North Carolina Administrative Code

section .0900 - TRAUMA CENTER STANDARDS AND APPROVAL 10A NCAC 13P .0901 TRAUMA CENTER CRITERIA To receive designation as a Level I, Level II, or Level III Trauma Center, a hospital shall: (1) have a trauma program and a trauma service that have been operational for at least 12 mo…

10A NCAC 13P .0904 INITIAL DESIGNATION PROCESS (a) For initial Trauma Center designation or changing the level of Trauma Center designation, the hospital shall request a consult visit by OEMS and the consult shall occur within one year prior to submission of the RFP. (b) A hospit…

10A NCAC 13P .0905 RENEWAL DESIGNATION PROCESS (a) Hospitals may utilize one of two options to achieve Trauma Center renewal: (1) undergo a site visit conducted by OEMS to obtain a four-year renewal designation; or (2) undergo a verification visit by the ACS, in conjunction with …

10A NCAC 13P .1003 MISREPRESENTATION OF DESIGNATION (a) Hospitals shall not represent themselves as trauma centers unless they are currently designated by the Department pursuant to Section .0900 of this Subchapter. (b) Designation applies only to the hospital that submitted the …

SECTION .1100 - TRAUMA SYSTEM DESIGN 10A NCAC 13P .1101 STATE TRAUMA SYSTEM (a) The State trauma system shall consist of regional plans, policies, guidelines, and performance improvement initiatives by the RACs to create an Inclusive Trauma System monitored by the OEMS. (b) Each …

10A NCAC 13P .1102 REGIONAL TRAUMA SYSTEM PLAN (a) After consultation with all Level I and II Trauma Centers within their catchment areas, a Level I or II Trauma Center shall be selected as the lead RAC agency by the OEMS to facilitate development of and provide RAC staff support…

10A NCAC 13P .1103 REGIONAL TRAUMA SYSTEM POLICY DEVELOPMENT The RAC shall oversee the development, implementation, and evaluation of the regional trauma system that includes: (1) A public information and education program to include system access and injury prevention; (2) Writt…

SECTION .1300 - FORMS 10A ncac 13P .1301 SOURCE OF FORMS AND DOCUMENTS History Note: Authority G.S. 131E-162; Eff. August 1, 1998; Repealed Eff. January 1, 2004.

SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1401 CHEMICAL ADDICTION OR ABUSE Recovery Program REQUIREMENTS (a) The OEMS shall provide a monitoring program for aiding in the recovery of EMS personnel subject to disciplinary actio…

10A NCAC 13P .1402 provisions for participation in the chemical addiction or abuse Recovery program The OEMS shall use the screening criteria set forth in this Section to determine whether an individual may enter the treatment program established by Rule .1401 of this Section. Th…

10A NCAC 13P .1403 CONDITIONS FOR RESTRICTED PRACTICE WITH LIMITED PRIVILEGES (a) In order to assist in determining eligibility for an individual to return to restricted practice, completion of all requirements outlined in the individual's consent agreement with the Department as…

10A NCAC 13P .1404 REINSTATEMENT OF AN UNENCUMBERED EMS CREDENTIAL Reinstatement of an unencumbered EMS credential is dependent upon the individual completing all requirements of the consent agreement as set forth in Rule .1401 of this Section. History Note: Authority G.S. 131E-1…

10A NCAC 13P .1405 FAILURE TO COMPLETE THE CHEMICAL ADDICTION OR ABUSE Recovery PROGRAM Individuals who fail to complete the consent agreement established in Rule .1401 of this Section, upon review by the OEMS, are subject to revocation of their EMS credential. History Note: Auth…

SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1501 ENFORCEMENT DEFINITIONS Notwithstanding Section .0100 of this Subchapter, for the purpose of this Section, the following definitions apply to Rules .1502, .1503, .1504, and .1506 for EMS Systems, Lice…

10A NCAC 13P .1502 LICENSED EMS PROVIDERS (a) The OEMS shall deny an initial or renewal EMS Provider license for any of the following reasons: (1) significant failure to comply, as defined in Rule .0102 of this Subchapter, with the applicable licensing requirements in Rule .0204 …

