Section 836IAC1-12-4. Emergency medical technician-basic advanced provider organization; operating procedures

   (a) Each emergency medical technician-basic advanced provider organization shall do the following:

(1) Comply with the emergency medical service provider organization operating procedures of 836 IAC 1-1-8.

(2) Establish daily equipment checklist procedures to ensure the following:

(A) Mechanical and electronic equipment is in proper operating condition.

(B) Emergency response vehicles are maintained in a safe operating condition at all times.

(C) Intravenous fluids and administration sets are available and functional.

(D) Equipment, medication, fluid, and supplies do not exceed the manufacturer's specified expiration date.

  (b) A copy of the protocols and list of intravenous fluids and administration supplies shall be maintained by the emergency medical technician-basic advanced provider organization. Any changes to the protocols and [sic] or list of intravenous fluids or administration supplies shall be provided in writing to the agency within thirty (30) days.

  (c) The following requirements apply to the use of equipment and supplies by emergency medical technician-basic advanced:

(1) Emergency medical technician-basic advanced are prohibited from having in their possession, or maintained on board emergency response vehicles, any equipment or supplies that have not been approved by the emergency medical technician-basic advanced provider organization medical director.

(2) Accountability for:

(A) distribution;

(B) storage;

(C) ownership; and

(D) security;

of equipment and supplies shall be in accordance with the requirements established by the issuing pharmacy and medical director.

  (d) Each emergency medical technician-basic advanced provider organization shall do the following:

(1) Follow sanitation procedures established in 836 IAC 1-1-8.

(2) Ensure that all ambulances used for the provision of emergency medical technician-basic advanced contain the rescue equipment required in 836 IAC 1-3-4, the emergency care equipment required in 836 IAC 1-3-5, and the communication equipment required in 836 IAC 1-4-2. In addition, the emergency medical services vehicles used for the provision of emergency medical technician-basic advanced shall also carry the following items:

(A) One (1) portable ECG monitor/defibrillator with defibrillation pads or paddles, which may be the defibrillator listed in 836 IAC 1-3-5(1)(L).

(B) Intravenous fluids and administration supplies as approved by the medical director.

(C) A current copy of emergency medical technician-basic advanced protocols shall be maintained on board the emergency medical services vehicle at all times.

(D) A copy of the list of intravenous fluids and administration sets, including quantities as approved by the medical director.

  (e) An emergency medical technician-basic advanced provider organization and any affiliated emergency medical technician-basic advanced possessing approval for intravenous line placement from the medical director may transport and treat a patient or patients from a health care facility as follows if:

(1) The only procedure that has been previously initiated for the patient is an intravenous line or lines administering prepackaged solutions of dextrose or electrolytes that contain one (1) or more of the following additives and no others:

(A) Vitamins.

(B) Sodium chloride, excluding saline solutions in excess of nine-tenths percent (0.9%) concentration.

(C) Potassium chloride (forty (40) milliequivalent per liter maximum).

(D) Cortisone.

(E) Antibiotics.

(2) The ambulance contains sufficient quantities of the intravenous supplies and solutions received by the patient in order to:

(A) maintain the patient's established medical intervention; and to [sic]

(B) manage patient complications that may be reasonably anticipated to occur en route to the patient's destination.

  (f) An emergency medical technician-basic advanced provider organization shall not do the following:

(1) Operate an ambulance or other emergency medical service vehicle unless it is in full compliance with this article.

(2) Transport any emergency patient in any vehicle except a certified ambulance.

(Indiana Emergency Medical Services Commission; 836 IAC 1-12-4; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3533; filed Jul 31, 2007, 10:01 a.m.: 20070829-IR-836060011FRA; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFA; readopted filed Oct 31, 2016, 1:48 p.m.: 20161130-IR-836160328RFA)

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