R426-4-200. Licensed Ground Ambulance, Designated QRU, and Designated Nonemergency Secured Behavioral Health Transport Staffing

  (1) While responding to a call, each permitted QRV shall be staffed by at least one individual licensed at or above the provider's designated level of service.

  (2) While responding to a call, each licensed ground ambulance shall be staffed with the following minimum complement of licensed personnel for the level of service described:

  (a) Basic Life Support ambulance: two EMTs, AEMTs, or paramedics, or any combination thereof;

  (b) AEMT ambulance: one AEMT and one EMT, AEMT, or paramedic;

  (c) EMT-IA ambulance: one EMT-IA and one EMT, AEMT, or Paramedic;

  (d) Paramedic ambulance: one paramedic and one EMT, AEMT, EMT-IA, or paramedic;

  (e) Paramedic (non-transport): one paramedic;

  (f) Paramedic inter-facility: one paramedic and one EMT, AEMT, EMT-IA, or paramedic;

  (g) Paramedic tactical: one paramedic.

  (3) A paramedic ground ambulance or paramedic provider shall deploy two paramedics to the scene of 911 calls for service requiring Advanced Life Support response, unless otherwise determined by local selective medical dispatch system protocols.

  (4) When providing care, responders not in a uniform shall display upon request their level of medical licensure.

  (5) Each licensed or designated provider shall maintain a personnel file for each licensed individual. The personnel file shall include records documenting the individual's qualifications, training, endorsements, certifications, licensure, immunizations, and continuing medical education.

  (6) A licensed individual may perform only to his licensed EMS provider level of service, even if the licensed EMS or designated provider is licensed or designated at a higher level of service.

  (7) During transport each designated nonemergency secured behavioral health transport vehicle shall be staffed with a minimum of two personnel, with at least one who has obtained required training as approved by Department policy for mental health patient de-escalation and American Heart Association cardiopulmonary resuscitation or equivalent.