# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 09 — Commercial Ambulance Services

### Chapter 08 — Record-Keeping and Submission Requirements

**Authority:** Education Article, §13-515, Annotated Code of Maryland

**Administrative History:** Effective date: October 12, 1992 (19:20 Md. R. 1816)

**Administrative History:** Chapter recodified from COMAR 14.22.08 to COMAR 30.09.08, August, 1997

**Administrative History:** Regulations .01—.02, Record Keeping and Reporting, repealed effective January 10, 2000 (26:27 Md. R. 2017)

**Administrative History:** Regulations .01—.06, Record Keeping and Submission Requirements, adopted effective January 10, 2000 (26:27 Md. R. 2017)

**Administrative History:** Regulation .06F amended effective January 15, 2005 (31:26 Md. R. 1866)

#### Regulation .01 Scope.

*COMAR 30.09.08.01*

This chapter governs the record keeping and submission requirements for commercial ambulance services and commercial ambulances.

#### Regulation .02 General Record-Keeping Requirements.

*COMAR 30.09.08.02*

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.

*COMAR 30.09.08.03*

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.

*COMAR 30.09.08.04*

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.

*COMAR 30.09.08.05*

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.

*COMAR 30.09.08.06*

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.