
Yes |
Fixed
Suction |
80-300
mmhg |
1
each |
Yes |
Yes |
Yes |
Fixed
Suction Canister with Liner OR Disposable Canister |
Compatible
with device |
1
each |
Yes |
Yes |
Yes |
Main/Fixed
Oxygen Tank |
3000
Liter; containing not less than 500 psi |
1
each |
Yes |
Yes |
Yes |
Oxygen
Regulator/Flow meter (Wall Mounted) |
2-15
LPM capable |
1
each |
Yes |
Yes |
Yes |
Blanket |
Undefined |
4
each |
Yes |
Yes |
Yes |
Pillowcase |
Undefined |
2
each |
Yes |
Yes |
Yes |
Pillow
with Fluid Resistant Cover |
Undefined |
1
each |
Yes |
Yes |
Yes |
Sheet |
Undefined |
4
each |
Yes |
Yes |
Yes |
Towel |
Undefined |
4
each |
Yes |
Yes |
Yes |
Urinal,
Portable |
Adult |
1
each |
Yes |
Yes |
Yes |
Bed
Pan |
Adult |
1
each |
Yes |
Yes |
Yes |
Emesis
Container |
Undefined |
1
each |
Yes |
Yes |
Yes |
Sharps
Needle Container |
Fixed |
Yes |
Yes |
Yes |
Yes |
Siren |
Undefined |
1
each |
Yes |
Yes |
Yes |
Exterior
Rotating/Flashing Lights |
Visible
on 4 Sides |
1
each |
Yes |
Yes |
Yes |
Fixed
Scene Lights |
Left,
Right and Rear |
1
each |
Yes |
Yes |
Yes |
Name
of Unit on Vehicle Exterior |
Minimum
4-inch High Lettering |
Left
and Right Side |
Yes |
Yes |
Yes |
Current
Motor Vehicle Registration |
Unexpired |
1
each |
Yes |
Yes |
Yes |
Current
Motor Vehicle Inspection Sticker |
Unexpired |
1
each |
Yes |
Yes |
Yes |
Current
Motor Vehicle Insurance Certificate |
With
Vehicle |
1
each |
Yes |
Yes |
Yes |
Motor
Vehicle License Plates |
Front
and Rear |
1
each |
Yes |
Yes |
Yes |
Current
Motor Vehicle Registration License Plate Stickers |
Front
and Rear |
1
each |
Yes |
Yes |
Yes |
Two-Way
Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency |
Capability
Tested |
1
each |
Yes |
Yes |
Yes |
Two-Way
Radio Communications, Unit Dispatch Center |
Capability
Tested |
1
each |
Yes |
Yes |
Yes |
Antimicrobial
Hand Cleanser |
6
Ounces |
1
Container |
Yes |
Yes |
Yes |
Binoculars |
Undefined |
1
pair |
Yes |
Yes |
Yes |
Biohazard
Waste Bag |
Undefined |
2
each |
Yes |
Yes |
Yes |
Disposable
Impermeable Boot Covers |
Extra
Large |
2
pair |
Yes |
Yes |
Yes |
Disposable
Impermeable Coverall; or |
Sizes
to Fit Staffing |
2
each |
Yes |
Yes |
Yes |
Disposable
Impermeable Gown |
Universal
or Largest Available |
2
each |
Yes |
Yes |
Yes |
Disposable,
Latex-Free Exam Gloves |
Small,
Medium and Large |
1
Box each |
Yes |
Yes |
Yes |
Current
edition of US DOT Emergency Response Guidebook |
1
each |
Yes |
Yes |
Yes |
|
Fire
Extinguisher, Portable 2-A/10-B/C |
Outside
of Patient Compartment |
1
each |
Yes |
Yes |
Yes |
Fire
Extinguisher, Portable 2-A/10-B/C |
Inside
of Patient Compartment |
1
each |
Yes |
Yes |
Yes |
Full
Face Fluid Protection |
Universal |
2
each |
Yes |
Yes |
Yes |
Battery
Charger(s) for Hand-Held Light – OR - Replacement Batteries |
Sized
per Light Type |
1
Replacement Change per Light |
Yes |
Yes |
Yes |
Hand-Held
Light or Headlamp |
Undefined |
2
each |
Yes |
Yes |
Yes |
Hospital
Grade Disinfectant Solution or Wipes |
Container
or Bottle |
1
each |
Yes |
Yes |
Yes |
N95
or N100 Mask |
Sized
for Crew |
2
Masks |
Yes |
Yes |
Yes |
Portable
CO Detector or Alarm |
Undefined |
1
each |
Yes |
Yes |
Yes |
Respiratory
Mask, Fluid Resistant |
Universal |
1
Box |
Yes |
Yes |
Yes |
Safety
Vest, High-Visibility, ANSI/ISEA-Compliant Type-2 |
Sized
for Crew |
1
per each Crew Member Responding |
Yes |
Yes |
Yes |
Seatbelts |
Undefined |
1
per seat |
Yes |
Yes |
Yes |
Sharps/Needle
Container |
Vehicle
mounted |
1
each |
Yes |
Yes |
Yes |
Pocket
Ventilation Mask with One-Way Valve |
Adult |
1
each |
Yes |
Yes |
Yes |
Adjustable
PEEP (Positive End-Expiratory Pressure) Valve |
1
Size |
2
each |
Yes |
Yes |
Yes |
Bag
Valve Mask Resuscitator with oxygen reservoir & transparent mask |
Child |
1
each |
Yes |
Yes |
Yes |
Bag
Valve Mask Resuscitator with oxygen reservoir & transparent mask with PEEP
Connection |
Adult |
1
each |
Yes |
Yes |
Yes |
Blind
Insertion/SupraGlottic Airways |
Complete
Set of available Adult and Pedi Sizes per Manufacturer and Model |
1
each |
Yes |
Yes |
Yes |
Bulb
Syringe (separate from OB kit) |
Infant |
1
each |
Yes |
Yes |
Yes |
Fixed
Oxygen Regulator for Main/Fixed Oxygen |
Capable
of reducing pressure to 50 PSI |
1
each |
Yes |
Yes |
Yes |
Lubricating
Jelly, Water Soluble |
Single
Use Package |
4
each |
Yes |
Yes |
Yes |
Nasal
Cannula |
Pediatric |
1
each |
Yes |
Yes |
Yes |
Nasal
Cannula |
Adult |
2
each |
Yes |
Yes |
Yes |
Nasopharyngeal
Airways |
6
Sizes, Infant-Adult |
1
each |
Yes |
Yes |
Yes |
Oropharyngeal
Airways |
6
Sizes, Infant-Adult |
1
each |
Yes |
Yes |
Yes |
Oxygen
Non-Rebreather Mask with Reservoir Bag |
Pediatric |
1
each |
Yes |
Yes |
Yes |
Oxygen
Non-Rebreather Mask with Reservoir Bag |
Adult |
2
each |
Yes |
Yes |
Yes |
Portable
Oxygen Tank (1 Min 500 PSI, 1 Full) |
Size
D or > |
2
Tanks |
Yes |
Yes |
Yes |
Portable
Oxygen Tank Opening Device |
Compatible
with device |
1
each |
Yes |
Yes |
Yes |
Portable
Oxygen Tank Regulator/Flow Meter |
2-15
LPM capable |
1
each |
Yes |
Yes |
Yes |
Portable
Suction |
80-300
mmhg |
1
unit |
Yes |
Yes |
Yes |
Portable
Suction Canister with liner OR Disposable
Canister |
Compatible
with device |
1
each |
Yes |
Yes |
Yes |
Suction
Catheters |
Rigid,
Widebore |
1
each |
Yes |
Yes |
Yes |
Suction
Catheters |
1
Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12
and 16 F |
1
each size (2 total) |
Yes |
Yes |
Yes |
Transparent
Mask for Bag Valve Mask Resuscitator |
Neonate
Compatible with Child BVM |
1
each |
Yes |
Yes |
Yes |
Transparent
Mask for Bag Valve Mask Resuscitator |
Infant
Compatible with Child BVM |
1
each |
Yes |
Yes |
Yes |
Commercial
Advanced Airway securing device |
Pedi
and Adult Capable |
1
each |
Yes |
Yes |
Yes |
CPAP
(One complete and Operational System) |
Complete
Set of available Adult Sizes per Manufacturer and Model |
1
System |
No |
Yes |
Yes |
Continuous
Quantitative Waveform Capnography Monitor (Electronic) |
1
Size |
1
each |
No |
No |
Yes |
Electronic
ETCO2 monitoring sampling Cannula |
Adult |
2
each |
No |
No |
Yes |
Electronic
ETCO2 monitoring sampling Cannula |
Pedi |
2
each |
No |
No |
Yes |
Electronic
ETCO2 monitoring Tube Adapter |
One
size |
2
each |
No |
No |
Yes |
Endotracheal
Tubes |
Full
set of 12 sizes 2.5 - 8.0 |
1
Set |
No |
No |
Yes |
Laryngoscope
Blades, Curved |
2,
3, 4 |
1
each |
No |
No |
Yes |
Laryngoscope
Blades, Straight |
0,1,2,3,4 |
1
each |
No |
No |
Yes |
Spare
Batteries or Charging Device for Laryngoscope Handle |
Size/device
appropriate to handles |
1
set or device / handle size |
No |
No |
Yes |
Magill
forceps |
Pediatric |
1
each |
No |
No |
Yes |
Magill
forceps |
Adult |
1
each |
No |
No |
Yes |
Meconium
Aspirator (Adapter) |
1
Size |
1
each |
No |
No |
Yes |
Nasogastric
tubes sized for Pedi and Adult |
1
Size 8 or 10 Fr, and 1 Size 14 or 16 Fr |
1
each size |
No |
No |
Yes |
Needle
Decompression Kit |
Consisting
of: 3.25" needle, 3-Way Stopcock and 20 cc
Syringe |
2
each |
No |
No |
Yes |
Spare
Light Bulb or Fiberoptic Lightsource |
Size
appropriate to handle or blade type |
1
each |
No |
No |
Yes |
Standard
Laryngoscope Handle |
Pediatric |
1
each |
No |
No |
Yes |
Standard
Laryngoscope Handle |
Adult |
1
each |
No |
No |
Yes |
Stylet
and/or Gum Elastic Bougie, Endotracheal Tube |
Pediatric |
2
each |
No |
No |
Yes |
Stylet
and/or Gum Elastic Bougie, Endotracheal Tube |
Adult |
2
each |
No |
No |
Yes |
Toomey
Syringe |
1
Size |
1
each |
No |
No |
Yes |
Antiseptic
Skin Preparation Pads |
Individual
packs |
12
each |
Yes |
Yes |
Yes |
Bandage
Dressing, Sterile |
Minimum
size 5” x 7” |
12
Sterile Packages |
Yes |
Yes |
Yes |
Blood
Pressure Cuff |
Infant |
1
each |
Yes |
Yes |
Yes |
Blood
Pressure Cuff |
Child |
1
each |
Yes |
Yes |
Yes |
Blood
Pressure Cuff |
Adult |
1
each |
Yes |
Yes |
Yes |
Blood
Pressure Cuff |
Adult
Large or Thigh |
1
each |
Yes |
Yes |
Yes |
Sphygmomanometer |
To
fit all sized cuffs |
One |
Yes |
Yes |
Yes |
Burn
Sheet, Sterile, Hospital Prepared or
Commercially Disposable |
Full
Body |
1
each |
Yes |
Yes |
Yes |
Cold
Pack |
Instant |
4
each |
Yes |
Yes |
Yes |
Commercial
Tourniquet Device |
Minimum
1.5" Width |
2
each |
Yes |
Yes |
Yes |
Gauze
Pads, Sterile |
Minimum
3” x 3” |
12
Sterile Packages |
Yes |
Yes |
Yes |
Heat
Pack |
Instant |
4
each |
Yes |
Yes |
Yes |
OB
Kit. |
Must
Contain: Sterile Umbilical Clamp (2), Sterile Scalpel or Scissors, Sterile
Bulb Syringe, Head Cap, and Heat Reflective Blanket or Material |
1
complete kit |
Yes |
Yes |
Yes |
Occlusive
Dressing, Sterile; or |
Minimum
size 4” x 4” |
2
each |
Yes |
Yes |
Yes |
Plastic
Wrap, Self-Adhesive |
Undefined |
1
roll |
Yes |
Yes |
Yes |
Pelvic
Binding Device |
Undefined |
1
each |
Yes |
Yes |
Yes |
Penlight
(flashlight or LED equivalent) |
Undefined |
1
each |
Yes |
Yes |
Yes |
Rolled
Bandage, Soft, Self-Clinging |
Minimum
width 3” |
4
each |
Yes |
Yes |
Yes |
Saline
Solution, Sterile |
Undefined |
1000
ml Total |
Yes |
Yes |
Yes |
Splints
capable of stabilizing upper and lower extremities in half and full lengths |
Adult
& Pedi |
1
set |
Yes |
Yes |
Yes |
Stethoscope(s) |
Adult
and Pedi Capable |
1
each |
Yes |
Yes |
Yes |
Traction
device, Lower Extremity with Ankle Hitch |
Adult |
1
each |
Yes |
Yes |
Yes |
Trauma
Shears |
Undefined |
1
pair |
Yes |
Yes |
Yes |
Triangular
Bandages |
Minimum
size 35” |
4
each |
Yes |
Yes |
Yes |
Universal
Dressing, Sterile |
Minimum
9” x 24” |
2
Sterile Packages |
Yes |
Yes |
Yes |
Cervical
Collars, Rigid |
Infant
through Adult |
2
Complete Sets |
Yes |
Yes |
Yes |
Extrication
and Movement Device, Rigid or Semi-Rigid |
Long/
Full Length |
1
each |
Yes |
Yes |
Yes |
Extrication
and Movement Strapping Accessories |
Compatible
with device |
1
set |
Yes |
Yes |
Yes |
Head
Motion Restriction Device or System |
Compatible
with device |
1
each |
Yes |
Yes |
Yes |
Stair
Chair (with safety straps) |
Undefined |
1
each |
Yes |
Yes |
Yes |
Scoop
Stretcher |
Full
Length |
1
each |
Yes |
Yes |
Yes |
Blood
Glucose Measuring Device with Appropriate Testing Strips |
Undefined |
1
each |
Yes |
Yes |
Yes |
Automated
External Defibrillator (AED) |
Adult
and Pediatric capable |
1
AED |
Yes,
unless Multifunction Cardiac Monitor is present |
Yes,
unless Multifunction Cardiac Monitor is present |
No |
Defibrillator
Pad |
Pediatric |
2
sets |
Yes |
Yes |
Yes |
Defibrillator
Pad |
Adult |
2
sets |
Yes |
Yes |
Yes |
Disposable
Razor |
Undefined |
1
each |
Yes |
Yes |
Yes |
Pulse
Oximeter Measuring Device |
Undefined |
1
each |
Yes |
Yes |
Yes |
Pulse
Oximeter Sensor |
Pediatric |
1
each |
Yes |
Yes |
Yes |
Pulse
Oximeter Sensor |
Adult |
1
each |
Yes |
Yes |
Yes |
Thermometer |
Capable
down to 86 Degrees |
1
each |
Yes |
Yes |
Yes |
Monitor
Spare Battery or Charging System with Continuous Power supply |
Appropriate
to Device |
1
each |
Yes, If Present |
Yes, If Present |
Yes |
Multifunction
Cardiac Monitor |
Pedi
and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability |
1
Monitor |
Yes, If Present |
Yes, If Present |
Yes |
Multifunction
Cardiac Monitor Electrodes |
Pediatric |
10 |
Yes, If Present |
Yes, If Present |
Yes |
Multifunction
Cardiac Monitor Electrodes |
Adult |
20 |
Yes, If Present |
Yes, If Present |
Yes |
Multifunction
Cardiac Monitor Recording Paper |
Appropriate
to Device |
1
Replacement |
Yes, If Present |
Yes, If Present |
Yes |
All
Medication Expiration Dates Current |
Undefined |
Not
Expired |
Yes |
Yes |
Yes |
Length-Based
Resuscitation Tape |
Pediatric |