10A NCAC 13P .1503 SPECIALTY CARE TRANSPORT PROGRAMS (a) The Department shall deny the initial or renewal approval, without first allowing a focused review, of a SCTP for any of the following reasons: (1) failure to comply with the provisions of G.S.131E, Article 7 and the rules …

10A NCAC 13P .1504 TRAUMA CENTERS (a) The Department shall deny the initial or renewal designation, without first allowing a focused review, of a trauma center for any of the following reasons: (1) failure to comply with G.S. 131E-162 and the rules adopted under that Statute; (2)…

10A NCAC 13P .1505 EMS EDUCATIONAL INSTITUTIONS (a) For the purpose of this Rule, "focused review" means an evaluation by the OEMS of an educational institution's corrective actions to remove contingencies that are a result of deficiencies identified in the initial or renewal app…

10A NCAC 13P .1506 EMS VEHICLE PERMITS (a) The Department shall deny, suspend, or revoke the permit of an ambulance or EMS nontransporting vehicle if the EMS Provider: (1) failed to comply with the provisions of G.S. 131E, Article 7, and the rules adopted under that Article; (2) …

10A NCAC 13P .1507 ems personnel credentials (a) Any EMS credential that has been forfeited under G.S. 15A-1331.1 may not be reinstated until the person has complied with the court's requirements, has petitioned the Department for reinstatement, has completed the disciplinary pro…

10A NCAC 13P .1508 SUMMARY SUSPENSION In accordance with G.S. 150B-3(c) an EMS Provider License, EMS Vehicle Permit, or EMS credential may be summarily suspended if the public health, safety, or welfare requires emergency action. This determination is delegated to the Chief of th…

10A NCAC 13P .1509 PROCEDURES FOR DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION The procedures for contested cases in G.S. 150B, Article 3, apply to the denial, suspension, amendment or revocation of credentials, licenses, permits, approvals, or designations. History Note: Authori…

10A NCAC 13P .1510 PROCEDURES FOR THe Voluntary SURRENDER or MODIFICATION OF the level of AN EMS CREDENTIAL (a) An individual who holds a valid North Carolina EMS credential may request to voluntarily surrender the credential to the OEMS by: (1) providing written notice stating t…

10A NCAC 13P .1511 PROCEDURES FOR QUALIFYING FOR AN EMS CREDENTIAL FOLLOWING ENFORCEMENT ACTION (a) Any individual who has been subject to suspension, revocation, or amendment of an EMS credential shall submit in writing to the OEMS a request for review to determine eligibility f…

subchapter 13R – minimum standards for mobile intensive care units section .0100 - definitions 10A NCAC 13R .0101 MOBILE INTENSIVE CARE UNIT I History Note: Authority G.S. 131E-157(a); 131E-158(b); 131E-159(b); Eff. November 26, 1976; Readopted Eff. December 19, 1977; Amended Eff…

10A NCAC 13R .0102 reserved for future codification

10A NCAC 13R .0103 MOBILE INTENSIVE CARE UNIT III History Note: Authority G.S. 131E-157(a); 131E-158(b); 131E-159(b); Eff. November 26, 1976; Readopted Eff. December 19, 1977; Amended Eff. June 1, 1994; September 1, 1986; October 28, 1981; Repealed Eff. January 1, 2009.

10A NCAC 13R .0104 MOBILE INTENSIVE CARE UNIT IV History Note: Authority G.S. 131E-157(a); 131E-158(b); 131E-159(b); Eff. March 1, 1989; Amended Eff. June 1, 1994; Repealed Eff. January 1, 2009.

10A NCAC 13R .0105 ADVANCED LIFE SUPPORT NONTRANSPORTING UNIT History Note: Authority G.S. 131E-157(a); Eff. November 26, 1976; Readopted Eff. December 19, 1977; Amended Eff. March 1, 1989; September 1, 1986; Repealed Eff. January 1, 2009.

