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RULE §157.14Requirements for a First Responder Organization License

    (H) of the EMS providers associated with the FRO.

  (19) assuring that the department is notified within 1 business day when a change of the medical director has occurred;

  (20) assuring the FRO has written operating policies, procedures and medical protocols and provides all medical personnel a copy initially and whenever such policies, procedures and/or medical protocols are changed. A copy of the written operating policies, procedures and medical protocols shall be made available to the department upon request. At a minimum, policies shall adequately address:

    (A) personal protective equipment;

    (B) immunizations available to personnel;

    (C) infection control procedures;

    (D) contact information for the designated infection control officer for whom education based on U.S. Code, Title 42, Chapter 6A, Subchapter XXIV, Part G, §300ff-136 has been documented;

    (E) management of possible exposure to communicable disease;

    (F) credentialing of new response personnel before being assigned to respond to emergencies. The credentialing process shall include, at minimum:

      (i) a comprehensive orientation session of the FRO's policies and procedures, safety precautions, and quality management process; and

      (ii) an internship period in which all new personnel practice under the supervision of, and are evaluated by, another more experienced person, if operationally feasible; and

    (G) appropriate documentation of patient care;

  (21) assuring that all documents, reports or information provided to the department are current, truthful and correct;

  (22) assuring that the department is notified within 1 business day of a collision involving an FRO vehicle responding to a scene or while at the scene of an emergency and resulting in personal injury or death of any person;

  (23) maintaining motor vehicle and professional liability insurance as required by the Texas Transportation Code under Subchapter D, §601.071 and §601.072, for all vehicles owned or operated by the FRO;

  (24) providing continuous coverage for the service area as defined in the staffing plan; and

  (25) responding to requests for assistance from the highest elected official of a political subdivision or from the department during a declared emergency or mass casualty situation.

(f) License renewal.

  (1) The department may notify the FRO at least 90 days before the expiration date of the current license at the address shown in the current records of the department. If a notice of expiration is not received, it is the responsibility of the FRO to notify the department and request license renewal application information.

  (2) FROs shall submit a completed application and nonrefundable fee, if applicable, and must verify compliance with the requirements of the license.

(g) License denial. A license may be denied for, but not limited to, the following reasons:

  (1) failure to meet requirements for an FRO license in accordance with this section;

  (2) previous failure to meet the responsibilities of an FRO as described in this section;

  (3) falsifying any information, record or document required for an FRO license;

  (4) misrepresenting any requirements for an FRO license or renewal of an FRO license;

  (5) history of criminal activity while licensed as an FRO;

  (6) history of disciplinary action relating to the FRO license; and/or

  (7) issuing a check for application for an FRO license which is subsequently returned to the department unpaid.

(h) License revocation criteria. An FRO license may be revoked or suspended for failure to meet the responsibilities of a licensed FRO as described in this section.

(i) For all applications and renewal applications, the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority to recover costs associated with the application and renewal application processing through Texas Online.

Source Note: The provisions of this §157.14 adopted to be effective August 31, 2006, 31 TexReg 6739; amended to be effective February 12, 2017, 42 TexReg 430

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