1
each |
Yes |
Yes |
Yes |
Medicine
Cup or oral syringe with Measurement Increments |
With
Measurement Increments |
1
each |
Yes |
Yes |
Yes |
Mucosal
Atomization Device |
Undefined |
2
each |
Yes |
Yes |
Yes |
NH
Patient Care Protocols, Printed or Service Owned, Dedicated Electronic Copy |
Undefined |
1
copy |
Yes |
Yes |
Yes |
0.9%
Normal Saline Solution |
IV
Bags |
Total
4000 ML |
No |
Yes |
Yes |
3-Way
Stop-Cock |
Undefined |
5
each |
No |
Yes |
Yes |
Bio-Occlusive
IV Site Dressing |
Undefined |
2
Each |
No |
Yes |
Yes |
Commercial
IntraOsseous Introduction Device |
Adult
and Pediatric Capable |
1
each |
No |
Yes |
Yes |
Filter
needles |
Undefined |
2
each |
No |
Yes |
Yes |
IV
Administration Set with min. of 2 med ports |
Macro |
2
sets |
No |
Yes |
Yes |
IV
Arm Board |
Pediatric |
1
each |
No |
Yes |
Yes |
IV
Arm Board |
Adult |
1
each |
No |
Yes |
Yes |
IV
Catheter |
14
gauge |
2
each |
No |
Yes |
Yes |
IV
Catheter |
16
gauge |
2
each |
No |
Yes |
Yes |
IV
Catheter |
18
gauge |
2
each |
No |
Yes |
Yes |
IV
Catheter |
20
gauge |
2
each |
No |
Yes |
Yes |
IV
Catheter |
22
gauge |
2
each |
No |
Yes |
Yes |
IV
Catheter |
24
gauge |
2
each |
No |
Yes |
Yes |
IV
Pressure Bag |
1000
ML |
1
each |
No |
Yes |
Yes |
IV
Saline Lock |
Macro |
2
sets |
No |
Yes |
Yes |
Sharps/Needle
container |
portable |
1
each |
Yes |
Yes |
Yes |
Nebulizer
Delivery Device Setup, Complete |
Undefined |
2
each |
No |
Yes |
Yes |
Needle |
18-21
gauge (1-1/2 Inch Min Length) |
2
Assorted |
No |
Yes |
Yes |
Needle |
25-27
gauge (1 Inch Min Length) |
2
Assorted |
No |
Yes |
Yes |
Needles
for Commercial IntraOsseous Introduction Device |
Adult
and Pediatric Capable |
1
each |
No |
Yes |
Yes |
Syringe |
1cc |
2
each |
No |
Yes |
Yes |
Syringe |
3
or 5cc |
4
each |
No |
Yes |
Yes |
Syringe |
10
or 12cc |
2
each |
No |
Yes |
Yes |
Syringe |
20
or 60cc |
1
each |
No |
Yes |
Yes |
Venous
Constricting Band (Latex Free) |
Undefined |
2
each |
No |
Yes |
Yes |
Table 5906.2 Fixed Air Medical
Transport Equipment
Item Name: |
Size or Description |
Number or Criteria |
Infant/Child
Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements |
System
for Pediatric Patients weighing 5-80 Pounds |
1
system |
Fixed
Suction |
80-300
mmhg |
1
each |
Fixed
Suction Canister with Liner ORDisposable Canister |
Compatible
with device |
1
each |
Main/Fixed
Oxygen Tank |
3000
Liter; containing not less than 500 psi |
1
each |
Oxygen
Regulator/Flow meter (Wall Mounted) |
2-15
LPM capable |
1
each |
Sharps
Needle Container |
Fixed |
Yes |
Siren |
Undefined |
1
each |
Name
of Unit on Vehicle Exterior |
Minimum
4-inch High Lettering |
Left
and Right Side |
Two-Way
Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency |
Capability
Tested |
1
each |
Two-Way
Radio Communications, Unit Dispatch Center |
Capability
Tested |
1
each |
Safety
Vest, High-Visibility, ANSI/ISEA-Compliant Type-2 |
Sized
for Crew |
1
per each Crew Member Responding |
Sharps/Needle
Container |
Vehicle
mounted |
1
each |
Pocket
Ventilation Mask with One-Way Valve |
Adult |
1
each |
Adjustable
PEEP (Positive End-Expiratory Pressure) Valve |
1
Size |
2
each |
Bag
Valve Mask Resuscitator with oxygen reservoir & transparent mask |
Child |
1
each |
Bag
Valve Mask Resuscitator with oxygen reservoir & transparent mask with
PEEP Connection |
Adult |
1
each |
Blind
Insertion/SupraGlottic Airways |
Complete
Set of available Adult and Pedi Sizes per Manufacturer and Model |
1
each |
Bulb
Syringe (separate from OB kit) |
Infant |
1
each |
Fixed
Oxygen Regulator for Main/Fixed Oxygen |
Capable
of reducing pressure to 50 PSI |
1
each |
Lubricating
Jelly, Water Soluble |
Single
Use Package |
4
each |
Nasal
Cannula |
Pediatric |
1
each |
Nasal
Cannula |
Adult |
2
each |
Nasopharyngeal
Airways |
6
Sizes, Infant-Adult |
1
each |
Oropharyngeal
Airways |
6
Sizes, Infant-Adult |
1
each |
Oxygen
Non-Rebreather Mask with Reservoir Bag |
Pediatric |
1
each |
Oxygen
Non-Rebreather Mask with Reservoir Bag |
Adult |
2
each |
Portable
Oxygen Tank (1 Min 500 PSI, 1 Full) |
Size
D or > |
2
Tanks |
Portable
Oxygen Tank Opening Device |
Compatible
with device |
1
each |
Portable
Oxygen Tank Regulator/Flow Meter |
2-15
LPM capable |
1
each |
Portable
Suction |
80-300
mmhg |
1
unit |
Portable
Suction Canister with liner OR Disposable
Canister |
Compatible
with device |
1
each |
Suction
Catheters |
Rigid,
Widebore |
1
each |
Suction
Catheters |
1
Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12
and 16 F |
1
each size (2 total) |
Transparent
Mask for Bag Valve Mask Resuscitator |
Neonate
Compatible with Child BVM |
1
each |
Transparent
Mask for Bag Valve Mask Resuscitator |
Infant
Compatible with Child BVM |
1
each |
Commercial
Advanced Airway securing device |
Pedi
and Adult Capable |
1
each |
CPAP
(One complete and Operational System) |
Complete
Set of available Adult Sizes per Manufacturer and Model |
1
System |
Continuous
Quantitative Waveform Capnography Monitor (Electronic) |
1
Size |
1
each |
Electronic
ETCO2 monitoring sampling Cannula |
Adult |
2
each |
Electronic
ETCO2 monitoring sampling Cannula |
Pedi |
2
each |
Electronic
ETCO2 monitoring Tube Adapter |
One
size |
2
each |
Endotracheal
Tubes |
Full
set of 12 sizes 2.5 - 8.0 |
1
Set |
Laryngoscope
Blades, Curved |
2,
3, 4 |
1
each |
Laryngoscope
Blades, Straight |
0,1,2,3,4 |
1
each |
Spare
Batteries or Charging Device for Laryngoscope Handle |
Size/device
appropriate to handles |
1
set or device / handle size |
Magill
forceps |
Pediatric |
1
each |
Magill
forceps |
Adult |
1
each |
Meconium
Aspirator (Adapter) |
1
Size |
1
each |
Nasogastric
tubes sized for Pedi and Adult |
1
Size 8 or 10 Fr, and 1 Size 14 or 16 Fr |
1
each size |
Needle
Decompression Kit |
Consisting
of: 3.25" needle, 3-Way Stopcock and 20 cc
Syringe |
2
each |
Spare
Light Bulb or Fiberoptic Lightsource |
Size
appropriate to handle or blade type |
1
each |
Standard
Laryngoscope Handle |
Pediatric |
1
each |
Standard
Laryngoscope Handle |
Adult |
1
each |
Stylet
and/or Gum Elastic Bougie, Endotracheal Tube |
Pediatric |
2
each |
Stylet
and/or Gum Elastic Bougie, Endotracheal Tube |
Adult |
2
each |
Blood
Pressure Cuff |
Infant |
1
each |
Blood
Pressure Cuff |
Child |
1
each |
Blood
Pressure Cuff |
Adult |
1
each |
Blood
Pressure Cuff |
Adult
Large or Thigh |
1
each |
Sphygmomanometer |
To
fit all sized cuffs |
One |
Commercial
Tourniquet Device |
Minimum
1.5" Width |
2
each |
Stethoscope(s) |
Adult
and Pedi Capable |
1
each |
Traction
device, Lower Extremity with Ankle Hitch |
Adult |
1
each |
Cervical
Collars, Rigid |
Infant
through Adult |
2
Complete Sets |
Defibrillator
Pad |
Pediatric |
2
sets |
Defibrillator
Pad |
Adult |
2
sets |
Disposable
Razor |
Undefined |
1
each |
Pulse
Oximeter Measuring Device |
Undefined |
1
each |
Pulse
Oximeter Sensor |
Pediatric |
1
each |
Pulse
Oximeter Sensor |
Adult |
1
each |
Thermometer |
Capable
down to 86 Degrees |
1
each |
Monitor
Spare Battery or Charging System with Continuous Power supply |
Appropriate
to Device |
1
each |
Multifunction
Cardiac Monitor |
Pedi
and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability |
1
Monitor |
Multifunction
Cardiac Monitor Electrodes |
Pediatric |
10 |
Multifunction
Cardiac Monitor Electrodes |
Adult |
20 |
Multifunction
Cardiac Monitor Recording Paper |
Appropriate
to Device |
1
Replacement |
All
Medication Expiration Dates Current |
Undefined |
Not
Expired |
Commercial
IntraOsseous Introduction Device |
Adult
and Pediatric Capable |
1
each |
IV
Administration Set with min. of 2 med ports |
Macro |
2
sets |
IV
Catheter |
14
gauge |
2
each |
IV
Catheter |
16
gauge |
2
each |
IV
Catheter |
18
gauge |
2
each |
IV
Catheter |
20
gauge |
2
each |
IV
Catheter |
22
gauge |
2
each |
IV
Catheter |
24
gauge |
2
each |
Needles
for Commercial IntraOsseous Introduction Device |
Adult
and Pediatric Capable |
1
each |
Venous
Constricting Band (Latex Free) |
Undefined |
2
each |
Emergency
Lighting Equipment |
Undefined |
1 each |
Survival Pack and
Survival Gear |
Undefined |
1 per each crew
member |
Flashlight |
Undefined |
One in front One in back |
Aircraft Helmet |
FAA approved |
1 per each crew
member |
Patient Headset |
Undefined |
1 each |
Portable Ventilator |
Undefined |
1 each |
Invasive Blood
Pressure Monitoring Devices |
Undefined |
Minimum of 2 |
Cervical
Collars, Rigid |
Infant through
Adult |
1 Complete Set |
Doppler |
Tied to the
aircraft intercom system with High Frequency sound waves |
1 each |
Infusion Pump |
Undefined |
1 each |
Stretcher/Litter |
Secure Patient
to Aircraft |
1 each |
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19; ss by #13123, eff 10-20-20; ss by #13169, eff
2-19-21
Saf-C 5906.09
Vehicle License Renewal Process. Any currently licensed EMS vehicle in this
state shall be eligible for renewal in accordance with Saf-C
5906.01 and Saf-C 5906.03.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5906.10 Complaints and Investigations Relating to
Vehicles. All complaints and
investigations regarding the use of any vehicle licensed under RSA 153-A or of the
use of any vehicle believed to be in violation of RSA 153-A or these rules, shall
be made to the commissioner in accordance with Saf-C 5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
PART
Saf-C 5907
LICENSING FEES
Saf-C 5907.01 Licensing Fees.
(a)
There shall be no licensing fee charged for any person applying for a
provider license.
(b)
Pursuant to RSA 153-A:15, there shall be no licensing fee charged to
non-profit organizations and volunteer associations or municipalities applying
for a unit or vehicle license.
(c)
All other businesses shall be charged a licensing fee.
(d) Fees charged shall be assessed at:
(1) A sum of $100.00 for a unit license, regardless
of the number of satellite locations owned by the unit; and
(2) A sum of $20.00 for each vehicle license.
(e)
Fees shall be:
(1) Submitted with the application form; and
(2) Paid in the form of:
a. Cash; or
b. Checks or money orders,
made payable to the "Treasurer, State of New Hampshire".
(f) All fees shall be:
(1) Nontransferable; and
(2) Nonrefundable.
(g)
Pursuant to RSA 6:11-a and Saf-C 211, the
division shall charge the applicant for the costs of collection for any check returned
as uncollectable.
(h)
Failure to compensate the division for the initial fee and collection
costs within 60 days of notification shall result in a license suspension,
after notice and an opportunity for a hearing pursuant to Saf-C
5922.09.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5908 FINES AND PENALTIES
Saf-C 5908.01 Procedure for the Administration of Fines.
(a)
When the division has determined through an inspection conducted in accordance
with Saf-C 5906.07 or an investigation conducted in
accordance with Saf-C 5922 that a violation of RSA
153-A or these rules has occurred, the
commissioner shall impose a fine in accordance with RSA 153-A:22.
(b) The commissioner shall not impose both an
administrative fine and a suspension or revocation of a license in the same proceeding.
(c)
A licensee shall not be fined more than once, for the same offense,
during a single period of licensure.
(d)
If the licensee waives his or her right to a hearing pursuant to Saf-C 5922.09 or Saf-C 5922.10, and chooses to pay the imposed fine, the
fine shall be paid and received by the division within 10 days of receipt of
notice by the applicant or licensee.
