He-P 1200 Emergency Med

EMERGENCY MEDICAL SERVICES

33 Hazen Drive

Concord, N.H. 03305-0003

CHAPTER Saf-C 5900 EMERGENCY MEDICAL SERVICES RULES

Statutory Authority: RSA 153-A:20

REVISION NOTE #1:

Pursuant to Chapter 345:12, I of the Laws of 1999, the existing rules in Chapter He-P 1200 on emergency medical services of the Department of Health and Human Services were transferred to the Department of Safety. Subsequently the Department of Safety filed Document #7690, effective 5-21-02, which readopted with amendments and renumbered the former He-P 1200 as Saf-C 5900 and made extensive changes to the wording, numbering and format. Document #7690 supersedes all prior filings affecting rules in the former He-P 1200.

The prior filings affecting rules in the former He-P 1200 included the following documents:

#1580, eff 5-19-80	#2863, eff 9-27-84
#1749, eff 5-1-81	#2941, eff 12-28-84
#1750, eff 5-1-81	#4231, eff 2-23-87, EXPIRED 2-23-93
#1815, eff 9-21-81	#6081, eff 8-19-95
#2127, eff 8-24-82	#6113, eff 11-8-95
#2262, eff 1-5-83	#6709, eff 3-4-98
#2546, eff 11-29-83	#7056, eff 8-1-99

REVISION NOTE #2:

Document #12790, effective 5-24-19, adopted, readopted, readopted with amendment, or repealed all of the rules in Chapter Saf-C 5900. Document #12790 also made extensive changes in the numbering of rules within the chapter.

Document #12790 replaces all prior filings for rules in the former Saf-C 5900. The prior filings affecting rules in the former Saf-C 5900 since Document #7690, which had expired 5-21-10, included the following documents:

#8520, INTERIM, eff 12-16-05, EXPIRED 6-14-06

#8630, INTERIM, eff 5-19-06, EXPIRED 11-15-06

#9779-A, eff 9-8-10

#9779-B, eff 9-8-10

#10552, eff 3-24-14

#10786, EMERGENCY, eff 2-20-15, EXPIRED 8-19-15

#10858, eff 6-23-15

#10932, eff 9-15-15

#10940, eff 9-25-15

#10941, eff 9-25-15

Most of the existing rules in Saf-C 5900 had last been filed under Document #9779-A, effective 9-8-10. The former rules filed in Document #9779-A did not expire on 9-8-18 but were extended pursuant to RSA 541-A:14-a until replaced by the rules in Document #12790, effective 5-24-19.

PART Saf-C 5901 DEFINITIONS

Saf-C 5901.01 “Adult” means a person over the age of 18.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.02 “Advanced cardiac life support training (ACLS)” means training that meets the standards of the American Heart Association’s guidelines for the treatment of the adult victim of cardiac arrest or other cardiopulmonary emergencies.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.03 “Advanced emergency medical care provider” means an individual who is qualified in accordance with these rules as an advanced emergency medical technician or paramedic.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.04 “Advanced emergency medical technician (AEMT)” means an emergency medical care provider that is licensed at the advanced emergency medical technician level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.05 “Advanced life support (ALS)” means medical procedures and the scope of practice rendered by advanced emergency medical care providers in accordance with RSA 153-A:12.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.06 “Agreement” means the written contract between:

(a) An emergency medical service unit and its medical resource hospital, which covers procedures as defined in Saf-C 5919.01 and Saf-C 5920.02; or

(b) An emergency medical services instructor coordinator and hospital or unit which allows for student clinical or field experience as a part of a division approved training program.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5901.07 “Apprentice” means a person who possesses a current certificate of training in CPR and basic first aid, but who has not attained the legal age for licensure as a provider in accordance with RSA 153-A:11, III.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.08 “Assistant instructor” means a person who assists the emergency medical services instructor coordinator of any lesson in the demonstration and practice designed to develop and evaluate student skill competencies.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5901.09 “Authority to establish courses” means the form by which authorization is requested for an emergency medical services training program.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.10 “Basic life support (BLS)” means fundamental medical procedures and the scope of practice in which emergency medical care providers at any of the following licensing levels are trained:

(a) Emergency medical responder;

(b) New Hampshire emergency medical technician-basic (NH EMT-B); or

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.11 “Call jumping” means the unauthorized response to or transport of a patient pursuant to an emergency medical services call in which a unit or provider was not directly called, dispatched, or requested to assist.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.12 “Candidate” means a student who has completed a training program and has been listed by the training program’s emergency medical services instructor coordinator as eligible to test at the final division approved practical or cognitive examination.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5901.13 “Cardiopulmonary resuscitation (CPR)” means a procedure used by a person trained in this technique to provide oxygen to the brain and heart through ventilations and by rhythmically increasing intrathoracic pressure.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.14 “Catchment area” means the geographic area to which a medical resource hospital is responsible for the unit’s medical protocols, training, and medical control.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.15 “Certificate” means a document serving as an official representation of the awarding entity confirming that a person has fulfilled the requirements set forth in Saf-C 5901.16.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.16 “Certification” means successful completion of National Registry of Emergency Medical Technicians requirements to practice as an emergency medical care provider which results in receipt of a certificate.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.17 “Chair van company” means a licensed entity that operates wheelchair vans for hire. The term includes “wheelchair van company”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.18 “Chair van operator” means a person who is trained to operate a wheelchair van for hire and who is employed by a licensed wheelchair van company. The term includes “wheelchair van operator”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.19 “Clinic” means a physician’s office or healthcare facility.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.20 “Cognitive examination” means a division approved final examination required prior to the issuance of a certificate or initial National Registry classification.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.21 “Commissioner” means the commissioner of the department of safety, or his designee.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.22 “Complaint” means a written allegation against a party which is dated by the person making the charge.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.23 “Controlled drug” means any drug, substance, or immediate precursor, which is scheduled pursuant to RSA 318-B:1-a.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.24 “Coordinating board” means “coordinating board" as defined in RSA 153-A:2, I.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.25 “Course medical director” means a physician with emergency medical experience who acts as the ultimate medical authority regarding training program content, procedures, and protocols at any of the division approved levels.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.26 “Days” means Monday through Friday excluding state holidays and weekends, unless otherwise specified in this chapter.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.27 “Defibrillate” means to deliver an electric current through a person’s chest wall and heart for the purpose of ending ventricular fibrillation.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.28 “Defibrillator” means a portable, battery powered device, which is approved by the United States Food and Drug Administration and used to generate and deliver an electrical stimulus to the heart.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.281 “Direct supervision” means physical presence to facilitate direct visual observation and hearing, excluding electronic devices, of a provisionally licensed EMS provider by another non-provisionally licensed EMS provider.

Source. #14180, INTERIM, eff 1-22-25

Saf-C 5901.29 “Director” means “director” as defined in RSA 153-A:2, III, or his or her designee.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.30 “Division” means “division” as defined in RSA 153-A:2, IV.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.31 “Drug kit” means a container, approved by the pharmacy of the medical resource hospital, for the storage of controlled drug medications.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.32 “Educational institution” means an institution based in NH which is approved by the division to conduct emergency medical services training programs, in accordance with the requirements set forth in Saf-C 5916.01.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.33 “Educational training agency” means an agency based in NH which is approved by the division to conduct emergency medical services training programs, in accordance with the requirements set forth in Saf-C 5916.02.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.331 “Educational training agency education director” means an individual that designs, plans, and implements the training programs aligned with the objectives of the educational training agency.

Source. #13953, eff 4-30-24

Saf-C 5901.332 “Educational training agency medical director” means a physician who has the oversight of all associated activities and training programs within the educational training agency.

Source. #13953, eff 4-30-24

Saf-C 5901.34 “Electrocardiogram (ECG) machine” means a device used to record the electrical energy generated by the heart, and its movement through the heart, the results of which are displayed on a paper strip, a display screen, or both. The term includes “cardiac monitor”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.35 “Emergency department” means the designated operational area of a facility, as defined by RSA 153-A:2, XI, which routinely receives patients from emergency medical care providers.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.36 “Emergency medical care provider” means “emergency medical care provider” as defined in RSA 153-A:2, V and who has successfully completed the provider requirements at any of the licensing levels. The term includes "provider" and “EMS provider”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.37 “Emergency medical responder (EMR)” means an emergency medical provider that is licensed at the emergency medical responder level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.38 “Emergency medical services (EMS)” means “emergency medical services” as defined in RSA 153-A:2, VI.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.39 “Emergency medical technician (EMT)” means an emergency medical provider that is licensed at the emergency medical technician level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.40 “EMS incident report (EMSIR)” means the written or electronic report prepared by an EMS provider to record the events of an incident in which the EMS provider has responded. The term includes “patient care report (PCR)”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.41 “Emergency medical services instructor coordinator (EMS I/C)” means the primary instructor licensed by the division to be responsible for all aspects of division approved training programs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5901.411 “Emergency medical services instructor (EMS I)” means the primary or assistant instructor licensed by the division to be responsible for instruction conducted in division approved training programs.

Source. #13953, eff 4-30-24

Saf-C 5901.42 “Emergency medical services medical control board (MCB)” means “emergency medical services medical control board” as defined in RSA 153-A: 2, XIV.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.43 “EMS trauma and emergency medical services information system (TEMSIS) administrator” means a person who is assigned as a TEMSIS administrator for a unit and who has permission to access and modify specific TEMSIS data. The term includes “service TEMSIS administrator (STA)”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.44 “Emergency medical service unit” means “emergency medical service unit” as defined in RSA 153-A:2, IX. The term includes “unit”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.45 “Emergency medical service vehicle” means “emergency medical service vehicle” as defined in RSA 153-A:2, X. The term includes “vehicle”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.46 “Emergency physician” means a medical practitioner who is currently licensed by the NH board of medicine and employed in the emergency department setting.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.47 “Emergency physician assistant” means a health professional who practices medicine with the supervision of a licensed physician, is currently licensed by the NH board of medicine, and employed in the emergency department setting.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.48 “Emergent” means requiring prompt, urgent, or immediate attention.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.49 “Evaluator” means a person who has completed the practical examination evaluator training and education (PEETE) program, and who has applied and been approved by the division to be part of the state authorized practical examination team and serves as an observer and recorder of skills performed by a candidate.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.50 “Examination coordinator” means a person, designated by the division, who attends and supervises final practical examinations.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.51 “Facility” means facility” as defined in RSA 153-A:2, XI.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.511 “Faculty” means individuals that holds an EMS I or EMS I/C designation and are employed by an educational training agency that are responsible for the delivery of educational content. This term includes the term “instructional staff.”

Source. #13953, eff 4-30-24

Saf-C 5901.52 “First Responder Naloxone Provider” means a certified law enforcement officer or firefighter who has been trained to administer naloxone.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.53 “Guest lecturer” means a person who, upon request by the EMS I/C, conducts specific classroom lectures, presentations, or demonstrations based upon his or her expertise in a given subject area.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.54 “Head of unit” means the person who is responsible for the administration of the overall leadership of an EMS unit.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.55 “Incident command system” means the national incident management system (NIMS) established by Homeland Security Presidential Directive-5 and as developed and adopted pursuant to RSA 21-P:52.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.56 “Infant” means a person in age from birth to his or her first birthday.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.57 “Instructor training program” means a division approved educational program to assist a person to teach or coordinate EMS training programs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.571 “Letter of concern” means a disciplinary sanction in lieu of license suspension, imposed by the commissioner in accordance with the criteria provided in Saf-C 5922.11 following a sustained complaint of violation of RSA 153-A:13, I, which does not change the status of a license issued under this chapter or impact the privileges associated with such license, unless otherwise provided in this chapter.

Source. #13392, INTERIM, eff 5-28-22, EXPIRED: 11-24-22

New. #13580, eff 3-20-23

Saf-C 5901.58 “License” means an official division approved document and status which allows a person, corporation, association, or partnership to operate at the applicable level, pursuant to RSA 153-A and these rules.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.59 “Licensee” means a person, corporation, association, or partnership to whom a license has been issued pursuant to RSA 153-A and these rules.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.60 “Mass casualty incident (MCI)” means “mass casualty incident” as defined in RSA 153-A:2, XIII.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.61 “Medical control” means “medical control” as defined in RSA 153-A:2, XV.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.62 “Medical direction” means on-line or off-line direction by the medical resource hospital physician or designee and on-line direction from the receiving hospital’s physician or designee to EMS personnel.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.63 “Medical director” means a medical resource hospital physician who has the oversight of the following:

(a) Education;

(b) Leadership;

(d) Critiques;

(e) Performance improvement;

(f) Medications; and

(g) Treatment modalities.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.64 “Medical resource hospital (MRH)” means the acute care hospital(s) through which units obtain medical control.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.65 “Medical resource hospital physician” means the physician who is responsible for medical control.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.66 “National data elements” means the specific EMS data elements defined by the national emergency medical services information system (NEMSIS).

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.67 “National emergency medical services information system (NEMSIS)” means the national EMS electronic database, as developed and published by USDOT, NHTSA.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.68 “National Registry (NREMT)” means the National Registry of Emergency Medical Technicians, P.O. Box 29233, Columbus, Ohio, 43229.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.69 “National Registry representative” means a person monitored by the division, and approved by the NREMT, to administer NREMT examinations.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.70 “New Hampshire EMT-Basic (NH EMT-B)” means an emergency medical provider that is not certified by the National Registry and has been licensed at the New Hampshire emergency medical technician basic level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.71 “NH patient care protocols” means patient care protocols as set forth in Saf-C 7400.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.72 “Nonprofit corporation” means a governmental entity or a voluntary corporation or association registered or incorporated as a nonprofit organization and in good standing with the secretary of state.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.73 “Non-transport unit” means a licensed unit with licensed providers but which does not have vehicles licensed for patient transportation.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.74 “Paramedic” means an advanced emergency medical care provider that is licensed at the paramedic level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.75 “Patient” means “patient” as defined in RSA 153-A:2, XVI.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.76 “Patient assessment” means the evaluation of an injured or sick person by visual and tactile inspection, palpation, percussion, and auscultation.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.77 “Patient record” means any document which is part of EMSIR, including confidential information, prepared from direct interviews with patients, written statements, recordings of vital signs and other medically related documentation generated during the activities of providers in the delivery of emergency medical services at the scene and during transport.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.78 “Pediatric” means a person between the age of one and 18 years of age.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.79 “Pharmacy” means the place registered by the pharmacy board, where the profession of pharmacy is practiced and where drugs, chemicals, medicines, prescriptions, or poisons are compounded, dispensed, stored, or sold.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.80 “Practical examination” means the division approved final evaluation of practical skills.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.81 “Practical examination evaluator training and education (PEETE) program” means the training program developed by the division, which all BLS and ALS practical examination evaluators must complete.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.82 “Preceptorship” means the oversight and supervision of:

(a) A student enrolled in an EMS training program, pursuant to Saf-C 5902.07(i); or

(b) The teaching of skills to an EMS I/C applicant, pursuant to Saf-C 5909.04(b).

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.83 “Primary instructor” means the EMS I/C as defined in Saf-C 5901.40.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.84 “Primary patient caregiver” means the licensed EMS provider who is the primary provider responsible for patient care.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.85 “Proof of use sheet” means the document provided with each drug kit for the purpose of documenting the use of controlled drugs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.86 “Protocol” means “protocol” as defined in RSA 153-A:2, XVII.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.87 “Provider license number” means an alpha-numeric identifier assigned by the division to a person who has successfully completed the provider requirements at any of the licensing levels.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.88 “Quality management program” means “quality management program” as defined in RSA 153-A:34, I(a) and shall include the term “performance improvement”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.89 “Receiving hospital” means any acute care hospital or facility capable of accepting patients and giving on-line medical control.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.90 “Refresher training program (RTP)” means a division approved training program designed to refresh the skills and knowledge of an emergency medical care provider.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.91 “Response” means the action taken by an EMS unit or provider, either emergent or non-emergent, following a request for action by a private citizen, dispatch agency, or other means.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.92 “Revocation” means the termination by formal action of the commissioner of any license or privilege to engage in the business or service of providing emergency medical services or transportation of patients pursuant to RSA 153-A.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.93 “Site coordinator” means a person in charge of organizing the facility, equipment, evaluators, assistants, or patients at a division approved practical examination.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.94 “Standing orders” means a medical protocol which provides specific written orders for actions, techniques, or drug administration when communication for on-line control is not required.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.95 “Student” means a person enrolled in a division approved training program or a person enrolled in an EMS program approved by another state authorizing agency.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.951 “Student competency portfolios” means the process by which the educational training agency tracks and documents student achievement of the vital skill sets and cognitive learning for each level of initial training.

Source. #13953, eff 4-30-24

Saf-C 5901.952 “Subject matter expert” means individuals that show expertise in a particular area of study and are responsible for the delivery of educational content. This term includes the term “guest lecturer.”

Source. #13953, eff 4-30-24

Saf-C 5901.96 “Suspension” means the temporary withdrawal by formal action of the commissioner of any license or privilege to engage in the business or service of providing emergency medical services or transportation of patients pursuant to RSA 153-A.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.97 “Training program” means a division approved program or course at any of the licensing levels set forth in Saf-C 5904.01 (b) through (f) and Saf-C 5911 or any associated refresher training as listed in Saf-C 5913.01.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.98 “Transportation” means the delivery of a patient by a vehicle to another vehicle or receiving hospital, facility, or residence.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.99 “Trauma and emergency medical services information system (TEMSIS)” means the NH EMS electronic database, that meets the requirements of NEMSIS, provided by the division to all EMS units and providers to record EMS incidents.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.100 “Unit controlled drug coordinator (UCDC)” means the paramedic or, if a hospital-based unit, the registered nurse or physician employee of the hospital or facility, who possesses legend and controlled drugs, and is designated by the head of unit to serve as the liaison between the unit, the MRH pharmacy, and other agencies involved with the possession and use of controlled drugs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.101 “Utilized drug kit” means the container approved by the MRH pharmacy for the storage of controlled drugs and whose container seal has been broken or whose seal is intact but with an expired expiration date identifier.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.102 “Vehicle shelter” means a fixed enclosed structure to house and protect a vehicle. The term includes “shelter”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.103 “Volunteer” means a person or member of a nonprofit fire department or nonprofit emergency medical service unit who provides services on an as needed basis and who does not receive compensation, other than reimbursement for expenses actually incurred.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.104 “Volunteer association” means a nonprofit emergency medical service unit in which the majority of providers are volunteers or the unit is registered as a voluntary corporation and in good standing with the secretary of state in accordance with RSA 292:4.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5901.105 “Wheelchair van for hire” means a mode of transportation that charges a fee for the transportation of medically stable, non-emergent individuals in a wheelchair, stretcher, or wheeled gurney that does not need any monitoring equipment, medication, or assistance, including medical transportation. The term includes “chair van(s)” and “ambulette(s)”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5902 EMS OPERATING STANDARDS

Saf-C 5902.01 Regional Councils and District Committee Designation.

(a) A minimum of 3 EMS regional councils shall be designated by the coordinating board.

(b) Applicants for a regional council shall submit, in writing, a letter of intent for regional council designation to the coordinating board.

(c) Within 6 months of receipt of the application, the coordinating board shall interview the applicants to determine their candidacy as a regional council.

(d) The coordinating board shall grant regional council designation if the applicant meets the criteria identified in (h) through (k) below.

(e) Regional council designation shall be granted for a period of 5 years, commencing with the date of approval.

(f) Renewal of regional council designation shall be made in accordance with (b) through (d) above.

(g) Renewal of regional council designation shall be denied for failing to meet the criteria identified in (h) and (l) below.

(h) At minimum, each regional council shall be composed of 10 members, at least one representative from each of the following categories:

(1) Area consumers;

(2) Area hospitals or facilities;

(3) Area NH-licensed physicians experienced in emergency medicine, pursuant to RSA 153-A:6;

(4) Area mutual aid organizations, if applicable;

(5) Area law enforcement agencies;

(6) Area career fire service organizations, if applicable;

(7) Area volunteer or call fire service organizations;

(8) Area commercial EMS units, if applicable; and

(9) Area volunteer EMS units, which shall be non-fire service related, if applicable.

(i) The above listed regional council composition shall be reviewed by the coordinating board, in accordance with RSA 153-A:4, V.

(j) Of the council members referenced in (h) above, one member listed shall be certified at the BLS level, and one member at the ALS level.

(k) All regional councils shall establish by-laws which shall be submitted to the coordinating board.

(l) Regional councils shall implement the objectives of the coordinating board by:

(1) Facilitating communications between district committees and the coordinating board by delivering, via any medium available:

a. Information in any form; and

b. Other correspondence pertaining to EMS services and activities;

(2) Coordinating communications among EMS units, hospitals or facilities, mutual aid associations, and district committees through the use of:

a. Common radio frequencies; and

b. Telephone lines;

(3) Addressing overall patient care issues identified by regional council constituents; and

(4) Assisting district committees in the implementation of quality improvement through training in the areas of:

a. Patient care;

b. Provider training; and

c. Communication among:

1. District committees;

2. Regional councils;

3. The coordinating board; and

4. The division.

(m) Regional councils shall demonstrate their responsibilities as set forth in (k) and (l) above to the coordinating board by:

(1) Meeting, at minimum, quarterly during the calendar year;

(2) Providing, on a quarterly basis, a written record of such meetings to the coordinating board; and

(3) Having at least one regional council designee attend, at minimum, one meeting of the coordinating board per calendar year.

(n) District committees shall affiliate with a regional council for administrative purposes.

(o) Hospitals/facilities, mutual aid associations, district committees, and EMS units may apply for multiple regional council affiliation if their catchment area extends beyond a single regional council area.

