CHAPTER 1033. SPECIAL EVENT EMS Sec.
1033.1. Special event EMS planning requirements.
1033.2. Administration, management and medical direction requirements.
1033.3. Special event EMS personnel and capability requirements.
1033.4. Onsite facility requirements.
1033.5. Communications system requirements.
1033.6. Requirements for educating event attendees regarding access to EMS.
1033.7. Special event report.Authority The provisions of this Chapter 1033 issued under the Emergency Medical Services System Act, 35 Pa.C.S. § § 8101—8157, unless otherwise noted.
Source The provisions of this Chapter 1033 adopted October 11, 2013, effective October 12, 2013, 43 Pa.B. 6093, unless otherwise noted.
§ 1033.1. Special event EMS planning requirements.
(a) Procedure for obtaining required plan approval. The entity responsible for the management and administration of a special event may submit a special event EMS plan 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.
(1) The applicant shall submit its plan at least 90 days prior to the date of the first day of the event.
(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.
(3) The Department’s approval of a special event EMS plan will be for the special event or series of special events in a calendar year, as identified in the plan. The entity shall submit a new special event EMS plan to secure Department approval of a plan for a special event or series of special events in a subsequent calendar year.
(b) Plan content. The special event EMS plan must contain the following information:
(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 EMS medical director and the special event EMS director.
(4) A listing of all EMS agencies that will be involved, the type of EMS service each EMS agency will provide and the number and level of certification of EMS providers each EMS agency will provide, as well as the number and type of health care practitioners who are not participating on behalf of an EMS agency, including EMS providers who are not participating on behalf of an EMS agency, who will be involved.
(5) The type and quantity of EMS vehicles and other vehicles, equipment and supplies to be utilized by each EMS agency that will be involved.
(6) A written agreement with each EMS agency that has agreed to participate, in which the EMS agency identifies the type of EMS service, the number of EMS providers by certification level, the vehicles, the equipment and supplies it will provide.
(7) A description of the onsite treatment facilities including maps of the special event site.
(8) A description of the special event emergency medical communications capabilities.
(9) A risk assessment for the event, and a plan for responding to a possible disaster or mass casualty incident at the event site, including a plan for emergency evacuation of the event site.
(10) A plan for educating event attendees regarding EMS system access and specific hazards, such as 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 EMS, police, fire, rescue, and hospital agencies or organizations.
(c) Plan approval. To secure Department approval of a special event EMS plan, the applicant shall satisfy the requirements in this chapter.
Cross References This section cited in 28 Pa. Code § 1033.2 (relating to administration, management and medical direction requirements).
§ 1033.2. Administration, management and medical direction requirements.
(a) Special event EMS director. EMS provided at a special event shall be supervised by a special event EMS director.
(1) Responsibilities. The responsibilities of the special event EMS director include:
(i) Preparing a plan under § 1033.1 (relating to special event EMS planning requirements).
(ii) Managing the delivery of special event EMS.
(iii) Ensuring implementation of the EMS coordination measures contained in the special event EMS plan.
(iv) Ensuring that a record is kept that lists the individuals that requested or received EMS and the disposition of each case, including identification of the transporting EMS agency and ambulance, and the receiving facility, if the individual was transported to a receiving facility.
(2) Qualifications. A special event EMS director shall be experienced in the administration and management of EMS at the level of EMS provided for in the special event EMS plan.
(b) Special event EMS medical director.
(1) Responsibilities. The responsibilities of a special event EMS medical director include:
(i) Ensuring that each EMS provider provided by an EMS agency that is used under the special event EMS plan has been appropriately credentialed by the provider’s EMS agency medical director to provide EMS at the level required in the plan.
(ii) Ensuring that if onsite medical command is provided, that it be provided through a medical command facility and that medical command communications are documented.
(iii) Ensuring that equipment and medications are appropriately stored and secured.
(iv) Reviewing with the EMS agency medical directors for the EMS agencies involved, quality improvement issues related to the special event.
(v) Ensuring that adequate EMS PCRs and records are maintained for patients who receive EMS during the special event.
(2) Qualifications. A special event EMS medical director shall be an EMS agency medical director or satisfy the standards for being an EMS agency medical director in § 1023.1(b) (relating to EMS agency medical director) without serving as an EMS agency medical director.
Cross References This section cited in 28 Pa. Code § 1033.7 (relating to special event report).
§ 1033.3. Special event EMS personnel and capability requirements.
(a) Special event EMS providers shall be certified at appropriate levels based on the level of EMS approved by the Department in the special event EMS plan.
(b) One ambulance shall be stationed onsite at a special event if the event is expected to involve the presence of between 5,000 and 25,000 persons at any one time.
(c) Two ambulances shall be stationed onsite at a special event if the event is expected to involve the presence of more than 25,000 but less than 55,000 persons at any one time.
(d) Three ambulances shall be stationed onsite at a special event if the event is expected to involve the presence of more than 55,000 persons at any one time.
(e) Sufficient EMS providers shall be available to enssure the availability of EMS to persons present at the special event.
§ 1033.4. Onsite facility requirements.
A special event expected to involve the presence of more than 25,000 persons at any one time shall require the use of onsite treatment facilities. The onsite treatment facilities shall provide:
(1) Environmental control, providing protection from weather elements to ensure 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.
§ 1033.5. Communications system requirements.
A special event EMS system shall have onsite communications capabilities to ensure:
(1) Uniform access to care for patients in need of EMS.
(2) Onsite coordination of the activities of EMS providers, including capability for interoperable communication with all EMS agencies involved in the plan and with EMS agencies local to the event site that are not involved in the special event EMS plan.
(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.
(7) Communication with medical command physicians.
§ 1033.6. Requirements for educating event attendees regarding access to EMS.
(a) The entity responsible for the management and administration of a special event shall develop and implement a plan to educate special event participants and spectators about the following:
(1) The presence and location of EMS at the special event.
(2) The methods of obtaining EMS at the special event.
(b) The entity responsible for the management and administration of a special event shall establish a procedure and means for alerting the participants and spectators of specific hazards or serious changing conditions, such as severe weather, and for providing event evacuation instructions.
§ 1033.7. Special event report.
An entity for which the Department has approved a 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 file the completed report with that regional EMS council within 30 days following the last day of a special event. Among other matters, the report shall provide a summary of the patient information required to be kept under § 1033.2(a)(1)(iv) (relating to administration, management and medical direction requirements).
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