Or. Admin. R. 333-250-0265 - Policies and Procedures
(1) A licensed
ambulance service must have written policies and procedures to carry out daily
ambulance service operations including, but not limited to:
(a) Work practice controls for bloodborne
pathogens in compliance with OAR chapter 437, division 2, subdivision
Z;
(b) Storage and security of
medications including controlled substances if authorized by the EMS medical
director that meet the requirements of the Oregon Board of Pharmacy in OAR
chapter 855 and the US Drug Enforcement Administration found in
21 CFR
1301.75(b);
(c) Identification, storage and security of
all medications, fluids and controlled substances that are deteriorated,
outdated, misbranded, adulterated or otherwise unfit for use that are readily
identified as defective and stored in a separate location from usable products.
Security procedures must be the same as for usable supplies;
(d) Destruction of outdated medications
including controlled substances if authorized by the EMS medical director that
meets the requirements of the Oregon Board of Pharmacy in OAR chapter 855 and
the US Drug Enforcement Administration found in
21 CFR
1307.21;
(e) Identification and storage of
malfunctioning patient care equipment clearly marked "out-of-service" to assure
that defective equipment will not be used, if applicable;
(f) Employee , volunteer or ambulance -based
clinician notification requirements to the licensed ambulance service when an
employee, volunteer or ambulance -based clinician is impaired by excessive
fatigue, illness, injury or other factors that may reasonably be anticipated to
constitute a threat to the health and safety of patients or the
public;
(g) Reporting of suspected
child abuse as required in ORS
419B.005 through
419B.050;
(h) Reporting of suspected elder abuse as
required in ORS 124.050 through
124.095;
(j) Providing secure
transport for patients in custody in accordance with OAR 309-033-0435, if the
licensed ambulance service has been authorized to perform this
service;
(k) Operation of an
ambulance for both emergency and non-emergency situations;
(l) Vehicle cleanliness standards including
frequency of cleaning and cleaning required after each patient
transport;
(m) Removal of an
ambulance from service when the mechanical condition of an ambulance is
sufficiently unreliable so as to endanger or potentially endanger the health,
safety, or welfare of a patient or crew member;
(n) Managing a mechanical breakdown including
repairing or replacing a damaged tire or wheel when the ambulance is in
operation;
(o) Actions necessary
when an ambulance is involved in an accident, including the submission of a
legible copy of the Department of Motor Vehicles Accident Report to the Oregon
Health Authority (Authority) within 10 business days of the accident;
(p) Release of continuing education records
completed by an EMS provider or employee through the licensed ambulance service
in a verifiable format to a requesting party within five business days of the
request;
(r) If the agency sponsors an
EMS provider seeking licensure as a Transitional Paramedic, requirements
necessary for the agency to sponsor the Transitional Paramedic applicant
including but not limited to:
(A) Providing
the necessary information prescribed by the Authority and specified under OAR
333-265-0027 to the Transitional Paramedic applicant;
(B) Requiring a Transitional Paramedic to
submit accurate, annual reports to the ambulance service on the status of
meeting the requirements under OAR 333-265-0025(7)(a)(C);
(C) Requiring a Transitional Paramedic to
notify the ambulance service of any request to the Authority seeking hardship
status in accordance with OAR 333-265-0027 and the Authority 's approval if
applicable; and
(D) Steps that will
be taken or resources given to ensure the success of a Transitional Paramedic
in obtaining a Paramedic license .
(2) The licensed ambulance service must have
a process in place to assure that employees, volunteers, ambulanced-based
clinicians, agents and EMS medical directors:
(a) Have access to current policies and
procedures;
(b) Have access to
state, federal and local rules and regulations governing the operation of a
licensed ambulance service; and
(c)
Are informed of changes to policies or procedures.
Notes
Statutory/Other
Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991
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