Wash. Admin. Code § 246-976-260 - Licenses required
(1) The secretary
licenses ambulance and aid services and vehicles to provide service that is
consistent with the state plan and approved regional plans.
(2) The secretary may extend the licensing
period to accommodate efficient processing of renewal applications. The
expiration date will be indicated on the EMS service license issued by the
department .
(3) An aid or ambulance
service operating in the state of Washington must:
(a) Be licensed by the department to operate,
unless an exception in
RCW
18.73.130 applies; and
(b) Comply with all applicable regulations
and standards in this chapter.
(4) To apply for an initial aid or ambulance
service license, an applicant must:
(a) Submit
a completed application on forms provided by the department ;
(b) Provide proof of the motor vehicle
liability coverage required in
RCW
46.30.020 (ambulance and aid services only)
and professional and general liability coverage;
(c) Provide a map of the proposed response
area;
(d) Identify the level(s) of
service to be provided to include:
(i) Basic
life support (BLS) ;
(ii)
Intermediate life support (ILS) ;
(iii) Advanced life support (ALS)
(paramedic); and
(iv) Specialty
care transport (SCT) . Identify the scope of care and any specialty services
(such as neonatal transport) provided;
(e) Identify the scheduled hours of operation
for all levels of service provided; and
(f) Meet the minimum staffing requirements
for each level of service provided. Staffing requirements are as follows:
(i) For aid services:
(A) An aid service providing BLS level of
care must staff an aid vehicle with at least one emergency medical responder
(EMR) .
(B) An aid service providing
ILS level of care must staff an aid vehicle with at least one advanced
emergency medical technician (AEMT) .
(C) An aid service providing ALS level of
care must staff an aid vehicle with at least one paramedic.
(ii) For ambulance services:
(A) An ambulance service providing BLS level
of care must staff an ambulance with a minimum of at least one emergency
medical technician (EMT) and one person certified as an emergency medical
responder (EMR) or a driver with a certificate of advanced first aid
qualification or department -approved equivalent.
(B) An ambulance service providing ILS level
of care must staff an ambulance with a minimum of at least one advanced
emergency medical technician (AEMT) and one EMT.
(C) An ambulance service providing ALS level
of care must staff an ambulance with a minimum of at least one paramedic and
one EMT.
(D) A licensed service
that provides inter-facility specialty care transport (SCT) must provide a
minimum of two certified or licensed health care providers on each transport
that have the education, experience, qualifications, and credentials consistent
with the patient's needs and scope of care required for the transport and
includes:
(I) One paramedic or registered
nurse cross trained in prehospital emergency care and certified as an EMT;
and
(II) One other person who may
be the driver, must be a registered nurse , respiratory therapist, paramedic,
advanced EMT, EMT, or other appropriate specialist as appointed by the
physician director.
(E)
With approval from the department , an ambulance service established by a
volunteer or municipal corporation, or association made up of two or more
municipalities in a rural area with insufficient personnel may use a driver
without any medical or first-aid training as provided in
RCW
18.73.150(2).
(g) Provide a current
list of certified EMS personnel affiliated with the EMS service;
(h) Provide the number of advanced first-aid
trained personnel used in the staffing model by the EMS service;
(i) Provide the number of nonmedically
trained drivers used in the staffing model by the EMS service;
(j) Meet the equipment requirements for the
level(s) of service provided in WAC
246-976-300;
(k) Provide information about the type of aid
or ambulance vehicles that will be used by the service;
(l) Provide supplemental documentation that
describes all the following:
(i) The dispatch
plan;
(ii) The deployment
plan;
(iii) The response plan to
include how patient transport will be continued if a vehicle becomes disabled
or personnel become unavailable to respond or continue to a call and how
patient care will be provided if medical equipment failure occurs;
and
(iv) The tiered response and
rendezvous plan; and
(m)
Be approved by the department .
(5) To renew an aid or ambulance license,
applicants must provide a completed application on forms provided by the
department at least 30 days before the expiration of the current license and be
approved by the department .
(6)
Licensed aid and ambulance services must:
(a)
Provide initial training and updates to certified EMS personnel on
department -approved prehospital triage procedures, regional patient care
procedures, county operating procedures, county medical program director
policies, and patient care protocols;
(b) In accordance with
RCW
43.70.490 provide training to familiarize EMS
personnel with techniques, procedures, and protocols for best handling
situations in which persons with disabilities are present at the scene of an
emergency;
(c) Identify how
certified EMS personnel will receive continuing medical education and ongoing
training;
(d) Comply with
department -approved prehospital triage procedures, regional patient care
procedures, county operating procedures, county medical program director
policies, and patient care protocols;
(e) Provide service consistent with the state
plan , approved regional plans, and the approved application on file with the
department ; and
(f) Participate in
the Washington state EMS electronic data system in accordance with
RCW
70.168.090(2).
(7) The department will:
(a) Develop and administer the application
and evaluation process;
(b) Notify
the regional EMS and trauma care council and county medical program director
when the department receives an application for an aid or ambulance service
within their area;
(c) Approve
applications based on evaluations;
(d) Approve renewal of an aid or ambulance
license if the service continues to meet standards; and
(e) Provide written notification to the
regional EMS a trauma care council and county medical program director when the
license is first issued, when amendments to existing licenses impacting the
service provided in the region occur, and when a license has expired.
(8) The department may:
(a) Conduct a site review; and
(b) Grant a provisional license not to exceed
120 days. The secretary may withdraw the provisional license if the service is
unable to meet the requirements for licensure within the 120-day
period.
Notes
Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. 11-07-078, § 246-976-260, filed 3/22/11, effective 5/15/11; 00-08-102, § 246-976-260, filed 4/5/00, effective 5/6/00. Statutory Authority: RCW 43.70.040 and chapters 18.71, 18.73 and 70.168 RCW. 93-01-148 (Order 323), § 246-976-260, filed 12/23/92, effective 1/23/93.
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