[30 Pa.B. 5363]
[Continued from previous Web Page]
CHAPTER 1013. SPECIAL EVENT EMS § 1013.1. Special event EMS planning requirements.
(a) Procedure for obtaining required plan approval. A person, agency or organization responsible for the management and administration of special events may submit a plan for EMS to the Department, through the regional EMS council assigned responsibility for the region in which the special event is to occur, to secure a determination from the Department as to whether the plan is adequate to address the EMS needs presented by a special event or a series of special events conducted at the same location. The plan shall be submitted prior to the start of the special event or events.
(1) Persons, agencies or organizations, managing facilities or locations which are involved in special events who seek the Department's approval of an EMS plan for a special event or series of special events conducted at the same location, shall submit an annual plan to the appropriate regional EMS council at least 90 days prior to the date of the first scheduled event of each calendar year.
(2) The Department will approve or disapprove a special event EMS plan within 60 days after a complete plan is filed with the regional EMS council.
(b) Plan content. The special event EMS plan shall contain information including:
(1) The type and nature of event, location, length and anticipated attendance.
(2) Identification of sponsoring organization.
(3) The name and qualifications of the special event supervisory physician and the special event EMS director.
(4) Identification of the number and qualifications of emergency medical personnel who will be involved.
(5) The type and quantity of emergency medical vehicles, equipment and supplies to be utilized.
(6) A description of the onsite treatment facilities including maps of the special event site.
(7) The level of care to be provided BLS, ALS or both.
(8) Patient transfer protocols and agreements.
(9) A description of the special event emergency medical communications capabilities.
(10) Plans for educating event attendees regarding EMS system access, specific hazards or severe weather.
(11) Measures that have and will be taken to coordinate EMS for the special event or events with local emergency care services and public safety agencies--such as ambulance, police, fire, rescue, and hospital agencies or organizations.
(c) Plan approval. To secure Department approval of an EMS plan for a special event, the applicant shall satisfy the requirements of this chapter.
§ 1013.2. Administration, management and medical direction requirements.
(a) Special event EMS director. EMS provided at a special event shall be supervised by an individual identified as the special event EMS director.
(1) Responsibilities. The responsibilities of the special event EMS director include:
(i) The preparation of a plan under § 1013.1 (relating to special event EMS planning requirements).
(ii) Management of the delivery of special event EMS.
(iii) Ensuring implementation of the EMS coordination measures contained in the special event EMS plan.
(2) Qualifications. A special event EMS director shall be experienced in the administration and management of prehospital EMS at the BLS or ALS level, depending on the level of EMS provided at the special event.
(b) Special event emergency supervisory physician.
(1) Requirement. A special event EMS system shall be directed and supervised by a medical command physician for events involving more than 25,000 actual or anticipated participants or attendees, or both.
(2) Qualifications. A special event emergency supervisory physician shall possess the following qualifications:
(i) Experience in the medical direction and supervision of prehospital EMS at the BLS or ALS level, depending on the level of care provided at the special event.
(ii) Be licensed as a physician.
§ 1013.3. Special event EMS personnel and capability requirements.
(a) Special event emergency medical staff shall be certified at appropriate emergency care levels based on the level of EMS provided at the special event; that is, BLS, ALS, or both.
(b) One staffed and Pennsylvania licensed ambulance vehicle shall be stationed onsite of a special event with a known or estimated population of between 5,000 and 25,000 participants or attendees, or both.
(c) Two staffed and Pennsylvania licensed ambulance vehicles shall be stationed onsite of a special event with a known or estimated population greater than 25,000 but less than 55,000 participants or attendees, or both.
(d) Three staffed and Pennsylvania licensed ambulance vehicles shall be stationed onsite of any special event with a known or estimated population greater than 55,000 participants or attendees, or both.
(e) Sufficient personnel shall be available to assure the availability of BLS care to special event spectators or participants within 10 minutes of notification of need for emergency care. EMS personnel shall be currently certified at the ambulance attendant, first responder, EMT, EMT-paramedic or health professional level.
§ 1013.5. Onsite facility requirements.
A special event for which greater than 25,000 participants or spectators, or both, will be involved shall require the use of onsite treatment facilities. The onsite treatment facilities shall provide:
(1) Environmental control, providing protection from weather elements to insure patient safety and comfort.
(2) Sufficient beds, cots and equipment to provide for evaluation and treatment of at least four simultaneous patients.
