Rules and Regulations of the State of Georgia
 

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  • 1. In the address bar, type about:config and press Enter.
  • 2. Click "I'll be careful, I promise" if a warning message appears.
  • 3. In the search box, search for javascript.enabled
  • 4. Toggle the "javascript.enabled" preference (right-click and select "Toggle" or double-click the preference) to change the value from "false" to "true".
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 Internet Explorer < 9
  1. On web browser menu click "Tools" and select "Internet Options"
  2. In the "Internet Options" window select the "Security" tab.
  3. On the "Security" tab click on the "Custom level..." button.
  4. When the "Security Settings - Internet Zone" dialog window opens, look for the "Scripting" section.
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  6. When the "Warning!" window pops out asking "Are you sure you want to change the settings for this zone?" select "Yes".
  7. In the "Internet Options" window click on the "OK" button to close it.
  8. Click on the "Refresh" button of the web browser to refresh the page.
  • 1. ie 01
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chrome Google Chrome

  1. On the web browser menu click on the "Customize and control Google Chrome" and select "Settings".
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  4. When the dialog window opens, look for the "JavaScript" section and select "Allow all sites to run JavaScript (recommended)".
  5. Click on the "OK" button to close it.
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opera Opera

  • 1. a) Click on "Menu", hover mouse on the "Settings" then hover mouse on the "Quick preferences" and mark the "Enable Javascript" checkbox.
  • 1. b) If "Menu bar" is shown click on the "Tools", hover mouse on the "Quick preferences" and mark the "Enable Javascript" checkbox.
1. a) opera10 a 1. b) opera10 b




safari Apple Safari

  1. On the web browser menu click on the "Edit" and select "Preferences".
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  3. In the "Security" tab section "Web content" mark the "Enable JavaScript" checkbox.
  4. Click on the "Reload the current page" button of the web browser to refresh the page.
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<xmp>.</xmp> <form name="form1" method="post" action="../nllxml/georgiacodesGetcv.aspx?urlRedirected=yes&amp;data=admin&amp;lookingfor=511-9-2" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTY5ODkwOTM2Nw8WAh4Ec3BhbQILFgJmD2QWAgIFDw8WAh4EVGV4dAUFMyArIDhkZGQ/k73sxqpF4JGqX5n79w3G7mfXZg==" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EEBB6393" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEWCAKPv9WLAgLniKOhBALV5cpNAoa5iIEFAoznisYGAsrv5u0MAsrv4u0MAsrv3u0Mx8dryziPBivuUUctEB/SYlK4mug=" /> <div class='popup'> <div class='cnt223'> <div style="margin-bottom:6px;"> <img alt="Rules and Regulations of the State of Georgia" src="/images/new.gif"/> </div> <div class="header"> Terms and Conditions of Agreement for Access to Rules and Regulations of the State of Georgia Website </div> <div class="scroll"> <p>(Note: certain features of this site have been disabled for the general public to prevent digital piracy. If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM ALL WARRANTIES, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. </p> <p> If you accept these terms enter the information below and click “I AGREE”.</p> </div> <table border="0" style="width: 810px"> <tr> </tr> <tr> <td style="vertical-align: text-top; width: 243px;"> Full Name:</td> <td style="width: 532px; vertical-align:super;"> <input name="firstName" type="text" id="firstName" class="txt" /> <span id="lbl_fname"><font color="Red"></font></span> </td> </tr> <tr><td style="width: 243px"> Human verification: <b> <span id="lblStopSpam">3 + 8</span>&nbsp;= </b></td><td style="width: 532px"> <input name="captcha" type="text" id="captcha" class="txt" /> <span id="lbl_captcha"><font color="Red"></font></span> &nbsp; <input name="sum" type="hidden" id="sum" value="11" /> </td></tr> </table> <input type="submit" name="Button1" value="I AGREE" id="Button1" disabled="disabled" /> <span id="alrtmsg"><font color="Red"></font></span> <input name="v1" type="hidden" id="v1" /> <input name="v2" type="hidden" id="v2" /> <input name="v3" type="hidden" id="v3" /> <p>Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed.</p> </div> </div> </form> <html> <head runat="server"> <title>GA - GAC</title> <link href="_files/main.css" media="all" rel="Stylesheet" type="text/css" /> <link href="_files/treeview_old.css" media="all" rel="Stylesheet" type="text/css" /> <link href="/_files/popup.css" media="all" rel="stylesheet" type="text/css" /> <script type="text/javascript" src="/_files/treeview.js"></script> <script type="text/javascript" src="/_files/jquery-1.8.0.min.js"></script> <script type="text/javascript" src="/_files/jquery-1.10.2.js"></script> <script type="text/javascript" src="/_files/popup.js"></script> <script type="text/javascript" src="http://code.jquery.com/jquery-1.8.2.js"></script> <script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.8/jquery.min.js" /> <script type="text/javascript" src="/_files/jquery.popup.js"></script> <script type="text/javascript" src="/_files/jquery.popup.min.js"></script> <script type="text/javascript" src="/_files/ValidateForm.js"></script> <script src="https://code.jquery.com/jquery-1.11.3.js"></script> <link href="/_files/enablejs.css" rel="Stylesheet" type="text/css" /> <link href="/_files/forJavascript.css" rel="Stylesheet" type="text/css" /> <style type="text/css"> .collapse{background-image:url('/images/expcoll_right.png');} .expand{background-image:url('/images/expcoll_down.png');} </style> <script type="text/javascript"> $(document).ready(function(){ $("#History-parent").click(function(){ $("#History-Childs").toggle(); if ($('#History-parent img').hasClass('expand')) { $('#History-parent img').addClass('collapse'); $('#History-parent img').removeClass('expand'); $('#History-parent img').attr('src', '/images/expcoll_right.png'); } else { $('#History-parent img').removeClass('collapse'); $('#History-parent img').addClass('expand'); $('#History-parent img').attr('src', '/images/expcoll_down.png'); } }); $("#History-Childs").hide(); var tocnode=document.getElementById('toc-children'); if (tocnode != null) { if(tocnode.childNodes.length != 0) { document.getElementById("doc-content").style.width="72%"; document.getElementById("toc").style.width="21%"; document.getElementById("toc").style.padding="10px"; } else { document.getElementById('toc').style.display="none"; } } }); function fnsetRDVal(id) { if (id=="y") { document.getElementById("y").value="yes" document.getElementById("n").value="" } else { document.getElementById("n").value="no" document.getElementById("y").value="" } } </script> <script type="text/javascript"> function TermsCon() { var overlay = $('<div id="overlay"></div>'); overlay.show(); overlay.appendTo(document.body); $('.popup2').show(); $('#btnAgree').click(function () { $('.popup2').hide(); $("#overlay").hide(); overlay.appendTo(document.body).remove(); }); $("#btnprint").click(function () { var contents = $("#popupterms").html(); var frame1 = $('<iframe />'); frame1[0].name = "frame1"; frame1.css({ "position": "absolute", "top": "-1000000px" }); $("body").append(frame1); var frameDoc = frame1[0].contentWindow ? 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM ALL WARRANTIES, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. </p> <p> By accessing and/or using this website, you agree to the terms and conditions above. If you do not agree to the terms and conditions above, you must cease accessing and/or using this website and destroy all material obtained from this website without your agreement. </p> </div> <div class="modal-footer"> <input type="button" name="btnAgree" value="Close" id="btnAgree" class="btn-blue noprint" /> <input type="button" name="btnprint" value="Print" id="btnprint" class="btn-blue noprint" /> </div> </div> </div> <div id="main" class="noprint"> <!--class="noprint"--> <div id="header" class="noprint"> <div class="container"> <div class="terms"> NOTICE OF TERMS OF USE OF THIS WEBSITE. 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<a href="/GAC/511" title="511">Department 511</a></li> <li>&raquo; <a href="/GAC/511-9" title="511-9">Chapter 511-9</a></li> <li>&raquo; Subject 511-9-2</li> </ul> </div> </div><div id="doc" class="container" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:msxsl="urn:schemas-microsoft-com:xslt" xmlns:nll="uuid:{D3B28627-934D-41bc-8B7A-0549A8802FE4}"> <div id="doc-content" class="content"> <h1><nllsubject>Subject 511-9-2 EMRGENCY MEDICAL SERVICES</nllsubject></h1> <h2><a href="/GAC/511-9-2-.01" name="511-9-2-.01" title="511-9-2-.01">Rule 511-9-2-.01 Purpose</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.01(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> These rules establish standards for ambulance services, air ambulance services, medical first responder services, neonatal transport services, designation of specialty care centers and base station facilities, training and licensing requirements for medics, instructor licensing and course approval requirements for emergency medical technician, advanced emergency medical technician, cardiac technician and paramedic training programs, and others as may be related to O.C.G.A. Chapter 31-11.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.01(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Director or Medical Director of the Office of Emergency Medical Services and Trauma has the authority to waive any rule, procedure, or policy in the event of a public health emergency in order to provide timely critical care and transportation to the injured or ill. Such waiver shall be in writing and filed with the Commissioner of the Department of Public Health.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.02" name="511-9-2-.02" title="511-9-2-.02">Rule 511-9-2-.02 Definitions</a></h2> <P>The following definitions shall apply in the interpretation of these standards:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Advanced Cardiac Life Support (ACLS) Certification" means successful completion of a department approved course utilizing nationally recognized advanced cardiac care standards.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Advanced Emergency Medical Technician" or "AEMT" means a person who has been licensed by the department after having successfully attained certification by National Registry of Emergency Medical Technicians (NREMT) as an advanced emergency medical technician (AEMT).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Advanced Life Support (ALS)" means the assessment, and if necessary, treatment or transportation by ambulance, utilizing medically necessary supplies and equipment provided by at least one individual licensed above the level of emergency medical technician.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Advanced Tactical Paramedic (ATP) means a certification issued by the United States Special Operations Command (USSOCOM) Medic Certification Program.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Air Ambulance Service" means an agency or company providing ambulance service with rotor- wing aircraft that is operated under a valid license from the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Ambulance - Air" means a rotary-wing aircraft registered by the department that is specially constructed and equipped and is intended to be used for air medical emergency transportation of patients.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Ambulance - Ground" means a motor vehicle registered by the department that is specially constructed and equipped and is intended to be used for emergency transportation of patients.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Ambulance Service" means the provision of emergency care and transportation for a wounded, injured, sick, invalid, or incapacitated human being to or from a place where medical care is furnished.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Ambulance Service Medical Director" means a physician licensed to practice in this state, who provides medical direction to a service licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(j)">(j)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Approved" means acceptable to the department based on its determination as to conformance with existing standards.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(k)">(k)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Arrest" means the taking or detaining in custody of a person by a law enforcement official upon probable cause of a crime.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(l)">(l)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Authorized Agent" means a person with the legal authority to sign on behalf of the legal owner of a business entity.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(m)">(m)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Base of Operations" means the primary location at which administration of the service occurs and where records are maintained. All service providers must designate one Base of Operations location within the State of Georgia.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(n)">(n)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Basic Life Support (BLS)" means treatment or transportation by ground ambulance vehicle or treatment with medically necessary supplies and services involving non-invasive life support measures.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(o)">(o)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Board" means the Board of Public Health.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(p)">(p)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Cardiac Technician" means a person who has been licensed by the department after having successfully completed an approved cardiac technician certification exam. This is a historical reference only, as no new cardiac technician licenses will be issued.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(q)">(q)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Charge" means a formal claim of criminal wrongdoing brought by a law enforcement official or prosecutor against an individual, whether by arrest warrant, information, accusation, or indictment.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(r)">(r)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Clinical Preceptor" means a licensed emergency medical technician, advanced emergency medical technician, emergency medical technician-intermediate, cardiac technician, paramedic, IV team member, registered nurse, physician's assistant, allied health professional or physician who meets the requirements for preceptors as established by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(s)">(s)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Commissioner" means Commissioner of the Department of Public Health.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(t)">(t)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Communication Protocols" means guidelines that specify which emergency interventions require direct voice order from medical control in the rendering of prehospital emergency medical care to a patient and may include other guidelines relative to communication between medics and medical control.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(u)">(u)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "CPR Certification" means successful completion of a department-approved healthcare provider course in cardiopulmonary resuscitation.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(v)">(v)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Department" means the Department of Public Health, Office of Emergency Medical Services and Trauma.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(w)">(w)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency" means a request for a non-planned response or an urgent need for the protection of life, health, or safety, as perceived by a prudent layperson.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(x)">(x)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Service" or "EMS" means air ambulance services, ground ambulance services, medical first responder services, and neonatal transport services licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(y)">(y)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Service Advisory Council" or "EMSAC" means an advisory council that provides advice to the department in matters essential to its operations with respect to emergency medical services.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(z)">(z)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Service Instructor - Level I" means an individual qualified and licensed to teach continuing education and community education programs.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(aa)">(aa)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Service Instructor - Level II" means an individual qualified and licensed to teach and coordinate emergency medical technician, and advanced emergency medical technician courses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(bb)">(bb)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Service Instructor - Level III" means an individual qualified and licensed to teach and coordinate paramedic courses, in addition to Level II courses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(cc)">(cc)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Services Medical Directors Advisory Council" (EMSMDAC) means an advisory council that provides advice to the department on issues essential to medical direction of the EMS system.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(dd)">(dd)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Services Personnel" means any emergency medical technician, emergency medical technician intermediate, advanced emergency medical technician, cardiac technician, or paramedic licensed by the department or any emergency medical responder.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ee)">(ee)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Responder" (EMR) means a person who has successfully completed an emergency medical responder course approved by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ff)">(ff)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Technician" or "EMT" means a person who has been licensed by the department after being certified by National Registry of Emergency Medical Technicians (NREMT) as an emergency medical technician (EMT).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(hh)">(hh)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Emergency Medical Technician - Intermediate" or "EMT-I" means a person who has been licensed by the department after being certified by the National Registry of Emergency Medical Technicians (NREMT) as an emergency medical technician - intermediate (EMT-I) prior to March 31, 2013.