ARSD Article 44:05 — AMBULANCE OPERATION

article-44-05ARSD Article 44:05Regulation

Ouvrir la source

HEALTH HEALTH

Chapter 44:05:01

ARSD 44:05:01:01 Definitions

Words and phrases defined in SDCL 34-11-2 have the same meaning when used in this article. In addition, as used in this article, the term, response, means the response of an ambulance and personnel to an emergency for the purpose of rendering medical care or transportation, or both, to someone ill or injured, cancelled calls, no transports, and standby events where medical care may be rendered.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 41 SDR 218, effective July 1, 2015; 42 SDR 173, effective July 1, 2016; 44 SDR 17, effective August 7, 2017; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-2, 34-11-5.
ARSD 44:05:01:02 Definition of unprofessional or dishonorable conduct, Repealed
    44:05:01:02.  Definition of unprofessional or dishonorable conduct. Repealed.

History

  • Source: 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 40 SDR 57, effective October 8, 2013; 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.

Chapter 44:05:02

ARSD 44:05:02:01 Application for license -- Fee

A person or organization that desires to operate an ambulance service must obtain a ground or air ambulance license from the department. The person or organization must submit a completed application to the department at least thirty days before the expected date of operation when applying for a new license. A person or organization must submit a completed renewal application to the department thirty days before the expiration of an existing license. A fee of twelve dollars must accompany the application.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 41 SDR 218, effective July 1, 2015; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-3, 34-11-5.
  • Law Implemented: SDCL 34-11-3, 34-11-5(4).
ARSD 44:05:02:01.01 Transfer only services not allowed

The department shall only issue a ground ambulance license to an ambulance service that receives and responds to emergency 911 calls. An ambulance service that only provides patient transfer services may not operate in South Dakota.

History

  • Source: 40 SDR 39, effective September 9, 2013; 44 SDR 93, effective December 4, 2017.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:02:02 Repealed
          44:05:02:02.  Exemption due to extreme hardship.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; repealed, 6 SDR 93, effective July 1, 1980.
ARSD 44:05:02:03 Repealed
          44:05:02:03.  Application for ground ambulance hardship exemption. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; SL 2016, ch 170, § 3, effective July 1, 2016.
ARSD 44:05:02:03.01 Repealed
          44:05:02:03.01.  Public hearing for ground ambulance hardship exemption -- Issuance of temporary exemption without hearing. Repealed.

History

  • Source: 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; SL 2016, ch 170, § 4, effective July 1, 2016.
ARSD 44:05:02:03.02 Repealed
          44:05:02:03.02.  Expiration of hardship exemption. Repealed.

History

  • Source: 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; SL 2016, ch 170, § 5, effective July 1, 2016.
ARSD 44:05:02:04 Licensing of ambulance service from another state -- Fee

An ambulance service based outside of this state which transports patients within this state, must be licensed by the department before providing patient transport. The application must be made in accordance with § 44:05:02:01.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-3, 34-11-5.
  • Law Implemented: SDCL 34-11-3, 34-11-5(4), 34-11-9(3).
ARSD 44:05:02:05 License does not authorize service where otherwise prohibited

Issuance of a license by the department does not authorize an ambulance service to locate its business within a county, municipality, or authority which requires its own license to operate an ambulance service.

Source 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994.

History

  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-1, 34-11-3.
ARSD 44:05:02:06 Compliance with rules required for issuance of license, Repealed
    44:05:02:06.  Compliance with rules required for issuance of license. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:07 Repealed
          44:05:02:07.  Fees for license.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 20 SDR 204, effective June 9, 1994.
ARSD 44:05:02:08 Repealed
          44:05:02:08.  Reduced license fee for less than two years.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 20 SDR 204, effective June 9, 1994.
ARSD 44:05:02:09 Repealed
          44:05:02:09.  Deposit and accounting for money received.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 12 SDR 58, effective October 14, 1985.
ARSD 44:05:02:10 License not transferable

A license to operate an ambulance service is not transferable. If an ambulance service changes ownership, the department must terminate the license.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-3.
ARSD 44:05:02:11 Repealed
          44:05:02:11.  Expiration and renewal of licenses.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 20 SDR 204, effective June 9, 1994.
ARSD 44:05:02:11.01 Replacement or addition of ambulance, Repealed
    44:05:02:11.01.  Replacement or addition of ambulance. Repealed.

