South Dakota Administrative Code

44:05:04:18. Available nonmedical equipment. Each ground ambulance must be equipped with the following nonmedical equipment or have the equipment immediately available on the scene of a response from other sources: (1) One crescent wrench; (2) One screwdriver with regular blade; …

44:05:04:19. Nonmedical equipment. Each ground ambulance must be equipped with the following nonmedical equipment: (1) One five-pound dry chemical multi-use handheld fire extinguisher approved by Underwriters Laboratories and certified by an independent fire extinguisher company …

Rule 44:05:04:20 Communication equipment. 44:05:04:20. Communication equipment. Ground ambulances must be equipped with a two-way radio communications link with a dispatch center and a hospital. Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 12 SDR…

Rule 44:05:04:21 Ambulance cleanliness and disinfection of patient use items. 44:05:04:21. Ambulance cleanliness and disinfection of patient use items. An ambulance licensee must keep both the ambulance interior and exterior and the equipment clean and in working order. All blank…

44:05:04:22. Disinfection of ground ambulance and equipment. A ground ambulance and all exposed equipment must be disinfected immediately after each use. Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; 20 SDR 204, effective June 9, 1994; 51 SDR 36, …

44:05:04:23. Disposal of medical waste. Each ground ambulance must be equipped with an impervious, rigid container that is securely sealed into which all sharp items exposed to blood or bodily fluids are placed for disposal in conformance with § 74:27:13:17. Source: 20 SDR 204, e…

44:05:04:24. Report of property damage or personal injury. An ambulance service must report to the department any property damage in excess of one thousand dollars caused by or to a ground ambulance operated by the ambulance service and any personal injury to the public or ambula…

44:05:04:25. Replacement or addition of ground ambulance. If an ambulance service purchases, leases, or rents a new or used ground ambulance for the purpose of replacing an ambulance or adding to an existing fleet, the ambulance service must notify the department within five busi…

44:05:05:01. Criteria for aircraft. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.

44:05:05:02. Required certificate of airworthiness. Each air ambulance must have a current certificate of airworthiness from the Federal Aviation Administration. The ambulance service operating the air ambulance must make the certificate available to the department on request. So…

44:05:05:03. Securing of equipment. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.

44:05:05:04. Stretcher security. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June, 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.

44:05:05:05. Aircraft doors. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.

44:05:05:06. Interior height requirements. Repealed. Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024.

44:05:05:07. Required lighting. Repealed. Source: 16 SDR 147, effective March 18, 1990; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.

44:05:05:08. Required portable lights. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.

Rule 44:05:05:09 Repealed. 44:05:05:09. Levels of licensure. Repealed. Source: 16 SDR 147, effective March 18, 1990; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017.

44:05:05:10. Medical director required. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.

44:05:05:11. Required personnel during transport. An air ambulance licensed in this state must have at least one paramedic and one registered nurse on all transports. A physician, nurse practitioner, physician assistant, or registered respiratory therapist, who is currently licen…

44:05:05:12. Required medical equipment. An air ambulance must be equipped with the following medical equipment: (1) A patient litter or stretcher; (2) A stethoscope; (3) A sphygmomanometer with adult, child, and infant cuffs; (4) Manual suction; (5) One set of oropharyngeal airw…

44:05:05:13. Equipment storage. An air ambulance may store the equipment required by § 44:05:05:12 separately from the air ambulance in modular prepackaged form when the air ambulance is not on a response. Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective Septemb…

44:05:05:14. Trip reports required. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.

44:05:05:15. Electrical power minimums. Repealed. Source: 16 SDR 147, effective March 18, 1990; 30 SDR 125, effective February 22, 2004; 51 SDR 36, effective September 30, 2024.

44:05:05:16. Inverter requirements. Each air ambulance must have an inverter with power for medical use that is rated at a minimum of three hundred watts. All inverters used must be sine wave inverters compatible with and able to supply electrical needs for all on-board medical e…

44:05:05:17. Length of licensing period. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 30 SDR 125, effective February 22, 2004; 34 SDR 201, effective January 31, 2008; 51 SDR 36, effective September 30, 2024.

44:05:05:18. Permit. An air ambulance service must have the ambulance permit available in the air ambulance and present it upon request. Source: 16 SDR 147, effective March 18, 1990; 51 SDR 36, effective September 30, 2024. General Authority: SDCL 34-11-5. Law Implemented: SDCL 3…

44:05:05:19. Required inspection. Repealed. Source: 16 SDR 147, effective March 18, 1990; 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.

44:05:05:20. Ground ambulance component for air ambulance service. Repealed. Source: 20 SDR 204, effective June 9, 1994; 34 SDR 201, effective January 31, 2008; 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.

Rule 44:05:05:21 Vehicle requirements for ground ambulance component. 44:05:05:21. Vehicle requirements for ground ambulance component. A ground ambulance component used by an air ambulance service must meet all vehicle requirements in chapter 44:05:04. However, a ground ambulanc…

44:05:05:22. Personnel requirements for ground ambulance component. Repealed. Source: 20 SDR 204, effective June 9, 1994; 51 SDR 36, effective September 30, 2024.

