EMERGENCY
MEDICAL SERVICES
CHAPTER Saf-C 5900 EMERGENCY MEDICAL SERVICES RULES
Statutory
Authority: RSA 153-A:20
REVISION
NOTE:
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
include the following:
|
#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 |
PART
Saf-C 5901 DEFINITIONS
Saf-C 5901.01 “Adult” means a person who is at least 5 feet
tall, and weighs at least 75 pounds.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C
5901.011 “ACLS” - EXPIRED
Source. (See Revision Note at
chapter heading for Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED: 6-14-06
Saf-C 5901.02 "Advanced emergency medical care
provider" means a person who is a nationally registered emergency medical
technician-intermediate or paramedic, licensed in accordance with RSA 153-A:11,
II.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.03
"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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.04 “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 5901.89 through Saf-C 5901.92;
(b)
An emergency medical services instructor/coordinator and hospital or
unit which allows for student clinical/field experience as a part of a division
approved training program; or
(c) EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; para. (c) amd by #8630, INTERIM, eff 5-19-06,
EXPIRED: 11-15-06
Saf-C 5901.05
“Anaphylaxis” means an allergic reaction of the body to a foreign
protein or drug that can cause shock, lung constriction and airway obstruction.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.06
"Apprentice" means a person who possesses a current certificate
of training in CPR as defined in Saf-C 5901.31, 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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.07
“Arrhythmia” means irregularity or loss of rhythms of the heart.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.08 “Assistant instructor” means a person who
assists the emergency medical services instructor/coordinator as defined in the
United States Department of Transportation (USDOT), National Highway Traffic
Safety Administration (NHTSA), emergency medical technician-basic national
standard curriculum, dated 1994.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.09 “Asthma” means a disease of the lungs which
results in airway obstruction, attacks of which can be brought on by stress,
infection or an allergic reaction.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.10 “Asystole” means complete absence of heart
activity, which displays as a “flatline” on a cardiac monitor.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.11 “Authority to establish courses” means the form
by which authorization is requested for an emergency medical services training
program.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.12 "Basic life support (BLS)" means
fundamental medical procedures and the scope of practice in which emergency
medical care providers at the first responder or emergency medical
technician-basic levels are trained.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.13
“Bradycardia” means an abnormally slow heart rhythm.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C
5901.14 "Call jumping" means
the unauthorized response to and/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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.15
“Candidate” means a student who has completed a training program and has
been listed by the training program’s emergency medical services instructor/coordinator
as eligible to test at the final state approved practical and/or written
examination.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.16 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.17 “Catchment area” means the geographic area to
which a medical resource hospital is responsible for the unit’s medical
protocols, training and medical control as defined in RSA 153-A:2, XV.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.18 "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 5901.19.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.19 "Certification" means successful
completion of a training course, final practical skills and/or written
examinations which results in receipt of a certificate.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.191
“Certified emergency nurse (CEN)” means a registered nurse currently
licensed by the New Hampshire board of nursing who has successfully completed
the emergency nursing certification program and is currently certified by the
emergency nurses association.
Source. (See
Revision Note at chapter heading for Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED:
6-14-06
Saf-C 5901.20 “Chronic obstructive pulmonary disease (COPD)”
means a chronic lung disease in which breathing becomes forced due to
disruption and obstruction of the airways.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.21 “Clinic” means a physician’s office or
healthcare facility.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.22 “Coma” means a state of deep unconsciousness.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.23 “Comfort care” means procedures utilized by
emergency medical care providers to provide pain relief, assistance in patient
positioning, administration of oxygen and/or oral suctioning to supplement a
patient’s breathing. The term does not
include aggressive resuscitation techniques such as intubation, defibrillation,
cardiac medications or CPR.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.24
“Commissioner” means “commissioner” as defined in RSA 153-A:2, II.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.25
"Complaint" means a written allegation against a party which
is dated and signed by the person making the charge.