History

  • Source: 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:12 Notice required for discontinuance of ambulance operation

If an ambulance service intends to discontinue operation, the ambulance service must file a notice of intent to discontinue service with the department at least thirty days before the intended date of discontinuance of operation.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:02:13 Revocation or suspension of license, Repealed
    44:05:02:13.  Revocation or suspension of license. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:14 Display of license

An ambulance service shall display the ambulance license at all times where the ambulance service maintains its ordinary and usual place of business.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-3.
ARSD 44:05:02:15 Inspection of ambulance services, Repealed
    44:05:02:15.  Inspection of ambulance services. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 44 SDR 17, effective August 7, 2017; transferred from § 44:05:03:01, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:16 Twenty-four hour, seven-day service required

An ambulance service shall provide service to the public twenty-four hours per day, seven days per week.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; transferred from § 44:05:03:02, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:02:17 Mandatory response time

An ambulance service that operates a ground ambulance shall respond to ninety percent of all emergency calls received within fifteen minutes after receiving the call. The ambulance service shall respond to any emergency call within a maximum of twenty minutes after receiving the call. For the purposes of this section, "respond to," means the ground ambulance is enroute to the location where emergency medical services have been requested.

History

  • Source: 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; transferred from § 44:05:03:02.01, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:02:18 Publication of phone number when not on 911, Repealed
    44:05:02:18.  Publication of phone number when not on 911. Repealed.

History

  • Source: 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; transferred from § 44:05:03:02.02, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:19 Ground ambulance used exclusively on private property exempt from chapter, Repealed
    44:05:02:19.  Ground ambulance used exclusively on private property exempt from chapter. Repealed.

History

  • Source: 20 SDR 204, effective June 9, 1994; transferred from § 44:05:03:02.03, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:02:20 Electronic patient care reports

An ambulance service shall record each response on an electronic patient care report provided by the department. The ambulance service shall submit the patient care report to the department within seventy-two hours of completion of an ambulance response. The department's electronic patient care report must be compliant with the National Emergency Medical Services Information System, Version 3.5. An ambulance service shall keep a copy of each patient care report on file for a minimum of seven years, or in the case of a minor, until the minor reaches twenty-one years of age.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; transferred from § 44:05:03:03, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5, 34-11-7.
ARSD 44:05:02:21 List of personnel required

An ambulance service must provide the department at the time of initial licensing with the name, license or certificate number, and expiration date of the license or certificate, for all ambulance personnel with the ambulance service. An ambulance service must notify the department within thirty days of any change in personnel and provide the name, license or certificate number, and expiration date of the license or certificate, of the personnel.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 42 SDR 173, effective July 1, 2016; transferred from § 44:05:03:05, 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.

Chapter 44:05:03

ARSD 44:05:03:01 Transferred
          44:05:03:01.  Transferred to § 44:05:02:15.
ARSD 44:05:03:02 Transferred
          44:05:03:02.  Transferred to § 44:05:02:16.
ARSD 44:05:03:02.01 Transferred
          44:05:03:02.01.  Transferred to § 44:05:02:17.
ARSD 44:05:03:02.02 Transferred
          44:05:03:02.02.  Transferred to § 44:05:02:18.
ARSD 44:05:03:02.03 Transferred
          44:05:03:02.03.  Transferred to § 44:05:02:19.
ARSD 44:05:03:03 Transferred
          44:05:03:03.  Transferred to § 44:05:02:20.
ARSD 44:05:03:04 Repealed
          44:05:03:04.  Minimum ambulance personnel required. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 41 SDR 218, effective July 1, 2015; SL 2016, ch 170, § 6, effective July 1, 2016.
ARSD 44:05:03:04.01 Ambulance personnel minimum requirements, Repealed
    44:05:03:04.01.  Ambulance personnel minimum requirements. Repealed.

History

  • Source: 42 SDR 173, effective July 1, 2016; 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:04.02 Ambulance personnel minimum age requirement

Any ambulance service personnel must be at least eighteen years of age.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:03:05 Transferred
          44:05:03:05.  Transferred to § 44:05:02:21.
ARSD 44:05:03:05.01 EMR certification, Repealed
    44:05:03:05.01.  EMR certification. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.02 EMR reciprocity, Repealed
    44:05:03:05.02.  EMR reciprocity. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.03 EMR recertification, Repealed
    44:05:03:05.03.  EMR recertification. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.04 EMR scope of practice, Repealed
    44:05:03:05.04.  EMR scope of practice. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.05 EMT certification, Repealed
    44:05:03:05.05.  EMT certification. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.06 EMT reciprocity, Repealed
    44:05:03:05.06.  EMT reciprocity. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.07 EMT recertification, Repealed
    44:05:03:05.07.  EMT recertification. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:05.08 EMT scope of practice, Repealed
    44:05:03:05.08.  EMT scope of practice. Repealed.

