North Carolina Administrative Code

10a ncac 13p .0209 AIR MEDICAL AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS To be permitted as an Air Medical Ambulance, an aircraft shall meet the following requirements: (1) configuration of the aircraft patient care compartment does not compromise the ability to provide care …

10a ncac 13p .0210 WATER AMBULANCE: WATERCRAFT AND EQUIPMENT REQUIREMENTS To be permitted as a Water Ambulance, a watercraft shall meet the following requirements: (1) The watercraft shall have a patient care area that: (a) provides access to the head, torso, and lower extremitie…

10a NCAC 13P .0211 AMBULANCE PERMIT CONDITIONS (a) An EMS provider shall apply to the OEMS for the appropriate Ambulance Permit prior to placing an ambulance in service. (b) The Department shall issue a permit for an ambulance following verification of compliance with applicable …

10A NCAC 13P .0212 TERM OF AMBULANCE PERMIT Ambulance Permits remain in effect for two years unless any of the following occurs: (1) The Department imposes an administrative sanction which specifies permit expiration; (2) The EMS Provider closes or goes out of business; (3) The E…

10A NCAC 13P .0213 EMS NONTRANSPORTING VEHICLE REQUIREMENTS (a) To be permitted as an EMS Nontransporting Vehicle, a vehicle shall: (1) have patient care equipment and supplies as defined in the treatment protocols for the system. The equipment and supplies shall be clean, in wor…

10a NCAC 13P .0214 EMS Non-transporting VEHICLE PERMIT CONDITIONS (a) A licensed EMS provider shall apply to the OEMS for an EMS non-transporting Vehicle Permit prior to placing such vehicle in service. (b) The OEMS shall issue a permit for a vehicle following verification of com…

10A NCAC 13P .0215 TERM OF EMS NONTRANSPORTING VEHICLE PERMIT EMS Nontransporting Vehicle Permits remain in effect for two years, unless any of the following occurs: (1) The Department imposes an administrative sanction that specifies permit expiration; (2) The EMS Provider close…

10A NCAC 13P .0216 WEAPONS AND EXPLOSIVES FORBIDDEN (a) Weapons, whether lethal or non-lethal, and explosives shall not be worn or carried aboard an ambulance or EMS non-transporting vehicle within the State of North Carolina when the vehicle is operating in any patient treatment…

10A NCAC 13P .0217 MEDICAL AMBULANCE/EVACUATION BUS: VEHICLE AND EQUIPMENT REQUIREMENTS (a) A Medical Ambulance/Evacuation bus is a multiple passenger vehicle configured and medically equipped for emergency and non-emergency transport of at least three stretcher bound patients wi…

10a ncac 13p .0218 PEDIATRIC SPECIALTY CARE GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS (a) A Pediatric Specialty Care Ground Ambulance is an ambulance used to transport only those patients 18 years old or younger with traumatic or medical conditions or for whom the need…

10A NCAC 13P .0219 staffing for medical ambulance/evacuAtion bus VEHICLES Medical Ambulance/Evacuation Bus Vehicles are exempt from the requirements of G.S. 131E-158(a). The EMS System Medical Director, as set forth in Rule .0403(8) of this Subchapter, shall determine the combina…

10A NCAC 13P .0220 staffing for PEDIATRIC SPECIALTY CARE GROUND AMBULANCES Pediatric Specialty Care Ground Ambulances operated within the approved Specialty Care Transport Program dedicated for inter-facility transport of non-emergent, emergent, and critically ill or injured or d…

10A NCAC 13P .0221 patient TRANSPORTation between hospitals (a) For the purpose of this Rule, hospital means those facilities as defined in Rule .0102 of this Subchapter. (b) Every ground ambulance when transporting a patient between hospitals shall be occupied by all of the foll…

10A NCAC 13P .0222 TRANSPORT OF STRETCHER BOUND PATIENTS (a) Any person transported on a stretcher as defined in Rule .0102 of this Subchapter meets the definition of patient as defined in G.S. 131E-155(16). (b) Stretchers may only be utilized for patient transport in an ambulanc…

10a ncac 13p .0223 REQUIRED DISCLOSURE ANd RePORTING INFORMATION (a) Applicants for initial and renewal EMS Provider licensing shall disclose the following background information: (1) any prior name(s) used for providing emergency medical services in North Carolina or any other s…

10a ncac 13p .0224 GROUND AMbulance vehicle manufacturing standards (a) In addition to the terms defined in Rule .0102 of this Subchapter, the following definitions apply to this Rule: (1) "Remounted" means a ground ambulance patient compartment module that has been removed from …

SECTION .0300 – SPECIALTY CARE TRANSPORT PROGRAMS 10a ncac 13P .0301 SPECIALTY CARE TRANSPORT PROGRAM CRITERIA (a) EMS Providers seeking designation to provide specialty care transports shall submit an application for program approval to the OEMS at least 60 days prior to field i…

