Wyo. Code R. 048-0023-3
Emergency Medical Services - General
Chapter 3: Ambulance Permit Requirements
Effective Date: 12/08/2008 to Current
Rule Type: Current Rules & Regulations
Reference Number: 048.0023.3.12082008
EMERGENCY MEDICAL SERVICES
Section 1. Permit Required. All ambulance services covered by these Rules shall be required to obtain a permit for each ambulance used in his ambulance service.
Section 2. Application. An ambulance service shall apply for a permit by completing an application provided by the Division. The application shall contain at a minimum:
(a) A description of each ambulance including type, make, model, year of manufacture, and motor or chassis number; (b) An inventory verification of the recommended supplies and equipment carried aboard the ambulance; (c) Motor vehicle license number or aircraft registration number; and (d) The name and address of the person(s) owning and operating the ambulance.
Section 3. Ambulance Specification Criteria. All ground ambulances purchased or leased, per Manufacturers Statement of Origin, shall not exceed the Federal certified Gross vehicle Weight Rating for the chassis when fully configured and assuming payload of one hundred fifty (150) pounds per passenger space.
Section 4. Types of Aircraft Meeting the Criteria. Aircraft, when used for ambulance service, shall comply with the current Federal Aviation Regulations and 14 CFR 135, or these rules and regulations, whichever are more restrictive.
Section 5. Equipment Criteria. Recommended minimum equipment for ground ambulances shall be established by the Division. Recommended equipment lists shall be available from the Division. [See attached Appendix C]
Section 6. Equipment Criteria for Air Ambulances.
(a) Required equipment for an air ambulance service may be kept separate from the aircraft in modular prepackaged form to facilitate rapid loading and easy access aboard the aircraft when responding to a call. (b) All equipment and materials used in an air ambulance shall be secured to prevent any hazard during flight. (c) Each air ambulance shall provide stretcher security and patient restraint in the vertical and horizontal plane.
(d) The equipment required to be on board an air ambulance when the aircraft is used to provide ambulance service shall be as indicated in the Federal Aviation Regulations 14 CFR 135, and the above Section 5.
Section 7. Safety Equipment Criteria.
(a) A ground ambulance shall be equipped with approved safety belts for the driver and for the front seat passenger(s), if any, and for all seating places in the rear compartment.
(b) An air ambulance shall have a Federal Aviation Administration (FAA) certificate of airworthiness maintained current by compliance with all required FAA inspections, as defined by the Federal Aviation Regulation.
(c) Every ambulance shall carry:
(i) A minimum 1A10BC rated fire extinguisher;
(ii) A portable battery operated light; and
(iii) Maps covering areas in which the ambulance provides services.
Section 8. Communications Equipment Criteria.
(a) Each ambulance shall be equipped with a two-way radio or telephone or other wireless communication device capable of direct communication with Wyoming hospitals for the purpose of patient evaluation and medical procedure authorization.
(b) Any ambulance-to-hospital communication shall be conducted on a Federal Communications Commission (FCC), State Communications Office or Division-approved frequency.
(c) Each air ambulance shall comply with communication requirements as specified by Federal Aviation Regulations.
(d) Each ground ambulance shall be identified with an MS # for communication purposes with hospitals and other agencies. Ambulances MS# are assigned by the Wyoming Hospital Association on behalf of the OEMS.
Section 9. Maintenance Criteria.
(a) The ambulance shall contain compartments so that medical supplies may be kept in a clean and sanitary condition.
(b) Equipment shall be securely stored so that the patient is not injured during a sudden stop or movement.
(c) The ambulance interior and exterior shall be kept clean. The interior shall be cleaned, as necessary, after each use. When a patient with a communicable disease, other than the common cold, has been transported in an ambulance, the ambulance interior and all equipment coming in contact with the patient shall be thoroughly disinfected. The infection control guidelines of the Centers for Disease Control shall be adhered to.
(d) All linens, airway and oxygen masks, nasal cannulas or any other supplies or equipment coming into direct patient contact shall either be of a single use, disposable type or cleaned, laundered or disinfected prior to reuse, as appropriate.
(e) All equipment shall be kept clean and in proper working order.
(f) The ambulance shall be maintained in accordance with manufacturer's specifications and be in good safe operating condition at all times.
(g) Emergency vehicle warning lights and audible warning devices shall be maintained to function in the manner in which they were designed to function.
(h) The ground ambulance shall meet the safety inspection criteria, as established by the Division. [See attached Appendix D]
Section 10. Inspection and Decision. After receiving an application, the Division may inspect the ambulance or have its designee inspect the ambulance. The Division shall grant the permit if the ambulance meets the requirements of this Chapter. If the Division denies the permit, it shall specify the reasons for denial, the corrective action required by the Division, and a date by which the corrective action must be taken. The Division may at any time inspect an ambulance requiring a permit under this Chapter.
Section 11. Term of Permit; Non-transferable. Permits shall remain effective as long as the ambulance meets the requirements of this Chapter. The permit is not transferable.
Section 12. Permit Display. Permit decals shall be prominently affixed to the rear door or rear window of the ambulance.
Section 13. Ambulance Inspection. The Division may, at its sole discretion, inspect each ambulance subject to the requirements of this Chapter. The Division may inspect an ambulance or its maintenance records at any time or place to determine if the ambulance is being operated safely and in compliance with these regulations. [See attached Appendix D]