(e)
The payment of the fine shall be paid by:
(1) Cash; or
(2) Checks or money orders, made payable to the “Treasurer,
State of New Hampshire”.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5908.02
Schedule of Fines. After notice and an opportunity for a hearing
pursuant to Saf-C 5922, fines for violations of the
provisions of RSA 153-A or these rules shall be imposed as follows:
(a)
For failure of a unit to maintain the required vehicle inside air temperature
when the vehicle is not in use a fine of $500.00 shall be imposed;
(b)
For failure of a unit to maintain required vehicle shelter a fine of $500.00
shall be imposed;
(c)
For failure of a unit to license a vehicle a fine of $1,000.00 shall be
imposed for each unlicensed vehicle;
(d)
For failure of a unit to maintain required equipment and supplies a fine
of $500.00 shall be imposed;
(e) For failure of a unit to have the correct
number of providers licensed at the appropriate levels in the vehicle a fine of
$1,000.00 shall be imposed;
(f)
For misrepresentation of a unit of its licensed level a fine of
$1,000.00 shall be imposed;
(g) For misrepresentation of a provider of his or her
licensed level a fine of $1,000.00 shall be imposed;
(h)
For use of emergency warning lights or siren for purposes other than the
response to or transport of an emergent sick or injured patient a fine of $500.00
shall be imposed;
(i) For rendering emergency medical care to any
person beyond a provider's level of licensure a fine of $1,000.00 shall be
imposed upon the provider;
(j)
For call jumping by a unit a fine of $1,000.00 shall be imposed;
(k)
For call jumping by a provider a fine of $1,000.00 shall be imposed;
(l)
For rendering emergency medical care to any person after receiving
notice from the division that a certificate(s) has expired a fine of $500.00
shall be imposed upon the provider;
(m)
For unauthorized disclosure of confidential patient information by a unit
or provider a fine of $500.00 shall be imposed;
(n) The first repeat of any violation identified
in Saf-C 5908.02 shall result in a fine that shall be
double the amount of the original fine;
(o) Second and subsequent repeats of any
violation identified in Saf-C 5908.02 shall result in
a fine that shall be triple the amount of the original fine, not to exceed $2,000.00;
(p)
For failure to comply with an order of the commissioner the maximum fine
of $2,000.00 shall be imposed upon the violator;
(q)
For failure to submit records as required pursuant to Saf-C 5902.08 or Saf-C 5902.09, a
fine of $2,000.00 shall be imposed upon the violator; and
(r)
For failure to pay a fine, an additional fine of $100.00 shall be
imposed.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5909 EMS
INSTRUCTOR/COORDINATOR (EMS I/C) REQUIREMENTS
Saf-C 5909.01
EMS I/C General Requirements.
(a) Each applicant seeking licensure for an EMS I/C
license shall complete a division approved instructor training program. The
division shall approve instructor training programs that meet or exceed the standards of the USDOT,
NHTSA, EMS instructor training program national standard curriculum, dated 2002,
available at https://one.nhtsa.gov/people/injury/ems/instructor/instructor_ems/2002_national_guidelines.htm.
(b)
Upon successful completion of the instructor training program set forth
in (a) above, the applicant shall complete a final cognitive examination and a
final practical examination approved by the division.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5909.02 EMS I/C License
Application.
Each applicant for an EMS I/C license shall
complete and submit “New Hampshire Bureau of EMS EMS
Instructor/Coordinator License Application” form, as revised 1/07/19, available
at https://www.nh.gov/safety/divisions/fstems/ems/documents/a29.pdf.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5909.03 EMS I/C License Application Statement of
Certification. By signing the EMS I/C application form, the applicant shall certify that:
(a)
The information provided in the application is complete, truthful, and
correct, under the penalties of unsworn falsification pursuant to RSA 641:3;
(b) He or she complies with RSA 153-A and these rules;
(c) He or she understands any material falsification
of information shall result in license denial, suspension, or revocation, in
accordance with Saf-C 5922.03, Saf-C
5922.04, or Saf-C 5922.05 and may be grounds for a
misdemeanor conviction pursuant to RSA 641:3;
(d)
He or she has not been convicted or
found guilty of an offense pursuant to RSA 153-A:13, I or Saf-C
5922.03(c)(5);
(e)
He or she has not been subject to limitation,
suspension from, or under revocation or probation of the ability to practice in
a health care occupation or voluntarily surrendered a health care license in
any state or to any agency authorizing the right to work; and
(f) If the applicant is unable to certify
compliance with Saf-C 5909.03(b) to 5909.03(e) the
applicant shall provide official documentation that fully describes the
offense, current status, and disposition of the case.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5909.04 EMS I/C Licensing Requirements.
(a)
Each applicant for an initial EMS I/C license shall provide the following
with the application:
(1) At minimum, a copy of a high school diploma
or GED;
(2) Proof of current registration at the minimum
EMT classification level with the National Registry and registered at or above
the classification level of the program to be instructed;
(3) A current EMS provider’s license, which at
minimum, shall be at the provider level of the program to be instructed; and either:
a. Proof of successful completion of an
instructor training program in accordance with Saf-C
5909.01(a); or
b.
A professional educator challenge process
approved by the division in accordance with (e) below.
(b)
Upon completion of the requirements set forth in (a) above, the applicant
shall be issued a 6-month provisional license, during which time the provisional
instructor shall:
(1)
Show completion of a minimum of 20 hours
of instruction in training program(s) approved by the division, under the direct
supervision and preceptorship of an EMS I/C assigned by the division;
(2)
Attend an instructor orientation program
for new EMS instructors conducted by the division;
(3)
Submit an evaluation approved by the
division, completed and signed by the EMS I/C acting
as the provisional instructor’s preceptor; and
(4)
Complete a final evaluation authorized
by the division.
(c)
Each applicant shall be notified by the division of the decision to
approve or deny full licensure, in accordance with the requirements set forth
in Saf-C 5909.05 or Saf-C 5922.03.
(d)
All standards, certifications, and documents showing compliance shall be
maintained and not allowed to lapse in order to retain
an EMS I/C license. The division
shall request any documentation that it deems necessary in
order to verify compliance.
(e) A candidate for a professional educator challenge
pursuant to (a)(5) above shall:
(1)
Meet the requirements set forth in (a)(1)-(3)
above;
(2)
Provide documentation of teaching
experience in EMS and one of the following:
a.
A bachelor’s or advanced level degree in
education;
b.
Completion of educational training in post-secondary
educational setting;
c.
Be an active licensed or certified EMS
instructor in another state; or
d. Be an actively licensed or certified educator
from a state authorizing authority;
(3)
Submit 2 letters of recommendation from
a currently licensed NH EMS I/C;
(4)
Conduct a 20-minute presentation on an
EMS topic, to only be attempted once and which shall include:
a.
A lesson plan consisting of the following
steps:
1.
Motivation and preparation;
2.
Presentation;
3.
Application; and
4.
Evaluation; and
b.
A recording of the presentation and
evaluation by 2 evaluators approved by the division; and
(5)
Successful completion of the fire and
emergency services instructor III final cognitive examination.
(f) A candidate for a professional educator
challenge shall only have one opportunity to successfully complete the process
set forth in (e) above.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5909.05 EMS I/C License Approval
Process.
(a)
Completed applications shall be approved in accordance with RSA 541-A:29.
(b)
Upon approval of an application, the division shall issue an EMS I/C
license, commencing with the date of approval and expiring 30 days after the
expiration date listed on the National Registry documentation provided for
licensure.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5909.06 EMS I/C License Renewal Process.
(a)
Any currently licensed EMS I/C shall be eligible for renewal in accordance
with Saf-C 5909.03 and Saf-C
5909.04(a)(2) and (3).
(b)
Any currently licensed EMS I/C in the state shall be eligible for
renewal upon meeting the following requirements within the previous 2 years as
a licensed EMS I/C:
(1) At minimum, 20 hours of instruction in a
training program(s) approved by the division;
(2) Attendance at EMS I/C updates as required by
the division, which shall be 20 hours or less; and
(3) At minimum, attendance at 6 hours of
continuing education in order to improve teaching
skills such as educational methodology.
(c)
In order to make necessary improvements in the quality of instruction
provided, any currently licensed EMS I/C shall be audited by the division in
every 2-year licensing period if he or she fails to maintain a pass rate of 75%
for all students on his or her course roster who takes the National Registry
cognitive examination, utilizing the criteria as set forth in Saf-C 5915.04.
(d) Any instructor who has pass rates of 75% or less,
as set forth in (c) above, in 2 consecutive I/C licensing cycles, shall undergo
remedial training with a licensed EMS I/C assigned by the division.
(e) After remedial training pursuant to (d) above,
an instructor who fails to provide adequate training to students shall be subject
to disciplinary action pursuant to Saf-C 5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5909.07 Lapse of EMC I/C License. Any previously licensed EMS I/C whose license
has lapsed shall meet the following in order to have
his or her license renewed:
(a)
If lapsed less than 2 years, the person shall meet the requirements set
forth in Saf-C 5909.06; or
(b)
If lapsed more than 2 years, the person shall meet the requirements set
forth in Saf-C 5909.04.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
PART
Saf-C 5910 EMS
I/C RESPONSIBILITIES AND TRAINING PROGRAMS
Saf-C 5910.01
Authorization Process.
(a) The division shall authorize training programs
at any of the provider licensing levels set forth in Saf-C
5904.01 or any associated refresher training.
(b) Only licensed EMS I/C’s
shall act as primary instructors for training programs authorized in (a) above
and shall be accountable for all of the requirements set forth in Saf-C 5910.
(c) Pursuant to Saf-C 5910.02, the EMS I/C shall request authorization for
a training program by completing and submitting the “Authority to Establish
Courses” form https://nhfa-ems.com/ems-resources/instructor-coordinator-course-request/.
(d) Any training program
authorized by the division in (a) above shall be issued a course approval
number.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5910.02 Authorization Statement of Certification. By signing the “Authority to Establish
Courses” form, the EMS I/C shall certify that:
(a)
The course shall be taught in an interactive
learning environment; and
(b)
The course shall be taught
in accordance with the training curriculum standards for which authorization is
granted by the division.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5910.03 Training Program Authorization Requirements.
(a)
The EMS I/C shall provide the following, along with the “Authority to
Establish Courses” form:
(1)
A course outline, including:
a.
Dates;
b.
Times;
c.
Subjects taught; and
d.
Name of assistant instructor(s); and
(2)
Course and student guidelines, including,
at minimum:
a.
Attendance requirements;
b.
Course completion requirements;
c.
Clinical or field internship requirements;
and
d.
Code of conduct and disciplinary procedures.
(b) The EMS I/C shall submit any changes to the information
set forth in (a) above to the division within 5 days of making the changes.
(c) The EMS I/C shall maintain, for each type of program
offered, the following, subject to audit by the division:
(1) Proof that:
a. The applicant has access to medical and educational
equipment to meet the training program needs;
b. The medical and educational equipment set
forth in a. above is in reliable working condition; and
c. Access to the medical and educational
equipment set forth in a. above is at a ratio of 6:1 student to equipment, as appropriate to the particular
topic being taught;
(2) Written affiliation agreements that provide for
the completion of all clinical requirements applicable to the program, which
shall include:
a. Current agreement(s) with a hospital for in-hospital
clinic time, which shall have an emergency department; and
b. Current agreement(s) with each licensed EMS
unit or healthcare facility for the clinical field experience phase of the
program; and
(3)
Proof that the training program faculty
is qualified to teach the particular topic being
taught.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5910.04 EMS I/C Training Program Approval Process.
(a)
The completed “Authority to Establish Courses” form shall be approved in
accordance with RSA 541-A:29.
(b)
The EMS I/C shall be notified, in writing, of the approval or denial within
10 days of receipt by the division.
(c)
The division shall notify the following of
the training program’s approval:
(1) The EMS I/C
requesting course authorization; and
(2) The course medical director
or his or her designee.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5910.05 EMS I/C Responsibilities.
(a)
The EMS I/C shall be responsible for the general effectiveness of the
training program.
(b) The training program set forth in (a) above
shall encompass the following:
(1)
Operational goals and objectives;
(2) Organization of the program's content;
(3)
Periodic review of the program's goals
and objectives, to determine compliance;
(4)
Continued development and oversight of
the program's administration;
(5) Maintaining accurate records of course management,
which shall be retained for a minimum period of 5 years from course completion,
to include:
a. Student attendance;
b. Grades;
c. Evaluation of written and practical examinations;
d. In-hospital observation times and clinical
rotations and locations, if applicable;
e. Guest lecturer and instructor aide attendance
and materials presented, if applicable;
f. Training completed by all graduates and attendees;
and
g. Other records relative to the conduct of the
training program;
(6) Being a liaison between students, program staff,
and clinical affiliates;
(7) Maintaining all correspondence between the
EMS I/C and the division;
(8) The program schedules, to include dates,
times, and locations;
(9) The assignment and conduct of any lesson offered;
(10) Compliance with site visits, inspections, or
audits by the division;
(11)
Compliance with complaint
investigations; and
(12) Compliance with the submission of any
required documents, upon request by the division.
(c) The EMS I/C shall be responsible for ensuring
that any publications or advertisements pertaining to any program shall accurately
reflect the education and training offered.
(d) The EMS I/C shall attend, at
minimum, 60% of the classroom hours of an approved training program,
and document such attendance.
(e) Notwithstanding (d)
above:
(1) The required 60% attendance may be shared
between no greater than 2 licensed EMS I/Cs who shall be equally
responsible for the program; and
(2)
The EMS I/C shall attend, at minimum, 25% of the classroom hours of an approved
refresher training program, and document such attendance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5910.06 EMS I/C Course Completion.
(a)
The EMS I/C shall verify that students accepted into the program have
obtained a current certificate of CPR training and appropriate scope of practice
program(s) for the level of training being conducted before the course is completed.
(b)
The EMS I/C shall submit, in writing, a division approved course
completion roster to the division within 10 days of the completion of the
program and no less than 10 days prior to the scheduled practical examination.
(c)
All information submitted shall be typewritten or legibly printed.
(d)
A course completion roster shall include the following information pertaining
to all students who began the program, regardless of whether
or not the student completed the program:
(1) Full legal name;
(2) Mailing address;
(3) Telephone number;
(4) Date of birth;
(5) National Registry number, if applicable; and
(6) Status, as follows:
a. “C” to indicate complete;
b. “I” to indicate incomplete; or
c. “F” to indicate failure.
(e) For those students with a status of “I”, a
division approved course completion roster addendum shall be submitted that demonstrates
which modules were not completed and an updated addendum shall be submitted
indicating completion or failure once a final outcome
has been made.
(f) Students with a status of “I” for a period of
2 years from the program’s end date shall be considered to have failed the
program.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5910.07 EMS I/C Authorized Training
Program Audits.
(a)
The division shall conduct site visits, if applicable, without prior
notice, for the purpose of auditing the quality of any training program offered
by the EMS I/C.
