OAR 333-255-0073: Specialty Care Ground Ambulance Vehicle Requirements

(1) A ground ambulance vehicle in operation and providing only specialty care transport during inter-facility transfers must be staffed by a minimum of two qualified persons or additional staff, the number and type, specified by the transferring physician: (a) A qualified driver who meets the requirements specified in OAR 333-250-0270; and (b) A person who is a Paramedic with additional specialty care training, an ambulance-based clinician or other qualified person who has additional specialty care training and who must be in the patient compartment when a patient is receiving specialty level care. (2) A Paramedic, ambulance-based clinician or other qualified person described in subsection (1)(b) of this rule must have the: (a) Training to properly operate all patient care equipment carried on a ground ambulance vehicle, including specialty care equipment necessary to care for the patient during the transfer; (b) Training to do titration of intravenous medications necessary to care for the patient during transfer; and (c) Ability to properly assist in lifting and moving a patient. (3) A ground ambulance vehicle in operation and providing only specialty level care transport must have the necessary patient care equipment, medications or supplies anticipated or required for patient care including at a minimum: (a) The equipment requirements specified in OAR 333-255-0072 section (5); (b) Device to provide continuous waveform capnography; (c) Device to provide pressure infusion of intravenous (IV) fluids; and (d) Equipment suitable for administering a fluid bolus to pediatric patients that limits risk for inadvertent over-administration of fluid.