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§ 100171. Record Keeping.

22 CA ADC § 100171Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 22. Social Security
Division 9. Prehospital Emergency Medical Services
Chapter 4. Emergency Medical Technician-Paramedic
Article 8. Record Keeping and Fees
22 CCR § 100171
§ 100171. Record Keeping.
Currentness
(a) Each paramedic approving authority shall maintain a record of approved training programs within its jurisdiction and annually provide the Authority with the name, address, and program director of each approved program. The Authority shall be notified of any changes in the list of approved training programs.
(b) Each paramedic approving authority shall maintain a list of current paramedic program medical directors, program directors, and principal instructors within its jurisdiction.
(c) The Authority shall maintain a record of approved training programs.
(d) Each LEMSA shall, at a minimum, maintain a list of all paramedics accredited by them in the preceding five (5) years.
(e) The paramedic is responsible for accurately completing, in a timely manner, the electronic health record referenced in Section 100170(a)(6) compliant with the current versions of the National EMS Information System and the California EMS Information System, which shall contain, but not be limited to, the following information when such information is available to the paramedic:
(1) The date and estimated time of incident.
(2) The time of receipt of the call (available through dispatch records).
(3) The time of dispatch to the scene.
(4) The time of arrival at the scene.
(5) The location of the incident.
(6) The patient's:
(A) Name;
(B) Age or date of birth;
(C) Gender;
(D) Weight, if necessary for treatment;
(E) Address;
(F) Chief complaint; and
(G) Vital signs.
(7) Appropriate physical assessment.
(8) Primary Provider Impression.
(9) The emergency care rendered and the patient's response to such treatment.
(10) Patient disposition.
(11) The time of departure from scene.
(12) The time of arrival at receiving facility (if transported).
(13) Time patient care was transferred to receiving facility.
(14) The name of receiving facility (if transported).
(15) The name(s) and unique identifier number(s) of the paramedics.
(16) Signature(s) of the paramedic(s).
(f) A LEMSA shall establish policies for the collection, utilization, storage and secure transmission of interoperable electronic health records.
(g) The paramedic service provider shall submit electronic health records to the LEMSA according to the LEMSA's policies and procedures.
(h) The LEMSA shall submit the electronic health record data to the Authority within seventy-two (72) hours after completion of the patient encounter, or at longer intervals if established by written agreement between the LEMSA and the Authority.

Credits

Note: Authority cited: Sections 1797.107, 1797.172 and 1797.185, Health and Safety Code. Reference: Sections 1797.172, 1797.173, 1797.185, 1797.200, 1797.204, 1797.208 and 1797.227, Health and Safety Code.
History
1. Relocation and renumbering of article heading, renumbering and amendment of former section 100170 to section 100171 filed 11-29-93 as an emergency; operative 12-1-93 (Register 93, No. 49). A Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of law on the following day. For prior history, see Register 92, No. 10.
2. Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94; disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94 (Register 94, No. 19).
3. 11-29-93 order refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 5-12-94 order transmitted to OAL 9-9-94 and filed 10-24-94 (Register 94, No. 43).
5. Renumbering of former article 7 to article 9, new article 7 heading, renumbering of former section 100171 to section 100176 and renumbering of former section 100166 to section 100171, including amendment of section heading, section and Note, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
6. Renumbering of former article 7 to article 6, relocation of newly designated article 6 heading to precede section 100166, renumbering of section 100171 to section 100166 and renumbering and amendment of former section 100177 to section 100171 filed 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
7. Amendment of subsections (a) and (b)(3)-(4) and amendment of Note filed 5-19-2010; operative 6-18-2010 (Register 2010, No. 21).
8. Relocation of article 8 heading from preceding section 100170 to precede section 100171, renumbering of former section 100171 to section 100172 and renumbering and amendment of former section 100170 to section 100171 filed 2-11-2013; operative 4-1-2013 (Register 2013, No. 7).
9. Amendment of section and Note filed 1-24-2020; operative 4-1-2020 (Register 2020, No. 4).
This database is current through 4/19/24 Register 2024, No. 16.
Cal. Admin. Code tit. 22, § 100171, 22 CA ADC § 100171
End of Document