4766-5-09 Recordkeeping requirements.

(A) Records

(1) A licensed AMSO shall maintain accurate records that contain the information set forth in paragraph (A)(3) of this rule concerning the transportation of each patient for a period of five years from the date of the transport;

(2) An AMSO shall make all records required to be maintained under this rule available to the board for review during an inspection in accordance with 45 C.F.R. 164.512 ;

(3) The information shall include:

(a) Patient name;

(b) Gender;

(c) Age;

(d) Date of birth;

(e) Address;

(f) Location of incident;

(g) Patient’s chief complaint;

(h) Patient’s history;

(i) List of patient’s current medications, route, dosage, administration schedule;

(j) Patient’s allergies and reaction;

(k) Vital signs as appropriate;

(l) Responsible guardian;

(m) Advanced directives, if available;

(n) Beginning location and final destination;

(o) Treatment rendered;

(p) Time interventions and treatments performed;

(q) Time call received, as applicable;

(r) Time dispatched, as applicable;

(s) Time enroute, as applicable;

(t) Estimated time of arrival (ETA);

(u) Time on-scene, as applicable;

(v) Time departed, as applicable;

(w) Time at receiving facility, as applicable;

(x) Time in-service, as applicable;

(y) Names and level of certification or licensure of medical personnel;

(z) Pilot(s) name(s);

(aa) Date of service;

(bb) Fuel on-board;

(cc) Number of souls on-board;

(dd) Estimated flight time, if applicable;

(4) An AMSO shall be responsible for ensuring that a copy of the medical record for each patient is provided to the receiving facility.

(B) An AMSO shall maintain at each location, as applicable, the following:

(1) Ohio state board of pharmacy licenses;

(2) DEA registration(s);

(3) Air operator part 135 certificate;

(4) Evidence of appropriate insurance as defined in section 4766.06 of the Revised Code;

(5) Verification of employee certfication and licenses;

(6) Statutorily required permits and licenses such as fuel permits, oil permits, hazardous waste;

(7) Original certificate of licensure issued by the board;

(8) Emergency contact list with telephone numbers;

(9) Copy of written sanitation plan as described in rule 4766-5-11 of the Administrative Code.

Effective: 01/06/2008

R.C. 119.032 review dates: 01/06/2013

Promulgated Under: 119.03

Statutory Authority: 4766.03

Rule Amplifies: 4766.04