(p) District committees shall embody any of the following:

(1) One or more hospitals or facilities;

(2) Mutual aid associations; or

(3) An affiliation of at least 3 units.

(q) Applicants for a district committee shall submit, in writing, a letter of intent for designation as a district to the regional council to which it seeks affiliation.

(r) The regional council shall grant district committee designation if the applicant meets the criteria identified in (p) and (q) above.

(s) District committee designation shall be granted for a period of 5 years, commencing with the date of approval.

(t) Renewal of district committee designation shall be made in accordance with (p) and (q) above.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.02 Medical Resource Hospital.

(a) Each unit shall have a valid written agreement with only one hospital to serve as its medical resource hospital (MRH).

(b) Notwithstanding (a) above, each unit currently under agreement with more than one MRH may continue such relationship until a change in unit ownership occurs.

(c) A unit located in the state shall retain a NH acute care hospital as its MRH if such hospital exists as specified in (g) below.

(d) On-line adult and pediatric medical control shall be available to all NH units during an emergency event or patient transport and may be provided by any receiving hospital.

(e) Off-line adult and pediatric medical control shall be the responsibility of a unit’s MRH.

(f) The MRH shall be responsible for oversight of the adult and pediatric patient care procedures of the unit and shall act as the intermediary between the unit and the receiving hospital or facility concerning patient care, on-line medical directives, or provider conduct.

(g) Designation of a MRH by the unit shall be made on the basis of the hospital being geographically located nearest to the population served by the unit or which receives the majority of the unit’s patients.

(h) A MRH may transfer its off-line medical control to any other hospital with prior agreement from both hospitals.

(i) Changes to a unit’s MRH shall require written approval from the unit’s current MRH and proposed MRH.

(j) Each unit and MRH shall retain a copy of the valid agreement and submit the agreement to the division in accordance with the provisions of these rules.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.03 Communications.

(a) At minimum, each unit’s vehicle shall have 2-way communication capabilities on the following:

(1) A VHF frequency of 155.175 megahertz; and

(2) A VHF frequency of 155.340 megahertz.

(b) Each unit shall abide by the requirements set forth in 47 CFR 90.

(c) Each unit’s vehicle shall provide capabilities to relay medical information through its dispatcher from the scene to the receiving hospital or facility.

(d) Each unit’s vehicle shall be capable of relaying and receiving medical information directly to and from its MRH or receiving hospital or facility by utilizing the appropriate tone-coded squelch radio signal.

(e) A request for dispatch of air medical transport to the scene of an emergency may be made by providers licensed pursuant to this chapter and in accordance with the NH patient care protocols.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.04 Call Jumping.

(a) Call jumping shall constitute unethical conduct and fines for the violation of such conduct shall be imposed in accordance with Saf-C 5908.02.

(b) Notwithstanding (a) above, a licensed emergency medical care provider may render care at his or her level of training on a voluntary basis due to happenstance, mutual aid, or a mass casualty response. Emergency medical care providers assisting in such an emergency situation shall be immune from civil liability in accordance with the requirements set forth in RSA 508:12-a.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.05 Mass Casualty Incident. Any unit or provider responding to a mass casualty incident shall follow the incident command system as defined in Saf-C 5901.54.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.06 Emergency Medical Care Provider Requirements.

(a) For the purposes of this section, “neonatal patient” means a patient in age from birth to one month.

(b) All providers shall be licensed in accordance with Saf-C 5904.

(c) The staffing level in each EMS land or water vehicle shall, at minimum, include 2 providers during patient transport, at least one of whom shall attend the patient.

(d) The 2 providers on board a land or water vehicle shall be licensed at any of the levels set forth in Saf-C 5904.01 (b) through (f).

(e) During transport of a patient(s) in a land or water vehicle, the provider who is responsible for the patient care shall be licensed at any levels set forth in Saf-C 5904.01 (c) through (f).

(f) An EMR provider shall only attend a patient during transport if the treatment is within the scope of practice for the EMR.

(g) Apprentice providers:

(1) May accompany the 2 providers in the land or water vehicle, if space permits; and

(2) Shall not serve as one of the 2 providers set forth in (c) above.

(h) Students may assist a provider in the land or water vehicle with patient care if:

(1) The unit permits students;

(2) The unit has a written agreement with the training program’s primary instructor;

(3) Space permits;

(4) The unit has designated at least one of the providers as the student’s preceptor; and

(5) The preceptorship has been detailed, in writing, by the training program’s primary instructor to the course medical director and the EMS coordinator for the unit’s MRH.

(i) A person acting in a student capacity who is not already a licensed provider shall not serve as a provider.

(j) Providers issued a provisional license in accordance with Saf-C 5904:

(1) May serve as one of the 2 providers set forth in (c) above;

(2) Shall provide unrestricted care at the level of which they are licensed as a provider;

(3) Shall be under direct supervision during all patient care activities by an individual who:

(a) Possesses a non-provisional EMS license at any level;

(b) Is actively operating and affiliated under the same licensed EMS unit as the provisional provider;

(k) Each air medical transport vehicle shall:

(1) Meet the requirements set forth in Saf-C 5906.03; and

(2) Have at minimum, one provider on board licensed at any level set forth in Saf-C 5904.01(c) through (f).

(l) Notwithstanding any other rule to the contrary, a land or water vehicle that performs interfacility transport of neonatal patients shall not be required to have more than one licensed EMS provider on board during such transports, provided that the patient is cared for by one or more non-EMS healthcare provider(s) with a more advanced licensure designation, as warranted by the patient acuity as determined by the sending facility.

(m) Notwithstanding any other rule to the contrary, an air medical transport vehicle that performs inter-facility transport of neonatal patients shall not be required to have a licensed EMS provider on board during such transports, provided that the patient is cared for by one or more non-EMS healthcare provider(s) with a more advanced licensure designation, as warranted by the patient acuity as determined by the sending facility.

(n) In the event of a state of emergency declared by the governor, a public health or safety incident declared in writing to the governor by the commissioner of the department of safety or the commissioner of the department of health and human services, or a mass casualty incident as described in Saf-C 5901.60 and Saf-C 5902.05, the staff required to attend a patient during transport may be reduced to one provider at the EMT, AEMT, or paramedic level per each EMS land or water vehicle. The staffing requirements in Saf-C 5902.06 (c) & (d) shall not be modified except if one of the aforementioned events occurs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, eff 5-24-19; amd by #13006, EMERGENCY, eff 3-20-20, EXPIRED: 9-16-20 (in para (m)); ss by #13178, eff 3-5-21; ss by #14180, INTERIM, eff 1-22-25

Saf-C 5902.07 Recordkeeping and Reporting.

(a) All units and providers shall be responsible for recordkeeping and reporting to the division and hospital or facilities.

(b) All providers shall report the following, in writing, to the division within 30 calendar days:

(1) Change of name, mailing address, or email address; and

(2) Change of unit affiliation(s).

(1) All new providers affiliated with the unit, which shall include the provider’s:

a. Legal name(s); and

b. License number(s);

(2) All providers who are no longer affiliated with the unit, which shall include the provider’s:

a. Legal name(s); and

b. License number(s);

(3) Relocation of the unit, which shall include both the old and the new unit’s:

a. Street and mailing address;

b. City or town;

c. State;

d. Zip code;

e. Telephone number;

f. Primary contact person’s name; and

g. A preferred E-mail address;

(4) Closing of a unit or any unit substation;

(5) Additions and deletions of vehicles licensed to the unit;

(6) Changes to the head of unit;

(7) Additions and deletions of persons authorized to sign all applications and documents;

(8) Changes to the service TEMSIS administrator;

(9) Change of mailing address or email address; and

(10) Copies of EMS vehicle` crash reports required by law.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.08 Required EMSIR Documentation.

(a) Recordkeeping and reporting of EMS incidents by a provider or unit shall be made by providing the information in Saf-C 5902.07, as applicable, using one of the following methods:

(1) Electronically, by completing all data elements on an EMSIR with an assigned validation value, using software developed and distributed by the division; or

(2) Electronically, using software developed or purchased by the unit or receiving hospital or facility, that complies with the following:

a. The software shall meet all requirements of NEMSIS;

b. The software shall be compatible with the division’s EMS TEMSIS database and any compatibility issues shall be the responsibility of the unit or receiving hospital or facility to resolve with its third party vendor;

c. The software shall comply with formatting, EMS dataset, schema and demographic dataset schema standards set by NEMSIS;

d. Each record shall be uniquely identified; and

e. Each record’s field codes shall be accurately mapped to the EMS TEMSIS database.

(b) A provider from each of the responding EMS units shall complete an EMSIR for each incident, and each patient originating in this state, in which emergency medical care, transport, response, or transfer was:

(1) Requested;

(2) Rendered;

(3) Refused; or

(4) Canceled.

(c) When there is no patient contact made or the patient is not transported to a hospital or facility, the primary patient caregiver shall complete an EMSIR and submit it to the division within 24 hours.

(d) When a patient is transported to a hospital or facility, the primary patient caregiver shall complete an EMSIR and submit it to the hospital or facility in accordance with the valid MRH agreement.

(e) The provider shall submit the EMSIR to the division within 24 hours.

(f) The provider shall submit the EMSIR to the receiving hospital or facility, utilizing one of the following methods:

(1) By printing a TEMSIS report;

(2) By FAX, to a secure location within the hospital or facility; or

(3) By other secure electronic means that is in compliance with federal health insurance portability and accountability act (HIPAA) regulations.

(g) The division shall provide standard, non-mobile access to TEMSIS at no cost to the unit.

(h) EMSIR documentation shall be:

(1) Accurate;

(2) Complete; and

(3) Submitted in accordance with (e) above.

(i) Failure to submit EMSIR documentation in accordance with the requirements of (h) above shall be brought to the attention of the service TEMSIS administrator for remedial action.

(j) Repeated violations of (h) above that occur after remedial action has been taken shall subject the unit or provider to disciplinary action pursuant to Saf-C 5922.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.09 Requests for EMSIR Data.

(a) All requests for aggregated or specific, multi-service EMSIR data for research or quality management purposes shall be submitted, in writing, to the division, in accordance with the requirements of RSA 21-P:12-b, II (g).

(b) All requests for a specific patient care report by authorized law enforcement agencies investigating criminal activity relating to a patient care incident shall obtain EMSIR data through a court order, subpoena, or other legal method, directly from the EMS service(s) that responded to the EMS incident for the record being requested for the investigation.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5902.10 Computation of Time. Unless otherwise specified in these rules or by other applicable law relating to the period in which an action shall be performed, if the last day of the period so computed falls on a Saturday, Sunday, or legal holiday, then the time period shall be extended to include the first business day following the Saturday, Sunday, or legal holiday.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5903 UNIT LICENSING STANDARDS

Saf-C 5903.01 Types of Unit Licenses.

(a) A unit license shall be issued as a transport unit or non-transport unit.

(b) “Transport unit” means an EMS service capable of transporting patients to a hospital or facility in an EMS vehicle; or

(c) “Non-transport unit” means an EMS service which has no capability of transporting patients to a hospital or facility in an EMS vehicle.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5903.02 Transport and Non-Transport Unit License Application. Each applicant for a transport or non-transport unit license shall complete and submit “New Hampshire Bureau of EMS UNIT Application” form, as revised 6/6/15, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/emsunitlicenseappl.pdf.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5903.03 Unit License Application Statement of Certification. By signing the unit license application, the head of unit, or his or her designee, shall certify that:

(a) The unit shall abide by the FCC’s regulations relating to:

(1) Radio broadcast frequencies;

(2) Access to, and retention of, communications maintenance records;

(3) Restricting communications to official and emergency purposes; and

(4) Disabling the transmitting capabilities, when necessary;

(b) The unit shall operate in accordance with all applicable local ordinances regarding emergency medical services;

(d) He or she understands any material falsification of information shall result in license denial, suspension or revocation, in accordance with Saf-C 5922.03, Saf-C 5922.04, or Saf-C 5922.05.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5903.04 Unit Licensing Requirements.

(a) Each applicant for a unit license shall provide the following:

(1) The signed agreement on the application, if the unit intends to use the division’s FCC license, that the unit shall be bound by the FCC's requirements imposed upon the division;

(2) Proof of general liability and professional liability insurance in the form of a document from the insurer, which shall include:

a. The name of the insurer(s);

b. A statement that the unit has at least one million dollars of coverage, for general and professional liability; and

c. The period of coverage for the insurance;

(3) Proof of a valid written MRH agreement as described in Saf-C 5902.03; and

(4) The license fee set forth in Saf-C 5907.01(d).

(b) For a private for-profit or a private non-profit organization, the division shall verify with the secretary of state of NH that the organization is in good standing.

(d) The unit shall submit any updated documentation from the insurance company to the division, as it becomes available.

(e) The unit shall retain all communications maintenance records for a minimum period of one year and shall provide the division with access to those records.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5903.05 Unit License Initial Approval Process.

(a) Completed applications shall be approved in accordance with RSA 541-A:29.

(b) Upon approval of an initial unit application pursuant to Saf-C 5903.02 and Saf-C 5903.04, the division shall issue a unit license commencing with the date of the approval and expiring on the 31st day of December in the year approved.

(c) All standards, certifications, and documents showing compliance with the requirements of Saf-C 5903.04, shall be maintained and not allowed to lapse during the unit’s licensing period listed in (b) above. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5903.06 Unit License Renewal Process.

(a) Any currently licensed unit shall be eligible for renewal, prior to lapse, by complying with the unit requirements set forth in Saf-C 5903.02 and Saf-C 5903.04, and shall be issued a license, commencing with the date of approval and expiring on the 31^st day of December, 2 years later.

(b) All standards, certifications, and documents showing compliance shall be maintained and not allowed to lapse in order to renew a unit license with the division. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5904 PROVIDER LICENSING STANDARDS

REVISION NOTE:

Document #13221, effective 6-25-21, readopted with amendments the “New Hampshire Bureau of EMS Provider License Application” form pursuant to the expedited revisions to agency forms process in RSA 541-A:19-c. The “New Hampshire Bureau of EMS Provider License Application” form is incorporated by reference in paragraph (a) of Saf-C 5904.02 titled “Provider License Application” and, pursuant to RSA 541-A:19-c, Document #13221 contained only the updated form. Since Document #13221 updated the revision date on the form from “1/2021” to “May 2021”, the revision date of “1/2021” in Saf-C 5904.02(a) was subsequently updated to “May 2021” as an editorial change. The prior filing affecting rule Saf-C 5904.02 was Document #13174, effective 2-24-21, and the effective date of the rule remained unchanged.

Although other requirements on the form were set forth in Saf-C 5904.02(b) and (c), Saf-C 5904.04(b)(4) and (b)(5), and Saf-C 5904.03, the form as revised in the May 2021 revision would be the valid and enforceable rule as the later enactment since a “form” is defined as a “rule” in RSA 541-A:1, XV.

Saf-C 5904.01 Levels of License. A provider license shall be issued for the following levels:

(a) Apprentice;

(b) Emergency medical responder (EMR);

(d) Emergency medical technician (EMT);

(e) Advanced emergency medical technician (AEMT);

(f) Paramedic; or

(g) First responder naloxone provider.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5904.02 Provider License Application.

(a) Each applicant for a provider license shall complete and submit “New Hampshire Bureau of EMS Provider License Application” form, https://www.nh.gov/safety/divisions/fstems/documents/providerlicenseapplication.pdf, as revised May 2021.

(b) The application shall be signed and dated by:

(1) The applicant;

(2) When applicable, the primary EMS service's head of unit or his/her designee to certify that the applicant is affiliated with the licensed unit; and

(3) In the case of an apprentice, a parent or legal guardian.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13174, eff 2-24-21; (see also Revision Note at part heading for Saf-C 5904)

Saf-C 5904.03 Provider License Application Statement of Certification. By signing the provider license application, the applicant shall certify that:

(a) The information provided in the application is complete, truthful, and correct under penalties of unsworn falsification pursuant to RSA 641:3;

(b) He or she has not been convicted or found guilty of an offense pursuant to RSA 153-A:13, I;

(d) He or she understands any material falsification of information shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.03 or Saf-C 5922.05 and may be grounds for a misdemeanor conviction pursuant to RSA 641:3;

(e) He or she has not been subject to limitation, suspension from, or under revocation or probation of the ability to practice in a health care occupation or voluntarily surrendered a health care license in any state or to any agency authorizing the right to work; and

(f) If the applicant is unable to certify compliance with Saf-C 5904.03(b) to 5904.03(e) the applicant shall provide official documentation that fully describes the offense, current status, and disposition of the case.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; (see also Revision Note at part heading for Saf-C 5904)

Saf-C 5904.04 Provider Licensing Requirements.

(a) Each applicant for an initial apprentice provider license shall provide the following with the application:

(1) Documentation of current CPR training that meets the American Heart Association’s guidelines for cardiopulmonary resuscitation and emergency cardiac care-basic life support for health care providers;

(2) A written statement signed by the applicant, parent, or legal guardian, and the primary EMS service's head of unit, which indicates the following:

a. The unit accepts apprentice providers;

b. The applicant meets the unit's apprentice age requirements;

c. The head of unit assumes responsibility for the supervision of the applicant;

d. The applicant, as an apprentice, shall not be left with a patient without the presence of a provider licensed at a higher level; and

e. The applicant, as an apprentice, shall not be permitted to use warning devices on his or her personal vehicle; and

(3) A written statement signed by the primary EMS service's head of unit affirming that the applicant is affiliated with the licensed unit and has met the licensed unit’s requirement for first aid training.

(b) Each applicant for an initial provider license or all levels other than those set forth in (a) above shall provide the following with the application:

(1) Proof of current registration at the applicable classification level with the National Registry;

(2) A current certificate of successful completion of the division approved scope of practice program, if the licensing level requires it;

(3) A current certificate of successful completion of the division approved protocol education, if the licensing level requires it; and

(4) If applying as affiliated with a licensed unit, a written statement signed by the primary EMS service’s head of unit affirming the applicant is affiliated with that licensed unit.

(5) If applying as non-affiliated, a written statement signed by applicant affirming that the applicant is not affiliated with any licensed unit.

(c) Each applicant applying for an initial first responder naloxone provider license shall provide the following with the application:

(1) Documentation of current CPR training that meets or exceeds the American Heart Association’s guidelines for cardiopulmonary resuscitation and emergency cardiac care-basic life support for health care providers;

(2) Proof of current successful completion of the division developed opioid antagonist (Narcan) training program and skills verification;

(3) Proof of current successful completion of a first aid training program that follows OSHA Best Practices Guide: Fundamentals of a Workplace First-Aid Program;

(4) A written statement signed by the primary EMS service's head of unit affirming that the applicant is affiliated with the licensed EMS unit; and

(5) If the applicant’s agency leader is not the EMS service head, then the applicant shall obtain a written statement signed by their agency leader acknowledging the relationship between the 2 agencies.

(d) All standards, certifications, and documents showing compliance shall be maintained and not allowed to lapse in order to retain a provider license. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13174, eff 2-24-21; (see also Revision Note at part heading for Saf-C 5904)

Saf-C 5904.05 Provider License Initial Approval Process.

(a) Completed applications shall be approved in accordance with RSA 541-A:29.

(b) Upon approval of an initial provider application pursuant to Saf-C 5904.02 and Saf-C 5904.04, the division shall issue a provider license as follows:

(1) Apprentice provider applicants shall be issued a license commencing with the date of approval and expiring on the 31st day of December in the year approved;

(2) Applicants certified at any classification level with the National Registry shall be issued a license, commencing with the date of approval and expiring 30 calendar days after the expiration date listed on the National Registry documentation provided for licensure; and

(3) First responder naloxone provider shall be issued a license commencing with the date of approval and expiring on the date when the primary service’s unit license expires.

(c) All standards, certifications, and documents showing compliance with the requirements of Saf-C 5904.04 shall be maintained and not allowed to lapse during the provider’s licensing period listed in (b) above. The division shall request any documentation that it deems necessary in order to verify compliance.

(d) Applicants for an initial license shall be issued a provisional license when all of the following have occurred:

(1) Submission of a completed provider application as set forth in Saf-C 5904.02, at a provider level set forth in Saf-C 5904.01, and agreed to the terms in Saf-C 5904.03;

(2) All requirements in Saf-C 5904.04 have been met; and

(3) Submission of a completed application for a criminal history record check required pursuant to RSA 153-A:10-a and a period of at least 3 weeks has passed from the date of submission.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #14180, INTERIM, eff 1-22-25

Saf-C 5904.06 Provider License Renewal Process.

(a) Any currently licensed provider shall be eligible for renewal, prior to lapse, at the same provider level, by complying with the requirements set forth in Saf-C 5904.02, Saf-C 5904.03, and Saf-C 5904.04.

(b) Notwithstanding (a) above, any currently licensed NH EMT-B provider that is not certified by the National Registry shall be eligible for renewal, prior to lapse, by complying with the application requirements of Saf-C 5904.02 and providing the following:

(2) Proof of successful completion of a division approved EMT RTP;

(3) A statement of unit affiliation in accordance with Saf-C 5904.04(c)(4);

(4) Proof of successful completion of the division approved EMT scope of practice program; and

(5) Proof of successful completion of the division approved protocol education.

(1) Apprentice providers and currently licensed NH EMT-B providers who are not certified by the National Registry shall be issued a renewal license, commencing with the date of approval and expiring on the 31st day of December of the following year;

(2) Providers at any level other than those set forth in (c)(1) above shall be issued a renewal license, commencing with the date of approval and expiring 30 calendar days after the expiration date listed on the National Registry level documentation provided for licensure; and

(3) First responder naloxone providers shall be issued a license commencing with the date of approval and expiring on the date when the primary service’s unit license expires.