Source. (See Revision Note at chapter heading for Saf-C
5900) #7690, eff 5-21-02
Saf-C 5901.26 “Congestive heart failure (CHF)” means a
disease which causes the heart muscle to become impaired, thereby losing its
ability to pump blood efficiently.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.27 “Controlled drug” means any drug, substance
or immediate precursor, which is scheduled pursuant to RSA 318-B:1-a.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.28 "Coordinating board" means
"coordinating board" as defined in RSA 153-A:2, I.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.29 “Course coordinator” means a person
responsible for organizing and coordinating a division approved training
program for an emergency medical services instructor/coordinator as defined in
USDOT, NHTSA, emergency medical technician-basic national standard curriculum,
dated 1994.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.30 “Course medical director” means a physician with
emergency medical experience as defined in USDOT, NHTSA, emergency medical
technician-basic national standard curriculum, dated 1994, and 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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.31
"CPR training" means cardiopulmonary resuscitation training
which meets the American Heart Association’s guidelines for cardiopulmonary
resuscitation and emergency cardiac care-basic life support for health care
providers.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.32 “Cubic centimeter (cc)” means a unit of measurement for volume of fluid in
one centimeter cubed.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.33 "Days" means Monday through Friday
excluding state holidays and weekends, unless otherwise specified in this
chapter.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.34 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.35 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.36 “Division” means “division” as defined in RSA
153-A:2, IV.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.37 “Dosage” means the determination of the total
amount, frequency and number of administrations of a medication to be given to
a patient.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.38 “Dose” means the measured quantity of a
medication to be administered at one time to a patient.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.39 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.40 “DV” means “domestic violence” as described
in local option protocols.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.41 “Educational institution” means an
institution based in
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.42 “Educational training agency” means an agency
based in
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.43 “Electrocardiogram machine” or “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.44 “Emergency department” means the designated
operational area of a hospital/facility which routinely receives patients from emergency
medical care providers as part of a healthcare facility as defined in RSA
153-A:2, XI.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.45 "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
"prehospital emergency medical care provider", "provider"
and “
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.46 “Emergency medical services (EMS)” means
“emergency medical services” as defined in RSA 153-A:2, VI.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.47 “Emergency medical services
instructor/coordinator (EMS I/C)” means the “primary instructor” as defined in
USDOT, NHTSA, emergency medical technician-basic national standard curriculum,
dated 1994, and is the person licensed by the division to be responsible for
all aspects of division approved training programs.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C
5901.471 “
Source. (See Revision Note at chapter heading for
Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED: 6-14-06
Saf-C 5901.472 “
Source. (See Revision Note at chapter heading for
Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED: 6-14-06
Saf-C
5901.473 “
Source. (See Revision Note at chapter heading for
Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED: 6-14-06
Saf-C 5901.48 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.49 “Emergency medical service unit” means
“emergency medical service unit” as defined in RSA 153-A:2, IX. The term includes “
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.50 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.51 "Emergency medical technician
(EMT)" means an emergency medical care provider, specifically trained at
the EMT-basic, EMT-intermediate or EMT-paramedic level of certification to
administer life support care to injured and sick persons in prehospital
settings, overseen and directed by physicians.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C
5901.511 “Emergency physician” - EXPIRED
Source. (See
Revision Note at chapter heading for Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED:
6-14-06
Saf-C
5901.512 “Emergency physician assistant”
- EXPIRED
Source. (See
Revision Note at chapter heading for Saf-C 5900) #8520, INTERIM, eff 12-16-05, EXPIRED:
6-14-06
Saf-C 5901.52 “Emergent” - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8520, INTERIM, eff 12-16-05, EXPIRED:
6-14-06
Saf-C 5901.53
“EMT-basic (EMT-B)” - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.54 "EMT-intermediate (EMT-I)" -
EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C
5901.55 “EMT-paramedic (EMT-P)" -
EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.56 “Endotracheal intubation” means the process
of inserting a tube through a patient’s nose or mouth and into the trachea for
the purpose of opening and maintaining a patent airway.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.57 “Endotracheal tube (ETT)” means the device
used in the practice of airway management, specifically endotracheal
intubation.
Source. (See Revision Note at chapter heading for Saf-C
5900) #7690, eff 5-21-02
Saf-C 5901.58 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.59 "Examination coordinator" means a
person, designated by the division, who attends and supervises final practical
and/or written examinations.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.60 "Facility" means
"facility" as defined in RSA 153-A:2, XI.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.61 "First responder (FR)" means a
person who has successfully completed a course which meets the objectives set
forth in USDOT, NHTSA, first responder national standard curriculum, dated
1995, and who has successfully completed the division approved first responder
testing process.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.62 “Fracture” means a broken bone.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.63 "
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.64 “Gram (gm)” means a measurement that equals
approximately the weight of a cubic centimeter or a milliliter of water.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.65 “Grain (gr)” means a weight equal to 0.065 of
a gram.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.66 “Guest lecturer” means a person who, upon
request by the EMS I/C, conducts specific classroom lectures, presentations
and/or demonstrations based upon his/her expertise in a given subject area.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.67 “Head
of Unit” - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.68 “Hyperthermia” means a condition in which
body temperature increases to abnormal temperatures.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.69 “Hypothermia” means a condition in which body
temperature decreases below 95 degrees Fahrenheit.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.70 “Hypovolemia” means a decrease in the volume
of circulating blood or other body fluids.
