Chapter 31. Virginia Emergency Medical Services RegulationsRead Chapter
- Part I.Read allGeneral Provisions
- Article 1.Read allDefinitions
- Section 10
- Definitions
- Article 2.Read allPurpose and Applicability
- Section 20
- Responsibility for regulations; application of regulations
- Section 30
- Powers and procedures of regulations not exclusive
- Article 3.Read allExceptions, Variances, and Exemptions
- Section 40
- Exceptions
- Section 50
- Variances
- Section 60
- Issuance of a variance
- Section 70
- Content of variance
- Section 80
- Conditions of variance
- Section 90
- Termination of variance
- Section 100
- Denial of a variance
- Section 110
- Exemptions
- Section 120
- Public notice of request for exemption
- Section 130
- Public hearing for exemption request
- Section 140
- Issuance of an exemption
- Section 150
- Content of exemption
- Section 160
- Conditions of exemption
- Section 170
- Termination of exemption
- Section 180
- Denial of an exemption
- Section 190
- General exemptions from these regulations
- Article 4.Read allEnforcement Procedures
- Section 200
- Right to enforcement
- Section 210
- Enforcement actions
- Section 220
- Suspension of a license, permit, certificate, endorsement or designation
- Section 230
- Revocation of a license, permit or certificate
- Section 240
- Correction order
- Section 250
- Judicial review
- Article 5.Read allComplaints
- Section 260
- Submission of complaints
- Section 270
- Investigation process
- Section 280
- Action by the Office of EMS
- Section 290
- Exclusions from these regulations
- Part II.Read allEMS Agency, EMS Vehicle and EMS Personnel Standards
- Article 1.Read allEMS Agency Licensure and Requirements
- Section 300
- Requirement for EMS agency licensure and EMS certification
- Section 310
- Provision of EMS within Virginia
- Section 320
- General applicability of the regulations
- Section 330
- Compliance with regulations
- Section 340
- EMS agency name
- Section 350
- Ability to pay
- Section 360
- Public access
- Section 370
- Designated emergency response agency
- Section 380
- EMS agency availability
- Section 390
- Destination to specialty care hospitals
- Section 400
- Nondiscrimination
- Section 410
- EMS agency licensure classifications
- Section 420
- Application for EMS agency license
- Section 430
- Issuance of an EMS agency license
- Section 440
- Display of EMS agency license
- Section 450
- EMS agency licensure renewal
- Section 460
- Denial of an EMS agency license
- Section 470
- Modification of an EMS agency license
- Section 480
- Termination of EMS agency licensure
- Section 490
- EMS agency insurance
- Section 500
- Place of operations
- Section 510
- Equipment and supplies
- Section 520
- Storage and security of drugs and related supplies
- Section 530
- Preparation and maintenance of records and reports
- Section 540
- Personnel records
- Section 550
- EMS vehicle records
- Section 560
- Patient care records
- Section 570
- EMS agency status report
- Section 580
- Availability of these regulations
- Section 590
- Operational Medical Director requirement
- Section 600
- Quality management reporting
- Section 610
- Designated emergency response agency standards
- Section 630
- Designated emergency response agency mutual aid
- Article 2.Read allEmergency Medical Services Vehicle Permit
- Section 640
- EMS vehicle permit requirement
- Section 650
- Temporary EMS vehicle permit
- Section 660
- Denial of an EMS vehicle permit
- Section 670
- Display of EMS vehicle permit
- Section 680
- EMS vehicle advertising
- Section 690
- Renewal of an EMS vehicle permit
- Article 3.Read allEmergency Medical Services Vehicle Classifications and Requirements
- Section 700
- EMS vehicle safety
- Section 710
- EMS vehicle occupant safety
- Section 720
- EMS vehicle sanitation
- Section 740
- EMS vehicle inspection
- Section 750
- EMS vehicle warning lights and devices
- Section 760
- EMS vehicle communications
- Section 770
- Ground EMS vehicle markings
- Section 780
- Air Ambulance markings
- Section 790
- EMS vehicle letter restrictions and specifications
- Section 800
- Nontransport response vehicle specifications
- Section 810
- Ground ambulance specifications
- Section 820
- Advanced life support equipment package
- Section 830
- Neonatal ambulance specifications
- Section 840
- [Repealed]
- Section 850
- EMS vehicle equipment requirements
- Section 860
- Required vehicle equipment
- Article 4.Read allAir Medical Regulations, Rotor and Fixed Wing Operations
- Section 870
- Application for agency licensure
- Section 875
- Operations and safety
- Section 880
- Air medical service personnel classifications
- Section 885
- Training
- Section 890
- Equipment
- Article 5.Read allEMS Personnel Requirements and Standard of Conduct
- Section 900
- General requirements
- Section 910
- Criminal or enforcement history
- Section 920
- [Reserved]
- Section 930