(d) Providers shall maintain their certification with the National Registry in order to remain licensed at any of the licensing levels set forth in Saf-C 5904.01(b) through (f), excluding (c).

(e) A provider whose ALS or BLS certification has lapsed shall follow the reregistration process set forth by the National Registry.

(f) All standards, certifications, and documents showing compliance shall be maintained and not allowed to lapse in order to renew a license with the division. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; amd by #13006, EMERGENCY, eff 3-20-20, EXPIRED 9-16-20 (in para (g))

PART Saf-C 5905 WAIVER OF LICENSURE

Saf-C 5905.01 Definition. For the purposes of this part, the demonstration of good cause shall include the following:

(a) Evidence of a prior good faith effort to comply with each requirement for which a waiver is requested;

(b) A statement documenting why the unit or provider cannot comply with each requirement for which a waiver is requested, including any financial or other significant hardship resulting from efforts to comply;

(c) A statement and supporting documentation that non-compliance with each requirement for which a waiver is requested shall not prevent the unit or provider from providing adequate care to patients;

(d) Reasons why non-compliance with each requirement for which a waiver is requested is not possible for a given period of time; and

(e) A plan for compliance with each requirement within the period requested on the waiver application.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5905.02 Request for Waiver of Unit and Provider License Application.

(a) Pursuant to RSA 153-A:10, VI, an applicant for a unit or provider license may request a waiver of licensure from the commissioner for good cause.

(b) Requests for waivers shall be submitted in writing to the commissioner.

(1) Full name;

(2) Current mailing address;

(3) Telephone number(s);

(4) The specific rule for which the waiver is requested;

(5) The reason for requesting the waiver;

(6) The hardship that would occur if the waiver was not approved;

(7) A plan of compliance with the rule to be waived and the date of compliance; and

(8) Signature of the applicant.

(d) Notwithstanding any rules to the contrary, a plan of compliance pursuant to (c)(7) above shall not be required if the applicant articulates exigent system resource circumstances in which a denial of a waiver may result in the compromise of the health or safety of the patient(s) or community.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5905.03 Decision on Request for Waiver of Licensure.

(a) The commissioner shall issue a written approval or denial of a waiver request to the applicant within 60 days of receipt of the request.

(b) Upon a finding of good cause, the commissioner shall approve a waiver of licensure for the period set forth in the plan for compliance pursuant to Saf-C 5905.01(e).

(c) A waiver of licensure shall be considered as a fulfillment of the licensing requirements only for the period specified in the waiver.

(d) The commissioner shall deny the waiver request if, after reviewing the material submitted in Saf-C 5905.02 above, it is determined that:

(1) Granting the request shall result in the waiver circumventing the rule for which the waiver was requested;

(2) The unit or provider shall be unable to meet the needs of the patient(s) or community; or

(3) The health or safety of the patient(s) or community shall be jeopardized.

(e) A decision by the commissioner to deny a waiver request shall be final.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5906 EMS VEHICLE EQUIPMENT AND UNIT SUPPLIES

Saf-C 5906.01 EMS Vehicle License Application. Each applicant for an EMS vehicle license shall complete and submit “New Hampshire Bureau of EMS Transporting Vehicle Application” form, as revised 01/07/19, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/formvehicle.pdf.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.02 Vehicle License Application Statement of Certification. By signing the vehicle license application, the head of unit, or his or her designee, shall certify that:

(a) All equipment and supplies required in Saf-C 5906.08 shall be included in the vehicle;

(b) He or she understands any material falsification of information shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.06 through Saf-C 5922.08 and may be grounds for a misdemeanor conviction pursuant to RSA 641:3; and

(c) Failure to maintain the equipment and supplies in the vehicle as required in Saf-C 5906.08, shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.06 through Saf-C 5922.08.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.03 Vehicle Requirements.

(a) Each applicant for a land or water EMS vehicle license shall provide the following with the application:

(1) A copy of the current motor vehicle registration certificate or the vessel registration certificate, as appropriate;

(2) Proof of insurance in accordance with Saf-C 5903.04(a)(2);

(3) The vehicle identification number or the hull identification number, as appropriate;

(4) For an out-of-state land vehicle requiring a license because the vehicle covers NH communities for emergency transport of patients or hospital or facilities for patient transfers, excluding mutual aid situations, a copy of the current motor vehicle registration certificate;

(5) For a water vehicle, proof that the vehicle contains all emergency medical equipment necessary, as required in Saf-C 5906.08;

(6) For a water vehicle, proof that the vehicle complies with all state watercraft laws and rules; and

(7) The license fee set forth in Saf-C 5907.01(d)(2).

(b) Each applicant for an air medical transport vehicle, both rotor and fixed wing, based in this state, shall provide the following with the application:

(1) Proof that the air medical transport vehicle contains all emergency medical equipment necessary, as required in Saf-C 5906.08;

(2) Proof that the air medical transport vehicle complies with all current Federal Aviation Regulations (FAR’S);

(3) A current copy of the USDOT, Federal Aviation Administration (FAA) “Air Carrier Certificate”;

(4) A current copy of the “Commercial Aviation Operator Registration Certificate” in order to document compliance with the standards of the state of NH, department of transportation (DOT), division of aeronautics, for a commercial aviation operator; and

(5) A statement that within 3 years of the initial license application, the applicant shall become accredited through the Commission on Accreditation of Medical Transport Systems (CAMTS).

(c) All standards, certifications, and documents showing compliance shall be maintained and not allowed to lapse in order to retain a vehicle license. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.04 Approval Process for Vehicle License Application.

(a) Upon receipt of a completed application for an EMS vehicle license, the division shall conduct an inspection of the vehicle and its shelter in accordance with Saf-C 5906.08, as applicable, prior to the issuance of a vehicle license, for:

(1) All newly purchased vehicles requiring an initial EMS inspection; and

(2) All vehicles upon renewal.

(b) Failure of a vehicle or applicable vehicle shelter to pass an EMS inspection, pursuant to Saf-C 5906.07 shall result in a reinspection for correction of deficiencies within 10 days of the original inspection.

(d) Upon passing an EMS inspection, the division shall issue a vehicle license in the form of one decal, which shall be affixed to the lower left corner of the rear left window of the vehicle.

(e) A vehicle license shall be issued commencing with the month of the EMS inspection and expiring on the last day of that month 2 years later.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.05 Waivers of Vehicle License Application. Pursuant to RSA 153-A:10, an applicant for an EMS vehicle license may request a waiver of licensure from the commissioner in accordance with Saf-C 5905.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.06 Accountability for Vehicle and Unit Equipment and Supplies. The unit shall be responsible to ensure that each vehicle is maintained in a safe and working manner, which means the vehicle shall be:

(a) Garaged in a safe and clean environment; and

(b) Kept free from unsanitary conditions to maintain infection control by:

(1) Ensuring that the interior of the patient compartment and equipment are clean at the beginning of each call and after each call;

(2) Disposing all bio-hazard waste materials in appropriate receptacles after each call; and

(3) Ensuring that sterile supplies and medications are stored in sealed packages in a dry location.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.07 Vehicle and Shelter Inspection and Reinspection Procedures.

(a) The division, prior to the issuance of an initial vehicle license, shall conduct an EMS inspection of all vehicles and their shelters, as applicable.

(b) Initial inspections shall be conducted within 30 days of acceptance of an application for a vehicle license.

(c) During the EMS inspection, the person responsible for the maintenance and operation of the unit, or his or her designee, shall be present, in order to:

(1) Test the equipment;

(2) Prove that the required equipment is on the vehicle and in good working condition pursuant to Saf-C 5906.08; and

(3) Witness and assist in the inspection of the vehicle(s) and the inventory of supplies.

(d) The EMS vehicle inspection shall ensure that:

(1) The vehicle complies with the equipment required in Saf-C 5906.08;

(2) The patient compartment of the vehicle is free of unsanitary conditions that might jeopardize the health and safety of the patient or provider; and

(3) A test of the 2-way radio communication(s) capabilities is conducted, by documenting the test call to:

a. The unit’s medical resource hospital; and

b. The unit’s dispatch control center.

(e) All transporting land vehicles shall:

(1) Be garaged in a shelter constructed of material other than fabric or plastic sheeting;

(2) Be kept free from snow, sleet, and ice; and

(3) Have the interior maintained at a minimum of 50 degrees Fahrenheit when the vehicle is not in use.

(f) Upon completion of the inspection, the EMS inspector shall notify the unit representative that:

(1) The vehicle(s) passed the inspection;

(2) A deficiency exists that needs to be corrected; or

(3) Reinspection of the vehicle or shelter is required.

(g) Reinspection of a vehicle shall be warranted for either one or both of the following:

(1) Deficiencies found in the vehicle, equipment, or applicable vehicle shelter which threaten the life and safety of the patient(s) or provider(s); or

(2) Hazardous conditions found relative to the vehicle, equipment, or vehicle shelter which could jeopardize the vehicle performance or the health and safety of the patient(s) or provider(s).

(h) A notice of deficiencies shall be:

(1) Recorded by the EMS inspector; and

(2) Issued to the unit named on the vehicle application.

(i) The appearance of unsafe operating conditions on an EMS vehicle shall be reported by the EMS inspector to the appropriate authorities as follows:

(1) The department of safety, division of motor vehicles, if a land vehicle and the division of state police, if a water vehicle; or

(2) The department of transportation, division of aeronautics, if an air medical transport vehicle.

(j) Unsafe operating conditions of a land vehicle shall include:

(1) Bald tires;

(2) Inoperable doors, windows, or both;

(3) Missing door handles;

(4) Open holes in the vehicle body;

(5) Exhaust leaks; and

(6) Any other operating condition which the EMS inspector determines to be unsafe.

(k) Reinspection shall be recorded and conducted within 10 days of the initial inspection.

(l) If a reinspection is not necessary, the person responsible for the maintenance and operation of the unit’s vehicles(s), or his or her designee, shall report, in writing, that any deficiencies have been corrected by:

(1) Replacing missing equipment, items, or both;

(2) Repairing or replacing malfunctioning equipment;

(3) Restoring the patient compartment; or

(4) Restoring the vehicle itself.

(m) Upon successful completion of a vehicle inspection or reinspection, the commissioner shall issue one inspection decal to the applicant, in accordance with Saf-C 5906.04(d).

(n) Failure to pass a reinspection shall result in denial of the vehicle application in accordance with Saf-C 5922.06.

(o) Subsequent inspections shall be conducted every 2 years.

(p) All vehicles and their shelters shall be subject to an inspection by the division at any time with or without prior notice. An inspection shall not affect ambulance response unless there is a threat to public health or safety.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.08 Vehicle Equipment and Supplies.

(a) A unit provider shall equip each land or water vehicle operating at the EMT or EMT-B level, AEMT level or paramedic level with the required equipment specified in Table 5906.1; and

(b) A unit provider shall equip each air medical transport vehicle with the required equipment specified in Table 5906.2.

Item Name:	Size or Description	Number or Criteria	BLS	AEMT	Paramedic
Mass Casualty Tags	Undefined	50 each	Yes	Yes	Yes
Ambulance Cot Safety Straps	Full Set: Shoulder Harness system with hip and leg straps	1 each	Yes	Yes	Yes
Ambulance Cot Vehicle Mounting Bracket System	Undefined	1 each	Yes	Yes	Yes
Ambulance Cot with Mattress	Undefined	1 each	Yes	Yes	Yes
Infant/Child Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements	System for Pediatric Patients weighing 5-80 Pounds	1 system	Yes	Yes	Yes
Fixed Suction	80-300 mmhg	1 each	Yes	Yes	Yes
Fixed Suction Canister with Liner OR Disposable Canister	Compatible with device	1 each	Yes	Yes	Yes
Main/Fixed Oxygen Tank	3000 Liter; containing not less than 500 psi	1 each	Yes	Yes	Yes
Oxygen Regulator/Flow meter (Wall Mounted)	2-15 LPM capable	1 each	Yes	Yes	Yes
Blanket	Undefined	4 each	Yes	Yes	Yes
Pillowcase	Undefined	2 each	Yes	Yes	Yes
Pillow with Fluid Resistant Cover	Undefined	1 each	Yes	Yes	Yes
Sheet	Undefined	4 each	Yes	Yes	Yes
Towel	Undefined	4 each	Yes	Yes	Yes
Urinal, Portable	Adult	1 each	Yes	Yes	Yes
Bed Pan	Adult	1 each	Yes	Yes	Yes
Emesis Container	Undefined	1 each	Yes	Yes	Yes
Sharps Needle Container	Fixed	Yes	Yes	Yes	Yes
Siren	Undefined	1 each	Yes	Yes	Yes
Exterior Rotating/Flashing Lights	Visible on 4 Sides	1 each	Yes	Yes	Yes
Fixed Scene Lights	Left, Right and Rear	1 each	Yes	Yes	Yes
Name of Unit on Vehicle Exterior	Minimum 4-inch High Lettering	Left and Right Side	Yes	Yes	Yes
Current Motor Vehicle Registration	Unexpired	1 each	Yes	Yes	Yes
Current Motor Vehicle Inspection Sticker	Unexpired	1 each	Yes	Yes	Yes
Current Motor Vehicle Insurance Certificate	With Vehicle	1 each	Yes	Yes	Yes
Motor Vehicle License Plates	Front and Rear	1 each	Yes	Yes	Yes
Current Motor Vehicle Registration License Plate Stickers	Front and Rear	1 each	Yes	Yes	Yes
Two-Way Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency	Capability Tested	1 each	Yes	Yes	Yes
Two-Way Radio Communications, Unit Dispatch Center	Capability Tested	1 each	Yes	Yes	Yes
Antimicrobial Hand Cleanser	6 Ounces	1 Container	Yes	Yes	Yes
Binoculars	Undefined	1 pair	Yes	Yes	Yes
Biohazard Waste Bag	Undefined	2 each	Yes	Yes	Yes
Disposable Impermeable Boot Covers	Extra Large	2 pair	Yes	Yes	Yes
Disposable Impermeable Coverall; or	Sizes to Fit Staffing	2 each	Yes	Yes	Yes
Disposable Impermeable Gown	Universal or Largest Available	2 each	Yes	Yes	Yes
Disposable, Latex-Free Exam Gloves	Small, Medium and Large	1 Box each	Yes	Yes	Yes
Current edition of US DOT Emergency Response Guidebook		1 each	Yes	Yes	Yes
Fire Extinguisher, Portable 2-A/10-B/C	Outside of Patient Compartment	1 each	Yes	Yes	Yes
Fire Extinguisher, Portable 2-A/10-B/C	Inside of Patient Compartment	1 each	Yes	Yes	Yes
Full Face Fluid Protection	Universal	2 each	Yes	Yes	Yes
Battery Charger(s) for Hand-Held Light – OR - Replacement Batteries	Sized per Light Type	1 Replacement Change per Light	Yes	Yes	Yes
Hand-Held Light or Headlamp	Undefined	2 each	Yes	Yes	Yes
Hospital Grade Disinfectant Solution or Wipes	Container or Bottle	1 each	Yes	Yes	Yes
N95 or N100 Mask	Sized for Crew	2 Masks	Yes	Yes	Yes
Portable CO Detector or Alarm	Undefined	1 each	Yes	Yes	Yes
Respiratory Mask, Fluid Resistant	Universal	1 Box	Yes	Yes	Yes
Safety Vest, High-Visibility, ANSI/ISEA-Compliant Type-2	Sized for Crew	1 per each Crew Member Responding	Yes	Yes	Yes
Seatbelts	Undefined	1 per seat	Yes	Yes	Yes
Sharps/Needle Container	Vehicle mounted	1 each	Yes	Yes	Yes
Pocket Ventilation Mask with One-Way Valve	Adult	1 each	Yes	Yes	Yes
Adjustable PEEP (Positive End-Expiratory Pressure) Valve	1 Size	2 each	Yes	Yes	Yes
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask	Child	1 each	Yes	Yes	Yes
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask with PEEP Connection	Adult	1 each	Yes	Yes	Yes
Blind Insertion/SupraGlottic Airways	Complete Set of available Adult and Pedi Sizes per Manufacturer and Model	1 each	Yes	Yes	Yes
Bulb Syringe (separate from OB kit)	Infant	1 each	Yes	Yes	Yes
Fixed Oxygen Regulator for Main/Fixed Oxygen	Capable of reducing pressure to 50 PSI	1 each	Yes	Yes	Yes
Lubricating Jelly, Water Soluble	Single Use Package	4 each	Yes	Yes	Yes
Nasal Cannula	Pediatric	1 each	Yes	Yes	Yes
Nasal Cannula	Adult	2 each	Yes	Yes	Yes
Nasopharyngeal Airways	6 Sizes, Infant-Adult	1 each	Yes	Yes	Yes
Oropharyngeal Airways	6 Sizes, Infant-Adult	1 each	Yes	Yes	Yes
Oxygen Non-Rebreather Mask with Reservoir Bag	Pediatric	1 each	Yes	Yes	Yes
Oxygen Non-Rebreather Mask with Reservoir Bag	Adult	2 each	Yes	Yes	Yes
Portable Oxygen Tank (1 Min 500 PSI, 1 Full)	Size D or >	2 Tanks	Yes	Yes	Yes
Portable Oxygen Tank Opening Device	Compatible with device	1 each	Yes	Yes	Yes
Portable Oxygen Tank Regulator/Flow Meter	2-15 LPM capable	1 each	Yes	Yes	Yes
Portable Suction	80-300 mmhg	1 unit	Yes	Yes	Yes
Portable Suction Canister with liner OR Disposable Canister	Compatible with device	1 each	Yes	Yes	Yes
Suction Catheters	Rigid, Widebore	1 each	Yes	Yes	Yes
Suction Catheters	1 Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12 and 16 F	1 each size (2 total)	Yes	Yes	Yes
Transparent Mask for Bag Valve Mask Resuscitator	Neonate Compatible with Child BVM	1 each	Yes	Yes	Yes
Transparent Mask for Bag Valve Mask Resuscitator	Infant Compatible with Child BVM	1 each	Yes	Yes	Yes
Commercial Advanced Airway securing device	Pedi and Adult Capable	1 each	Yes	Yes	Yes
CPAP (One complete and Operational System)	Complete Set of available Adult Sizes per Manufacturer and Model	1 System	No	Yes	Yes
Continuous Quantitative Waveform Capnography Monitor (Electronic)	1 Size	1 each	No	No	Yes
Electronic ETCO2 monitoring sampling Cannula	Adult	2 each	No	No	Yes
Electronic ETCO2 monitoring sampling Cannula	Pedi	2 each	No	No	Yes
Electronic ETCO2 monitoring Tube Adapter	One size	2 each	No	No	Yes
Endotracheal Tubes	Full set of 12 sizes 2.5 - 8.0	1 Set	No	No	Yes
Laryngoscope Blades, Curved	2, 3, 4	1 each	No	No	Yes
Laryngoscope Blades, Straight	0,1,2,3,4	1 each	No	No	Yes
Spare Batteries or Charging Device for Laryngoscope Handle	Size/device appropriate to handles	1 set or device / handle size	No	No	Yes
Magill forceps	Pediatric	1 each	No	No	Yes
Magill forceps	Adult	1 each	No	No	Yes
Meconium Aspirator (Adapter)	1 Size	1 each	No	No	Yes
Nasogastric tubes sized for Pedi and Adult	1 Size 8 or 10 Fr, and 1 Size 14 or 16 Fr	1 each size	No	No	Yes
Needle Decompression Kit	Consisting of: 3.25" needle, 3-Way Stopcock and 20 cc Syringe	2 each	No	No	Yes
Spare Light Bulb or Fiberoptic Lightsource	Size appropriate to handle or blade type	1 each	No	No	Yes
Standard Laryngoscope Handle	Pediatric	1 each	No	No	Yes
Standard Laryngoscope Handle	Adult	1 each	No	No	Yes
Stylet and/or Gum Elastic Bougie, Endotracheal Tube	Pediatric	2 each	No	No	Yes
Stylet and/or Gum Elastic Bougie, Endotracheal Tube	Adult	2 each	No	No	Yes
Toomey Syringe	1 Size	1 each	No	No	Yes
Antiseptic Skin Preparation Pads	Individual packs	12 each	Yes	Yes	Yes
Bandage Dressing, Sterile	Minimum size 5” x 7”	12 Sterile Packages	Yes	Yes	Yes
Blood Pressure Cuff	Infant	1 each	Yes	Yes	Yes
Blood Pressure Cuff	Child	1 each	Yes	Yes	Yes
Blood Pressure Cuff	Adult	1 each	Yes	Yes	Yes
Blood Pressure Cuff	Adult Large or Thigh	1 each	Yes	Yes	Yes
Sphygmomanometer	To fit all sized cuffs	One	Yes	Yes	Yes
Burn Sheet, Sterile, Hospital Prepared or Commercially Disposable	Full Body	1 each	Yes	Yes	Yes
Cold Pack	Instant	4 each	Yes	Yes	Yes
Commercial Tourniquet Device	Minimum 1.5" Width	2 each	Yes	Yes	Yes
Gauze Pads, Sterile	Minimum 3” x 3”	12 Sterile Packages	Yes	Yes	Yes
Heat Pack	Instant	4 each	Yes	Yes	Yes
OB Kit.	Must Contain: Sterile Umbilical Clamp (2), Sterile Scalpel or Scissors, Sterile Bulb Syringe, Head Cap, and Heat Reflective Blanket or Material	1 complete kit	Yes	Yes	Yes
Occlusive Dressing, Sterile; or	Minimum size 4” x 4”	2 each	Yes	Yes	Yes
Plastic Wrap, Self-Adhesive	Undefined	1 roll	Yes	Yes	Yes
Pelvic Binding Device	Undefined	1 each	Yes	Yes	Yes
Penlight (flashlight or LED equivalent)	Undefined	1 each	Yes	Yes	Yes
Rolled Bandage, Soft, Self-Clinging	Minimum width 3”	4 each	Yes	Yes	Yes
Saline Solution, Sterile	Undefined	1000 ml Total	Yes	Yes	Yes
Splints capable of stabilizing upper and lower extremities in half and full lengths	Adult & Pedi	1 set	Yes	Yes	Yes
Stethoscope(s)	Adult and Pedi Capable	1 each	Yes	Yes	Yes
Traction device, Lower Extremity with Ankle Hitch	Adult	1 each	Yes	Yes	Yes
Trauma Shears	Undefined	1 pair	Yes	Yes	Yes
Triangular Bandages	Minimum size 35”	4 each	Yes	Yes	Yes
Universal Dressing, Sterile	Minimum 9” x 24”	2 Sterile Packages	Yes	Yes	Yes
Cervical Collars, Rigid	Infant through Adult	2 Complete Sets	Yes	Yes	Yes
Extrication and Movement Device, Rigid or Semi-Rigid	Long/ Full Length	1 each	Yes	Yes	Yes
Extrication and Movement Strapping Accessories	Compatible with device	1 set	Yes	Yes	Yes
Head Motion Restriction Device or System	Compatible with device	1 each	Yes	Yes	Yes
Stair Chair (with safety straps)	Undefined	1 each	Yes	Yes	Yes
Scoop Stretcher	Full Length	1 each	Yes	Yes	Yes
Blood Glucose Measuring Device with Appropriate Testing Strips	Undefined	1 each	Yes	Yes	Yes
Automated External Defibrillator (AED)	Adult and Pediatric capable	1 AED	Yes, unless Multifunction Cardiac Monitor is present	Yes, unless Multifunction Cardiac Monitor is present	No
Defibrillator Pad	Pediatric	2 sets	Yes	Yes	Yes
Defibrillator Pad	Adult	2 sets	Yes	Yes	Yes
Disposable Razor	Undefined	1 each	Yes	Yes	Yes
Pulse Oximeter Measuring Device	Undefined	1 each	Yes	Yes	Yes
Pulse Oximeter Sensor	Pediatric	1 each	Yes	Yes	Yes
Pulse Oximeter Sensor	Adult	1 each	Yes	Yes	Yes
Thermometer	Capable down to 86 Degrees	1 each	Yes	Yes	Yes
Monitor Spare Battery or Charging System with Continuous Power supply	Appropriate to Device	1 each	Yes, If Present	Yes, If Present	Yes
Multifunction Cardiac Monitor	Pedi and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability	1 Monitor	Yes, If Present	Yes, If Present	Yes
Multifunction Cardiac Monitor Electrodes	Pediatric	10	Yes, If Present	Yes, If Present	Yes
Multifunction Cardiac Monitor Electrodes	Adult	20	Yes, If Present	Yes, If Present	Yes
Multifunction Cardiac Monitor Recording Paper	Appropriate to Device	1 Replacement	Yes, If Present	Yes, If Present	Yes
All Medication Expiration Dates Current	Undefined	Not Expired	Yes	Yes	Yes
Length-Based Resuscitation Tape	Pediatric	1 each	Yes	Yes	Yes
Medicine Cup or oral syringe with Measurement Increments	With Measurement Increments	1 each	Yes	Yes	Yes
Mucosal Atomization Device	Undefined	2 each	Yes	Yes	Yes
NH Patient Care Protocols, Printed or Service Owned, Dedicated Electronic Copy	Undefined	1 copy	Yes	Yes	Yes
0.9% Normal Saline Solution	IV Bags	Total 4000 ML	No	Yes	Yes
3-Way Stop-Cock	Undefined	5 each	No	Yes	Yes
Bio-Occlusive IV Site Dressing	Undefined	2 Each	No	Yes	Yes
Commercial IntraOsseous Introduction Device	Adult and Pediatric Capable	1 each	No	Yes	Yes
Filter needles	Undefined	2 each	No	Yes	Yes
IV Administration Set with min. of 2 med ports	Macro	2 sets	No	Yes	Yes
IV Arm Board	Pediatric	1 each	No	Yes	Yes
IV Arm Board	Adult	1 each	No	Yes	Yes
IV Catheter	14 gauge	2 each	No	Yes	Yes
IV Catheter	16 gauge	2 each	No	Yes	Yes
IV Catheter	18 gauge	2 each	No	Yes	Yes
IV Catheter	20 gauge	2 each	No	Yes	Yes
IV Catheter	22 gauge	2 each	No	Yes	Yes
IV Catheter	24 gauge	2 each	No	Yes	Yes
IV Pressure Bag	1000 ML	1 each	No	Yes	Yes
IV Saline Lock	Macro	2 sets	No	Yes	Yes
Sharps/Needle container	portable	1 each	Yes	Yes	Yes
Nebulizer Delivery Device Setup, Complete	Undefined	2 each	No	Yes	Yes
Needle	18-21 gauge (1-1/2 Inch Min Length)	2 Assorted	No	Yes	Yes
Needle	25-27 gauge (1 Inch Min Length)	2 Assorted	No	Yes	Yes
Needles for Commercial IntraOsseous Introduction Device	Adult and Pediatric Capable	1 each	No	Yes	Yes
Syringe	1cc	2 each	No	Yes	Yes
Syringe	3 or 5cc	4 each	No	Yes	Yes
Syringe	10 or 12cc	2 each	No	Yes	Yes
Syringe	20 or 60cc	1 each	No	Yes	Yes
Venous Constricting Band (Latex Free)	Undefined	2 each	No	Yes	Yes

