Ground and air ambulance staffing. Licenses shall be issued for three types of
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1 Ground and air ambulance staffing. Licenses shall be issued for three types of ambulance vehicles and aircraft. These ambulances shall be known as type I, type II, and type V. Each operator shall staff each licensed ground ambulance shall be staffed in accordance with these the board s regulations. (a) Each operator of a type I ambulance service operator shall staff each type I ambulance with at least two attendants during patient transport. (1) At least one attendant shall be one of the following medical personnel: (A) A mobile intensive care technician paramedic; (B) a physician; (C) a registered licensed physician's assistant; or (D) a licensed professional nurse; or (E) a licensed advanced practice registered nurse. (2) The second attendant may be any of the following: (A) An emergency medical technician; (B) an emergency medical technician-intermediate; (C) an emergency medical technician-defibrillator; (D) a mobile intensive care technician an emergency medical technician- Intermediate/defibrillator; (E) a physician an advanced emergency medical technician;
2 Page 2 (F) a registered licensed physician's assistant; or (G) a physician; or (H) a licensed professional nurse. (b) Each type I and operator of a type II ambulance service operator shall staff each type II ambulance with at least two attendants. During patient transport., one of the following shall provide care to the patient in the patient compartment: (1) At least one attendant shall be an emergency medical technician. (2) One of the following shall be in the patient compartment during patient transport: (A) An emergency medical technician; (B) (2) an emergency medical technician-intermediate; (C) (3) an emergency medical technician-defibrillator; (D) (4) a mobile intensive care an advanced emergency medical technician; (E) (5) a physician paramedic; (F) (6) a registered physician s assistant physician; or (G) (7) a licensed professional nurse physician s assistant; (8) a licensed professional nurse; or (9) a licensed advanced practice registered nurse. Page 3
3 (c) Each operator of a type IIA ambulance service shall staff each ambulance with at least two attendants. In addition, when appropriate staffing is available, ALS, as defined in K.A.R , may be provided with the appropriate equipment and protocols. One of the following shall provide patient care appropriate to the patient s condition in the patient compartment during patient transport: (1)(A) For BLS transports, as BLS is defined in K.A.R , a care provider who is at or above the level of an emergency medical technician; and (B) for ALS transports, a care provider who is at or above the level of an emergency medical technician-intermediate, emergency medical technician-defibrillator, emergency medical technician-i/d, or advanced emergency medical technician; (2) a paramedic; (3) a physician; (4) a licensed physician's assistant; (5) a licensed professional nurse; or (6) a licensed advanced practice registered nurse. (d)(1) Each operator of a type V ambulance service operator shall staff each type V ground ambulance with a driver or pilot and at least two medically trained persons, one of Page 4 whom shall be a physician or a licensed professional nurse. at least the following:
4 (A) A licensed professional nurse or a physician; and (B) any of the following: (i) A paramedic; (ii) a physician; (iii) a licensed physician's assistant; (iv) a licensed professional nurse; (v) a licensed advanced practice registered nurse; or (vi) a license respiratory therapist. Additional staffing shall be commensurate with the patient s care needs as determined by the service s medical advisor adviser or as described in the service s medical protocols. The medical personnel shall remain in the patient compartment during patient transport. (d) (2) At least one of the medical personnel on each type V ambulance shall When providing critical care transports, as defined in K.A.R , at least one of the medical personnel shall have completed and be current in the course in the provider manual titled advanced cardiac cardiovascular life support (ACLS), as in effect on January 1, 1997 including the appendices, published by the American heart association and dated 2011, which Page 5 is adopted herein by reference, or the equivalent as approved by the board. Each attendant shall have current certification in advanced cardiovascular life support.
5 (e) (3) When performing neonatal or pediatric missions, at least one of the medical personnel on each type V ambulance shall have completed and be current the course in the provider manual titled pediatric advanced life support (PALS), as in effect on January 1, 1996 including the appendices, published by the American heart association and dated 2011, which is adopted herein by reference, or the equivalent as approved by the board. Each attendant shall have current certification in pediatric advanced life support. (f) (4) When responding to the scene of an accident or medical emergency, not including transports between medical facilities, at least one of the medical personnel on each type V ambulance shall have completed and shall be current certified in one of the following programs as in effect on January 1, 1996, which are adopted herein by reference areas: (1) Advanced trauma life support (ATLS) ; (2) flight nurse advanced trauma course (FNATC) transport nurse advanced trauma course (TNATC); (3) trauma nurse core course (TNCC) ; (4) critical care emergency medical transport program (CCEMTP); or Page 6 (5) pre-hospital trauma life support (PHTLS) ; or (5) an equivalent course as approved by the board. (Authorized by K.S.A
6 Supp ; implementing K.S.A Supp , K.S.A , and K.S.A Supp ; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Jan. 31, 1997; amended P-.)
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