In addition to the chart review requirement in SDCL 34-11-11, each ambulance service that provides advanced life support, as defined in SDCL 36-4B-1, shall have the following written quality assurance standards in place that conform with industry safety and scope of practice standards:

1. (1) Personnel and patient safety;
2. (2) Use of lights and sirens during patient transport;
3. (3) Compliance with basic life support or medical or program director approved advanced life support patient care guidelines;
4. (4) Twelve lead electrocardiogram placement and transmission for patients with suspected cardiac chest pain;
5. (5) Blood glucose check for a patient with a suspected stroke;
6. (6) Documentation of at least one set of vitals on every patient transport;
7. (7) Review of all sentinel, or patient safety, events not primarily related to the natural course of a patient’s illness or underlying condition, that reaches a patient and results in death, severe or permanent harm;
8. (8) Compliance with trauma, ST-elevation myocardial infarction, and stroke alert activations; and

9. (9) Medical or program director review and feedback for all:

   1. (a) Cardiac arrest resuscitations;
   2. (b) Patients who received rapid sequence intubation;
   3. (c) Rescue airway placements after a failed intubation; and
   4. (d) Pediatric patients with life threatening emergencies.

Source: 51 SDR 36, effective September 30, 2024 .

General Authority: SDCL 34-11-5 .

Law Implemented: SDCL 34-11-11 (8) .