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Ohio Laws and Rules
(A) “Board” means the Ohio medical transportation board as described in section 4766.02 of the Revised Code.
(B) “Headquarters” means the location which a licensee operates, designated by the licensee as the location where the records described in this chapter are maintained or readily available.
(C) “Medical Transportation Organization (MTO)” has the same meaning as emergency medical service organization as defined in division (H) of section 4766.01 of the Revised Code.
(D) “Operate” means to engage in conduct or activity in furtherance of the licensed activity at or from a physical location owned, leased or maintained by the licensee where employees report to work and vehicles or aircraft are stored. Operate also includes the act of receiving a person within Ohio for transportation to a location within Ohio.
(E) “Readily Available” means produced upon demand of the board.
(F) “Satellite Base” means a physical location other than headquarters from which a licensee operates.
(G) “Service Number” means the number assigned to the licensee by the Ohio medical transportation board for the purpose of identifying and validating the service or licensee.
(H) “Service Code” has the same meaning as service number.
(I) “Temporary Vehicle” means an ambulance or non-transport vehicle used to temporarily replace a permitted ambulance or non-transport vehicle in accordance with rule 4766-2-12 of the Administrative Code that is out of service until the permitted ambulance or non-transport vehicle is returned to service.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Date
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.01
An applicant shall complete the application in the English language.
(A) A MTO applying for licensure shall file with the board an applicaion on the form prescribed by the board and shall submit the completed application to the board accompanied by the appropriate fee as defined in rule 4766-2-03 of the Administrative Code.
(B) In addition to the requirements set forth in section 4766.04 of the Revised Code, for each application the MTO applicant shall provide:
(1) The name of applicant to include:
(a) All names that applicant plans to operate under including but not limited to trade name(s), dba(s) registered with the Ohio secretary of state;
(b) Address of MTO’s headquarters;
(c) Mailing address of applicant;
(2) All medicare provider numbers, all medicaid provider numbers;
(3) Highest level of service to be provided, type of organization, service areas including county and state;
(4) A list of the names and addresses of all officers, directors, and/or owners of the MTO;
(5) The name, address and physician license number of Ohio program medical director as specified in rule 4765-1-01 of the Administrative Code;
(6) For each satellite base, the MTO shall provide the street address, city, county, state, and zip code;
(7) The name of the primary contact person, business or administrative office telephone number, and if applicable, office fax number and e-mail address;
(8) Year of manufacture, make, model, vehicle identification number, odometer reading, license plate number (renewal only) of each ambulance or non-transport vehicle to be permitted;
(9) A color photograph of the side of vehicle displaying color scheme, insignia, monogram, or other distinguishing characteristic. If multiple color schemes, insignias, monograms, or other distinguishing characteristics are used, a color photograph of each must accompany application. (Digital photographs are encouraged);
(10) A current certificate of liability insurance listing Ohio medical transportation board as a certificate holder with a thirty day cancellation notice as specified in section 4766.06 of the Revised Code:
The actual name on the licensure application shall appear on the certificate of liability insurance;
(11) Type of entity, including but not limited to, corporation, partnership, and sole proprietorship as registered with the Ohio secretary of state.
(C) Each MTO shall pay the appropriate fees as specified in rule 4766-2-03 of the Administrative Code.
(D) If an application for licensure is incomplete, the board will notify the MTO that the application will not be processed until it is complete. Such notification will occur via certified mail one time for each submission.
(E) The certificate of licensure issued by the board shall indicate the highest level of service the MTO is authorized to provide.
(F) Licenses shall be issued to MTOs who meet the criteria to provide the following levels of service:
(1) Basic life support;
(2) Intermediate life support;
(3) Advanced life support.
(G) No applicant or licensee shall submit false statements in order to obtain a license or permit.
(H) A license is not transferable.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.03, 4766.04, 4766.07
(A) Each MTO shall pay the following license fee annually:
Initial or renewal license fee of one hundred dollars.
(B) Each MTO shall pay a permit fee for each ambulance or non-transport vehicle of one hundred dollars annually.