(b) During the audit, the division shall, if
applicable:
(1) Review course outlines to insure
that the EMS I/C is teaching the course(s) as indicated;
(2) Monitor equipment;
(3) Check the quality of the lecture and skills
presented, to ensure that the course's goals and objectives are being met;
(4) Look for deficiencies in staff instruction or
training equipment;
(5)
Review the course to insure
that it consists of both lecture and practical skills; and
(6) Insure that the equipment
to student ratio meets the requirements of Saf-C 5910.03(c)(1)c.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5911 PROVIDER
TRAINING
Saf-C 5911.01 EMR Provider Training. The EMR provider training process shall
include all of the following:
(a)
A training program which meets or exceeds the standards as defined in
the National Emergency Medical Services Education Standards, Emergency Medical Responder,
2009 edition as published by the United States Department of Transportation,
National Highway Traffic Safety Administration, available as noted in Appendix
B, and which shall be valid for a period of 2 years from the program end date;
(b)
A division approved EMR final practical examination which shall be valid
for a period of one year from the date of successful completion; and
(c)
The EMR cognitive examination approved
by the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5911.02 EMT Provider Training. The EMT training process shall include all of the following:
(a)
A training program which meets or exceeds the standards as defined in
the National Emergency Medical Services Education Standards, Emergency Medical
Technician, 2009 edition as published by the United States Department of
Transportation, National Highway Traffic Safety Administration, available as
noted in Appendix B, and which shall be valid for a period of 2 years from the
program end date;
(b)
Successful completion of the division developed EMT scope of practice program;
(c)
A division approved EMT final practical examination which shall be valid
for a period of one year from the date of successful completion; and
(d)
The EMT cognitive examination approved by the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5911.03 AEMT Provider Training. The AEMT provider training process shall
include all of the following:
(a)
Proof that the person is a current EMT approved by the division, prior to
taking the AEMT training program;
(b)
A training program which meets or exceeds the standards as defined in
the National
Emergency Medical Services Education Standards, Advanced Emergency Medical
Technician, 2009 edition as published by the United States Department of Transportation,
National Highway Traffic Safety Administration, available as noted in Appendix
B, and which shall be valid for a period of 2 years from the program end date;
(c)
Successful completion of the division developed AEMT scope of practice program;
(d) A division approved AEMT final practical examination
which shall be valid for a period of one year from the date of successful completion;
and
(e) The AEMT cognitive examination approved by the
National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5911.04 Paramedic Provider Training
Process. The paramedic provider training
process shall include all of the following:
(a)
Proof that the person is, at a minimum, a current EMT approved by the
division, prior to taking the paramedic training program;
(b)
A training program which meets or exceeds the standards as defined in
the National Emergency Medical Services
Education Standards, Paramedic, 2009 edition as published by the United States
Department of Transportation, National Highway Traffic Safety Administration, available
as noted in Appendix B, and which shall be valid for a period of 2 years from
the program end date;
(c) Successful completion of the division
developed paramedic scope of practice program;
(d)
A division approved paramedic final practical examination which shall be
valid for a period of one year from the date of successful completion; and
(e)
The paramedic cognitive examination approved by the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5912
PRACTICAL EXAMINATION EVALUATOR TRAINING AND EDUCATION (PEETE) PROGRAM
Saf-C
5912.01 PEETE Training.
(a)
A person applying to become an evaluator for the BLS practical examination
teams shall attend a 3-hour PEETE program, as defined in Saf-C
5901.81, which consists of the following information:
(1)
The role and responsibilities of a
practical examination evaluator and the entire examination team;
(2) The minimum qualifications to become an evaluator;
(3) The evaluator application and renewal process;
(4)
The necessity for a standardized practical
examination team in order to ensure uniformity and fairness in the process;
(5) The components of the practical skill stations
which the evaluator will be expected to monitor; and
(6) The necessity and purpose of an
objective-based evaluation process.
(b)
A person applying to become an evaluator for the BLS practical
examination teams shall meet the following requirements:
(1) Attend a PEETE program, as set forth in (a) above;
(2) Be a licensed NH EMS provider;
(3) Have been an EMT for a minimum of 2 years;
(4)
Complete observation at a BLS practical examination, completed within 6 months of
the PEETE training program;
(5)
Be evaluated at a minimum of 2 BLS practical
examination skills stations, completed within 6 months of the PEETE training
program; and
(6) Complete and
submit “BLS Practical Examination Evaluator Application -
Initial” form, as revised 01/26/18, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/peete_initial.pdf,
and copies of current EMT and PEETE completion certificate(s), to the division within 2 years of the completion date of
the program.
(c)
A statewide list of PEETE evaluators shall be maintained by the division.
(d)
Evaluator expiration dates shall coincide with the certification expiration
dates.
(e) A medical professional approved by
the National Registry pursuant to Saf-C 5914.01 shall
be considered a practical examination evaluator at the ALS examination.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5912.02 Renewal of PEETE Evaluator Status.
(a) Upon recertification of EMT status, an evaluator
shall complete and submit a “BLS Practical Examination
Evaluator Application Renewal” form, as revised 02/17/11, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/PEETE_Renewal.pdf,
and a copy of current EMT certification, to the division in order to remain active on the PEETE evaluator list.
(b)
The division shall grant a renewal based upon the following factors:
(1) The evaluator is a licensed NH EMS provider;
(2) The evaluator has:
a. Evaluated at 2 or more practical examinations
within the previous 2 years of the date of the renewal application; or
b. The evaluator has completed a division approved
PEETE refresher program; and
(3)
A satisfactory review of the evaluator’s
PEETE performance evaluations is conducted by the division at practical
examinations.
(c)
A renewal application shall be denied in accordance with RSA 541-A:29
for the following:
(1) Failure to meet the qualifications;
(2) Failure to follow the approved examination process;
(3)
Having 2 or more unsatisfactory PEETE
performance evaluations on file with the division within the previous 2 years
of the date of the renewal application;
(4) Having 3 or more written founded complaints
on file with the division within the previous 2 years of the date of the
renewal application;
(5)
Having 2 or more unexcused absences from
practical examinations at which the evaluator agreed to be present on file with
the division within the previous 2 years of the date of the renewal
application; or
(6) Failure to submit required documentation.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5912.03
Lapse of PEETE
Evaluator Status.
(a) A PEETE evaluator whose status has lapsed for
less than 24 months shall meet the renewal requirements set forth in Saf-C 5912.02.
(b)
A PEETE evaluator whose status has
lapsed for more than 24 months shall complete a full PEETE program in
accordance with Saf-C 5912.02.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5913
REFRESHER TRAINING PROGRAMS (RTP)
Saf-C
5913.01 Refresher Training Process. The refresher training process shall be successfully
completed during the certification period in order to
be valid.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5913.02 RTP
Requirements. In
order to renew a provider license at any level, a person shall
successfully complete:
(a) A division approved refresher training program,
in accordance with Saf-C 5910; or
(b) The refresher requirements in accordance with
the standards of the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5913.03
Continuing Education Credits.
(a) In order to obtain continuing education credits
pursuant to Saf-C 5913.02(a)(2), a person shall provide
documentation showing the following:
(1) Course objectives;
(2) The content expertise of the individual
teaching the course;
(3) Number of hours;
(4) Date, time, and
location of training; and
(5) Course roster showing the
participant’s signature.
(b)
The provider shall maintain all
documents pertaining to continuing education credits for a minimum of 5 years. The
division shall request any documentation that it deems necessary to verify
compliance.
(c) Upon request by the division, a provider shall
provide verification of continuing education courses used for National Registry
recertification.
(d)
Failure to provide requested
documentation pursuant to (b) or (c) above shall subject the provider to
disciplinary action pursuant to Saf-C 5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5913.04 NH EMT-B RTP Process. Notwithstanding the requirements of Saf-C 5913.01 through Saf-C 5913.03,
refresher training for renewal of NH EMT-B providers that are not certified with
the National Registry shall include the following:
(a)
A RTP, approved by the division in accordance
with Saf-C 5910, which include verification of
skills, which shall be valid for a period of 2 years from the program end date;
and
(b) Successful completion of the division developed
EMT scope of practice program.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5914 MEDICAL
PROFESSIONAL CHALLENGE AND OUT-OF-STATE EMS PERSONNEL RECOGNITION PROCESS
Saf-C
5914.01 Medical Professionals. The following medical professionals who are
properly licensed and in good standing with the state of NH may challenge the
National Registry examinations in accordance with Saf-C
5914.02 through Saf-C 5914.04:
(a) A registered nurse (RN);
(b) A physician’s assistant (PA);
(c) A medical doctor (MD); or
(d) A doctor of osteopathy (DO).
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5914.02 EMR and EMT Challenge.
(a)
In order to challenge the National Registry examination and become a
nationally registered EMR or EMT, a medical professional shall:
(1) Provide a legible copy of current NH licensing
credentials at the RN, PA, MD or DO levels to the division;
(2) Successfully complete the appropriate level
training program process as set forth in Saf-C 5913.01
or Saf-C 5913.02; and
(3) Successfully complete the division approved
EMR or EMT final practical examination.
(b)
Once the medical professional has met the requirements in (a) above and
been verified by the division, he or she shall successfully
complete the EMR or EMT cognitive examination approved by the National Registry.
(c)
The division shall submit a letter to the NREMT that the medical
professional shall be eligible to apply for certification at the appropriate level.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790,
effective 5-24-19
Saf-C 5914.03 AEMT Challenge.
(a) In order to challenge the National Registry
examination and become a nationally registered AEMT, a medical professional shall:
(1)
Have current NREMT certification as an
EMT-B or EMT;
(2)
Provide the division a legible copy of
the following:
a.
A current NH EMT-B or EMT provider license;
and
b.
Current NH licensing credentials at the
RN, PA, MD, or DO levels;
(3)
Provide a letter of recommendation from
the applicant’s EMS unit’s medical director; and
(4)
Provide a letter of verification as to
skills proficiency in IV therapy and trauma assessment from one of the following:
a.
An emergency department physician; or
b.
A medical facility’s nursing education
department.
(b) Upon completion of the requirements set forth
in (a) above, the medical professional shall successfully complete:
(1)
A division approved AEMT final practical
examination; and
(2)
The
AEMT cognitive examination approved by the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5914.04
Paramedic Challenge.
(a) In order to challenge the National
Registry examination and become a nationally registered paramedic, a medical professional
shall:
(1)
Have current NREMT certification as an EMT or AEMT;
(2)
Provide the division a legible copy of the
following:
a.
A current NH provider license; and
b.
Current NH licensing credentials at the
RN, PA, MD, or DO levels;
(3)
Provide a letter of recommendation from
the applicant’s EMS unit’s medical director; and
(4)
Provide a certificate of equivalency from
a division approved paramedic training program that meets the objectives of the
USDOT, NHTSA, national emergency medical services education
standards-paramedic, dated 2009.
(b) Upon completion of the
requirements set forth in (a) above, the medical professional shall successfully
complete:
(1) A division approved paramedic final practical
examination; and
(2) The paramedic cognitive examination approved
by the National Registry.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5914.05 Out-of-state BLS National
Registry Challenge.
(a)
An out-of-state person who documents successful completion of a state approved
or accredited BLS level training program which meets the requirements of Saf-C 5911.01 or Saf-C 5911.02
shall be eligible to become a candidate for a division approved BLS practical
examination, applicable to the level applied for.
(b)
A person who is a resident of the state of NH who documents successful
completion of a state approved or accredited BLS level training program which
meets the requirements of Saf-C 5911.01 or Saf-C 5911.02 and documents successful completion of a state
approved BLS practical examination within the previous 12 months shall be
eligible to take the National Registry cognitive examination, applicable to the
level applied for.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
PART Saf-C 5915 EXAMINATIONS
Saf-C
5915.01 Final Practical Examination.
(a) Prior to taking a final BLS practical
examination, a person shall successfully complete a training program in
accordance with Saf-C 5911.01, Saf-C
5911.02, Saf-C 5913.01, Saf-C
5913.02, Saf-C 5914.03, or Saf-C
5914.05.
(b) Prior to taking a final ALS practical examination,
a person shall successfully complete a training program in accordance with Saf-C 5911.03, Saf-C 5911.04, or Saf-C 5914.04.
(c)
The EMS I/C shall be responsible for providing the final BLS practical examination
for the candidates in the program and shall coordinate scheduling for the
examination with the division.
(d)
The EMS I/C or the site coordinator, as defined in Saf-C
5901.92, shall be responsible for arranging a site location for the final practical
examination by insuring that:
(1) The site is adequate for the number of
candidates attending the examination;
(2) An adequate amount of station equipment is present
and in good working order;
(3) An adequate amount
of evaluators, assistants, and patients are scheduled for the examination process;
(4) The space used for each of the stations is
adequate for the skill to be performed; and
(5)
All areas of the examination site provide
for privacy.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5915.02 Final BLS Practical
Examination Process.
(a)
The final BLS practical examination shall be administered by a division
approved examination coordinator who shall be:
(1) A member of the division staff; or
(2) A person designated by the division.
(b)
The examination coordinator shall:
(1) Be a PEETE
evaluator pursuant to Saf-C 5912;
(2)
Be familiar with the role and responsibilities
of the examination team;
(3) Be responsible for the completion of all necessary
paperwork pertaining to the final practical examination process;
(4) Be knowledgeable of all division rules, policies,
and procedures pertaining to the final practical examination process;
(5) Be responsible for the overall quality and integrity
of the final practical examination process; and
(6) Be responsible for ensuring the safety of all
candidates during the final practical examination process.
(c)
Each station of the practical examination shall be monitored by a PEETE
evaluator pursuant to Saf-C 5912, who shall observe
and record the actions of the candidate.
(d)
Pass/fail criteria shall be based upon a 70% success rate of all
possible points awarded, along with passage of all critical criteria, in each
station of the examination.
(e)
Overall pass/fail examination and retest procedures shall be in
accordance with guidelines set forth by the National Registry, division
policies, and PEETE program policies.
(f) The examination coordinator shall verify the
pass/fail status of a candidate at the final practical examination in accordance
with (e) above.
(g)
The examination coordinator or his or her designee shall notify the
candidate of the results of the final practical examination.
(h)
It shall be the responsibility of the candidate to arrange for any
retest with the division.
(i) A candidate shall successfully complete the
final practical examination within the 24 months immediately following the program
end date and within 12 months of taking the National Registry cognitive examination.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5915.03 Final ALS Practical Examination
Process. The final ALS practical
examination shall be conducted by an organization or entity that is approved by
the National Registry and the division.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5915.04
Final Cognitive Examination Process.
(a)
The final cognitive examination shall be administered by the National
Registry.
(b) A candidate shall successfully complete the cognitive
examination within the 24 months immediately following the program end date and within 12 months of taking
the final practical examination.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
PART
Saf-C 5916
EDUCATIONAL INSTITUTIONS AND TRAINING AGENCIES
Saf-C 5916.01 Educational Institutions.
(a)
In order to be approved by the division to conduct EMS training programs,
an educational institution shall:
(1) Be approved by the NH Higher Education
Commission and accredited by the New England Association of Schools and Colleges;
or
(2)
Be accredited by the Committee on Accreditation of Educational Programs for the
Emergency Medical Professions and approved or accredited by the NH department
of education.
(b)
An educational institution shall meet the requirements set forth for EMS
I/C's in Saf-C 5909.01 through Saf-C
5909.05, and Saf-C 5910.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5916.02 Educational Training Agencies. In order to be approved
by the division to conduct EMS training programs, an educational training agency
shall:
(a)
Have one or more EMS I/C's on staff, who meet
the requirements of Saf-C 5909;
(b)
Offer EMS training programs on a 12-month basis; and
(c)
Be licensed by the New Hampshire Higher Education Commission.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5916.03 Division Approval. Upon providing proof of the requirements set
forth in Saf-C 5916.01 or Saf-C
5916.02, the division shall approve an educational institution or an
educational training agency to conduct EMS training programs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
PART
Saf-C 5917 WHEELCHAIR VANS FOR HIRE
Saf-C 5917.01 Chair Van Company License Application.
Each applicant for a chair van company
license shall complete and submit a “ New Hampshire Bureau of EMS Wheelchair Van-For-Hire
Company Application” form, as revised 7/18/16, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/wheelcompany.pdf.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.02 Chair Van Company License Application
Statement of Certification. By signing
the chair van company license application, the owner or his or her designee,
shall certify that:
(a) The chair van company shall operate in
accordance with all applicable federal, state, and local laws or ordinances;
(b)
He or she is authorized to sign the application; and
(c) He or she understands any material falsification
of information shall result in license denial, suspension, or revocation, in
accordance with Saf-C 5922.06 through Saf-C 5922.08.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.03 Chair Van Company Licensing Requirements.
