Current through Register Vol. 43, No. 39, September 26, 2024
Each operator shall staff each licensed ground ambulance in
accordance with the board's regulations.
(a) Each operator of a type I ambulance
service shall staff each type I ambulance with at least two attendants during
patient transport.
(1) At least one attendant
shall be one of the following medical personnel:
(A) A paramedic;
(B) a physician;
(C) a licensed physician's
assistant;
(D) a licensed
professional nurse; or
(E) a
licensed advanced practice registered nurse.
(2) The second attendant may be any of the
following:
(A) An emergency medical
technician;
(B) an emergency
medical technician-intermediate;
(C) an emergency medical
technician-defibrillator;
(D) an
emergency medical technician-Intermediate/defibrillator;
(E) an advanced emergency medical
technician;
(F) licensed
physician's assistant;
(G) a
physician; or
(H) a licensed
professional nurse.
(b) Each operator of a type II ambulance
service shall staff each type II ambulance with at least two attendants. During
patient transport, one of the following shall provide care to the patient in
the patient compartment:
(1) An emergency
medical technician;
(2) an
emergency medical technician-intermediate;
(3) an emergency medical
technician-defibrillator;
(4) an
advanced emergency medical technician;
(5) a paramedic;
(6) a physician;
(7) a licensed physician's
assistant;
(8) a licensed
professional nurse; or
(9) a
licensed advanced practice registered nurse.
(c) Each operator of a type IIA ambulance
service shall staff each ambulance with at least two attendants. In addition,
when appropriate staffing is available, ALS, as defined in K.A.R. 109-1-1, may
be provided with the appropriate equipment and protocols. One of the following
shall provide patient care appropriate to the patient's condition in the
patient compartment during patient transport:
(1)
(A) For
BLS transports, as BLS is defined in K.A.R. 109-1-1, a care provider who is at
or above the level of an emergency medical technician; and
(B) for ALS transports, a care provider who
is at or above the level of an emergency medical technician-intermediate,
emergency medical technician-defibrillator, emergency medical technician-I/D,
or advanced emergency medical technician;
(2) a paramedic;
(3) a physician;
(4) a licensed physician's
assistant;
(5) a licensed
professional nurse; or
(6) a
licensed advanced practice registered nurse.
(d)
(1) Each
operator of a type V ambulance service shall staff each type V ground ambulance
with a driver and at least the following:
(A)
A licensed professional nurse or a physician; and
(B) any of the following:
(i) A paramedic;
(ii) a physician;
(iii) a licensed physician's
assistant;
(iv) a licensed
professional nurse;
(v) a licensed
advanced practice registered nurse; or
(vi) a licensed respiratory therapist.
Additional staffing shall be commensurate with the patient's
care needs as determined by the service's medical adviser or as described in
the service's medical protocols. The medical personnel shall remain in the
patient compartment during patient transport.
(2) When providing critical care
transports as defined in K.A.R. 109-1-1, at least one of the medical personnel
on each type V ambulance shall be currently certified in advanced cardiac life
support by a certifying entity approved by the board.
(3) When performing neonatal or pediatric
missions, at least one of the medical personnel on each type V ambulance shall
be currently certified in advanced life support for neonatal and pediatric
patients by a certifying entity approved by the board.
(4) When responding to the scene of an
accident or medical emergency, not including transports between medical
facilities, at least one of the medical personnel on each type V ambulance
shall be certified in one of the following areas:
(A) Advanced trauma life support
(ATLS);
(B) transport professional
advanced trauma course (TPATC);
(C)
trauma nurse core course (TNCC);
(D) critical care emergency medical transport
program (CCEMTP);
(E) pre-hospital
trauma life support (PHTLS); or
(F)
advanced care and trauma transport (ACTT).