(C) Each MTO that shows satisfactory evidence of compliance with section 4766.10 of the Revised Code shall be eligible for the fifty percent fee reduction only for the ambulance(s) or non-transport vehicle(s) operating within the municipality. The fifty percent reduction applies to license fees, permit fees, and renewal fees but does not apply to the inspection and reinspection fees.
(1) To be eligible for reduction, the MTO must show evidence of municipal license that meets or exceeds section 4766.10 of the Revised Code;
(2) Each MTO shall declare the number of ambulance(s) and non-transport vehicle(s) at each licensed location.
(D) Each MTO shall pay an inspection fee of one hundred dollars per ambulance or non-transport vehicle.
(E) Each MTO shall pay a one hundred dollar reinspection fee for every ambulance or non-transport vehicle that requires reinspection as a result of a deficiency issued by the Ohio medical transportation board.
(F) Each MTO shall pay a one hundred dollar fee for each temporary vehicle to be used.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.05
(A) The board shall conduct initial and renewal inspections of all MTOs pursuant to Chapter 4766. of the Revised Code and rules 4766-2-04, 4766-2-05, and 4766-2-06 of the Administrative Code to include the following:
(1) MTO service headquarters;
(2) MTO service satellite base(s).
(B) A MTO shall not commence operations from its headquarters or satellite(s) until the MTO has met all requirements set forth in Chapter 4766. of the Revised Code and Administrative Code including satisfactory inspections of all physical locations.
(C) A MTO shall ensure compliance with the inspection requirements for physical facilities. The inspection requirements for physical facilities of a MTO are as follows:
(1) Board issued license shall be prominently displayed in conspicuous location at every licensed facility;
(2) Ohio state board of pharmacy license(s) shall be displayed;
(3) A written sanitation plan shall be on site;
(4) The physical facilities shall maintain all single use supplies and equipment as set forth in rule 4766-2-10 of the Administrative Code.
(D) The board may conduct routine unannounced inspections at any location of licensed MTO at any time, including night or weekend inspections to determine compliance with Chapter 4766. of the Revised Code and agency 4766 of the Administrative Code to include, but not limited to, the following:
(1) MTO service headquarters;
(2) MTO service satellite base(s);
(3) Ambulance(s) and non-transport vehicles(s).
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.03
(A) The MTO shall maintain or have readily available the following at its headquarters:
(1) Current copy of the organization’s operating protocol(s) as filed with the Ohio state board of pharmacy;
(2) Verification of the following:
(a) Completion of emergency vehicle operator course for non-EMS certified personnel as described in rule 4766-2-13 of the Administrative Code;
(b) EMS certification of all EMT-B, EMT-I, and EMT-P personnel;
(3) A current certificate of liability insurance listing Ohio medical transportation board as a certificate holder with a thirty day cancellation notice as specified in section 4766.06 of the Revised Code;
(4) Current copy of the MTO’s written policy covering the use of warning devices;
(5) Records or other documents related to patient care or to emergency medical service personnel maintained by the licensed MTO which shall be made available for review by the board;
Such records or documents shall be made available in accordance with 45 C.F.R. 164.512 ;
(6) Maintenance records for vehicles as specified in rule 4766-2-09 of the Administrative Code;
(7) Maintenance records for bio-medical equipment as specified in rule 4766-2-09 of the Administrative Code;
(8) Dispatch log;
(9) Written plan for restocking of supplies or compliance with paragraph (C)(4) of rule 4766-2-04 of the Administrative Code;
(10) Ohio state board of pharmacy license and addendum;
(11) DEA registration certificate (as applicable);
(12) Clinical laboratory improvement amendments (CLIA) waiver (as applicable);
(13) Current written plan for the handling and disposal of bio-medical infectious materials (OSHA rule 20 C.F.R. part 1910.1030 ).
