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

Affected: IC 4-21.5-1

Sec. 4. (a) Each provider organization shall maintain accurate records concerning the emergency care provided to each patient within the state as well as the following:

1. (1) All advanced life support rotorcraft ambulance service provider organizations shall utilize a patient care transport record.
2. (2) All advanced life support rotorcraft ambulance service provider organizations shall maintain accurate records under 836 IAC 1-1-5.

(b) Premises will be maintained, suitable to the conduct of a rotorcraft ambulance service, with provision for adequate storage or maintenance, or both, of rotorcraft ambulances and the on-board equipment.

(c) Each rotorcraft ambulance service provider organization shall have a periodic maintenance program as outlined for each specific aircraft certified by the commission in compliance with F.A.A. guidelines and manufacturer's service recommendations (MSR) as a minimum to assure that each rotorcraft ambulance, including equipment, is maintained in good, safe working condition and that rigid sanitation conditions and procedures are in effect at all times.

(d) All rotorcraft ambulance service provider organization premises, records, hangars, padding, tie-down facilities, and rotorcraft ambulances will be made available for inspection by the agency at any time during regularly scheduled business hours.

(e) A determination of noncompliance with F.A.R. may result in immediate suspension of commission certification as a rotorcraft ambulance service provider organization.

(f) Each rotorcraft ambulance service provider organization shall make available to the commission for inspection at place of operation during regular business hours any manual of operations required under F.A.R.

(g) Commission certification as a rotorcraft ambulance service provider organization may be terminated upon the date specified in the notice.

(h) Each rotorcraft ambulance service provider organization shall establish equipment checklist procedures to ensure the following:

1. (1) Electronic and mechanical equipment are in proper operating condition.
2. (2) Rotorcraft ambulances shall be maintained in safe operating conditions at all times.
3. (3) Emergency patient care equipment required for rotorcraft ambulance certification is maintained in minimum quantities either directly on board the rotorcraft ambulance or available at the time of patient transport.

(i) Each rotorcraft ambulance service provider organization shall ensure that rigid sanitation conditions and procedures are in effect at all times. The following sanitation standards apply to all rotorcraft ambulances:

1. (1) The interior and the equipment within the aircraft are clean and maintained in good working order at all times.
2. (2) Freshly laundered linens are used on all litters, and pillows and linens shall be changed after each patient is transported.
3. (3) When the aircraft has been utilized to transport a patient known to have a communicable disease, the aircraft shall be cleansed and all contact surfaces be disinfected.

(j) A rotorcraft ambulance service provider organization shall not operate a rotorcraft ambulance in Indiana if the aircraft does not meet the certification requirements of this article and does not have a certificate issued under this article; however, a rotorcraft ambulance service provider organization may operate, for a period not to exceed one hundred eighty (180) consecutive days, a noncertified rotorcraft ambulance if the noncertified rotorcraft ambulance is used to replace a certified rotorcraft ambulance that has been temporarily taken out of service providing the following:

1. (1) The replacement rotorcraft ambulance meets all certification requirements of this article.

2. (2) The rotorcraft ambulance service provider organization shall notify the agency, in writing, within seventy-two (72) hours of the time the replacement rotorcraft is placed in service. The written notice shall identify the following:

   1. (A) The replacement date.
   2. (B) The certification number of the replaced rotorcraft ambulance.
   3. (C) The aircraft identification number of the replacement rotorcraft.
   4. (D) The make and type of the replacement rotorcraft ambulance.

Upon receipt of the notification, a temporary certificate shall be issued effective the date the certified rotorcraft ambulance was replaced. Temporary certification will not exceed one hundred eighty (180) days from the date that the replacement rotorcraft ambulance is placed in service, and, upon return to service of the certified rotorcraft ambulance, the use of the replacement rotorcraft ambulance shall cease. If the replaced rotorcraft ambulance is not returned to service within the one hundred eighty (180) day period, use of the replacement rotorcraft ambulance shall cease unless certification is approved in accordance with this article.

(Indiana Emergency Medical Services Commission; 836 IAC 3-2-4; filed Oct 11, 1988, 11:05 a.m.: 12 IR 370; filed May 15, 1998, 10:25 a.m.: 21 IR 3920; filed Apr 4, 2002, 9:08 a.m.: 25 IR 2494; filed Feb 20, 2003, 8:00 a.m.: 26 IR 2358; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3554; 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)