N.Y. Comp. Codes R. & Regs. Tit. 10 § 58-2.20 - Ambulance transfusion services
(a) No person shall own or operate an
ambulance transfusion service in New York State unless approved by the
department. An inspection may be conducted prior to departmental approval.
Ambulance transfusion services shall comply with the provisions in this Part
governing transfusions in general.
(b) Ambulance transfusion services shall have
a written agreement with all hospitals issuing blood components to the
ambulance transfusion service for possible administration during transport to
another hospital, except in cases when no ground or air, as needed, ambulance
transfusion service with an agreement in place is available. The agreement
shall be subject to the prior approval of the department. The agreement shall:
(1) specify the division of responsibilities
for ensuring compliance with the provisions of this Subpart;
(2) include a statement that ambulance
transfusion service personnel will have adequately completed training in
administering blood components according to a curriculum approved by the
department; and
(3) include the
written approval of the issuing facility's director of transfusion services and
the director of the ambulance transfusion service.
(c) A qualified licensed physician shall
provide general supervision of ambulance transfusion service personnel
continuing and/or initiating transfusions and shall be responsible for ensuring
that such personnel have adequate training and experience.
(d) Any order for a transfusion to be
continued and/or initiated in an ambulance shall be documented on an order form
approved by the department, and shall specify:
(1) the blood component(s) to be
transfused;
(2) the number of units
to be transfused;
(3) the rate of
infusion;
(4) any special
instructions; and
(5) any actions,
including transfusion of additional units, to be taken based on circumstances
that may arise.
(e)
Every transfusion administered in an ambulance must be documented on a
transfusion record approved by the department. Such documentation must include:
(1) date of the transfusion;
(2) name of the person who performed the
transfusion and who attended the recipient during the transfusion.
(3) for each unit:
(i) blood component transfused;
(ii) unit identification code;
(iii) unit ABO and Rh groups; and
(iv) start time and completion
time.
(f) Any
adverse reaction shall be documented on a prehospital care report. Such
documentation shall include a description of the adverse reaction and actions
taken in response.
(g) Any
ambulance in which a transfusion is performed by an ambulance transfusion
service shall maintain an inventory of isotonic saline and any supplies needed
for blood administration and for monitoring transfusion recipients, and have a
means to communicate with medical control. All medications, equipment and
supplies necessary for the management of adverse reactions shall be immediately
available. Medical waste disposal must be undertaken, in collaboration with the
receiving hospital, using containers and procedures found acceptable to the
department pursuant to Part 70 of this Title.
Notes
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