N.M. Admin. Code § 18.3.14.11

Current through Register Vol. 35, No. 16, August 27, 2024

Section 18.3.14.11 - MINIMUM PERSONNEL REQUIREMENTS

A.Ambulances:

(1) A minimum of two licensed EMTs from the ambulance service shall be present at the scene of the emergency, except that two EMTs need not be present at the scene for prearranged transfers of a stable patient or in those situations where there are overlapping calls, disasters, or similar circumstances which result in an insufficient number of EMTs being available.

(2) A minimum of one EMT shall be in the patient compartment during patient care and transport.

B.Exceptions:

(1) An EMT is required to be aboard the ambulance but is not required in the patient compartment, when a member of a neonatal intensive care team is attending a patient in a self- contained newborn intensive care isolette.

(2) Subject to the policies of the service, additional non-EMT medical personnel, functioning within the scope of their licensure and the scope of skills and medications approved for the service by the EMS Bureau and EMS medical direction committee, may accompany a patient in an ambulance patient compartment, as long as one EMT is also present in the patient compartment.

(3) For ambulances with approval as critical care units, one special skill critical care certified paramedic must be in the patient compartment along with at least one advanced provider who is:

(a) a special skill critical care paramedic; or

(b) a nurse trained and approved by the EMS agency medical director for the scope of skills and medications listed in the critical care special skills application; or

(c) other advanced care provider, such as a physician, certified nurse practitioner, physician assistant, respiratory therapist, or other specially trained caregiver appropriate for the advanced care needed, as determined by the ambulance service's medical director.

(4) For EMS bureau approved community EMS or advanced paramedic practice programs, at least one caregiver trained and certified as required by the EMS bureau, and approved by the ambulance service's medical director, must attend and assess the patient.

C.Training coordinator required: Each ambulance service shall designate a coordinator of appropriate training and continuing education required for all ambulance service personnel.

D.Medical director required: Each ambulance service shall designate a medical director, working under agreement or contract, who meets the department of health requirements prescribed in 7.27.3 NMAC. If an ambulance service is temporarily without a medical director, it shall establish temporary medical direction services with a local, regional or state EMS medical director.

N.M. Admin. Code § 18.3.14.11

18.3.14.11 NMAC - Rp, 18 NMAC 4.2.80 and 18 NMAC 4.2.82, 1-1-05, Amended by New Mexico Register, Volume XXVI, Issue 03 February 13, 2015, eff. 2/13/2015, Amended by New Mexico Register, Volume XXXIV, Issue 20, October 24, 2023, eff. 10/24/2023, Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024