(a)
Each applicant for a chair van company license
shall provide the following with the application:
(1) A list of company van operators with documentation
of Passenger Assistance and two-way communication training;
(2) Proof of general liability and professional
liability insurance in the form of a document from the insurer, which shall
include:
a. The name of the insurer(s);
b. A statement that the company has,
at a minimum, one million dollars of coverage, for general and professional
liability; and
c. The period of coverage for the insurance; and
(3) The applicable license fee set forth in Saf-C 5918.16.
(b)
For a private for profit or a private non-profit
organization, the division shall verify with the secretary of state of NH that
the organization is in good standing.
(c)
Proof of renewal of insurance shall be
submitted to the division on an annual basis.
(d)
The company shall submit any updated documentation from the insurance company
to the division, as it becomes available.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.04
Chair Van Company License Initial Approval
Process.
(a) Completed applications shall be approved in
accordance with RSA 541-A:29.
(b) Upon approval of an initial chair van company
application pursuant to Saf-C 5917.01, the division
shall issue a company license commencing with the date of the approval and expiring
on the 31st day of December in the year approved.
(c) All registrations, inspections, and documents
showing compliance with Saf-C 5917.01, shall be maintained and not allowed to lapse in order to retain a
chair van company license. The division shall
request any documentation that it deems necessary in order to
verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.05 Chair Van Company License Renewal Process.
(a) Any currently licensed company shall be
eligible for renewal, prior to lapse, by complying with the chair van company
requirements set forth in Saf-C 5917.01, and shall be
issued a license, commencing with the date of approval
and expiring the 31st day of
December, 2 years later.
(b) All chair van company registrations,
inspections, and documents showing compliance shall be maintained and not allowed
to lapse in order to renew a license with the
division. The division shall request any documentation that it deems necessary in order to verify compliance.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.06 Wheelchair Vans for Hire License Application.
Each applicant for a wheelchair vans for
hire license application shall complete and submit “New Hampshire Bureau of EMS NH
Wheelchair Van for Hire Van License Application”, form, as revised 7/18/76, available
at https://www.nh.gov/safety/divisions/fstems/ems/documents/wheelvan.pdf.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.07
Wheelchair Vans for Hire License
Application Statement of Certification. By signing the wheelchair vans for hire
license application, the owner or his or her designee, shall certify that:
(a) All equipment required in Saf-C
5917.13 shall be included in the chair van;
(b) He or she understands any material falsification
of information shall result in license denial, suspension, or revocation, in
accordance with Saf-C 5922; and
(c) Failure to maintain the equipment in the chair
van required by Saf-C 5917.13, shall result in license
denial, suspension, or revocation, in accordance with Saf-C
5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.08
Wheelchair Vans for Hire Licensing Requirements. Each applicant for a wheelchair van for hire
license shall provide the following with the application:
(a) For each chair van, a copy of the
current motor vehicle registration certificate;
(b) For an out-of-state chair van requiring a
license because the van covers NH communities, a copy of the current motor vehicle
registration card; and
(c) Proof of vehicle insurance, which shall
include:
(1) The requirements set forth in Saf-C 5917.03(a)(1); and
(2) The vehicle identification number; and
(d) The license fee set forth in Saf-C 5917.16.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.09 Approval Process for Wheelchair Vans for
Hire License Application.
(a) Upon receipt of a completed application, the
division shall conduct an inspection of the wheelchair van,
as applicable, prior to the issuance of a license for:
(1)
All newly purchased wheelchair vans,
prior to passenger transport, requiring an initial inspection for licensure;
and
(2)
All wheelchair vans upon renewal.
(b) Failure of a wheelchair van to pass an inspection,
pursuant to Saf-C 5917.12, shall result in a reinspection
for correction of deficiencies within 10 days of the original inspection.
(c) Failure to pass the reinspection shall require
the applicant to file a new application with the division.
(d) Upon passing an inspection, the division shall
issue a wheelchair van license in the form of
one decal, which shall be affixed to the lower left corner of the rear left
window of the wheelchair van.
(e) A wheelchair vans for hire license shall be issued
commencing with the month of the inspection and expiring on the last day of
that month 2 years later.
Source.
(See Revision Note #1 and Revision Note
#2 at Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.10 Accountability for Wheelchair Vans for
Hire. The company shall be responsible
for ensuring that:
(a) Each wheelchair van is maintained in a safe
and working manner, including ensuring that the chair van shall be:
(1)
Kept free from unsanitary conditions;
and
(2)
In compliance with all equipment pursuant
to Saf-C 5917.12.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5917.11 Wheelchair Vans for Hire Inspection and
Reinspection Procedures.
(a) The division, prior to the issuance of a
wheelchair vans for hire license, shall conduct an initial inspection of all
chair vans, as applicable.
(b) Initial inspections shall be conducted within 30
days of acceptance of an application for a chair van license.
(c) Inspections shall be conducted in
accordance with Saf-C 5906.07 and Saf-C
5917.11, with the exception of Saf-C 5906.07(d)(3) which shall be satisfied by a test of
the 2-way communication capability with the company’s dispatch center.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5917.12 Wheelchair Vans for Hire Equipment and Supplies.
(a) Each wheelchair van for hire shall remain in
good working condition and be subject to inspection at any time, with or
without prior notice, by officials designated by the director.
(b)
Each wheelchair van for hire shall conform to the following:
(1)
The wheelchair van shall be a passenger
type, rubber-wheeled vehicle maintained in such a manner as to ensure the safety
and comfort of the operator and passenger(s) being transported;
(2)
The wheelchair chair van shall have at
least one exit large enough to accommodate the loading and unloading of an
occupied wheelchair and one additional exit which shall be, at minimum, for
emergency use;
(3)
The wheelchair chair van interior and
wheelchair loading doorway shall have the following minimum dimensions:
a.
Height of wheelchair van interior – 52 inches;
b.
Height of loading doorway – 42 inches; and
c.
Width of loading doorway – 39 inches;
(4)
The wheelchair van shall be equipped with
wheelchair or stretcher locking devices that are permanently affixed to the
chair van for each wheelchair or stretcher position for which the chair van is
designed. The locking device shall be
capable of securing the wheelchair or stretcher so that it is immobilized
during transport, with longitudinal movement not to exceed 2 inches forward and
backward, and without any lateral movement;
(5)
The wheelchair van shall be equipped with
a manual ramp or an electric or hydraulic lift that is permanently affixed to
the chair van. If an electric or hydraulic
lift is utilized, the lift shall also be capable of manual operation as a back-up
system. Manual ramps shall be of single
unit construction and may have folding capabilities for storage purposes. Ramps shall have suitable non-slip coating to
ensure safe footing for the passenger and personnel;
(6)
The wheelchair van shall have an interior
lighting system capable of illuminating the entire passenger area. The entrance ramp(s) shall be sufficiently
illuminated to ensure safe vision of the passenger(s) and other personnel while
loading or unloading wheelchairs;
(7)
The wheelchair van shall be equipped
with a heating and ventilation system capable of heating or ventilating the
entire chair van in a comfortable manner for the passenger(s) and other personnel;
(8)
The name of the wheelchair van company
shall be clearly displayed in no less than 4” letters on the exterior of the
chair van;
(9)
The wheelchair van shall be equipped
with warning lights that operate independently of the chair van’s normal signaling
system. Such lamps are to be used when
passenger safety or comfort requires reduced operating speeds or when loading
or unloading passengers in a heavily traveled area;
(10)
All equipment, including unoccupied
passenger wheelchairs or stretchers, shall be secured while the wheelchair van
is in operation;
(11)
The wheelchair van shall have a current
state motor vehicle inspection sticker located on the windshield; and
(12)
The wheelchair van shall have front and
rear license plates with registration stickers for the current registration
period.
(c) The wheelchair van shall provide, with trained
personnel, appropriate equipment and supplies for the safe
transportation of persons with disabilities.
(d) Each wheelchair van shall have the following
adjunctive equipment:
(1)
Two-way communication capabilities to,
at minimum, the 9-1-1 system;
(2)
At least one fire extinguisher, either
dry chemical or carbon dioxide, with an approved rating of, at minimum, 2-A-10-B-C;
(3)
One each, functioning hand
held light which shall be powered by:
a.
A rechargeable battery with installed
charger; or
b.
At minimum, 2/D cell sized batteries
with replacements;
(4)
Four
each, road warning reflectors or flares; and
(5)
Seat restraints, with shoulder straps,
for securing all passengers and personnel in the chair van in the same quantity
as the maximum number of people the chair van is designated to accommodate.
(e) Each wheelchair van shall have the following
personal care equipment and supplies:
(1)
One each, sealable motion sickness bags
or plastic containers with suitable covers, for the maximum number of people
the chair van is designed to accommodate;
(2)
Two each, blankets which shall be fire resistant;
(3)
One commercial prepackaged first aid kit;
(4)
At minimum, one pocket mask that shall
have a one- way valve; and
(5)
A minimum of one dozen pair of disposable
gloves.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.13
Wheelchair Vans for Hire License Renewal
Process. Any currently licensed wheelchair
vans shall be eligible for renewal, prior to lapse, by complying with the chair
van company requirements set forth in Saf-C 5917.08,
and shall be issued a license, commencing with the month of the inspection and expiring on the last day of that month 2
years later.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.14
Wheelchair Vans for Hire Staffing and
Passenger Assistance Requirements.
(a) A wheelchair van shall be staffed with a
minimum of one person, or 2 if an ambulette stretcher is utilized, who has been
trained and has documentation of passenger assistance training and 2-way communication
procedures.
(b) A wheelchair van shall, if necessary, carry a passenger’s
individually prescribed and provided oxygen, and shall
carry medical oxygen only for use on passengers that have been prescribed oxygen,
in order to preserve the use of the passenger’s oxygen during transport. The passenger shall be able to self-regulate
the oxygen.
(c) The operator, if necessary, shall assist any passenger
for whom transport service is being provided. Assistance shall be rendered to or from the
point of origin to the wheelchair van, and to or from the wheelchair van to the
point of destination.
(d) Each operator shall conduct daily inspection and
testing of the hydraulic lift or access ramp prior to transporting any
wheelchair bound patient.
(e)
A wheelchair van shall not be dispatched
to any scene as an EMS vehicle, except in those situations defined in RSA 153-A:2,
XIII.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.15 Recordkeeping and Reporting.
(a)
All wheelchair van companies shall be responsible for recordkeeping and
reporting.
(b)
All reports submitted to the division shall include the company license
number.
(c) All companies shall report the following, in
writing, to the division within 30 calendar days:
(1) All new operators affiliated with the company,
which shall include the operator’s legal name;
(2) All operators who are no longer affiliated
with the company, which shall include the operator’s legal name;
(3) Relocation of the company, which shall
include both the old and the new company’s:
a. Street and mailing address;
b. City or town;
c. State;
d. Zip code;
e.
Telephone number;
f. Primary contact person’s name; and
g. A preferred E-mail address;
(4) Additions and deletions of wheelchair vans licensed
to the company; and
(5) Changes to the company ownership and leadership.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.16 Licensing Fees.
(a) Pursuant to RSA 21-P:12-b, II, (m) there shall
be fees established for wheelchair van company licenses and wheelchair vans for
hire licenses.
(b) All for-profit businesses shall be charged a
licensing fee.
(c) Fees charged shall be assessed at:
(1)
A sum of $100.00 for a wheelchair van
company license, regardless of the number of satellite locations owned by the company;
(2)
A sum of $50.00 for a wheelchair van
company license, if the company is also operated as a licensed NH EMS unit with
the same name; and
(3)
A sum of $20.00 for each wheelchair vans
for hire license.
(d) Fees shall be collected in accordance with Saf-C 5907.01.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5917.17
Procedure for the Administration of
Fines. When the division has
determined through an inspection conducted in accordance with Saf-C 5917.11 or an investigation conducted in accordance
with Saf-C 5922 that a violation of RSA 153-A or these
rules has occurred, the commissioner shall impose a fine in accordance
with RSA 153-A:22 and Saf-C 5922.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5917.18
Schedule of Fines. After notice and an opportunity for a hearing
pursuant to Saf-C 5922, fines for violations of the
provisions of RSA 153-A or
these rules shall be imposed as follows:
(a) For failure of a wheelchair van company to
license a wheelchair van a fine of $1,000.00 shall be imposed for each
unlicensed wheelchair van;
(b) For failure of a wheelchair van company to
maintain required equipment and supplies a fine of $500.00 shall be imposed;
(c) For disclosure of confidential passenger
information by a wheelchair van company a fine of $500.00 shall be imposed upon
the violator;
(d) For failure of a wheelchair van company to
provide documentation of proper training in passenger assistance and 2-way
communication a fine of $500.00 shall be imposed;
(e) The first repeat of any violation identified
in Saf-C 5917.17 shall result in a fine that shall be
double the amount of the original fine;
(f) Second and subsequent repeats of any violation
identified in Saf-C 5917.17 shall result in a fine
that shall be triple the amount of the original fine, not to exceed $2,000.00;
(g) For failure to comply with an order of the
commissioner the maximum fine of $2,000.00 shall be imposed upon the violator;
and
(h) For failure to pay a fine, an additional fine
of $100.00 shall be imposed.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5918 POSSESSION
PROCEDURES FOR CONTROLLED DRUGS
Saf-C 5918.01 Agreement.
(a)
The procurement, storage, and security of controlled prescription drugs
shall be regulated in accordance with 21 CFR 1300.
(b)
The procurement, storage, and security of non-controlled prescription drugs
shall be defined by the unit’s MRH, in accordance with the NH patient care
protocols.
(c)
Prior to obtaining possession of controlled drugs, each unit shall enter
into a formal written agreement with its designated MRH.
(d)
A separate agreement between the unit and the designated local MRH shall
be required for each unit and each of its applicable satellite locations based
in this state.
(e)
The agreement shall identify and describe the policies and procedures that
implement the provisions of Saf-C 5918.03 through Saf-C 5918.07 for the procurement, security, and
accountability of controlled drugs and be routed as follows:
(1)
The signed agreement shall be forwarded
to the director for approval and signature;
(2)
The director shall then forward the agreement to the Drug Enforcement Agency
(DEA) Special Agent in Charge (SAC) for written approval;
(3)
The original approved agreement signed by the director and the DEA SAC shall be
maintained, on file, in the pharmacy of the MRH; and
(4) Copies of the
approved agreement shall be kept on file at the unit and with the division.
(f)
Any revisions to the existing agreement, except for a change in identity
of the UCDC or the MRH pharmacist pursuant to (l) below, shall necessitate a
new agreement, which shall be approved by the director and the SAC.
(g)
Units shall conduct controlled drug activity pursuant to the provisions
of 21 CFR 1304.03, as an extension of the MRH, DEA registration.
(h)
The signed, approved agreements shall be available for inspection, upon
demand, by any person or agency charged with the responsibility of enforcing RSA
318 or RSA 318-B.
(i) The division shall maintain a current listing
of all units with signed agreements and provide copies to the pharmacy board either
upon demand or as changes occur.
(j)
The agreement shall be typewritten or legibly printed and identify the
following:
(1) The legal name of the unit;
(2) The street address of the unit;
(3) The mailing address of the unit;
(4) The business telephone number of the unit;
(5) The FAX number of the unit, if available;
(6) The E-mail address of the unit;
(7) The legal name of the head of unit;
(8) The identity of the UCDC and the person’s
provider license number;
(9)
The identity of the MRH;
(10) The mailing address of the MRH;
(11) The US Drug Enforcement registration number of
the MRH; and
(12) The identity of the MRH pharmacist.