Table 5906.2 Fixed Air Medical Transport Equipment

Item Name:	Size or Description	Number or Criteria
Infant/Child Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements	System for Pediatric Patients weighing 5-80 Pounds	1 system
Fixed Suction	80-300 mmhg	1 each
Fixed Suction Canister with Liner ORDisposable Canister	Compatible with device	1 each
Main/Fixed Oxygen Tank	3000 Liter; containing not less than 500 psi	1 each
Oxygen Regulator/Flow meter (Wall Mounted)	2-15 LPM capable	1 each
Sharps Needle Container	Fixed	Yes
Siren	Undefined	1 each
Name of Unit on Vehicle Exterior	Minimum 4-inch High Lettering	Left and Right Side
Two-Way Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency	Capability Tested	1 each
Two-Way Radio Communications, Unit Dispatch Center	Capability Tested	1 each
Safety Vest, High-Visibility, ANSI/ISEA-Compliant Type-2	Sized for Crew	1 per each Crew Member Responding
Sharps/Needle Container	Vehicle mounted	1 each
Pocket Ventilation Mask with One-Way Valve	Adult	1 each
Adjustable PEEP (Positive End-Expiratory Pressure) Valve	1 Size	2 each
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask	Child	1 each
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask with PEEP Connection	Adult	1 each
Blind Insertion/SupraGlottic Airways	Complete Set of available Adult and Pedi Sizes per Manufacturer and Model	1 each
Bulb Syringe (separate from OB kit)	Infant	1 each
Fixed Oxygen Regulator for Main/Fixed Oxygen	Capable of reducing pressure to 50 PSI	1 each
Lubricating Jelly, Water Soluble	Single Use Package	4 each
Nasal Cannula	Pediatric	1 each
Nasal Cannula	Adult	2 each
Nasopharyngeal Airways	6 Sizes, Infant-Adult	1 each
Oropharyngeal Airways	6 Sizes, Infant-Adult	1 each
Oxygen Non-Rebreather Mask with Reservoir Bag	Pediatric	1 each
Oxygen Non-Rebreather Mask with Reservoir Bag	Adult	2 each
Portable Oxygen Tank (1 Min 500 PSI, 1 Full)	Size D or >	2 Tanks
Portable Oxygen Tank Opening Device	Compatible with device	1 each
Portable Oxygen Tank Regulator/Flow Meter	2-15 LPM capable	1 each
Portable Suction	80-300 mmhg	1 unit
Portable Suction Canister with liner OR Disposable Canister	Compatible with device	1 each
Suction Catheters	Rigid, Widebore	1 each
Suction Catheters	1 Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12 and 16 F	1 each size (2 total)
Transparent Mask for Bag Valve Mask Resuscitator	Neonate Compatible with Child BVM	1 each
Transparent Mask for Bag Valve Mask Resuscitator	Infant Compatible with Child BVM	1 each
Commercial Advanced Airway securing device	Pedi and Adult Capable	1 each
CPAP (One complete and Operational System)	Complete Set of available Adult Sizes per Manufacturer and Model	1 System
Continuous Quantitative Waveform Capnography Monitor (Electronic)	1 Size	1 each
Electronic ETCO2 monitoring sampling Cannula	Adult	2 each
Electronic ETCO2 monitoring sampling Cannula	Pedi	2 each
Electronic ETCO2 monitoring Tube Adapter	One size	2 each
Endotracheal Tubes	Full set of 12 sizes 2.5 - 8.0	1 Set
Laryngoscope Blades, Curved	2, 3, 4	1 each
Laryngoscope Blades, Straight	0,1,2,3,4	1 each
Spare Batteries or Charging Device for Laryngoscope Handle	Size/device appropriate to handles	1 set or device / handle size
Magill forceps	Pediatric	1 each
Magill forceps	Adult	1 each
Meconium Aspirator (Adapter)	1 Size	1 each
Nasogastric tubes sized for Pedi and Adult	1 Size 8 or 10 Fr, and 1 Size 14 or 16 Fr	1 each size
Needle Decompression Kit	Consisting of: 3.25" needle, 3-Way Stopcock and 20 cc Syringe	2 each
Spare Light Bulb or Fiberoptic Lightsource	Size appropriate to handle or blade type	1 each
Standard Laryngoscope Handle	Pediatric	1 each
Standard Laryngoscope Handle	Adult	1 each
Stylet and/or Gum Elastic Bougie, Endotracheal Tube	Pediatric	2 each
Stylet and/or Gum Elastic Bougie, Endotracheal Tube	Adult	2 each
Blood Pressure Cuff	Infant	1 each
Blood Pressure Cuff	Child	1 each
Blood Pressure Cuff	Adult	1 each
Blood Pressure Cuff	Adult Large or Thigh	1 each
Sphygmomanometer	To fit all sized cuffs	One
Commercial Tourniquet Device	Minimum 1.5" Width	2 each
Stethoscope(s)	Adult and Pedi Capable	1 each
Traction device, Lower Extremity with Ankle Hitch	Adult	1 each
Cervical Collars, Rigid	Infant through Adult	2 Complete Sets
Defibrillator Pad	Pediatric	2 sets
Defibrillator Pad	Adult	2 sets
Disposable Razor	Undefined	1 each
Pulse Oximeter Measuring Device	Undefined	1 each
Pulse Oximeter Sensor	Pediatric	1 each
Pulse Oximeter Sensor	Adult	1 each
Thermometer	Capable down to 86 Degrees	1 each
Monitor Spare Battery or Charging System with Continuous Power supply	Appropriate to Device	1 each
Multifunction Cardiac Monitor	Pedi and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability	1 Monitor
Multifunction Cardiac Monitor Electrodes	Pediatric	10
Multifunction Cardiac Monitor Electrodes	Adult	20
Multifunction Cardiac Monitor Recording Paper	Appropriate to Device	1 Replacement
All Medication Expiration Dates Current	Undefined	Not Expired
Commercial IntraOsseous Introduction Device	Adult and Pediatric Capable	1 each
IV Administration Set with min. of 2 med ports	Macro	2 sets
IV Catheter	14 gauge	2 each
IV Catheter	16 gauge	2 each
IV Catheter	18 gauge	2 each
IV Catheter	20 gauge	2 each
IV Catheter	22 gauge	2 each
IV Catheter	24 gauge	2 each
Needles for Commercial IntraOsseous Introduction Device	Adult and Pediatric Capable	1 each
Venous Constricting Band (Latex Free)	Undefined	2 each
Emergency Lighting Equipment	Undefined	1 each
Survival Pack and Survival Gear	Undefined	1 per each crew member
Flashlight	Undefined	One in front One in back
Aircraft Helmet	FAA approved	1 per each crew member
Patient Headset	Undefined	1 each
Portable Ventilator	Undefined	1 each
Invasive Blood Pressure Monitoring Devices	Undefined	Minimum of 2
Cervical Collars, Rigid	Infant through Adult	1 Complete Set
Doppler	Tied to the aircraft intercom system with High Frequency sound waves	1 each
Infusion Pump	Undefined	1 each
Stretcher/Litter	Secure Patient to Aircraft	1 each

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13123, eff 10-20-20; ss by #13169, eff 2-19-21

Saf-C 5906.09 Vehicle License Renewal Process. Any currently licensed EMS vehicle in this state shall be eligible for renewal in accordance with Saf-C 5906.01 and Saf-C 5906.03.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5906.10 Complaints and Investigations Relating to Vehicles. All complaints and investigations regarding the use of any vehicle licensed under RSA 153-A or of the use of any vehicle believed to be in violation of RSA 153-A or these rules, shall be made to the commissioner in accordance with Saf-C 5922.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5907 LICENSING FEES

Saf-C 5907.01 Licensing Fees.

(a) There shall be no licensing fee charged for any person applying for a provider license.

(b) Pursuant to RSA 153-A:15, there shall be no licensing fee charged to non-profit organizations and volunteer associations or municipalities applying for a unit or vehicle license.

(d) Fees charged shall be assessed at:

(1) A sum of $100.00 for a unit license, regardless of the number of satellite locations owned by the unit; and

(2) A sum of $20.00 for each vehicle license.

(e) Fees shall be:

(1) Submitted with the application form; and

(2) Paid in the form of:

a. Cash; or

b. Checks or money orders, made payable to the "Treasurer, State of New Hampshire".

(f) All fees shall be:

(1) Nontransferable; and

(2) Nonrefundable.

(g) Pursuant to RSA 6:11-a and Saf-C 211, the division shall charge the applicant for the costs of collection for any check returned as uncollectable.

(h) Failure to compensate the division for the initial fee and collection costs within 60 days of notification shall result in a license suspension, after notice and an opportunity for a hearing pursuant to Saf-C 5922.09.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5908 FINES AND PENALTIES

Saf-C 5908.01 Procedure for the Administration of Fines.

(a) When the division has determined through an inspection conducted in accordance with Saf-C 5906.07 or an investigation conducted in accordance with Saf-C 5922 that a violation of RSA 153-A or these rules has occurred, the commissioner shall impose a fine in accordance with RSA 153-A:22.

(b) The commissioner shall not, in the same proceeding, impose both an administrative fine and:

(1) A letter of concern;

(2) A suspension of a license; or

(3) A revocation of a license.

(d) If the licensee waives his or her right to a hearing pursuant to Saf-C 5922.09 or Saf-C 5922.10, and chooses to pay the imposed fine, the fine shall be paid and received by the division within 10 days of receipt of notice by the applicant or licensee.

(e) The payment of the fine shall be paid by:

(1) Cash; or

(2) Checks or money orders, made payable to the “Treasurer, State of New Hampshire”.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13580, eff 3-20-23

Saf-C 5908.02 Schedule of Fines. After notice and an opportunity for a hearing pursuant to Saf-C 5922, fines for violations of the provisions of RSA 153-A or these rules shall be imposed as follows:

(a) For failure of a unit to maintain the required vehicle inside air temperature when the vehicle is not in use a fine of $500.00 shall be imposed;

(b) For failure of a unit to maintain required vehicle shelter a fine of $500.00 shall be imposed;

(d) For failure of a unit to maintain required equipment and supplies a fine of $500.00 shall be imposed;

(e) For failure of a unit to have the correct number of providers licensed at the appropriate levels in the vehicle a fine of $1,000.00 shall be imposed;

(f) For misrepresentation of a unit of its licensed level a fine of $1,000.00 shall be imposed;

(g) For misrepresentation of a provider of his or her licensed level a fine of $1,000.00 shall be imposed;

(h) For use of emergency warning lights or siren for purposes other than the response to or transport of an emergent sick or injured patient a fine of $500.00 shall be imposed;

(i) For rendering emergency medical care to any person beyond a provider's level of licensure a fine of $1,000.00 shall be imposed upon the provider;

(j) For call jumping by a unit a fine of $1,000.00 shall be imposed;

(k) For call jumping by a provider a fine of $1,000.00 shall be imposed;

(l) For rendering emergency medical care to any person after receiving notice from the division that a certificate(s) has expired a fine of $500.00 shall be imposed upon the provider;

(m) For unauthorized disclosure of confidential patient information by a unit or provider a fine of $500.00 shall be imposed;

(n) The first repeat of any violation identified in Saf-C 5908.02 shall result in a fine that shall be double the amount of the original fine;

(o) Second and subsequent repeats of any violation identified in Saf-C 5908.02 shall result in a fine that shall be triple the amount of the original fine, not to exceed $2,000.00;

(p) For failure to comply with an order of the commissioner the maximum fine of $2,000.00 shall be imposed upon the violator;

(q) For failure to submit records as required pursuant to Saf-C 5902.08 or Saf-C 5902.09, a fine of $2,000.00 shall be imposed upon the violator; and

(r) For failure to pay a fine, an additional fine of $100.00 shall be imposed.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5909 EMS INSTRUCTOR COORDINATOR (EMS I/C) AND EMS INSTRUCTOR (EMS I) REQUIREMENTS

Saf-C 5909.01 EMS I/C General Requirements. Each applicant seeking licensure for an EMS I/C license shall complete a division approved instructor training program. The division shall approve instructor training programs that meet or exceeds any edition of the NFPA standard for Fire and Emergency Services Instructor III professional qualifications.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5909.011 EMS I General Requirements. Each applicant seeking licensure for an EMS I license shall complete a division approved instructor training program. The division shall approve instructor training programs that meets or exceeds any edition of the NFPA standard for Fire and Emergency Services Instructor I professional qualifications.

Source. #13953, eff 4-30-24

Saf-C 5909.02 EMS I AND EMS I/C License Application. Each applicant for an EMS I or EMS I/C license shall complete and submit “New Hampshire Bureau of EMS EMS Instructor/Coordinator License Application” form, as revised 4/2024, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/a29.pdf.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5909.03 EMS I and EMS I/C License Application Statement of Certification. By signing the EMS I and EMS I/C application form, the applicant shall certify that:

(a) The information provided in the application is complete, truthful, and correct, under the penalties of unsworn falsification pursuant to RSA 641:3;

(b) The applicant complies with RSA 153-A and these rules;

(c) The applicant understands any material falsification of information shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.03, Saf-C 5922.04, or Saf-C 5922.05 and may be grounds for a misdemeanor conviction pursuant to RSA 641:3;

(d) The applicant has not been convicted or found guilty of an offense pursuant to RSA 153-A:13, I or Saf-C 5922.03(c)(5);

(e) The applicant has not been subject to limitation, suspension from, or under revocation or probation of the ability to practice in a health care occupation or voluntarily surrendered a health care license in any state or to any agency authorizing the right to work; and

(f) If the applicant is unable to certify compliance with Saf-C 5909.03(b) to Saf-C 5909.03(e) the applicant shall provide official documentation that fully describes the offense, current status, and disposition of the case.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5909.04 EMS I or I/C Licensing Requirements.

(a) Each applicant for an initial EMS I/C or EMS I license shall provide the following with the application:

(1) At minimum, a copy of a high school diploma or GED;

(2) Proof of current registration at the minimum EMT classification level with the National Registry of Emergency Medical Technicians and registered at or above the classification level of the program to be instructed;

(3) A current EMS provider’s license, which at minimum, shall be at the provider level of the program to be instructed;

(4) Proof of completion of a minimum of 20 hours of instruction in training program(s) approved by the division, under the direct supervision and preceptorship of an EMS I/C or EMS I assigned by the division;

(5) Proof of attendance at an instructor orientation program for new EMS instructors conducted by the division; and

(6) Submit an evaluation approved by the division, completed and signed by the EMS I/C or EMS instructor acting as the instructor’s preceptor.

(b) An applicant for an EMS I license shall also provide proof of successful completion of an instructor training program in accordance with Saf-C 5909.011(a).

(c) Each applicant shall be notified by the division of the decision to approve or deny full licensure, in accordance with the requirements set forth in Saf-C 5909.05 or Saf-C 5922.03.

(d) All standards, certifications, and documents showing compliance shall be maintained and not allowed to lapse in order to retain their licensure. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5909.05 EMS I and EMS I/C License Approval Process.

(a) Completed applications shall be approved in accordance with RSA 541-A:29.

(b) Upon approval of an application, the division shall issue an EMS I and EMS I/C license, commencing with the date of approval and expiring 30 days after the expiration date listed on the National Registry of Emergency Medical Technicians documentation provided for licensure.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5909.06 EMS I and EMS I/C License Renewal Process.

(a) Any currently licensed EMS I and EMS I/C shall be eligible for renewal in accordance with Saf-C 5909.03 and Saf-C 5909.04(a)(2) and (3).

(b) Any currently licensed EMS I and EMS I/C in the state shall be eligible for renewal upon meeting the following requirements within the previous 2 years as a licensed EMS I and EMS I/C:

(1) At minimum, 20 hours of instruction in a training program(s) approved by the division or the Commission on Accreditation for the Pre-Hospital Continuing Education (CAPCE);

(2) Attendance at EMS I and EMS I/C updates as required by the division, which shall be 8 hours or less; and

(3) At minimum, attendance at 6 hours of continuing education in order to improve teaching skills such as educational methodology.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5909.07 Lapse of EMS I and EMS I/C License. Any previously licensed EMS I or EMS I/C whose license has lapsed shall meet the following in order to have their license renewed:

(a) If lapsed less than 2 years, the person shall meet the requirements set forth in Saf-C 5909.06; or

(b) If lapsed more than 2 years, the person shall meet the requirements set forth in Saf-C 5909.04.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

PART Saf-C 5910 EMS I/C RESPONSIBILITIES AND TRAINING PROGRAMS

Saf-C 5910.01 Authorization Process.

