The LEMSTP shall include:

1. (1) The name of the ambulance service;
2. (2) The city where the ambulance service is located;
3. (3) Name of person completing the transport plan;
4. (4) The date the transport plan was completed;
5. (5) Hospital resources, including designated trauma hospitals in response area;
6. (6) Other resources, including rugged and technical rescue or special rescue capability or biohazard decontamination capability;
7. (7) Additional resources, including ground ambulance service, quick response units, rescue and extrication units, air medical services, and first responder groups;
8. (8) A service area map;
9. (9) The trauma transport protocol, by zones if applicable;
10. (10) The criteria utilized to activate a trauma team alert;
11. (11) The criteria utilized to activate mutual aid or ALS by ground and air; and

12. (12) A signature page including the signatures of:

    1. (a) The ambulance service chief officer;
    2. (b) The ambulance service medical director; and

    3. (c) The primary receiving hospital trauma coordinator.

       Transport plans will be made available to any licensed trauma hospital in South Dakota.

Source: 35 SDR 304, effective June 29, 2009; 42 SDR 97, effective January 4, 2016.

General Authority: SDCL 34-12-54.

Law Implemented: SDCL 34-12-53 , 34-12-54.

Prior versions effective: 2009-06-29.