(B) A licensee shall maintain or have readily available the following at each satellite base:
(1) Current copy of the organization’s operating protocol(s) as filed with the Ohio state board of pharmacy;
(2) Documentation as required under rule 4766-2-07 of the Administrative Code;
(3) Current copy of the MTO’s written policy covering the use of warning devices;
(4) Written plan for restocking of supplies or compliance with paragraph (C)(4) of rule 4766-2-04 of the Administrative Code;
(5) Ohio state board of pharmacy license(s) and addendum(s);
(6) Current written plan for the handling and disposal of bio-medical infectious materials (OSHA rule 29 C.F.R. part 1910.1030 ).
(C) Upon licensure, each licensed MTO shall prominently display the original certification of licensure at its headquarters and each satellite base.
(D) Patient records
(1) Each licensed MTO shall maintain accurate records concerning the transportation of each patient for a minimum of seven years.
(2) Each record shall include the following:
(a) Patient’s name;
(b) Patient’s sex;
(c) Patient’s age;
(d) Patient’s date of birth;
(e) Address of patient;
(f) Location address of incident or pickup;
(g) Patient’s chief complaint;
(h) Patient’s history including:
(i) Current medical condition;
(ii) List of current medications;
(iii) Allergies;
(iv) Vital signs and time assessed
(a) Blood pressure;
(b) Pulse;
(c) Respiration;
(i) Any responsible guardian;
(j) Advanced directives, if applicable;
(k) Final destination;
(l) Treatment rendered;
(m) The following times:
(i) Time call received;
(ii) Dispatch time;
(iii) Enroute time;
(iv) On-scene time;
(v) Departure from scene time;
(vi) Arrival at destination time;
(n) The names and level of certification for all medical personnel;
(o) The names of any non-EMS certified personnel, if applicable.
(3) A copy of the record for each patient shall be provided to the receiving facility, which includes all the information required by this rule not to exceed twenty-four hours from time of dispatch.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.06
(A) All licensed MTO dispatch centers shall be equipped with a base station capable of two-way communications with associated mobile radios on an assigned frequency. Cellular telephone with active two-way radio communication capabilities is permissible. This channel will be used exclusively for dispatch. The base station shall demonstrate and maintain voice communications with the radios used in the permitted ambulance(s) and non-transport vehicle(s) within the declared service area.
(1) The base station shall be hard-wired;
(2) A hand held battery operated base station used as primary source of communication is prohibited.
(B) All permitted ambulance(s) and non-transport vehicle(s) shall be equipped with two-way communications which shall have the capability to communicate with the licensed MTO’s dispatch center and with medical control in the licensed MTO’s service area.
(1) Primary two-way communication devices shall maintain either a one hundred ten-volt or twelve-volt power source backup for each communication device;
(2) All MTOs shall maintain a detailed radio log that documents the following:
(a) Location of call;
(b) Nature of call;
(c) Initial dispatch time;
(d) Enroute time;
(e) On-scene time;
(f) Departure from scene time;
(g) Arrival at destination time.
(C) If a MTO contractually uses another communication center for dispatch purposes, the communication center shall provide written certification of compliance with Chapter 4766. of the Revised Code and agency 4766 of the Administrative Code as applicable.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) Each licensed MTO shall comply with all occupational safety and health administration-bloodborne pathogens regulations as defined by 1910.1030 of the current 29 C.F.R.
(B) A licensed MTO shall ensure that sanitation procedures are provided to all personnel in a written document that conforms with current standards as set forth in occupational safety and health administration-bloodborne pathogens protocol.
(C) A licensed MTO shall maintain and follow a written sanitation plan that conforms with the latest standards as written by the occupational safety and health administration-bloodborne pathogens. The following documentation shall be maintained for each vehicle:
(1) Sanitation schedule;
(2) Date the sanitation was completed;
(3) Documentation of who performed sanitation.
(D) All licensed MTOs shall establish a written policy governing the use of emergency lights and audible warning devices pursuant to section 4511.24 of the Revised Code which shall be made available for the board’s inspection.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) The board shall inspect all ambulance(s) and non-transport vehicle(s) for roadworthiness and for appropriate equipment as prescribed in rule 4766-2-10 of the Administrative Code.
