California Code of Regulations
Title 22 - Social Security
Division 9 - Prehospital Emergency Medical Services
Chapter 4 - Emergency Medical Technician-Paramedic
Article 7 - System Requirements
Section 100168 - Paramedic Service Provider

Universal Citation: 22 CA Code of Regs 100168

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) A LEMSA with an ALS system shall establish policies and procedures for the approval, designation, and evaluation through its EMSQIP, of all paramedic service provider(s).

(b) An approved paramedic service provider shall:

(1) Provide emergency medical service response on a continuous twenty-four (24) hours per day basis, unless otherwise specified by the LEMSA, in which case there shall be adequate justification for the exemption (e.g., lifeguards, ski patrol personnel, etc.).

(2) Utilize and maintain telecommunications as specified by the LEMSA.

(3) Maintain a drug and solution inventory as specified by the LEMSA of equipment and supplies commensurate with the basic and local optional scope of practice of the paramedic.
(A) Ensure that security mechanisms and procedures are established for controlled substances, including, but not limited to:
1. controlled substance ordering and order tracking;

2. controlled substance receipt and accountability;

3. controlled substance master supply storage, security and documentation;

4. controlled substance labeling and tracking;

5. vehicle storage and security;

6. usage procedures and documentation;

7. reverse distribution;

8. disposal;

9. re-stocking procedures.

(B) Ensure that mechanisms for investigation and mitigation of suspected tampering or diversion are established, including, but not limited to,;
10. controlled substance testing;

11. discrepancy reporting;

12. tampering, theft and diversion prevention and detection;

13. usage audits.

(4) Have a written agreement with the LEMSA to participate in the EMS system and to comply with all applicable State regulations and local policies and procedures, including participation in the LEMSA's EMSQIP as specified in Chapter 12 of this Division.

(5) Be responsible for assessing the current knowledge of their paramedics in local policies, procedures and protocols and for assessing their paramedics' skills competency.

(6) If, through the EMSQIP the employer or medical director of the LEMSA determines that a paramedic needs additional training, observation or testing, the employer and the medical director may create a specific and targeted program of remediation based upon the identified need of the paramedic. If there is disagreement between the employer and the medical director, the decision of the medical director shall prevail.

(c) No paramedic service provider shall advertise itself as providing paramedic services unless it does, in fact, routinely provide these services on a continuous twenty-four (24) hours per day basis and meets the requirements of subsection (b) of this section.

(d) No responding unit shall advertise itself as providing paramedic services unless it does, in fact, provide these services and meets the requirements of subsection (a) of this section.

(e) The LEMSA may deny, suspend, or revoke the approval of a paramedic service provider for failure to comply with applicable policies, procedures, and regulations.

1. Renumbering of former section 100167 to section 100168 and amendment of subsection (b)(4) and renumbering of former section 100168 to section 100169 filed 11-29-93 as an emergency; operative 12/1/93 (Register 93, No. 49). A Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of law on the following day. For prior history, see Register 92, No. 10.
2. Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94; disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94 (Register 94, No. 19).
3. 11-29-93 order including amendment of NOTE refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of HISTORY 3 (Register 94, No. 21).
5. Certificate of Compliance as to 5-12-94 order transmitted to OAL 9-9-94 and filed 10-24-94 (Register 94, No. 43).
6. Renumbering of former section 100168 to section 100173 and renumbering of former section 100165.1 to section 100168, including amendment of section heading and section, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
7. Repealer of former section 100168 and renumbering and amendment of former section 100174 to section 100168 filed 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
8. Relocation of article 7 heading from preceding section 100167 to precede section 100168, renumbering of former section 100168 to section 100169 and renumbering and amendment of former section 100167 to section 100168 filed 2-11-2013; operative 4-1-2013 (Register 2013, No. 7).

Note: Authority cited: Sections 1797.107, 1797.172 and 1798, Health and Safety Code. Reference: Sections 1797.172, 1797.178, 1797.180, 1797.204 and 1797.218, Health and Safety Code.

The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.

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