Non-Emergency Patient Transport Regulations 2005

i Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 TABLE OF PROVISIONS Regulation Page PART 1—PRELIMINARY 1 1. Objective 1 2. Authorising provision 1 3. Commencement 2 4. Definitions 2 PART 2—CLASSES OF NON-EMERGENCY PATIENT TRANSPORT SERVICES 6 Division 1—Classes of Transport Service 6 5. Classes of transport service 6 Division 2—Transport of Low Acuity Patients 6 6. Definition 6 7. Staffing of vehicles used for the transport of low acuity patients by a non-emergency patient transport service 7 8. Staffing of aeromedical services for transport of low acuity patients 8 Division 3—Transport of Medium Acuity Patients 8 9. Definition 8 10. Staffing of vehicles used for the transport of medium acuity patients by a non-emergency patient transport service 9 11. Staffing of aeromedical services for transport of medium acuity patients 10 Division 4—Transport of High Acuity Patients 11 12. Definition 11 13. Staffing of vehicles used for the transport of high acuity patients by a non-emergency patient transport service 12 14. Staffing of aeromedical services for transport of high acuity patients 13 -- 1 of 68 -- Regulation Page ii Division 5—Transport of Patients with a Mental Disorder 13 15. Application 13 16. Transport of patients 14 17. Staffing of vehicles used for the transport of a patient with a mental disorder by a non-emergency patient transport service 14 18. Staffing of aeromedical services for the transport of a patient with a mental disorder 15 PART 3—STAFFING OF NON-EMERGENCY PATIENT TRANSPORT SERVICES 16 19. Qualifications for staff of non-emergency patient transport services 16 20. Qualifications for staff of an aeromedical service 18 21. Currency of qualifications 19 22. Staff identification 19 23. Standardisation of qualifications and experience 20 24. Skills maintenance training 20 PART 4—LICENSING 22 25. Application for a licence 22 26. Application for renewal of licence 22 27. Application for variation of a licence 22 28. Application for approval in principle 22 29. Application for variation of approval in principle 23 30. Quality accreditation 23 31. Loss of quality accreditation 24 PART 5—STAND-BY SERVICES AT PUBLIC EVENTS 25 32. Application for stand-by accreditation at public events 25 33. Accreditation for stand-by services at public events 25 PART 6—RECORDS 26 34. Records to be kept 26 35. Patient Care Records 26 36. Staff records 28 37. Records of an aeromedical service 29 PART 7—PATIENT RIGHTS AND INFORMATION 30 38. Establishment of complaints register 30 39. Contents of complaints register 30 40. Contact details of a provider 30 41. Provision of information brochure 30 42. Content of information brochure 31 -- 2 of 68 -- Regulation Page iii PART 8—INFECTION CONTROL 32 43. Infection control management plan 32 44. Vehicles 32 45. Linen 33 PART 9—PROVISION, INSPECTION AND MAINTENANCE OF VEHICLES AND EQUIPMENT 34 46. Maintenance of vehicles and equipment 34 47. Records of maintenance 34 48. Restraints 34 49. Interiors of road vehicles 36 50. Exterior of vehicles and livery 37 51. Equipment 38 52. Communication devices 39 PART 10—GENERAL 40 53. Licence to be prominently displayed 40 54. Public and professional liability insurance 40 55. Clinical practice protocols 40 PART 11—AEROMEDICAL SERVICES 41 56. Report of breach of CASA requirements 41 57. Aircraft equipment 41 58. Configuration 42 59. Stowage 42 60. Loading 42 61. Cabin 43 62. Medical equipment 44 63. Other equipment requirements 45 PART 12—INFRINGEMENTS 46 64. Infringement notices 46 65. Infringement penalties 46 __________________ SCHEDULES 47 SCHEDULE 1—Application for a Non-emergency Patient Transport Service Licence 47 SCHEDULE 2—Application for the Renewal of a Non-emergency Patient Transport Service Licence 49 SCHEDULE 3—Application for Variation of a Non-emergency Patient Transport Service Licence 50 -- 3 of 68 -- Regulation Page iv SCHEDULE 4—Application for Approval in Principle to Operate a Non-emergency Patient Transport Service 51 SCHEDULE 5—Application for Variation or Transfer of Certificate of Approval in Principle to Operate a Non-emergency Patient Transport Service 52 SCHEDULE 6—Application for Stand-by Service Accreditation 54 SCHEDULE 7—Fees 55 SCHEDULE 8—Equipment and Supplies to be Provided in Non- emergency Patient Transport Vehicles Including Aircraft Used to Transport Low Acuity Patients 56 SCHEDULE 9—Equipment and Supplies to be Provided in Non- emergency Patient Transport Vehicles Including Aircraft Used to Provide Transport for Medium and High Acuity Patients 57 SCHEDULE 10—Equipment and Supplies to be Provided in Non- emergency Patient Transport Vehicles Including Aircraft Used by Nets to Provide Transport for Medium and High Acuity Patients 59 SCHEDULE 11—Infringement Notices and Penalties 60 ═══════════════ ENDNOTES 61 -- 4 of 68 -- 1 STATUTORY RULES 2005 S.R. No. 135/2005 Non-Emergency Patient Transport Act 2003 Non-Emergency Patient Transport Regulations 2005 The Governor in Council makes the following Regulations: Dated: 8 November 2005 Responsible Minister: BRONWYN PIKE Minister for Health RUTH LEACH Clerk of the Executive Council PART 1—PRELIMINARY 1. Objective The objective of these Regulations is to prescribe standards and requirements for the provision of non-emergency patient transport services under the Non-Emergency Patient Transport Act 2003. 