10A NCAC 13P .0302 AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA for licensed ems providers using rotary-wing aircraft (a) Air Medical Programs using rotary-wing aircraft shall document that the program has: (1) medical crew members that have all completed training regard…

10A NCAC 13P .0305 AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA for licensed ems providers using fixed-wing aircraft (a) In addition to the general requirements of Specialty Care Transport Programs in Rule .0301 of this Section, Air Medical Programs using fixed-wing airc…

SECTION .0400 - MEDICAL OVERSIGHT 10a ncac 13p .0401 COMPONENTS OF MEDICAL OVERSIGHT FOR EMS SYSTEMS Each EMS System shall have the following components in place to assure medical oversight of the system: (1) a medical director for adult and pediatric patients appointed, either d…

10a ncac 13p .0402 COMPONENTS OF MEDICAL OVERSIGHT FOR SPECIALTY CARE TRANSPORT PROGRAMS Each Specialty Care Transport Program shall have the following components in place to assure Medical Oversight of the system: (1) a medical director. The administration of the SCTP shall appo…

10a NCAC 13P .0403 RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR EMS SYSTEMS (a) The Medical Director for an EMS System is responsible for the following: (1) ensuring that medical control as set forth in Rule .0401(5) of this Section is available 24 hours a day, seven days a week;…

10A NCAC 13P .0404 RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR SPECIALTY CARE TRANSPORT PROGRAMS (a) The medical director for a Specialty Care Transport Program is responsible for the following: (1) the establishment, approval, and updating of adult and pediatric treatment proto…

10a ncac 13p .0405 REQUIREMENTS FOR adult and pediatric TREATMENT PROTOCOLS FOR EMS SYSTEMS (a) Treatment Protocols used in EMS Systems shall: (1) Be adopted in their original form from the standard adult and pediatric treatment protocols as defined in the "North Carolina College…

10a ncac 13p .0406 REQUIREMENTS FOR ADULT AND PEDIATRIC TREATMENT PROTOCOLS FOR SPECIALTY CARE TRANSPORT PROGRAMS (a) Adult and pediatric treatment protocols used by medical crew members within a Specialty Care Transport Program shall: (1) be approved by the OEMS Medical Director…

10A NCAC 13P .0407 REQUIREMENTS FOR EMERGENCY MEDICAL DISPATCH PRIORITY REFERENCE SYSTEM (a) EMDPRS used by an EMD within an approved EMD program shall: (1) be approved by the OEMS Medical Director and meet or exceed the statewide standard for EMDPRS as defined by the "North Caro…

10A NCAC 13P .0408 EMS PEER REVIEW COMMITTEE FOR EMS SYSTEMS The EMS Peer Review Committee for an EMS System shall: (1) be composed of membership as defined in G.S. 131E-155(6b). (2) appoint a physician as chairperson; (3) meet at least quarterly; (4) use information gained from …

10A NCAC 13P .0409 EMS Peer review COMMITTEE FOR SPECIALTY CARE TRANSPORT PROGRAMS (a) The EMS Peer Review Committee for a Specialty Care Transport Program shall: (1) be composed of membership as defined in G.S. 131E-155(6b); (2) appoint a physician as chairperson; (3) meet at le…

10A NCAC 13P .0410 COMPONENTS OF MEDICAL OVERSIGHT FOR AIR MEDICAL PROGRAMS (a) Licensed EMS providers seeking to offer rotary-wing or fixed-wing air medical program services within North Carolina shall receive approval from the OEMS prior to beginning operation. (b) Licensed EMS…

SECTION .0500 – EMS PERSONNEL 10A NCAC 13P .0501 EDUCATIONAL PROGRAMS (a) EMS educational programs that qualify credentialed EMS personnel to perform within their scope of practice shall be offered by an EMS educational institution as set forth in Section .0600 of this Subchapter…

10A NCAC 13P .0502 INITIAL CREDENTIALING REQUIREMENTS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD (a) In order to be credentialed by the OEMS as an EMR, EMT, AEMT, or Paramedic, individuals shall: (1) Be at least 18 years of age. An examination may be taken at age 17; however, the EMS…

10A NCAC 13P .0503 TERM OF CREDENTIALS FOR EMS PERSONNEL EMR, EMT, AEMT, Paramedic, and Instructor credentials shall be valid for a period of four years, and the EMD credential shall be valid for a period of two years, barring any delay in expiration as set forth in Rule .0504 of…

10A NCAC 13P .0504 RENEWAL OF CREDENTIALS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD (a) EMR, EMT, AEMT, and Paramedic applicants shall renew credentials by meeting the following criteria: (1) presenting documentation to the OEMS or an approved EMS educational institution or program …

10A NCAC 13P .0505 SCOPE OF PRACTICE FOR EMS PERSONNEL EMS Personnel educated in approved programs, credentialed by the OEMS, and functioning under physician medical oversight may perform acts and administer intravenous fluids and medications as allowed by the North Carolina Medi…