(B) Before ambulance or non-transport vehicle receives permit, it must comply with the following requirements:
(1) Roadworthiness requirements:
(a) High and low beam headlights shall be operational;
(b) Clearance lights, marker lights and reflectors shall be operational (if applicable);
(c) High beam indicator light (on dashboard) shall be operational;
(d) Left and right tail lights shall be operational;
(e) Left and right front turn signals shall be operational;
(f) Left and right rear turn signals shall be operational;
(g) Left and right brake lights shall be operational;
(h) License plate light shall be operational;
(i) Back up light(s) shall be operational;
(j) Audible back up alarms shall be operational;
(k) Tread depth on each tire shall be minimum of one sixteenth inch;
(l) Tread or sidewall of tires shall be free of major deformities;
(m) Rims/wheels shall be free of significant damage;
(n) Brake pedal travel shall not exceed:
(i) Two thirds travel in vehicles with non-assisted brakes;
(ii) Four fifths travel in vehicles with power assisted brakes;
(o) Emergency/parking brake shall be operational;
(p) Windshield without breach, unobstructed;
(q) Exhaust system without breach;
(r) Windshield wipers and washer shall be operational;
(s) Steering shaft secure with no more than one quarter turn play;
(t) Rear view mirrors without breach;
(u) Horn shall be operable and audible;
(v) Safety belts for driver and passengers shall be operational and free of visible damage;
(w) Vehicle body and frame structural integrity without breach;
(x) License plates on front and rear of vehicle (if required by state law);
(y) Emergency lighting shall be operational;
(z) Siren shall be operable and audible.
(2) A MTO must demonstrate proof that the ambulance(s) complies with all specifications set forth in the general service administration star-of-life ambulance, KKK-A-1822 standard in effect at the date of manufacture of the ambulance(s) chassis by one of the following:
(a) KKK-A-1822 placard/sticker;
(b) Certificate issued by the manufacturer;
(c) Signed affidavit by the manufacturer certifying KKK-A-1822 compliance.
(3) The name of the MTO shall be permanently affixed with each letter being a minimum of three inches in height on both sides and each letter being a minimum of one and one half inches in height on the rear of the ambulance.
If a MTO is under contract which requires other signage, the MTO’s name and service code shall be permanently affixed with each letter being at a minimum of three inches in height on both sides and one and one half inches in height on the rear of vehicle.
(4) All board identified deficiencies must be corrected. The vehicle shall be placed out-of-service until it passes reinspection by the board.
(C) Vehicles not titled as ambulances are not eligible for permits as ambulances, but may be issued permits as “non-transport vehicles” pursuant to section 4766.07 of the Revised Code, provided they fall within the definition of such vehicles in division (Q) of section 4766.01 of the Revised Code.
(D) Upon issuance of a vehicle permit, each licensed MTO shall apply the decal on the outside of the right rear window in accordance with division (B)(2) of section 4766.07 of the Revised Code on each ambulance and non-transport vehicle.
The permit must be unobstructed at all times.
(E) A permit is not transferable.
(F) The board may conduct routine unannounced inspections at any location of licensed MTO at any time, including night or weekend inspections to determine compliance with Chapter 4766. of the Revised Code and agency 4766 of the Administrative Code to include, but not limited to, ambulance(s) and non-transport vehicle(s).
(G) A permitted ambulance or non-transport vehicle shall maintain compliance with roadworthy requirements set forth in this rule at any time it is used as an ambulance or non-transport vehicle.
(H) Each permitted vehicle shall be free from dirt, stains, impurities and/or foreign matter in driver’s compartment and ambulance patient care compartments.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) Ambulances and non-transport vehicles
(1) All licensed MTOs shall maintain documentation of all periodical maintenance and repairs performed on each permitted vehicle to include:
(a) Date of service or repair;
(b) Description of service/repair performed;
(c) Documentation of who performed service/repair.
(2) Out of service permitted ambulance(s) or non-transport vehicle(s)
If a licensed MTO removes a permitted ambulance or non-transport vehicle from service it shall place an out of service sign in the permitted ambulance or non-transport vehicle to be visible through the windshield with the following information included on the front of the sign:
(a) Date permitted ambulance or non-transport vehicle was taken out of service;
(b) Odometer reading at time permitted ambulance or non-transport vehicle was taken out of service;
(c) Reason permitted ambulance or non-transport vehicle was taken out of service;
(d) Printed name and signature of person responsible for taking permitted vehicle out of service;
(e) The words “out of service” utilizing not less than three inch lettering.
