Minnesota Administrative Rules
Agency 145 - Emergency Medical Services Regulatory Board
Chapter 4690 - AMBULANCE SERVICES
WAIVERS AND VARIANCES
Part 4690.8300 - SPECIFIC VARIANCES

Universal Citation: MN Rules 4690.8300

Current through Register Vol. 49, No. 13, September 23, 2024

Subpart 1. [Repealed, L 1999 c 245 art 9s 66]

Subp. 2. [Repealed, L 1999 c 245 art 9s 66]

Subp. 3. [Repealed, L 1999 c 245 art 9s 66]

Subp. 4. [Repealed, L 1999 c 245 art 9s 66]

Subp. 5. [Repealed, L 1999 c 245 art 9s 66]

Subp. 6. [Repealed, 22 SR 1877]

Subp. 7. Variance for certain drugs.

The board shall grant a variance to a basic ambulance service licensee to carry and to administer beta agonist by metered dosed inhalation or nebulization, or both, premeasured subcutaneous epinephrine, sublingual nitroglycerin, or premeasured intramuscular or subcutaneous glucagon only if the licensee shows that:

A. each attendant who will administer the drug has satisfactorily completed training in the administration of the drug and the training has been approved by the licensee's medical director;

B. the administration of the drug has been authorized by the licensee's medical director;

C. the licensee's medical director has developed or approved standing orders for the use of the drug;

D. continuing education or clinical training in the administration of the drug shall be provided at least annually to the licensee's attendants who are trained to administer the drug; and

E. at all times, at least one attendant on duty is trained in accordance with item A to administer the drug for which the ambulance service has been granted a variance.

Documentation of items A to E must be retained in the licensee's files.

Subp. 8. Variance maintenance.

In order to maintain a variance granted under subpart 7, the licensee's medical director shall, by the annual anniversary date of the approved variance:

A. provide a list of the licensee's attendants;

B. certify in writing that each attendant has satisfactorily completed the required training and retained skill proficiency; and

C. certify in writing that, prior to allowing an attendant who was hired after the variance was granted to administer a drug specified in subpart 7, the attendant satisfactorily completed the required training under subpart 7, item A.

Documentation of items A to C shall be retained in the licensee's files.

Subp. 9. No variance granted.

A basic ambulance service shall not be granted a variance for the establishment of intravenous therapy involving the use of drugs other than solutions for intravenous infusion.

Statutory Authority: MS s 144.804; 144E.16

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