Section 100127 - [Operative until 1/1/2025] Advanced EMT and/or EMT-II Base Hospital(a) A LEMSA with a LALS system shall designate an Advanced EMT and/or EMT-II base hospital(s) or alternative base stations to provide medical direction and supervision of Advanced EMT personnel. A Paramedic base hospital may serve as an Advanced EMT and/or EMT-II base hospital.(b) A designated Advanced EMT and/or EMT-II base hospital shall: (1) Be licensed by the California Department of Public Health as a general acute care hospital.(2) Have a special permit for Basic or Comprehensive Emergency Medical Service pursuant to the provisions of Division 5, or have been granted approval by the Authority for utilization as a base hospital pursuant to the provisions of Section 1798.101 of the Health and Safety Code.(3) Be accredited by a Centers for Medicare and Medicaid Services approved deeming authority.(4) Have and agree to utilize and maintain two-way telecommunications as specified by the LEMSA, capable of direct two-way voice communication with the Advanced EMT field units assigned to the hospital.(5) Have a written agreement with the LEMSA indicating the concurrence of hospital administration, medical staff and emergency department staff to meet the requirements for program participation as specified in this Chapter and by the LEMSA's policies and procedures.(6) Assure that a Physician, licensed in the State of California, experienced in emergency medical care, is assigned to the emergency department, and is available at all times to provide immediate medical direction to the Mobile Intensive Care Nurse, or Advanced EMT personnel. This Physician shall have experience in and knowledge of base hospital radio operations and LEMSA policies, procedures and protocols.(7) Assure that nurses giving radio direction to Advanced EMT personnel are trained and certified as Mobile Intensive Care Nurses by the medical director of the LEMSA.(8) Designate an Advanced EMT base hospital medical director who shall be a Physician on the hospital staff, licensed in the State of California who is certified or prepared for certification by the American Board of Emergency Medicine. The requirement of board certification or prepared for certification may be waived by the medical director of the LEMSA. This Physician shall be regularly assigned to the emergency department, have experience in and knowledge of base hospital telecommunications and LEMSA policies and procedures and shall be responsible for functions of the base hospital including quality improvement as designated by the medical director of the LEMSA.(9) Identify a base hospital coordinator who is a California licensed Registered Nurse with experience in and knowledge of base hospital operations and LEMSA policies and procedures and is a prehospital liaison to the LEMSA.(10) Ensure that a mechanism exists for replacing medical supplies and equipment used by LALS personnel during treatment of patients according to policies and procedures established by the LEMSA.(11) Ensure a mechanism exists for initial supply and replacement of controlled substances administered by LALS personnel during treatment of patients according to policies and procedures established by the LEMSA.(12) Provide for CE in accordance with the policies and procedures of the LEMSA.(13) Agree to participate in the LEMSA's EMSQIP, which may include making available all relevant records for program monitoring and evaluation.(c) If no qualified base hospital is available to provide medical direction, the medical director of the LEMSA may approve an alternative base station pursuant to Health and Safety Code Section 1798.105.(d) The LEMSA may deny, suspend, or revoke the approval of a base hospital for failure to comply with any applicable policies, procedures, and regulations.Cal. Code Regs. Tit. 22, § 100127
1. Amendment of section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010, No. 21).
2. Amendment of subsections (b)(3) and (b)(9) filed 8-13-2012; operative 9-12-2012 (Register 2012, No. 33). Note: Authority cited: Sections 1797.107 and 1797.171, Health and Safety Code. Reference: Sections 1797.53, 1797.58, 1797.82, 1797.101, 1797.171, 1797.178, 1798, 1798.2, 1798.3, 1798.100, 1798.102, 1798.104 and 1798.105, Health and Safety Code.
1. Amendment of section heading, section and Note filed 5-18-2010; operative 6-17-2010 (Register 2010, No. 21).
2. Amendment of subsections (b)(3) and (b)(9) filed 8-13-2012; operative 9-12-2012 (Register 2012, No. 33).The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.