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Ground Ambulance Service" means an agency or company providing ambulance service with ground based vehicles operating under a valid license from the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(jj)">(jj)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Guidelines" (See "Medical Protocol").</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(kk)">(kk)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Health District" means the geographical district designated by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ll)">(ll)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Inactive Status" in the context of a license or designation issued by the department means said license, or designation is no longer valid due to failure to meet current required standards.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(mm)">(mm)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Indictment" means a formal written charge of criminal wrongdoing framed by a prosecuting authority and found by a grand jury.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(nn)">(nn)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Invalid Car" means a non-emergency trans port vehicle used only to transport persons who are convalescent or otherwise non-ambulatory, and do not require medical care during transport.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(oo)">(oo)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "License" when issued to a person signifies that its facilities, vehicles, personnel and operations comply with O.C.G.A. Chapter 31-11, Rules and Regulations, and policies of the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(pp)">(pp)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "License Office" means the Commissioner of Public Health or his/her designee.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(qq)">(qq)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "License Renewal Cycle" means a period of time established by the department for renewal of licenses. The term recertification as it applies to individuals is synonymous with license renewal.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(rr)">(rr)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Licensed Nurse" means an individual who is currently licensed or registered in the State of Georgia as a registered nurse, advanced practice registered nurse, nurse practitioner or licensed practical nurse.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ss)">(ss)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medic" means any emergency medical technician, emergency medical technician - intermediate, advanced emergency medical technician, cardiac technician, or paramedic licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(tt)">(tt)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical Advisor" (See "Ambulance Service Medical Director").</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(uu)">(uu)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical Control" means the clinical guidance from a physician to emergency medical services personnel regarding the prehospital management of a patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(vv)">(vv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical Control Physician" means the physician providing clinical guidance to emergency medical services personnel regarding the prehospital management of a patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ww)">(ww)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical Direction" means the administrative process of providing medical guidance or supervision including but not limited to system design, education, critique, and quality improvement by a physician to emergency medical services personnel.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(xx)">(xx)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical First Responder Service" means an agency or company duly licensed by the department that provides on-site care until the arrival of the department's designated ambulance provider.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(yy)">(yy)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical First Responder Vehicle" means a motor vehicle registered by the department for the purpose of providing response to emergencies.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(zz)">(zz)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Medical Protocol" means a prehospital treatment guidelines, approved by the local EMS medical director, used to manage an emergency medical condition in the field by outlining the permissible and appropriate medical treatment that may be rendered by emergency medical services personnel to a patient experiencing a medical emergency.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(aaa)">(aaa)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Neonatal Transport Personnel" means licensed or certified health care professionals specially trained in the care of neonates.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(bbb)">(bbb)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Neonatal Transport Provider" means an agency or company providing facility-to-facility transport for neonates that is operated under a valid neonatal transport license from the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ccc)">(ccc)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Neonatal Transport Vehicle" means a motor vehicle registered by the department that is equipped for the purpose of transporting neonates to a place where medical care is furnished.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ddd)">(ddd)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Neonate" means an infant 0 - 184 days of age, as defined by the Georgia Regional Perinatal Care Program.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(eee)">(eee)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Office of Emergency Medical Services and Trauma" (the department) means the regulatory subdivision of the Georgia Department of Public Health, directly responsible for the statewide emergency medical services system.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(fff)">(fff)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Paramedic" means a person who has been licensed by the department after having being certified by the National Registry of Emergency Medical Technicians (NREMT) as a paramedic or Unites States Special Operations Command (USSOCOM) as an Advanced Tactical Paramedic (ATP).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ggg)">(ggg)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Patient Care Report (PCR)" means the documentation that contains the data set required by the department, either written or electronic that records the information regarding a request for a response. This includes, but is not limited to: Agency responding, vehicle identity, medics on the call, date of the call, times pertinent to the call, care rendered, treatment and transport information, pertinent patient information such as vital signs, and symptoms. Patient Care Report is synonymous with Prehospital Care Report.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(hhh)">(hhh)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Provisional License" when issued to an ambulance service means a license issued to an ambulance service on a conditional basis to allow a newly established ambulance service to demonstrate that its facilities and operations comply with state statues and these rules and regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Reasonable Distance" means that distance established by the local medical director based on the ambulance service's geographical area of responsibility, the ambulance service's ability to maintain emergency capabilities, and hospital resources.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(jjj)">(jjj)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Recertification Cycle" (See "License Renewal Cycle").</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(kkk)">(kkk)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Regional Ambulance Zoning Plan" means the department approved method of distributing emergency calls among designated ambulance services in designated geographical territories or zones within each health district in the State.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(lll)">(lll)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Regional Emergency Medical Services Medical Director" means a person, having approval of the Regional EMS Council and Office of Emergency Medical Services and Trauma, who is a physician licensed to practice medicine in this state, familiar with the design and operation of prehospital emergency experienced in the prehospital emergency care of acutely ill or injure d patients, and experienced in the administrative processes affecting regional and state prehospital emergency medical services systems.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(mmm)">(mmm)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Reserve Ambulance" means a registered ambulance that temporarily does not meet the standards for ambulance equipment and supplies in these rules and policies of the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(nnn)">(nnn)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Specialty Care Center" means a licensed hospital dedicated to a specific sub-specialty care including, but not limited to, trauma, stroke, pediatric, burn and cardiac care.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.02(ooo)">(ooo)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Specialty Care Transport" means transportation in a registered ambulance or neonatal unit between health care facilities during which certain special skills above and beyond those taught in state approved initial paramedic education are utilized. Provided, however, that this definition is not intended to authorize a medic to operate beyond his or her scope of practice.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.03" name="511-9-2-.03" title="511-9-2-.03">Rule 511-9-2-.03 Emergency Medical Services Advisory Councils</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Services Advisory Council (EMSAC). </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Purpose. The department shall establish an Emergency Medical Services Advisory Council to advise the department in matters essential to its operations with respect to emergency medical services systems.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Council recommendations are advisory and are not binding on the department or on agencies under contract to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Council shall be composed of members who are knowledgeable in the field of emergency medical service systems and all components thereof, who represent a broad section of Georgia's citizens, including consumers of services, providers of services, and recognized experts in the field.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Members shall be appointed by the commissioner or his/her designee for a term specified in the council bylaws.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Council shall adopt bylaws subject to the approval of the department and shall conduct its business in accordance with the Georgia Open Records and Open Meetings Acts. Said bylaws shall address frequency of meetings, recording of minutes, creation and function of committees, and other issues relevant to the function of an advisory council.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Staff assistance essential to the operations of the Council shall be provided from the resources of the Department of Public Health and are subject to the department's approval.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(1)(b)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Responsibilities shall include, but not be limited to: reviewing and providing comment on legislative activities, standards, and policies which affect those persons, services, or agencies regulated under these rules and O.C.G.A. Chapter 31-11; and, participating as an advocacy body to improve Georgia's statewide emergency medical services systems and all components thereof. </span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Services Medical Directors Advisory Council (EMSDAC). </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Purpose. The department shall establish an Emergency Medical Services Medical Directors Advisory Council (EMSMDAC) to advise the department on issues related to medical direction of the EMS system.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Council recommendations are advisory and are not binding on the department or on agencies under contract to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The council members shall be appointed by the commissioner or his/her designee for a term specified in council bylaws.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Council shall be composed of physician members who are knowledgeable in the field of EMS systems and all components thereof, and who represent a broad section of the Georgia's EMS programs and the medical community.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(b)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Council shall adopt bylaws subject to the approval of the department and shall conduct its business in accordance with the Georgia Open Records and Open Meetings Acts. Said bylaws shall address frequency of meetings, recording of minutes, creation and function of committees, and other issues relevant to the function of an advisory council.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Responsibilities of EMSDAC shall include, but not be limited to: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Act as a liaison with the medical community, medical facilities, and appropriate governmental entities;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Advise and provide consultation to the department on practice issues related to the care delivered by entities and personnel under the jurisdiction of the department;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Advise on and review matters of medical direction and training in conformity with accepted emergency medical practices and procedures;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Recommend and review policies and procedures affecting patient care rendered by emergency medical services personnel;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Advise on the scope and extent of EMS practice for the emergency medical services of Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Advise on the formulation of medical, communication and emergency transportation protocols; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.03(2)(c)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Advise on quality improvement issues related to patient care rendered by emergency medical services personnel.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.04" name="511-9-2-.04" title="511-9-2-.04">Rule 511-9-2-.04 Designation of Specialty Care Centers</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Trauma Centers. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> This section is not intended to prevent any hospital or medical facility from providing medical care to any trauma patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No hospital or medical facility shall hold itself out or advertise to be a designated trauma center without first meeting the requirements of these rules. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Designation. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall define the process for trauma center designation and re-designation.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department has the authority to review, enforce, and recommend removal of trauma center designation for trauma centers failing to comply with applicable statutes, Rules and Regulations, and department policy.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Designation will be for a period of three years.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each designated trauma center will be subject to periodic review.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(1)(b)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each designated trauma center shall submit data to the state trauma registry in a manner and frequency as prescribed by the department.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Stroke Centers </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> This section is not intended to prevent any hospital or medical facility from providing medical care to any stroke patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No hospital or medical facility shall hold itself out as or advertise to the public that it is designated by the department as a comprehensive, primary, remote treatment, or any other level of stroke center without first meeting the requirements of these rules. </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department, in consultation with the Georgia Coverdell Acute Stroke Registry, may establish additional levels of stroke centers as necessary based on advancements in medicine and patient care.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Designation of Nationally Accredited Stroke Centers.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any hospital seeking designation and identification by the department as a comprehensive, primary, or remote treatment stroke center must submit a written application to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Hospitals seeking designation as either a comprehensive or primary stroke center must include adequate documentation of the hospital's valid certification as either a comprehensive or primary stroke center by a national healthcare accreditation body recognized by the department. </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Hospitals seeking designation as a remote treatment stroke center must include adequate documentation of the hospital's valid certification as an acute stroke-ready hospital by a national healthcare accreditation body recognized by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Designation of Non-Nationally Accredited Remote Treatment Stroke Centers. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Hospitals that are not nationally accredited as an acute stroke-ready hospital may seek designation and identification as a remote treatment stroke center through an application process as determined by the department. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(c)1.