(k)
The identity and quantities of controlled drugs contained in each drug
kit and the total number of drug kit(s) for each unit shall be included in the
agreement.
(l)
Any changes in the identity of the UCDC or MRH pharmacist shall require
written notice to all parties in the agreement and the director within 5 days after
making the change.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C
5918.02 Procurement.
(a)
The drug kit(s) shall be obtained or exchanged only at the MRH specified
in the agreement.
(b)
The initial distribution of the drug kit(s) shall be by the pharmacy of
the MRH directly to the UCDC, who shall be responsible for placement of the drug
kit(s) at the appropriate, predesignated stations.
(c)
At the time of distribution to the UCDC, the pharmacy shall review the
MRH policies and procedures for possession and replacement of the drug kit(s).
(d) Only those controlled drugs approved by the
pharmacy board and the EMS MCB, in accordance with RSA 153-A:5, III(f), shall
be included in the drug kit(s).
(e) The pharmacist shall report any changes in type
or quantities of controlled drugs or changes in drug kits in writing to the UCDC. The UCDC shall provide the director with a
copy of the correspondence.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5918.03 MRH Responsibilities.
(a)
The MRH shall develop policies and procedures to address the supply and
distribution of controlled drugs to agreement units pursuant to Saf-C 5918.01 (h) through (j).
(b)
The policies and procedures shall specifically address, but not be limited
to, such issues as:
(1) Initial stocking;
(2) Returns;
(3) Drug kit replacement;
(4) Recordkeeping requirements;
(5) Drug losses;
(6) Security of the drug kits; and
(7) Reports.
(c)
At the time of the initial distribution of the drug kit(s) to the UCDC,
the pharmacy shall review the policies and procedures with the UCDC and
document the following:
(1)
The UCDC name;
(2) The unit;
(3) The date, time, and place of meeting; and
(4) The topics covered.
(d)
Controlled drugs shall only be supplied in drug kits that meet the following
requirements:
(1) The quantity of controlled drugs contained in
the drug kits and the contents of the proof of use sheet shall be determined
jointly by the pharmacy and the medical director;
(2) The pharmacy shall document the contents of
each drug kit;
(3) All controlled drug kits shall be prepared
and sealed by the pharmacy; and
(4) Each drug kit shall contain the following
information on the outside of the container:
a. The name of the MRH;
b.
The expiration date of the drug kit; and
c. The specific identification number of the
drug kit.
(e)
Replacement drug kit(s) shall be obtained directly from the pharmacy.
(f)
A specified number of replacement drug kit(s) may be stored in the MRH’s
emergency department for purposes of restocking during times that the pharmacy
might be closed.
(g)
Drug kits located in the emergency department shall be stored in a
locked location, separate from all other drug supplies of the emergency
department.
(h)
The replacement drug kits shall only be accessed by the emergency department
supervisor.
(i) The sealed
replacement drug kits shall be included as part of the emergency department
shift change narcotic count as established by the MRH.
(j)
The pharmacy shall provide the emergency department with a list of those
persons, designated by the unit’s UCDC, who are authorized to engage in drug
kit replacement.
(k)
The pharmacy shall develop a system of documentation for the emergency
department to record drug kit replacement activities.
(l) Documentation in (k) above shall include:
(1) The date and time of shift counts for sealed
drug kits;
(2) The number of sealed drug kits on hand; and
(3)
The name of the person doing the count
and the name of the witness.
(m)
Utilized drug kits shall be accepted and documented in the emergency
department by the shift supervisor.
(n)
Utilized drug kits shall be stored in a locked area, separate from the
emergency department’s own inventory.
(o)
A separate medications inventory sheet, for documenting utilized drug
kit contents, shall be developed by the pharmacy.
(p) Upon receipt of the utilized drug kit, the
contents shall be documented on the proof of use sheet by the person relinquishing
the kit and the nurse supervisor or pharmacist receiving the kit.
(q)
The medications inventory proof of use sheet shall be documented at each
shift inventory until such time as the utilized drug kit is returned to the
pharmacy.
(r)
Utilized drug kits and inventory documents shall be forwarded to the
pharmacy pursuant to facility procedures.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5918.04 Unit Responsibilities.
(a)
The UCDC shall place the drug kits into service at the unit and its
applicable satellite locations only after conducting a training session which
explains the requirements set forth in Saf-C 5918.03(a)
to the unit personnel authorized to have possession of controlled substances.
(b)
The UCDC shall maintain a record of the date, time, and participants of
the procedures review.
(c)
Records of training sessions described in (a) above shall be available for
inspection by authorized persons pursuant to RSA 318:8 and 318-B:25.
(d)
Resupply of expended controlled drugs shall be obtained only at the
specific MRH named in the unit’s agreement.
(e)
Drug kits shall be maintained in secure locations as designated by the
UCDC and identified in the agreement.
(f)
Drug kits shall only be accessible to those persons authorized pursuant
to RSA 318:42, X and 318-B:10, V.
(g)
When stored on a vehicle, the drug kit shall be stored in a secured
compartment, separate from the non-controlled substance medication container.
(h)
When the drug kit is not stored on a vehicle, storage shall be:
(1) In a secured area that is not accessible to
unauthorized personnel;
(2) Separate from non-controlled substance medication
containers; and
(3) In compliance with security measures required
in the agreement.
(i) Key or access codes for the drug kits shall be
distributed by the UCDC, to those persons authorized under RSA 318:42, X and 318-B:10, V.
(j)
The UCDC shall communicate a list of all personnel authorized to possess
and replace drug kits to the MRH pharmacy.
(k)
The list identified in (j) above shall be immediately updated as changes
occur.
(l) The UCDC shall be the person
designated to communicate with the unit owner and MRH pharmacy on all matters
related to controlled drugs.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5918.05 Loss or Tampering Reporting Procedure.
(a)
Units shall report any loss or tampering of or potential damage to the drug
kits or its contents during inspection procedures or calls for service as follows:
(1)
Immediately upon conclusion of the inspection the unit shall verbally report any
discrepancies in the security or contents of a controlled drug kit to the UCDC;
and
(2) After verbal notification, the persons
conducting the inspection shall file a written statement to the UCDC within 8
hours.
(b)
The UCDC shall have the following responsibilities covering loss or
tampering of controlled drugs:
(1) The UCDC shall
verbally notify the MRH pharmacy of any loss or tampering immediately upon
receipt of the verbal report; and
(2) The UCDC shall
file a written report to the pharmacy, including a copy of the discovering
unit’s report and the specific identity of the drug kit involved, if known,
within 24 hours of verbal notification.
(c)
The hospital pharmacy shall notify the following agencies of the reported
incident pursuant to Ph 703.04 and 21 CFR 1301.76(b) within 15 days:
(1) The pharmacy board;
(2)
US DEA via DEA form 106; and
(3) Copies of the notices referenced in (1) and
(2) above to the division.
Source.
(See Revision Note #1 and Revision Note #2
at Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5918.06 Outdated Controlled Drug Kit
Exchange.
(a)
All intact drug kits in the possession of the unit shall be returned to
the pharmacy within 5 days of the expiration date.
(b) All intact drug kits shall be exchanged on a one-for-one
basis.
(c)
Documentation of drug kit exchange shall be maintained in the pharmacy
pursuant to Ph 705.02 with a copy provided to the UCDC for the unit’s records.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5918.07 Violations.
(a)
A denial, suspension, or revocation of a license as a result
of any violation of this section shall be in accordance with RSA
153-A:13 and Saf-C 5922.
(b)
Administrative fines shall be assessed for any violation under this
section in accordance with Saf-C 5908.
(c)
The schedule of fines as set forth in Saf-C 5908.02
shall be in addition to any fines imposed by the board of pharmacy pursuant to
Ph 710.01 and 710.02.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART Saf-C 5919 RESPONSIBILITIES
BETWEEN MRH AND UNIT
Saf-C 5919.01
Collaboration between Medical Director
and Head of Unit. The head of unit
and medical director shall collaborate with one another in regards
to the following:
(a)
Education;
(b)
Advice;
(c)
Critiques;
(d)
Medications; and
(e) Treatment modalities and performance improvement.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5919.02 Responsibilities.
(a)
Responsibilities between the unit and the unit’s MRH shall be in a written
agreement.
(b) The written agreement set forth in (a) above
shall include, at minimum:
(1) The name and mailing address of the MRH;
(2) The name and mailing address of the unit;
(3) Provisions for sharing of patient demographic
data;
(4)
Provisions for medical control as defined
in RSA 153-A:2, XV;
(5) The name of the medications approved for use
under the NH patient care protocols;
(6) Provisions for the supply and control of medications;
(7) Provisions set forth in Saf-C
5919.01; and
(8) Provisions set forth in Saf-C
5902.09(d).
(c)
A copy of each responsibility between the unit and the unit’s MRH set forth
in (a) above shall be signed by both parties.
(d)
Licensed units providing care shall have an agreement with their designated
MRH, which shall include:
(1) Printed or typed name of the medical director
for the MRH that is responsible for the EMS unit agreement;
(2) Printed or typed name of the medical
director’s designee, if applicable;
(3) Printed or typed name of the head of unit;
and
(4) Signature of the medical director for the MRH
and the head of unit and date signed.
(e)
The unit shall notify the division and the MRH within 10 days when it no
longer has an AEMT or a paramedic affiliated with it.
(f) The MRH shall maintain a current file of agreements,
which includes the following:
(1) The name, address, and contact information of
the MRH; and
(2) An alphabetical list of unit agreements.
(g)
The complete list of agreements shall be kept current
and copies shall be submitted to the division by the MRH.
(h)
The MRH shall be responsible to notify the division within 10 days of any changes
of the following:
(1)
Any change in the EMS medical director;
(2)
Any change in the primary hospital EMS contact;
(3)
Any change in the hospital trauma
program contact;
(4)
The addition or deletion of any hospital
personnel who have access to TEMSIS; or
(5)
Any potential or actual breach of EMSIR data that may compromise the security
of confidential patient information.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART
Saf-C 5920
PATIENT CARE PROTOCOLS
Saf-C 5920.01 Procedures.
(a) Protocols for patient care shall
be established by the EMS MCB in accordance with RSA
153-A:2, XVII.
(b) The patient care protocols shall
include standing orders and on-line medical control for the following:
(1) Treatment of adult medical emergencies; and
(2) Treatment of pediatric medical emergencies.
(c)
Emergency medical care providers who are not affiliated with the unit responsible
for a patient but who are available to give necessary care based upon a patient
assessment shall:
(1)
Meet the protocols set forth in (a) above;
(2) Continue to provide care during transport of
the patient or transfer patient care to another provider for transport of the
patient to a medical hospital or facility;
(3) Document all advanced care procedures performed
while rendering care, which shall include an emergency care provider’s current
license number assigned by the division; and
(4)
Submit all documentation to the unit in
charge of the incident.
(d)
Prerequisites required by protocol shall be established by the EMS MCB
in accordance with RSA 153:A-2, XVI- a.
(e)
Protocol prerequisites, when required, shall address each of the following
elements:
(1) The protocol title and number to which the
prerequisites relate;
(2) The provider license level necessary to carry
out the protocol;
(3) The name of the medical director, or designee,
who will oversee the training module;
(4) The MRH and EMS head of unit recommendations
to the division;
(5) The provider experience criteria;
(6) All quality management program elements;
(7) Reporting requirements for monitoring and skill
retention;
(8) Equipment and staff support resources necessary;
(9) Provider renewal criteria; and
(10) Training requirements.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C
5920.02 Protocol Prerequisite
Application Form.
(a) Each applicant for a protocol prerequisite
approval shall complete a protocol prerequisite application which shall be:
(1) Typewritten; or
(2) Legibly printed.
(b) Each applicant shall provide the following:
(1) Applicant information, which shall include:
a. Legal name of unit;
b. Mailing address;
c. Physical address;
d. City or town of residence;
e. State;
f. Zip code;
g. Head of unit;
h. Contact telephone number;
i. Fax number, if available;
j. E-mail address;
k. Name of MRH;
l. MRH medical director, or his or her designee;
and
m. Medical director contact phone number;
(2) Type of application requested:
a. Initial; or
b. Renewal; and
(3) The protocol title and number, for which the
applicant is applying.
(c)
The applicant shall submit supporting documentation for all elements
listed in Saf-C 5920.01 (e) with a list of the
licensed providers trained pursuant to Saf-C 5920.
(d)
The form shall be signed and dated by the head of unit, as the
applicant, and the MRH medical director, or designee.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5920.03 Living Wills, Durable Powers of Attorney, and
Patient Requested, Physician Generated Orders Relative to Resuscitation. All living wills, durable powers of attorney,
and patient-requested, physician-generated orders relative to resuscitation
shall be generated in accordance with the requirements set forth in RSA 137-J,
pertaining to written directives for medical decision-making for adults without
the capacity to make health care decisions.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
PART Saf-C 5921 QUALITY
MANAGEMENT PROGRAM
Saf-C 5921.01 Scope. These quality management (QM) administrative
rules will apply to the division, the coordinating board, medical control board,
or EMS units who implement a quality management program that meets or exceeds
the requirements of Saf-C 5921.02.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5921.02 Quality Management Program Requirements.
(a)
Units shall be accredited by the Commission on the Accreditation of Ambulance
Services (CAAS).
(b) If the unit is not accredited by the CAAS,
then the unit shall establish a written plan, in collaboration with the MRH that
conforms to the following:
(1) A written QM plan shall outline operational and
clinical care performance measures that the EMS unit and the MRH agree to monitor;
(2)
The written plan shall include, at minimum,
the following:
a. A mission statement;
b. Goals and objectives;
c. Methods for addressing:
1. New employee training and orientation;
2. Employee training and certification;
3. Review of EMSIRs; and
4. Complaints and adverse or near-miss events;
d. Identification of benchmarks and issues to monitor;
e. A communication plan, including:
1. Confidentiality of information;
2. Feedback loop for providers, the QM committee,
and the MRH; and
3. Periodic reporting to stakeholders; and
f. Key dates and authorizations, including:
1. Authorized and dated signatures of stakeholders;
2. Effective dates; and
3. Date of last review;
(3) The QM program shall include a QM committee;
(4) The QM committee shall include, at minimum,
the following members who shall meet no less than 2 times per year:
a. A head of unit, or designee;
b. A training officer;
c. Two EMS providers, one which shall be the highest level provider on the unit roster; and
d. The medical director, or designee; and
(5) The QM written plan shall be kept on file and
updated yearly.
(c)
The written plan shall be made available for review by the division upon
request.
(d)
All
programs set forth or defined by the division, the coordinating board, or
medical control board that make use of EMSIR data benchmarks or standards
for evaluation, measurement, or reporting of the quality of EMS care shall be
considered a quality management program, including any reporting at the aggregate
level.
(e)
All quality management program requirements included in this section shall
be protected from discovery in accordance with RSA 153-A:34, II.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
PART Saf-C
5922 COMPLAINTS, INVESTIGATIONS, AND HEARINGS
Saf-C 5922.01 Definitions. For the purposes of this part:
(a)
“Exonerated” means any allegation that is true, but was lawful;
(b)
“Not Sustained” means any allegation for which there is insufficient
evidence to either prove or disprove;
(c)“Sustained” means any allegation
for which there is sufficient evidence to prove that it occurred; and
(d)
“Unfounded” means any allegation that was investigated and found to have
no foundation or basis in fact.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.02 Complaints and Investigations Relating to
Unit, Provider, PEETE, or EMS Instructor Coordinator License Application.