2. Authorising provision These Regulations are made under section 64 of the Non-Emergency Patient Transport Act 2003. -- 5 of 68 -- Part 1—Preliminary Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 2 3. Commencement (1) These Regulations (apart from regulations 19(b), 30(1), 48(5) and 51(4)) come into operation on 1 February 2006. (2) Regulations 19(b) and 48(5) come into operation on 1 February 2007. (3) Regulation 30(1) comes into operation on 1 September 2007. (4) Regulation 51(4) comes into operation on 1 February 2009. 4. Definitions In these Regulations— "additives" means any drug or therapeutic substance that is prescribed for the patient by a registered medical practitioner; "aeromedical service" means a non-emergency patient transport service that transports patients by air; "air transport pilot licence" means a licence by that name issued by CASA; "AS/NZS 4535:1999" means Australia/New Zealand Standard 4535:1999, Ambulance restraint systems, as published jointly by Standards Australia and Standards New Zealand on 5 February 1999; "CASA" means the Civil Aviation Safety Authority; "infection control guidelines" means the Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004; r. 3 -- 6 of 68 -- Part 1—Preliminary Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 3 "intervention", in relation to the treatment of a high acuity patient, means any treatment which may be administered by staff involved in high acuity patient care and includes any invasive procedure; "management", in relation to the treatment of a patient, includes the administration of those drugs which are permitted to be administered according to the clinical practice protocols and other general treatment not including intervention; "monitoring", in relation to the treatment of a patient, includes monitoring of cardiac, respiratory, metabolic, neurological or fluid status or any combination thereof, and monitoring of equipment; "National Training Information Service" means a service developed by the Australian National Training Authority to provide access to current and emerging training market information and products in vocational education and training; "NETS" means the Newborn Emergency Transport Service operated under the auspices of the Royal Women's Hospital; "nurse" means a Division 1 nurse on the register of nurses kept under Part 2 of the Nurses Act 1993; "obtund" means to blunt or deaden in a manner which reduces or causes complete loss of sensation in nerves; "PETS" means the Paediatric Emergency Transport Service operated by the Royal Children's Hospital Paediatric Intensive Care Unit; r. 4 -- 7 of 68 -- Part 1—Preliminary Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 4 "provider" means— (a) a person who provides non-emergency patient transport services in accordance with a licence under section 5(1) of the Act; and (b) an ambulance service within the meaning of the Ambulance Services Act 1986 when providing a non- emergency patient transport service; and (c) a public hospital or denominational hospital when providing a non- emergency patient transport service; and (d) any other person providing non- emergency patient transport services in accordance with the Act; "registered training organisation" means a person or body registered in accordance with the Victorian Qualifications Authority Act 2000 to deliver an accredited course or issue a recognised qualification; "rural location" means a location within the Barwon South Western Region, Gippsland Region, Grampians Region, Hume Region or Loddon Mallee Region, as prescribed in the Health Services (Prescribed Regions) Regulations 2004 1 ; "shock advisory external defibrillator" means an automatic external defibrillator that provides the operator with an audible or visible prompt to discharge the defibrillator to deliver a shock to the patient when it recognises a shockable rhythm; "the Act" means the Non-Emergency Patient Transport Act 2003; r. 4 -- 8 of 68 -- Part 1—Preliminary Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 5 "the clinical practice protocols" means the Clinical Practice Protocols Manual published by the Department in September 2005; "time critical" in relation to the condition of a patient, means that the condition is such that immediate medical attention is necessary and requires a