DHS 110.39(5) (5)The ambulance service provider shall staff an ambulance appropriately for the acuity of the patient as designated by the sending physician and in conformity to the staffing requirements in s. DHS 110.50.
DHS 110.39(6) (6)The ambulance service provider shall specifically identify the EMS personnel that are credentialed or part of the interfacility transport program.
DHS 110.39(7) (7)The ambulance service provider shall meet other requirements the department specifies.
DHS 110.39 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.40 DHS 110.40Intercept service. In addition to the responsibilities under s. DHS 110.34, an ambulance service provider or non-transporting EMT service that provides intercept services is subject to all of the following requirements:
DHS 110.40(1) (1)The emergency medical service provider shall be licensed as a 9-1-1 emergency medical service provider.
DHS 110.40(2) (2)The emergency medical service provider intercept services shall not interfere with its responsibility to provide 9-1-1 emergency response within its primary service area.
DHS 110.40(3) (3)If providing intercept services in a 2 paramedic system, the ambulance service provider shall use 2 paramedics during transports, and, if 2 paramedics are not available, it shall operate at the next lower level of service.
DHS 110.40(4) (4)The intercept service shall identify a schedule for availability of intercept services, if the service does not provide 24 hour-a-day, 7 day-a-week coverage.
DHS 110.40 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.41 DHS 110.41Air medical services.
DHS 110.41(1)(1)In order to provide air medical service in Wisconsin, an ambulance service provider, including an ambulance service provider licensed in another state that makes more than 4 patient transports a year that originate and terminate in Wisconsin, shall be licensed under s. DHS 110.35, to provide air medical services and shall be nationally accredited for air medical transports by an entity approved by the department as follows:
DHS 110.41(1)(a) (a) An ambulance service provider that was licensed by the department as an air medical service provider before July 1, 2010 shall obtain national accreditation for air medical transports by an entity approved by the department no later than July 1, 2015.
DHS 110.41(1)(b) (b) Effective July 1, 2010, only ambulance service providers licensed at the paramedic level may be licensed as air medical services providers.
DHS 110.41(2) (2)An ambulance service provider licensed at the paramedic level and endorsed to provide air medical services that responds to 9-1-1 emergency response calls in its primary service area, shall provide 24-hour-a-day, 7days-a-week air medical service, except when limited in particular circumstances by safety or mechanical considerations.
DHS 110.41(3) (3)When an ambulance service provider receives a request for air medical services transport, the ambulance service provider shall notify the requesting agency of the estimated time of arrival at the scene of a medical emergency or the medical facility for an interfacility transport, and it shall immediately communicate any changes in estimated time of arrival to the requesting agency.
DHS 110.41 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.42 DHS 110.42Tactical emergency medical services. An ambulance service provider or other agency shall obtain departmental approval before using licensed EMS personnel to provide tactical emergency medical services as follows:
DHS 110.42(1) (1)Ambulance services providers. To obtain department approval to provide tactical emergency medical services, an ambulance service provider shall submit an application and operational plan as provided under s. DHS 110.35 (2).
DHS 110.42(2) (2)Tactical teams. To obtain department approval, an agency shall do all of the following:
DHS 110.42(2)(a) (a) Apply on a form obtained from the department.
DHS 110.42(2)(b) (b) Submit patient care protocols for the emergency medical care the agency intends to provide.
DHS 110.42(2)(c) (c) Submit an explanation of how the agency will interact with an ambulance service provider and maintain the initial level of patient care.
DHS 110.42(2)(d) (d) Submit proof of medical liability insurance.
DHS 110.42(2)(e) (e) Submit a written quality assurance and training plan for the EMS personnel that operate on the team.
DHS 110.42 Note Note: An application form may be obtained through the department's website at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.42 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.43 DHS 110.43Special units. If a licensed ambulance service owns, operates, and maintains special transport vehicles including, but not limited to, boats, ATV's, or snowmobiles, the licensed ambulance service shall identify them in its application and operational plan as required under s. DHS 110.35 (2).
DHS 110.43 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.44 DHS 110.44Special events. A licensed ambulance service provider or non-transporting EMT service shall obtain department approval before providing emergency medical services for special events outside its primary service area or that will require the provider to exceed its normal staffing and equipment levels within its primary service area. Events that occur on a regular basis may be included in the service operational plan and an update submitted in lieu of a complete plan. To obtain department approval, the ambulance service provider shall submit all of the following to the department not less than 14 business days before the event:
DHS 110.44(1) (1)Name of the ambulance service provider or non-transporting EMT service requesting approval.
DHS 110.44(2) (2)Contact information for the event manager, including how to contact the ambulance service provider during the event.
DHS 110.44(3) (3)Locations, dates, and times of the event.
DHS 110.44(4) (4)Name, address, phone numbers, and e-mail addresses for each service medical director who will oversee the medical services at the event.
DHS 110.44(5) (5)Name and contact information for the medical control facility.
DHS 110.44(6) (6)The types of EMS services that will be provided.
DHS 110.44(7) (7)The level of EMS service that will be provided.
DHS 110.44(8) (8)The ambulance staffing configurations and types.
DHS 110.44(9) (9)Whether the service will be “dedicated services" or “as available" based on resources.
DHS 110.44(10) (10)Description of on-site communications between the event manager, event staff, dispatch, and 9-1-1 dispatch.
DHS 110.44(11) (11)Explanation of how medical control will be contacted for on-site medical direction at the patient location.
