South Dakota Administrative Code

44:05:04:09. Bandage and hemorrhage control supplies. Each ground ambulance must be equipped with the following bandage and dressing equipment: (1) Multi-trauma dressings; (2) Gauze pads; (3) Gauze rolls; (4) One-inch and two-inch adhesive tape; (5) One-inch and two-inch hypoalle…

44:05:04:10. Obstetric kit. Each ground ambulance must be equipped with the following obstetric equipment: (1) Towels or drapes; (2) Bulb suction; (3) Sterile pads or dressings; (4) Plastic bags or basin; (5) Cord clamps, umbilical tape, or ties; (6) Sterile shears, scissors, or …

44:05:04:11. Medications. Each ground ambulance must be equipped with: (1) Chewable eighty-one milligram aspirin; (2) Glucose; (3) Medical-grade oxygen; (4) Medication for the treatment of anaphylaxis; and (5) Opioid antagonist for the treatment of a suspected opioid overdose. So…

44:05:04:11.01. Recommended medications. Repealed. Source: 44 SDR 93, effective December 4, 2017; 51 SDR 36, effective September 30, 2024.

44:05:04:12. Immobilization devices. Each ground ambulance must be equipped with the following immobilization devices: (1) One upper extremity immobilization device and one lower extremity immobilization device that support the joint above and below the fracture site sized approp…

44:05:04:12.01. Cardiac equipment. Each ground ambulance must be equipped with the following cardiac equipment approved by the Food and Drug Administration: (1) An automated external defibrillator with pediatric capabilities, including child-sized pads and cables or a dose attenu…

Rule 44:05:04:13 Patient transportation equipment. 44:05:04:13. Patient transportation equipment. All ground ambulances shall be equipped with an adjustable wheeled ambulance cot equipped with mattress. The cot must be capable of being secured by mechanical means to the floor or …

Rule 44:05:04:13.01 Wheelchairs prohibited. 44:05:04:13.01. Wheelchairs prohibited. An ambulance service may not use a wheelchair to transport any patient in an ambulance. Source: 30 SDR 125, effective February 22, 2004. General Authority: SDCL 34-11-5. Law Implemented: SDCL 34-1…

44:05:04:14. Examination equipment and reference materials. Each ground ambulance must be equipped with the following medical examination equipment and reference materials: (1) A sphygmomanometer with adult, child, and infant cuffs; (2) An adult stethoscope; (3) A pediatric steth…

44:05:04:15. Miscellaneous equipment. Each ground ambulance must be equipped with the following miscellaneous equipment: (1) An emesis basin or convenience bag; (2) Towels; (3) Cold packs; (4) Linen or paper sheets; (5) Pillows; (6) Heavy duty shears; (7) Sterile saline solution …

44:05:04:15.01. Infection control equipment. Each ground ambulance must be equipped with the following infection control equipment: (1) Full peripheral glasses or goggles and face shield; (2) A high-efficiency particulate air mask; (3) Non-sterile, latex-free examination gloves i…

Rule 44:05:04:16 Repealed. 44:05:04:16. Mechanical ventilation devices prohibited.Repealed. Source: 2 SDR 26, effective October 9, 1975; 6 SDR 93, effective July 1, 1980; repealed, 16 SDR 147, effective March 18, 1990.

44:05:04:17. Storage of ground ambulance equipment and supplies. Each ground ambulance must provide closed compartments in which required equipment and supplies must be stored. The compartments, equipment, and supplies must be kept free from dust, insects, and rodents. All equipm…

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…