- State and federal law compliance
- Section 940
- Drugs and substance abuse
- Section 950
- Disclosure of patient information
- Section 960
- Misrepresentation of qualifications
- Section 970
- Interference or obstruction of investigation
- Section 980
- False application for license, permit, certificate, endorsement or designation
- Section 990
- False statements or submissions
- Section 1000
- Falsification of materials
- Section 1010
- Misappropriation or theft of drugs
- Section 1020
- Discrimination in provision of care
- Section 1030
- Sexual harassment
- Section 1040
- Operational medical director authorization to practice
- Section 1050
- Scope of practice
- Section 1060
- [Repealed]
- Section 1070
- Extraordinary care outside of protocols
- Section 1080
- Inability to carry out medical control orders
- Section 1090
- Refusal of care
- Section 1100
- Consent or refusal
- Section 1110
- Transfer of patient care/patient abandonment
- Section 1120
- Provider disagreement over patient's needs
- Section 1130
- Attending of the patient during transports
- Section 1140
- Provision of patient care documentation
- Section 1150
- Emergency operation of EMS vehicle
- Section 1160
- Provision of care by mutual aid
- Section 1165
- EMS agency mutual aid response
- Section 1170
- Provision of care by students
- Section 1180
- Adequate response staffing
- Section 1190
- Attendant-in-charge authorization
- Section 1200
- Minimum age of EMS vehicle personnel
- Section 1210
- Nontransport response vehicle staffing
- Section 1220
- Transfer of ALS package
- Section 1230
- Ground ambulance staffing requirements
- Section 1240
- Basic life support vehicle transport
- Section 1250
- Advanced life support vehicle transport
- Section 1260
- Supplemented transport requirements
- Section 1270
- Neonatal transport requirements
- Section 1280
- [Repealed]
- Section 1290
- [Repealed]
- Section 1300
- [Repealed]
- Part III.Read allEMS Education and Certification
- Article 1.Read allCertification Levels
- Section 1305
- EMS First Responder (FR)
- Section 1307
- Emergency Medical Responder (EMR)
- Section 1310
- [Repealed]
- Section 1315
- Emergency Medical Technician (EMT)
- Section 1320
- [Repealed]
- Section 1325
- Emergency Medical Technician Enhanced (EMT-E)
- Section 1330
- [Repealed]
- Section 1335
- Intermediate
- Section 1337
- Advanced Emergency Medical Technician (AEMT).
- Section 1340
- [Repealed]
- Section 1345
- Paramedic
- Section 1350
- [Repealed]
- Section 1355
- Emergency Medical Technician-Instructor
- Section 1360
- [Repealed]
- Section 1365
- Advanced Life Support Coordinator
- Section 1370
- [Repealed]
- Section 1375
- EMS Education Coordinator
- Section 1380
- [Repealed]
- Article 2.Read allCertification Process and Practice
- Section 1385
- Certifcation periods
- Section 1387
- Virginia EMS certification is required to practice
- Section 1389
- Initial course certification
- Section 1390
- [Repealed]
- Section 1391
- Certification through reciprocity
- Section 1393
- Certification through legal recognition
- Section 1395
- EMT certification challenge
- Section 1400
- [Repealed]
- Section 1401
- General recertification requirements
- Section 1403
- EMS provider recertification required
- Section 1405
- Documentation of continuing education (CE)
- Section 1407
- Recertifcation through reentry
- Article 3.Read allEducational Programs and Management
- Section 1409
- Course curriculum
- Section 1410
- [Repealed]
- Section 1411
- BLS certification programs
- Section 1413
- Advanced life support certification programs
- Section 1415
- Nationally recognized continuing education programs
- Section 1417
- Approved courses in cardio-pulmonary resuscitation
- Section 1419
- Continuing education programs
- Section 1420
- [Repealed]
- Section 1421
- Teaching materials and approved texts
- Section 1423
- Course announcement requirements
- Section 1425
- EMT instructor, ALS coordinator, or EMS education coordinator responsibilities as employee or contractor
- Section 1427
- Course approval request submission
- Section 1429
- Course approval request changes
- Section 1430
- [Repealed]
- Section 1431
- Student course enrollment
- Section 1433
- Instructor participation records
- Section 1435
- Student records for certification courses
- Section 1437
- Continuing education record submission
- Section 1439
- Verification of student course completion
- Section 1440
- [Repealed]
- Section 1441
- Communications with PCD or OMD
- Section 1443
- Alternative course presentation format
- Section 1445
- Course scheduling
- Section 1447
- Maximum BLS or ALS course enrollment
- Section 1449
- Lesson instructors
- Section 1450
- [Repealed]
- Section 1451
- Course monitoring
- Section 1453
- EMT instructor, ALS coordinator, and EMS educational coordinator responsibilities for initial student testing
- Article 4.Read allCertification Testing
- Section 1454
- Admission to certification test.
