Current through Register Vol. 39, No. 6, September 16, 2024
(a)
Licensed EMS providers seeking to offer rotary-wing or fixed-wing air medical
program services within North Carolina shall receive approval from the OEMS
prior to beginning operation.
(b)
Licensed EMS providers seeking to offer multiple air medical programs under
separate medical oversight processes as set forth in Paragraph (c) of this Rule
shall make application for each program and receive approval from the OEMS as
set forth in Paragraph (a) of this Rule.
(c) Each Air Medical Program providing
services within North Carolina shall meet the following requirements for the
provision of medical oversight:
(1) a Medical
Director as set forth in Rules .0402 and .0404 of this Section;
(2) treatment protocols approved by the OEMS,
to be utilized by the provider as required by Rule .0406 of this
Section;
(3) a peer review
committee as required by Rule .0409 of this Section;
(4) notify all North Carolina EMS Systems
where services will be provided to enable each EMS System to include the
provider in their EMS System plan, as set forth in Rule .0201 of this
Subchapter;
(5) all aircrafts used
within North Carolina shall comply with Rule .0209 of this
Subchapter;
(6) populate and
maintain a roster in the North Carolina database for all air medical crew
members, Medical Directors, and staff identified by the program to serve as
primary and secondary administrative contacts;
(7) all medical crew members operating in
North Carolina shall maintain a North Carolina license or credential in
accordance with the rules and regulations of the respective state licensing or
credentialing body;
(8) active
membership in each Trauma RAC containing the majority of hospitals where the
program transports patients for admission;
(9) submit patient care data electronically,
within 24 hours, to the OEMS EMS care database as defined in the "North
Carolina College of Emergency Physicians: Standards for Medical Oversight and
Collection" for all interstate and intrastate transports as set forth in Rule
.0204 of this Subchapter;
(10)
provide information regarding procedures performed during transport within
North Carolina to OEMS for quality management review as required by the "North
Carolina College of Emergency Physicians: Standards for Medical Oversight and
Data Collection;"
(11) submit peer
review materials to the receiving hospital's peer review committee for each
patient transported for admission; and
(12) a method providing for the coordinated
dispatch of resources between air medical programs for scene safety, ensuring
that only the number of air medical resources needed respond to the incident
location are provided, and arranging for the receiving hospital to prepare for
the incoming patient.
(d) In addition to the requirements set forth
in Paragraph (c) of this Rule, Air Medical Program whose base of operation is
outside of North Carolina who operate fixed-wing or rotary-wing air medical
programs within the State shall meet the following requirements for the
provision of medical oversight:
(1) submit to
the OEMS all existing treatment protocols utilized by the program in the state
that it is based for comparison with North Carolina standards as set forth in
the "North Carolina College of Emergency Physicians: Standards for Medical
Oversight and Data Collection," and make any modifications identified by the
OEMS to comply with the standards as set forth in Subparagraph (c)(2) of this
Rule;
(2) all aircrafts used within
North Carolina shall comply with Rule .0209 of this Subchapter, inspections to
be conducted at a location inside North Carolina at a time agreed upon by the
Department and the Air Medical Program;
(3) submit written notification to the
Department within three business days of receiving notice of any arrests or
regulatory investigations for the diversion of drugs or patient care issues
involving a North Carolina credentialed or licensed medical crew member;
and
(4) any medical crew member
suspended by the Department shall be barred from patient contact when operating
in North Carolina until such time as the case involving the medical crew member
has been adjudicated or resolved as set forth in Rule .1507 of this
Subchapter;
(e)
Significant failure to comply with the criteria set forth in this Rule shall
result in revocation of the Air Medical Program as set forth in Rule .1503 of
this Subchapter.
G.S. 131E-155.1;
131E-156;
131E-157(a);
131E-161;
143-508(d)(8);
Eff. January 1. 2018.
