R426-2-3. Personnel Requirements.

  (1) Emergency Medical Technicians and Paramedics, when responding to a medical emergency, shall display their certification patch or identification card on outer clothing to identify competency level at the scene.

  (2) Air medical service providing basic life support must have at least one medical attendant who is an Emergency Medical Technician-Intermediate (EMT-I), EMT-Paramedic, Physician's Assistant, Registered Nurse, or MD.

  (3) Air medical services providing advanced life support must have at least one medical attendant who is an EMT-P, PA, RN, or MD. This attendant shall be the primary medical attendant. The second medical attendant may be an EMT-P, PA, Respiratory Therapist, RN, or MD.

  (4) Air medical services providing specialized life support must have at least one medical attendant who is a RN or MD. This attendant shall be the primary medical attendant. The second medical attendant may be an EMT-P, PA, RT, RN, or MD.

  (5) All Basic, Advanced, and Specialized Life Support Medical Attendants must:

  (a) Have a current CPR card or certificate meeting standards approved by the Department.

  (b) Have verification in the air medical service file of initial and annual training in altitude physiology, safety, stress management, infection control, hazardous materials, survival training, disaster training, triage, and Utah emergency medical system communications.

  (c) Be knowledgeable in the application, operation, care, and removal of all medical equipment used in the care of the patient. The air medical personnel shall have a knowledge of potential in-flight complications, which may arise from the use of the medical equipment and it's in-flight capabilities and limitations.

  (d) Have available during transport, a current copy of all written protocols authorized for use by the air medical service medical director. Patient care shall be governed by these authorized written protocols.

  (6) Air medical services licensed for specialized life support shall meet the following requirements:

  (a) Maintain clinical competency by keeping a current completion card in specialty education programs required by the air medical service job description (e.g., American Heart Association/American Academy of Pediatrics Neonatal Association or Pediatric Advanced Life Support pertinent to appropriate specialty).

  (b) Attend continuing education for specialty care providers that is specific and appropriate to the mission statement and scope of care for air medical services.

  (c) Annually demonstrate to the air medical service medical director a knowledge and competency of specialized care and treatment of patients.

  (7) All air medical services shall have an air medical service medical director who is a physician licensed in the state in which the ground base is located for the air ambulance, knowledgeable and responsible for the air medical care of patients.

  (8) The air medical service applicant shall provide in writing to the Department the name of the air medical service medical director. If the air medical service medical director is replaced or removed, the air medical service shall notify the Department within thirty days after the action.

  (a) The air medical service medical director:

  (i) Shall have initial and annual training in altitude physiology, air ambulance safety, stress management, infection control, hazardous materials, survival training, disaster training, triage, and Utah emergency medical system communications. The air medical service shall document this training and make it available for inspection by the Department.

  (ii) Shall have a current completion card in Advanced Cardiac Life Support according to the current standards of the American Heart Association.

  (iii) Shall have a current completion card in Advanced Trauma Life Support according to the current standards of the American College of Surgeons.

  (iv) Shall have a current specialty education completion card in Neonatal Resuscitation Program, Pediatric Advanced Life Support, and other similar courses or equivalent education in these areas.

  (v) Shall have access to all specialty physicians as consultants.

  (b) It is the responsibility of the air medical director to:

  (i) Authorize written protocols for use by air medical attendants and review policies and procedures of the air medical service.

  (ii) Develop and review treatment protocols, assess field performance, and critique at least 10% of the air medical service runs.