response by the public emergency ambulance service; "VAERCS" means the Victorian Adult Emergency Retrieval Coordination Service that is operated by St Vincent's Health Melbourne under a service agreement with the Department to transport ill patients to a higher level of health care service; "Victorian Qualifications Authority" means the Victorian Qualifications Authority established by the Victorian Qualifications Authority Act 2000. __________________ r. 4 -- 9 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 6 PART 2—CLASSES OF NON-EMERGENCY PATIENT TRANSPORT SERVICES Division 1—Classes of Transport Service 5. Classes of transport service For the purposes of section 64(1)(d) of the Act, the following classes of non-emergency patient transport service are prescribed— (a) low acuity patient road transport service; (b) low acuity patient air transport service; (c) medium acuity patient road transport service; (d) medium acuity patient air transport service; (e) high acuity patient road transport service; (f) high acuity patient air transport service. Division 2—Transport of Low Acuity Patients 6. Definition In this Division a "low acuity patient" is a patient who requires active monitoring and has one or more of the following conditions— (a) impaired cognitive function requiring supervision; (b) chronic diagnosed shortness of breath if there has been no recent change in that condition; (c) an inability to travel in a normal seated position; r. 5 -- 10 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 7 (d) an inability to walk more than a few steps unaided— but does not include a patient— (e) with a diagnosed mental disorder; (f) referred to in paragraph (b), if being transported by an aeromedical service; (g) whose condition is time critical or whose condition is likely to become time critical during transport. 7. Staffing of vehicles used for the transport of low acuity patients by a non-emergency patient transport service A provider, if transporting a low acuity patient in a vehicle by road, must provide the following staff— (a) if the patient is able to walk to the vehicle and lie down on a stretcher unaided, 1 patient transport officer; or (b) if the patient is unable to walk to the vehicle and lie down on a stretcher unaided, 2 patient transport officers; or (c) if a risk assessment is carried out in accordance with the Occupational Health and Safety (Manual Handling) Regulations 19992 , and it is deemed safe on the grounds that assistance at either end of the journey will be provided, 1 patient transport officer. Penalty: 20 penalty units. r. 7 -- 11 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 8 8. Staffing of aeromedical services for transport of low acuity patients A provider of an aeromedical service, if transporting a low acuity patient by air, must provide the following staff— (a) 1 pilot; and (b) either— (i) if the patient is able to walk into the aircraft and lie down on a stretcher unaided, 1 ambulance transport attendant; or (ii) if a risk assessment is carried out in accordance with the Occupational Health and Safety (Manual Handling) Regulations 1999, and it is deemed safe on the grounds that the road crew at either end of the journey or aircrew can assist, 1 ambulance transport attendant; or (iii) if paragraph (b)(i) and (ii) do not apply, 1 ambulance transport attendant and 1 patient transport officer. Penalty: 20 penalty units. Division 3—Transport of Medium Acuity Patients 9. Definition In this Division a "medium acuity patient" is a patient— (a) who requires active monitoring or management; and (b) who is assessed by a registered medical practitioner as being haemodynamically stable for the duration of the transport; and r. 8 -- 12 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 9 (c) who may also require— (i) specialised equipment requiring monitoring; or (ii) observation and monitoring of an intravenous infusion that does not contain any vasoactive agents; or (iii) in cases where the patient has been pain-free for a period of not less than 2 hours from the time of presentation, observation and monitoring of an intravenous infusion that contains glyceryl trinitrate— but does not include a patient whose condition is time critical or whose condition is likely to become time critical during the transport. 