44:05:05:23. Disinfection of air ambulance and equipment. An air ambulance and all exposed equipment must be disinfected immediately after each use. Source: 51 SDR 36, effective September 30, 2024. General Authority: SDCL 34-11-5. Law Implemented: SDCL 34-11-5(3).

44:05:05:24. Disposal of medical waste. Each air ambulance must be equipped with an impervious, rigid container that is securely sealed into which all sharp items exposed to blood or bodily fluids are placed for disposal in conformance with § 74:27:13:17. Source: 51 SDR 36, effec…

44:05:05:25. Report of property damage or personal injury. An ambulance service must report to the department any property damage in excess of one thousand dollars caused by or to an air ambulance operated by the ambulance service and any personal injury to the public or ambulanc…

44:05:05:26. Replacement or addition of air ambulance. If an ambulance service purchases, leases, or rents a new or used air ambulance for the purpose of replacing an ambulance or adding to an existing fleet, the ambulance service must notify the department within five business d…

Rule 44:05:06:01 Standard form may be used. 44:05:06:01. Standard form may be used. If a person wishes to direct emergency medical service personnel to withhold resuscitation attempts when the person is in cardiopulmonary arrest, the person may complete a standard form for an EMS…

Rule 44:05:06:02 Contents of standard form. ARTICLE 44:05 44:05:06:02. Contents of standard form. The standard form for an EMS cardiopulmonary resuscitation directive shall include the following information concerning the person who is the subject of the EMS cardiopulmonary resus…

Rule 44:05:06:03 Disposition of form. 44:05:06:03. Disposition of form. The standard form shall be in triplicate and be distributed as follows: (1) The original shall be kept by the person named on the form; (2) The first copy shall be maintained by the physician, physician assis…

Rule 44:05:06:04 Optional bracelet may be purchased. 44:05:06:04. Optional bracelet may be purchased. Any person with a standard form for an EMS cardiopulmonary resuscitation directive completed pursuant to this chapter may purchase a bracelet from the department indicating the p…

Rule 44:05:06:05 Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive. ARTICLE 44:05 44:05:06:05. Identification of persons with a standard form for an EMS cardiopulmonary resuscitation directive. Emergency medical service personnel sh…

Rule 44:05:06:06 Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet ARTICLE 44:05 44:05:06:06. Procedures to be withheld on a person in cardiac arrest with an apparently valid standard form or bracelet. If a person with an a…

Rule 44:05:06:07 Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest. ARTICLE 44:05 44:05:06:07. Procedures to be withheld on a person with an apparently valid standard form or bracelet and not in cardiac arrest. If a…

Rule 44:05:06:08 Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest. ARTICLE 44:05 44:05:06:08. Procedures allowed on a person with an apparently valid standard form or bracelet and not in cardiac arrest. If a person with a…

Rule 44:05:06:09 Notice of revocation of an EMS cardiopulmonary resuscitation directive. 44:05:06:09. Notice of revocation of an EMS cardiopulmonary resuscitation directive. If an EMS cardiopulmonary resuscitation directive as provided by this chapter is revoked pursuant to SDCL …

Rule 44:05:06:10 Absence of an EMS cardiopulmonary resuscitation directive. ARTICLE 44:05 44:05:06:10. Absence of an EMS cardiopulmonary resuscitation directive. In the absence of any valid EMS cardiopulmonary resuscitation directive, emergency medical service personnel shall pre…

Rule 44:05:06:11 Non-standard form cardiopulmonary resuscitation directive. ARTICLE 44:05 44:05:06:11. Non-standard form cardiopulmonary resuscitation directive. Any competent adult may execute a cardiopulmonary resuscitation directive by other than the standard form for an EMS c…

44:05:07:01. Application form. An application for a hardship exemption must include: (1) The name of the ambulance service; (2) The ambulance service owner’s or chief executive officer’s name, official title, address, email address, and phone number; (3) Documentation that the am…

44:05:07:02. Approval of hardship exemption application. The department shall approve a hardship exemption if an ambulance service: (1) Demonstrates by clear and convincing evidence that no physician who is within a fifty-mile radius of the ambulance service coverage area or cred…

44:05:07:03. Renewal of hardship exemption. To renew the exemption approved pursuant to § 44:05:07:01, an ambulance service must submit a new application to the department thirty days prior to the expiration of the current exemption. Source: 51 SDR 36, effective September 30, 202…

44:05:08:01. Quality assurance program standards. In addition to the chart review requirement in SDCL 34-11-11, each ambulance service that provides advanced life support, as defined in SDCL 36-4B-1, shall have the following written quality assurance standards in place that confo…

44:06:01:00. Definitions. Repealed. Source: 20 SDR 91, effective December 19, 1993; 23 SDR 91, effective December 9, 1996; 30 SDR 198, effective June 23, 2004; 33 SDR 106, effective December 26, 2006; 52 SDR 33, effective October 1, 2025.