Current through Register Vol. 42, No. 11, August 30, 2024
(1) The OEMS shall
have the right to inspect all licensed emergency medical provider service
premises, facilities, vehicles, and aircraft at any time. A representative of
the OEMS shall properly identify himself or herself prior to
inspection.
(2) The provider
service and vehicle/aircraft inspection standards are available from the OEMS
and are posted at http://www.alabamapublichealth.gov/ems.
(3) The inspection frequency shall be
determined by the OEMS. Nothing in this rule precludes the OEMS from issuing an
immediate Notice of Intent to Suspend/Revoke order or issuing an emergency
order to immediately cease operation or cease using a particular vehicle or
aircraft, if necessary, in order to protect public health.
(4) A routine inspection shall be conducted:
(a) Prior to licensure, the OEMS will inspect
the proposed emergency medical provider service's premises, facilities, and
vehicles or aircraft to determine compliance with the requirements of these
rules.
(b) Each provider service's
premises, facilities, and permitted vehicles or aircraft will be inspected
minimally every year. The OEMS may alter the frequency and the number of
vehicles inspected for providers that maintain a national
accreditation.
(c) A licensed
provider service shall not operate a vehicle or aircraft until the OEMS has
inspected the vehicle and issued a current permit decal. If an immediate
inspection cannot be performed, the OEMS may issue temporary approval to allow
a vehicle or aircraft to be placed in service if the vehicle meets all other
requirements of these rules. All pertinent information regarding the vehicle or
aircraft in question shall be documented and provided to the OEMS prior to
temporary approval.
(d) A provider
service's license may be suspended or revoked if the provider service's
facilities do not provide reasonably safe conditions for the provider service's
personnel.
(e) A deficiency noted
during an inspection shall be corrected and the correction reported in writing
within 10 working days of the inspection. A failure to comply may result in the
suspension or revocation of the provider service's license.
(f) A vehicle or aircraft may be temporarily
or permanently removed from operation if it fails to meet minimum requirements
for its safe operation, if it poses a threat to the public or staff, if it does
not carry the appropriate equipment, or if it does not have adequate
staffing.
(5) A copy of
the inspection report shall be furnished to the emergency medical provider
service with the OEMS retaining possession of the original. The inspection
report shall designate the compliance status of the facility, vehicle, or
aircraft.
(6) All ALS licensed
emergency medical provider services shall:
(a)
Ensure that all fluids and medications are properly stored, secured, and
inventoried no less than every 30 days by authorized licensed
personnel.
(b) Ensure that all
outdated, misbranded, adulterated, or deteriorated fluids and medications are
removed immediately by the delegated responsible party.
(c) Inventory all fluids and medications by
an approved method which documents their sale or disposal; approved methods can
include a contract with a reverse distributor company or return to the origin
of purchase.
(d) Notify the service
medical director of all medication activities.
(e) Ensure that log records of all fluids and
medication purchases, usage, wastage, and returns are documented and filed. Log
records shall include dates, times, vehicle/aircraft number, medication or
fluid name, quantity, and personnel's name.
(f) Document all usage of fluids and
medication on the Alabama OEMS patient care reports.
(g) Allow OEMS to examine all records
pertaining to the usage, supply, and re-supply of fluids and medications at any
time.
(h) Provide notification and
written documentation within 3 working days to the OEMS regarding any perceived
protocol or rule violations.
(i)
Upon determining intent to sell or cease operations,provide written
documentation to the OEMS 5 working days prior to closing. The original copy of
the provider service license and ALS authorization shall also be returned to
the OEMS within 5 working days of closing.
(7) Personnel found to be working with an
expired license are in violation of these rules and the OEMS may report those
individuals and the service to third-party reimbursement agencies and the local
District Attorney, when applicable.
(8) All personnel are required to maintain
confidentiality of all patient records and information.
Rule 420-2-1-.28 was renumbered
420-2-1-.07 as per certification
Filed February 20, 2019; effective April 7,
2019.
Authors: William Crawford, M.D.; Jamie
Gray
Statutory Authority:
Code of Ala.
1975, §
22-18-1, et seq.