- Section 1455
- Certification testing requirements
- Section 1457
- General description of certification examination
- Section 1459
- Certification eligibility
- Section 1460
- [Repealed]
- Section 1461
- Prohibition of oral examinations
- Section 1463
- Candidates requirements for state recertification
- Section 1465
- [Repealed]
- Section 1467
- Basic and advanced life support written examinations
- Section 1469
- Basic and advanced life support practical certification examinations
- Section 1470
- [Repealed]
- Section 1471
- Examination retest
- Section 1473
- Candidate evidence of eligibility for retesting
- Section 1475
- Candidate evidence of eligibility for secondary testing
- Section 1477
- Examination security and review
- Section 1480
- [Repealed]
- Section 1490
- [Repealed]
- Section 1500
- [Repealed]
- Article 5.Read allBLS Programs
- Section 1501
- BLS certification course attendance
- Section 1503
- BLS course student requirements
- Section 1505
- EMS First Responder certification program
- Section 1507
- First Responder bridge to EMT
- Section 1509
- EMS First Responder bridge length
- Section 1510
- [Repealed]
- Section 1511
- First Responder bridge to EMT certification examinations
- Section 1513
- Emergency Medical Technician (EMT) certification
- Section 1515
- Emergency Medical Technician (EMT) certification examination
- Section 1520
- [Repealed]
- Article 6.Read allALS Programs
- Section 1521
- ALS course student requirements
- Section 1523
- EMT-Enhanced certification
- Section 1524
- Advanced EMT certification
- Section 1525
- Intermediate certification
- Section 1527
- Paramedic certification
- Section 1529
- Advanced life support bridge courses
- Section 1530
- [Repealed]
- Section 1531
- Registered nurse to Paramedic bridge prerequisites
- Section 1533
- Registered Nurse to Paramedic Bridge program completion requirements
- Section 1535
- NREMT Paramedic endorsements
- Section 1540
- [Repealed]
- Article 7.Read allEMT Instructor, ALS Coordinator, and EMS Education Coordinator
- Section 1541
- Reserved
- Section 1542
- Reserved
- Section 1543
- EMT-Instructor recertification
- Section 1544
- EMT-Instructor reentry
- Section 1545
- Reserved
- Section 1546
- Reserved
- Section 1547
- Renewal of Advanced Life Support coordinator
- Section 1548
- EMS Education coordinator
- Section 1549
- EMS Education coordinator prerequisites
- Section 1550
- [Repealed]
- Section 1551
- EMS education coordinator certification process
- Section 1552
- EMS education coordinator recertification process
- Section 1553
- EMS education coordinator reentry
- Section 1560
- [Repealed]
- Article 8.Read allEMS Training Fund
- Section 1561
- EMS training fund
- Section 1563
- Contracting through the EMS training fund
- Section 1565
- Reserved
- Section 1567
- Reserved
- Section 1570
- [Repealed]
- Section 1580
- [Repealed]
- Section 1590
- [Repealed]
- Section 1600
- [Repealed]
- Article 9.Read allAccreditation of EMS Programs
- Section 1601
- Accreditation of EMS training programs
- Section 1603
- Sentinel events
- Section 1605
- Initial accreditation
- Section 1607
- Renewal of accreditation
- Section 1609
- Accreditation of alternative locations/learning sites
- Section 1610
- [Repealed]
- Section 1611
- Appeal of site accreditation application results
- Section 1613
- Accreditation of Paramedic programs
- Section 1615
- Equivalent accreditation of EMS programs
- Section 1620
- [Repealed]
- Section 1630
- [Repealed]
- Section 1640
- [Repealed]
- Section 1650
- [Repealed]
- Section 1660
- [Repealed]
- Section 1670
- [Repealed]
- Section 1680
- [Repealed]
- Section 1690
- [Repealed]
- Section 1700
- [Repealed]
- Section 1710
- [Repealed]
- Section 1720
- [Reserved]
- Part IV.Read allEMS Physician Regulations
- Article 9.Read allAccreditation of EMS Programs
- Section 1800
- Requirement for EMS physician endorsement
- Section 1810
- Qualifications for EMS physician endorsement
- Section 1820