(B) Bio-medical equipment
(1) All licensed MTOs shall maintain documentation of all periodical maintenance and repairs of bio-medical equipment as required by manufacturer and/or food and drug administration including but not limited to the following:
(a) Date of last bio-medical inspection;
(b) Date of service or repair;
(c) Description of service/repair performed;
(d) Documentation of who performed inspection, service, or repair.
(C) All licensed MTOs shall maintain documentation of all periodical maintenance as required by the original equipment manufacturer.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
Disposable equipment is acceptable where applicable.
All equipment and supplies shall have current expiration dates where applicable.
(A) Oxygen equipment
(1) Permanently installed main oxygen system (current hydrostatic testing);
(2) Permanent variable flow regulator (0-15 LPM minimum)(one)
(3) Two portable oxygen tanks secured in appropriate tank storage mechanism (minimum “D”)(current hydrostatic testing);
(4) Portable variable flow regulator (0-15 LPM minimum)(one)
(5) Bag mask resuscitator with reservoir capable of one hundred percent oxygen flow (self inflating);
(6) Transparent masks for bag mask resuscitator (one each)(adult-child-infant) or (adult, combination child/pediatric);
(7) Transparent oxygen masks (adult-two; child-one; infant-one; neonate-one each);
(8) Nasal cannulas (adult-child)(two each);
(9) Oxygen connective tubing and appropriate adapters (one).
(B) Suction equipment
(1) Permanently installed suction unit;
(2) Portable suction unit (powered or hand operated);
(3) Rigid pharyngeal curved suction catheters with wide-bore tubing (two);
(4) Soft tip suction catheter (two sizes)(one between 6.0 French – 10 French) and (one between 12 French – 16 French);
(5) Sterile water and/or normal saline (four), minimum 1000 ML, excluding I.V. solution;
(6) Sterile gloves (two pair);
(7) Suction tubing (two);
(8) Suction bags (two extra disposable liners or containers).
(C) Airway equipment
(1) Oropharyngeal airway kit (one each 40mm through 100mm);
(2) Nasopharyngeal airway kit (set of six)(18 French through 34 French or 20 French through 36 French);
(3) Complete intubation kit, BLS per protocol only:
(a) Extra batteries and bulbs;
(b) Syringes (assorted sizes);
(c) Adult stylet;
(d) Pediatric stylet;
(e) Adult magill forceps;
(f) Pediatric magill forceps;
(g) Adult endotracheal tubes (two each cuffed 6.0 mm, 7.0 mm, 8.0 mm);
(h) Pediatric endotracheal tubes (one each uncuffed 2.5 mm, 3.0 mm, 3.5 mm, 4.0 mm, 4.5 mm, 5.0 mm, 5.5 mm);
(i) Water soluble lubricant (one);
(j) Laryngoscope handle;
(k) Laryngoscope blades (one each-curved 2, 3, 4 and straight, 0, 1, 2, 3, 4);
(l) Secondary confirmation device for endotracheal tube placement.
(D) Bleeding control/burn equipment
(1) Adhesive dressing strips (ten)(various sizes);
(2) Sterile gauze pads (twenty)(various sizes);
(3) Combine abdominal pad (four)(assorted sizes but not less than eight inches by seven inches);
(4) Conforming/elastic gauze (four assorted);
(5) Sterile universal trauma dressing (ten inches by thirty-six inches)(two);
(6) Sterile non-porous dressing (four);
(7) Assorted tape (four).
(E) Isolation equipment
(1) Bio-hazard containers and bags for infectious and blood stained medical waste;
(2) Sharps container;
(3) Two packaged kits or if carried loose:
(a) Isolation goggles and mask or mask/shield combination (two of each size);
(b) Isolation gowns (two of each size);
(c) Isolation gloves (two pair of each size);
(d) N-95 mask (at minimum)(size appropriate for each crew member).