Source. (See Revision Note at chapter heading for Saf-C
5900) #7690, eff 5-21-02
Saf-C 5901.71 “Incident command system” means “incident
command system” as defined by the manual of the same name published in NFA-ICS
by the
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.72 “Infant” means a person in age from birth to
his/her first birthday.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.73 “Instructor training program” means a
division approved educational program to assist a person to teach and/or
coordinate EMS training programs, and which meets the objectives set forth in
USDOT, NHTSA, EMS instructor training program national standard curriculum,
dated 1996.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.74 “Intramuscularly (IM)” means to deliver an injection
of a drug within a muscle.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.75 “Intraosseous infusion (IO)” means the
administration of fluids and/or drugs into the bone marrow cavity.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.76 “Intravenous infusion (IV)” means the administration
of fluids and/or drugs into a vein to replace fluid, establish venous access
for the administration of medication and to obtain blood samples. The term
includes “intravenously”, “peripheral IV” and “primary IV”.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.77 “IV bolus” means the administration of a
large dose of medication over a short period of time.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.78 “IV lines” means the tubing used to
administer fluids intravenously.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.79 “IV push (IVP)” means the administration of
medication intravenously by injection.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.80 “Joule” means a unit of electrical energy
measured in watt-seconds.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.81 “Kilogram (kg)” means a unit of measurement
comprised of one thousand grams.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.82 “Large bore lines” means catheters with a 16 gauge
diameter or wider to allow infusion of sizeable quantities of fluid over a
short period of time.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.83 “Legend drug” means “legend drug” as defined
in RSA 318:1, XVII.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.84 “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 Saf-C 5903, Saf-C
5904 and Saf-C 5908.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.85 "Licensee" means a person,
corporation, association or partnership to whom a license has been issued
pursuant to RSA 153-A, Saf-C 5903 and Saf-C 5908.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.86 RESERVED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; rpld by #8630, INTERIM, eff 5-19-06
Saf-C 5901.87 “Mass
casualty incident (MCI)” means an occurrence or event as defined in RSA
153-A:2, XIII.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.88 "Medical control" means
"medical control" as defined in RSA 153-A:2, XV.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.89
“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
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.90
"Medical director" - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.91
"Medical resource hospital (MRH)" - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.92 “Medical resource hospital physician” means
the physician who is responsible for medical control.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.93 “Milligram (mg)” means a unit of measurement
comprised of one thousandth of a gram.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.94 “Milliliter (ml)” means a unit of measurement
for liquid volume, comprised of one thousandth of a liter, and equivalent to
one cubic centimeter.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.95 "National Registry (NREMT)" means
the National Registry of Emergency Medical Technicians,
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.96 "National Registry representative" means
a person monitored by the division, and approved by the NREMT, to administer
NREMT examinations.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.97 "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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.98
"Non-transport unit" means a licensed unit with licensed
providers but which does not have vehicles licensed for patient transportation.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.99 “Obstetric emergency” means pregnancy
conditions, childbirth conditions or both, which can include abnormal bleeding,
seizures and severe pain.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.100 "Patient" means "patient"
as defined in RSA 153-A:2, XVI.
