Guam § 84105 - The Office of EMS Administrative Office:

§ 84105. The Office of EMS Administrative Office:

Composition; Duties, and Responsibilities.

The Office of EMS Administrative Office shall be composed

of a full-time salaried Administrator and sufficient supporting

staff to efficiently fulfill the purpose of the emergency medical

services system. The Administrator shall:

(a) implement emergency medical services regulations

and standards;

(b) develop and promote, in cooperation with local

public and private organizations and persons, a Program for

the provision of emergency medical services and to set

policies for the provision of such services. The

Administrator shall explore the possibility of coordinating

emergency medical services with like services in the military,

the Commonwealth of the Northern Marianas Islands, the

Federated States of Micronesia, and the Republic of Palau;

and the United States;

(c) the Office of EMS shall develop plans, implement

guidelines, and assess all current emergency medical services

capability and performance, and the established programs, to

remedy identified deficiencies through the development and

periodic revision of a Comprehensive Plan for emergency

medical services. The Plan shall include, but not be limited

to:

(1) emergency medical services personnel and

training;

(2) emergency medical services facilities

assessment ;

(3) emergency medical services transportation

and related equipment;

(4) telecommunications and communications;

(5) interagency coordination and cooperation;

(6) system organization and management;

(7) data collection, and management and

evaluation;

(8) public information and education; and

(9) disaster response.

(d) develop emergency medical services regulations

and standards, emergency medical services facilities,

personnel, equipment, supplies, and communications

facilities and locations as may be required to establish and

maintain an adequate system of emergency medical services;

(e) the Office of EMS shall provide technical

assistance for the coordination and approval of training to

existing agencies, organizations, and private entities for the

purpose of developing the components of implementing

emergency medical services described in this Chapter;

(f) the Office of EMS shall be responsible for

determining that the operation of training programs at the

NREMR, NREMT, NAEMT and NRP levels are in

compliance with this Chapter, and shall review and approve

curricula and syllabi of training courses or programs offered

to EMS personnel who provide basic, intermediate, and

advanced emergency medical services; consult with the

Guam Community College, the Guam Fire Department

Training Center, and any training service provider or

professional organization that provides emergency medical

services training for responder, basic, intermediate, advanced

life support and paramedic;

(g) establish and maintain standards for emergency

medical services course instructor qualifications and

requirements for emergency medical services training

facilities, instructors, and competency-based curriculum;

(h) collect and evaluate data for the continued

evaluation of the Guam EMS System through a quality

improvement program;

(i) coordinate emergency medical resources, such as

Disaster Teams comprised of NREMR, NREMT, NAEMT

and NRP and Licensed Registered Nurses employed by the

government of Guam agencies, and the allocation of the

Guam EMS System’s services and facilities in the event of

mass casualties, natural disasters, national emergencies, and

other emergencies, ensuring linkage to local and national

disaster plans, and participation in exercise to test these

plans;

(j) implement public information and education

programs to inform the public of the Guam EMS System and

its use, and disseminate other emergency medical

information, including appropriate methods of medical self-

help and first-aid training programs on the island;

(k) collaborate with the Emergency Medical Services

Commission on matters pertaining to the implementation of

this Chapter;

(l) develop an effective emergency medical services

communication system in cooperation with concerned public

and private organizations and persons. The communication

system shall include, but is not limited to:

(1) programs aimed at locating accidents and

acute illnesses on and off the roadways and directly

reporting such information to the responding agency;

(2) direct ambulance communication with the

emergency medical services facility;

(3) minimum standards and regulations on

communication for all appropriate medical components;

(4) assist in the development of an enhanced 911

emergency telephone system; and

(5) establish the standards and provide training

for dispatchers in the EMS System, and maintain a

program of quality improvement for dispatch equipment

and operations;

(m) regulate, inspect, certify, and re-certify emergency

medical services facilities, personnel, equipment, supplies,

ambulances, advanced life support vehicles, ambulance,

emergency ambulance services, private non-emergent

medical transport vehicle providers, private communications

facilities and locations engaged in providing emergency

medical services under this Chapter;

(n) the Office of EMS may contract for the provision

of emergency medical services or any necessary component

of an emergency medical services system;

(o) establish rules and regulations for the contract of,

use, license, standards, liability, equipment and supplies,

personnel certifications and revocation or suspension

processes for ambulance service, emergency ambulance

service and non-emergent medical transport vehicle;

(p) establish criteria necessary to maintain certification

as emergency medical services personnel, which shall

include, but not be limited to, the following:

(1) a formal program of continuing education;

(2) a minimum period of service as emergency

medical services personnel; and

(3) re-certification at regular intervals, which

shall include a performance examination and may

include written examinations and skills proficiency

exam;

(q) apply for, receive, and accept gifts, bequests,

grants-in-aid, and federal aid, and other forms of financial

assistance to carry out this Chapter;

(r) prepare budgets, maintain fiscal integrity, and

disburse funds for emergency medical services;

(s) establish a schedule of fees to provide courses of

instruction and training for certification and/or recertification

in an amount sufficient to cover the reasonable costs of

administering the certification and/or recertification

provisions of the Office of EMS.

