Ill. Admin. Code tit. 77, § 515.810 - EMS Vehicle System Participation
For each EMS vehicle participating within the System, the following documentation shall be provided:
a) A list of the following:
1) The year, model, make and vehicle
identification number;
2) The
license plate number;
3) The
Department license number;
4) The
base location address; and
5) The
level of service (advanced, intermediate or basic);
b) A description of the vehicle's role in
providing advanced life support, intermediate life support, basic life support
and patient transport services within the System;
c) Definitions of the primary, secondary and
outlying areas of response for each EMS vehicle used within the
System;
d) A map or maps indicating
the base locations of each EMS vehicle, the primary, secondary and outlying
areas of response for each EMS vehicle, the population base of each service
area and the square mileage of each service area;
e) A commitment to optimum response times up
to six minutes in primary coverage areas, six to 15 minutes in secondary
coverage areas, and 15 to 20 minutes in outlying coverage areas;
f) A commitment to 24-hour
coverage;
g) A commitment that
within one year after Department approval of a new or upgraded vehicle service,
each ambulance at the scene of an emergency and during transport of emergency
patients to and between hospitals will be staffed in accordance with the
requirements of Section
515.830(g)(1) and
(2);
h) Copies of written mutual aid agreements
with other providers and a description of the provider's own back-up system,
which detail how adequate coverage will be ensured when an EMS vehicle is
responding to a call and a simultaneous call is received for service within
that vehicle's coverage area;
i) A
statement that emergency services that an EMS vehicle is authorized to provide
shall not be denied on the basis of the patient's inability to pay for such
services;
j) An agreement to file
an appropriate EMS run sheet or form for each emergency call, as required by
the System;
k) An agreement to
maintain the equipment required by Section
515.830 and by the System in
working order at all times, and to carry the medication as required by the
System;
l) An agreement to notify
the EMS MD of any changes in personnel providing pre-hospital care in the
System in accordance with the policies in the System manual;
m) A copy of its current FCC license or
application;
n) A description of
the mechanism and specific procedures used to access and dispatch the EMS
vehicles within their respective service areas;
o) A list of all personnel who will provide
care, their license numbers, expiration dates and levels of licensure (EMT,
EMT-I, A-EMT, Paramedic), and PHRN, PHPA, PHAPRN, or physician;
p) An agreement to allow the Department
access to all records, equipment and vehicles relating to the System during any
Department inspection, investigation or site survey;
q) An agreement to allow the EMS MD or
designee access to all records, equipment and vehicles relating to the System
during any inspection or investigation by the EMS MD or designee to determine
compliance with the System program plan;
r) Documentation that its communications
capabilities meet the requirements of Section
515.410;
s) Documentation that each EMS vehicle
participating in the System complies with the vehicle design, equipment and
extrication criteria as provided in Section
515.830(a)(1) and
(b); and
t) An agreement to follow the approved EMS
policies and protocols of the System.
Notes
Added at 21 Ill. Reg. 5170, effective April 15, 1997
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