The Board issues the following types of ambulance licenses:
A basic life support (BLS) ambulance must be staffed by at least: Two (2) EMT-Basics; or if a staffing hardship variance has been approved by the Board one (1) EMT-Basic and one (1) First Responder (Emergency Medical Responder) driver; or one EMT-Basic and one registered nurse or physician assistant who was on the roster of an ambulance service on or before January 1, 2000, or, after petitioning the Board, deemed by the Board to have the training and skills equivalent to an EMT, as determined on a case by case basis.
Basic life support personnel must provide a level of care to ensure that: life-threatening situations and potentially serious injuries are recognized; patients are protected from additional hazards; basic treatment to reduce the seriousness of emergency situations is administered; and patients are transported to an appropriate medical facility for treatment.
A BLS service shall provide basic airway management, which includes: resuscitation by mouth-to-mouth, mouth-to-mask, bag valve mask or oxygen-powered ventilators; or insertion of an oropharyngeal, nasal pharyngeal or esophageal tracheal airway.
A BLS Service shall provide automatic defibrillation.
A BLS service licensee's medical director may authorize ambulance service personnel to perform intravenous infusion and use equipment that is within the licensure level of the ambulance service. Ambulance service personnel must be properly trained. Documentation of authorization for use, guidelines for use, continuing education, and skill verification must be maintained in the licensee's files.
An advanced life support (ALS) ambulance must be staffed by at least: One EMT or one AEMT and one Paramedic; or if a staffing hardship variance has been approved by the Board one EMT-Paramedic and one First Responder (Emergency Medical Responder) driver for all emergency calls and interfacility transfers; or one EMT or one AEMT and one registered nurse or physician assistant who is an EMT or an AEMT, is currently practicing nursing or as a physician assistant and has passed a paramedic practical skills test approved by the Board and administered by a education program.
An ALS service shall provide basic life support (as described in the Basic Life Support section), advanced airway management, manual defibrillation, and administration of intravenous fluids and pharmaceuticals. In addition to providing advanced life support, an ALS service may staff additional ambulances to provide basic life support.
An ambulance service providing advanced life support shall have a written agreement with its medical director to ensure medical control for patient care 24 hours a day, seven days a week. The terms of the agreement shall include a written policy on the administration of medical control for the service. The policy must address the following issues: two-way communication for physician direction of ambulance service personnel, patient triage, treatment and transport, use of standing orders and the means by which medical control will be provided 24 hours a day. The agreement must be signed by the licensees medical director and the licensee (or the licensees designee) and maintained in the files of the licensee.
When an ambulance service provides advanced life support, the authority of an EMT-P, a Minnesota-registered nurse-EMT, or a Minnesota-registered physician assistant-EMT prevails over the authority of an EMT in determining the delivery of patient care.
A part-time advanced life support service must meet the staffing requirements for an ALS ambulance and the requirements specified in the Equipment/General Requirements section. It may, however, provide ALS service for less than 24 hours every day.
A part-time ALS service must have a written agreement with its medical director to ensure medical control for patient care during the time the service offers advanced life support. The terms of the agreement shall include a written policy on the administration of medical control for the service and address the items specified in the Advanced Life Support section.
A specialized life support service provides basic or advanced life support, and is restricted by the EMSRB to:
A specialized ground life support service providing advanced life support must be staffed by at least one EMT and one EMT-P, registered nurse, or physician assistant.
Federal requirement for use of high visibility safety vests by all roadside workers including emergency responders took effect on November 24, 2008. It should be noted the EMSRB does not have regulatory authority over this federal requirement. However, the EMSRB would like to make sure ambulance services are aware of this requirement and have some resources available to provide information about the use of high visibility safety vests by emergency responders working in dangerous areas. This federal requirement affects all responders who are within the right-of-way on a Federal-aid highway.Federal Regulation 23 CFR 634 states All workers within the right-of-way of a Federal-aid highway who are exposed either to traffic (vehicles using the highway for purposes of travel) or to construction equipment within the work area shall wear high-visibility safety apparel. The use of the 4 or 5 point break away public safety vests that are among those approved for this use. Note: The Federal Highway Administration has determined that Class II Vests complying with ANSI/ISEA 107, 2004 or 2006 and Public Safety Vests complying with ANSI/ISEA 207, 2006 meet the intent of this rule.