DHS 110.44(12) (12)Any special patient care protocols for use at the event.
DHS 110.44(13) (13)Explanation of how EMS personnel will be notified and requested during the event.
DHS 110.44(14) (14)Explanation of how the ambulance service provider will integrate with the 9-1-1 system.
DHS 110.44(15) (15)Explanation of how a 9-1-1 request that is generated within the event by a participant or spectator will be handled.
DHS 110.44(16) (16)Identification of the service provider that will respond to a 9-1-1 call initiated from within the event.
DHS 110.44(17) (17)Documentation that the ambulance service provider for the primary service area in which the event is located has approved the ambulance service provider who is outside its service area to provide event coverage within its primary service area.
DHS 110.44(18) (18)Written assurance that adequate resources will be available.
DHS 110.44(19) (19)Written acknowledgement that the ambulance service provider requesting special event approval assumes all liability for ambulance coverage and response during the event.
DHS 110.44(20) (20)Copies of any agreement or contract for providing emergency medical services for the event.
DHS 110.44 Note Note: When submitting copies of the contracts or agreements the service may redact any compensation information.
DHS 110.44(21) (21)Other information as determined by the department
DHS 110.44 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.45 DHS 110.45Department decisions on applications.
DHS 110.45(1)(1)Except as provided in sub. (2), the department shall review and make a determination on an application that has been completed in accordance with all of the department's instructions for completion within 60 business days of receiving the application. If the department approves the application, the department will notify the applicant and issue a license. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.
DHS 110.45(2) (2)The department shall either approve the application and issue a license or deny the application within 90 business days after receiving a complete application for an emergency medical service provider license that requires department review of algorithm protocols, including an application for a change or update of any algorithm protocol. If the application for a license or algorithm protocol approval is denied, the department shall give the applicant reasons, in writing, for the denial and shall inform the applicant of the right to appeal that decision.
DHS 110.45(3) (3)The department's failure to deny an application within the time period established under sub. (1) or (2) does not constitute department approval of the license application. An applicant may not provide emergency medical services until the department has issued the applicant a license.
DHS 110.45 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.46 DHS 110.46License duration. A license issued by the department to an emergency medical service provider is valid as long as the provider remains in continuous compliance with EMS-related federal and state statutes, this chapter, and the operational plan approved by the department, or until the provider notifies the department in writing that it intends to cease providing emergency medical services or the department suspends or revokes the license.
DHS 110.46 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.47 DHS 110.47Required personnel and responsibilities. An emergency medical service provider shall have all of the following personnel:
DHS 110.47(1) (1)A service director qualified under s. DHS 110.48.
DHS 110.47(2) (2)A service medical director qualified under s. DHS 110.49.
DHS 110.47(3) (3)An infection control designee who is responsible for maintaining the infection control program and meeting Occupational Safety and Health Administration standards for blood borne pathogens and safety.
DHS 110.47(4) (4)A quality assurance designee who is responsible for managing patient-based quality improvement processes in collaboration with the service medical director.
DHS 110.47(5) (5)A training designee who is responsible for assisting the service medical director in assuring continued competency and facilitating the continuing education of the provider's EMS personnel.
DHS 110.47(6) (6)A data contact designee who is responsible for assuring that patient care report data is submitted to the department as required in this chapter.
DHS 110.47(7) (7)EMS professionals sufficient to meet the staffing requirements under s. DHS 110.50.
DHS 110.47 Note Note: These personnel do not have to be separate people. One person may hold several of these positions.
DHS 110.47 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.48 DHS 110.48Service director. An emergency medical service provider shall have a service director who shall:
DHS 110.48(1) (1)Serve as the primary contact between the emergency medical service provider and the department.
DHS 110.48(2) (2)Assure that all elements of the operational plan are kept current.
DHS 110.48(3) (3)Assure that EMS personnel are properly licensed and credentialed.
DHS 110.48(4) (4)Provide day-to-day supervision of the ambulance service provider's operations.
DHS 110.48 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.49 DHS 110.49Service medical director. An emergency medical service provider shall have a service medical director who meets all of the qualifications under sub. (1) and has all the responsibilities under sub. (2):
DHS 110.49(1) (1)Qualifications. The service medical director shall meet all the following within 180 days from the date of his or her appointment:
DHS 110.49(1)(a) (a) Licensure as a physician.
DHS 110.49(1)(b) (b) Current certification in CPR for health care professionals and, if the medical director provides medical direction for an EMT-intermediate or EMT-paramedic emergency medical services provider, current certification in ACLS, unless the physician is certified by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine.
DHS 110.49(1)(c) (c) Education, training and experience in emergency medicine.
DHS 110.49(1)(d) (d) Familiarity with the design and operation of pre-hospital EMS systems.
DHS 110.49(1)(e) (e) Experience or training in the EMS quality improvement process.
DHS 110.49(1)(f) (f) Successful completion of the department's service medical director course.
DHS 110.49(1)(g) (g) Any additional requirements prescribed by the department.
DHS 110.49(2) (2)Responsibilities. The service medical director shall do all of the following:
DHS 110.49(2)(a) (a) Prescribe patient care protocols under which the provider's EMS personnel treat.
DHS 110.49(2)(b) (b) Develop, review and approve in writing all patient care protocols that will be used by EMS personnel delivering patient care under the operational plan.
DHS 110.49(2)(c) (c) Ensure that physicians providing on-line medical control do so in a manner consistent with the department approved patient care protocols.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.