History

  • Source: 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:06 Repealed
          44:05:03:06.  Driver and attendant training.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; repealed, 30 SDR 125, effective February 22, 2004.
ARSD 44:05:03:06.01 Repealed
          44:05:03:06.01.  Driver exemption. Repealed.

History

  • Source: 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; repealed, 30 SDR 125, effective February 22, 2004.
ARSD 44:05:03:06.02 Repealed
          44:05:03:06.02.  Two-person ground ambulance response. Repealed .

History

  • Source: 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 41 SDR 218, effective July 1, 2015; effective July 1, 2016
ARSD 44:05:03:06.03 Repealed
          44:05:03:06.03.  Three-person ground ambulance response. Repealed.

History

  • Source: 12 SDR 58, effective October 14, 1985; 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 41 SDR 218, effective July 1, 2015; 42 SDR 173, effective July 1, 2016.
ARSD 44:05:03:07 Repealed
          44:05:03:07.  Advanced attendant training required.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; repealed, 6 SDR 93, effective July 1, 1980.
ARSD 44:05:03:08 Periodic retraining required, Repealed
    44:05:03:08.  Periodic retraining required. Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:03:09 Repealed
          44:05:03:09.  Required use of safety restraints.Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; repealed, 30 SDR 125, effective February 22, 2004.
ARSD 44:05:03:10 Revocation of certification, Repealed
    44:05:03:10.  Revocation of certification. Repealed.

History

  • Source: 40 SDR 39, effective September 9, 2013; 44 SDR 17, effective August 7, 2017; 51 SDR 36, effective September 30, 2024.

Chapter 44:05:04

ARSD 44:05:04:01 Types of permitted vehicles

An ambulance service may use any vehicle as a ground ambulance if the vehicle:

(1) Met federal KKK specifications when it was manufactured; and

(2) Is equipped according to SDCL 32-31-4.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:02 Repealed
          44:05:04:02.  Specifications for used or demonstrator vehicles.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 20 SDR 204, effective June 9, 1994.
ARSD 44:05:04:03 Repealed
          44:05:04:03.  Station wagons prohibited.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 20 SDR 204, effective June 9, 1994.
ARSD 44:05:04:04 Vehicle registration

Each ground ambulance licensee must supply the department with a list of all ground ambulances within five days after being ready for service.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 44 SDR 93, effective December 4, 2017.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:05 Vehicle permit sticker issuance

The department shall issue a vehicle permit sticker to an ambulance service for each ground ambulance in the service.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1), 34-11-8.
ARSD 44:05:04:06 Vehicle permit sticker display

Each ground ambulance must display the vehicle permit sticker in the lower right front passenger windshield of the ground ambulance.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:07 Suction equipment

Each ground ambulance must be equipped with the following suction equipment:

(1) Fixed suction apparatus with regulator;

(2) Portable battery-powered and manual suction devices;

(3) Wide bore tubing; and

(4) Rigid pharyngeal curved suction tip.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:08 Ventilation equipment

Each ground ambulance must be equipped with the following ventilation equipment:

(1) Fixed and portable oxygen equipment with variable flow regulator;

(2) Oxygen administration equipment:

(a) Oxygen tubing;

(b) Partial or non-rebreathing masks in adult, child, and infant sizes; and

(c) Nasal cannulas in adult and pediatric sizes;

(3) Bag-valve masks in adult, child, and infant sizes that are:

(a) Hand operated;

(b) Self-re-expanding bag adult size greater than 1000 ml and child size 450-750 ml;

(c) Disposable;

(d) Operable in cold weather; and

(e) Equipped with an oxygen reservoir and accumulator; and

(4) Airways:

(a) Adult, child, and infant oropharyngeal sizes 0-5;

(b) Nasopharyngeal sizes 20F-34F;

(c) Supraglottic airway device;

(d) Tongue depressors; and

(e) Water soluble lubricating jelly.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:09 Bandage and hemorrhage control supplies

Each ground ambulance must be equipped with the following bandage and dressing equipment:

(1) Multi-trauma dressings;

(2) Gauze pads;

(3) Gauze rolls;