Source. (See Revision Note at chapter heading for Saf-C
5900) #7690, eff 5-21-02
Saf-C 5901.101 “Patient assessment” means the evaluation of
an injured or sick person by visual and tactile inspection, palpation,
percussion and auscultation.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.102 "Patient care record (PCR)" means
the form prepared by providers to record the observations, circumstances,
conditions and care provided to patients at the scene and during
transportation, which includes the requirements set forth in Saf-C 5902.08 and
Saf-C 5902.09.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.103 "Patient record" means any document
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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.104 “Pediatric” means medical treatment
concerning children who are less than 5 feet tall and no more than 75 pounds.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.105 “Pharmacy” means the place registered by the
pharmacy board, where the profession of pharmacy is practiced and where drugs,
chemicals, medicines, prescription or poisons are compounded, dispensed, stored
or sold.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.106 "Practical examination" means the
division approved final evaluation of practical skills.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.107 “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 at chapter heading for Saf-C
5900) #7690, eff 5-21-02
Saf-C 5901.108 “Preceptorship” means the oversight and
supervision of:
(a)
A student enrolled in an
(b)
The teaching of skills to an
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.109 “Premature ventricular contractions (PVC’s)”
means a type of abnormal heartbeat.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.110 “Primary instructor” means the
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.111 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.112 "Protocol" means
"protocol" as defined in RSA 153-A:2, XVII.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.113 "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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.114 “Public safety answering point (PSAP)” means
“public safety answering point” as defined in RSA 106-H:2, XII.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.1141
“Quality management program” - EXPIRED
Source. (See Revision Note at chapter heading for Saf-C
5900) #8630, INTERIM, eff 5-19-06, EXPIRED: 11-15-06
Saf-C 5901.115 "Receiving hospital" means any
acute care hospital/facility capable of accepting patients and giving on-line
medical control.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.116 "Revocation" means the termination
by formal action of the commissioner of a provider, unit and/or vehicle license
and privilege to engage in the business or service of providing emergency
medical services and/or transportation of patients pursuant to RSA 153-A.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.117 “Site coordinator” means a person in charge
of organizing the facility, equipment, evaluators, assistants and/or patients
at a division approved practical or written examination.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.118 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.119 “Sterile supplies” means equipment which has
been treated and stored to be kept free from microorganisms.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.120 "Student" means a person enrolled
in a division approved training program.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.121 “Subcutaneously (SQ)” means beneath the skin,
as in the method of injecting a drug.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.122 “Sublingually (SL)” means under the tongue.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.123
"Suspension" means the temporary withdrawal by formal action of the commissioner of a
provider, unit and/or vehicle license and privilege to engage in the business
or service of providing emergency medical services and/or transportation of
patients pursuant to RSA 153-A.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.124 “Syncope” means a temporary loss of
consciousness due to inadequate blood flow to the brain. The term includes “fainting”.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.125 “Tachycardia” means a rapid heart rate, which
is over 100 beats per minute for adults and 150 beats per minute for
pediatrics.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.126 “Titrate for effect” means to adjust the
amount of intravenous fluid to keep the vein open or to restore hemodynamic
stability.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.127 “Trachea” means the windpipe, which is the
main trunk for air passing to and from the lungs.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.128 “Training program” means a division approved
program or course at one of the following levels:
(a)
First responder;
(b)
EMT-basic;
(c)
EMT-intermediate;
(d)
EMT-paramedic; or
(e)
Any associated transition or refresher training.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C
5901.129 “Transition program” - EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; ss by #8630, INTERIM, eff 5-19-06, EXPIRED:
11-15-06
Saf-C 5901.130 "Transportation" means the delivery
of a patient by a vehicle to another vehicle or receiving hospital/facility.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.131 “Trauma” means a physical injury or wound caused
by external force or violence.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.132 “Unit controlled drug coordinator (UCDC)” means
the paramedic or, if a hospital-based unit, the registered nurse or physician
employee of the hospital/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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.133 “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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.134 "Vehicle shelter" means a fixed
enclosed structure to house and protect a vehicle. The term includes “shelter”.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.135 “Ventricular fibrillation” means the
continuous, uncoordinated electrical activity of the heart.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.136 "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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.137 "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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5901.138 "Written examination" means a
division approved final written examination required prior to issuance of a
certificate of completion or initial National Registry classification.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
PART
Saf-C 5902
Saf-C 5902.001 Adoption of
Source. (See Revision Note at chapter heading for
Saf-C 5900) #8630, INTERIM, eff 5-19-06, EXPIRED: 11-15-06
Saf-C 5902.01 Regional Councils and District Committee
Designation.
(a)
A minimum of 3
(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/facilities;
(3) Area New Hampshire-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/call fire service
organizations;
(8) Area commercial
(9) Area volunteer
(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 approved by
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
(2) Coordinating communications among
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. 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
(p)
District committees shall embody any of the following:
(1) One or more hospitals/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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5902.02
(a)
Each unit shall have a 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
(d)
On-line medical control may be provided by any receiving hospital.