10. Staffing of vehicles used for the transport of medium acuity patients by a non-emergency patient transport service (1) A provider, if transporting a medium acuity patient in a vehicle by road, must provide the following staff— (a) 1 ambulance transport attendant; and (b) 1 patient transport officer. Penalty: 20 penalty units. (2) Sub-regulation (1) does not apply to a provider that is an ambulance service if— (a) the service is operating at a rural location; and (b) it is not reasonably practicable for the service, by reason of its location, to comply with the requirements of that sub-regulation. r. 10 -- 13 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 10 (3) Despite sub-regulation (2), sub-regulation (1) applies if a provider that is an ambulance service is transporting a sedated patient. (4) If sub-regulation (2) applies, the provider must take reasonable steps to secure the services of another provider to undertake the transport. (5) A provider that has been unable to secure the services of another provider in accordance with sub-regulation (4) may transport the patient using the staff available at the rural location. 11. Staffing of aeromedical services for transport of medium acuity patients A provider of an aeromedical service, if transporting a medium acuity patient by air, must provide the following staff— (a) 1 pilot; and (b) either— (i) if a risk assessment has been carried out in accordance with the Occupational Health and Safety (Manual Handling) Regulations 1999, and it is deemed safe on the grounds that the road crew at either end of the journey or aircrew can assist, 1 ambulance transport attendant; or (ii) if paragraph (b)(i) does not apply, 1 ambulance transport attendant and 1 patient transport officer. Penalty: 20 penalty units. r. 11 -- 14 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 11 Division 4—Transport of High Acuity Patients 12. Definition In this Division a "high acuity patient" is a patient— (a) who requires active monitoring, management or intervention; and (b) who is assessed by a registered medical practitioner as being haemodynamically stable for the duration of the transport; and (c) who requires one or more of the following— (i) cardiorespiratory support; (ii) a higher level of care than that required by regulation 9 for the transport of a medium acuity patient; (iii) in cases where the patient has been pain free for at least 2 hours from the time of presentation, observation and monitoring of an intravenous line with additives including glyceryl trinitrate; (iv) transport by NETS, PETS or VAERCS in a vehicle used to transport patients by a non-emergency patient transport service— but does not include a patient whose condition is time critical or whose condition is likely to become time critical during the transport. r. 12 -- 15 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 12 13. Staffing of vehicles used for the transport of high acuity patients by a non-emergency patient transport service (1) A provider, if transporting a high acuity patient in a vehicle by road, must provide the following staff in accordance with paragraph (a), (b) or (c)— (a) (i) 1 patient transport officer; and (ii) 1 ambulance transport attendant; and (iii) a nurse or registered medical practitioner escort from the health service from which the patient is being transported; or (b) (i) 1 patient transport officer; and (ii) 1 nurse with the qualifications set out in regulation 19(f); or (c) (i) 1 patient transport officer; and (ii) 1 member of staff of NETS, PETS or VAERCS. Penalty: 20 penalty units. (2) Sub-regulation (1) does not apply to a provider that is an ambulance service if— (a) the service is operating at a rural location; and (b) it is not reasonably practicable for the service, by reason of its location, to achieve the staffing requirements set out in that sub- regulation. (3) Despite sub-regulation (2), sub-regulation (1) applies if a provider that is an ambulance service is transporting a sedated patient. (4) If sub-regulation (2) applies, the provider must take reasonable steps to secure the services of another provider to undertake the transport. r. 13 -- 16 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 13 (5) A provider that has been unable to secure the services of another provider in accordance with sub-regulation (4) may transport the patient using the staff available at the rural location. 14. Staffing of aeromedical services for transport of high acuity patients A provider of an aeromedical service, if transporting a high acuity patient by air, must provide the following staff— (a) 1 pilot; and (b) either— (i) a nurse or registered medical practitioner escort from the health service from which the patient is being transported and 1 ambulance transport attendant; or (ii) 1 nurse with the qualifications set out in regulation 19(f); or (iii) 1 ambulance transport attendant and 1 staff member of, NETS, PETS or VAERCS. Penalty: 20 penalty units. Division 5—Transport of Patients with a Mental Disorder 15. Application (1) This Division applies to the transport of a patient who is receiving services for a mental disorder at a health service and who requires transport from that health service to another health service, or to the patient's place of residence. (2) This Division does not apply to the transport of a patient under a provision of the Mental Health Act 