1. (a) For the purposes of this section, “neonatal patient” means a patient in age from birth to one month.
2. (b) All providers shall be licensed in accordance with Saf-C 5904.
3. (c) The staffing level in each EMS land or water vehicle shall, at minimum, include 2 providers during patient transport, at least one of whom shall attend the patient.
4. (d) The 2 providers on board a land or water vehicle shall be licensed at any of the levels set forth in Saf-C 5904.01 (b) through (f).
5. (e) During transport of a patient(s) in a land or water vehicle, the provider who is responsible for the patient care shall be licensed at any levels set forth in Saf-C 5904.01 (c) through (f).
6. (f) An EMR provider shall only attend a patient during transport if the treatment is within the scope of practice for the EMR.

7. (g) Apprentice providers:

   1. (1) May accompany the 2 providers in the land or water vehicle, if space permits; and
   2. (2) Shall not serve as one of the 2 providers set forth in (c) above.

8. (h) Students may assist a provider in the land or water vehicle with patient care if:

   1. (1) The unit permits students;
   2. (2) The unit has a written agreement with the training program’s primary instructor;
   3. (3) Space permits;
   4. (4) The unit has designated at least one of the providers as the student’s preceptor; and
   5. (5) The preceptorship has been detailed, in writing, by the training program’s primary instructor to the course medical director and the EMS coordinator for the unit’s MRH.
9. (i) A person acting in a student capacity who is not already a licensed provider shall not serve as a provider.

10. (j) Providers issued a provisional license in accordance with Saf-C 5904:

    1. (1) May serve as one of the 2 providers set forth in (c) above;
    2. (2) Shall provide unrestricted care at the level of which they are licensed as a provider;
    3. (3) Shall be under direct supervision during all patient care activities by an individual who:
    4. (a) Possesses a non-provisional EMS license at any level;
    5. (b) Is actively operating and affiliated under the same licensed EMS unit as the provisional provider;
    6. (c) Is aware of the provisional status of the individual prior to supervising them.

11. (k) Each air medical transport vehicle shall:

    1. (1) Meet the requirements set forth in Saf-C 5906.03; and
    2. (2) Have at minimum, one provider on board licensed at any level set forth in Saf-C 5904.01(c) through (f).
12. (l) Notwithstanding any other rule to the contrary, a land or water vehicle that performs interfacility transport of neonatal patients shall not be required to have more than one licensed EMS provider on board during such transports, provided that the patient is cared for by one or more non-EMS healthcare provider(s) with a more advanced licensure designation, as warranted by the patient acuity as determined by the sending facility.
13. (m) Notwithstanding any other rule to the contrary, an air medical transport vehicle that performs inter-facility transport of neonatal patients shall not be required to have a licensed EMS provider on board during such transports, provided that the patient is cared for by one or more non-EMS healthcare provider(s) with a more advanced licensure designation, as warranted by the patient acuity as determined by the sending facility.
14. (n) In the event of a state of emergency declared by the governor, a public health or safety incident declared in writing to the governor by the commissioner of the department of safety or the commissioner of the department of health and human services, or a mass casualty incident as described in Saf-C 5901.60 and Saf-C 5902.05, the staff required to attend a patient during transport may be reduced to one provider at the EMT, AEMT, or paramedic level per each EMS land or water vehicle. The staffing requirements in Saf-C 5902.06 (c) & (d) shall not be modified except if one of the aforementioned events occurs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, eff 5-24-19; amd by #13006, EMERGENCY, eff 3-20-20, EXPIRED: 9-16-20 (in para (m)); ss by #13178, eff 3-5-21; ss by #14180, INTERIM, eff 1-22-25