1. (1) A ground ambulance vehicle in operation and providing only specialty care transport during inter-facility transfers must be staffed by a minimum of two qualified persons or additional staff, the number and type, specified by the transferring physician:

   1. (a) A qualified driver who meets the requirements specified in OAR 333-250-0270; and
   2. (b) A person who is a Paramedic with additional specialty care training, an ambulance-based clinician or other qualified person who has additional specialty care training and who must be in the patient compartment when a patient is receiving specialty level care.

2. (2) A Paramedic, ambulance-based clinician or other qualified person described in subsection (1)(b) of this rule must have the:

   1. (a) Training to properly operate all patient care equipment carried on a ground ambulance vehicle, including specialty care equipment necessary to care for the patient during the transfer;
   2. (b) Training to do titration of intravenous medications necessary to care for the patient during transfer; and
   3. (c) Ability to properly assist in lifting and moving a patient.

3. (3) A ground ambulance vehicle in operation and providing only specialty level care transport must have the necessary patient care equipment, medications or supplies anticipated or required for patient care including at a minimum:

   1. (a) The equipment requirements specified in OAR 333-255-0072 section (5);
   2. (b) Device to provide continuous waveform capnography;
   3. (c) Device to provide pressure infusion of intravenous (IV) fluids; and
   4. (d) Equipment suitable for administering a fluid bolus to pediatric patients that limits risk for inadvertent over-administration of fluid.

Statutory/Other Authority

ORS 682.017 & 682.068

Statutes/Other Implemented

ORS 682.017 - 682.117 & 682.991

History

PH 19-2025, amend filed 09/24/2025, effective 01/01/2026
PH 1-2022, minor correction filed 01/03/2022, effective 01/03/2022
PH 87-2021, amend filed 12/09/2021, effective 01/01/2022
PH 63-2021, minor correction filed 10/05/2021, effective 10/05/2021
PH 230-2018, amend filed 06/13/2018, effective 06/15/2018
PH 1-2013, f. & cert. ef. 1-25-13
PH 1-2011, f. & cert. ef. 1-6-11
PH 12-2010, f. 6-30-10, cert. ef. 7-1-10
PH 2-2007, f. & cert. ef. 2-1-07
OHD 5-2001, f. & cert. ef. 4-24-01