ARC 2391C
PUBLIC HEALTH DEPARTMENT[641]
Adopted and Filed
Pursuant to the authority of Iowa Code section 147A.4, the Department of Public Health hereby amends Chapter 132, “Emergency Medical Services—Service Program Authorization,” Iowa Administrative Code.
These amendments correct an oversight from previous rule makings and clarify that all authorized EMS services are required to have a driving policy and documented training for all responding members. The current rules address policy and training for ambulance service members only. These amendments will reduce confusion for all EMS service types and ensure that all EMS personnel have received basic training on appropriate emergency driving skills.
Notice of Intended Action was published in the Iowa Administrative Bulletin as ARC 2304C on December 9, 2015. No public comments were received. These amendments are identical to those published under Notice of Intended Action.
The Department of Public Health adopted these amendments on January 13, 2016.
After analysis and review of this rule making, no impact on jobs has been found.
These amendments are intended to implement Iowa Code sections 147A.4(1)“a” and 147A.4(2).
These amendments will become effective March 9, 2016.
The following amendments are adopted.
	Item 1. Amend paragraph 132.8(1)“c” as follows:
	c. 	Provide as a minimum, on each ambulance call, the following staff:
	(1)	One currently certified EMT-B or EMT.
	(2)	One currently licensed driver. The service shall document each driver’s training in CPR (AED training not required). , in emergency driving techniques and in the use of the service’s communications equipment. Training in emergency driving techniques shall include:
	1.	A review of Iowa laws regarding emergency vehicle operations.
	2.	A review of the service program’s driving policy for first response vehicles, ambulances, rescue vehicles or personal vehicles of an emergency medical care provider responding as a member of the service. The policy shall include, at a minimum:
	●	Frequency and content of driver’s training requirements.
	●	Criteria for response with lights or sirens or both.
	●	Speed limits when responding with lights or sirens or both.
	●	Procedure of approaching intersections with lights or sirens or both.
	●	Notification process in the event of a motor vehicle collision involving a first response vehicle, ambulance, rescue vehicle or personal vehicle of an emergency medical care provider responding as a member of the service.
	3.	Behind-the-wheel driving of the service’s first response vehicles, ambulances and rescue vehicles.
	Item 2. Adopt the following new paragraph 132.8(3)“s”:
	s. 	Ensure that any member of the service driving a service’s first response vehicle, ambulance, or rescue vehicle or a personal vehicle when responding as a member of the service has documented training in emergency driving techniques and in the use of the service’s communications equipment. Training in emergency driving techniques shall include:
	(1)	A review of Iowa laws regarding emergency vehicle operations.
	(2)	A review of the service program’s driving policy for first response vehicles, ambulances, rescue vehicles or personal vehicles when used by a service member responding as a member of the service. The policy shall include, at a minimum:
	1.	Frequency and content of driver’s training requirements.
	2.	Criteria for response with lights or sirens or both.
	3.	Speed limits when responding with lights or sirens or both.
	4.	Procedure for approaching intersections with lights or sirens or both.
	5.	Notification process in the event of a motor vehicle collision involving a first response vehicle, ambulance, rescue vehicle or personal vehicle when used by a service member responding as a member of the service.
	(3)	Behind-the-wheel driving of the service’s first response vehicles, ambulances and rescue vehicles.
[Filed 1/14/16, effective 3/9/16]
[Published 2/3/16]
Editor’s Note: For replacement pages for IAC, see IAC Supplement 2/3/16.