(F) Immobilization equipment
(1) Extremity immobilization devices (e.g. board, air, vacuum, ladder, or an equivalent);
(2) Traction splint (adult and child one each)(or one adjustable for adult and child);
(3) Backboard or equivalent (two);
(4) Backboard straps (three each) per board;
(5) Commercial cervical immobilization device (two)(adult);
(6) Rigid extrication collar [infant, child, adult (small-medium-large)];
(7) Stairchair and/or combination stairchair/folding cot (one).
(G) Adjunct equipment
(1) Trauma shears (one pair);
(2) Stethoscope (one);
(3) BP cuff (infant, child, adult, large adult)(one each);
(4) Non-mercury thermometer (oral or equivalent)(one);
(5) Penlight (one);
(6) Large flashlight (one);
(7) Tongue blades (two);
(8) Eye protector pads (two);
(9) Water soluble lubricant (one);
(10) Packaged obstetrical kit (one);
(11) Exam gloves (minimum two full boxes, various sizes);
(12) Patient cot (one)(with three straps);
(13) Pillows and cases (two), sheets (two), heavy blankets (two), (bath blankets shall not be substituted for blankets);
(14) Towels (two);
(15) Emesis basins or equivalent (two);
(16) Urinal or equivalent (one);
(17) Bedpan (one), (ten personal towelettes or equivalent);
(18) Two ABC fire extinguishers (five pound minimum each)(front and back):
(a) Shall meet the mounting requirements of KKK-A-1822;
(b) Shall meet OSHA requirements, 29 C.F.R. 1910.157 for annual maintenance check;
(19) Four patient restraints;
(20) ANSI II high visibility vest for each crew member-compliant with 23 C.F.R.. 634.
(H) Onboard definitive care equipment
(1) BLS
(a) Approved medications as shown on Ohio state board of pharmacy license/addendum;
(b) Automated external defibrillator (adult and pediatric pads).
(2) Intermediate
(a) Approved medications as shown on Ohio state board of pharmacy license/addendum;
(b) Approved I.V. solutions as shown on Ohio state board of pharmacy license/addendum;
(c) Intravenous equipment
(i) Alcohol and povidone iodine preps (ten each);
(ii) Arm boards (one);
(iii) I.V. administration sets (four);
(iv) I.V. catheters (assorted sizes);
(v) Needles (assorted sizes);
(d) Automated external defibrillator (adult and pediatric pads).
(3) ALS
(a) Approved medications as shown on Ohio state board of pharmacy license/addendum;
(b) Approved I.V. solutions as shown on Ohio state board of pharmacy license/addendum;
(c) Intravenous equipment
(i) Alcohol and povidone iodine preps (ten each);
(ii) Arm boards (one);
(iii) I.V. administration sets (four);
(iv) I.V. catheters (assorted sizes);
(v) Intraosseous needles or kit, per protocol (two);
(vi) Needles (assorted sizes);
(vii) Cricothyroidotomy-needle or surgical, per protocol;
(d) Monitor/defibrillator (with EKG trace) external cardiac pacing capability:
(i) Defibrillator gel or pads;
(ii) Quick-look paddles, if applicable;
(iii) EKG leads;
(iv) Chest attachment pads;
(v) Pedi-paddles/pads.
(I) Minimum requirements for a non-transport vehicle are:
(1) A working two-way communication system pursuant to rule 4766-2-06 of the Administrative Code;
(2) The permanent display of the company logo, insignia, or name on both sides and rear of vehicle pursuant to paragraph (A)(4) of rule 4766-2-08 of the Administrative Code;
(3) Audible and visual warning devices in accordance with section 4511.24 of the Revised Code;
(4) A permanently mounted fire extinguisher (ABC-minimum five pounds)
Shall meet mounting requirements of KKK-A-1822;
(5) First aid kit:
(a) Permanently installed and/or secured;
(b) Shall include:
(i) Adhesive stripes (ten);
(ii) Gauze wraps (two);
(iii) Four inch by four inch bandages (five);
(iv) CPR mask (one);
(v) Trauma shears (one pair);
(vi) Tape one half inch (one roll);
(vii) Antiseptic wipes (four).
