North Dakota Administrative Code

Based on each individual case, the department may waive any provisions of this chapter that may result in unreasonable hardship upon the individual or the individual's emergency medical service operation, provided such a waiver does not adversely affect the health and safety of p…

Words defined in North Dakota Century Code chapter 23-27 have the same meaning in this chapter. 1. "Acceptable criminal background requirements" means that a student's criminal background is acceptable by the department and the national registry for entry into the profession. 2. …

1. No North Dakota emergency medical services training institution, as defined in North Dakota Century Code chapter 23-27, shall be advertised or offered to the public or any person as a licensed training institution unless the operator of such service is licensed by the departme…

An application for licensure as an emergency medical services training institution may be submitted on a form provided by the department or an alternate format which includes the following information: 1. Applicant information: a. Name of the training institution; b. Mailing addr…

1. The department or its authorized agent shall inspect the training institution. If minimum standards are met, the department shall issue a license. 2. A training institution may request that the department consider it in compliance with this chapter if it is fully accredited by…

Each licensed training institution must have a director who serves as the administrator of the training institution and who is responsible for: 1. Planning, conducting, and evaluating the program; 2. Selecting students and instructors; 3. Documenting and maintaining records; 4. D…

Each licensed training institution shall have an agreement on file at the department with a physician whose responsibilities include: 1. Ensuring an accurate and thorough presentation of the medical content of each training program; 2. Certifying that each candidate has successfu…

Primary course instructors must be licensed as an instructor coordinator as defined in section 33-36-01-04 and hold a certificate or license in or above the discipline that they are teaching. History: Effective January 1, 2006; amended effective January 1, 2008; July 1, 2010. Gen…

North Dakota licensed emergency medical services training institutions must: 1. Publish a student handbook which includes at least the following information: a. The full name and address of the school; b. Names of owners and officers, including governing boards; c. A description …

North Dakota licensed emergency medical services training institutions must: 1. Have adequate classroom and laboratory space to conduct emergency medical services training. 2. Have appropriate dedicated emergency medical services equipment for training. 3. Determine the eligibili…

A licensed training institution may conduct practical examinations under the following conditions: 1. The institution must be designated by the department to conduct practical examinations. 2. The facility must have adequate room to accommodate a test. Each test station must be w…

Repealed effective July 1, 2010.

The department may deny, suspend, or revoke the license of a training institution or license of an individual to instruct or practice under the following circumstances: 1. Negligence in performing or instructing emergency medical care. 2. Fraud, forgery, or misrepresentation of f…

The department may suspend or revoke a training institution's or individual's license after making a diligent effort to: 1. Inform the training institution or individual of the allegations. 2. Inform the training institution or individual of the department's investigation results…

A request for hearing must be received by the department no later than twenty days following the training institution's or individual's receipt of the allegations. If a hearing is requested, the department will apply to the office of administrative hearings for appointment of a h…

Based on each individual case, the department may waive any provisions of this chapter. History: Effective January 1, 2006. General Authority: NDCC 23-27-04.3 Law Implemented: NDCC 23-27-04.3 8

Words defined in chapter 23-27 of the North Dakota Century Code have the same meaning in this chapter. For purposes of this chapter: 1. "Advanced first-aid ambulance attendant" means a person that has fulfilled the training, testing, and certification process for advanced first-a…

Each level of emergency medical services provider has a scope of practice that includes the scopes of practice of all subordinate emergency medical services providers. The hierarchy of emergency medical services providers is listed sequentially in this section. 1. Driver. a. Scop…

Words defined in chapter 23-27 of the North Dakota Century Code have the same meaning in this chapter. For purposes of this chapter: 1. "Advanced emergency medical technician" means a person that has fulfilled the training, testing, certification, and licensure process for advanc…

Each level of emergency medical services professional has a scope of practice that includes the scopes of practice of all subordinate emergency medical services professionals and the scopes of all emergency medical services providers listed in chapter 33-36-03. The hierarchy of e…

A person whose employment creates a reasonable expectation to care for the health and safety of others may administer epinephrine to persons suffering from an anaphylactic reaction. A person who is deemed to have a reasonable expectation to care for the health and safety of other…

A person authorized to administer epinephrine under this chapter shall complete training by a physician licensed by the North Dakota state board of medical examiners or the physician's designee. The physician shall determine the training content, criteria for satisfactory complet…

A person authorized to administer epinephrine shall utilize a single use disposable device that automatically injects a premeasured dose. The device may be obtained by a trained person from a pharmacy upon the request of a licensed physician. The device must be stored and maintai…

Words defined in North Dakota Century Code chapter 23-01.2 have the same meaning in this chapter. As used in this chapter: 1. "Advanced trauma life support" means the most current edition of the course as developed by the American college of surgeons - committee on trauma, or its…

A statewide trauma system shall be adopted by the state health council. The trauma system shall consist of the following: 1. Standardized definition of major trauma patient. 2. Trauma code activation protocols. 3. Local emergency medical services transport plans. 4. Trauma center…

Emergency medical services and trauma centers shall assess patients and activate a trauma code. 1. Emergency medical services must activate a trauma code if the trauma patient meets one or more of the criteria in step one, two, or three of the field triage decision scheme, provid…

