Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC 16-31-3-20

Affected: IC 4-21.5; IC 16-31-3; IC 16-41-10

Sec. 1. (a) A person shall not:

1. (1) furnish;
2. (2) operate;
3. (3) maintain;
4. (4) advertise; or
5. (5) otherwise engage in providing;

emergency ambulance services unless the person is certified by the commission as an ambulance service provider organization.

(b) Each ambulance, while transporting a patient, shall be staffed by not fewer than two (2) persons, one (1) of whom shall be:

1. (1) a certified emergency medical technician; and
2. (2) in the patient compartment.

(c) An emergency patient shall only be transported in a certified ambulance.

(d) Each ambulance service provider organization shall notify the agency in writing as follows:

1. (1) Within thirty (30) days of any changes in any items in the application required in section 2(a) of this rule.
2. (2) Immediately of change in medical director, including medical director approval form and protocols.

(e) Each ambulance service provider organization shall have a medical director or medical director designee as described in 836 IAC 1-1-6(4)(C). The duties and responsibilities of the medical director are as follows:

1. (1) Provide liaison between the:

   1. (A) local medical community; and
   2. (B) emergency medical service provider organization.
2. (2) Assure compliance with defibrillation training standards and curriculum established by the commission.
3. (3) Monitor and evaluate the day-to-day medical operations of the ambulance service provider organization.
4. (4) Assist in the continuing education programs of the ambulance service provider organization.
5. (5) Provide technical assistance concerning the delivery of automated defibrillation and other medical issues.
6. (6) Provide individual consultation to the emergency medical personnel affiliated with the ambulance service provider organization.
7. (7) Participate in the audit and review of cases treated by the emergency medical personnel of the ambulance service provider organization.
8. (8) Assure compliance with approved medical standards established by the commission performed by the ambulance service provider organization.

9. (9) Establish protocols for:

   1. (A) automatic defibrillation;
   2. (B) airway management;
   3. (C) patient-assisted medications; and
   4. (D) emergency medical technician-administered medications;
10. as approved by the commission.

11. (10) Provide liaison between the:

    1. (A) emergency medical service provider organization;
    2. (B) emergency medical service personnel; and
    3. (C) hospital;
12. in regards to communicable disease testing under IC 16-41-10.

(Indiana Emergency Medical Services Commission; Emergency Medical Services Rule I, A; filed Jun 5, 1975, 11:57 a.m.: Rules and Regs. 1976, p. 84; filed Dec 15, 1977: Rules and Regs. 1978, p. 244; filed Dec 15, 1977: Rules and Regs. 1978, p. 245; filed Nov 3, 1980, 3:55 p.m.: 3 IR 2192; errata, 4 IR 531; filed Oct 13, 1981, 10:05 a.m.: 4 IR 2419; filed Dec 2, 1983, 2:43 p.m.: 7 IR 352; errata, 7 IR 1254; filed Dec 13, 1985, 9:13 a.m.: 9 IR 1036; filed Aug 18, 1986, 1:00 p.m.: 10 IR 24; filed May 15, 1998, 10:25 a.m.: 21 IR 3866; filed Jun 30, 2000, 4:18 p.m.: 23 IR 2719; filed Apr 4, 2002, 9:15 a.m.: 25 IR 2506; filed Feb 20, 2003, 8:00 a.m.: 26 IR 2337; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3516; filed Jul 31, 2007, 10:01 a.m.: 20070829-IR-836060011FRA; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFA; readopted filed Oct 31, 2016, 1:48 p.m.: 20161130-IR-836160328RFA; readopted filed Nov 28, 2022, 2:51 p.m.: 20221228-IR- 836220299RFA; readopted filed Jul 24, 2024, 3:48 p.m.: 20240821-IR-836230827RFA)