(4) One-inch and two-inch adhesive tape;

(5) One-inch and two-inch hypoallergenic tape;

(6) Burn sheets commercially packaged and sterilized;

(7) Abdominal dressings;

(8) Occlusive dressing or equivalent;

(9) Triangular bandages; and

(10) Arterial tourniquets.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 63, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:10 Obstetric kit

Each ground ambulance must be equipped with the following obstetric equipment:

(1) Towels or drapes;

(2) Bulb suction;

(3) Sterile pads or dressings;

(4) Plastic bags or basin;

(5) Cord clamps, umbilical tape, or ties;

(6) Sterile shears, scissors, or scalpel;

(7) Sterile gloves;

(8) Thermal blanket and head cover or other external infant warming device; and

(9) An Apgar chart.

An ambulance service may utilize a commercially packed obstetric kit to meet this requirement.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:11 Medications

Each ground ambulance must be equipped with:

(1) Chewable eighty-one milligram aspirin;

(2) Glucose;

(3) Medical-grade oxygen;

(4) Medication for the treatment of anaphylaxis; and

(5) Opioid antagonist for the treatment of a suspected opioid overdose.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:11.01 Recommended medications, Repealed
    44:05:04:11.01.  Recommended medications. Repealed.

History

  • Source: 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:04:12 Immobilization devices

Each ground ambulance must be equipped with the following immobilization devices:

(1) One upper extremity immobilization device and one lower extremity immobilization device that support the joint above and below the fracture site sized appropriately for adult and pediatric patients;

(2) Two adult-size radiolucent spine boards with at least three appropriate restraint straps;

(3) Two rigid cervical collars for adult and pediatric patients or adjustable cervical collars for adult and pediatric patients;

(4) One head immobilization device using firm padding or a commercial head immobilization device;

(5) One pediatric immobilization device with appropriate padding; and

(6) One short immobilization device.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:12.01 Cardiac equipment

Each ground ambulance must be equipped with the following cardiac equipment approved by the Food and Drug Administration:

(1) An automated external defibrillator with pediatric capabilities, including child-sized pads and cables or a dose attenuator with adult pads; or

(2) A manual monitor defibrillator used by appropriately trained personnel.

History

  • Source: 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:13 Patient transportation equipment

All ground ambulances shall be equipped with an adjustable wheeled ambulance cot equipped with mattress. The cot must be capable of being secured by mechanical means to the floor or sides of the ground ambulance interior.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:13.01 Wheelchairs prohibited

An ambulance service may not use a wheelchair to transport any patient in an ambulance.

History

  • Source: 30 SDR 125, effective February 22, 2004.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:14 Examination equipment and reference materials

Each ground ambulance must be equipped with the following medical examination equipment and reference materials:

(1) A sphygmomanometer with adult, child, and infant cuffs;

(2) An adult stethoscope;

(3) A pediatric stethoscope;

(4) Disposable hypoallergenic examination gloves;

(5) A pen light;

(6) Glasgow coma scale reference;

(7) Pediatric trauma score reference;

(8) A pediatric vital signs card;

(9) A thermometer with low temperature capability;

(10) State-defined trauma team activation criteria;

(11) A length-based resuscitation tape or reference material that provides appropriate guidance for pediatric drug dosing and equipment sizing based on length or age; and

(12) Pediatric and adult patient care guidelines.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:15 Miscellaneous equipment

Each ground ambulance must be equipped with the following miscellaneous equipment:

(1) An emesis basin or convenience bag;

(2) Towels;

(3) Cold packs;

(4) Linen or paper sheets;

(5) Pillows;

(6) Heavy duty shears;

(7) Sterile saline solution or sterile water for irrigation;

(8) A flashlight;

(9) Blankets;

(10) Disposable bedpan;

(11) Disposable urinal;

(12) Hot packs; and

(13) Triage tags.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:15.01 Infection control equipment

Each ground ambulance must be equipped with the following infection control equipment:

(1) Full peripheral glasses or goggles and face shield;

(2) A high-efficiency particulate air mask;

(3) Non-sterile, latex-free examination gloves in multiple sizes;

(4) Fluid-resistant jumpsuits or gowns;

(5) Commercial antimicrobial hand wash;

(6) Disinfectant for cleaning surfaces and equipment;

(7) Sharps container;

(8) Disposable trash bags; and

(9) Bio-hazard bags.