(1) The EMS Commission shall annually evaluate

fees to determine if the fee is sufficient to fund the actual

costs of the Office of EMS Certification and/or

Recertification program. If the evaluation shows that the

fees are excessive or are insufficient to fund the actual

costs of these programs, then the fees will be adjusted

accordingly pursuant to the Administrative

Adjudication Law (AAL). Any funds appropriated shall

not be subject to I Maga'låhen Guåhan’s transfer

authority and all monies not used in the fiscal year will

be rolled over into the next fiscal year;

(A) Initial fee schedules subject to

amendment pursuant to the AAL:

(i) for initial licensure applications the

fee schedule is: Basic level application fee

(NREMR or NREMT) - $75.00; Advanced

level application fee (NRAEMT or NRP) -

$125.00;

(ii) for applicants completing renewal

within one hundred twenty (120) days prior to

expiration date, the fee schedule is: Basic

level application fee (NREMR or NREMT) -

$50.00; Advanced level application fee

(NRAEMT or NRP) - $75.00;

(iii) for applicants completing renewal

within sixty (60) days prior to expiration date,

the fee schedule is: Basic level application fee

(NREMR or NREMT) - $75.00; Advanced

level application fee (NRAEMT or NRP) -

$100.00;

(iv) for applicants completing renewal

within thirty (30) days prior to expiration date,

the fee schedule is: Basic level application fee

(NREMR or NREMT) - $75.00; Advanced

level application fee (NRAEMT or NRP) -

$125.00;

(v) for applicants completing renewal

within ninety (90) days after expiration date,

the fee schedule is: Basic level application fee

(NREMR or NREMT) - $100.00; Advanced

level application fee (NRAEMT or NRP) -

$150.00;

(t) promote programs for the education of the general

public in first aid and emergency medical services and the

community paramedic outreach program;

(u) the Office of EMS shall, consistent with such plan,

coordinate and otherwise facilitate arrangements necessary

to develop the emergency medical services system;

(v) the Office of EMS will submit requests for grants

for federal, state, or private funds concerning emergency

medical services or related activities in its EMS area;

(w) the Office of EMS shall submit quarterly reports to

the EMS Commission of its review on the operations of each

of the following:

(1) ambulance services operating within Guam;

and

(2) emergency medical care offered within Guam,

including programs for training large numbers of people

in cardiopulmonary resuscitation and lifesaving first aid

techniques;

(x) the Office of EMS may assist in the

implementation of Guam’s poison information program,

including the provision of the Guam Memorial Hospital

Authority’s Poison Center;

(y) establish and maintain standards for emergency

medical services course instructor qualifications and

requirements for emergency medical services training

facilities; and

(z) the Office of EMS will develop and incorporate an

EMSC Program in the Guam EMS Plan. The EMSC

component shall include, but not be limited to, the following:

(1) EMSC system planning, implementation, and

management;

(2) injury and illness prevention planning that

includes, among other things, coordination, education,

and data collection;

(3) care rendered to patients outside the hospital;

(4) emergency department care;

(5) interfacility consultation, transfer, and

transport;

(6) pediatric critical care and pediatric trauma

services;

(7) general trauma centers with pediatric

considerations;

(8) pediatric rehabilitation plans that include,

among other things, data collection and evaluation,

education on early detection of need for referral, and

proper referral of pediatric patients;

(9) children with special EMS needs outside the

hospital;

(10) information management and system

evaluation;

(11) employ or contract with professional,

technical, research, and clerical staff as necessary to

implement this program;

(12) provide advice and technical assistance to

local EMS partners on the integration of an EMSC

Program into their EMS system;

(13) oversee implementation of the EMSC

Program by local EMS agencies;

(14) establish an EMSC technical advisory

committee;

(15) facilitate cooperative interstate relationships

to provide appropriate care for pediatric patients who

must travel abroad to receive emergency and critical

care services;

(16) work cooperatively and in a coordinated

manner with the Department of Public Health & Social

Services, and other public and private agencies, in the

development of standards and policies for the delivery

of emergency and critical care services to children; and

(17) produce a report for the Guam EMS

Commission describing any progress on

implementation of this Chapter. The report shall

contain, but not be limited to, a description of the status

of emergency medical services for children, the

recommendation for training, protocols, and special

medical equipment for emergency services for children,

an estimate of the costs and benefits of the services and

programs authorized by this Chapter, and a calculation

of the number of children served by the EMSC system.