To reflect in rule the requirement to have a member trained and authorized in neonatal advanced life support procedures, referenced by the American Academy of Pediatrics and the Association of Air Medical Transport Services, during the ...

DEPARTMENT OF HEALTH
Division of Environmental Health

RULE NO: RULE TITLE
64E-2.006: Neonatal Interfacility Transfers
64E-2.030: Emergency Medical Services Grants Procedures
PURPOSE AND EFFECT: To reflect in rule the requirement to have a member trained and authorized in neonatal advanced life support procedures, referenced by the American Academy of Pediatrics and the Association of Air Medical Transport Services, during the transportation of a neonatal patient.
To delete language to accommodate the distribution of grant information on the EMS website, U.S. Mail, and on the Bureau of EMS listserve. A majority of the affected EMS services have requested that grant notifications be provided either on the EMS website, U.S. mail, or the EMS listserve because they do not routinely review notices in the Florida Administrative Weekly. Notification of grant availability using the above mechanisms will reach more potential applicants than the means currently listed.
SUBJECT AREA TO BE ADDRESSED: Neonatal Interfacility Transfers and Emergency Medical Services Grants Procedures.
SPECIFIC AUTHORITY: 381.0011, 383.19, 395.405, 401.121, 401.251(6), 401.35 FS.
LAW IMPLEMENTED: 381.001, 383.15, 395.405, 401.111, 401.113, 401.121, 401.24, 401.25, 401.251, 401.252, 401.26, 401.265, 401.27, 401.30, 401.31, 401.35, 401.41, 401.411, 401.414, 401.421 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: January 22, 2008, 1:30 p.m. – 4:30 p.m. (if needed)
Note: This is the day prior to the quarterly EMS Advisory Council meetings
PLACE: Prime Osborne Convention Center – Room 107, 1000 Water St, Jacksonville, FL 32204-1529
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting: Alexander Macy, Bureau of Emergency Medical Services, [phone], ext. 2735, [e-mail], or fax: [phone]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Lisa Walker, Government Analyst II, Bureau of Emergency Medical Services, 4052 Bald Cypress Way Bin C-18, Tallahassee, FL 32399, [e-mail], phone: [phone] ext. 2733, or fax: [phone]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

64E-2.006 Neonatal Interfacility Transfers.

(1) No change.

(2) Each permitted ambulance or neonate ambulance when transporting a neonate to a Level II or Level III Neonatal Intensive Care Unit shall be staffed with a minimum of two persons. One person shall be a registered neonatal nurse, the second person shall be either a neonatal registered respiratory therapist (RT), or a paramedic or a registered neonatal nurse. The staffing for each neonate transport shall be determined by the licensee's medical director in conjunction with the attending physician and the neonatologist. A physician can be substituted for any team member. There shall be a member of the team trained and authorized in Neonatal advanced life support procedures. For Example: Intubation, Chest tube placement, and Umbilical Line insertion and placement. These procedures can be referenced by the American Academy of Pediatrics, Guidelines for air and Ground Transport of Neonatal and Pediatric Patients; and the Association of Air Medical Transport Services, Guidelines for Air Medical Crew Education.

Specific Authority 381.0011, 383.19, 395.405, 401.251(6), 401.35 FS. Law Implemented 381.001, 383.15, 395.405, 401.24, 401.25, 401.251, 401.252, 401.26, 401.265, 401.27, 401.30, 401.31, 401.35, 401.41, 401.411, 401.414, 401.421 FS. History–New 11-30-93, Amended 1-26-97. Formerly 10D-66.0525, Amended 8-4-98, 9-3-00, 12-18-06,_________.

 

64E-2.030 Emergency Medical Services Grants Procedures.

(1) In order to apply for a matching emergency medical services grant, applicants shall submit DH Form 1767, June 02, EMS Matching Grant Application contained in the EMS Matching Grant Program Application Packet, June 02. This application packet is incorporated by reference and available from the department. The application packet contains the following forms which are also incorporated by reference and available from the department: DH Form 1767, EMS Matching Grant Application, June 02, DH Form 1767P, Request for Grant Fund Distribution, June 02, DH Form 1684A, EMS Grant Program Expenditure Report, June 02, DH Form 1684C, EMS Grant Program Change Request, June 02, DH Form 1767G, Matching Grants Evaluation Worksheet, June 02.

(2) The department shall advertise grant availability, at a minimum, on the Bureau of Emergency Medical Services website at http://www.fl-ems.com/grants/grants.html the Florida Administrative Weekly (FAW). The FAW notice shall establish the deadline for submission of applications. Following the review by the grant review team and approval by the State Surgeon General, the department shall publish in the FAW the date, time, and location of the posting of the grant awards.

(3) All grant award decisions shall be posted on a date and time certain at a specific location in Tallahassee, Florida. All grant award notices shall be published on the Bureau of Emergency Medical Services website at http://www.fl-ems. com/grants/grants.html www.doh.state.fl. us/ems, at the date and time established in the FAW notice as outlined in subsection (2) above.

Specific Authority 401.121 FS. Law Implemented 401.111, 401.113, 401.121 FS. History–New 6-6-90, Amended 12-10-92, 1-26-97. Formerly 10D-66.205, Amended 8-4-98, 11-3-02, 6-9-03,_________.