HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0100 SUBCHAPTER 3M - MINIMUM STANDARDS FOR MOBILE INTENSIVE CARE UNITS.0101 AMBULANCE SECTION.0100 - DEFINITIONS Amended Eff. March 1, 1989; September 1, 1986; Repealed Eff. November 1, 1989..0102 MOBILE INTENSIVE CARE UNIT I "Mobile Intensive Care Unit I" means a Category I Ambulance staffed at a minimum by at least one emergency medical technician -- intermediate as defined in 21 NCAC 32H.0102(4) and one certified ambulance attendant and equipped in accordance with the standards established by the Medical Care Commission for providing remote intensive care or cardiac care to sick and injured persons at the scene of a medical emergency and during transport to a health care facility. 131E-158(b); 131E-159(b); Amended Eff. June 1, 1994; September 1, 1986; October 28, 1981..0103 MOBILE INTENSIVE CARE UNIT III "Mobile Intensive Care Unit III" means a Category I Ambulance staffed at a minimum by at least one emergency medical technician-paramedic as defined in 21 NCAC 32H.0102(5) and one certified ambulance attendant and equipped in accordance with the standards established by the Medical Care Commission for providing remote intensive care or cardiac care to sick and injured persons at the scene of a medical emergency and during transport to a health care facility. 131E-158(b); 131E-159(b); Amended Eff. June 1, 1994; September 1, 1986; October 28, 1981..0104 ADVANCED LIFE SUPPORT NONTRANSPORTING UNIT "Advanced Life Support Nontransporting Unit" means a vehicle used to transport advanced life support equipment and personnel to the scene of a medical or traumatic emergency. It is not to be used for the transport of sick, ill, or injured patients. The vehicle must be staffed at a minimum by one person certified at a level equal to or greater than the level of service at which the vehicle is permitted to operate. Amended Eff. March 1, 1989; September 1, 1986..0105 MOBILE INTENSIVE CARE UNIT II 131E-158; 131E-158(b); 131E-159(b); Amended Eff. June 1, 1994; Repealed Eff. August 1, 1998.0106 CATEGORY I AMBULANCE Statutory Authority G.S. 131E-156; Repealed Eff. November 1, 1989..0107 MOBILE INTENSIVE CARE UNIT IV "Mobile Intensive Care Unit IV" means a Category I Ambulance staffed by at least one emergency medical technician - defibrillation as defined in 21 NCAC 32H.0102(2) and one certified ambulance attendant and equipped in accordance with the standards established by the Medical Care Commission for providing remote intensive care or cardiac care to sick and injured persons at the scene of a medical emergency and during transport to a health care facility. 131E-158(b); 131E-159(b); NORTH CAROLINA ADMINISTRATIVE CODE 05/20/94 Page 1
HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0100 Eff. March 1, 1989; Amended Eff. June 1, 1994. NORTH CAROLINA ADMINISTRATIVE CODE 05/20/94 Page 2
HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0300 SECTION.0200 - EQUIPMENT.0201 GENERAL All mobile intensive care units shall have all equipment specified in the North Carolina Administrative Code, Title 10, Chapter 3, Division of Facility Services, Subchapter 3D Rules and Regulations Governing Ambulance Service. Amended Eff. September 1, 1986..0202 MOBILE INTENSIVE CARE UNIT (MICU) I (a) In addition to equipment required in Rule.0201 of this Section, an ambulance identified as a Mobile Intensive Care Unit I may, upon approval of the medical director, carry equipment and supplies to perform medical acts authorized by 21 NCAC 32H.0403. The amount of equipment or supplies carried on each MICU I shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the advanced Life Support program with which the MICU I is affiliated. (b) A MICU I may also, upon approval of the medical director, carry the intravenous solution(s) and medications(s) authorized by 21 NCAC 32H.0403. The amounts and concentrations shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the Advanced Life Support program with which the MICU I is affiliated. A copy of the current medical protocols may be obtained from the sponsor hospital of the advanced life support program. One copy of 21 NCAC 32H may be obtained at no cost from the Office of Emergency Medical Services, 701 Barbour Drive, P.O. Box 29530, Raleigh, NC 27626-0530. Amended Eff. November 1, 1995; August 1, 1994; November 1, 1989; March 1, 1989..0203 MOBILE INTENSIVE CARE