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Upon receipt of a completed application, the department shall schedule and conduct an inspection of the applicant's facility no later than ninety days after receipt of the application.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(c)1.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Hospitals will be evaluated on the standards and clinical practice guidelines established by the American Heart Association and American Stroke Association and must utilize current and acceptable telemedicine protocols relative to acute stroke treatment. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(c)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each hospital seeking designation as a remote treatment stroke center under subjection (2)(c) must establish cooperating stroke care agreements with designated comprehensive or primary stroke centers.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to assure that patients are receiving the appropriate level of care and treatment at each level of stroke center in the state, each hospital designated and identified by the department as a stroke center must participate in the Georgia Coverdell Acute Stroke Registry, and shall submit data to the Registry as required by the department including, but not limited to, the following information: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date of admission and discharge;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Patient disposition at discharge;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Patient identifier, currently known as "Georgia LONGID," that consists of elements as defined by the department;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Patient age, gender, and race;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(v)">(v)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Location where stroke occurred;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(vi)">(vi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Patient arrival mode;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(vii)">(vii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Patient's past medical and medication history;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(viii)">(viii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Clinical diagnosis of type of stroke or transient ischemic attack;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(ix)">(ix)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The National Institutes of Health stroke scale score;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(x)">(x)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Serum low density lipoprotein level;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xi)">(xi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether stroke symptoms were resolved at time of presentation;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xii)">(xii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Earliest time patient placed on comfort measure only;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xiii)">(xiii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether patient was admitted for elective carotid intervention;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xiv)">(xiv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether patient was participating in a stroke related clinical trial;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xv)">(xv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether in-hospital treatment with intravenous or intra-arterial thrombotic or mechanical clot removal, antithrombotic, or venous thromboembolism prophylaxis was provided, or reason for not providing each treatment;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xvi)">(xvi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date and time of last known well visit, hospital arrival, imaging, and treatment administration;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xvii)">(xvii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether dysphagia screen had been completed;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xviii)">(xviii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether treatment at discharge with antithrombotic, anticoagulant, or statin (lipid-lowering medication) was provided, or reason for not providing each treatment; </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(ixx)">(ixx)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether smoking cessation advice or counseling was provided; </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xx)">(xx)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether stroke education was provided;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xxi)">(xxi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whether rehabilitation services was provided; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(d)(xxii)">(xxii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Modified Rankin Scale score at discharge.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.04(2)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department may suspend or revoke a hospital's designation as a stroke center, after notice and hearing, if the department determines that the hospital is not in compliance with the requirements of these rules or applicable statutes.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.05" name="511-9-2-.05" title="511-9-2-.05">Rule 511-9-2-.05 Reserved</a></h2> <h2><a href="/GAC/511-9-2-.06" name="511-9-2-.06" title="511-9-2-.06">Rule 511-9-2-.06 Licensure of Air Ambulance Services</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall operate, advertise, or hold themselves out to be an air ambulance service in the state of Georgia without being in compliance with the provisions of O.C.G.A. Chapter 31-11 and these rules and regulations and without being duly licensed by the department. However, this Rule shall not apply to the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance or air ambulance service operated by an agency of the United States government; </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A vehicle rendering assistance temporarily in the case of a major catastrophe or disaster which is beyond the capabilities of available Georgia licensed air ambulance services;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance operated from a location outside of Georgia and transporting patients picked up beyond the limits of Georgia to locations within Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance service licensed to operate in another state and transporting patients picked up at a medical facility within the limits of Georgia to locations outside the limits of Georgia, unless such air ambulance is pre-positioned within the limits of Georgia prior to receiving the request for transport;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance licensed in a state adjacent to Georgia that is responding to a request from a Georgia licensed provider;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance or air ambulance service owned and operated by a governmental entity whose primary role is not to transport patients by air ambulance, and who is not receiving payment for such services;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(1)(a)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An air ambulance or air ambulance service owned and operated by a bona fide non-profit charitable institution and that is not for hire. </span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Application for a license or provisional license shall be made to the license officer in the manner and on the forms approved by the license officer, to include at a minimum the name, address, and employer identification number of the owner(s).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Renewal of License. Renewal of any license issued under the provisions of O.C.G.A. Chapter 31-11 shall require conformance with all the requirements of these rules and regulations as upon original licensing.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Standards for Air Ambulances </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Must have appropriate and current FAA approval to operate an air ambulance service;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air Ambulances must be maintained on suitable premises that meet the county health code and the department's specifications. The department is authorized to establish policy to define minimal standards for suitable premises and base of operations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The air ambulance must be properly equipped, maintained, and operated in accordance with other rules and regulations contained herein and be maintained and operated so as to contribute to the general well-being of patients. The aircraft must have an appropriate system for ensuring an adequate temperature environment suitable for patient transport.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All air ambulances must be equipped with approved safety belts and restraints for all seats.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to use, air ambulances must be inspected and approved by the department and so registered by affixing a department decal at a location specified by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to disposal by sale or otherwise, an air ambulance removed from service must be reported to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall utilize the airframe's "N" number issued by the FAA to identify each registered air ambulance. </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Whenever an air ambulance provider utilizes an unregistered air ambulance as a backup air ambulance, the air ambulance provider must contact the department within forty-eight hours of placing said air ambulance in service to provide the following information: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)8.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Make and model of aircraft,</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)8.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Number,</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)8.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Color and any descriptive markings, and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(a)8.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Expected length of service.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Insurance:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The air ambulance provider must have bodily injury, property damage, and professional liability insurance coverage that meets or exceeds 14 C.F.R. </span><span class="">§</span><span class=""> 205.5.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No air ambulance shall be registered nor shall any registration be renewed unless the air ambulance has current insurance coverage as required by this section. A certificate of insurance or satisfactory evidence of self-insurance shall be submitted to the license officer for approval prior to the issuance or renewal of each air ambulance license. Satisfactory evidence that such insurance is at all times in force and effect shall be furnished to the license officer, in such form as he may specify, by all licensees required to provide proof of such insurance under this section. Any lapse in insurance coverage will be grounds for immediate revocation of the air ambulance service license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance providers must maintain files as required by the FAA.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Service License Fee: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Every air ambulance service, whether privately operated or operated by any political subdivision of the state or any municipality, as a condition of maintaining a valid license shall pay an annual license fee in an amount to be determined by the Board of Public Health. The amount of said license fee may be periodically revised by said Board, and shall be due upon the initial issuance of the license and each year thereafter on the anniversary date of the initial license issuance.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Communication: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered air ambulance shall be equipped with a two-way communication system that provides air ambulance-to-hospital communications.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered air ambulance shall have two-way communication with the location receiving requests for emergency service.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Infectious Disease Exposure Control:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(e)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each air ambulance provider shall have a written exposure control plan approved by their medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(e)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance providers and emergency medical services personnel shall comply with all applicable local, state, and federal laws and regulations in regard to infectious disease control procedures.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Equipment and Supplies: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(f)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All equipment and supplies must be maintained in working order and shall be stored in an orderly manner so as to protect the patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No supplies may be used after their expiration date.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to substitute any item for the required items, written approval must be obtained from the department. The department shall have authority to grant exceptions and substitutions and shall maintain and distribute an up-to-date policy listing of all approved exceptions and substitutions.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(4)(f)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall establish through policy the minimum equipment and supplies required on each air ambulance; however, other equipment and supplies may be added as desired.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of Air Ambulance Providers. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of each air ambulance response shall be made by the air ambulance provider in a manner, frequency and on such printed or electronic prehospital care report forms as approved by the department. A printed or electronic prehospital care report ("PCR") utilizing the set of data elements approved by the department must be completed for each response initiated and completed by the EMS provider. Such records shall be available for inspection by the department or its authorized agents during reasonable business hours. If a PCR is not left with the patient at the time of transfer of patient care, then documentation identifying the patient, the service, crew members, date, time, patient history, exam findings and treatment provided must be left at the receiving facility. A printed copy of the prehospital care report shall be provided to the hospital within twenty-four hours of receiving the patient. Such records shall be available for inspection by the department or its authorized agents in accordance with Chapter </span><span class=""> <a title="511-9-2-.11" href="511-9-2-.11">511-9-2-.11</a></span><span class=""> of these regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An electronic file of all responses must be submitted to the department in a manner and frequency approved by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Training records for each employee containing pertinent information regarding their licensure, and any other department required courses shall be maintained and readily available for the department, or its authorized agents, upon request at the base location.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A dispatch record shall be maintained on all calls received. The record shall be maintained for a minimum of three years and shall contain at a minimum, when applicable, but not be limited to, the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time called received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Source of call;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Call back telephone number;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Location of patient;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Apparent problems;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Unit dispatched and time of dispatch;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)9.">9.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time left scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)10.">10.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at patient's destination; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(5)(d)11.">11.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Destination of patient.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions for Air Ambulance Services </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each air ambulance while in service shall be staffed by two Georgia licensed personnel: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When responding to an emergency scene at least one of the personnel shall be a registered nurse, physicians assistant, nurse practitioner, or physician and the second person must be a paramedic, both of whom must be licensed in Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When responding for an interfacility transfer, at least one of the personnel shall be a registered nurse, nurse practitioner, physicians assistant, or physician and the second person must be at least a paramedic or other non-EMS licensed healthcare provider as approved by either the transferring or receiving physician, both of whom must be licensed in Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall have successfully completed training specific to the air ambulance environment;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall neither be assigned, nor assume the cockpit duties of the flight crew members concurrent with patient care duties and responsibilities;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall have documentation of successful completion of training specific to patient care in the air ambulance transport environment in general and licensee's operation, in specific, as required by the department; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(a)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If a paramedic possesses an additional Georgia healthcare provider license, then the paramedic may perform to the higher level of training for which he or she is qualified under that license when directed to do so by a physician, either directly or by approved protocols.