History

  • Source: 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:16 Repealed
          44:05:04:16.  Mechanical ventilation devices prohibited.Repealed.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 16 SDR 147, effective March 18, 1990.
ARSD 44:05:04:17 Storage of ground ambulance equipment and supplies

Each ground ambulance must provide closed compartments in which required equipment and supplies must be stored. The compartments, equipment, and supplies must be kept free from dust, insects, and rodents. All equipment, both medical and nonmedical, stored in the patient compartment must be secured to prevent injury to the patient or personnel if the ambulance suddenly stops or moves.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:18 Available nonmedical equipment

Each ground ambulance must be equipped with the following nonmedical equipment or have the equipment immediately available on the scene of a response from other sources:

(1) One crescent wrench;

(2) One screwdriver with regular blade;

(3) One Phillips screwdriver;

(4) One vise-grip pliers;

(5) One sixteen-ounce hammer;

(6) One fire axe, crowbar with a pinch point, or wrecking bar;

(7) One bolt cutter; and

(8) One portable hydraulic jack or spreader tool with four-ton capacity.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:19 Nonmedical equipment

Each ground ambulance must be equipped with the following nonmedical equipment:

(1) One five-pound dry chemical multi-use handheld fire extinguisher approved by Underwriters Laboratories and certified by an independent fire extinguisher company within the past calendar year, mounted for easy access;

(2) An emergency response handbook;

(3) Reflective non-igniting warning devices to mark road hazards;

(4) A "No Smoking" sign permanently affixed in the front and patient compartments; and

(5) Working seatbelts and safety restraints for patient, crew, and family.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:04:20 Communication equipment

C** ommunication equipment . Ground ambulances must be equipped with a two-way radio communications link with a dispatch center and a hospital.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR 58, effective October 14, 1985; 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:21 Ambulance cleanliness and disinfection of patient use items

An ambulance licensee must keep both the ambulance interior and exterior and the equipment clean and in working order. All blankets, linens, airways, oxygen masks, nasal cannulas, or other equipment coming in direct patient contact must be single-use, disposable, or cleaned, laundered, and disinfected after each use.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9,1994.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:22 Disinfection of ground ambulance and equipment

A ground ambulance and all exposed equipment must be disinfected immediately after each use.

History

  • Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(3).
ARSD 44:05:04:23 Disposal of medical waste

Each ground ambulance must be equipped with an impervious, rigid container that is securely sealed into which all sharp items exposed to blood or bodily fluids are placed for disposal in conformance with § 74:27:13:17.

History

  • Source: 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(3).
ARSD 44:05:04:24 Report of property damage or personal injury

An ambulance service must report to the department any property damage in excess of one thousand dollars caused by or to a ground ambulance operated by the ambulance service and any personal injury to the public or ambulance personnel that requires medical attention that occurred during a response. The report must be made to the department within five business days after the event that caused the damage or injury.

History

  • Source: 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:04:25 Replacement or addition of ground ambulance

If an ambulance service purchases, leases, or rents a new or used ground ambulance for the purpose of replacing an ambulance or adding to an existing fleet, the ambulance service must notify the department within five business days of the ambulance being ready for service. The department shall then inspect the ambulance within twenty business days of notification for compliance with chapter 44:05:04. The ambulance service may use the ground ambulance, if fully equipped pursuant to chapter 44:05:04, prior to the department's inspection.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1), 34-11-8.

Chapter 44:05:05

ARSD 44:05:05:01 Criteria for aircraft, Repealed
    44:05:05:01.  Criteria for aircraft. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:02 Required certificate of airworthiness

Each air ambulance must have a current certificate of airworthiness from the Federal Aviation Administration. The ambulance service operating the air ambulance must make the certificate available to the department on request.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:05:03 Securing of equipment, Repealed
    44:05:05:03.  Securing of equipment. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:04 Stretcher security, Repealed
    44:05:05:04.  Stretcher security. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June, 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:05 Aircraft doors, Repealed
    44:05:05:05.  Aircraft doors. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:06 Interior height requirements, Repealed
    44:05:05:06.  Interior height requirements. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:07 Required lighting, Repealed
    44:05:05:07.  Required lighting. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:08 Required portable lights, Repealed
    44:05:05:08.  Required portable lights. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:09 Repealed
          44:05:05:09.  Levels of licensure. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017.
ARSD 44:05:05:10 Medical director required, Repealed
    44:05:05:10.  Medical director required. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:11 Required personnel during transport

An air ambulance licensed in this state must have at least one paramedic and one registered nurse on all transports.