- Application for EMS physician endorsement
- Section 1830
- Conditional endorsement
- Section 1840
- Lapse of EMS physician endorsement
- Section 1850
- Change in EMS physician contact information
- Section 1860
- Renewal of endorsement
- Section 1870
- Service by an EMS physician
- Section 1880
- Agreement to serve as an operational medical director
- Section 1890
- Responsibilities of operational medical directors
- Section 1900
- OMD and EMS agency conflict resolution
- Section 1910
- Change of operational medical director
- Section 1920
- Responsibilities of physician course directors
- Section 1930
- Compliance with training regulations
- Section 1940
- Physician course director responsibility to students
- Section 1950
- Physician endorsement exemptions
- Section 1960
- [Reserved]
- Section 2000
- [Repealed]
- Part VII.Read allDesignated Regional EMS Councils
- Article 9.Read allAccreditation of EMS Programs
- Section 2300
- Purpose of designated regional EMS councils
- Section 2310
- Provision of regional EMS council services within Virginia and compliance with these regulations
- Section 2320
- Requirement for regional EMS council designation
- Section 2330
- Designation of a regional EMS council
- Section 2340
- Application process for designation
- Section 2350
- Inspection
- Section 2360
- Designation approval
- Section 2370
- Designation periods
- Section 2380
- Regional EMS councils requesting undesignation
- Section 2390
- Powers and procedures of regulations not exclusive
- Section 2400
- Exceptions
- Section 2410
- Variances
- Section 2420
- Issuance of a variance
- Section 2430
- Content of variance
- Section 2440
- Conditions of variance
- Section 2450
- Termination of variance
- Section 2460
- Denial of a variance
- Section 2470
- Exemptions
- Section 2480
- Public notice of request for exemption
- Section 2490
- Public hearing for exemption request
- Section 2500
- Issuance of an exemption
- Section 2510
- Content of exemption
- Section 2520
- Conditions of exemption
- Section 2530
- Termination of exemption
- Section 2540
- Denial of an exemption
- Section 2550
- Right to enforcement
- Section 2560
- Enforcement actions
- Section 2570
- Correction order
- Section 2580
- Suspension of a designation
- Section 2590
- Revocation of a designation
- Section 2600
- Judicial review
- Section 2610
- Submission of complaints
- Section 2620
- Investigation process
- Section 2630
- Action by the Office of EMS
- Section 2640
- [Reserved]
- Section 2650
- Composition of designated regional EMS councils
- Section 2660
- Governing body of a designated regional EMS council
- Section 2670
- Regional EMS plan
- Section 2680
- Regional trauma triage plan
- Section 2690
- [Reserved]
- Section 2700
- Financial assistance for emergency medical services
- Section 2710
- Base funding of designated regional EMS councils
- Section 2720
- Matching funds
- Section 2730
- Performance standards
- Section 2740
- Accountability for public funds
- Section 2750
- [Reserved]
- Section 2760
- [Reserved]
- Section 2770
- [Reserved]
- Section 2780
- [Reserved]
- Section 2790
- [Reserved]
- Section 2800
- [Reserved]
- Part VIII.Read allFinancial Assistance for Emergency Medical Services
- Article 9.Read allAccreditation of EMS Programs
- Section 2810
- The Financial Assistance and Review Committee (FARC)
- Section 2820
- RSAF General Grant Program administration
- Section 2830
- Award of RSAF General Grants
- Section 2840
- RSAF General Grant award cycle
- Section 2850
- Emergency awards
- Section 2860
- EMS System Initiative Awards
- Section 2870
- Responsibilities of the grantee
- Section 2880
- Application for award
- Section 2890
- [Reserved]
- Section 2900
- Awards
- Section 2910
- Amount of grant award
- Section 2920
- Use of funds
- Section 2930
- Ownership
- Section 2940
- Improper expenditures
- Section 2950
- Modification of an award
- Section 2960
- Suspension of an award
- Section 2970
- Revocation of an award