(J) A permitted ambulance shall be equipped with (have on-board) all of the equipment set forth in paragraphs (A) to (H) of this rule at any time it is used as an ambulance.
(K) A permitted non-transport vehicle shall be equipped with (have on-board) all of the equipment set forth in paragraph (I) of this rule at any time it is used as a non-transport vehicle.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) Permitted ambulance(s) and non-transport vehicles(s) are considered public safety vehicles pursuant to division (E)(1) of section 4511.01 of the Revised Code.
(B) Permitted ambulance(s) and non-transport vehicle(s), when responding to emergency calls, may use emergency lights and audible warning devices pursuant to section 4511.24 of the Revised Code.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4511.24
(A) In the event of a disaster situation when permitted ambulance(s) based in the locality of the disaster situation are incapacitated or insufficient in number to render services needed, a licensed MTO may utilize whatever means necessary to transport and treat patients.
(B) An ambulance or non-transport vehicle that has not been issued a permit by the board may be operated by licensed MTO, for a period not to exceed sixty days, if the ambulance or non-transport vehicle is used to replace an ambulance or non-transport vehicle with a permit that has been temporarily taken out of service for repair or maintenance and is in compliance with all of the following:
(1) The temporary ambulance shall be equipped in accordance with paragraphs (A) to (H) of rule 4766-2-10 of the Administrative Code;
(2) The temporary non-transport vehicle shall be equipped in accordance with paragraph (I) of rule 4766-2-10 of the Administrative Code;
(3) Prior to placing a non-permitted ambulance or non-transport vehicle into service, the MTO shall provide written notification, on a form prescribed by the board containing the following:
(a) Vehicle identification number of the permitted vehicle;
(b) Date permitted vehicle was placed out of service;
(c) Vehicle identification number of the non-permitted vehicle;
(d) Date non-permitted vehicle is to be placed in service;
(e) Brief description of reason the permitted vehicle was taken out of service.
(C) The licensed MTO shall ensure that the one hundred dollar fee prescribed in paragraph (G) of rule 4766-2-03 of the Administrative Code shall be received by the board within seven days of issuance of a temporary permit.
(D) The MTO shall note the date of return to service of the permitted ambulance or non-transport vehicle on the temporary permit.
(E) The licensed MTO shall return the temporary permit to the board within two days after the permitted ambulance or non-transport vehicle is returned to service.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.07, 4766.09
(A) Staffing compliance for a MTO licensed as basic life support, intermediate life support or advanced life support service shall be as follows:
An ambulance issued a permit pursuant to Chapter 4766. of the Revised Code that is dispatched, responds to a call for medical assistance, patient transportation or a standby situation shall be staffed by a minimum of two Ohio certified emergency medical technician-basic, emergency medical technician-intermediate, emergency medical technician-paramedic, or any combination thereof.
Staffing requirements shall be met continually throughout the dispatch, response, transport and/or standby until such time that the dispatch, response, transport and/or standby is completed.
When an ambulance is so staffed as contained herein, the ambulance may be operated by a person who is not certified as an emergency medical technician-basic, emergency medical technician-intermediate, emergency medical technician-paramedic, but said operator shall receive certification in an emergency vehicle operator course prior to operating an ambulance.
(B) Any non-EMS certified personnel who will be driving the ambulance or non-transport vehicle shall complete an emergency vehicle operator course that meets current requirements of the national highway traffic safety administration.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04
Division (B) of section 4766.09 of the Revised Code exempts out of state MTOs receiving a patient in Ohio for transport to a location not within Ohio or when transporting a patient received in another state. An out of state MTO that receives a patient in Ohio for transportation to a location in Ohio shall be licensed and is subject to Chapter 4766. of the Revised Code and rules under this chapter and to all applicable fines and sanctions for any violation thereof.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07, 4766.13
(A) Each licensed MTO shall give written notification to the board within ten business days of any additions, deletions or changes in:
(1) Executive officers or board members;
(2) Communications status, capability, or equipment;
(3) Medical director;
(4) Purchase or acquisition of a licensed MTO.
