| (r) Specialty Care Transports. A Specialty Care Transport
is defined as the interfacility transfer by a department licensed
EMS provider of a critically ill or injured patient requiring specialized
interventions, monitoring and/or staffing. To qualify to function
as a Specialty Care Transport the following minimum criteria shall
be met:
(1) Qualifying Interventions:
(A) patients with one or more of the following IV infusions:
vasopressors; vasoactive compounds; antiarrhythmics; fibrinolytics;
tocolytics; blood or blood products and/or any other parenteral pharmaceutical
unique to the patient's special health care needs; and
(B) one or more of the following special monitors or
procedures. mechanical ventilation; multiple monitors, cardiac balloon
pump; external cardiac support (ventricular assist devices, etc);
any other specialized device, vehicle or procedure unique to the patient's
health care needs.
(2) Equipment. All specialized equipment and supplies
appropriate to the required interventions shall be available at the
time of the transport.
(3) Minimum Required Staffing. One currently certified
EMT-Basic and one currently certified or licensed paramedic with the
additional training as defined in paragraph (4) of this subsection;
or, a currently certified EMT-Basic and a currently certified or licensed
paramedic accompanied by at least one of the following: a Registered
Nurse with special knowledge of the patient's care needs; a certified
Respiratory Therapist; a licensed physician; or, any licensed health
care professional designated by the transferring physician.
(4) Additional Required Training for Certified/Licensed
Paramedics: Evidence of successful completion of post-paramedic training
and appropriate periodic skills verification in management of patients
on ventilators, 12 lead EKG and/or other critical care monitoring
devices, drug infusion pumps, and cardiac and/or other critical care
medications, or any other specialized procedures or devices determined
at the discretion of the provider's medical director.
(s) For all applications and renewal applications,
the department (or the board) is authorized to collect subscription
and convenience fees, in amounts determined by the Texas Online Authority,
to recover costs associated with application and renewal application
processing through Texas Online.
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