NAC450B.578. Ambulance, air ambulance or agency’s vehicle: Communication with and agreement by hospital.  


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  • An ambulance, air ambulance or agency’s vehicle which is to be used to provide basic, intermediate or advanced emergency care must be equipped for 24-hour communication by radio with a hospital, and the hospital must agree to:

         1. Have its emergency department supervised 24 hours a day by a physician or registered nurse supervised by a physician. The physician must be available in the hospital or be able to be present in the hospital within 30 minutes.

         2. Record on magnetic tape or digital disc all transmissions between the hospital and the ambulance or agency’s vehicle regarding care of patients, and retain the tapes or discs for at least 90 days, if the tapes or discs are not retained at a regional dispatch center.

         3. Make available to the medical director of the service or fire-fighting agency or the Health Division the tapes or discs concerning patients for the purposes of auditing performance and investigating any alleged violation of this chapter by an ambulance, air ambulance service or fire-fighting agency or one of its attendants or registered nurses.

         4. Provide the emergency medical technicians, intermediate emergency medical technicians, advanced emergency medical technicians and registered nurses with an opportunity for regular participation in continuing education.

         5. Supervise the supply of medications, intravenous fluids and other medical supplies to be used in the ambulance, air ambulance or agency’s vehicle.

         6. Include the report of emergency care in the medical record of the hospital for each patient.

     (Added to NAC by Bd. of Health, eff. 10-14-82; A 8-22-86; 11-12-87; 8-1-91; R182-01, 3-5-2002)