(a)
Any person may file a complaint regarding the actions of any unit or provider
licensed under RSA 153-A, or any person or entity believed to be in violation
of RSA 153-A or Saf-C 5900 provided that the complaint
shall be:
(1) Submitted in writing to the commissioner;
(2) Typewritten, electronic, or legibly printed; and
(3) Reported within 60 days of the discovery of
the alleged violation, except that any complaint involving criminal activity shall be
investigated as long as the investigation is
initiated, either by the division or other law enforcement authority, within the
statute of limitations of any indicated criminal offense.
(b)
The written complaint shall include:
(1) The name of the unit, provider, PEETE, or EMS
IC against whom the complaint is filed, hereinafter
called the “respondent;”
(2) A concise statement of the facts that establish
the alleged violation; and
(3) The date of the alleged violation.
(c)
Complaints shall be assigned to an investigator by the director in
accordance with RSA 153-A:14. A complaint shall be deemed non-actionable if
assuming the allegations in the complaint to be true, there would be a no violation
of RSA 153-A or Saf-C 5900.
(d)
If there are sufficient factual allegations in a complaint to suspect a
criminal violation has been committed, the matter shall be referred to the
appropriate law enforcement authorities.
(e) If the director determines that a
complaint is actionable, a letter shall be sent to the respondent, notifying
him or her of an investigation. With the letter, the respondent shall also receive
a copy of the complaint
or a version of the complaint redacted as necessary to preserve the integrity
of the investigation, or a description of the complaint containing sufficient
detail to provide the respondent with notice of the allegation or allegations being
made.
(f) The letter and enclosures shall be sent by
certified mail, and a copy of the letter shall be sent no earlier than 48 hours
later to:
(1) The head of the unit on whose behalf the
respondent was acting at the time the alleged violation took place, or, if at the
time of the alleged violation the respondent was not acting on behalf of a unit
with which the respondent is affiliated, to the respondent’s primary unit;
(2) If the bureau is seeking immediate suspension
pursuant to RSA 541-A:30, III, to the heads of all units with which the
respondent is affiliated; and
(3) If the bureau is not seeking immediate suspension
pursuant to RSA 541-A:30, III but the director determines that the allegations
constitute a potential threat to public health or safety, to the heads of all
units with which the respondent is affiliated.
(g)
The investigator shall document
facts collected in a report of investigation. The investigator shall recommend
findings to the commissioner.
(h) If, after investigation, the complaint is
determined to be exonerated, not sustained, or unfounded, the commissioner
shall issue a written order dismissing the complaint and shall send a copy of
such order to the complainant and respondent within 10 days by certified mail.
(i) If, after investigation, the complaint is
determined to be sustained, the commissioner shall issue a written order reflecting
the finding within 10 days and send a copy of such order by certified mail to
the complainant and respondent which shall:
(1) Specify the violation(s) of RSA 153-A or Saf-C 5900, or both;
(2) Direct the respondent to comply with the
provisions of RSA 153-A or Saf-C 5900, or both;
(3) Inform the respondent that he or she may request
a hearing within 10 days pursuant to RSA 541-A:31 and Saf-C
5922.09 for the purpose of challenging such finding;
(4) Describe the facts surrounding the decision
in sufficient detail to provide the respondent with the basis for the decision;
and
(5) Specify any sanction permissible under the law
and these rules.
(j)
Upon issuing the order specified in paragraphs (h) and (i) above, the commissioner shall send a copy of such order
to the heads of all units who received notification of the investigation in
accordance with paragraph (g) above.
(k)
Investigation information shall be confidential, and
shall not be released except in accordance with these rules.
(l) Notwithstanding paragraph (k) above,
investigation information shall be released:
(1) To the department of justice in its capacity as
legal counsel to the division;
(2) Pursuant to court order directing the
division to release such information;
(3) During an adjudicative hearing subject to the
provisions set forth in RSA 541-A:31 and Saf-C 200; or
(4) In the case of a possible violation affecting
public health, to the Department of Health and Human Services, Division of
Public Health and Bureau of Infectious Disease
Control.
(m)
Any respondent against whom a complaint is determined to be sustained
may request a hearing within 10 days of receipt of the order in paragraph (l)
above, pursuant to RSA 541-A:31 and Saf-C 5922 for the purpose of challenging such finding.
(n)
In the case of a sustained complaint, if no hearing is requested, or
following the conclusion of the requested hearing and any timely appeal, the
division shall publish a public list of licensees found to have violated RSA
153-A or these rules, on the division website.
The division shall not be limited to that method of publication.
(o)
Such public list shall specify:
(1) The name of the licensee;
(2) The unit or provider license number;
(3) The provision(s) of RSA 153-A or the rules
that have been violated;
(4) The date of the violation;
(5) Any action
resulting in a change in status of the licensee’s license, including any prerequisites
to full restoration of license privileges; and
(6) The date of implementation and conclusion of any
change in status.
(p)
In the case of a sustained complaint, if no hearing is requested, or following
the conclusion of the requested hearing and any timely appeal, the division shall
also notify the National Registry of Emergency Medical Technicians, National
Practitioner’s Data Bank and the Centers for Medicare and Medicaid Services of
any unit or provider license revocation, suspension, or limitation.
(q)
In the case of a sustained complaint, if no hearing is requested, or following
the conclusion of the requested hearing and any timely appeal, a copy of the
report of investigation, a copy of the order in (l) above, and a copy of any
hearing report shall be released to the heads of all units with which the
respondent is affiliated, upon their request.
(r)
Notwithstanding the provisions of this section, the release of any
hearing report shall be in accordance with RSA 91-A.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.03 Denial of Unit, Provider, PEETE, EMS
Instructor Coordinator, Chair Van Company, or Wheelchair Vans for Hire License
Application.
(a)
An application for a unit, provider, PEETE, EMS Instructor Coordinator,
chair van company, or wheelchair vans for hire license
shall be reviewed by the division in accordance with RSA 541-A:29.
(b)
The applicant shall be notified of any apparent errors or omissions in
the application and allowed to resubmit the application within 30 days of initial
receipt by the division.
(c)
Applications for a unit, provider, PEETE, EMS Instructor Coordinator,
chair van company, or wheelchair vans for hire license shall be denied in
accordance with RSA 541-A:29 for:
(1) Failure to meet the qualifications;
(2) Failure to submit required documentation;
(3) Violations specified in RSA 153-A:13, I;
(4) Falsifications or omissions of items from a criminal
background check; or
(5) A conviction of any criminal offense:
a. Relating to the performance of duties or practice
of EMS; or
b. That endangers the health or safety
of the public.
(d)
An applicant aggrieved by the decision of the commissioner relating to a
denial of an application may request an adjudicative hearing in accordance with
RSA 541-A and Saf-C 200.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.04 Suspension of Unit, Provider, PEETE, EMS
Instructor Coordinator License, Chair Van Company, or Wheelchair Vans for Hire.
(a) Any suspension of a unit, provider, PEETE, EMS
Instructor Coordinator’s license, chair van company, or wheelchair van for hire
shall be assessed for a period of up to one calendar year.
(b)
All or any portion of the division’s suspension imposed pursuant to (a)
above may be deferred for a period of one year, conditioned upon good behavior
and the completion of any requirements ordered as part of the suspension. If any misconduct occurs during the period of
deferred time or the unit or provider fails to comply with any requirements
ordered, a hearing shall be conducted to determine if the deferred suspension
shall be imposed, in addition to any further disciplinary action taken on any misconduct
that occurred during the deferred period.
(c)
The division’s period of suspension imposed pursuant to (a) above may be
rescinded upon the licensee’s correction of the violation(s) that caused the
suspension.
(d)
Any suspension of a transport unit’s license shall also result in the
suspension of all vehicle licenses of the unit.
(e)
If a licensee’s license expires during the suspension period, the unit
or provider may apply for a license in accordance with Saf-C
5903.02 following the expiration of the suspension period.
(f)
After notice and an opportunity for a hearing pursuant to Saf-C 5922.09, the commissioner shall suspend a unit's
license for:
(1) Negligence or incompetence in the provision of
emergency medical care as specified in RSA 153-A:13, I(a);
(2) Rendering unauthorized treatment as specified
in RSA 153-A:13, I(b);
(3) Unethical conduct as specified in RSA
153-A:13, I(d);
(4) Fraud in representations as to skills or
ability of the licensed level as specified in RSA 153-A:13, I(f);
(5) Negligent, unsafe, or illegal operation of a
vehicle, or negligent or unsafe use or maintenance of a vehicle's safety systems
as specified in RSA 153-A:13, I(j);
(6) Failure to maintain insurance pursuant to these
rules;
(7) Call jumping;
(8) Failure to maintain requirements specified in Saf-C 5903.04, or Saf-C 5903.05;
(9) A second offense of:
a. Failure to license a vehicle pursuant to Saf-C 5904.01 through Saf-C 5904.03;
b. Failure to have
2 licensed providers in the land or water vehicle pursuant to Saf-C 5902.07;
c. Failure to have
at least one nationally registered EMT-basic, EMT-intermediate
or EMT-paramedic provider in the air medical transport vehicle; or
d. Use of the vehicle's emergency warning lights
or siren during EMS calls for purposes other than the response to or transport
of an emergent sick or injured patient, pursuant to RSA 266:78-g; or
(10) A third offense of:
a. Failure to maintain the land vehicle’s inside air temperature at a minimum of 50 degrees
while the vehicle is not in use pursuant to these rules;
b. Failure to maintain the vehicle shelter
pursuant to these rules;
c. Failure to maintain vehicle equipment and supplies;
or
d. Failure to maintain the vehicle in good
operating condition.
(g)
After notice and an opportunity for a hearing, the commissioner shall
suspend a licensee’s license for:
(1) Negligence or incompetence in the provision
of emergency medical care as specified in RSA 153-A:13, I(a);
(2) Rendering unauthorized treatment as specified
in RSA 153-A:13, I(b);
(3) Unethical conduct as specified in RSA
153-A:13, I(d);
(4) Acts or offenses as set forth in RSA
153-A:13, I(e) and (h);
(5) Having a
license or registration to practice suspended in another jurisdiction or having
disciplinary action taken by the registering authority of another jurisdiction
or the National Registry as specified in RSA 153-A:13, I(i);
(6) Negligent, unsafe, or illegal operation of a
vehicle, or negligent or unsafe use or maintenance of a vehicle's safety systems
as specified in RSA 153-A:13, I(j);
(7) Call jumping pursuant to Saf-C
5902.05;
(8) Failure to renew certification(s), within 30
days, after notice has been given;
(9) Failure to supervise an educational program
and insure that all materials presented by guest
lecturers or assistant instructors are in accordance with NREMT educational
curricula and these rules;
(10) Failure to provide appropriate training materials
or equipment in working order;
(11) Failure to maintain requirements specified in Saf-C 5909; or
(12) A conviction of criminal offense:
a. Relating to the performance of duties or practice
of EMS; or
b. That endangers the health or safety of the public.
(h)
After notice and an opportunity for a hearing, any violation(s) which
has not been corrected at the end of the period of suspension, shall result in
the revocation of the licensee’s license.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.05
Revocation of Unit, Provider, PEETE, EMS Instructor Coordinator, Chair Van
Company, or Wheelchair Van for Hire License.
(a)
Any revocation of a licensee’s license shall be assessed for a period of
up to 5 calendar years.
(b)
All or any portion of the division’s revocation imposed pursuant to (a)
above may be deferred for a period of 5
years, conditioned upon good behavior and the completion of any requirements
ordered as part of the revocation. If any
misconduct occurs during the period of deferred time or the unit or provider
fails to comply with any requirements ordered, a hearing shall be conducted to
determine if the deferred revocation shall be imposed, in addition to any
further disciplinary action taken on any misconduct that occurred during the
deferred period.
(c) Any revocation of a transport unit's license
shall also result in the revocation of all vehicle licenses of the unit.
(d) If a licensee’s license is revoked, the licensee
may apply for a license in accordance with these rules after the completion of
the revocation period.
(e)
After notice and an opportunity for a hearing, the commissioner shall
revoke a unit's license for:
(1) Falsifying licensing information on the unit
or vehicle application form as specified in RSA 153-A:13, I(c);
(2) Unauthorized use or disclosure of patient
record information as specified in RSA 153-A:13, I(k) or these rules;
(3) Failure to provide sufficient funds for
payment of a license; or
(4) Any violation(s)
which has not been corrected at the end of the period of suspension pursuant to
Saf-C 5922.
(f)
After notice and an opportunity for a hearing, the commissioner shall
revoke a provider, PEETE, and EMS Instructor Coordinator’s license for:
(1) Falsifying licensing information on the application
in accordance with RSA 153-A:13, I(c);
(2) Unauthorized use or disclosure of patient
record information as specified in RSA 153-A:13, I(k), or these rules;
(3) Acts or offenses as set forth in RSA 153-A:13,
I(l) which occur during the licensing period;
(4) Rendering care beyond the level of training
or licensing in accordance with RSA 153-A:13, I(d);
(5) Fraud in representations as to skills or
ability as specified in RSA 153-A:13, I(f);
(6) Willful or
repeated violation of this chapter or of rules as specified in RSA 153-A:13,
I(g);
(7) Having a license or registration to practice
revoked in another jurisdiction as specified in RSA 153-A:13, I(i);
(8) Any violation(s) which has not been corrected
at the end of the period of suspension pursuant to Saf-C
5922.04;
(9) For failure to pay a fine imposed by the commissioner
as specified in Saf-C 5908; or
(10) A second offense of:
a. Negligence or incompetence in the provision
of emergency medical care as specified in RSA 153-A:13, I(a);
b. Rendering unauthorized treatment as specified
in RSA 153-A:13, I(b);
c. Acts or offenses as set forth in RSA
153-A:13, I(e) and (h);
d. Having a license or registration to practice
suspended in another jurisdiction or having disciplinary action taken by the
registering authority of another jurisdiction or the National Registry as
specified in RSA 153-A:13, I(i);
e. Negligent,
unsafe, or illegal operation of a vehicle, or negligent or unsafe use or
maintenance of a vehicle's safety systems as specified in RSA 153-A:13, I(j);
f. Call jumping;
g. Failure to renew certification(s), within 30
days, after notice has been given; or
h. Unethical conduct as specified in RSA
153-A:13, I(d).
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5922.06 Denial of Vehicle License Application.
(a)
Denial of an application for a vehicle license shall be made in
accordance with RSA 541-A:29.
(b)
An application shall be denied for:
(1) Information or equipment that does not meet the
requirements of these rules;
(2) Acts or offenses as set forth in RSA 153-A:13,
I(c) or (j);
(3) Violations of RSA 153-A:13, I(g),
specifically failure to pass vehicle or applicable shelter reinspection due to
continued deficiencies contrary to these rules;
(4) Failure to provide sufficient funds for payment
of a license;
(5) Failure to meet the qualifications; or
(6) Failure to submit required documentation.
(c)
Any applicant aggrieved by the decision of the commissioner relating to
a denial of an application may request an adjudicative hearing in accordance
with RSA 541-A and Saf-C 200.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5922.07
Suspension of Vehicle License.