(e)
Off-line medical control shall be the responsibility of a unit’s MRH.
(f) EXPIRED
(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.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; para. (f) amd by #8630, INTERIM, eff 5-19-06,
EXPIRED: 11-15-06
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/facility.
(d)
Each unit’s vehicle shall be capable of relaying information directly to
its MRH or receiving hospital/facility by utilizing the appropriate tone-coded
squelch radio signaling.
(e) EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; para. (e) amd by #8630, INTERIM, eff 5-19-06,
EXPIRED: 11-15-06
Saf-C 5902.04 Unethical Conduct.
(a)
Call jumping shall constitute unethical conduct and fines for the
violation of such conduct shall be imposed in accordance with Saf-C 5907.02.
(b)
Notwithstanding (a) above, a licensed emergency medical care provider
may render care at his/her level of training on a voluntary basis due to
happenstance, mutual aid or a mass casualty response. Emergency medical 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 at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5902.05 Mass Casualty Incident. Any unit or provider responding to a mass casualty
incident shall follow the incident command system.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5902.06 Emergency Medical Care Provider
Requirements.
(a)
All providers shall be licensed in accordance with Saf-C 5903.
(b) The staffing
level in each
(c) The 2 providers
on board a land or water vehicle shall be licensed at one of the following
levels:
(1) First responder;
(2) EMT-basic;
(3) EMT-intermediate; or
(4) EMT-paramedic.
(d) 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 one of the following levels:
(1) EMT-basic;
(2) EMT-intermediate; or
(3) EMT-paramedic.
(e)
A first responder provider may attend a patient during transport if the
treatment is within the scope of practice for the first responder.
(f) EXPIRED
(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
(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 EMS I/C to the course medical director and
the
(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
5904.01; and
(2) Have at minimum, one nationally registered
EMT-basic, EMT-intermediate or EMT-paramedic provider on board.
(k) EXPIRED
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02; paras. (f) & (k) amd
by #8520, INTERIM, eff 12-16-05, EXPIRED: 6-14-06
Saf-C 5902.07 Recordkeeping and Reporting.
(a) All units shall
be responsible for recordkeeping and reporting.
(b)
All reports submitted to the division shall include the unit's license number.
(c) All units shall
report the following, in writing, to the division within 30 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/town;
c. State;
d. Zip code;
e. Telephone number;
f. Primary contact person’s name; and
g. A preferred E-mail address, if available;
(4) Additions and deletions of vehicles licensed
to the unit; and
(5) Changes to the head of unit.
(d)
Recordkeeping and reporting by the unit shall be made by providing the
information required by Saf-C 5902.08 and Saf-C 5902.09, as applicable, using
one of the following methods:
(1) Completion of the division’s patient care
record (PCR) form;
(2) Electronically, using software developed and
distributed by the division; or
(3) Electronically, using software developed or
purchased by the unit or receiving hospital/facility, which complies with the
following requirements:
a. The database shall be directly importable
into an Access97 database;
b. The database shall export all required data
fields with names and structures identical to those used by the division; and
c. Each record shall be uniquely identified.
(e) Unless
submitting data electronically, the provider who completes the PCR form shall
deliver the second and fourth copies of the form to the hospital/ facility
receiving the patient:
(1) Upon delivery of the patient; or
(2) Within 24 hours of delivery of the patient, if
a subsequent emergency call or transfer necessitates a delay.
(f)
Reporting to the division by the unit shall be made by filing:
(1) The third copy of the PCR form in person or
by mail, by the 15th of the month following the month of the
patient’s arrival at the hospital/facility; and
(2) Provider information as specified in (c)
above.
(g) The division
shall provide the following at no cost to the units:
(1) The PCR forms; and
(2) Self-addressed, prepaid envelopes for use in submitting
the PCR forms to the division.
(h)
If a unit or hospital/facility elects to file the data electronically,
the data shall be submitted on diskette(s).
(i)
All units shall complete a PCR form in every incident, for each patient,
originating in this state, in which emergency medical care or transport was:
(1) Requested;
(2) Rendered;
(3) Refused; or
(4) Canceled.