1986 or the Crimes (Mental Impairment and Unfitness to be Tried) Act 1997. r. 14 -- 17 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 14 16. Transport of patients (1) A provider may only transport a patient referred to in regulation 15 if— (a) no restraint is required; and (b) sedation that is administered prior to transport does not obtund the patient and repeat doses are not expected to be required during transportation; and (c) the patient is assessed as stable and suitable for transport by a registered medical practitioner at the health service from which the patient is being transported. (2) A provider must ensure that the patient is transported as a medium or high acuity patient, whether or not active monitoring of vital signs is required. Penalty: 20 penalty units. 17. Staffing of vehicles used for the transport of a patient with a mental disorder by a non-emergency patient transport service (1) A provider, if transporting a patient referred to in regulation 15 by road, must provide the following staff— (a) 1 ambulance transport attendant; and (b) 1 patient transport officer. Penalty: 20 penalty units. (2) Sub-regulation (1) does not apply to a provider that is an ambulance service if— (a) the service is operating at a rural location; and r. 16 -- 18 of 68 -- Part 2—Classes of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 15 (b) it is not reasonably practicable for the service, by reason of its location, to achieve the staffing requirements set out in sub- regulation (1). (3) Despite sub-regulation (2), sub-regulation (1) applies if a provider that is an ambulance service is transporting a sedated patient. (4) If sub-regulation (2) applies, the provider must take reasonable steps to secure the services of another provider to undertake the transport. (5) A provider that has been unable to secure the services of another provider in accordance with sub-regulation (4) may transport the patient using the staff available at the rural location. 18. Staffing of aeromedical services for the transport of a patient with a mental disorder A provider of an aeromedical service, if transporting a patient referred to in regulation 15 by air, must provide the following staff— (a) 1 pilot; and (b) if a risk assessment is carried out in accordance with the Occupational Health and Safety (Manual Handling) Regulations 1999, and it is deemed safe on the grounds that the road crew at either end of the journey or the aircrew can assist, 1 ambulance transport attendant; or (c) if paragraph (b) does not apply, 1 ambulance transport attendant and 1 patient transport officer. Penalty: 20 penalty units. __________________ r. 18 -- 19 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 16 PART 3—STAFFING OF NON-EMERGENCY PATIENT TRANSPORT SERVICES 19. Qualifications for staff of non-emergency patient transport services A provider must ensure that staff members of the provider have the following minimum qualifications— (a) for a person driving a vehicle used for the transport of a patient by a non-emergency patient transport service, a full driver licence. Penalty: 20 penalty units; (b) for a patient transport officer, Certificate III in Non-Emergency Patient Transport, or equivalent. Penalty: 20 penalty units; (c) for an ambulance transport attendant— (i) Diploma of Paramedical Science (Ambulance) or equivalent, and not less than 400 hours of supervised clinical practice; or (ii) Diploma of Health Sciences (Emergency Care), and not less than 400 hours of supervised clinical practice. Penalty: 20 penalty units; (d) for an ambulance officer— (i) Associate Diploma of Health Science (Ambulance Officer); or (ii) Certificate of Applied Science (Ambulance Officer); or r. 19 -- 20 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 17 (iii) Diploma in Health Science (Ambulance) or equivalent. Penalty: 20 penalty units; (e) for a nurse employed by a provider, completion of an appropriate bridging course for practice in the non-emergency patient transport sector. Penalty: 20 penalty units; (f) for a nurse employed by a provider to undertake the primary care role in the transport of high acuity patients— (i) a critical care qualification; and (ii) experience in the intensive care unit, coronary care unit, emergency department or equivalent unit of a hospital, within the preceding 24 months; and (iii) an appropriate bridging course for practice in the non-emergency patient transport sector. Penalty: 20 penalty units; (g) for a clinical instructor— (i) full time work for a period of not less than 18 months or equivalent as— (A) an ambulance paramedic with an ambulance service; or (B) an ambulance transport attendant or nurse with a non-emergency patient transport service provider; and r. 19 -- 21 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 18 (ii) completion of a clinical instructors programme, consisting of not less than the following units of the certificate level IV Training and Assessment recognised by the National Training Information Service— (A) Provide training through instruction and demonstration of work skills; (B) Plan and organise assessment; (C) Assess competence; (D) Participate in assessment validation or equivalent. Penalty: 20 penalty units. 