(a)
Any suspension of a vehicle's license shall be assessed for a period of
up to one calendar year.
(b) All or any portion of the division’s
suspension imposed pursuant to (a) above may be deferred for a period of one year,
conditioned upon the completion of any requirements ordered as part of the suspension. If any misconduct occurs during the period of
deferred time or the unit fails to comply with any requirements ordered, a hearing
shall be conducted to determine if the deferred suspension shall be imposed, in
addition to any further disciplinary action taken on any misconduct that occurred
during the deferred period.
(c)
The division’s period of suspension imposed pursuant to (a) above shall
be rescinded upon the unit's correction of the violation(s) that caused the
suspension.
(d)
Any suspension of a vehicle’s license shall only apply to the vehicle
cited.
(e) Any suspension of a transport
unit's license shall also result in the suspension of all vehicle licenses held
by the unit.
(f)
If a unit’s vehicle license expires during the suspension period, the
unit shall apply for a license in accordance with these rules.
(g)
After notice and an opportunity for a hearing the commissioner shall
suspend a vehicle license for failure of a unit to maintain:
(1) The vehicle in good operating condition
pursuant to these rules;
(2) Vehicle equipment and supplies pursuant to these
rules;
(3) Vehicle insurance pursuant to these rules; or
(4) Vehicle registration and inspection.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.08 Revocation of Vehicle License.
(a)
Any revocation of a vehicle's license shall be assessed for a period of
up to 5 calendar years.
(b)
All or any portion of the division’s revocation imposed pursuant to (a)
above may be deferred for a period of 5 years, conditioned upon the completion
of any requirements ordered as part of the revocation. If any misconduct occurs
during the period of deferred time or the unit fails to comply with any requirements
ordered, a hearing shall be conducted to determine if the deferred revocation
shall be imposed, in addition to any further disciplinary action taken on any
misconduct that occurred during the deferred period.
(c)
Any revocation of a transport unit’s license shall also result in the
revocation of all vehicle licenses held by the unit.
(d)
If a unit’s vehicle license is revoked, the unit shall apply for a license
in accordance with Saf-C 5904.01, after the
completion of the revocation period.
(e)
After notice and an opportunity for a hearing pursuant to Saf-C 5904.13, the commissioner shall revoke a vehicle license
for a second offense of:
(1) Failure of a unit to maintain the vehicle in
good operating condition pursuant to Saf-C 5904.07;
or
(2) Failure of a unit to maintain vehicle equipment
and supplies pursuant to Saf-C 5904.08.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.09 Notice of Opportunity for Hearing. Prior to taking any adjudicative action pursuant
to RSA 541-A:31 and Saf-C 200, the division shall provide
written notice to the licensee of the opportunity to request a hearing.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective 5-24-19
Saf-C 5922.10 Immediate Suspension. In accordance with RSA 541-A:30, III, if the
division determines that public health, safety, or welfare requires emergency
action, an immediate suspension of a license shall be ordered pending an
adjudicative hearing, which shall occur not later than 10 working days after
the date of the suspension of the license.
The adjudicative hearing shall be conducted in accordance with the requirements
of Saf-C 200.
Source.
(See Revision Note #1 and Revision Note #2
at Chapter heading for Saf-C 5900) #12790, effective
5-24-19
Saf-C 5922.11 Criteria. In imposing any sanctions under this part, the
division shall consider the factors to determine the level of disciplinary sanction
imposed and duration of disciplinary sanctions in order to
prevent actual or potential harm to the public or any patient, and to deter
licensees from engaging in misconduct in the future:
(a) The seriousness of the offense;
(b)
The licensee’s prior disciplinary record;
(c)
The licensee’s acknowledgement of his or her wrongdoing;
(d)
The licensee’s willingness to cooperate with the division;
(e)
The potential harm to the public health and safety if the licensee
retains his or her license; and
(f)
Any mitigating or extenuating circumstances.
Source. (See Revision Note #1 and Revision Note #2 at
Chapter heading for Saf-C 5900) #12790, effective
5-24-19
APPENDIX A
Rule |
Specific State Statue the Rule
Implements |
Saf-C
5901.01-5901.02 |
RSA
541-A:7 |
Saf-C
5901.03-5901.04 |
RSA
153-A:11, II; RSA 541-A:7 |
Saf-C
5901.05 |
RSA
153-A:12; RSA 541-A:7 |
Saf-C
5901.06 |
RSA
541-A:7 |
Saf-C 5901.07 |
RSA
153-A:11, III; RSA 541-A:7 |
Saf-C
5901.08-5901.20 |
RSA
541-A:7 |
Saf-C
5901.21 |
RSA
153-A:2, II |
Saf-C 5901.22 |
RSA
541-A:7 |
Saf-C 5901.23 |
RSA
318-B:1, VI; RSA 318-B:1-a |
Saf-C
5901.24 |
RSA
153-A:2, I |
Saf-C
5901.25-5901.28 |
RSA
541-A:7 |
Saf-C
5901.29 |
RSA
153-A:2, III |
Saf-C 5901.30 |
RSA
153-A:2, IV |
Saf-C
5901.31-5901.35 |
RSA
541-A:7 |
Saf-C
5901.36 |
RSA
153-A:2, V |
Saf-C
5901.37 |
RSA
153-A:11 |
Saf-C 5901.38 |
RSA
153-A:2, VI |
Saf-C
5901.39 |
RSA
153-A:11 |
Saf-C
5901.40 |
RSA
541-A:7 |
Saf-C 5901.41 |
RSA
153-A:2, VII; RSA 541-A:7 |
Saf-C 5901.42 |
RSA
153-A:2, XIV |
Saf-C
5901.43 |
RSA
541-A:7 |
Saf-C
5901.44 |
RSA
153-A:2, IX |
Saf-C
5901.45 |
RSA
153-A:2, X |
Saf-C
5901.46-5901.50 |
RSA
541-A:7 |
Saf-C
5901.51 |
RSA
153-A:2, XI |
Saf-C
5901.52 |
RSA
153-A:11 |
Saf-C 5901.53-5901.59 |
RSA
541-A:7 |
Saf-C 5901.60 |
RSA
153-A:2, XIII |
Saf-C
5901.61 |
RSA
153-A:2, XV |
Saf-C
5901.62-5901.69 |
RSA
541-A:7 |
Saf-C
5901.70 |
RSA
153-A:11 |
Saf-C
5901.71 |
RSA
153-A:2, XVII |
Saf-C
5901.72-5901.73 |
RSA
541-A:7 |
Saf-C
5901.74 |
RSA
153-A:12 |
Saf-C 5901.75 |
RSA
153-A:2, XVI |
Saf-C 5901.76-5901.81 |
RSA
541-A:7 |
Saf-C
5901.82 |
RSA
153-A:2, VII; RSA 541-A:7 |
Saf-C
5901.83-5901.85 |
RSA
541-A:7 |
Saf-C
5901.86 |
RSA
153-A:2, XVII |
Saf-C 5901.87 |
RSA
541-A:7 |
Saf-C
5901.88 |
RSA
153-A:34, I (a) |
Saf-C
5901.89 |
RSA
153-A:2, XI; RSA 541-A:7 |
Saf-C 5901.90-5901.105 |
RSA
541-A:7 |
Saf-C
5902.01 |
RSA
153-A:4, V; RSA 153-A:6; RSA 153-A:20, XV |
Saf-C 5902.02 |
RSA
153-A:1, IV; RSA 153-A:2, XV; RSA 153-A:20, XV |
Saf-C
5902.03 |
RSA
21-P:12-b, II (d); RSA 153-A:20, II, III, IX |
Saf-C
5902.04 |
RSA
153-A:20, I, XIV; RSA 508:12-a |
Saf-C 5902.05 |
RSA
153-A:19; RSA 153-A:20, XI |
Saf-C
5902.06 |
RSA
153-A:11, II; RSA 153-A:20, I, III |
Saf-C 5902.07-5902.09 |
RSA
21-P:12-b, II (g); RSA 153-A:20, IV, XVI |
Saf-C 5902.10 |
RSA
541-A:7 |
|
|
Saf-C
5903.01 |
RSA
21-P:12-b, II(f); RSA 153-A:10; RSA 153-A:20, I |
Saf-C
5903.02-5903.04 |
RSA
21-P:12-b, II(f); RSA 153-A:10, I; RSA
153-A:20, I, VI, XIV |
Saf-C
5903.05-Saf-C 5903.06 |
RSA
21-P:12-b, II(f); RSA 153-A:10, I; RSA
153-A:20, I, VI, XIV; RSA 541-A:29 |
|
|
Saf-C 5904 |
RSA
21-P:12-b, II(f); RSA 153-A:11; RSA 153-A:12; RSA
153-A:20, I |
Saf-C 5904.02 &
Saf-C 5904.04 |
RSA 21-P:12-b, II(f);
RSA 153-A:11; & RSA 153-A:20, I |
|
|
Saf-C 5905.01 |
RSA
153-A:10, VI; RSA 541-A:7 |
Saf-C
5905.02-5905.03 |
RSA
153-A:10, VI |
|
|
Saf-C 5906.01-5906.04 |
RSA
21-P:12-b, II(f); RSA 153-A:10, II; RSA 153-A:20, I, V, VI |
Saf-C
5906.05 |
RSA
153-A:10, VI; RSA 153-A:20, XVII |
Saf-C
5906.06-5906.07 |
RSA
153-A:20, III |
Saf-C
5906.08 |
RSA
153-A:1, I; RSA 153-A:20, III |
Saf-C
5906.09 |
RSA
153-A:20, I, V |
Saf-C
5906.10 |
RSA
21-P:12-b, II (h); RSA 153-A:14; RSA 153-A:20, VII |
|
|
Saf-C
5907.01 |
RSA
6:11-a; RSA 153-A:15; RSA 153-A:20, XIII |
|
|
Saf-C
5908.01 |
RSA
153-A:20, XIX; RSA 153-A:22; RSA 541-A:31 |
Saf-C
5908.02 |
RSA
153-A:20, XVIII; RSA 153-A:22 |
|
|
Saf-C 5909.01 |
RSA
21-P:12-b,.II (e),(f); RSA 153-A:20, VIII |
Saf-C
5909.02-5909.04 |
RSA
21-P:12-b, II (e), (f); RSA 153-A:11, II; RSA
153-A:20, VIII |
Saf-C 5909.05 |
RSA
21-P:12-b, II (e), (f); RSA 153-A:20, V; RSA 541-A:29 |
Saf-C
5909.06-5909.07 |
RSA
21-P:12-b, II (e), (f); RSA 153-A:20, V |
|
|
Saf-C 5910.01-5901.04 |
RSA
21-P:12-b, II (e); RSA 153-A:20, VIII |
Saf-C
5910.05 |
RSA
21-P:12-b, II (e); RSA 153-A:20, VIII; RSA 541-A:29 |
Saf-C 5910.06-5910.07 |
RSA
21-P:12-b, II (e); RSA 153-A:20, VIII |
|
|
Saf-C
5911.01-5911.04 |
RSA
21-P:12-b, II (e); RSA 153-A:11, IV; RSA
153-A:20, VIII |
|
|
Saf-C
5912.01-5912.03 |
RSA
21-P:12-b, II (e); RSA 153-A:20, VIII |
|
|
Saf-C
5913.01-5913.04 |
RSA
21-P:12-b, II (e); RSA 153-A:11, IV; RSA
153-A:20, VIII |
|
|
Saf-C
5914.01-5914.05 |
RSA
153-A:16, I; RSA 153-A:20, XII |
|
|
Saf-C
5915.01-5915.04 |
RSA
21-P:12-b, II (e); RSA 153-A:11, IV; RSA
153-A:20, VIII |
|
|
Saf-C 5916.01-5916.03 |
RSA
21-P:12-b, II (e); RSA 153-A:20, XIII; RSA 541-A:29 |
|
|
Saf-C
5917.01-5917.04 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, V, VI |
Saf-C 5917.05 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, V |
Saf-C
5917.06-5917.08 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, V, VI |
Saf-C
5917.09 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, V, VI; RSA 541-A:29 |
Saf-C
5917.10-5917.13 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, V |
Saf-C
5917.14-5917.15 |
RSA
21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA
153-A:20, IV |
Saf-C
5917.16 |
RSA
21-P:12-b, II (f); RSA 21-P;12-b, II (m); RSA
153-A:1, I; RSA 153-A:10, I; RSA 153-A:15 |
Saf-C
5917.17 |
RSA
21-P:12-b, II (f); RSA 153-A:20, XIX; RSA 153-A:22; |
Saf-C
5917.18 |
RSA
21-P:12-b, II (f); RSA 153-A:20, XVIII; RSA 153-A:22 |
|
|
Saf-C
5918.01 |
RSA
153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA
318-B:10, V; |
Saf-C
5918.02-5918.03 |
RSA
153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA
318-B:10, V |
Saf-C
5918.04 |
RSA
153-A:5, III; RSA 153-A:20, XXI; RSA 318:8; RSA
318:42, X; RSA 318-B:10, V; RSA 318-B:25 |
Saf-C
5918.05 |
RSA
153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA
318-B:10, V; 21 CFR 1301.76 (b) |
Saf-C 5918.06 |
RSA
153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA
318-B:10, V |
Saf-C
5918.07 |
RSA
153-A:13; RSA 153-A:20, V; XVIII, XIX; RSA
153-A:22; RSA 541-A:30; RSA 541-A:31 |
|
|
Saf-C
5919.01 |
RSA
153-A:5, III |
Saf-C 5919.02 |
RSA
153-A:5, III; RSA 153-A:20, XXI |
|
|
Saf-C 5920.01-5920.02 |
RSA
153-A:2, XVI-a, XVII; RSA 541-A:16, I(b)(1) |
Saf-C
5920.03 |
RSA
137-J; RSA 153-A:1, VI; |
|
|
Saf-C 5921.01-5921.02 |
RSA
153-A:20, XXIII; RSA 153-A:34 |
|
|
Saf-C
5922.01 |
RSA
541-A:7 |
Saf-C 5922.02 |
RSA
153-A:14; RSA 153-A:20, VII |
Saf-C 5922.03-5922.08 |
RSA
153-A:13, III; RSA 541-A:29 |
Saf-C
5922.09 |
RSA
153-A:13, III; RSA 541-A:30; RSA 541-A:31 |
Saf-C
5922.10 |
RSA
153-A:13, III; RSA 541-A:30, III; RSA 541-A:31 |
Saf-C
5922.11 |
RSA
153-A:13, III, RSA 541-A:16, I(b)(2) |
APPENDIX B
Rule |
Title |
Obtain at: |
Saf-C 5906.08 |
Emergency Response Guidebook (ERG) 2016 |
US Department of Transportation Pipeline and Hazardous Materials Safety
Administration 1200 New Jersey Avenue, SE Washington, DC 205900 https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/docs/ERG2016.pdf |
Saf-C 5911.01(a) Saf-C 5911.02(a) Saf-C 5911.03(b) Saf-C 5911.04 Saf-C 5914.04(a) |
National Emergency Medical Services
Education Standards (2009) |
US Department of Transportation (DOT) National Highway Traffic Safety Administration
(NHTSA) 1200 New Jersey Avenue, SE Washington, DC 20590 https://www.ems.gov/pdf/National-EMS-Education-Standards-FINAL-Jan-2009.pdf |