(a) The division shall authorize training programs at any of the provider licensing levels set forth in Saf-C 5904.01 or any associated refresher training.

(b) Only licensed EMS I/C’s shall act as primary instructors for training programs authorized in (a) above and shall be accountable for all of the requirements set forth in Saf-C 5910.

(c) Pursuant to Saf-C 5910.02, the EMS I/C shall request authorization for a training program by completing and submitting the “Authority to Establish Courses” form https://nhfa-ems.com/ems-resources/instructor-coordinator-course-request/.

(d) Any training program authorized by the division in (a) above shall be issued a course approval number.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.02 Authorization Statement of Certification. By signing the “Authority to Establish Courses” form, the EMS I/C shall certify that:

(a) The course shall be taught in an interactive learning environment; and

(b) The course shall be taught in accordance with the training curriculum standards for which authorization is granted by the division.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.03 Training Program Authorization Requirements.

(a) The EMS I/C shall provide the following, along with the “Authority to Establish Courses” form:

(1) A course outline, including:

a. Dates;

b. Times;

c. Subjects taught; and

d. Name of assistant instructor(s); and

(2) Course and student guidelines, including, at minimum:

a. Attendance requirements;

b. Course completion requirements;

c. Clinical or field internship requirements; and

d. Code of conduct and disciplinary procedures.

(b) The EMS I/C shall submit any changes to the information set forth in (a) above to the division within 5 days of making the changes.

(1) Proof that:

a. The applicant has access to medical and educational equipment to meet the training program needs;

b. The medical and educational equipment set forth in a. above is in reliable working condition; and

c. Access to the medical and educational equipment set forth in a. above is at a ratio of 6:1 student to equipment, as appropriate to the particular topic being taught;

(2) Written affiliation agreements that provide for the completion of all clinical requirements applicable to the program, which shall include:

a. Current agreement(s) with a hospital for in-hospital clinic time, which shall have an emergency department; and

b. Current agreement(s) with each licensed EMS unit or healthcare facility for the clinical field experience phase of the program; and

(3) Proof that the training program faculty is qualified to teach the particular topic being taught.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.04 EMS I/C Training Program Approval Process.

(a) The completed “Authority to Establish Courses” form shall be approved in accordance with RSA 541-A:29.

(b) The EMS I/C shall be notified, in writing, of the approval or denial within 10 days of receipt by the division.

(1) The EMS I/C requesting course authorization; and

(2) The course medical director or his or her designee.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.05 EMS I/C Responsibilities.

(a) The EMS I/C shall be responsible for the general effectiveness of the training program.

(b) The training program set forth in (a) above shall encompass the following:

(1) Operational goals and objectives;

(2) Organization of the program's content;

(3) Periodic review of the program's goals and objectives, to determine compliance;

(4) Continued development and oversight of the program's administration;

(5) Maintaining accurate records of course management, which shall be retained for a minimum period of 5 years from course completion, to include:

a. Student attendance;

b. Grades;

c. Evaluation of written and practical examinations;

d. In-hospital observation times and clinical rotations and locations, if applicable;

e. Guest lecturer and instructor aide attendance and materials presented, if applicable;

f. Training completed by all graduates and attendees; and

g. Other records relative to the conduct of the training program;

(6) Being a liaison between students, program staff, and clinical affiliates;

(7) Maintaining all correspondence between the EMS I/C and the division;

(8) The program schedules, to include dates, times, and locations;

(9) The assignment and conduct of any lesson offered;

(10) Compliance with site visits, inspections, or audits by the division;

(11) Compliance with complaint investigations; and

(12) Compliance with the submission of any required documents, upon request by the division.

(c) The EMS I/C shall be responsible for ensuring that any publications or advertisements pertaining to any program shall accurately reflect the education and training offered.

(d) The EMS I/C shall attend, at minimum, 60% of the classroom hours of an approved training program, and document such attendance.

(e) Notwithstanding (d) above:

(1) The required 60% attendance may be shared between no greater than 2 licensed EMS I/Cs who shall be equally responsible for the program; and

(2) The EMS I/C shall attend, at minimum, 25% of the classroom hours of an approved refresher training program, and document such attendance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.06 EMS I/C Course Completion.

(a) The EMS I/C shall verify that students accepted into the program have obtained a current certificate of CPR training and appropriate scope of practice program(s) for the level of training being conducted before the course is completed.

(b) The EMS I/C shall submit, in writing, a division approved course completion roster to the division within 10 days of the completion of the program and no less than 10 days prior to the scheduled practical examination.

(d) A course completion roster shall include the following information pertaining to all students who began the program, regardless of whether or not the student completed the program:

(1) Full legal name;

(2) Mailing address;

(3) Telephone number;

(4) Date of birth;

(5) National Registry number, if applicable; and

(6) Status, as follows:

a. “C” to indicate complete;

b. “I” to indicate incomplete; or

c. “F” to indicate failure.

(e) For those students with a status of “I”, a division approved course completion roster addendum shall be submitted that demonstrates which modules were not completed and an updated addendum shall be submitted indicating completion or failure once a final outcome has been made.

(f) Students with a status of “I” for a period of 2 years from the program’s end date shall be considered to have failed the program.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5910.07 EMS I/C Authorized Training Program Audits.

(a) The division shall conduct site visits, if applicable, without prior notice, for the purpose of auditing the quality of any training program offered by the EMS I/C.

(b) During the audit, the division shall, if applicable:

(1) Review course outlines to insure that the EMS I/C is teaching the course(s) as indicated;

(2) Monitor equipment;

(3) Check the quality of the lecture and skills presented, to ensure that the course's goals and objectives are being met;

(4) Look for deficiencies in staff instruction or training equipment;

(5) Review the course to insure that it consists of both lecture and practical skills; and

(6) Insure that the equipment to student ratio meets the requirements of Saf-C 5910.03(c)(1)c.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5911 PROVIDER TRAINING

Saf-C 5911.01 EMR Provider Training. The EMR provider training program shall meet or exceed the standards as defined in the National Emergency Medical Services Education Standards, Emergency Medical Responder, 2021 edition as published by the United States Department of Transportation, National Highway Traffic Safety Administration, available as noted in Appendix B.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5911.02 EMT Provider Training. The EMT training program shall meet or exceed the standards as defined in the National Emergency Medical Services Education Standards, Emergency Medical Technician, 2021 edition as published by the United States Department of Transportation, National Highway Traffic Safety Administration, available as noted in Appendix B.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5911.03 AEMT Provider Training. The AEMT provider training process shall include all of the following:

(a) Proof that the person is a current EMT approved by the division, prior to taking the AEMT training program; and

(b) A training program which meets or exceeds the standards as defined in the National Emergency Medical Services Education Standards, Advanced Emergency Medical Technician, 2021 edition as published by the United States Department of Transportation, National Highway Traffic Safety Administration, available as noted in Appendix B.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

Saf-C 5911.04 Paramedic Provider Training Process. The paramedic provider training process shall include all of the following:

(a) Proof that the person is, at a minimum, a current EMT approved by the division, prior to taking the paramedic training program; and

(b) A training program which meets or exceeds the standards as defined in the National Emergency Medical Services Education Standards, Paramedic, 2021 edition as published by the United States Department of Transportation, National Highway Traffic Safety Administration, available as noted in Appendix B, and which shall be valid for a period of 2 years from the program end date.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-30-24

PART Saf-C 5912 PRACTICAL EXAMINATION EVALUATOR TRAINING AND EDUCATION (PEETE) PROGRAM

Saf-C 5912.01 PEETE Training.

(a) A person applying to become an evaluator for the BLS practical examination teams shall attend a 3-hour PEETE program, as defined in Saf-C 5901.81, which consists of the following information:

(1) The role and responsibilities of a practical examination evaluator and the entire examination team;

(2) The minimum qualifications to become an evaluator;

(3) The evaluator application and renewal process;

(4) The necessity for a standardized practical examination team in order to ensure uniformity and fairness in the process;

(5) The components of the practical skill stations which the evaluator will be expected to monitor; and

(6) The necessity and purpose of an objective-based evaluation process.

(b) A person applying to become an evaluator for the BLS practical examination teams shall meet the following requirements:

(1) Attend a PEETE program, as set forth in (a) above;

(2) Be a licensed NH EMS provider;

(3) Have been an EMT for a minimum of 2 years;

(4) Complete observation at a BLS practical examination, completed within 6 months of the PEETE training program;

(5) Be evaluated at a minimum of 2 BLS practical examination skills stations, completed within 6 months of the PEETE training program; and

(6) Complete and submit “BLS Practical Examination Evaluator Application - Initial” form, as revised 01/26/18, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/peete_initial.pdf, and copies of current EMT and PEETE completion certificate(s), to the division within 2 years of the completion date of the program.

(d) Evaluator expiration dates shall coincide with the certification expiration dates.

(e) A medical professional approved by the National Registry pursuant to Saf-C 5914.01 shall be considered a practical examination evaluator at the ALS examination.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5912.02 Renewal of PEETE Evaluator Status.

(a) Upon recertification of EMT status, an evaluator shall complete and submit a “BLS Practical Examination Evaluator Application Renewal” form, as revised 02/17/11, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/PEETE_Renewal.pdf, and a copy of current EMT certification, to the division in order to remain active on the PEETE evaluator list.

(b) The division shall grant a renewal based upon the following factors:

(1) The evaluator is a licensed NH EMS provider;

(2) The evaluator has:

a. Evaluated at 2 or more practical examinations within the previous 2 years of the date of the renewal application; or

b. The evaluator has completed a division approved PEETE refresher program; and

(3) A satisfactory review of the evaluator’s PEETE performance evaluations is conducted by the division at practical examinations.

(1) Failure to meet the qualifications;

(2) Failure to follow the approved examination process;

(3) Having 2 or more unsatisfactory PEETE performance evaluations on file with the division within the previous 2 years of the date of the renewal application;

(4) Having 3 or more written founded complaints on file with the division within the previous 2 years of the date of the renewal application;

(5) Having 2 or more unexcused absences from practical examinations at which the evaluator agreed to be present on file with the division within the previous 2 years of the date of the renewal application; or

(6) Failure to submit required documentation.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5912.03 Lapse of PEETE Evaluator Status.

(a) A PEETE evaluator whose status has lapsed for less than 24 months shall meet the renewal requirements set forth in Saf-C 5912.02.

(b) A PEETE evaluator whose status has lapsed for more than 24 months shall complete a full PEETE program in accordance with Saf-C 5912.02.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5913 REFRESHER TRAINING PROGRAMS (RTP)

Saf-C 5913.01 Refresher Training Process. The refresher training process shall be successfully completed during the certification period in order to be valid.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5913.02 RTP Requirements. In order to renew a provider license at any level, a person shall successfully complete:

(a) A division approved refresher training program, in accordance with Saf-C 5910; or

(b) The refresher requirements in accordance with the standards of the National Registry.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5913.03 Continuing Education Credits.

(a) In order to obtain continuing education credits pursuant to Saf-C 5913.02(a)(2), a person shall provide documentation showing the following:

(1) Course objectives;

(2) The content expertise of the individual teaching the course;

(3) Number of hours;

(4) Date, time, and location of training; and

(5) Course roster showing the participant’s signature.

(b) The provider shall maintain all documents pertaining to continuing education credits for a minimum of 5 years. The division shall request any documentation that it deems necessary to verify compliance.

(c) Upon request by the division, a provider shall provide verification of continuing education courses used for National Registry recertification.

(d) Failure to provide requested documentation pursuant to (b) or (c) above shall subject the provider to disciplinary action pursuant to Saf-C 5922.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5913.04 NH EMT-B RTP Process. Notwithstanding the requirements of Saf-C 5913.01 through Saf-C 5913.03, refresher training for renewal of NH EMT-B providers that are not certified with the National Registry shall include the following:

(a) A RTP, approved by the division in accordance with Saf-C 5910, which include verification of skills, which shall be valid for a period of 2 years from the program end date; and

(b) Successful completion of the division developed EMT scope of practice program.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5914 MEDICAL PROFESSIONAL CHALLENGE AND OUT-OF-STATE EMS PERSONNEL RECOGNITION PROCESS

Saf-C 5914.01 Medical Professionals. The following medical professionals who are properly licensed and in good standing with the state of NH may challenge the National Registry examinations in accordance with Saf-C 5914.02 through Saf-C 5914.04:

(a) A registered nurse (RN);

(b) A physician’s assistant (PA);

(d) A doctor of osteopathy (DO).

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5914.02 EMR and EMT Challenge.

(a) In order to challenge the National Registry examination and become a nationally registered EMR or EMT, a medical professional shall:

(1) Provide a legible copy of current NH licensing credentials at the RN, PA, MD or DO levels to the division;

(2) Successfully complete the appropriate level training program process as set forth in Saf-C 5913.01 or Saf-C 5913.02; and

(3) Successfully complete the division approved EMR or EMT final practical examination.

(b) Once the medical professional has met the requirements in (a) above and been verified by the division, he or she shall successfully complete the EMR or EMT cognitive examination approved by the National Registry.

(c) The division shall submit a letter to the NREMT that the medical professional shall be eligible to apply for certification at the appropriate level.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5914.03 AEMT Challenge.

(a) In order to challenge the National Registry examination and become a nationally registered AEMT, a medical professional shall:

(1) Have current NREMT certification as an EMT-B or EMT;

(2) Provide the division a legible copy of the following:

a. A current NH EMT-B or EMT provider license; and

b. Current NH licensing credentials at the RN, PA, MD, or DO levels;

(3) Provide a letter of recommendation from the applicant’s EMS unit’s medical director; and

(4) Provide a letter of verification as to skills proficiency in IV therapy and trauma assessment from one of the following:

a. An emergency department physician; or

b. A medical facility’s nursing education department.

(b) Upon completion of the requirements set forth in (a) above, the medical professional shall successfully complete:

(1) A division approved AEMT final practical examination; and

(2) The AEMT cognitive examination approved by the National Registry.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5914.04 Paramedic Challenge.

(a) In order to challenge the National Registry examination and become a nationally registered paramedic, a medical professional shall:

(1) Have current NREMT certification as an EMT or AEMT;

(2) Provide the division a legible copy of the following:

a. A current NH provider license; and

b. Current NH licensing credentials at the RN, PA, MD, or DO levels;

(3) Provide a letter of recommendation from the applicant’s EMS unit’s medical director; and

(4) Provide a certificate of equivalency from a division approved paramedic training program that meets the objectives of the USDOT, NHTSA, national emergency medical services education standards-paramedic, dated 2021.

(b) Upon completion of the requirements set forth in (a) above, the medical professional shall successfully complete:

(1) A division approved paramedic final practical examination; and

(2) The paramedic cognitive examination approved by the National Registry.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5914.05 Out-of-state BLS National Registry Challenge.

(a) An out-of-state person who documents successful completion of a state approved or accredited BLS level training program which meets the requirements of Saf-C 5911.01 or Saf-C 5911.02 shall be eligible to become a candidate for a division approved BLS practical examination, applicable to the level applied for.

(b) A person who is a resident of the state of NH who documents successful completion of a state approved or accredited BLS level training program which meets the requirements of Saf-C 5911.01 or Saf-C 5911.02 and documents successful completion of a state approved BLS practical examination within the previous 12 months shall be eligible to take the National Registry cognitive examination, applicable to the level applied for.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5915 EXAMINATIONS

Saf-C 5915.01 Final Practical Examination.

(a) Prior to taking a final BLS practical examination, a person shall successfully complete a training program in accordance with Saf-C 5911.01, Saf-C 5911.02, Saf-C 5913.01, Saf-C 5913.02, Saf-C 5914.03, or Saf-C 5914.05.

(b) Prior to taking a final ALS practical examination, a person shall successfully complete a training program in accordance with Saf-C 5911.03, Saf-C 5911.04, or Saf-C 5914.04.

(c) The EMS I/C shall be responsible for providing the final BLS practical examination for the candidates in the program and shall coordinate scheduling for the examination with the division

(d) The EMS I/C or the site coordinator, as defined in Saf-C 5901.93, shall be responsible for arranging a site location for the final practical examination by insuring that:

(1) The site is adequate for the number of candidates attending the examination;

(2) An adequate amount of station equipment is present and in good working order;

(3) An adequate amount of evaluators, assistants, and patients are scheduled for the examination process;

(4) The space used for each of the stations is adequate for the skill to be performed; and

(5) All areas of the examination site provide for privacy.

(e) The educational training agency shall be responsible for providing the final BLS practical examination for the candidates in the program and shall be included as part of the integrated portfolio based assessment.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5915.02 Final BLS Practical Examination Process.

(a) The final BLS practical examination shall be administered by a division approved examination coordinator who shall be:

(1) A member of the division staff; or

(2) A person designated by the division.

(b) The examination coordinator shall:

(1) Be a PEETE evaluator pursuant to Saf-C 5912;

(2) Be familiar with the role and responsibilities of the examination team;

(3) Be responsible for the completion of all necessary paperwork pertaining to the final practical examination process;

(4) Be knowledgeable of all division rules, policies, and procedures pertaining to the final practical examination process;

(5) Be responsible for the overall quality and integrity of the final practical examination process; and

(6) Be responsible for ensuring the safety of all candidates during the final practical examination process.

(c) Each station of the practical examination shall be monitored by a PEETE evaluator pursuant to Saf-C 5912, who shall observe and record the actions of the candidate.

(d) Pass/fail criteria shall be based upon a 70% success rate of all possible points awarded, along with passage of all critical criteria, in each station of the examination.

(e) Overall pass/fail examination and retest procedures shall be in accordance with guidelines set forth by the National Registry, division policies, and PEETE program policies.

(f) The examination coordinator shall verify the pass/fail status of a candidate at the final practical examination in accordance with (e) above.

(g) The examination coordinator or his or her designee shall notify the candidate of the results of the final practical examination.

(h) It shall be the responsibility of the candidate to arrange for any retest with the division.

(i) A candidate shall successfully complete the final practical examination within the 24 months immediately following the program end date and within 12 months of taking the National Registry cognitive examination.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5915.03 Final ALS Practical Examination Process. The final ALS practical examination shall be conducted by an organization or entity that is approved by the National Registry and the division.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5915.04 Final Cognitive Examination Process.

(a) The final cognitive examination shall be administered by the National Registry of Emergency Medical Technicians.

(b) A candidate shall successfully complete the cognitive examination in accordance with the National Registry of Emergency Medical Technicians.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #19553, eff 4-20-24

PART Saf-C 5916 EDUCATIONAL INSTITUTIONS AND TRAINING AGENCIES

Saf-C 5916.01 Educational Training Agencies. In order to be approved by the division to conduct EMS training programs, an educational training agency shall:

(a) Have one or more EMS I/C's on staff, who meet the requirements of Saf-C 5909;

(b) Offer EMS training programs on a 12-month basis; and

(c) Maintain, at a minimum, 60% of the classroom hours of an approved training program utilizing either licensed and affiliated EMS I/C’s or EMS I’s, and document such attendance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5916.02 Educational Training Agency Application.

(a) Each applicant for an educational training agency shall complete and submit “New Hampshire Bureau of EMS Educational Training Agency Application” form, as revised 4/2024, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/ETAApplication5-23-2023.pdf.

(b) Applicant shall submit the following with the “New Hampshire Bureau of EMS Educational Training Agency Application”:

(1) A copy of a current General and Professional Liability Insurance Binder;

(2) A list of the names of faculty and instructional staff, including EMS I/C or Instructor license number;

(3) A copy of resource or supporting documents;

(4) Evidence of the organization mission statement;

(5) Evidence of the education director job description;

(6) Evidence of the medical director job description;

(7) Evidence of the faculty or instructional staff job description;

(8) Evidence of the subject matter expert or guest lecturer vetting process;

(9) Evidence of the program syllabus for all disciplines taught;

(10) Evidence of all clinical affiliation agreements and associated supporting materials;

(11) Evidence of all equipment and supplies for each discipline taught;

(12) Evidence of the promotion of an interactive learning environment for all students;

(13) Evidence of the promotion of a student evaluation process;

(14) Evidence of the student assessment process;

(15) Evidence of the promotion of a program evaluation process;

(16) Evidence of all processes related to publication and disclosures used to communicate to students;

(17) Evidence of the process used to support fair and equitable access to programs;

(18) Evidence of the process to maintain program records; and

(19) Evidence of the processes on course or program management.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5916.03 Educational Training Agency Application Statement of Certification. By signing the educational training agency application form, the applicant shall certify that:

(a) The information provided in the application is complete, truthful, and correct, under the penalties of unsworn falsification pursuant to RSA 641:3;

(b) The educational training agency complies with RSA 153-A and these rules;

(c) The educational training agency will continue to maintain the necessary and required resources throughout the licensure period;

(d) The educational training agency understands that announced or unannounced auditing and site visits may be performed to ensure the quality of education and licensing requirements; and

(e) The educational training agency will notify the division with any substantive changes related to program and course processes and operations.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5916.04 Educational Training Agency License Approval Process.

(a) Completed applications shall be approved in accordance with RSA 541-A:29.

(b) Upon receipt of a completed application, the division shall conduct an educational analysis of the educational training agency based on the requirements set forth in Saf-C 5911.

(c) Upon approval of an application, the division shall issue an EMS educational training agency license, commencing with the date of approval and expiring one year from the date of approval.