20. Qualifications for staff of an aeromedical service (1) A provider must ensure that in addition to the requirements of regulation 19, staff of an aeromedical service, other than a pilot and patient transport officer, must have successfully completed the introductory unit of the Monash University Centre of Paramedic Studies Certificate in Aeromedical Retrieval, or equivalent. Penalty: 20 penalty units. (2) A provider must ensure that a pilot transporting a patient holds an air transport pilot licence. Penalty: 20 penalty units. r. 20 -- 22 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 19 21. Currency of qualifications A provider must ensure that all staff referred to in regulation 19— (a) have been actively employed by a non- emergency patient transport service or an ambulance service within the 2 years prior to commencing work with the provider; or (b) undertake supervised clinical practice for a period equivalent to not less than 10 full time weeks. Penalty: 20 penalty units. 22. Staff identification (1) A provider must ensure that all staff referred to in regulation 19 wear an identification tag while on duty displaying one of the following titles as appropriate— (a) Non-Emergency Patient Transport—Patient Transport Officer; (b) Non-Emergency Patient Transport— Ambulance Transport Attendant; (c) Non-Emergency Patient Transport— Ambulance Officer; (d) Non-Emergency Patient Transport— Division 1 Registered Nurse; (e) Non-Emergency Patient Transport— Division 1 Registered Nurse—Critical Care. Penalty: 1 penalty unit. (2) A provider must ensure that the words "Non-Emergency Patient Transport" are dominant on the identification tag and that the title appears in a less prominent manner. Penalty: 1 penalty unit. r. 21 -- 23 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 20 23. Standardisation of qualifications and experience (1) In accordance with regulation 19(b), (c) and (d) and regulation 20(1), a provider must, before employing any staff member whose qualifications are equivalent to the qualifications set out in those regulations— (a) commission a registered training organisation to undertake an assessment of the prospective staff member's qualifications, currency of qualifications and clinical experience to ensure that they are of an equivalent standard to the qualifications set out in those regulations; or (b) require the prospective staff member to produce a certificate that states that the qualifications of the prospective staff member are equivalent to the qualifications set out in those regulations. Penalty: 10 penalty units. (2) Before engaging a registered training organisation to undertake an assessment, the provider must ensure that the registered training organisation is registered with the Victorian Qualifications Authority to deliver training in a course set out in regulations 19 and 20 that is relevant to the job classification of the prospective staff member. 24. Skills maintenance training (1) A provider must ensure that all staff referred to in regulation 19 are provided with annual training in the following areas— (a) basic life support; and r. 23 -- 24 of 68 -- Part 3—Staffing of Non-emergency Patient Transport Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 21 (b) occupational health and safety, with particular attention to manual handling and infection control; and (c) the clinical practice protocols. Penalty: 10 penalty units. (2) A provider must ensure that in addition to the requirements of sub-regulation (1), ambulance transport attendants, ambulance officers and nurses undertaking medium and high acuity patient transport are provided with training in defibrillator and electrocardiogram rhythm recognition. Penalty: 10 penalty units. (3) Sub-regulation (2) does not apply to NETS. (4) A provider must keep a record of the names of staff who have participated in training in respect of each subject area set out in sub-regulations (1) and (2), and the level of accreditation achieved by each staff member. Penalty: 10 penalty units. __________________ r. 24 -- 25 of 68 -- Part 4—Licensing Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 22 PART 4—LICENSING 25. Application for a licence (1) For the purposes of section 14(2)(a) of the Act, the prescribed form is the form set out in Schedule 1. (2) For the purposes of section 14(2)(b) of the Act, the prescribed fee is to be calculated in accordance with items 3 and 4 of Schedule 7. 