UNIT III (a) In addition to equipment required in Rule.0201 of this Section, an ambulance identified as a Mobile Intensive Care Unit III may, upon approval of the medical director, carry equipment and supplies to perform medical acts authorized by 21 NCAC 32H.0402. The amount of equipment or supplies carried on each MICU III shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the advanced Life Support program with which the MICU III is affiliated. (b) A vehicle identified as a Mobile Intensive Care Unit III may also, upon approval of the medical director carry the intravenous solution(s) and medications(s) authorized by 21 NCAC 32H.0402. The amounts and concentrations shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the Advanced Life Support program with which the MICU III is affiliated. A copy of the current medical protocols may be obtained from the sponsor hospital of the advanced life support program. One copy of 21 NCAC 32H may be obtained at no cost from the Office of Emergency Medical Services, 701 Barbour Drive, P.O. Box 29530, Raleigh, NC 27626-0530. Amended Eff. November 1, 1995; August 1, 1994; November 1, 1989; March 1, 1989..0204 ADVANCED LIFE SUPPORT NONTRANSPORTING UNIT A vehicle identified as an Advanced Life Support nontransporting unit shall carry equipment and supplies in accordance with the level of Advanced Life Support care offered by the provider with which the vehicle is affiliated. These requirements are defined in Rules.0202,.0203,.0205, and.0207 of this Subchapter. These vehicles shall also comply with requirements and criteria set forth in North Carolina General Statutes 20-125, regarding horns and audible warning devices; 20-130.1, regarding the use of red lights and other visual warning devices; and Part 2 of Article 3A of Chapter 20, regarding vehicle equipment safety inspections. Amended Eff. November 1, 1995; March 1, 1989..0205 MOBILE INTENSIVE CARE UNIT II Amended Eff. November 1, 1995; August 1, 1994; November 1, 1989; March 1, 1989 Repealed Eff. August 1, 1998. NORTH CAROLINA ADMINISTRATIVE CODE 10/09/89 Page 1
HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0300.0206 EXCEPTIONS TO RULES AND REGULATIONS Repealed Eff. November 1, 1989..0207 MOBILE INTENSIVE CARE UNIT IV (a) In addition to equipment required in Rule.0201 of this Section, an ambulance identified as a Mobile Intensive Care Unit IV may, upon approval of the medical director, carry equipment and supplies to perform medical acts authorized by 21 NCAC 32H.0407. The amount of equipment or supplies carried on each MICU IV shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the advanced Life Support program with which the MICU IV is affiliated. (b) A MICU IV may also, upon approval of the medical director, carry the medications(s) authorized by 21 NCAC 32H.0407. The amounts and concentrations shall be concurrent with the medical protocols approved by the Office of Emergency Medical Services in effect for the Advanced Life Support program with which the MICU IV is affiliated. A copy of the current medical protocols may be obtained from the sponsor hospital of the advanced life support program. One copy of 21 NCAC 32H may be obtained at no cost from the Office of Emergency Medical Services, 701 Barbour Drive, P.O. Box 29530, Raleigh, NC 27626-0530. Eff. March 1, 1989; Amended Eff. November 1, 1995; August 1, 1994. NORTH CAROLINA ADMINISTRATIVE CODE 10/09/89 Page 2
HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0300 SECTION.0300 - DRUGS.0301 MINIMUM DRUG SUPPLY.0302 RECOMMENDED DRUG SUPPLY Statutory Authority G.S. 131E-156; 131E-157; Amended Eff. October 28, 1981..0303 NITROGLYCERIN TABLETS Statutory Authority G.S. 131E-156; 131E-157; Repealed Eff. October 28, 1981..0304 EXCEPTIONS TO RULES AND REGULATIONS NORTH CAROLINA ADMINISTRATIVE CODE 10/09/89 Page 3
HUMAN RESOURCES - FACILITY SERVICES T10: 03M.0400 SECTION.0400 - VEHICLES.0401 PATIENT TRANSPORTING VEHICLE.0402 ALS NONTRANSPORTING VEHICLE NORTH CAROLINA ADMINISTRATIVE CODE 10/09/89 Page 1
SECTION.0500 - COMMUNICATION.0501 TWO-WAY RADIO A mobile intensive care vehicle must contain a two-way radio capable of establishing effective voice communication between the mobile intensive care personnel and the sponsor hospital personnel from any geographical point within the service area of the program. Amended Eff. March 1, 1989; September 1, 1986..0502 TELEPHONE