(d) For a private for-profit or a private non-profit organization, the division shall verify with the secretary of state of New Hampshire that the organization is in good standing.

Source. #13953, eff 4-20-24

Saf-C 5916.05 Educational Training Agency Renewal Process.

(a) Any currently licensed EMS educational training agency shall be eligible for renewal in accordance with Saf-C 5916.01.

(b) Any currently licensed EMS educational training agency in the state shall be eligible for renewal upon meeting the following requirements within the previous licensure period:

(1) Offer a minimum of one training program; and

(2) Submission and evaluation of their EMS educational training agency license application pursuant to Saf-C 5916.02;

(c) Upon receipt of a completed application, the division shall conduct an educational analysis of the educational training agency based on the requirements set forth in Saf-C 5916.

(d) Any educational training agency who has National Registry of Emergency Medical Technicians cognitive examination overall pass rates of 75% or less from the current licensing period, shall provide the division with a formal plan to address educational deficiencies and to increase their overall pass rate above 75%.

(e) The division shall conduct an evaluation on the plan outlined in (d) above, and an educational training agency who fails to make adequate changes to increase their overall pass rate above 75% within 18 months of licensure, shall be subject to disciplinary action pursuant to Saf-C 5922.

(f) Upon approval of an application, the division shall issue an EMS educational training agency license, commencing with the date of approval and expiring 3 years from the date of approval.

Source. #13953, eff 4-20-24

Saf-C 5916.06 Lapse of Educational Training Agency License.

(a) Any previously licensed educational training agency whose license has lapsed less than one year shall meet the requirements set forth in Saf-C 5916.05.

(b) Any previously licensed educational training agency whose license has lapsed greater than one year shall meet the requirements set forth in Saf-C 5916.02.

Source. #13953, eff 4-20-24

Saf-C 5916.07 Authorization Process.

(a) The division shall authorize training programs at any of the provider licensing levels set forth in Saf-C 5904.01 or any associated refresher training.

(b) Only licensed EMS I/C’s, EMS I’s, and approved subject matter experts affiliated with the licensed educational training agency shall act as instructors for training programs authorized in (a) above and shall be accountable for all of the requirements set forth in Saf-C 5916.

(c) Pursuant to Saf-C 5916.08, the educational training agency shall request authorization for a training program by completing and submitting form “Authority to Establish Courses” Rev. (04/24) https://nhfa-ems.com/ems-resources/instructor-coordinator-course-request/.

(d) Any training program authorized by the division in (a) above shall be issued a course approval number.

Source. #13953, eff 4-20-24

Saf-C 5916.08 Authorization Statement of Certification. By signing the “Authority to Establish Courses” form, the educational training agency shall certify that:

(a) The course shall be taught in an interactive learning environment; and

(b) The course shall be taught in accordance with the training curriculum standards for which authorization is granted by the division.

Source. #13953, eff 4-20-24

Saf-C 5916.09 Training Program Authorization Requirements.

(a) The educational training agency shall provide a course outline along with the “Authority to Establish Courses” form, which shall include:

(1) Dates; and

(2) Times.

(b) The educational training agency shall submit any changes to the information set forth in (a) above to the division within 10 days of making the changes.

Source. #13953, eff 4-20-24

Saf-C 5916.10 Educational Training Agency Training Program Approval Process.

(a) The completed “Authority to Establish Courses” form shall be approved in accordance with RSA 541-A:29.

(b) The educational training agency shall be notified, in writing, of the approval or denial within 10 days of receipt by the division.

(1) The educational training agency requesting course authorization; and

(2) The course medical director or their designee.

Source. #13953, eff 4-20-24

Saf-C 5916.11 Educational Training Agency Course Completion.

(a) The educational training agency shall verify that students accepted into the program have obtained a current certificate of CPR training and appropriate scope of practice program(s) for the level of training being conducted before the course is completed.

(b) The educational training agency shall submit, in writing, a division approved course completion roster to the division within 10 days of the completion of the program.

(d) A course completion roster shall include the following information pertaining to all students who began the program, regardless of whether or not the student completed the program:

(1) Full legal name;

(2) Mailing address;

(3) Telephone number;

(4) Date of birth;

(5) National Registry of Emergency Medical Technicians number, if applicable; and

(6) Status, as follows:

a. “C” to indicate complete;

b. “I” to indicate incomplete; or

c. “F” to indicate failure.

(f) Students with a status of “I” for a period of 2 years from the program’s end date shall be considered to have failed the program.

Source. #13953, eff 4-20-24

Saf-C 5916.12 Educational Training Agency Authorized Training Program Audits.

(a) The division shall conduct site visits, if applicable, without prior notice, for the purpose of auditing the quality of any training program offered by the EMS I/C.

(b) During the audit, the division shall, if applicable:

(1) Review course outlines to ensure that the educational training agency is teaching the course(s) as indicated;

(2) Assess the quality of the didactic content and practical skills instruction, to confirm alignment with the course's goals and objectives;

(3) Identify any deficiencies in staff instruction or training equipment;

(4) Confirm that the course encompasses both didactic content and practical skills components; and

(5) Ensure that the equipment to student ratio meets the requirements of Saf-C 5910.03(c)(1)c.

Source. #13953, eff 4-20-24

PART Saf-C 5917 WHEELCHAIR VANS FOR HIRE

Saf-C 5917.01 Chair Van Company License Application. Each applicant for a chair van company license shall complete and submit a “ New Hampshire Bureau of EMS Wheelchair Van-For-Hire Company Application” form, as revised 7/18/16, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/wheelcompany.pdf.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.02 Chair Van Company License Application Statement of Certification. By signing the chair van company license application, the owner or his or her designee, shall certify that:

(a) The chair van company shall operate in accordance with all applicable federal, state, and local laws or ordinances;

(b) He or she is authorized to sign the application; and

(c) He or she understands any material falsification of information shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.06 through Saf-C 5922.08.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.03 Chair Van Company Licensing Requirements.

(a) Each applicant for a chair van company license shall provide the following with the application:

(1) A list of company van operators with documentation of Passenger Assistance and two-way communication training;

(2) Proof of general liability and professional liability insurance in the form of a document from the insurer, which shall include:

a. The name of the insurer(s);

b. A statement that the company has, at a minimum, one million dollars of coverage, for general and professional liability; and

c. The period of coverage for the insurance; and

(3) The applicable license fee set forth in Saf-C 5918.16.

(b) For a private for profit or a private non-profit organization, the division shall verify with the secretary of state of NH that the organization is in good standing.

(d) The company shall submit any updated documentation from the insurance company to the division, as it becomes available.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.04 Chair Van Company License Initial Approval Process.

(a) Completed applications shall be approved in accordance with RSA 541-A:29.

(b) Upon approval of an initial chair van company application pursuant to Saf-C 5917.01, the division shall issue a company license commencing with the date of the approval and expiring on the 31st day of December in the year approved.

(c) All registrations, inspections, and documents showing compliance with Saf-C 5917.01, shall be maintained and not allowed to lapse in order to retain a chair van company license. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.05 Chair Van Company License Renewal Process.

(a) Any currently licensed company shall be eligible for renewal, prior to lapse, by complying with the chair van company requirements set forth in Saf-C 5917.01, and shall be issued a license, commencing with the date of approval and expiring the 31^st day of December, 2 years later.

(b) All chair van company registrations, inspections, and documents showing compliance shall be maintained and not allowed to lapse in order to renew a license with the division. The division shall request any documentation that it deems necessary in order to verify compliance.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.06 Wheelchair Vans for Hire License Application. Each applicant for a wheelchair vans for hire license application shall complete and submit “New Hampshire Bureau of EMS NH Wheelchair Van for Hire Van License Application”, form, as revised 7/18/76, available at https://www.nh.gov/safety/divisions/fstems/ems/documents/wheelvan.pdf.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.07 Wheelchair Vans for Hire License Application Statement of Certification. By signing the wheelchair vans for hire license application, the owner or his or her designee, shall certify that:

(a) All equipment required in Saf-C 5917.13 shall be included in the chair van;

(b) He or she understands any material falsification of information shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922; and

(c) Failure to maintain the equipment in the chair van required by Saf-C 5917.13, shall result in license denial, suspension, or revocation, in accordance with Saf-C 5922.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.08 Wheelchair Vans for Hire Licensing Requirements. Each applicant for a wheelchair van for hire license shall provide the following with the application:

(a) For each chair van, a copy of the current motor vehicle registration certificate;

(b) For an out-of-state chair van requiring a license because the van covers NH communities, a copy of the current motor vehicle registration card; and

(1) The requirements set forth in Saf-C 5917.03(a)(1); and

(2) The vehicle identification number; and

(d) The license fee set forth in Saf-C 5917.16.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.09 Approval Process for Wheelchair Vans for Hire License Application.

(a) Upon receipt of a completed application, the division shall conduct an inspection of the wheelchair van, as applicable, prior to the issuance of a license for:

(1) All newly purchased wheelchair vans, prior to passenger transport, requiring an initial inspection for licensure; and

(2) All wheelchair vans upon renewal.

(b) Failure of a wheelchair van to pass an inspection, pursuant to Saf-C 5917.12, shall result in a reinspection for correction of deficiencies within 10 days of the original inspection.

(d) Upon passing an inspection, the division shall issue a wheelchair van license in the form of one decal, which shall be affixed to the lower left corner of the rear left window of the wheelchair van.

(e) A wheelchair vans for hire license shall be issued commencing with the month of the inspection and expiring on the last day of that month 2 years later.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.10 Accountability for Wheelchair Vans for Hire. The company shall be responsible for ensuring that:

(a) Each wheelchair van is maintained in a safe and working manner, including ensuring that the chair van shall be:

(1) Kept free from unsanitary conditions; and

(2) In compliance with all equipment pursuant to Saf-C 5917.12.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.11 Wheelchair Vans for Hire Inspection and Reinspection Procedures.

(a) The division, prior to the issuance of a wheelchair vans for hire license, shall conduct an initial inspection of all chair vans, as applicable.

(b) Initial inspections shall be conducted within 30 days of acceptance of an application for a chair van license.

(c) Inspections shall be conducted in accordance with Saf-C 5906.07 and Saf-C 5917.11, with the exception of Saf-C 5906.07(d)(3) which shall be satisfied by a test of the 2-way communication capability with the company’s dispatch center.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.12 Wheelchair Vans for Hire Equipment and Supplies.

(a) Each wheelchair van for hire shall remain in good working condition and be subject to inspection at any time, with or without prior notice, by officials designated by the director.

(b) Each wheelchair van for hire shall conform to the following:

(1) The wheelchair van shall be a passenger type, rubber-wheeled vehicle maintained in such a manner as to ensure the safety and comfort of the operator and passenger(s) being transported;

(2) The wheelchair chair van shall have at least one exit large enough to accommodate the loading and unloading of an occupied wheelchair and one additional exit which shall be, at minimum, for emergency use;

(3) The wheelchair chair van interior and wheelchair loading doorway shall have the following minimum dimensions:

a. Height of wheelchair van interior – 52 inches;

b. Height of loading doorway – 42 inches; and

c. Width of loading doorway – 39 inches;

(4) The wheelchair van shall be equipped with wheelchair or stretcher locking devices that are permanently affixed to the chair van for each wheelchair or stretcher position for which the chair van is designed. The locking device shall be capable of securing the wheelchair or stretcher so that it is immobilized during transport, with longitudinal movement not to exceed 2 inches forward and backward, and without any lateral movement;

(5) The wheelchair van shall be equipped with a manual ramp or an electric or hydraulic lift that is permanently affixed to the chair van. If an electric or hydraulic lift is utilized, the lift shall also be capable of manual operation as a back-up system. Manual ramps shall be of single unit construction and may have folding capabilities for storage purposes. Ramps shall have suitable non-slip coating to ensure safe footing for the passenger and personnel;

(6) The wheelchair van shall have an interior lighting system capable of illuminating the entire passenger area. The entrance ramp(s) shall be sufficiently illuminated to ensure safe vision of the passenger(s) and other personnel while loading or unloading wheelchairs;

(7) The wheelchair van shall be equipped with a heating and ventilation system capable of heating or ventilating the entire chair van in a comfortable manner for the passenger(s) and other personnel;

(8) The name of the wheelchair van company shall be clearly displayed in no less than 4” letters on the exterior of the chair van;

(9) The wheelchair van shall be equipped with warning lights that operate independently of the chair van’s normal signaling system. Such lamps are to be used when passenger safety or comfort requires reduced operating speeds or when loading or unloading passengers in a heavily traveled area;

(10) All equipment, including unoccupied passenger wheelchairs or stretchers, shall be secured while the wheelchair van is in operation;

(11) The wheelchair van shall have a current state motor vehicle inspection sticker located on the windshield; and

(12) The wheelchair van shall have front and rear license plates with registration stickers for the current registration period.

(c) The wheelchair van shall provide, with trained personnel, appropriate equipment and supplies for the safe transportation of persons with disabilities.

(d) Each wheelchair van shall have the following adjunctive equipment:

(1) Two-way communication capabilities to, at minimum, the 9-1-1 system;

(2) At least one fire extinguisher, either dry chemical or carbon dioxide, with an approved rating of, at minimum, 2-A-10-B-C;

(3) One each, functioning hand held light which shall be powered by:

a. A rechargeable battery with installed charger; or

b. At minimum, 2/D cell sized batteries with replacements;

(4) Four each, road warning reflectors or flares; and

(5) Seat restraints, with shoulder straps, for securing all passengers and personnel in the chair van in the same quantity as the maximum number of people the chair van is designated to accommodate.

(e) Each wheelchair van shall have the following personal care equipment and supplies:

(1) One each, sealable motion sickness bags or plastic containers with suitable covers, for the maximum number of people the chair van is designed to accommodate;

(2) Two each, blankets which shall be fire resistant;

(3) One commercial prepackaged first aid kit;

(4) At minimum, one pocket mask that shall have a one- way valve; and

(5) A minimum of one dozen pair of disposable gloves.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.13 Wheelchair Vans for Hire License Renewal Process. Any currently licensed wheelchair vans shall be eligible for renewal, prior to lapse, by complying with the chair van company requirements set forth in Saf-C 5917.08, and shall be issued a license, commencing with the month of the inspection and expiring on the last day of that month 2 years later.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.14 Wheelchair Vans for Hire Staffing and Passenger Assistance Requirements.

(a) A wheelchair van shall be staffed with a minimum of one person, or 2 if an ambulette stretcher is utilized, who has been trained and has documentation of passenger assistance training and 2-way communication procedures.

(b) A wheelchair van shall, if necessary, carry a passenger’s individually prescribed and provided oxygen, and shall carry medical oxygen only for use on passengers that have been prescribed oxygen, in order to preserve the use of the passenger’s oxygen during transport. The passenger shall be able to self-regulate the oxygen.

(c) The operator, if necessary, shall assist any passenger for whom transport service is being provided. Assistance shall be rendered to or from the point of origin to the wheelchair van, and to or from the wheelchair van to the point of destination.

(d) Each operator shall conduct daily inspection and testing of the hydraulic lift or access ramp prior to transporting any wheelchair bound patient.

(e) A wheelchair van shall not be dispatched to any scene as an EMS vehicle, except in those situations defined in RSA 153-A:2, XIII.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.15 Recordkeeping and Reporting.

(a) All wheelchair van companies shall be responsible for recordkeeping and reporting.

(b) All reports submitted to the division shall include the company license number.

(1) All new operators affiliated with the company, which shall include the operator’s legal name;

(2) All operators who are no longer affiliated with the company, which shall include the operator’s legal name;

(3) Relocation of the company, which shall include both the old and the new company’s:

a. Street and mailing address;

b. City or town;

c. State;

d. Zip code;

e. Telephone number;

f. Primary contact person’s name; and

g. A preferred E-mail address;

(4) Additions and deletions of wheelchair vans licensed to the company; and

(5) Changes to the company ownership and leadership.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.16 Licensing Fees.

(a) Pursuant to RSA 21-P:12-b, II, (m) there shall be fees established for wheelchair van company licenses and wheelchair vans for hire licenses.

(b) All for-profit businesses shall be charged a licensing fee.

(1) A sum of $100.00 for a wheelchair van company license, regardless of the number of satellite locations owned by the company;

(2) A sum of $50.00 for a wheelchair van company license, if the company is also operated as a licensed NH EMS unit with the same name; and

(3) A sum of $20.00 for each wheelchair vans for hire license.

(d) Fees shall be collected in accordance with Saf-C 5907.01.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.17 Procedure for the Administration of Fines. When the division has determined through an inspection conducted in accordance with Saf-C 5917.11 or an investigation conducted in accordance with Saf-C 5922 that a violation of RSA 153-A or these rules has occurred, the commissioner shall impose a fine in accordance with RSA 153-A:22 and Saf-C 5922.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5917.18 Schedule of Fines. After notice and an opportunity for a hearing pursuant to Saf-C 5922, fines for violations of the provisions of RSA 153-A or these rules shall be imposed as follows:

(a) For failure of a wheelchair van company to license a wheelchair van a fine of $1,000.00 shall be imposed for each unlicensed wheelchair van;

(b) For failure of a wheelchair van company to maintain required equipment and supplies a fine of $500.00 shall be imposed;

(c) For disclosure of confidential passenger information by a wheelchair van company a fine of $500.00 shall be imposed upon the violator;

(d) For failure of a wheelchair van company to provide documentation of proper training in passenger assistance and 2-way communication a fine of $500.00 shall be imposed;

(e) The first repeat of any violation identified in Saf-C 5917.17 shall result in a fine that shall be double the amount of the original fine;

(f) Second and subsequent repeats of any violation identified in Saf-C 5917.17 shall result in a fine that shall be triple the amount of the original fine, not to exceed $2,000.00;

(g) For failure to comply with an order of the commissioner the maximum fine of $2,000.00 shall be imposed upon the violator; and

(h) For failure to pay a fine, an additional fine of $100.00 shall be imposed.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5918 POSSESSION PROCEDURES FOR CONTROLLED DRUGS

Saf-C 5918.01 Agreement.

(a) The procurement, storage, and security of controlled prescription drugs shall be regulated in accordance with 21 CFR 1300.

(b) The procurement, storage, and security of non-controlled prescription drugs shall be defined by the unit’s MRH, in accordance with the NH patient care protocols.

(c) Prior to obtaining possession of controlled drugs, each unit shall enter into a formal written agreement with its designated MRH.

(d) A separate agreement between the unit and the designated local MRH shall be required for each unit and each of its applicable satellite locations based in this state.

(e) The agreement shall identify and describe the policies and procedures that implement the provisions of Saf-C 5918.03 through Saf-C 5918.07 for the procurement, security, and accountability of controlled drugs and be routed as follows:

(1) The signed agreement shall be forwarded to the director for approval and signature;

(2) The director shall then forward the agreement to the Drug Enforcement Agency (DEA) Special Agent in Charge (SAC) for written approval;

(3) The original approved agreement signed by the director and the DEA SAC shall be maintained, on file, in the pharmacy of the MRH; and

(4) Copies of the approved agreement shall be kept on file at the unit and with the division.

(f) Any revisions to the existing agreement, except for a change in identity of the UCDC or the MRH pharmacist pursuant to (l) below, shall necessitate a new agreement, which shall be approved by the director and the SAC.

(g) Units shall conduct controlled drug activity pursuant to the provisions of 21 CFR 1304.03, as an extension of the MRH, DEA registration.

(h) The signed, approved agreements shall be available for inspection, upon demand, by any person or agency charged with the responsibility of enforcing RSA 318 or RSA 318-B.

(i) The division shall maintain a current listing of all units with signed agreements and provide copies to the pharmacy board either upon demand or as changes occur.

(j) The agreement shall be typewritten or legibly printed and identify the following:

(1) The legal name of the unit;

(2) The street address of the unit;

(3) The mailing address of the unit;

(4) The business telephone number of the unit;

(5) The FAX number of the unit, if available;

(6) The E-mail address of the unit;

(7) The legal name of the head of unit;

(8) The identity of the UCDC and the person’s provider license number;

(9) The identity of the MRH;

(10) The mailing address of the MRH;

(11) The US Drug Enforcement registration number of the MRH; and

(12) The identity of the MRH pharmacist.

(k) The identity and quantities of controlled drugs contained in each drug kit and the total number of drug kit(s) for each unit shall be included in the agreement.

(l) Any changes in the identity of the UCDC or MRH pharmacist shall require written notice to all parties in the agreement and the director within 5 days after making the change.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.02 Procurement.

(a) The drug kit(s) shall be obtained or exchanged only at the MRH specified in the agreement.

(b) The initial distribution of the drug kit(s) shall be by the pharmacy of the MRH directly to the UCDC, who shall be responsible for placement of the drug kit(s) at the appropriate, predesignated stations.

(c) At the time of distribution to the UCDC, the pharmacy shall review the MRH policies and procedures for possession and replacement of the drug kit(s).

(d) Only those controlled drugs approved by the pharmacy board and the EMS MCB, in accordance with RSA 153-A:5, III(f), shall be included in the drug kit(s).

(e) The pharmacist shall report any changes in type or quantities of controlled drugs or changes in drug kits in writing to the UCDC. The UCDC shall provide the director with a copy of the correspondence.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.03 MRH Responsibilities.

(a) The MRH shall develop policies and procedures to address the supply and distribution of controlled drugs to agreement units pursuant to Saf-C 5918.01 (h) through (j).

(b) The policies and procedures shall specifically address, but not be limited to, such issues as:

(1) Initial stocking;

(2) Returns;

(3) Drug kit replacement;

(4) Recordkeeping requirements;

(5) Drug losses;

(6) Security of the drug kits; and

(7) Reports.