A physician, nurse practitioner, physician assistant, or registered respiratory therapist, who is currently licensed in this state, may replace one or both personnel on any air ambulance transport.

Cross-References:

Advanced life support personnel, SDCL chapter 36-4B, art 20:61.

Physicians and surgeons, SDCL chapter 36-4, art 20:47.

Physician assistants, SDCL chapter 36-4A, art 20:52.

Respiratory care practitioners, SDCL chapter 36-4C, art 20:70.

Registered and practical nurses, SDCL chapter 36-9, art 20:48.

Certified nurse practitioners and certified nurse midwives, SDCL chapter 36-9A, art 20:62.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 41 SDR 218, effective July 1, 2015; 44 SDR 17, effective August 7, 2017; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:05:12 Required medical equipment

An air ambulance must be equipped with the following medical equipment:

(1) A patient litter or stretcher;

(2) A stethoscope;

(3) A sphygmomanometer with adult, child, and infant cuffs;

(4) Manual suction;

(5) One set of oropharyngeal airways with six sizes from infant through adult;

(6) One set of nasopharyngeal airways;

(7) A basic oxygen administration system, including a protective pressure gauge, a nongravity-dependent flow meter, a delivery tube, an oxygen mask, and a nasal cannula. The unit must be capable of achieving an oxygen delivery flow rate of at least fifteen liters per minute for thirty minutes;

(8) A primary suction aspirator capable of providing a free air flow of at least twenty liters per minute and achieving a minimum of three hundred millimeters of mercury vacuum within four seconds after clamping the suction tube;

(9) Mouth-to-mask artificial ventilation devices, suitable for use on infant through adult patients, with a supplemental oxygen inlet port. This may be replaced with adult and child bag-valve-masks;

(10) A minimum of two intravenous (IV) bottle or bag holders for securement during transport;

(11) Endotracheal intubation equipment and supplies;

(12) Cardiac monitoring equipment;

(13) Defibrillation equipment;

(14) Air-to-medical facility radio communications;

(15) A portable drug container that includes drugs that have been ordered by the medical director of the air ambulance service; and

(16) IV equipment.

All medical equipment required by this section must be configured and supplied for the patient being transported regardless of the patient's age.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:05:13 Equipment storage

An air ambulance may store the equipment required by § 44:05:05:12 separately from the air ambulance in modular prepackaged form when the air ambulance is not on a response.

History

  • Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:05:14 Trip reports required, Repealed
    44:05:05:14.  Trip reports required. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:15 Electrical power minimums, Repealed
    44:05:05:15.  Electrical power minimums. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:16 Inverter requirements

Each air ambulance must have an inverter with power for medical use that is rated at a minimum of three hundred watts. All inverters used must be sine wave inverters compatible with and able to supply electrical needs for all on-board medical equipment.

History

  • Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1).
ARSD 44:05:05:17 Length of licensing period, Repealed
    44:05:05:17.  Length of licensing period. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:18 Permit

An air ambulance service must have the ambulance permit available in the air ambulance and present it upon request.

History

  • Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1), 34-11-8.
ARSD 44:05:05:19 Required inspection, Repealed
    44:05:05:19.  Required inspection. Repealed.

History

  • Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:20 Ground ambulance component for air ambulance service, Repealed
    44:05:05:20.  Ground ambulance component for air ambulance service. Repealed.

History

  • Source: 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:21 Vehicle requirements for ground ambulance component

A ground ambulance component used by an air ambulance service must meet all vehicle requirements in chapter 44:05:04. However, a ground ambulance component of an air ambulance service is not subject to any municipal or ambulance authority licensure requirements.

History

  • Source: 20 SDR 204, effective June 9, 1994.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:05:22 Personnel requirements for ground ambulance component, Repealed
    44:05:05:22.  Personnel requirements for ground ambulance component. Repealed.

History

  • Source: 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.
ARSD 44:05:05:23 Disinfection of air ambulance and equipment

An air ambulance and all exposed equipment must be disinfected immediately after each use.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(3).
ARSD 44:05:05:24 Disposal of medical waste

Each air ambulance must be equipped with an impervious, rigid container that is securely sealed into which all sharp items exposed to blood or bodily fluids are placed for disposal in conformance with § 74:27:13:17.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(3).
ARSD 44:05:05:25 Report of property damage or personal injury

An ambulance service must report to the department any property damage in excess of one thousand dollars caused by or to an air ambulance operated by the ambulance service and any personal injury to the public or ambulance personnel that requires medical attention that occurred during a response. The report must be made to the department within five business days after the event that caused the damage or injury.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5.
ARSD 44:05:05:26 Replacement or addition of air ambulance

If an ambulance service purchases, leases, or rents a new or used air ambulance for the purpose of replacing an ambulance or adding to an existing fleet, the ambulance service must notify the department within five business days of the ambulance being ready for service. The department shall then inspect the air ambulance within twenty business days of notification for compliance with chapter 44:05:04. The ambulance service may use the air ambulance, if fully equipped pursuant to chapter 44:05:04, prior to the department's inspection.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-5(1), 34-11-8.