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If an air ambulance transport is requested for an inter-hospital transfer, then such transfer shall be conducted by licensed air ambulance providers utilizing registered air ambulances.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance services shall be provided on a twenty-four hour a day, seven day a week basis unless weather or mechanical conditions prevent safe operations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall be available at all times to receive emergency telephone calls and provide two-way communications.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical Direction for Air Ambulance Providers</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The air ambulance service medical director shall be a physician licensed to practice medicine in the state of Georgia and subject to approval by the department. The air ambulance service medical director must agree in writing to provide medical direction to that particular ambulance service.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The air ambulance medical director shall serve as medical authority for the air ambulance provider, serving as a liaison between the air ambulance provider and the medical community, medical facilities and governmental entities.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> It will be the responsibility of the air ambulance medical director, to provide for medical direction, specifically to ensure there is a plan to provide medical oversight of patient care delivered by air medical personnel during transport, to include on-line medical control or off-line medical control (through written guidelines or policies) and also to participate in training for the air ambulance personnel, in conformance with acceptable air ambulance emergency medical practices and procedures.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Duties of the air ambulance medical director shall include, but not be limited to, the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)4.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The approval of policies and procedures affecting patient care;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)4.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The development and approval of medical guidelines or protocols;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)4.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The formulation and evaluation of training objectives;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)4.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Continuous quality improvement of patient care.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(e)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All air ambulance personnel shall comply with appropriate policies, protocols, requirements, and standards of the air ambulance medical director, provided such policies are not in conflict with these Rules and Regulations or other state statutes.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Control of patient care at the scene of an emergency shall be the responsibility of the individual in attendance most appropriately trained and knowledgeable in providing prehospital emergency stabilization care and transportation. When a medic arrives at the scene of a medical emergency, the medic may act as an agent of a physician when a physician-patient relationship has been established. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(f)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> For purposes of this section, a physician-patient relationship has been established when: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(f)1.(i).">(i).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A medic utilizes medical control, either through direct on-line medical control or off-line medical control, by the use of medical protocols established by the local medical director; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(f)1.(ii).">(ii).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician is on the scene and demonstrates a willingness to assume responsibility for patient management or purports to be the patient's personal physician and the medic takes reasonable steps to immediately verify the medical credentials of the physician.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Once a physician-patient relationship has been established, the medic must follow the medical direction of that physician. In the event of a conflict between the medical direction given and the medical protocols established by the local medical director, the medic should immediately contact their local medical director.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance services shall not misrepresent or falsify any information filed with the department as a result of any air ambulance response.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance services shall not employ, continue in employment, or use as medics any individuals who are not properly licensed under the applicable provisions of O.C.G.A. Chapter 31-11 and these rules and regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.06(6)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Air ambulance services shall report to the department any incidents of medics providing services while under the influence of drugs and/or alcohol.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.07" name="511-9-2-.07" title="511-9-2-.07">Rule 511-9-2-.07 Licensure of Ground Ambulance Services</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall operate, advertise, or hold themselves out to be an ambulance service in the state of Georgia without being in compliance with the provisions of O.C.G.A. Chapter 31-11 and these rules and regulations and without being duly licensed by the department. However, this Rule shall not apply to the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An ambulance or ambulance service operated by an agency of the United States government;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A vehicle rendering assistance temporarily in the case of a major catastrophe or disaster which is beyond the capabilities of available Georgia licensed ambulance services;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An ambulance operated from a location outside of Georgia and transporting patients picked up beyond the limits of Georgia to locations within Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An invalid car or the operator thereof.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An ambulance service licensed to operate in another state and transporting patients picked up at a medical facility within the limits of Georgia to locations outside the limits of Georgia unless such ambulance is pre-positioned within the limits of Georgia prior to receiving the request for transport. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No provision of these rules shall be construed as prohibiting or preventing a municipality from fixing, charging, assessing or collecting any license fee or registration fee on any business or profession or anyone engaged in any related profession governed by the provisions of these rules, or from establishing additional regulations regarding ambulance service as long as there is no conflict with these rules. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Application for a license or provisional license shall be made in the manner and on the forms approved by the license officer, to include at a minimum the name, address, and employer identification number of the owner(s).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Renewal of License. Renewal of any license issued under the provisions of O.C.G.A. Chapter 31-11 shall require conformance with all the requirements of these rules and regulations as upon original licensing.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Standards for Ambulances. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulances must be maintained on suitable premises that meet the department's specifications. The department is authorized to establish policy to define minimal standards for suitable premises and base of operations. Ambulances, including raised roof van or modular type, must meet design and safety standards as approved by the department. The interior of the patient compartment shall provide a minimum volume of 30 cubic feet of enclosed and shelf storage space that shall be conveniently located for medical supplies, devices, and installed systems as applicable for the service intended. The ambulance must be properly equipped, maintained, and operated in accordance with other rules and regulations contained herein and be maintained and operated so as to contribute to the general well-being of patients. Heat and air conditioning must be available and operational in both the patient compartment and driver compartment.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All ambulances must be equipped with approved safety belts for all seats.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to their use, ambulances must be inspected and approved by the department and so registered by affixing a department decal at a location specified by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each ambulance service may place up to one-third (rounded to nearest whole number) of its registered ambulances in reserve status. When a reserve ambulance is placed in service (ready to respond to an emergency call) it must meet the provisions of these rules and policies of the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to disposal by sale or otherwise, an ambulance removed from service must be reported to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(a)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All registered ambulances shall have on both sides of the vehicle an identification number designated by the department. The name of the service and the number shall be visible on each side of the vehicle in at least 3-inch lettering for proper identification.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Insurance: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered ambulance shall have at least $1,000,000 combined single limit (CSL) insurance coverage.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No ambulance shall be registered nor shall any registration be renewed unless the ambulance has insurance coverage in force as required by this section. A certificate of insurance or satisfactory evidence of self-insurance shall be submitted to the license officer for approval prior to the issuance or renewal of each ambulance license. Satisfactory evidence that such insurance is at all times in force and effect shall be furnished to the license officer, in such form as he may specify, by all licensees required to provide proof of such insurance under this section. Any lapse in insurance coverage will be grounds for immediate revocation of the ambulance service license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> EMS providers must maintain a file, as defined in departmental policy, of all maintenance records on each vehicle registered by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Service License Fee: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Every ambulance service, whether privately operated or operated by any political subdivision of the state or any municipality, as a condition of maintaining a valid license shall pay an annual license fee in an amount to be determined by the Board of Public Health. The amount of said license fee may be periodically revised by said Board, and shall be due upon the initial issuance of the license and each year thereafter on the anniversary date of the initial license issuance.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Communication: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered ambulance shall be equipped with a two-way communication system that provides ambulance-to-hospital communications.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All ambulance providers shall have two-way communication between each ambulance and the location receiving requests for emergency service.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Infectious Disease Exposure Control: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(e)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each ambulance service shall have a written infectious disease exposure control plan approved by the local medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(e)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulance providers and emergency medical services personnel shall comply with all applicable local, state, and federal laws and regulations in regard to infectious disease control procedures.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Equipment and Supplies:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(f)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All equipment and supplies must be maintained in working order and shall be stored in an orderly manner so as to protect the patient and be readily accessible when needed.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No supplies may be used after their expiration date.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(f)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to substitute any item for the required items, written approval must be obtained from the department. The department shall have authority to grant exceptions and substitutions and shall maintain and distribute an up-to-date policy listing of all approved exceptions and substitutions.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(4)(f)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall establish through policy the minimum equipment and supplies required on each ambulance; however, other equipment and supplies may be added as desired.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of Ambulance Services. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of each ambulance response shall be made by the ambulance service in a manner, frequency and on such printed or electronic prehospital care report forms as approved by the department. A printed or electronic prehospital care report ("PCR") utilizing the set of data elements approved by the department must be completed for each response initiated and completed by the EMS provider. If a PCR is not left with the patient at the time of transfer of patient care, then documentation identifying the patient, the service, crew members, date, time, patient history, exam findings and treatment provided must be left at the receiving facility. A printed copy of the prehospital care report shall be provided to the hospital within twenty-four hours of receiving the patient. Such records shall be available for inspection by the department or its authorized agents in accordance with Chapter </span><span class=""> <a title="511-9-2-.11" href="511-9-2-.11">511-9-2-.11</a></span><span class=""> of these regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An electronic file of all responses must be submitted to the department in a manner and frequency approved by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Training records for each employee containing pertinent information regarding licensing as a medic, and any other department required courses, shall be maintained and readily available for the department or its authorized agents upon request at the base location.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A dispatch record shall be maintained on all calls received. The record shall be maintained for a minimum of three years and shall contain at a minimum, when applicable, but not be limited to, the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Source of call;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Call back telephone number;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Location of patient;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Apparent problems;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Unit dispatched and time of dispatch;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)9.">9.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time left scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)10.">10.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at patient's destination; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(5)(d)11.">11.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Destination of patient.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions for Ambulance Services.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall make use of the word "ambulance" to describe any ground transportation or facility or service associated therewith which such person provides, or to otherwise hold oneself out to be an ambulance service unless such person has a valid license issued pursuant to the provisions of this chapter or is exempt from licensing under this chapter.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each ambulance while transporting a patient shall be manned by not less than two emergency medical services personnel, one of whom must be in the patient compartment. Only one individual licensed at the emergency medical technician level can be used to satisfy this requirement. If advanced life support is being rendered, personnel qualified to administer the appropriate level of advanced life support must be in the patient compartment and responsible for patient care.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If a medic possesses an additional Georgia healthcare provider license, then the medic may perform to the higher level of training for which he or she is qualified under that license when directed to do so by a physician, either directly or by approved protocols.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Interhospital transfers shall be conducted by licensed ambulance services in registered ambulances when the patient requires, or is likely to require, medical attention during transport. The transferring or receiving physician may request the highest level of emergency medical services personnel available or additional qualified medical personnel access to the patient during the interhospital transfer. If requested, the ambulance service must allow the highest level medical personnel available to attend to the patient during the interhospital transfer.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulance services shall be provided on a twenty-four hour, seven day a week basis.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall be available at all times to receive emergency telephone calls and provide two-way communications.