Utah Admin. Code R426-4-200 - Licensed Ground Ambulance, Designated QRU, and Designated Nonemergency Secured Behavioral Health Transport Staffing

(1) While responding to a call, each permitted QRV shall be staffed by at least one individual licensed at or above the provider's designated level of service.
(2) While responding to a call, each licensed ground ambulance shall be staffed with the following minimum complement of licensed personnel for the level of service described unless otherwise determined by local selective medical dispatch system protocols for a lower level response as described in the licensed ground ambulance provider's operational plan:
(a) EMT ambulance: One EMT, and one E M T , A E M T , E M T-IA, or paramedic;
(b) AEMT ambulance: one AEMT and one EMT, AEMT, EMT-I A or paramedic;
(c) Paramedic ambulance: one paramedic; and one EMT, AEMT, EMT-IA, or paramedic;
(d) Paramedic Rescue (non-transport): one paramedic;
(e) Paramedic inter-facility: one paramedic and one EMT, AEMT, EMT-IA, or paramedic; or
(f) Paramedic tactical (non-transport): one paramedic.
(3) A licensed ground ambulance or EMS provider shall deploy at least one licensed personnel at the appropriate level of service to the scene of a 911 call, as determined by local selective medical dispatch system protocols. It is required that ground ambulance responses have a minimum of two licensed personnel on scene of 911 calls.
(4) Transport of a patient from a scene to a hospital or patient receiving facility, or the transfer of a patient to another licensed ground ambulance provider shall be accomplished by two or more personnel licensed at a level deemed appropriate by the on-scene licensed providers. This shall be determined by a patient's medical condition and local EMS provider treatment protocols.
(5) When providing care, responders not in a uniform shall display upon request their level of medical licensure.
(6) Each licensed or designated provider shall maintain a personnel file for each licensed individual. The personnel file shall include records documenting the individual's qualifications, training, endorsements, certifications, licensure, immunizations, and continuing medical education.
(7) A licensed individual may perform only to his licensed EMS provider level of service, even if the licensed EMS or designated provider is licensed or designated at a higher level of service.
(8) During transport each designated nonemergency secured behavioral health transport vehicle shall be staffed with a minimum of two personnel, with at least one who has obtained required training as approved by Department policy for mental health patient de-escalation and American Heart Association cardiopulmonary resuscitation or equivalent.


Utah Admin. Code R426-4-200
Amended by Utah State Bulletin Number 2015-20, effective 9/24/2015 Amended by Utah State Bulletin Number 2019-1, effective 12/12/2018 Amended by Utah State Bulletin Number 2019-19, effective 9/11/2019 Amended by Utah State Bulletin Number 2021-19, effective 9/16/2021

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