Ground ambulance service requirements

1. A headquarters ambulance service shall be available twenty-four hours per day and seven days per week, except as exempted through waiver by the department. 2. A substation ambulance service may be available intermittently. When the substation ambulance is not available it is the responsibility of the headquarters service to respond to calls within that area if no closer ambulance can respond. The headquarters ambulance service must inform its dispatching entity as to the time of availability of its substation ambulance service. 3. All drivers of ambulance or emergency medical service vehicles shall have a current valid driver's license pursuant to requirements under sections 39-06-01 and 39-06-02 of the North Dakota Century Code. 4. All licensed ambulance services shall keep the ambulance vehicle and other equipment clean and in proper working order. 5. All supplies and other equipment coming in direct contact with the patient must be either a single-use disposable type or cleaned, laundered, or disinfected after each use. 6. When a vehicle has been utilized to transport a patient known to have a communicable disease, the vehicle and all exposed equipment must be disinfected before the transport of another patient. 7. Each ambulance run must be reported to the department electronically via the North Dakota emergency medical services data repository. 8. All ambulance services shall give the receiving health care facility a detailed patient report at the time of patient transfer. 9. All ambulance services shall submit a trauma, stroke, cardiac, and other time-critical condition transport plan to the department upon request. 10. All licensed ambulance services shall keep either an electronic or paper copy of each patient care report on file for a minimum of seven years. 11. All licensed ambulance services shall have current written protocols developed and signed by their medical director. The current version of the protocols must be kept on file with ambulance service management. The ambulance service manager shall keep inactive protocols for a period of seven years after deactivating the protocol. 12. All ambulance services shall report any collision involving an ambulance that results in property damage of four thousand dollars or greater, or personal injury. The report must be made within thirty days of the event and on a form or in a manner provided by the department.