Current through March 20, 2024
Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC
16-31-3-20
Affected: IC 16-31-3
Sec. 4.
(a) Each
emergency medical technician-basic advanced provider organization shall do the
following:
(1) Comply with the emergency
medical service provider organization operating procedures of
836 IAC 1-1-8.
(2) Establish daily equipment checklist
procedures to ensure the following:
(A)
Mechanical and electronic equipment is in proper operating condition.
(B) Emergency response vehicles are
maintained in a safe operating condition at all times.
(C) Intravenous fluids and administration
sets are available and functional.
(D) Equipment, medication, fluid, and
supplies do not exceed the manufacturer's specified expiration date.
(b) A copy of the
protocols and list of intravenous fluids and administration supplies shall be
maintained by the emergency medical technician-basic advanced provider
organization. Any changes to the protocols and [sic] or list
of intravenous fluids or administration supplies shall be provided in writing
to the agency within thirty (30) days.
(c) The following requirements apply to the
use of equipment and supplies by emergency medical technician-basic advanced:
(1) Emergency medical technician-basic
advanced are prohibited from having in their possession, or maintained on board
emergency response vehicles, any equipment or supplies that have not been
approved by the emergency medical technician-basic advanced provider
organization medical director.
(2)
Accountability for:
(A)
distribution;
(B)
storage;
(C) ownership;
and
(D) security;
of equipment and supplies shall be in accordance with the
requirements established by the issuing pharmacy and medical director.
(d) Each
emergency medical technician-basic advanced provider organization shall do the
following:
(1) Follow sanitation procedures
established in
836 IAC 1-1-8.
(2) Ensure that all ambulances used for the
provision of emergency medical technician-basic advanced contain the rescue
equipment required in
836 IAC 1-3-4, the emergency care
equipment required in
836 IAC 1-3-5, and the
communication equipment required in
836 IAC 1-4-2. In addition, the
emergency medical services vehicles used for the provision of emergency medical
technician-basic advanced shall also carry the following items:
(A) One (1) portable ECG
monitor/defibrillator with defibrillation pads or paddles, which may be the
defibrillator listed in
836 IAC
1-3-5(1)(L).
(B) Intravenous fluids and administration
supplies as approved by the medical director.
(C) A current copy of emergency medical
technician-basic advanced protocols shall be maintained on board the emergency
medical services vehicle at all times.
(D) A copy of the list of intravenous fluids
and administration sets, including quantities as approved by the medical
director.
(e)
An emergency medical technician-basic advanced provider organization and any
affiliated emergency medical technician-basic advanced possessing approval for
intravenous line placement from the medical director may transport and treat a
patient or patients from a health care facility as follows if:
(1) The only procedure that has been
previously initiated for the patient is an intravenous line or lines
administering prepackaged solutions of dextrose or electrolytes that contain
one (1) or more of the following additives and no others:
(A) Vitamins.
(B) Sodium chloride, excluding saline
solutions in excess of nine-tenths percent (0.9%) concentration.
(C) Potassium chloride (forty (40)
milliequivalent per liter maximum).
(D) Cortisone.
(E) Antibiotics.
(2) The ambulance contains sufficient
quantities of the intravenous supplies and solutions received by the patient in
order to:
(A) maintain the patient's
established medical intervention; and to [sic]
(B) manage patient complications that may be
reasonably anticipated to occur en route to the patient's
destination.
(f) An emergency medical technician-basic
advanced provider organization shall not do the following:
(1) Operate an ambulance or other emergency
medical service vehicle unless it is in full compliance with this
article.
(2) Transport any
emergency patient in any vehicle except a certified ambulance.