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Sufficient licensed personnel shall be immediately available to respond with at least one ambulance. When the first ambulance is on a call, ambulance providers shall respond to each additional emergency call within their designated geographic territory as requested provided that medics and an ambulance are available. If medics and an ambulance are not available, the ambulance provider shall request mutual aid assistance. If mutual aid assistance is not available the ambulance provider shall respond with its next available ambulance.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical Direction for Ambulance Services. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> To enhance the provision of emergency medical care, each ambulance service, except those in counties with populations less than 12,000, shall have a medical director. The local medical director shall be a physician licensed to practice medicine in the state of Georgia and subject to approval by the department. The local medical director must agree in writing to provide medical direction to that particular ambulance service.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The local medical director shall serve as medical authority for the ambulance service, serving as a liaison between the ambulance service and the medical community, medical facilities and governmental entities.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> It will be the responsibility of the local medical director to provide for medical direction and training for the ambulance service personnel in conformance with acceptable emergency medical practices and procedures.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Duties of the local medical director shall include but not be limited to the following:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The approval of policies and procedures affecting patient care;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The formulation of medical protocols and communication protocols;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The formulation and evaluation of training objectives;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Performance evaluation;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(v)">(v)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Continuous quality improvement of patient care; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)4.(vi)">(vi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Development and implementation of policies and procedures for requesting air ambulance transport.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(h)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All emergency medical services personnel shall comply with appropriate policies, protocols, requirements, and standards of local medical director for that service, provided that such policies are not in conflict with these Rules and Regulations or other state statutes. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Control of patient care at the scene of an emergency shall be the responsibility of the individual in attendance most appropriately trained and knowledgeable in providing prehospital emergency care and transportation. When a medic arrives at the scene of a medical emergency, the medic may act as an agent of a physician when a physician-patient relationship has been established. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(i)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> For purposes of this section, a physician-patient relationship has been established when: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(i)1.(i).">(i).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A medic utilizes medical control, either through direct on-line medical control or off-line medical control, by the use of medical protocols established by the local medical director; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(i)1.(ii).">(ii).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician is on the scene and demonstrates a willingness to assume responsibility for patient management or purports to be the patient's personal physician and the medic takes reasonable steps to immediately verify the medical credentials of the physician.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(i)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Once a physician-patient relationship has been established, the medic must follow the medical direction of that physician. In the event of a conflict between the medical direction given and the medical protocols established by the local medical director, the medic should immediately contact their local medical director. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(j)">(j)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All licensed ambulance services must adhere to all regional zoning plans approved by the department. Any ambulance that arrives at the scene of an emergency without having been designated as responsible by the regional zoning plan, shall provide the emergency medical care necessary to sustain and stabilize the patient until the arrival of the designated ambulance provider. A non-designated ambulance provider shall not transport a patient from the scene of a medical emergency except under the following conditions: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(j)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The designated ambulance is canceled by the appropriate dispatching authority with express approval of the designated ambulance service; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(j)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical control determines that the patient's condition is life-threatening or otherwise subject to rapid and significant deterioration and there is clear indication that, in view of the estimated time of arrival of the designated ambulance, the patient's condition warrants immediate transport. In the event the medic is unable to contact medical control, the medic will make this decision. The transporting ambulance service shall file a copy of the patient care report to the department within seven days of the transport, to include an explanation of the circumstances and the need for the non-designated ambulance service to transport the patient.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)">(k)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Hospital Destination of Prehospital Patients.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When a patient requires initial transportation to a hospital, the patient shall be transported by the ambulance service to the hospital of his or her choice provided: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)1.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The hospital chosen is capable of meeting the patient's immediate needs;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)1.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The hospital chosen is within a reasonable distance as determined by the medic's assessment in collaboration with medical control so as to not further jeopardize the patient's health or compromise the ability of the EMS system to function in a normal manner;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)1.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The hospital chosen is within a usual and customary patient transport or referral area as determined by the local medical director; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)1.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The patient does not, in the judgment of the medical director or an attending physician, lack sufficient understanding or capacity to make a responsible decision regarding the choice of hospital.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If the patient's choice of hospital is not appropriate or if the patient does not, cannot, or will not express a choice, the patient's destination will be determined by pre-established guidelines. If for any reason the pre-established guidelines are unclear or not applicable to the specific case, then medical control shall be consulted for a definitive decision.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If the patient continues to insist on being transported to the hospital he or she has chosen, and it is within a reasonable distance as determined by the local medical director, then the patient shall be transported to that hospital after notifying local medical control of the patient's decision. The choice of hospital for the patient may be selected pursuant to O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=31-9-2&amp;title=31#" target="_newtab">31-9-2</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(k)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If the patient does not, cannot, or will not express a choice of hospitals, the ambulance service shall transport the patient to the nearest hospital believed capable of meeting the patient's immediate medical needs without regard to other factors, e.g., patient's ability to pay, hospital charges, county or city limits, etc.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(l)">(l)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulance services shall not misrepresent or falsify any information on forms filed with the department or completed as a result of any ambulance response.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(m)">(m)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulance services shall not employ, continue in employment, or use as medics any individuals who are not properly licensed under the applicable provisions of O.C.G.A. Chapter 31-11 and these rules and regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.07(6)(n)">(n)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Ambulance services shall report to the department any incident of medics providing services while under the influence of drugs or alcohol.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.08" name="511-9-2-.08" title="511-9-2-.08">Rule 511-9-2-.08 Licensure of Neonatal Transport Services</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any ambulance provider may utilize a registered ambulance for the transport of neonates.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall hold themselves out to be a licensed neonatal transport service, or advertise as such without meeting the following requirements and without being duly licensed by the department. However, the provisions of this chapter shall not apply to any neonatal transport vehicle operated by an agency of the United States government.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Application for a license or provisional license shall be made to the license officer in the manner and on the forms prescribed by the license officer to include at a minimum the name, address, and employer identification number of the owner(s).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> License Fee. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> As a condition of maintaining a valid license, every neonatal transport service, whether privately operated or operated by any political subdivision of the state or any municipality, shall pay an annual license fee in an amount to be determined by the Board of Public Health. The license fee may be periodically revised by the Board, and shall be due upon the initial issuance of the license and each year thereafter on the anniversary date of the initial license issuance. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(3)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> This fee shall not be applicable in cases where the provider is also licensed as an ambulance service, uses the vehicles for dual-purposes, and pays the fee under the ambulance license.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Renewal of License. Renewal of any license issued under the provisions of these rules shall require conformance with all the requirements of these rules as upon original licensing.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Standards for Neonatal Transport Vehicles. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A registered neonatal transport vehicle is a special type of vehicle and must be maintained on suitable premises that meet the county health code and the department's specifications. The department is authorized to establish policy to define minimum standards for suitable premises and base of operations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The registered vehicle must be properly equipped, maintained, and operated in accordance with these rules and regulations so as to contribute to the general well-being of patients. Heat and air conditioning must be available and operational in both the patient compartment and driver compartment.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The vehicle must have sufficient floor space to accommodate two neonatal transport isolettes and a crew of three in the patient compartment.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each vehicle must be equipped with an electrical generator of at least 3.0 kilowatt output and an electrical inverter or motor generator of at least 1000 watts capacity.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> There must be at least one compressed air outlet and one oxygen outlet available to each isolette.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> There must be at least one duplex electrical outlet available to each isolette.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> There must be at least one electrical wall-mounted suction outlet in the vehicle.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All registered neonatal transport vehicles must be equipped with approved safety belts for all seats.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)9.">9.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Registered neonatal transport vehicles must be inspected and approved by the department and so designated by affixing a department decal at a location specified by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)10.">10.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to disposal by sale or otherwise, a registered neonatal transport vehicle removed from service must be reported to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(a)11.">11.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All registered neonatal transport vehicles shall have on both sides of the vehicle an identification number designated by the department. The name of the service and the number shall be visible on each side of the vehicle in at least 3-inch lettering for proper identification. In addition each vehicle shall have the words "neonatal" or "neonatal transport" prominently displayed on each side of the vehicle.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Insurance.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Every registered neonatal transport vehicle shall have at least $1,000,000 combined single limit (CSL) insurance coverage.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No neonatal transport vehicle shall be registered nor shall any registration be renewed unless the vehicle has insurance coverage in force as required by this section. A certificate of insurance or satisfactory evidence of self-insurance shall be submitted to the license officer for approval prior to the issuance or renewal of each neonatal transport service license. Satisfactory evidence that such insurance is at all times in force and effect shall be furnished to the license office, in such form as the license officer may specify, by all licensees required to provide proof of such insurance under this section. Any lapse in insurance coverage will be grounds for immediate revocation of the neonatal transport service license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport providers must maintain a file, as defined in departmental policy, of all maintenance records on each vehicle registered by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Communication. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered neonatal transport vehicle shall be equipped with a two-way communication system that provides ambulance-to-hospital communications.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Infectious Disease Exposure Control. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each neonatal transport service shall have a written infectious disease exposure control plan approved by the local medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport providers and emergency medical services personnel shall comply with all applicable local, state and federal laws and regulations in regard to infectious disease control procedures.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Equipment and Supplies. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All equipment and supplies must be maintained in working order and shall be stored in an orderly manner so as to protect the patient and shall be readily accessible when needed.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Supplies may not be used after their expiration date.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to substitute any item from the required items, written approval must be obtained from the department. The department shall have authority to grant exceptions and substitutions and shall maintain and distribute an up-to-date policy listing of all approved exceptions and substitutions.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Vehicles approved to operate as both a neonatal transport vehicle and an ambulance must be inspected as both.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(e)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall establish through policy the minimum equipment and supplies required for each neonatal transport unit while being used to transport neonates; however, other equipment may be added as desired.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Supplies and Medications. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(f)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The types and quantities of supplies and medications to be carried in the vehicle while being used to transport neonates shall be determined by the medical director of the neonatal transport service in conformance with current medical standards of care in the treatment and transportation of neonates.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A listing of the supplies and medications shall be updated at least annually and signed by the medical director and a copy thereof is to be in the vehicle at all times. This list shall be used for any inspection purposes by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport personnel shall function under protocols developed by the medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport personnel with appropriate skills to treat and transport a neonate must be in the patient compartment during transport. Documentation attesting to their qualifications shall be signed by the local medical director and on file at the base location.