10A NCAC 13R .0203 reserved for future codification

10A NCAC 13R .0204 MOBILE INTENSIVE CARE UNIT III History Note: Authority G.S. 131E-157(a); Eff. November 26, 1976; Readopted Eff. December 19, 1977; Amended Eff. November 1, 1995; August 1, 1994; November 1, 1989; March 1, 1989; Repealed Eff. January 1, 2009.

10A NCAC 13R .0205 MOBILE INTENSIVE CARE UNIT IV History Note: Authority G.S. 131E-157(a); Eff. March 1, 1989; Amended Eff. November 1, 1995; August 1, 1994; Repealed Eff. January 1, 2009.

10A NCAC 13R .0206 ADVANCED LIFE SUPPORT NONTRANSPORTING UNIT History Note: Authority G.S. 131E-157(a); Eff. September 1, 1986; Amended Eff. November 1, 1995; March 1, 1989; Repealed Eff. January 1, 2009.

SECTION .0300 – COMMUNICATION 10A NCAC 13R .0301 TWO-WAY RADIO History Note: Authority G.S. 131E-157(a); Eff. November 26, 1976; Readopted Eff. December 19, 1977; Amended Eff. March 1, 1989; September 1, 1986; Repealed Eff. January 1, 2009.

SUBCHAPTER 13S — Licensure of suitable facilities for the performance of surgical abortions SECTION .0100 — Licensure PROCEDURE 10A NCAC 13S .0101 DEFINITIONS The following definitions will apply throughout this Subchapter: (1) "Abortion" means the termination of a pregnancy as d…

10A NCAC 13S .0104 PLANS and specifications (a) Prior to issuance of a license pursuant to 10A NCAC 14E .0107, an applicant for a new clinic shall submit one copy of construction documents and specifications to the Division for review and approval consistent with Section .0200 of…

10A NCAC 13S .0106 APPLICATION History Note: Authority G.S. 131E-153; 131E-153.2; 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Emergency Rule Expired Eff. Decem…

10A NCAC 13S .0107 ISSUANCE OF License History Note: Authority G.S. 131E-153; 131E-153.2; 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Emergency Rule Expired Ef…

10A NCAC 13S .0109 RENEWAL History Note: Authority G.S. 131E-153; 131E-153.2; 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Emergency Rule Expired Eff. December …

10A NCAC 13S .0111 INSPECTIONS History Note: Authority G.S. 131E-153.2; 131E-153.5; 131E-153.6; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. Februar…

10A NCAC 13S .0112 ALTERATIONS History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Ado…

10A NCAC 13S .0114 APPROVAL History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Adopti…

SECTION .0200 — MINIMUM STANDARDS FOR CONSTRUCTION AND EQUIPMENT 10A NCAC 13S .0201 BUILDING CODE REQUIREMENTS (a) All clinics shall be classified for occupancy as Group B pursuant to the North Carolina Building Code. (b) All new and existing clinics shall meet the requirements o…

10A NCAC 13S .0202 SANITATION History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Adop…

10A NCAC 13s .0207 AREA REQUIREMENTS The following areas shall comply with Rule .0212 of this Section, and are minimum requirements for clinics that are licensed by the Division to perform abortions: (1) reception and waiting room; (2) designated area or areas for pre-procedure a…

10A NCAC 13S .0209 ELEVATOR History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Adopti…

10A NCAC 13S .0210 CORRIDORS History Note: Authority 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Adoption E…

10A NCAC 13S .0211 DOORS History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Adoption …

10A NCAC 13S .0212 ELEMENTS AND EQUIPMENT The physical plant shall provide equipment to carry out the functions of the clinic with the following requirements: (1) Mechanical requirements. (a) All fans serving exhaust systems shall be located at the discharge end of the system. (b…

10A NCAC 13s .0315 HOUSEKEEPING History Note: Authority G.S. 131E-153.5; 143B-165; Codifier determined that findings of need did not meet criteria for emergency rule on October 30, 2023; Emergency Rule Eff. November 14, 2023; Temporary Adoption Eff. February 8, 2024; Temporary Ad…