Chapter 44:05:06

ARSD 44:05:06:01 Standard form may be used

If a person wishes to direct emergency medical service personnel to withhold resuscitation attempts when the person is in cardiopulmonary arrest, the person may complete a standard form for an EMS cardiopulmonary resuscitation directive as provided by this chapter. The department shall provide the standard form to physicians, physician assistants, and nurse practitioners.

History

  • Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:02 Contents of standard form

The standard form for an EMS cardiopulmonary resuscitation directive shall include the following information concerning the person who is the subject of the EMS cardiopulmonary resuscitation directive:

(1) The person's name, date of birth, and gender;

(2) The person's eye and hair color;

(3) The person's race or ethnic background;

(4) If applicable, the name of the hospice program in which the person is enrolled;

(5) The name, address, telephone number, and signature of the person's attending physician, physician assistant, or nurse practitioner;

(6) The person's signature or mark, or, if applicable, the signature of a person authorized to execute an EMS cardiopulmonary resuscitation directive;

(7) The date on which the EMS cardiopulmonary resuscitation directive was signed; and

(8) A statement directing emergency medical service personnel to withhold cardiopulmonary resuscitation attempts.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:03 Disposition of form

The standard form shall be in triplicate and be distributed as follows:

(1) The original shall be kept by the person named on the form;

(2) The first copy shall be maintained by the physician, physician assistant, or nurse practitioner signing the form; and

(3) The second copy shall be mailed to the department by the physician, physician assistant, or nurse practitioner signing the form.

History

  • Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:04 Optional bracelet may be purchased

Any person with a standard form for an EMS cardiopulmonary resuscitation directive completed pursuant to this chapter may purchase a bracelet from the department indicating the person has completed an EMS cardiopulmonary resuscitation directive pursuant to this chapter.

History

  • Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:05 Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive

Emergency medical service personnel shall recognize that a person has executed an EMS cardiopulmonary resuscitation directive pursuant to this chapter if:

(1) The personnel are presented with the standard form completed pursuant to this chapter; or

(2) The person is wearing a bracelet issued as provided by this chapter.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:06 Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet

.** If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided by this chapter goes into cardiac or respiratory arrest, emergency medical service personnel shall withhold, or, if already begun, immediately withdraw the following resuscitation measures:

(1) Chest compressions;

(2) Defibrillation;

(3) Advanced airway procedures;

(4) Assisted breathing; or

(5) Administration of resuscitation medications.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:07 Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest

If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided in this chapter is dying in the natural course of an illness or disease but has not gone into cardiac arrest, emergency medical service personnel shall withhold, or, if already begun, immediately withdraw the following resuscitation measures:

(1) Advanced airway procedures;

(2) Cardiac medications; and

(3) Assisted breathing.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:08 Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest

If a person with an apparently valid standard form for an EMS cardiopulmonary resuscitation directive or bracelet as provided by this chapter is dying in the natural course of illness or disease but has not gone into cardiac arrest, emergency medical service personnel may perform the following measures:

(1) Assist with maintaining an open airway, including suctioning;

(2) Administer oxygen;

(3) Administer pain medications (if authorized by a physician);

(4) Control bleeding; and

(5) Provide comfort care and emotional support to both patient and family.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:09 Notice of revocation of an EMS cardiopulmonary resuscitation directive

If an EMS cardiopulmonary resuscitation directive as provided by this chapter is revoked pursuant to SDCL 34-12F-8, the person revoking the directive shall notify, in writing, the department, the attending physician, physician assistant, or nurse practitioner, and any emergency medical response agency who has actual knowledge of the EMS cardiopulmonary resuscitation directive.

