OAR 333-250-0270
Personnel

(1)

The licensed ambulance service must ensure that the service, employees, volunteers, ambulance based clinicians, agents and EMS medical directors comply with all of the requirements of these rules, ORS chapter 682, ORS 820.300 (Exemptions from traffic laws) through 820.380 (Illegal ambulance or emergency vehicle sirens), OAR division 333, chapter 255, and other applicable federal, state and local laws and regulations governing the operation of a licensed ambulance service.

(2)

Prior to an employee, volunteer, or ambulance based clinician being allowed to staff an ambulance, the licensed ambulance service shall:

(a)

Provide and require that each employee, volunteer, and ambulance based clinician complete an initial orientation program that includes but is not limited to:

(A)

Ambulance service standing orders;

(B)

Ambulance service policies and procedures;

(C)

Driving and operating requirements for ambulance vehicles; and

(D)

Operations of equipment.

(b)

Ensure that each employee, volunteer, and ambulance based clinician has successfully completed the following training:

(A)

Bloodborne pathogen and infectious disease training that meets or exceeds standards found in OAR chapter 437, division 2, subdivision Z;

(B)

Hazardous materials awareness training that meets or exceeds standards found in OAR chapter 437, division 2, subdivision H;

(C)

Emergency vehicle operator’s course of instruction prior to independently operating an ambulance. The course must meet or be equivalent to the National Safety Council for Emergency Vehicle Operators Course (EVOC 3) or National Fire Protection Agency (NFPA) Fire and Emergency Service Vehicle Operations Training standards;

(D)

Air medical crew training in accordance with chapter 333, division 255 when operating an air ambulance; and

(E)

Proper operation of all ambulances and equipment that he or she is authorized to use, and is physically capable, and has the ability to lift and move patients, and assist in extrication of patients when necessary, if authorized to do so.

(3)

In addition to the initial orientation program described in subsection (2)(a) of this rule, a licensed ambulance service shall ensure and document in the personnel file that all EMS providers and ambulance based clinicians receive training on:

(a)

The proper use of any new equipment, procedure or medication prior to being placed into operation on an ambulance; and

(b)

Secure transportation of patients in custody in accordance with OAR 309-033-0437 (Mechanical Restraint by a Secure Transport Provider), if the licensed ambulance service has been authorized to perform this service.

(4)

If a licensed ambulance service contracts with or employs an ambulance based clinician for the purpose of providing advanced level care, the licensed ambulance service shall ensure that the ambulance based clinician meets all of the applicable training requirements in sections (2) and (3) of this rule and have documentation that the clinician has completed the following:

(a)

A current AHA, Advanced Cardiac Life Support course or equivalent and a current AHA, Pediatric Advanced Life Support course or equivalent; and either

(b)

A current Prehospital Trauma Life Support course;

(c)

A current Basic Trauma Life Support course;

(d)

A current Trauma Emergency Assessment Management (TEAM) course; or

(e)

A Trauma Nurse Core Course (TNCC).

(5)

The TEAM and TNCC courses referenced in section (4) of this rule must include a supplemental prehospital rapid extrication training session.

(6)

In order to operate a ground ambulance, the licensed ambulance service must:

(a)

Ensure the licensed ambulance service and its employees, volunteers or ambulance based clinicians:

(A)

Comply with all applicable Oregon Motor Vehicle Code statutes relating to motor vehicle and emergency vehicle operations, ORS 820.300 (Exemptions from traffic laws) through 820.380 (Illegal ambulance or emergency vehicle sirens) and ORS chapter 445;

(B)

Complete an emergency ground ambulance operator’s training in accordance with subsection (2)(b) of this rule; and

(C)

Comply with all applicable policies and procedures.

(b)

Ensure the driver of a ground ambulance is a licensed EMS provider in accordance with OAR chapter 333, division 265 and has a valid driver’s license or if the driver is not a licensed EMS provider, ensure that the driver:

(A)

Has a valid driver’s license;

(B)

Has a current Basic Life Support (BLS) Provider card or proof of course completion that meets or exceeds the 2015 American Heart Association (AHA) Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) guidelines;

(C)

Has completed the following training:
(i)
Emergency ground ambulance operator’s training in accordance with subsection (2)(b) of this rule;
(ii)
Bloodborne pathogen and infectious disease training that meets or exceeds standards found in OAR chapter 437, division 2, subdivision Z; and
(iii)
Hazardous materials awareness training that meets or exceeds the Oregon Occupational Safety and Health Division standards found in OAR chapter 437, division 2, subdivision H;

(D)

Signs a statement that he or she is:
(i)
Not addicted to alcohol or controlled substances and is free from any physical or mental condition that might impair his or her ability to operate or staff an ambulance; and
(ii)
Physically capable of assisting in the extrication, lifting and moving of a patient at the direction of an EMS provider; and

(E)

Had a criminal background check conducted by the licensed ambulance service that determined the driver was suitable to operate a ground ambulance; or

(F)

Has been certified by the Department of Public and Safety Standards and Training within the last 365 days.

(c)

Have a certified copy of the qualified driver’s driving record completed through the Oregon Department of Motor Vehicles, Automated Reporting System (ARS) Program or equivalent. If the driver has an out-of-state driver’s license, the licensed ambulance service must obtain an equivalent certified copy driving record from that state, if available and if not available, conduct an annual driving record check. The latest copy must be kept in the driver’s personnel file.

(7)

A licensed ambulance service may not permit an employee, volunteer or ambulance based clinician to operate an ambulance, equipment, or have contact with a patient if the employee, volunteer or ambulance based clinician:

(a)

Is taking any medication that could impair safe operation and handling of the ambulance, equipment, or patient; or

(b)

Has consumed any alcoholic beverages within the last eight hours.

(8)

In order to provide air ambulance service, the licensed ambulance service must ensure that the licensed ambulance service, employee, volunteer or ambulance based clinician:

(a)

Comply with the Federal Aviation Regulation (FAR), 14 CFR Part 135; and

(b)

Successfully complete the 2004 Association of Air Medical Services (AAMS) Guidelines or equivalent. There must also be an annual review of the Air Medical Crew course material, the length of which must be established by the EMS medical director.

(9)

Prior to independently staffing an ambulance, an employee, volunteer or ambulance based clinician must begin the Hepatitis-B immunization series or have a signed statement of declination.

(10)

The licensed ambulance service must submit a completed reportable action form to the Authority, within the times specified, for any of the following actions:

(a)

Hiring a new employee or volunteer, within 14 business days;

(b)

Terminating or suspending an employee or volunteer for cause, within 14 business days; and

(c)

Disciplinary action taken by the licensed ambulance service or the EMS medical director for unprofessional conduct as defined in OAR 333-265-0000 (Definitions), within 14 business days.

(11)

A licensed ambulance service must not schedule or allow an employee, volunteer or ambulance based clinician to serve on an ambulance who is impaired by excessive fatigue, illness, injury or other factors that may reasonably be anticipated to constitute a threat to the health and safety of patients or the public.

Source: Rule 333-250-0270 — Personnel, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-250-0270.

Last Updated

Jun. 8, 2021

Rule 333-250-0270’s source at or​.us