(B) Within ten days of the date a permitted ambulance or non-transport vehicle is permanently withdrawn from service, the licensed MTO shall return to the board a deletion form prescribed by the board and the decal from the right rear window.
(C) Prior to operating any satellite base, a licensed MTO shall comply with division (G) of section 4766.04 of the Revised Code.
(D) Within ten business days of the date a licensed MTO ceases to operate, it shall return to the board all vehicle decals and the certificate of licensure.
(E) Within ten business days of the date a licensed MTO ceases to operate a satellite base, it shall return to the board the certificate of licensure.
(F) A licensed MTO may apply at any time to be licensed at a higher level. The application shall be made on a form prescribed by the board and include the one hundred dollar license fee. A change in level of service does not change the expiration date of the license.
(G) A MTO licensed at the intermediate or advanced life support level shall notify the board in writing within ten business days of any permanent decrease in the level of service and return certificate of licensure. Upon receipt, the board shall issue a new certificate of licensure.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) The board may investigate alleged violations of Chapter 4766. of the Revised Code and the rules promulgated thereunder.
(B) Board investigations may include but not be limited to the following:
(1) Interviews
(a) Employer;
(b) Employees;
(c) Client;
(d) Health care workers;
(e) Public safety personnel;
(f) General public;
(2) Record review
(a) Transportation documentation;
(b) Incident report;
(c) Crash and/or injury report;
(d) First report of injury;
(e) Employee records;
(3) Physical inspection;
(4) Photographs;
(5) Audio recording;
(6) Physician and/or coroner findings;
(7) Written and/or verbal complaints;
(8) Any other item(s) deem appropriate for specific investigation.
(C) The board may issue a violation notification during any inspection or investigation.
(D) The board may, at its discretion, summarily suspend a license under the authority of section 4766.11 of the Revised Code.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.08, 4766.11
The board may, in compliance with Chapter 119. of the Revised Code, suspend, revoke, or refuse to issue a license or service permit for any of the following reasons:
(A) Any violation of Chapter 4766. of the Revised Code or the rules promulgated thereunder.
(B) Failure of the MTO to correct violation(s) cited by the inspectors of the board or provide sufficient documentation that MTO is correcting said violation(s) within seventy-two hours of the date of the notification(s).
(C) Making a false statement on the application for a license or permit.
(D) Fraud or deceit in obtaining or attempting to obtain a license or permit.
(E) Lending a license or permit or borrowing or using the license or permit of another, or knowingly aiding or abetting such improper use or transfer of a license or permit.
(F) Incompetence, negligence or misconduct in operating the licensed MTO or in providing emergency medical care to patients.
(G) Failure to have all equipment required in rule 4766-2-10 of the Administrative Code on each in-service ambulance or non-transport vehicle at all times.
(H) Failure to staff each ambulance or non-transport vehicle with appropriate certified, licensed, or emergency vehicle operator trained personnel as defined in rule 4766-2-12 of the Administrative Code.
(I) Failure of the licensed MTO to notify the board of a change of ownership within three business days of purchase or acquisition.
(J) Abuse or abandonment of a patient.
(K) Unauthorized disclosure of medical or other confidential information.
(L) Willful preparation or filing of false reports or records or the inducement of another to do so.
(M) Alteration or inappropriate destruction of medical records.
(N) Discrimination in the rendering of emergency medical care because of patient’s race, sex, creed, national origin, sexual preference, age, handicap, medical problem or financial inability to pay.
(O) Misuse or misappropriation of drugs or medication.
(P) Action by the licensed MTO that is reckless or negligent so as to endanger the health or safety of patients or members of the general public while in the course of business as a licensed MTO.
(Q) Continued pattern of violations.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.05, 4766.06, 4766.07, 4766.08, 4766.13, 4766.99
Rescinded eff 7-2-09
Rescinded eff 7-2-09
Rescinded eff 7-2-09
Rescinded eff 7-2-09