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The driver of the vehicle shall be a Georgia licensed medic.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A minimum of two patient care personnel shall be in the patient compartment and shall consist of any combination of the following during initial transport to the tertiary care center as determined by the local medical director:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Paramedic;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Registered Nurse;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Respiratory Care Technician;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician's Assistant; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(g)4.(v)">(v)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician. </span><span class=""><P>Only one of the above shall be required in the patient compartment during transport back to the initial referring facility.</P></span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of Neonatal Transport Response.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(h)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of each neonatal transport response shall be made by the neonatal transport service in a manner, frequency and on such prehospital care report forms as approved by the department. A printed or electronic prehospital care report ("PCR") utilizing the set of data elements approved by the department must be completed for each response initiated by the neonatal transport provider. If a PCR is not left with the patient at the time of transfer of patient care, then documentation identifying the patient, the service, crew members, date, time, patient history, exam findings and treatment provided must be left at the receiving facility. A printed copy of the prehospital care report shall be provided to the hospital within twenty-four hours of receiving the patient. Such records shall be available for inspection by the department or its authorized agents in accordance with Chapter </span><span class=""> <a title="511-9-2-.11" href="511-9-2-.11">511-9-2-.11</a></span><span class=""> of these regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(h)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A detailed electronic file of all responses must be submitted to the department in a manner and frequency approved by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A dispatch record shall be maintained on all calls received. The record shall contain at a minimum, when applicable, but not be limited to, the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Source of calls;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Call back telephone number;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Location of patient;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Apparent problems;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Unit dispatched and time of dispatch;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)9.">9.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time left scene;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)10.">10.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at transferring facility (if applicable);</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)11.">11.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time left transferring facility (if applicable);</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)12.">12.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at receiving facility; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(5)(i)13.">13.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Destination of patient.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The local medical director shall be a physician licensed to practice medicine in the state of Georgia, be a member of the staff of the neonatal intensive care facility from which the service originates or with which the service is contracted, and provide medical direction for the neonatal transport service.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport services shall be provided on a twenty-four hour, seven day a week basis.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.08(6)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Neonatal transport services shall report to the department any incidents of medics providing services while under the influence of drugs or alcohol.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.09" name="511-9-2-.09" title="511-9-2-.09">Rule 511-9-2-.09 Licensure of Medical First Responder Services</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicability. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall hold himself out to be a medical first responder service, or advertise as such in the state of Georgia without first meeting the following requirements and being duly licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> However, the provisions of this chapter shall not apply to: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any first responder unit operated by an agency of the United States government.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any rescue organization licensed by the Georgia Emergency Management Agency, including its individual members.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any person or designated first responder unit directly requested to the scene of an emergency by an appropriate public safety agency or ambulance service for the purpose of rendering on-site care, rescue or extrication, until the arrival of a duly licensed ambulance service or duly licensed medical first responder service. This includes agencies routinely requested to the scene in this manner that cannot or choose not to meet the requirements of these rules.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any supervisory vehicle of a licensed ambulance service.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(1)(b)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A person rendering assistance temporarily in the case of a major catastrophe or disaster which is beyond the capability of licensed medical first responder services or licensed ambulance services. </span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Application for a License. Application for a license or provisional license shall be made to the license officer in the manner and on the forms approved by the license officer to include at a minimum the name, address, and employer identification number of the owner(s).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Renewal of License. Renewal of any license issued under the provisions of the rules shall require conformance with all the requirements of these rules as upon original licensing.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Standards for Medical First Responder Vehicles.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Registered medical first responder vehicles must be maintained on suitable premises that meet the county health code and the department's specifications. The department is authorized to establish policy to define minimum standards for suitable premises and base of operations. The registered vehicle must be properly equipped, maintained, and operated in accordance with other Rules and Regulations contained herein.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All registered medical first responder vehicles must be equipped with approved safety belts for all seats.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(a)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Registered medical first responder vehicles must be inspected and approved by the department and so designated by affixing a department decal at a location specified by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(a)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to disposal by sale or otherwise, a registered medical first responder vehicle removed from service must be reported to the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Insurance. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Every registered medical first responder vehicle shall have at least $1,000,000 combined single limit (CSL) insurance coverage.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No medical first responder vehicle shall be registered nor shall any registration be renewed unless the vehicle has insurance coverage in force as required by this section. A certificate of insurance or satisfactory evidence of self-insurance shall be submitted to the license officer for approval prior to the issuance or renewal of each medical first responder service license. Satisfactory evidence that such insurance is at all times in force and effect shall be furnished to the license officer, in such form as the license officer may specify, by all licensees required to provide proof of such insurance under this section. Any lapse in insurance coverage will lead to immediate revocation of the medical first responder service license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder providers must maintain a file, as defined in departmental policy, of all maintenance records on each vehicle registered by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Communication. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All medical first responder providers shall have two-way communication between the vehicle and the location receiving requests for emergency service.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Infectious Disease Exposure Control. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each medical first responder service shall have a written infectious disease exposure control plan approved by the local medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder providers and emergency medical services personnel shall comply with all applicable local, state and federal laws and regulations in regard to infectious disease control procedures.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Equipment and Supplies. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(e)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All equipment and supplies must be maintained in working order and shall be stored in an orderly manner and shall be readily accessible when needed.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(e)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Supplies may not be used after their expiration date.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(e)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to substitute any item from the required items written approval must be obtained from the department. The department shall have authority to grant exceptions and substitutions and shall maintain and distribute an up-to-date policy listing of all approved exceptions and substitutions.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(4)(e)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall through policy establish the minimum equipment and supplies required on medical first responder units; however, other equipment and supplies may be added as desired.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of Medical First Responder Services. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Records of each medical first responder response shall be made by the medical first responder service in a manner, frequency and on such prehospital care report forms as may be approved by the department. A printed or electronic prehospital care report utilizing the set of data elements approved by the department must be completed for each response initiated and completed by the medical first responder provider. Such records shall be available for inspection by the department or its authorized agents during reasonable business hours.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A detailed electronic file of all responses must be submitted to the department in a manner and frequency approved by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Training records for each employee containing pertinent information regarding licensing as a medic, and any other department required courses shall be maintained and readily available for the department or its authorized agents upon request, at the base location.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A dispatch record shall be maintained on all calls received. The record shall contain at a minimum, when applicable, but not be limited to, the following:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time call received;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Source of call;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Call back telephone number;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Location of patient;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Apparent problems;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)7.">7.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Unit dispatched and time of dispatch; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(5)(d)8.">8.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Time arrived at scene.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> General Provisions: Medical First Responder Services. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each registered medical first responder vehicle when on an emergency call shall be manned by at least one of the following: emergency medical technician, emergency medical technician-intermediate, advanced emergency medical technician, cardiac technician, or paramedic. If advanced life support is being rendered, there must be at least one emergency medical technician-intermediate, advanced emergency medical technician, cardiac technician or paramedic responsible for patient care.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder services shall be provided on a twenty-four hour, seven day a week basis.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Personnel shall be available at all times to receive emergency telephone calls and provide two-way communications.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Sufficient licensed personnel shall be immediately available to respond with at least one registered medical first responder vehicle. When the first registered medical first responder vehicle is on a call, providers shall respond to each additional emergency call within their designated geographic territory as requested providing a medic and a registered medical first responder vehicle are available. If a medic and a registered medical first responder vehicle are not available, the medical first responder service shall request mutual aid assistance. If mutual aid assistance is not available the provider shall respond with its next available registered vehicle.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The driver of a registered medical first responder vehicle, when responding to an emergency call, is authorized to operate the vehicle as an emergency vehicle pursuant to the provisions of O.C.G.A. </span><span class="">§</span><span class=""> <a title="40-6-6" href="40-6-6">40-6-6</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical Direction for Medical First Responder Services. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> To enhance the provision of emergency medical care, each medical first responder service, except those in counties with populations less than 12,000, shall be required to have a medical director. The medical director shall be a physician licensed to practice medicine in this state and subject to approval by the department. The local medical director must agree in writing to provide medical direction to that particular medical first responder service.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The local medical director shall serve as the medical authority for the medical first responder service, serving as a liaison between the service and the medical community, medical facilities and governmental entities.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> It will be the responsibility of the local medical director to provide medical direction and training for the medical first responder service personnel in conformance with acceptable emergency medical practices and procedures.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Duties of the local medical director shall include but not be limited to the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The approval of policies and procedures affecting patient care;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The formulation of medical protocols and communication protocols;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The formulation and evaluation of training objectives;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(iv)">(iv)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Performance evaluation;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(v)">(v)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Continuous quality improvement of patient care; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)4.(vi)">(vi)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Development and implementation of policies and procedures for requesting air ambulance transport.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)5.">5.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The medical director of a medical first responder service must coordinate the medical protocols and procedures of the service with the medical director of the designated ambulance service in the regional zoning plan.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(f)6.">6.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All emergency medical services personnel shall comply with appropriate policies, protocols, requirements, and standards of local medical director for that service, provided that such policies are not in conflict with these Rules and Regulations or other state statutes.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Control of patient care at the scene of an emergency shall be the responsibility of the individual in attendance most appropriately trained and knowledgeable in providing prehospital emergency care and transportation. When a medic arrives at the scene of a medical emergency, the medic may act as an agent of a physician when a physician-patient relationship has been established. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(g)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> For purposes of this section, a physician-patient relationship has been established when: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(g)1.(i).">(i).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A medic utilizes medical control, either through direct on-line medical control or off-line medical control, by the use of medical protocols established by the local medical director; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(g)1.(ii).">(ii).