(3) Adequate lighting and ventilation to allow for patient evaluation and treatment.
§ 1013.6. Communications system requirements.
A special event EMS system shall have onsite communications capabilities to insure:
(1) Uniform access to care for patients in need of EMS.
(2) Onsite coordination of the activities of EMS personnel.
(3) Communication with existing community PSAPs.
(4) Communication interface with other involved public safety agencies.
(5) Communication with receiving facilities.
(6) Communication with ambulances providing emergency transportation.
§ 1013.8. Special event report.
The person or organization that filed the special event EMS plan shall complete a special event report form prepared by the Department and provided to it by the relevant regional EMS council, and shall file the completed report with that regional EMS council within 30 days following a special event.
CHAPTER 1015. QUICK RESPONSE SERVICE RECOGNITION PROGRAM § 1015.1. Quick response service.
(a) Criteria. An applicant for recognition as a QRS shall file an application in which it shall commit to the following to receive Department recognition as a QRS:
(1) The applicant will maintain essential equipment and supplies for a QRS, as published by the Department at least annually in the Pennsylvania Bulletin, for immediate use when dispatched.
(2) The applicant has capabilities to be dispatched and to communicate with a responding ambulance service.
(3) EMS it provides will be performed by prehospital personnel or other persons authorized by law to perform the services.
(4) The applicant shall satisfy the requirements applicable to ambulance services in §§ 1001.41 and 1001.42 (relating to data and information requirements for ambulance services; and dissemination of information), for data elements included in an EMS patient care report which the Department designates for completion by a QRS.
(5) The applicant shall provide EMS in compliance with regional medical treatment protocols and the Statewide BLS medical treatment protocols.
(b) Recognition process.
(1) An applicant for Department recognition as a QRS shall submit an application on forms prescribed by the Department to the regional EMS council having jurisdiction over the area in which the applicant intends to locate. The application shall contain the following information:
(i) The name and address of the applicant.
(ii) The physical location of the applicant.
(iii) Service affiliations (police department, fire department, ambulance service, or other).
(iv) The service area.
(v) The types and number of vehicles it will employ, if any.
(vi) Communication access and capabilities of the applicant.
(vii) A roster of persons who have committed to serve as QRS members, and their qualifications.
(viii) A summary of how the QRS will interface with ambulance services.
(ix) Verification that the applicant will satisfy the requirements of subsection (a).
(x) A statement attesting to the veracity of the application, which shall be signed by the principal official of the applicant.
(2) The regional EMS council shall review the application for completeness and accuracy. It shall return an incomplete application to the applicant within 14 days of receipt.
(3) Upon receipt of a complete application, the regional EMS council shall conduct, within 45 days, an onsite inspection of the applicant to determine whether the applicant satisfies the regulatory criteria for QRS recognition. Deficiencies identified during the inspection shall be documented and made known to the applicant. A reinspection shall be scheduled when the applicant notifies the regional EMS council that the deficiencies have been corrected. The results shall be forwarded to the Department.
(c) Recognition.
(1) A certificate of recognition as a QRS will be issued by the Department when it has been determined that requirements for recognition have been met.
(2) The certificate of recognition will specify the name of the QRS, the date of issuance, the date of expiration, the regional EMS council through which the application was processed and the recognition number assigned by the Department.
(3) The QRS may identify a vehicle being utilized for response by applying to the outside of the vehicle a QRS decal issued by the Department
(4) The QRS decal issued by the Department may not be displayed on a vehicle not utilized for response by the QRS.
(5) A certificate of recognition is nontransferable and shall remain valid for 3 years unless withdrawn by the Department due to the QRS failing to continue to meet the standards for recognition as a QRS in subsection (a).
(d) Renewal of recognition. A QRS may continue to participate in the Quick Response Service Recognition Program by resubmitting an application in a format prescribed by the Department to the appropriate regional EMS council at least 60 days prior to the expiration date of its certificate of recognition.
§ 1015.2. Discontinuation of service.
A QRS may not discontinue service, except upon order of the Department, without providing each regional EMS council and the chief executive officer of each political subdivision within its service area 90 days advance notice. The QRS shall also advertise notice of its intent to discontinue service in a newspaper of general circulation in its service area at least 90 days in advance of discontinuing service, and shall provide the Department with written notice that it has met these responsibilities at least 90 days in advance of discontinuing service.
[Pa.B. Doc. No. 00-1796. Filed for public inspection October 13, 2000, 9:00 a.m.]
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