Chapter 08. Record-Keeping and Submission Requirements
Regulation .01 Scope.LinkCopy Citation
This chapter governs the record keeping and submission requirements for commercial ambulance services and commercial ambulances.
Regulation .02 General Record-Keeping Requirements.LinkCopy Citation
A commercial ambulance service shall:
A.
Maintain records in any permanent form including:
(1)
Paper, or
(2)
Magnetic media;
B.
Organize all records in such a manner as to allow the commercial ambulance service to locate, within a reasonable time, a record, given:
(1)
A patient's name,
(2)
Date and time of a call, and
(3)
Pick up or discharge location; and
C.
Retain all records for not less than 5 years and in accordance with:
(1)
Local law,
(2)
State law, and
(3)
Federal law.
Regulation .03 Patient Records.LinkCopy Citation
A.
A commercial ambulance service shall maintain complete and accurate records regarding the care and transportation of each patient that the commercial ambulance service:
(1)
Responds to transport;
(2)
Agrees to transport; or
(3)
Transports to, from, or within the State.
B.
A record for each patient referred to in §A of this regulation shall contain the following information:
(1)
Patient's name;
(2)
Patient's residence address;
(3)
Date and time of scheduled pickup;
(4)
Location of pick up;
(5)
Date of service;
(6)
Time dispatched;
(7)
Commercial ambulance number;
(8)
Time en route to pick up location;
(9)
Time arrived at pick up location;
(10)
Time en route to destination;
(11)
Patient's destination;
(12)
Time arrived at destination;
(13)
Referring physician;
(14)
Receiving physician, if available; and
(15)
Pertinent remarks.
C.
A commercial ambulance service shall use the standard Maryland Ambulance Information System runsheet and additional narrative supplied at cost by SOCALR.
Regulation .04 Personnel Records.LinkCopy Citation
A commercial ambulance service shall maintain:
A.
A complete and current personnel list which includes:
(1)
EMS providers;
(2)
Ambulance drivers;
(3)
Registered nurses; and
(4)
Any other medical personnel employed;
B.
Personnel lists which include each employee's:
(1)
Full name; and
(2)
Health care certification or license:
(a)
Number,
(b)
Level,
(c)
Date of issuance, and
(d)
Date of expiration;
C.
Accurate and completed employee training records for:
(1)
New employee orientation;
(2)
Continuing education; and
(3)
All training required for compliance with this subtitle;
D.
Training records that document:
(1)
Date training provided;
(2)
Course outline;
(3)
Employee attendance;
(4)
Instructor name; and
(5)
Instructor's qualifications; and
E.
Accurate records of employee:
(1)
Communicable disease exposure histories;
(2)
Immunization records; and
(3)
Yearly TB screening.
Regulation .05 Vehicle Records.LinkCopy Citation
A commercial ambulance service shall:
A.
Complete dated inventory sheets daily to ensure each ambulance is:
(1)
Clean,
(2)
Has adequate supplies, and
(3)
Is in compliance with COMAR 11.14; and
B.
Maintain a written policy detailing the procedures to be followed if a mechanical failure occurs with the ambulance when responding to or transporting a patient.
Regulation .06 Submission of Reports.LinkCopy Citation
A commercial ambulance service shall:
A.
Upon reasonable request from SOCALR, submit within a reasonable time:
(1)
Reports;
(2)
Surveys;
(3)
Complaint investigation findings;
(4)
Patient care records;
(5)
Personnel records;
(6)
Training records; and
(7)
Vehicle records;
B.
Notify SOCALR orally within 72 hours, and in writing within 5 calendar days, of all:
(1)
New names registered with the Maryland Department of Assessments and Taxation for the purpose of doing business;
(2)
Additions, or deletions, to the physical locations of operation;
(3)
Changes in:
(a)
Medical direction,
(b)
ALS coordinator,
(c)
Information included on an application, and
(d)
Operation of the ambulance service;
(4)
Reports submitted to the deputy State health officer in accordance with COMAR 10.06.01;
(5)
Reports submitted in accordance with COMAR 30.03.04;
(6)
Violations of this subtitle by:
(a)
A commercial ambulance service employee, or
(b)
Anyone acting as an agent for a commercial ambulance service;
(7)
Events involving the commercial ambulance service which results in:
(a)
Bodily injury, or
(b)
Death;
C.
Submit every proposed change to ambulance markings for review and approval before making any changes to ambulance markings, including but not limited to:
(1)
Numbering;
(2)
Lettering; or
(3)
Symbols;
D.
Submit by the 15th of each month for the preceding month a complete and accurate MAIS report for each patient that the commercial ambulance service:
(1)
Responds to transport;
(2)
Agrees to transport; or
(3)
Transports to, from, or within the State;
E.
Submit a current personnel list quarterly, before the 15th of January, April, July, and October; and
F.
Submit by the 15th of each month for the preceding month a summary report listing the number of calls for the month that were:
(1)
BLS;
(2)
ALS;
(3)
Neonatal;
(4)
SCT;
(5)
Accompanied by a physician, nurse, or other health care provider;
(6)
Referred to 911; or
(7)
BLS calls in which the AED was used.
Chapter annotations
Authority: Education Article, §13-515, Annotated Code of Maryland
History: Effective date: October 12, 1992 (19:20 Md. R. 1816)
History: Chapter recodified from COMAR 14.22.08 to COMAR 30.09.08, August, 1997
History: Regulations .01—.02, Record Keeping and Reporting, repealed effective January 10, 2000 (26:27 Md. R. 2017)
History: Regulations .01—.06, Record Keeping and Submission Requirements, adopted effective January 10, 2000 (26:27 Md. R. 2017)
History: Regulation .06F amended effective January 15, 2005 (31:26 Md. R. 1866)