All emergency medical services licensed or certified by the department shall establish each of the following: 1. Trauma code activation protocols. 2. Trauma patient care protocols that have been reviewed and approved by a medical director. 3. Local emergency medical services tran…

Emergency medical services shall develop local emergency medical services transport plans for the transport of trauma patients meeting the criteria in step one, two, three, or four of the field triage decision scheme, provided by the current edition of the American college of sur…

1. Five levels of hospital designation must be established. 3 2. Hospitals applying for level I, level II, or level III designation shall present evidence of having current trauma center verification from the American college of surgeons. The department shall issue designation wi…

The department may revoke designation of a trauma center if evidence exists that the facility does not meet the required trauma center standards. The department or its designee may inspect any trauma center or applicant for trauma center designation at any time for compliance wit…

The department shall establish a trauma registry including the minimum data elements. All hospitals must report the minimum data elements to the department. Reporting shall occur by a method approved by the department. Information may not be released from the state trauma registr…

A quality improvement process shall be established by the state trauma committee. The process must include evaluation criteria that will provide guidelines for acceptable standards of care, address system issues, and monitor patient outcomes. The regional committees shall evaluat…

The state trauma committee membership must include the following: 1. One member from the North Dakota committee on trauma - American college of surgeons, appointed by the committee. 2. One member from the American college of emergency physicians - North Dakota chapter, appointed …

The state trauma committee shall establish four trauma regions. The regions must be designated northwest, northeast, southeast, and southwest. An emergency medical service or trauma center that is located within fifteen miles [24.14 kilometers] of a regional boundary may request …

No health care facility in North Dakota may use the title "trauma center" or otherwise hold itself out as a trauma center unless the facility is designated by the department as a trauma center. History: Effective July 1, 1997. General Authority: NDCC 23-01.2-01 Law Implemented: N…

The following standards must be met to achieve level IV designation: 1. Trauma team activation plan. 2. Trauma team leader must be a physician currently certified in advanced trauma life support who is on call and available within twenty minutes. If the trauma team leader is not …

The following standards must be met to achieve level V designation: 1. Trauma team activation plan. 2. Trauma team leader must be on call and available within twenty minutes. The trauma team leader must be one of the following: a. A physician who is current in advanced trauma lif…

For purposes of this chapter: 1. "Approved" means acceptable to the department based on compliance with applicable standards and public health practices. 2. "Clean" means free of visible stains, foreign material, organic material, soil, dirt, dust, sludge, grease, rubbish, garbag…

A lodging establishment shall: 1. Post the current license in a location of the lodging establishment which is conspicuous to the public. 2. Ensure no room or any portion of the lodging establishment is used unless the room or portion of the lodging establishment is safe and sani…

1. An individual while infected with any communicable disease or a carrier of such a disease, or while having symptoms of boils, infected wounds, or sores must be excluded by the lodging establishment from any area of a lodging establishment in any capacity in which there is a li…

A lodging establishment shall meet the following requirements: 1. Ice must be manufactured, stored, transported, and handled in a manner approved by the department. 2. Ice, if provided in a public area to guests or the general public, must be provided through an automatic self-se…

1. A lodging establishment shall provide toilet, sink, bathing or shower facilities, and plumbing fixtures in accordance with all state and local building and plumbing codes, including: a. All plumbing fixtures must be provided with hot and cold running water under pressure at a …

1. A lodging establishment shall meet the following requirements: a. All utensil and equipment warewashing must be in compliance with chapter 33-33-04.1, except as provided under subsection 2; b. Sanitizing solutions must comply with chapter 33-33-04.1; c. After warewashing, all …

1. Lodging establishments which do not have facilities for warewashing utensils and equipment that meet the requirements in chapter 33-33-04.1 may only use single-service or single-use articles and shall meet the following requirements: a. All single-service and single-use articl…

1. Lodging establishments shall provide linens for each guest and the linens must be sufficient in quantity and appropriately sized for the bed, bunk, or cot to be occupied by the guest, or each guest must be informed prior to their stay that linens are not provided. 2. Lodging e…

1. All parts of the lodging establishment and its premises must be kept neat, clean, and free from litter and rubbish. 2. Cleaning operations must be conducted by the lodging establishment in a manner that minimizes contamination of facilities. 3. A lodging establishment shall en…

All water recreation facilities, including swimming pools, spas, and water slides operated by a lodging establishment and used by guests or the general public must be: 1. Designed, constructed, and maintained to protect the health and safety of its guests; and 2. Licensed and ins…

1. Whenever a lodging establishment is constructed or extensively remodeled, properly prepared plans and specifications for such construction or remodeling must be submitted to the 8 department for review and approval before construction or remodeling is begun. The plans and spec…

A lodging establishment shall ensure the requirements of all applicable state and local fire codes are met. Fire and life safety requirements of lodging establishments must include the following: 1. Fire protection systems must be provided, maintained, and inspected as required b…

1. A lodging establishment that prepares, packages, serves, or otherwise provides food to guests or the general public shall obtain an appropriate food service license in accordance with chapter 33-33-04.1 and North Dakota Century Code section 23-09-16 and shall operate in accord…