In addition to the requirements described in chapters
18.71, 18.73, and 70.168 RCW, and elsewhere in this chapter:
(1) The department shall review, recommend
changes to, and approve regional plans and regional patient care procedures
based on the requirements of this chapter and recommendations from the steering
committee, and upon consideration of the needs of patients.
(a) The department may approve regional plans
which include standards that are consistent with chapter 70.168 RCW and other
state and federal laws, but which exceed the requirements of this
chapter.
(b) The department will
develop a process for biennial update of regional and statewide planning. The
process will include provisions to amend regional plans between biennial
updates.
(2) The
department will publish prehospital trauma triage procedures for activation of
the trauma system from the field. The procedures will include assessment of the
patient's:
(a) Vital signs and level of
consciousness;
(b) Anatomy of
injury;
(c) Biomechanics of the
injury; and
(d) Comorbid and
associated risk factors.
(3) The department may approve pilot programs
and projects which have:
(a) Stated
objectives;
(b) A specified
beginning and ending date;
(c) An
identified way to measure the outcome;
(d) A review process;
(e) A work plan with a time line;
(f) If training of EMS personnel is involved,
consistency with the requirements of WAC
246-976-021(5).
(4) The department will review at least every
four years:
(a) Rules, policies, and
standards for EMS, with the advice of the steering committee;
(b) Rules and standards for licensure of
services and vehicles, and for certification of EMS personnel, with the advice
of the L&C committee.