(j)
The PCR form shall be comprised of:
(1) A 2-part, 4-copy carbonless paper form, which
shall include:
a. The original, which shall be retained by the
unit;
b. The second copy, which shall be retained by
the receiving hospital/facility;
c. The third copy, which shall be retained by
the division; and
d. The fourth copy, which shall be retained by
the hospital’s
(2) Each form shall be prenumbered; and
(3) If applicable, a separate, carbonless lined
sheet, attached as an “addendum” and which shall:
a. Be numbered by the provider to correspond with
the preprinted serial number on the PCR form;
b. Contain the date of the call;
c. Contain the provider license number(s);
d. Contain the signature of the reporting
provider(s);
e. Contain a sequential number for each page, as
well as the total number of pages;
f. Be used to record details from the narrative
section of the PCR form in the event that the form does not provide sufficient
space; and
g. Be furnished in a 2-copy form, which shall
include:
1. The original, which shall be retained by the
unit; and
2. The second copy, which shall be retained by
the receiving hospital/facility.
(k)
Providers shall complete all parts of the PCR form by providing the
information required in Saf-C 5902.08, Saf-C 5902.09 and any addenda:
(1) In writing wherever applicable, in black ink;
and
(2) By checkmark in each applicable box.
(l) All information
contained in the PCR form shall be made available, upon request, to authorized
law enforcement agencies investigating criminal activity relating to the
patient care incident.
Source. (See Revision Note at chapter heading for
Saf-C 5900) #7690, eff 5-21-02
Saf-C 5902.08 PCR Form-Left Side. The provider shall report on the left side of
the PCR form:
(a) The patient’s full name, which shall be
obscured on the division’s copy of the form;
(b)
The patient’s street address, which shall be obscured on the division’s
copy of the form;
(c)
The city or town in which the patient resides;
(d)
The state in which the patient resides, which shall be recorded as the
2-letter postal abbreviation;
(e)
The patient’s zip code;
(f)
The patient’s home telephone number, which shall be obscured on the
division’s copy of the form;
(g)
The patient’s date of birth;
(h)
The patient’s age;
(i)
The patient’s gender and race/ethnicity, by selecting one of the
following:
(1) White, non-Hispanic;
(2) White, Hispanic;
(3) Black, non-Hispanic;
(4) Black, Hispanic;
(5) American Indian/Alaska Native;
(6) Asian/Pacific Islander;
(7) Other; or
(8) Unknown;
(j)
The type of call, as determined on site or in transit to the transport
destination, which shall be selected from the following:
(1) Abdominal pain/problems;
(2) Airway obstruction;
(3) Allergic reaction;
(4) Altered level of consciousness;
(5) Back pain;
(6) Behavioral/psychiatric disorder;
(7) Burns;
(8) Cardiac arrest;
(9) Cardiac rhythm disturbance;
(10) Chest pain/discomfort;
(11) Diabetes;
(12) Dislocation;
(13) “Do Not Resuscitate (DNR)” orders which are
physician-generated;
(14) Electrocution;
(15) Eye injury;
(16) Fracture(s);
(17) General illness;
(18) Head injury;
(19) Hemorrhaging/bleeding;
(20) Hyperthermia;
(21) Hypothermia;
(22) Hypovolemia/shock;
(23) Inhalation injury/toxic gas;
(24) Laceration;
(25) Near drowning;
(26) Obvious death;
(27) Poisoning/drug ingestion;
(28) Pregnancy/OB delivery;
(29) Respiratory arrest;
(30) Respiratory distress;
(31) Seizure;
(32) Sexual assault/rape;
(33) Smoke inhalation;
(34) Sprain;
(35) Stings/venomous bites;
(36) Stroke/CVA;
(37) Syncope/fainting;
(38) Thermal injuries not otherwise specified;
(39) Traumatic injury;
(40) Unknown;
(41) Unresponsive;
(42) Vaginal hemorrhage; or
(43) Other;
(k)
A narrative of the chief complaint, which shall be stated by the patient
or a person competent to speak on the patient’s behalf;
(l) Signs and symptoms
of the patient, which shall be selected from the following:
(1) Abdominal pain;
(2) Back pain;
(3) Bleeding;
(4) Bloody stools;
(5) Breathing difficulty;
(6) Cardiorespiratory arrest;
(7) Chest pain;
(8) Choking;
(9) Diarrhea;
(10) Dizziness;
(11) Ear pain;
(12) Eye pain;
(13) Fever/hyperthermia;
(14) Headache;