</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician is on the scene and demonstrates a willingness to assume responsibility for patient management or purports to be the patient's personal physician and the medic takes reasonable steps to immediately verify the medical credentials of the physician.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(g)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Once a physician-patient relationship has been established, the medic must follow the medical direction of that physician. In the event of a conflict between the medical direction given and the medical protocols established by the local medical director, the medic should immediately contact their local medical director.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder services shall not misrepresent or falsify any information on forms filed with the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder services shall not employ, continue in employment, or use as medics, individuals who are not properly licensed under the applicable provisions of O.C.G.A. Chapter 31-11 and these Rules and Regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(j)">(j)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder services are required to notify the dispatch center designated by the regional ambulance zoning plan as responsible for distributing ambulance calls prior to departure on any direct calls received.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.09(6)(k)">(k)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Medical first responder services shall report to the department any incident of medics providing services while under the influence of drugs or alcohol.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.10" name="511-9-2-.10" title="511-9-2-.10">Rule 511-9-2-.10 Procurement, Control, Handling, and Accountability of Pharmaceuticals</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.10(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Procurement of Pharmaceuticals. Medical directors of licensed ambulance services, medical first responder services, or neonatal transport services are authorized to contract with Georgia licensed pharmacies to furnish dangerous drugs and controlled substances for the vehicles of their particular services. Such dangerous drugs and controlled substances shall be furnished, secured, and stored in the manner provided for in O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=26-4-116&amp;title=26#" target="_newtab">26-4-116</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.10(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Storage of Pharmaceuticals. Pharmaceuticals shall not be left unattended on vehicles unless such vehicles are maintained in environmentally controlled facilities, or the pharmaceuticals are kept in environmentally controlled boxes in the patient compartment or in the patient compartment when the compartment is maintained at a temperature within the range specified by pharmaceutical manufacturers, and such vehicles are locked. Pharmaceuticals shall not be left outside of kits on open shelves or compartments. Narcotics must be maintained in accordance with Georgia Pharmacy Regulations. The theft of any pharmaceuticals must be reported immediately to the proper local and state authorities, as well as to the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.10(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Accountability of Pharmaceuticals. All licensed emergency medical services must have a written policy, signed by the administrative director of the EMS, the local medical director of the EMS, and the pharmacist from whom pharmaceuticals are obtained. The policy shall address at a minimum the following areas: procurement, par levels, receiving, storage, distribution, accountability, inventory check frequency, waste/expiration, handling of inventory discrepancies, and other issues deemed important by any of the signees.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.11" name="511-9-2-.11" title="511-9-2-.11">Rule 511-9-2-.11 Inspections of Ambulance Services, Air Ambulance Services, Neonatal Transport Services, and Medical First Responder Services</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.11(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department and its duly authorized agents shall be permitted to enter upon and inspect licensed emergency services, including registered vehicles, facilities, records applicable to licensure, including but not limited to call logs, vehicle maintenance records, patient care reports, communication tapes, and personnel licensing records in a reasonable manner in regards to the operation of emergency medical services. The department is authorized to set policy for such inspections and records.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.11(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When the department conducts an inspection, the findings shall be recorded on an inspection report form provided for this purpose. The provider or authorized representative shall sign a form acknowledging the inspection. Signing this form does not indicate agreement with the findings thereon. A copy of the inspection form shall be furnished to the provider within ten business days.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.11(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Inspections of pharmaceuticals will be handled in accordance with policies established by the department and state and federal laws and regulations where applicable.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.12" name="511-9-2-.12" title="511-9-2-.12">Rule 511-9-2-.12 Licensure of Emergency Medical Services Personnel</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall practice as an emergency medical technician, emergency medical technician - intermediate, advanced emergency medical technician, cardiac technician, or paramedic without being licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to licensure, all applicants must be certified by the National Registry of Emergency Medical Technicians (NREMT) at the level for which they are applying, or must be certified by the United States Special Operations Command (USSOCOM) as an Advanced Tactical Paramedic (ATP).</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applicants for licensure must provide information to the department on forms prescribed by the department, to include at a minimum the name, address, date of birth and social security number of the applicant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applicants shall not misrepresent or falsify any information on forms and documents filed with the department for the purpose of licensure.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department may refuse to issue a license to an applicant who has been subject to disciplinary action imposed by another state or lawful licensing or certifying authority.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applicants for licensure must submit to a fingerprint based criminal history records check from the Georgia Crime Information Center (GCIC) and the Federal Bureau of Investigation (FBI). </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Fingerprints shall be in such form and of such quality as prescribed by the department, the GCIC and under standards adopted by the FBI.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Fees may be charged as necessary to cover the costs of the records search.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Fees. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(7)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applications for initial licensure must be accompanied by a fee payable to the department in an amount and form determined by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(7)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Fees are not refundable after being submitted.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licensing of Individuals with Criminal History.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall deny any license application submitted by an applicant who has been convicted of a felony, a crime of violence, or a crime of moral turpitude; and, may deny any license application submitted by an applicant who has been convicted of driving under the influence or possession of a controlled substance.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department may deny any license application submitted by an applicant with unresolved criminal charges, whether initiated by arrest warrant, information, accusation, or indictment. This subsection shall not apply to minor traffic offenses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> At its discretion, the department may reconsider an application subject to subsections (a) or (b) above on the ground that;</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The conviction has been set aside, pardoned, expunged, or overturned on appeal;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(c)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The criminal charges were finally resolved in the applicant's favor through acquittal, dismissal, or nolleprosequi; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(8)(c)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The applicant has demonstrated significant efforts toward rehabilitation, such that the applicant can be trusted with the care of sick or injured patients, their property, and the equipment and supplies that may be entrusted to him or her.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.12(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any currently licensed emergency medical services personnel may voluntarily surrender a license by notifying the department in writing.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.13" name="511-9-2-.13" title="511-9-2-.13">Rule 511-9-2-.13 Licensure Renewal for Emergency Medical Services Personnel</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licensed emergency medical services personnel, on a schedule and in the manner established by the department, shall submit an application and a non-refundable license renewal fee pursuant to these rules. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The continuing education requirement shall be met by completing approved continuing education of not less than forty contact hours for each twenty-four month period of the license renewal cycle, with subject matter that includes cardiac care, pediatric care and trauma care. All continuing education must be consistent with the appropriate level EMS course curriculum or above. Training to maintain CPR certification shall be in addition to the continuing education requirement. Training to maintain ACLS or equivalent shall be in addition to the forty required biennial hours of continuing education.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Continuing education that meets the requirements of this section must be approved in writing by the department, a regional medical director or local medical director. All approved continuing education must be assigned an approval number by the department and that number must be included on the course certificate of completion.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Individuals who become licensed or reinstated as emergency medical services personnel during any license renewal cycle shall be considered to have satisfied the requirements of this section for that license renewal cycle.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(1)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licensed emergency medical services personnel shall make available to the department, upon request, proof of continuing education.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department is authorized to perform random audits of license renewal documentation during each license renewal cycle.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Late renewal is permitted during the six-month period immediately following the expiration date for the last license renewal cycle. Licenses that are not renewed prior to the expiration date are considered to be lapsed, and must be renewed in order for previously licensed individuals to perform the duties and services of a licensee. During this six-month period, a penalty fee for late renewal applies. The penalty fee shall be double the established fee for the level of licensure. After that six-month period, the license will have permanently lapsed and the individual must apply for licensure as a new applicant in accordance with Regulation </span><span class=""> <a title="511-9-2-.12" href="511-9-2-.12">511-9-2-.12</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department has the authority to mandate a specific license renewal cycle and continuing education modules.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall be authorized to waive the continuing education requirements in cases of hardship, disability, illness, military deployment or under such other circumstances as the department deems appropriate.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.13(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Upon request, the department shall be authorized to place a license in retired status after which the medic will be permitted to continue to use the former licensure level title and number with "(Ret.)" after it. An individual in retired status will not be licensed to perform the duties of medic as defined in this chapter.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.14" name="511-9-2-.14" title="511-9-2-.14">Rule 511-9-2-.14 [Repealed]</a></h2> <h2><a href="/GAC/511-9-2-.15" name="511-9-2-.15" title="511-9-2-.15">Rule 511-9-2-.15 General Provisions for Emergency Medical Technician</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.15(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency medical services personnel shall at all times while on duty wear visible identification, to include name, company name and license level and may include the State EMS patch or embroidered facsimile, along with license level rocker. Patches of other certifying or licensing agencies are not an acceptable substitute.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.15(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency medical services personnel shall at all times while on duty have the official department issued identification on their person.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.15(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency medical services personnel must notify the department in writing of any change in their home or mailing address.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.16" name="511-9-2-.16" title="511-9-2-.16">Rule 511-9-2-.16 Standards for Training</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Service Course Standards</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All emergency medical service courses must be approved by the department prior to the course starting date.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order for any course to be approved, the course coordinator must be a currently licensed instructor in good standing at the applicable level.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A complete course application must be submitted by the sponsoring agency to the department at least twenty business days in advance of the actual starting date of the proposed course on forms prescribed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The sponsoring agency of the course must establish contracts with the appropriate agencies to ensure that clinical requirements for the course will be met.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall establish standards for all emergency medical service courses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(1)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All approved courses are subject to monitoring by the department including unannounced on-site evaluations and other methods as deemed appropriate by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.16(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Training for Administration of Opioid Antagonists. In order to be authorized to administer opioid antagonists to a person experiencing an opioid related overdose, a first responder shall first undergo a course of training approved by the department and made available on the department's website. For purposes of this subparagraph, "first responder" shall mean any person or agency who provides on-site care until the arrival of a duly licensed ambulance service, including but not limited to persons who routinely respond to calls for assistance through an affiliation with law enforcement agencies, fire departments, and rescue agencies.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.17" name="511-9-2-.17" title="511-9-2-.17">Rule 511-9-2-.17 Standards for Emergency Medical Service Instructors</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Eligibility for Instructor Licensing. All applicants for instructor licensure must meet the following requirements: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Services Instructor - Level I.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Written recommendation from the local medical director.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Current Georgia licensure in good standing as an emergency medical technician, emergency medical technician-intermediate, advanced emergency medical technician, cardiac technician, paramedic, registered nurse, physician's assistant, or physician. </span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Services Instructor - Level II.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Current Georgia licensure in good standing as an advanced emergency medical technician, cardiac technician, paramedic, registered nurse, physician's assistant, or physician;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Successful completion of a department approved course with curriculum specific to Georgia's emergency medical service system; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Demonstrate proficiency by the successful completion of practical and written examinations approved by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Emergency Medical Service Instructor - Level III. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Current Georgia licensure in good standing as a paramedic, registered nurse, physician's assistant, or physician;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(c)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A minimum of an associate degree or ninety quarter hours of college credit (or semester equivalent) from a regionally or nationally accredited institution;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(c)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Successful completion of a department approved course with curriculum specific to Georgia's emergency medical service system; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(1)(c)4.">4.