10A NCAC 13P .0506 PRACTICE SETTINGS FOR EMS PERSONNEL (a) Credentialed EMS Personnel may function in the following practice settings in accordance with the protocols approved by the OEMS and by the Medical Director of the EMS System or Specialty Care Transport Program with which…

10A NCAC 13P .0507 INITIAL CREDENTIALING REQUIREMeNTS FOR Level I EMS instructors (a) Applicants for credentialing as a Level I EMS Instructor shall: (1) be currently credentialed by the OEMS as an EMT, AEMT, or Paramedic; (2) have completed post-secondary level education equal t…

10A NCAC 13P .0508 Initial CREDENTIALING REQUIREMENTS FOR Level II EMS instructors (a) Applicants for credentialing as a Level II EMS Instructor shall: (1) be currently credentialed by the OEMS as an EMT, AEMT, or Paramedic; (2) be currently credentialed by the OEMS as a Level I …

10A NCAC 13P .0509 CREDENTIALING OF INDIVIDUALS TO ADMINISTER LIFESAVING TREATMENT TO PERSONS SUFFERING AN ADVERSE REACTION TO AGENTS THAT MIGHT CAUSE ANAPHYLAXIS (a) To become credentialed by the North Carolina Medical Care Commission to administer epinephrine to persons who suf…

10A NCAC 13P .0510 RENEWAL OF CREDENTIALS FOR LEVEL I AND LEVEL II EMS INSTRUCTORS (a) Level I and Level II EMS Instructor applicants shall renew credentials by presenting documentation to the OEMS that they: (1) are credentialed by the OEMS as an EMT, AEMT, or Paramedic; (2) wit…

10A NCAC 13P .0511 CRIMINAL HISTORIES (a) The criminal background histories for all individuals who apply for, seek to renew, or hold EMS credentials shall be reviewed pursuant to G.S. 131E-159(g). (b) In addition to Paragraph (a) of this Rule, the OEMS shall carry out the follow…

10A NCAC 13P .0512 REINSTATEMENT OF LAPSED ems credential (a) EMS personnel enrolled in an OEMS approved continuing education program as set forth in Rule .0601 of this Subchapter and who were eligible for renewal of an EMS credential prior to expiration, may request the EMS educ…

10A NCAC 13P .0513 ReFRESHER COURSES (a) Approved EMS educational institutions as set forth in Rule .0601 and .0602 of this Subchapter may develop refresher courses for the renewal or reinstatement of EMS credentials. (b) The application for OEMS approval of a refresher course sh…

SECTION .0600 – EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS 10A NCAC 13P .0601 Continuing EDUCATION EMS educational Program requirements (a) Continuing Education EMS Educational Programs shall be credentialed by the OEMS to provide only EMS continuing education. An application for …

10A NCAC 13P .0602 basic and advanced EMS educational institution requirements (a) Basic and Advanced EMS Educational Institutions may offer educational programs for which they have been credentialed by the OEMS. (1) EMS Educational Institutions shall complete a minimum of two in…

10A NCAC 13P .0603 ADVANCED EMS EDUCATIONAL INSTITUTION REQUIREMENTS History Note: Authority G.S. 143-508(d)(4); 143-508(d)(13); Temporary Adoption Eff. January 1, 2002; Eff. February 1, 2004; Amended Eff. January 1, 2009; Repealed Eff. January 1, 2017.

10A NCAC 13P .0604 TRANSITION FOR APPROVED TEACHING INSTITUTIONS History Note: Authority G.S. 143-508(b); Temporary Adoption Eff. January 1, 2002; Eff. April 1, 2003; Repealed Eff. January 1, 2004.

10A NCAC 13P .0605 ACCREDItED EMS EDUCATIONAL INSTITUTION REQUIREMENTS (a) EMS Educational Institutions who already possess accreditation by the CAAHEP shall be credentialed by the OEMS by presenting: (1) an application for credentialing; (2) evidence of current CAAHEP accreditat…

SECTION .0700 - ENFORCEMENT 10A NCAC 13P .0701 DENIAL, SUSPENSION, AMENDMENT OR REVOCATION History Note: Authority G.S. 131E-155.1(d); 131E-157(c); 131E-159(a),(f); 131E-162; 143-508(d)(10); Temporary Adoption Eff. January 1, 2002; Eff. January 1, 2004; Amended Eff. January 1, 20…

10A NCAC 13P .0702 PROCEDURES FOR DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION History Note: Authority G.S. 143-508(d)(10); Temporary Adoption Eff. January 1, 2002; Eff. April 1, 2003; Repealed Eff. January 1, 2013.

SECTION .0800 – TRAUMA SYSTEM DEFINITIONS 10A NCAC 13P .0801 TRAUMA SYSTEM DEFINITIONS History Note: Authority G.S. 131E-162; Temporary Adoption Eff. January 1, 2002; Eff. April 1, 2003; Repealed Eff. January 1, 2009.