(c) At the time of the initial distribution of the drug kit(s) to the UCDC, the pharmacy shall review the policies and procedures with the UCDC and document the following:

(1) The UCDC name;

(2) The unit;

(3) The date, time, and place of meeting; and

(4) The topics covered.

(d) Controlled drugs shall only be supplied in drug kits that meet the following requirements:

(1) The quantity of controlled drugs contained in the drug kits and the contents of the proof of use sheet shall be determined jointly by the pharmacy and the medical director;

(2) The pharmacy shall document the contents of each drug kit;

(3) All controlled drug kits shall be prepared and sealed by the pharmacy; and

(4) Each drug kit shall contain the following information on the outside of the container:

a. The name of the MRH;

b. The expiration date of the drug kit; and

c. The specific identification number of the drug kit.

(e) Replacement drug kit(s) shall be obtained directly from the pharmacy.

(f) A specified number of replacement drug kit(s) may be stored in the MRH’s emergency department for purposes of restocking during times that the pharmacy might be closed.

(g) Drug kits located in the emergency department shall be stored in a locked location, separate from all other drug supplies of the emergency department.

(h) The replacement drug kits shall only be accessed by the emergency department supervisor.

(i) The sealed replacement drug kits shall be included as part of the emergency department shift change narcotic count as established by the MRH.

(j) The pharmacy shall provide the emergency department with a list of those persons, designated by the unit’s UCDC, who are authorized to engage in drug kit replacement.

(k) The pharmacy shall develop a system of documentation for the emergency department to record drug kit replacement activities.

(l) Documentation in (k) above shall include:

(1) The date and time of shift counts for sealed drug kits;

(2) The number of sealed drug kits on hand; and

(3) The name of the person doing the count and the name of the witness.

(m) Utilized drug kits shall be accepted and documented in the emergency department by the shift supervisor.

(n) Utilized drug kits shall be stored in a locked area, separate from the emergency department’s own inventory.

(o) A separate medications inventory sheet, for documenting utilized drug kit contents, shall be developed by the pharmacy.

(p) Upon receipt of the utilized drug kit, the contents shall be documented on the proof of use sheet by the person relinquishing the kit and the nurse supervisor or pharmacist receiving the kit.

(q) The medications inventory proof of use sheet shall be documented at each shift inventory until such time as the utilized drug kit is returned to the pharmacy.

(r) Utilized drug kits and inventory documents shall be forwarded to the pharmacy pursuant to facility procedures.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.04 Unit Responsibilities.

(a) The UCDC shall place the drug kits into service at the unit and its applicable satellite locations only after conducting a training session which explains the requirements set forth in Saf-C 5918.03(a) to the unit personnel authorized to have possession of controlled substances.

(b) The UCDC shall maintain a record of the date, time, and participants of the procedures review.

(c) Records of training sessions described in (a) above shall be available for inspection by authorized persons pursuant to RSA 318:8 and 318-B:25.

(d) Resupply of expended controlled drugs shall be obtained only at the specific MRH named in the unit’s agreement.

(e) Drug kits shall be maintained in secure locations as designated by the UCDC and identified in the agreement.

(f) Drug kits shall only be accessible to those persons authorized pursuant to RSA 318:42, X and 318-B:10, V.

(g) When stored on a vehicle, the drug kit shall be stored in a secured compartment, separate from the non-controlled substance medication container.

(h) When the drug kit is not stored on a vehicle, storage shall be:

(1) In a secured area that is not accessible to unauthorized personnel;

(2) Separate from non-controlled substance medication containers; and

(3) In compliance with security measures required in the agreement.

(i) Key or access codes for the drug kits shall be distributed by the UCDC, to those persons authorized under RSA 318:42, X and 318-B:10, V.

(j) The UCDC shall communicate a list of all personnel authorized to possess and replace drug kits to the MRH pharmacy.

(k) The list identified in (j) above shall be immediately updated as changes occur.

(l) The UCDC shall be the person designated to communicate with the unit owner and MRH pharmacy on all matters related to controlled drugs.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.05 Loss or Tampering Reporting Procedure.

(a) Units shall report any loss or tampering of or potential damage to the drug kits or its contents during inspection procedures or calls for service as follows:

(1) Immediately upon conclusion of the inspection the unit shall verbally report any discrepancies in the security or contents of a controlled drug kit to the UCDC; and

(2) After verbal notification, the persons conducting the inspection shall file a written statement to the UCDC within 8 hours.

(b) The UCDC shall have the following responsibilities covering loss or tampering of controlled drugs:

(1) The UCDC shall verbally notify the MRH pharmacy of any loss or tampering immediately upon receipt of the verbal report; and

(2) The UCDC shall file a written report to the pharmacy, including a copy of the discovering unit’s report and the specific identity of the drug kit involved, if known, within 24 hours of verbal notification.

(c) The hospital pharmacy shall notify the following agencies of the reported incident pursuant to Ph 703.04 and 21 CFR 1301.76(b) within 15 days:

(1) The pharmacy board;

(2) US DEA via DEA form 106; and

(3) Copies of the notices referenced in (1) and (2) above to the division.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.06 Outdated Controlled Drug Kit Exchange.

(a) All intact drug kits in the possession of the unit shall be returned to the pharmacy within 5 days of the expiration date.

(b) All intact drug kits shall be exchanged on a one-for-one basis.

(c) Documentation of drug kit exchange shall be maintained in the pharmacy pursuant to Ph 705.02 with a copy provided to the UCDC for the unit’s records.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5918.07 Violations.

(a) A denial, suspension, or revocation of a license as a result of any violation of this section shall be in accordance with RSA 153-A:13 and Saf-C 5922.

(b) Administrative fines shall be assessed for any violation under this section in accordance with Saf-C 5908.

(c) The schedule of fines as set forth in Saf-C 5908.02 shall be in addition to any fines imposed by the board of pharmacy pursuant to Ph 710.01 and 710.02.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5919 RESPONSIBILITIES BETWEEN MRH AND UNIT

Saf-C 5919.01 Collaboration between Medical Director and Head of Unit. The head of unit and medical director shall collaborate with one another in regards to the following:

(a) Education;

(b) Advice;

(d) Medications; and

(e) Treatment modalities and performance improvement.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5919.02 Responsibilities.

(a) Responsibilities between the unit and the unit’s MRH shall be in a written agreement.

(b) The written agreement set forth in (a) above shall include, at minimum:

(1) The name and mailing address of the MRH;

(2) The name and mailing address of the unit;

(3) Provisions for sharing of patient demographic data;

(4) Provisions for medical control as defined in RSA 153-A:2, XV;

(5) The name of the medications approved for use under the NH patient care protocols;

(6) Provisions for the supply and control of medications;

(7) Provisions set forth in Saf-C 5919.01; and

(8) Provisions set forth in Saf-C 5902.09(d).

(c) A copy of each responsibility between the unit and the unit’s MRH set forth in (a) above shall be signed by both parties.

(d) Licensed units providing care shall have an agreement with their designated MRH, which shall include:

(1) Printed or typed name of the medical director for the MRH that is responsible for the EMS unit agreement;

(2) Printed or typed name of the medical director’s designee, if applicable;

(3) Printed or typed name of the head of unit; and

(4) Signature of the medical director for the MRH and the head of unit and date signed.

(e) The unit shall notify the division and the MRH within 10 days when it no longer has an AEMT or a paramedic affiliated with it.

(f) The MRH shall maintain a current file of agreements, which includes the following:

(1) The name, address, and contact information of the MRH; and

(2) An alphabetical list of unit agreements.

(g) The complete list of agreements shall be kept current and copies shall be submitted to the division by the MRH.

(h) The MRH shall be responsible to notify the division within 10 days of any changes of the following:

(1) Any change in the EMS medical director;

(2) Any change in the primary hospital EMS contact;

(3) Any change in the hospital trauma program contact;

(4) The addition or deletion of any hospital personnel who have access to TEMSIS; or

(5) Any potential or actual breach of EMSIR data that may compromise the security of confidential patient information.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5920 PATIENT CARE PROTOCOLS

Saf-C 5920.01 Procedures.

(a) Protocols for patient care shall be established by the EMS MCB in accordance with RSA 153-A:2, XVII.

(b) The patient care protocols shall include standing orders and on-line medical control for the following:

(1) Treatment of adult medical emergencies; and

(2) Treatment of pediatric medical emergencies.

(c) Emergency medical care providers who are not affiliated with the unit responsible for a patient but who are available to give necessary care based upon a patient assessment shall:

(1) Meet the protocols set forth in (a) above;

(2) Continue to provide care during transport of the patient or transfer patient care to another provider for transport of the patient to a medical hospital or facility;

(3) Document all advanced care procedures performed while rendering care, which shall include an emergency care provider’s current license number assigned by the division; and

(4) Submit all documentation to the unit in charge of the incident.

(d) Prerequisites required by protocol shall be established by the EMS MCB in accordance with RSA 153:A-2, XVI- a.

(e) Protocol prerequisites, when required, shall address each of the following elements:

(1) The protocol title and number to which the prerequisites relate;

(2) The provider license level necessary to carry out the protocol;

(3) The name of the medical director, or designee, who will oversee the training module;

(4) The MRH and EMS head of unit recommendations to the division;

(5) The provider experience criteria;

(6) All quality management program elements;

(7) Reporting requirements for monitoring and skill retention;

(8) Equipment and staff support resources necessary;

(9) Provider renewal criteria; and

(10) Training requirements.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5920.02 Protocol Prerequisite Application Form.

(a) Each applicant for a protocol prerequisite approval shall complete a protocol prerequisite application which shall be:

(1) Typewritten; or

(2) Legibly printed.

(b) Each applicant shall provide the following:

(1) Applicant information, which shall include:

a. Legal name of unit;

b. Mailing address;

c. Physical address;

d. City or town of residence;

e. State;

f. Zip code;

g. Head of unit;

h. Contact telephone number;

i. Fax number, if available;

j. E-mail address;

k. Name of MRH;

l. MRH medical director, or his or her designee; and

m. Medical director contact phone number;

(2) Type of application requested:

a. Initial; or

b. Renewal; and

(3) The protocol title and number, for which the applicant is applying.

(c) The applicant shall submit supporting documentation for all elements listed in Saf-C 5920.01 (e) with a list of the licensed providers trained pursuant to Saf-C 5920.

(d) The form shall be signed and dated by the head of unit, as the applicant, and the MRH medical director, or designee.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5920.03 Living Wills, Durable Powers of Attorney, and Patient Requested, Physician Generated Orders Relative to Resuscitation. All living wills, durable powers of attorney, and patient-requested, physician-generated orders relative to resuscitation shall be generated in accordance with the requirements set forth in RSA 137-J, pertaining to written directives for medical decision-making for adults without the capacity to make health care decisions.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5921 QUALITY MANAGEMENT PROGRAM

Saf-C 5921.01 Scope. These quality management (QM) administrative rules will apply to the division, the coordinating board, medical control board, or EMS units who implement a quality management program that meets or exceeds the requirements of Saf-C 5921.02.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5921.02 Quality Management Program Requirements.

(a) Units shall be accredited by the Commission on the Accreditation of Ambulance Services (CAAS).

(b) If the unit is not accredited by the CAAS, then the unit shall establish a written plan, in collaboration with the MRH that conforms to the following:

(1) A written QM plan shall outline operational and clinical care performance measures that the EMS unit and the MRH agree to monitor;

(2) The written plan shall include, at minimum, the following:

a. A mission statement;

b. Goals and objectives;

c. Methods for addressing:

1. New employee training and orientation;

2. Employee training and certification;

3. Review of EMSIRs; and

4. Complaints and adverse or near-miss events;

d. Identification of benchmarks and issues to monitor;

e. A communication plan, including:

1. Confidentiality of information;

2. Feedback loop for providers, the QM committee, and the MRH; and

3. Periodic reporting to stakeholders; and

f. Key dates and authorizations, including:

1. Authorized and dated signatures of stakeholders;

2. Effective dates; and

3. Date of last review;

(3) The QM program shall include a QM committee;

(4) The QM committee shall include, at minimum, the following members who shall meet no less than 2 times per year:

a. A head of unit, or designee;

b. A training officer;

c. Two EMS providers, one which shall be the highest level provider on the unit roster; and

d. The medical director, or designee; and

(5) The QM written plan shall be kept on file and updated yearly.

(d) All programs set forth or defined by the division, the coordinating board, or medical control board that make use of EMSIR data benchmarks or standards for evaluation, measurement, or reporting of the quality of EMS care shall be considered a quality management program, including any reporting at the aggregate level.

(e) All quality management program requirements included in this section shall be protected from discovery in accordance with RSA 153-A:34, II.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

PART Saf-C 5922 COMPLAINTS, INVESTIGATIONS, AND HEARINGS

Saf-C 5922.01 Definitions. For the purposes of this part:

(a) “Exonerated” means any allegation that is true, but was lawful;

(b) “Not Sustained” means any allegation for which there is insufficient evidence to either prove or disprove;

(c)“Sustained” means any allegation for which there is sufficient evidence to prove that it occurred; and

(d) “Unfounded” means any allegation that was investigated and found to have no foundation or basis in fact.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.02 Complaints and Investigations Relating to Unit, Provider, PEETE, Educational Training Agency, EMS Instructor, or EMS Instructor Coordinator License Application.

(a) Any person may file a complaint regarding the actions of any unit or provider licensed under RSA 153-A, or any person or entity believed to be in violation of RSA 153-A or Saf-C 5900 provided that the complaint shall be:

(1) Submitted in writing to the commissioner;

(2) Typewritten, electronic, or legibly printed; and

(3) Reported within 60 days of the discovery of the alleged violation, except that any complaint involving criminal activity shall be investigated as long as the investigation is initiated, either by the division or other law enforcement authority, within the statute of limitations of any indicated criminal offense.

(b) The written complaint shall include:

(1) The name of the unit, provider, PEETE, educational training agency, EMS I, or EMS I/C against whom the complaint is filed, hereinafter called the “respondent;”

(2) A concise statement of the facts that establish the alleged violation; and

(3) The date of the alleged violation.

(c) Complaints shall be assigned to an investigator by the director in accordance with RSA 153-A:14. A complaint shall be deemed non-actionable if assuming the allegations in the complaint to be true, there would be no violation of RSA 153-A or Saf-C 5900.

(d) If there are sufficient factual allegations in a complaint to suspect a criminal violation has been committed, the matter shall be referred to the appropriate law enforcement authorities.

(e) If the director determines that a complaint is actionable, a letter shall be sent to the respondent, notifying the respondent of an investigation. With the letter, the respondent shall also receive a copy of the complaint or a version of the complaint redacted as necessary to preserve the integrity of the investigation, or a description of the complaint containing sufficient detail to provide the respondent with notice of the allegation or allegations being made.

(f) The letter and enclosures shall be sent by certified mail, and a copy of the letter shall be sent no earlier than 48 hours later to:

(1) The head of the unit on whose behalf the respondent was acting at the time the alleged violation took place, or, if at the time of the alleged violation the respondent was not acting on behalf of a unit with which the respondent is affiliated, to the respondent’s primary unit;

(2) If the bureau is seeking immediate suspension pursuant to RSA 541-A:30, III, to the heads of all units with which the respondent is affiliated; and

(3) If the bureau is not seeking immediate suspension pursuant to RSA 541-A:30, III but the director determines that the allegations constitute a potential threat to public health or safety, to the heads of all units with which the respondent is affiliated.

(g) The investigator shall document facts collected in a report of investigation. The investigator shall recommend findings to the commissioner.

(h) If, after investigation, the complaint is determined to be exonerated, not sustained, or unfounded, the commissioner shall issue a written order dismissing the complaint and shall send a copy of such order to the complainant and respondent within 10 days by certified mail.

(i) If, after investigation, the complaint is determined to be sustained, the commissioner shall issue a written order reflecting the finding within 10 days and send a copy of such order by certified mail to the complainant and respondent which shall:

(1) Specify the violation(s) of RSA 153-A or Saf-C 5900, or both;

(2) Direct the respondent to comply with the provisions of RSA 153-A or Saf-C 5900, or both;

(3) Inform the respondent that they may request a hearing within 10 days pursuant to RSA 541-A:31 and Saf-C 5922.09 for the purpose of challenging such finding;

(4) Describe the facts surrounding the decision in sufficient detail to provide the respondent with the basis for the decision; and

(5) Specify any sanction permissible under the law and these rules.

(j) Upon issuing the order specified in paragraphs (h) and (i) above, the commissioner shall send a copy of such order to the heads of all units who received notification of the investigation in accordance with paragraph (f) above.

(k) Investigation information shall be confidential, and shall not be released except in accordance with these rules.

(l) Notwithstanding paragraph (k) above, investigation information shall be released:

(1) To the department of justice in its capacity as legal counsel to the division;

(2) Pursuant to court order directing the division to release such information;

(3) During an adjudicative hearing subject to the provisions set forth in RSA 541-A:31 and Saf-C 200; or

(4) In the case of a possible violation affecting public health, to the department of health and human services, division of public health and bureau of infectious disease control.

(m) Any respondent against whom a complaint is determined to be sustained may request a hearing within 10 days of receipt of the order in paragraph (i) above, pursuant to RSA 541-A:31 and Saf-C 5922 for the purpose of challenging such finding.

(n) In the case of a sustained complaint, except cases in which a letter of concern is issued, if no hearing is requested, or following the conclusion of the requested hearing and any timely appeal, the division shall publish a public list of licensees found to have violated RSA 153-A or these rules, on the division website. The division shall not be limited to that method of publication.

(o) Such public list shall specify:

(1) The name of the licensee;

(2) The unit or provider license number;

(3) The provision(s) of RSA 153-A or the rules that have been violated;

(4) The date of the violation;

(5) Any action resulting in a change in status of the licensee’s license, including any prerequisites to full restoration of license privileges; and

(6) The date of implementation and conclusion of any change in status.

(p) In the case of a sustained complaint, except cases in which a letter of concern is issued, if no hearing is requested, or following the conclusion of the requested hearing and any timely appeal, the division shall also notify the National Registry of Emergency Medical Technicians, National Practitioner’s Data Bank and the Centers for Medicare and Medicaid Services of any unit or provider license revocation, suspension, or limitation.

(q) In the case of a sustained complaint, including cases in which a letter of concern is issued, if no hearing is requested, or following the conclusion of the requested hearing and any timely appeal, a copy of the report of investigation, a copy of the order in (i) above, and a copy of any hearing report shall be released to the heads of all units with which the respondent is affiliated, upon their request.

(r) Notwithstanding the provisions of this section, the release of any hearing report shall be in accordance with RSA 91-A.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19, ss by #13392, INTERIM, eff 5-28-22, EXPIRED: 11-24-22

New. #13580, eff 3-20-23; ss by #13953, eff 4-30-24

Saf-C 5922.03 Denial of Unit, Provider, PEETE, Educational Training Agency, EMS I, EMS I/C, Chair Van Company, or Wheelchair Van for Hire License Application.

(a) An application for a unit, provider, PEETE, educational training agency, EMS I, EMS I/C, chair van company, or wheelchair van for hire license shall be reviewed by the division in accordance with RSA 541-A:29.

(b) The applicant shall be notified of any apparent errors or omissions in the application and allowed to resubmit the application within 30 days of initial receipt by the division.

(c) Applications for a unit, provider, PEETE, educational training agency, EMS I, EMS I/C, chair van company, or wheelchair van for hire license shall be denied in accordance with RSA 541-A:29 for:

(1) Failure to meet the qualifications;

(2) Failure to submit required documentation;

(3) Failure to complete a suspension period, pursuant to Saf-C 5922.04(e), or revocation period pursuant to Saf-C 5922.05(d);

(4) Falsifications or omissions of items from a criminal background check; or

(5) A conviction of any criminal offense:

a. Relating to the performance of duties or practice of EMS; or

b. That endangers the health or safety of the public.

(d) Any applicant issued a provisional license in accordance with Saf-C 5904.05(d) shall have said licensed revoked upon the receipt of a disqualifying criminal history record check pursuant to Saf-C 5922.03 (c)(5).

(e) An applicant aggrieved by the decision of the commissioner relating to a denial of an application may request an adjudicative hearing in accordance with RSA 541-A and Saf-C 200.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13580, eff 3-20-23; ss by #13953, eff 4-20-24; ss by #14180, INTERIM, eff 1-22-25

Saf-C 5922.04 Suspension of Unit, Provider, PEETE, Educational Training Agency, EMS Instructor, EMS Instructor Coordinator License, Chair Van Company, or Wheelchair Vans for Hire.

(a) Any suspension of a unit, provider, PEETE, educational training agency, EMS I, EMS I/C’s license, chair van company, or wheelchair van for hire shall be assessed for a period of up to one calendar year.

(b) All or any portion of the division’s suspension imposed pursuant to (a) above may be deferred for a period of one year, conditioned upon good behavior and the completion of any requirements ordered as part of the suspension. If any misconduct occurs during the period of deferred time or the unit or provider fails to comply with any requirements ordered, a hearing shall be conducted to determine if the deferred suspension shall be imposed, in addition to any further disciplinary action taken on any misconduct that occurred during the deferred period.

(c) The division’s period of suspension imposed pursuant to (a) above may be rescinded upon the licensee’s correction of the violation(s) that caused the suspension.

(d) Any suspension of a transport unit’s license shall also result in the suspension of all vehicle licenses of the unit.

(e) If a licensee’s license expires during the suspension period, the unit or provider may apply for a license in accordance with Saf-C 5903.02 following the expiration of the suspension period.