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Demonstrate proficiency by the successful completion of practical and written examinations approved by the department.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licensure of Instructors. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(2)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Candidates must submit an application and provide other documentation as prescribed by the department, to include at a minimum the name, address, date of birth, and social security number of the applicant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(2)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No individual shall hold oneself out as an emergency medical service instructor at any level unless licensed by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(2)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Initial licensure shall be for a period of time specified by the department.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> License Renewal for Emergency Medical Service Instructors. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The emergency medical service instructor - level I must: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Maintain a license in good standing as an emergency medical technician, emergency medical technician- intermediate, advanced emergency medical technician, cardiac technician, paramedic, registered nurse, physician's assistant or physician;</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The emergency medical service instructor - level II must: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Maintain a license in good standing as an advanced emergency medical technician, cardiac technician, paramedic, registered nurse, physician's assistant or physician.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The emergency medical service instructor - level III must: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Maintain a license in good standing as a paramedic, registered nurse, physician's assistant, or physician</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The instructor must teach a minimum of forty hours per instructor license renewal period in approved courses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(3)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The instructor must participate in a minimum of twenty-four hours of department-approved continuing education in instructional techniques per license renewal period.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Inactive Status for Instructors. Any instructor who does not meet the above requirements will be placed in an inactive status.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Reinstatement of Instructor Status. Any instructor, whose license is placed in an inactive status for a period of not more than four years, may be reinstated to an active status by meeting the following requirements: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The eligibility for instructor licensure standards at the appropriate level;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> For each year of inactive status participate in a minimum of twelve hours of continuing education in instructional techniques approved by the department;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(5)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Demonstrate proficiency by the successful completion of practical and written examinations approved by the department; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(5)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Instructors whose license has been inactive or revoked for four years plus one day or more must complete all requirements anew.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Clinical Preceptor. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(6)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Clinical preceptors may precept paramedic, advanced emergency medical technician, and emergency medical technician students at or below the preceptor's provider license level.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(6)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Clinical preceptors can only be approved by the course coordinator and the course medical director after successfully completing a clinical preceptor training course approved by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.17(6)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The course coordinator must maintain student clinical records involving clinical preceptors for two years from the student's course completion.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/511-9-2-.18" name="511-9-2-.18" title="511-9-2-.18">Rule 511-9-2-.18 Standards of Conduct for Licensees</a></h2> <P>In order to protect the public and ensure the integrity of the emergency medical response system, all persons licensed by the department pursuant to Chapter 31-11, all owners and officers of entities licensed pursuant to Chapter 31-11, and all applicants for a license pursuant to Chapter 31-11 (hereinafter licensees) shall at all times meet the following standards of conduct:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall comply at all times with the provisions of Chapter 31-11 and the Rules and Regulations of the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not obtain a license by fraud, forgery, deception, misrepresentation, or omission of a material fact.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not present a check to the department for which there are insufficient funds in the account.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not tamper with, alter, or change any license issued by the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall fully cooperate with the department and its agents during the course of any investigation or inspection, and provide true information upon request.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall take no action in any other jurisdiction that would result in a fine, suspension, or revocation of any license similar to that issued to the licensee pursuant to Chapter 31-11.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not advertise its services in a false or misleading manner.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not provide any type or level of service that is not authorized by its license or by law.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not provide services while its license is suspended, or revoked, inactive, or has lapsed for failure to renew, whether personally or through employees, agents, or volunteers.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(10)">(10)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall correct as soon as practicable all violations and deficiencies found during a department inspection.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(11)">(11)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee's equipment shall be clean and in proper operating condition at all times.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(12)">(12)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not falsify a patient record or any other document which the licensee is required to maintain under state or federal law or department regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(13)">(13)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not employ fraud or misrepresentation to obtain a fee or any reimbursement in the course of emergency medical services or other services under its licensure.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(14)">(14)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall report to the department within ten days the bringing of any criminal charges against the licensee, whether by arrest warrant, information, accusation, or indictment. This subsection shall not apply to minor traffic offenses.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(15)">(15)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall, upon request by the department, submit copies or permit inspection of any document, which the licensee is required to maintain under state or federal law or department regulations.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(16)">(16)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not provide services while under the influence of drugs or alcohol, nor permit any employee or co-worker to do so.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(17)">(17)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall use no less than the requisite number of licensed individuals applicable to its license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(18)">(18)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall act with due regard for the safety of patients and the public in the operation of an emergency vehicle, and shall not use vehicle warning devices unnecessarily or in a manner that endangers the safety of the patient or the public.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(19)">(19)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not aid or abet the unlicensed practice of emergency medical care.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(20)">(20)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not accept anything of value in return for a patient referral.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(21)">(21)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall abide by all regional ambulance zoning plans.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(22)">(22)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall take no action that would jeopardize the health or safety of a patient, including without limitation the abandonment or mistreatment of a patient.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(23)">(23)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall pay all administrative fines in full within thirty days.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(24)">(24)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall display proper identification at all times while on duty, including the Georgia level of licensure.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(25)">(25)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall maintain the confidentiality of all patient records and information.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(26)">(26)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall take no action that results in a criminal conviction on a felony charge, a crime of moral turpitude, or the crime of driving under the influence or possession of a controlled substance.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(27)">(27)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An EMS instructor licensee shall maintain student records as required by the department, and shall meet all license renewal requirements.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(28)">(28)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An EMS instructor licensee must receive a satisfactory evaluation after being monitored by the department on two occasions within a twelve-month period.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(29)">(29)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not discriminate on the basis of national origin, race, color, creed, religion, gender, sexual orientation, age, economic status, or physical or mental ability in providing services.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(30)">(30)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not violate any lawful order of the department.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(31)">(31)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not violate any statue or regulation, state or federal, which pertains to emergency medical services.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.18(32)">(32)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensee shall not violate the security of any exam or exam material for purposes of obtaining or maintaining an EMS license by any means including but not limited to removing any exam materials from an examination area, the unauthorized possession of exam materials, the unauthorized reproduction of exam materials, impersonating an examinee, or having another person take an exam on behalf of a licensee.</span></td> </tr> </table> <h2><a href="/GAC/511-9-2-.19" name="511-9-2-.19" title="511-9-2-.19">Rule 511-9-2-.19 Disciplinary Actions Against Licensees</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall revoke the license of any individual or entity licensed under Chapter 31-11 for failure to comply with Chapter 31-11, the regulations of the department, or approved ambulance zoning plans. The term "license" as used in this regulation includes certificates issued to EMS personnel or instructors pursuant to Article 3 of Chapter 31-11.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department may, in its discretion, impose a lesser sanction where the circumstances of the violation do not merit revocation of the license, including probation on specified terms or suspension.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In addition to revocation, suspension, or probation of a license, the department in its discretion may impose a fine not to exceed a total of $25,000 or up to $1,000 per day for each violation of Chapter 31-11, the regulations of the department, or approved ambulance zoning plans.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Procedure. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(4)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall give written notice of any disciplinary action taken pursuant to this regulation by certified mail or statutory overnight delivery to the licensee's last known address, unless the licensee provides a different address to which notices may be sent. The notice shall set forth the individual facts or conduct, which warrant the disciplinary action.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(4)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The department shall provide an administrative hearing on the disciplinary action if the licensee makes a written request for a hearing. Such written request must be actually delivered to and received by the Director of EMS and Trauma not later than twenty days after the licensee receives the notice of disciplinary action.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(4)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The licensee shall have at least twenty days' prior notice of the time and place of the hearing.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Effective date of disciplinary action. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All disciplinary actions by the department are effective twenty days after the licensee's receipt of the notice, unless the licensee makes a timely request for a hearing. In that event, the action shall become effective upon the agency's final decision.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Upon a written finding set forth in the notice of disciplinary action that the public safety, heath, and welfare imperatively require emergency action, the suspension of the license shall be effective immediately upon issuance of the notice, and a hearing promptly scheduled to consider final revocation of the license.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="511-9-2-.19(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Upon request by the licensee for exculpatory, favorable, or arguably favorable information relative to pending allegations involving disciplinary action, the department shall either furnish such information, indicate that no such information exists, or provide such information to the hearing officer for </span><span class=""><I>in camera</I></span><span class=""> inspection pursuant to O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=50-13-18&amp;title=50#50-13-18(d)(2)" target="_newtab">50-13-18(d)(2)</a></span><span class="">.</span></td> </tr> </table> </div> </div> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/511-9-2-.01" name="511-9-2-.01" title="511-9-2-.01">Rule 511-9-2-.01 Purpose</a></li><li><a href="/GAC/511-9-2-.02" name="511-9-2-.02" title="511-9-2-.02">Rule 511-9-2-.02 Definitions</a></li><li><a href="/GAC/511-9-2-.03" name="511-9-2-.03" title="511-9-2-.03">Rule 511-9-2-.03 Emergency Medical Services Advisory Councils</a></li><li><a href="/GAC/511-9-2-.04" name="511-9-2-.04" title="511-9-2-.04">Rule 511-9-2-.04 Designation of Specialty Care Centers</a></li><li><a href="/GAC/511-9-2-.05" name="511-9-2-.05" title="511-9-2-.05">Rule 511-9-2-.05 Reserved</a></li><li><a href="/GAC/511-9-2-.06" name="511-9-2-.06" title="511-9-2-.06">Rule 511-9-2-.06 Licensure of Air Ambulance Services</a></li><li><a href="/GAC/511-9-2-.07" name="511-9-2-.07" title="511-9-2-.07">Rule 511-9-2-.07 Licensure of Ground Ambulance Services</a></li><li><a href="/GAC/511-9-2-.08" name="511-9-2-.08" title="511-9-2-.08">Rule 511-9-2-.08 Licensure of Neonatal Transport Services</a></li><li><a href="/GAC/511-9-2-.09" name="511-9-2-.09" title="511-9-2-.09">Rule 511-9-2-.09 Licensure of Medical First Responder Services</a></li><li><a href="/GAC/511-9-2-.10" name="511-9-2-.10" title="511-9-2-.10">Rule 511-9-2-.10 Procurement, Control, Handling, and Accountability of Pharmaceuticals</a></li><li><a href="/GAC/511-9-2-.11" name="511-9-2-.11" title="511-9-2-.11">Rule 511-9-2-.11 Inspections of Ambulance Services, Air Ambulance Services, Neonatal Transport Services, and Medical First Responder Services</a></li><li><a href="/GAC/511-9-2-.12" name="511-9-2-.12" title="511-9-2-.12">Rule 511-9-2-.12 Licensure of Emergency Medical Services Personnel</a></li><li><a href="/GAC/511-9-2-.13" name="511-9-2-.13" title="511-9-2-.13">Rule 511-9-2-.13 Licensure Renewal for Emergency Medical Services Personnel</a></li><li><a href="/GAC/511-9-2-.14" name="511-9-2-.14" title="511-9-2-.14">Rule 511-9-2-.14 [Repealed]</a></li><li><a href="/GAC/511-9-2-.15" name="511-9-2-.15" title="511-9-2-.15">Rule 511-9-2-.15 General Provisions for Emergency Medical Technician</a></li><li><a href="/GAC/511-9-2-.16" name="511-9-2-.16" title="511-9-2-.16">Rule 511-9-2-.16 Standards for Training</a></li><li><a href="/GAC/511-9-2-.17" name="511-9-2-.17" title="511-9-2-.17">Rule 511-9-2-.17 Standards for Emergency Medical Service Instructors</a></li><li><a href="/GAC/511-9-2-.18" name="511-9-2-.18" title="511-9-2-.18">Rule 511-9-2-.18 Standards of Conduct for Licensees</a></li><li><a href="/GAC/511-9-2-.19" name="511-9-2-.19" title="511-9-2-.19">Rule 511-9-2-.19 Disciplinary Actions Against Licensees</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 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