Penn State EMS Standard Operating Procedures and Constitution

POLICIES REQUIRED FOR STATE LICENSURE
CONTENTS
Driver's Statement
Carrying Firearms/Weapons/Explosives Policy
Use of Lights/Warning Devices Policy
Scene Control Policy
Recordkeeping Policy
Mutual Aid Agreement
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DRIVER'S STATEMENT
Each ambulance driver, as identified on the ambulance service personnel roster,
who operates ambulances for the
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
meets the following qualifications:
A. At least 18 years of age.
B. Holds a valid driver's license
C. Will observe relevant traffic laws.
D. Is not addicted to, or will not drive under the influence of drugs or alcohol.
E. Is free from any physical or mental defect or disease that may impair his/her
ability to drive an ambulance.
F. Has not been convicted within the last four (4) years of driving under the
influence of alcohol or drugs, and within the last two (2) years, has not been
convicted of reckless driving, or had a driver's license suspended under the point
system.
G. Any ambulance driver convicted as stated in 'IF" above, will successfully
complete an emergency vehicle operator's course of instruction after their
conviction.
Signature of Principal Official
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
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CARRYING FIREARMS/WEAPONS/EXPLOSIVES POLICY
All ambulance personnel of the
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
shall not wear on their person, not carry aboard any ambulance, any firearms,
weapons or explosives. This policy does not apply to law enforcement officers who
are serving in an authorized law enforcement capacity.
Signature of Principal Official
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
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USE OF LIGHTS / WARNING DEVICES POLICY
All ambulance personnel of the
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
shall adhere to the following policy and procedure for the use of lights and other
warning devices:
A. Ambulances responding to an incident scene or to an emergency care facility
may use emergency lights and/or audible warning devices in circumstances
involving patients with life threatening illnesses or potentially life-threatening
illnesses or injuries at the discretion of the driver of the ambulance. Use of
emergency lighting at the scene is permissible for safety purposes.
B. Ambulances responding to the incident scene or to an emergency care facility
may not use emergency lights and/or audible warning devices for circumstances
involving patients that do not have life-threatening or potentially life-threatening
illnesses or injuries.
Signature of Principal Official
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
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SCENE CONTROL POLICY
All ambulance personnel of
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
shall adhere to the following scene policy and procedure:
A. Control of all aspects of patient management at an emergency scene shall be the
responsibility of the individual, from the dispatched service, in attendance, who
has the highest level of EMS certification/recognition, and is affiliated or dispatched
with a service whose response area includes the incident scene.
B. The hierarchy of certification/recognition shall be: (l) Health Professional; (2)
EMT-Paramedic; (3)Emergency Medical Technician; (4) First Responder; and (5)
Ambulance Attendant.
Signature of Principal Official
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
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RECORDKEEPING POLICY
All ambulance personnel of the
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
are required to complete a prehospital ambulance trip report on forms provided ky
the Department of Health or its representative for each ambulance call to which the
service responds. One trip report shall be completed for each patient treated
and/or transported.
Signature of Principal Official
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
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The Governing Officers of
NAME: Alpha Ambulance Service
(Neighboring Service)
ADDRESS: P.O. Box 272
State College PA 16804-0272
(City) (State) (Zip)
AFFILIATE #: 14001
recognize that the provisions of emergency medical services are in the public
interest, and do hereby agree to assist the following organization:
NAME: University Ambulance Service
(Ambulance Service)
ADDRESS: 203 Ritenour Building
University Park PA 16802
(City) (State) (Zip)
AFFILIATE #: 14011
in the delivery of emergency medical care and/or transportation of patients who
require it when University Ambulance Service (Home Service) is not available in
its primary response area. In this event, requests for ambulance service will be
referred to Alpha Ambulance Service (Neighboring Service), which will respond
and provide emergency medical care and/or transportation within the referring
service's response area, 24 hours-a-day, 7 days a week.
This AGREEMENT is valid this 4 DAY of June 1992.
This AGREEMENT may be terminated by either party involved by making their
wishes known in writing to the other party. The home service shall give written
notice of any such termination immediately to the regional EMS council and the
Pennsylvania Department of Health.
Signature of Principal Official (Home Service)
Wes Cartwriqht
Printed Name of Principal official
6/4/92 (Date)
Signature of Principal Official (Neighboring Service)
Gary Stead
Printed Name of Principal official
6/3/92 (Date)
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02.22.02