(f) After notice and an opportunity for a hearing pursuant to Saf-C 5922.09, the commissioner shall suspend a unit's license for:

(1) Negligence or incompetence in the provision of emergency medical care as specified in RSA 153-A:13, I(a);

(2) Rendering unauthorized treatment as specified in RSA 153-A:13, I(b);

(3) Unethical conduct as specified in RSA 153-A:13, I(d);

(4) Fraud in representations as to skills or ability of the licensed level as specified in RSA 153-A:13, I(f);

(5) Negligent, unsafe, or illegal operation of a vehicle, or negligent or unsafe use or maintenance of a vehicle's safety systems as specified in RSA 153-A:13, I(j);

(6) Failure to maintain insurance pursuant to these rules;

(7) Call jumping;

(8) Failure to maintain requirements specified in Saf-C 5903.04, or Saf-C 5903.05;

(9) A second offense of:

a. Failure to license a vehicle pursuant to Saf-C 5904.01 through Saf-C 5904.03;

b. Failure to have 2 licensed providers in the land or water vehicle pursuant to Saf-C 5902.07;

c. Failure to have at least one nationally registered EMT-basic, EMT-intermediate or EMT-paramedic provider in the air medical transport vehicle; or

d. Use of the vehicle's emergency warning lights or siren during EMS calls for purposes other than the response to or transport of an emergent sick or injured patient, pursuant to RSA 266:78-g; or

(10) A third offense of:

a. Failure to maintain the land vehicle’s inside air temperature at a minimum of 50 degrees while the vehicle is not in use pursuant to these rules;

b. Failure to maintain the vehicle shelter pursuant to these rules;

c. Failure to maintain vehicle equipment and supplies; or

d. Failure to maintain the vehicle in good operating condition.

(g) After notice and an opportunity for a hearing, the commissioner shall suspend a licensee’s license for:

(1) Negligence or incompetence in the provision of emergency medical care as specified in RSA 153-A:13, I(a);

(2) Rendering unauthorized treatment as specified in RSA 153-A:13, I(b);

(3) Unethical conduct as specified in RSA 153-A:13, I(d);

(4) Acts or offenses as set forth in RSA 153-A:13, I(e) and (h);

(5) Having a license or registration to practice suspended in another jurisdiction or having disciplinary action taken by the registering authority of another jurisdiction or the National Registry of Emergency Medical Technicians as specified in RSA 153-A:13, I(i);

(6) Negligent, unsafe, or illegal operation of a vehicle, or negligent or unsafe use or maintenance of a vehicle's safety systems as specified in RSA 153-A:13, I(j);

(7) Call jumping pursuant to Saf-C 5902.04;

(8) Failure to renew certification(s), within 30 days, after notice has been given;

(9) Failure to supervise an educational program and ensure that all materials presented by guest lecturers or assistant instructors are in accordance with NREMT educational curricula and these rules;

(10) Failure to provide appropriate training materials or equipment in working order;

(11) Failure to maintain requirements specified in Saf-C 5909; or

(12) A conviction of criminal offense:

a. Relating to the performance of duties or practice of EMS; or

b. That endangers the health or safety of the public.

(h) After notice and an opportunity for a hearing, any violation(s) which has not been corrected at the end of the period of suspension, shall result in the revocation of the licensee’s license.

(i) Notwithstanding the provisions of this section, the commissioner may issue a letter of concern in lieu of a suspension, in accordance with the criteria provided in Saf-C 5922.11

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13392, INTERIM, eff 5-27-22, EXPIRED: 11-23-22

New. #13580, 3frf 3-20-23; ss by #13953, eff 4-20-24

Saf-C 5922.05 Revocation of Unit, Provider, PEETE, Educational Training Agency, EMS I, EMS I/C, Chair Van Company, or Wheelchair Van for Hire License.

(a) Any revocation of a licensee’s license shall be assessed for a period of up to 5 calendar years.

(b) All or any portion of the division’s revocation imposed pursuant to (a) above may be deferred for a period of 5 years, conditioned upon good behavior and the completion of any requirements ordered as part of the revocation. If any misconduct occurs during the period of deferred time or the unit or provider fails to comply with any requirements ordered, a hearing shall be conducted to determine if the deferred revocation shall be imposed, in addition to any further disciplinary action taken on any misconduct that occurred during the deferred period.

(c) Any revocation of a transport unit's license shall also result in the revocation of all vehicle licenses of the unit.

(d) If a licensee’s license is revoked, the licensee may apply for a license in accordance with these rules after the completion of the revocation period.

(e) After notice and an opportunity for a hearing, the commissioner shall revoke a unit's license for:

(1) Falsifying licensing information on the unit or vehicle application form as specified in RSA 153-A:13, I(c);

(2) Unauthorized use or disclosure of patient record information as specified in RSA 153-A:13, I(k) or these rules;

(3) Failure to provide sufficient funds for payment of a license; or

(4) Any violation(s) which has not been corrected at the end of the period of suspension pursuant to Saf-C 5922.

(f) After notice and an opportunity for a hearing, the commissioner shall revoke a provider, PEETE, educational training agency, EMS I, and EMS I/C’s license for:

(1) Falsifying licensing information on the application in accordance with RSA 153-A:13, I(c);

(2) Unauthorized use or disclosure of patient record information as specified in RSA 153-A:13, I(k), or these rules;

(3) Acts or offenses as set forth in RSA 153-A:13, I(l) which occur during the licensing period;

(4) Rendering care beyond the level of training or licensing in accordance with RSA 153-A:13, I(d);

(5) Fraud in representations as to skills or ability as specified in RSA 153-A:13, I(f);

(6) Willful or repeated violation of this chapter or of rules as specified in RSA 153-A:13, I(g);

(7) Having a license or registration to practice revoked in another jurisdiction as specified in RSA 153-A:13, I(i);

(8) Any violation(s) which has not been corrected at the end of the period of suspension pursuant to Saf-C 5922.04;

(9) For failure to pay a fine imposed by the commissioner as specified in Saf-C 5908; or

(10) A second offense of:

a. Negligence or incompetence in the provision of emergency medical care as specified in RSA 153-A:13, I(a);

b. Rendering unauthorized treatment as specified in RSA 153-A:13, I(b);

c. Acts or offenses as set forth in RSA 153-A:13, I(e) and (h);

d. Having a license or registration to practice suspended in another jurisdiction or having disciplinary action taken by the registering authority of another jurisdiction or the National Registry of Emergency Medical Technicians as specified in RSA 153-A:13, I(i);

e. Negligent, unsafe, or illegal operation of a vehicle, or negligent or unsafe use or maintenance of a vehicle's safety systems as specified in RSA 153-A:13, I(j);

f. Call jumping;

g. Failure to renew certification(s), within 30 days, after notice has been given; or

h. Unethical conduct as specified in RSA 153-A:13, I(d).

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13953, eff 4-20-24

Saf-C 5922.06 Denial of Vehicle License Application.

(a) Denial of an application for a vehicle license shall be made in accordance with RSA 541-A:29.

(b) An application shall be denied for:

(1) Information or equipment that does not meet the requirements of these rules;

(2) Acts or offenses as set forth in RSA 153-A:13, I(c) or (j);

(3) Violations of RSA 153-A:13, I(g), specifically failure to pass vehicle or applicable shelter reinspection due to continued deficiencies contrary to these rules;

(4) Failure to provide sufficient funds for payment of a license;

(5) Failure to meet the qualifications; or

(6) Failure to submit required documentation.

(c) Any applicant aggrieved by the decision of the commissioner relating to a denial of an application may request an adjudicative hearing in accordance with RSA 541-A and Saf-C 200.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.07 Suspension of Vehicle License.

(a) Any suspension of a vehicle's license shall be assessed for a period of up to one calendar year.

(b) All or any portion of the division’s suspension imposed pursuant to (a) above may be deferred for a period of one year, conditioned upon the completion of any requirements ordered as part of the suspension. If any misconduct occurs during the period of deferred time or the unit fails to comply with any requirements ordered, a hearing shall be conducted to determine if the deferred suspension shall be imposed, in addition to any further disciplinary action taken on any misconduct that occurred during the deferred period.

(c) The division’s period of suspension imposed pursuant to (a) above shall be rescinded upon the unit's correction of the violation(s) that caused the suspension.

(d) Any suspension of a vehicle’s license shall only apply to the vehicle cited.

(e) Any suspension of a transport unit's license shall also result in the suspension of all vehicle licenses held by the unit.

(f) If a unit’s vehicle license expires during the suspension period, the unit shall apply for a license in accordance with these rules.

(g) After notice and an opportunity for a hearing the commissioner shall suspend a vehicle license for failure of a unit to maintain:

(1) The vehicle in good operating condition pursuant to these rules;

(2) Vehicle equipment and supplies pursuant to these rules;

(3) Vehicle insurance pursuant to these rules; or

(4) Vehicle registration and inspection.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.08 Revocation of Vehicle License.

(a) Any revocation of a vehicle's license shall be assessed for a period of up to 5 calendar years.

(b) All or any portion of the division’s revocation imposed pursuant to (a) above may be deferred for a period of 5 years, conditioned upon the completion of any requirements ordered as part of the revocation. If any misconduct occurs during the period of deferred time or the unit fails to comply with any requirements ordered, a hearing shall be conducted to determine if the deferred revocation shall be imposed, in addition to any further disciplinary action taken on any misconduct that occurred during the deferred period.

(c) Any revocation of a transport unit’s license shall also result in the revocation of all vehicle licenses held by the unit.

(d) If a unit’s vehicle license is revoked, the unit shall apply for a license in accordance with Saf-C 5904.01, after the completion of the revocation period.

(e) After notice and an opportunity for a hearing pursuant to Saf-C 5904.13, the commissioner shall revoke a vehicle license for a second offense of:

(1) Failure of a unit to maintain the vehicle in good operating condition pursuant to Saf-C 5904.07; or

(2) Failure of a unit to maintain vehicle equipment and supplies pursuant to Saf-C 5904.08.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.09 Notice of Opportunity for Hearing. Prior to taking any adjudicative action pursuant to RSA 541-A:31 and Saf-C 200, the division shall provide written notice to the licensee of the opportunity to request a hearing.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.10 Immediate Suspension. In accordance with RSA 541-A:30, III, if the division determines that public health, safety, or welfare requires emergency action, an immediate suspension of a license shall be ordered pending an adjudicative hearing, which shall occur not later than 10 working days after the date of the suspension of the license. The adjudicative hearing shall be conducted in accordance with the requirements of Saf-C 200.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19

Saf-C 5922.11 Criteria. In imposing any sanctions under this part, including letters of concern, the division shall consider the following factors to determine the level of disciplinary sanction imposed and duration of disciplinary sanctions in order to prevent actual or potential harm to the public or any patient, and to deter licensees from engaging in misconduct in the future:

(a) The seriousness of the offense;

(b) The licensee’s prior disciplinary record, including previous letters of concern;

(d) The licensee’s willingness to cooperate with the division;

(e) The potential harm to the public health and safety if the licensee retains his or her license; and

(f) Any mitigating or extenuating circumstances.

Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13392, INTERIM, eff 5-27-22, EXPIRED: 11-23-22

New. #13580, eff 3-20-23

APPENDIX A

Rule	Specific State Statue the Rule Implements
Saf-C 5901.01 – Saf-C 5901.02	RSA 541-A:7
Saf-C 5901.03 – Saf-C 5901.04	RSA 153-A:11, II; RSA 541-A:7
Saf-C 5901.05	RSA 153-A:12; RSA 541-A:7
Saf-C 5901.06	RSA 541-A:7
Saf-C 5901.07	RSA 153-A:11, III; RSA 541-A:7
Saf-C 5901.08 – Saf-C 5901.20	RSA 541-A:7
Saf-C 5901.21	RSA 153-A:2, II
Saf-C 5901.22	RSA 541-A:7
Saf-C 5901.23	RSA 318-B:1, VI; RSA 318-B:1-a
Saf-C 5901.24	RSA 153-A:2, I
Saf-C 5901.25- Saf-C 5901.28	RSA 541-A:7
Saf-C 5901.281	RSA 541-A:7
Saf-C 5901.29	RSA 153-A:2, III
Saf-C 5901.30	RSA 153-A:2, IV
Saf-C 5901.331 and Saf-C 5901.332	RSA 541-A:7
Saf-C 5901.31 - Saf-C 5901.35	RSA 541-A:7
Saf-C 5901.36	RSA 153-A:2, V
Saf-C 5901.37	RSA 153-A:11
Saf-C 5901.38	RSA 153-A:2, VI
Saf-C 5901.39	RSA 153-A:11
Saf-C 5901.40	RSA 541-A:7
Saf-C 5901.41 and Saf-C 5901.411	RSA 153-A:2, VII; RSA 541-A:7
Saf-C 5901.42	RSA 153-A:2, XIV
Saf-C 5901.43	RSA 541-A:7
Saf-C 5901.44	RSA 153-A:2, IX
Saf-C 5901.45	RSA 153-A:2, X
Saf-C 5901.46 - Saf-C 901.50	RSA 541-A:7
Saf-C 5901.51	RSA 153-A:2, XI
Saf-C 5901.511	RSA 153-A:2, XI
Saf-C 5901.52	RSA 153-A:11
Saf-C 5901.53 – Saf-C 5901.59	RSA 541-A:7
Saf-C 5901.571	RSA 153-A:13, I; RSA 541-A:7
Saf-C 5901.60	RSA 153-A:2, XIII
Saf-C 5901.61	RSA 153-A:2, XV
Saf-C 5901.62 – Saf-C 5901.69	RSA 541-A:7
Saf-C 5901.70	RSA 153-A:11
Saf-C 5901.71	RSA 153-A:2, XVII
Saf-C 5901.571	RSA 153-A:13, I; RSA 541-A:7
Saf-C 5901.72 - Saf-C 5901.73	RSA 541-A:7
Saf-C 5901.74	RSA 153-A:12
Saf-C 5901.75	RSA 153-A:2, XVI
Saf-C 5901.76 – Saf-C 5901.81	RSA 541-A:7
Saf-C 5901.82	RSA 153-A:2, VII; RSA 541-A:7
Saf-C 5901.83 – Saf-C 5901.85	RSA 541-A:7
Saf-C 5901.86	RSA 153-A:2, XVII
Saf-C 5901.87	RSA 541-A:7
Saf-C 5901.88	RSA 153-A:34, I (a)
Saf-C 5901.89	RSA 153-A:2, XI; RSA 541-A:7
Saf-C 5901.90 – Saf-C 5901.105	RSA 541-A:7

Saf-C 5902.01	RSA 153-A:4, V; RSA 153-A:6; RSA 153-A:20, XV
Saf-C 5902.02	RSA 153-A:1, IV; RSA 153-A:2, XV; RSA 153-A:20, XV
Saf-C 5902.03	RSA 21-P:12-b, II (d); RSA 153-A:20, II, III, IX
Saf-C 5902.04	RSA 153-A:20, I, XIV; RSA 508:12-a
Saf-C 5902.05	RSA 153-A:19; RSA 153-A:20, XI
Saf-C 5902.06	RSA 153-A:11, II; RSA 153-A:20, I, III
Saf-C 5902.07 - Saf-C 5902.09	RSA 21-P:12-b, II (g); RSA 153-A:20, IV, XVI
Saf-C 5902.10	RSA 541-A:7

Saf-C 5903.01	RSA 21-P:12-b, II(f); RSA 153-A:10; RSA 153-A:20, I
Saf-C 5903.02 - Saf-C 5903.04	RSA 21-P:12-b, II(f); RSA 153-A:10, I; RSA 153-A:20, I, VI, XIV
Saf-C 5903.05 - Saf-C 5903.06	RSA 21-P:12-b, II(f); RSA 153-A:10, I; RSA 153-A:20, I, VI, XIV; RSA 541-A:29

Saf-C 5904	RSA 21-P:12-b, II(f); RSA 153-A:11; RSA 153-A:12; RSA 153-A:20, I
Saf-C 5904.02 & Saf-C 5904.04	RSA 21-P:12-b, II(f); RSA 153-A:11; & RSA 153-A:20, I
Saf-C 5904.05	RSA 21-P:12-b, II(f); RSA 153-A:11; RSA 153-A:12; RSA 153-A:20, I

Saf-C 5905.01	RSA 153-A:10, VI; RSA 541-A:7
Saf-C 5905.02 - Saf-C 5905.03	RSA 153-A:10, VI

Saf-C 5906.01 - Saf-C 5906.04	RSA 21-P:12-b, II(f); RSA 153-A:10, II; RSA 153-A:20, I, V, VI
Saf-C 5906.05	RSA 153-A:10, VI; RSA 153-A:20, XVII
Saf-C 5906.06 - Saf-C 5906.07	RSA 153-A:20, III
Saf-C 5906.08	RSA 153-A:1, I; RSA 153-A:20, III
Saf-C 5906.09	RSA 153-A:20, I, V
Saf-C 5906.10	RSA 21-P:12-b, II (h); RSA 153-A:14; RSA 153-A:20, VII

Saf-C 5907.01	RSA 6:11-a; RSA 153-A:15; RSA 153-A:20, XIII

Saf-C 5908.01	RSA 153-A:20, XIX; RSA 153-A:22; RSA 541-A:31
Saf-C 5908.02	RSA 153-A:20, XVIII; RSA 153-A:22

Saf-C 5909.01	RSA 21-P:12-b,.II (e),(f); RSA 153-A:20, VIII
Saf-C 5909.02 – Saf-C 5909.04	RSA 21-P:12-b, II(e), (f); RSA 153-A:11, II; RSA 153-A:20, VIII
Saf-C 5909.05	RSA 21-P:12-b, II(e), (f); RSA 153-A:20, V; RSA 541-A:29
Saf-C 5909.06 and Saf-C 5909.07	RSA 21-P:12-b, II(e), (f); RSA 153-A:20, V

Saf-C 5910.01 - Saf-C 5901.04	RSA 21-P:12-b, II (e); RSA 153-A:20, VIII
Saf-C 5910.05	RSA 21-P:12-b, II (e); RSA 153-A:20, VIII; RSA 541-A:29
Saf-C 5910.06 - Saf-C 5910.07	RSA 21-P:12-b, II (e); RSA 153-A:20, VIII

Saf-C 5911.01 – Saf-C 5911.04	RSA 21-P:12-b, II(e); RSA 153-A:11, IV; RSA 153-A:20, VIII

Saf-C 5912.01 – Saf-C 5912.03	RSA 21-P:12-b, II (e); RSA 153-A:20, VIII

Saf-C 5913.01 – Saf-C 5913.04	RSA 21-P:12-b, II (e); RSA 153-A:11, IV; RSA 153-A:20, VIII

Saf-C 5914.01 – Saf-C 5914.05	RSA 153-A:16, I; RSA 153-A:20, XII

Saf-C 5915.01 and Saf-C 5915.04	RSA 21-P:12-b, II(e); RSA 153-A:11, IV; RSA 153-A:20, VIII

Saf-C 5916	RSA 21-P:12-b, II(e); RSA 153-A:20, XIII; RSA 541-A:29

Saf-C 5917.01 – Saf-C 5917.04	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, V, VI
Saf-C 5917.05	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, V
Saf-C 5917.06 – Saf-C 5917.08	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, V, VI
Saf-C 5917.09	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, V, VI; RSA 541-A:29
Saf-C 5917.10 – Saf-C 5917.13	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, V
Saf-C 5917.14 – Saf-C 5917.15	RSA 21-P:12-b, II (f); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:20, IV
Saf-C 5917.16	RSA 21-P:12-b, II (f); RSA 21-P;12-b, II (m); RSA 153-A:1, I; RSA 153-A:10, I; RSA 153-A:15
Saf-C 5917.17	RSA 21-P:12-b, II (f); RSA 153-A:20, XIX; RSA 153-A:22;
Saf-C 5917.18	RSA 21-P:12-b, II (f); RSA 153-A:20, XVIII; RSA 153-A:22

Saf-C 5918.01	RSA 153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA 318-B:10, V;
Saf-C 5918.02 – Saf-C 5918.03	RSA 153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA 318-B:10, V
Saf-C 5918.04	RSA 153-A:5, III; RSA 153-A:20, XXI; RSA 318:8; RSA 318:42, X; RSA 318-B:10, V; RSA 318-B:25
Saf-C 5918.05	RSA 153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA 318-B:10, V; 21 CFR 1301.76 (b)
Saf-C 5918.06	RSA 153-A:5, III; RSA 153-A:20, XXI; RSA 318:42, X; RSA 318-B:10, V
Saf-C 5918.07	RSA 153-A:13; RSA 153-A:20, V; XVIII, XIX; RSA 153-A:22; RSA 541-A:30; RSA 541-A:31

Saf-C 5919.01	RSA 153-A:5, III
Saf-C 5919.02	RSA 153-A:5, III; RSA 153-A:20, XXI

Saf-C 5920.01 – Saf-C 5920.02	RSA 153-A:2, XVI-a, XVII; RSA 541-A:16, I(b)(1)
Saf-C 5920.03	RSA 137-J; RSA 153-A:1, VI;

Saf-C 5921.01 – Saf-C 5921.02	RSA 153-A:20, XXIII; RSA 153-A:34

Saf-C 5922.01	RSA 541-A:7
Saf-C 5922.02	RSA 153-A:14; RSA 153-A:20, VII
Saf-C 5922.03	RSA 153-A:14; RSA 153-A:20, VII
Saf-C 5922.04 – Saf-C 5922.05	RSA 153-A:13, III; RSA 541-A:29
Saf-C 5922.06 – Saf-C 5922.08	RSA 153-A:13, III; RSA 541-A:29
Saf-C 5922.09	RSA 153-A:13, III; RSA 541-A:30; RSA 541-A:31
Saf-C 5922.10	RSA 153-A:13, III; RSA 541-A:30, III; RSA 541-A:31
Saf-C 5922.11	RSA 153-A:13, III, RSA 541-A:16, I(b)(2)