History

  • Source: 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:10 Absence of an EMS cardiopulmonary resuscitation directive

In the absence of any valid EMS cardiopulmonary resuscitation directive, emergency medical service personnel shall presume a person's consent to cardiopulmonary resuscitation.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.
ARSD 44:05:06:11 Non-standard form cardiopulmonary resuscitation directive

Any competent adult may execute a cardiopulmonary resuscitation directive by other than the standard form for an EMS cardiopulmonary resuscitation directive. If emergency medical services personnel are presented with such a directive, the personnel may comply with the directive to the best of their understanding of it and their ability to do so, consistent with their training, the protocols under which their agency operates, and any medical direction received.

History

  • Source: 32 SDR 38, effective September 5, 2005.
  • General Authority: SDCL 34-12F-3.
  • Law Implemented: SDCL 34-12F-3.

Chapter 44:05:07

ARSD 44:05:07:01 Application form

An application for a hardship exemption must include:

(1) The name of the ambulance service;

(2) The ambulance service owner’s or chief executive officer’s name, official title, address, email address, and phone number;

(3) Documentation that the ambulance service solicited applications from family medicine, internal medicine, emergency medicine, or other qualified medical specialty physicians who are within a fifty-mile radius of the ambulance service coverage area and credentialed to work at the primary receiving facility for the ambulance service and from whom no applications were received;

(4) Documentation that any fee that might be charged by physician willing and available to serve as the medical director is not reasonable and customary and would pose a financial hardship to the ambulance service; and

(5) The name, credentials, and contact information for the program director being requested.

An application must be received by the department at least thirty days prior to the intended start date of the program director.

Cross Reference: Approval of hardship exempion applications, § 44:05:07:02.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-12.2.
  • Law Implemented: SDCL 34-11-12.2.
ARSD 44:05:07:02 Approval of hardship exemption
    44:05:07:02.  Approval of hardship exemption application. The department shall approve a hardship exemption if an ambulance service:

(1) Demonstrates by clear and convincing evidence that no physician who is within a fifty-mile radius of the ambulance service coverage area or credentialed to work at the primary receiving facility for the ambulance service is available and willing to serve as the medical director of the ambulance service for a fee that is less than five percent of the ambulance service’s annual budget; and

(2) Provides documentation that the program director selected has:

(a) A minimum of two years of clinical experience as a physician assistant or nurse practitioner;

(b) Agreed, in writing, to be responsible for the supervision and healthcare direction of the ambulance service; and

(c) Attested to having reviewed and to understanding the Rural EMS Healthcare Direction in South Dakota document on the department website.

Collateral Reference: Rural EMS Healthcare Direction in South Dakota, 2024. Copies available at no cost at https://doh.sd.gov/healthcare-professionals/ems-trauma-program/ambulance-services/.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-12.2.
  • Law Implemented: SDCL 34-11-12.2.
ARSD 44:05:07:03 Renewal of hardship exemption

To renew the exemption approved pursuant to § 44:05:07:01, an ambulance service must submit a new application to the department thirty days prior to the expiration of the current exemption.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-12.2.
  • Law Implemented: SDCL 34-11-12.2.

Chapter 44:05:08

ARSD 44:05:08:01 Quality assurance program standards

In addition to the chart review requirement in SDCL 34-11-11, each ambulance service that provides advanced life support, as defined in SDCL 36-4B-1, shall have the following written quality assurance standards in place that conform with industry safety and scope of practice standards:

(1) Personnel and patient safety;

(2) Use of lights and sirens during patient transport;

(3) Compliance with basic life support or medical or program director approved advanced life support patient care guidelines;

(4) Twelve lead electrocardiogram placement and transmission for patients with suspected cardiac chest pain;

(5) Blood glucose check for a patient with a suspected stroke;

(6) Documentation of at least one set of vitals on every patient transport;

(7) Review of all sentinel, or patient safety, events not primarily related to the natural course of a patient’s illness or underlying condition, that reaches a patient and results in death, severe or permanent harm;

(8) Compliance with trauma, ST-elevation myocardial infarction, and stroke alert activations; and

(9) Medical or program director review and feedback for all:

(a) Cardiac arrest resuscitations;

(b) Patients who received rapid sequence intubation;

(c) Rescue airway placements after a failed intubation; and

(d) Pediatric patients with life threatening emergencies.

History

  • Source: 51 SDR 36, effective September 30, 2024.
  • General Authority: SDCL 34-11-5.
  • Law Implemented: SDCL 34-11-11(8).

Poursuivez vos recherches dans ChatGPT ou Claude

Connectez Omnilex pour rechercher dans le corpus juridique depuis votre assistant IA.