§ 270-100. REQUIRED PERSONNEL

(a)

In addition to any other requirements contained herein, no service may utilize a driver or pilot to operate a unit unless:

(1)

She or he is familiar with the geographic area of the organization's service area;

(2)

She or he has adequate knowledge of all the hospitals within the organization's service area;

(3)

She or he can operate a two-way radio and;

(4)

She or he can drive a unit under emergency conditions.

(b)

Each service or agency must provide written notice to the County within ten days of any change in personnel or units unless an alternate plan has been approved by the County.

(c)

Services may utilize only those drivers and attendants who are appropriately licensed, certified and accredited.

(d)

Every advanced life support transport unit when in operation must be staffed, at a minimum, by two personnel, one of whom must be locally accredited as an EMT-P and one of whom must be certified as an EMT-IA, unless exempt.

(e)

Every limited advanced life support transport unit when in operation must be staffed, at a minimum, by two personnel, one of whom must be locally certified at the limited advanced life support level and one of whom must be certified as an EMT- IA, unless exempt.

(f)

Every Basic Life Support transport unit when in operation must be staffed, at a minimum, by two personnel, both of whom must be certified as an EMT-IA, unless granted a waiver from the California Highway Patrol (Title 13, California Code of Regulations, Section 1108 and California Vehicle Code Section 2512).

(g)

An agency vehicle endorsed at the LALS level must have at least one individual locally certified as an EMT-II, or if endorsed at the ALS level, one locally accredited EMT-P.

(h)

All providers are responsible to implement reasonable employee shift schedules to avoid problems of sleep deprivation, fatigue, and incompetent performance.

(i)

An operational air ALS unit should be staffed by two EMT-P's or two registered nurses and, as a minimum, must be staffed by no fewer than one EMT-P or authorized registered nurse and one EMT-IA.

(j)

Services must insure that their attendants are free of physical defects or diseases which may impair their ability to attend to patients. No person, service or agency shall be out of compliance with Government Code, Section 8355, in matters relating to providing a drug-free workplace.

(k)

Air ambulance attendants used by a service must have training in aero medical physiology, aircraft safety, emergency aeromedical procedures, and any other specialized training required by the Local EMS Agency based on current Association of Air Medical Services (AAMS) national standards.

(l)

Drivers and attendants utilized on medical transport vehicles shall be at least 18 years of age, shall hold a current certificate in level C basic cardiac life support from the American Heart Association/American Red Cross, and first aid from the American Red Cross, and shall demonstrate compliance with all applicable State and local laws and regulations.