26. Application for renewal of licence (1) For the purposes of section 21(2)(a) of the Act, the prescribed form is the form set out in Schedule 2. (2) For the purposes of section 21(2)(b) of the Act, the prescribed fee is to be calculated in accordance with item 6 of Schedule 7. 27. Application for variation of a licence (1) For the purposes of section 26(2)(a) of the Act, the prescribed form is the form set out in Schedule 3. (2) For the purposes of section 26(2)(b) of the Act, the prescribed fee is to be calculated in accordance with item 5 of Schedule 7. 28. Application for approval in principle (1) For the purposes of section 8(2)(a) of the Act, the prescribed form is the form set out in Schedule 4. (2) For the purposes of section 8(2)(b) of the Act, the prescribed fee is to be calculated in accordance with item 1 of Schedule 7. r. 25 -- 26 of 68 -- Part 4—Licensing Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 23 29. Application for variation of approval in principle (1) For the purposes of sections 8(2)(a) and 12 of the Act, the prescribed form is the form set out in Schedule 5. (2) For the purposes of section 8(2)(b) and section 12 of the Act, the prescribed fee is to be calculated in accordance with item 2 of Schedule 7. 30. Quality accreditation (1) A person applying for a licence under section 5(1) of the Act must— (a) have obtained quality accreditation from the Australian Council on Healthcare Standards or the Quality Improvement Council or a similarly recognised body, or certification of a quality improvement system from a company accredited by the Joint Accreditation System of Australia and New Zealand; or (b) (i) obtain quality accreditation or certification as described in paragraph (a) within 18 months of being granted a licence; and (ii) provide a plan with the application that sets out what steps will be taken to achieve accreditation or certification within 18 months of being granted a licence. (2) A person granted a licence must maintain the quality accreditation or certification for the duration of the licence. Penalty: 10 penalty units. r. 29 -- 27 of 68 -- Part 4—Licensing Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 24 31. Loss of quality accreditation A licence holder must report immediately to the Department any suspension or revocation of their quality accreditation during the period of their licence. __________________ r. 31 -- 28 of 68 -- Part 5—Stand-by Services at Public Events Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 25 PART 5—STAND-BY SERVICES AT PUBLIC EVENTS 32. Application for stand-by accreditation at public events (1) For the purposes of section 35(4)(a) of the Act, the prescribed form is the form set out in Schedule 6. (2) For the purposes of section 35(4)(b) of the Act, the prescribed fee is to be calculated in accordance with item 7 of Schedule 7. 33. Accreditation for stand-by services at public events A provider that applies for stand-by service accreditation under section 35(3) of the Act and that can demonstrate on application a capability to transport medium acuity or high acuity patients may be granted stand-by service accreditation. __________________ r. 32 -- 29 of 68 -- Part 6—Records Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 26 PART 6—RECORDS 34. Records to be kept (1) A provider must ensure that all the following records are accurately maintained— (a) patient care records; (b) staff records; (c) vehicle and equipment registers. Penalty: 10 penalty units. (2) A provider must ensure that the records referred to in sub-regulation (1) are stored in a secure manner in accordance with the Australian/New Zealand Standard 7799.2.2003, Information Security Management, Part 2: Specification for information security management systems, as published jointly by Standards Australia/Standards New Zealand on 11 February 2003. Penalty: 10 penalty units. 35. Patient Care Records (1) In the case of a low acuity patient, a provider must ensure that a patient care record includes the following information— (a) the patient's name; and (b) the patient's address; and (c) the patient's date of birth; and (d) the patient's gender; and (e) the time and date of the patient's transport and, in the case of aeromedical services, the flight time; and (f) the reason for the patient's transport; and r. 34 -- 30 of 68 -- Part 6—Records Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 27 (g) the patient's pick up location and final destination; and (h) the printed names and titles of staff undertaking the patient's transport. Penalty: 10 penalty units. (2) If a low acuity patient's destination is a health or aged care service, a provider must ensure that the information contained in the patient care record is verbally communicated to the person receiving the patient. (3) In the case of a medium or a high acuity patient, the provider must ensure that the patient care record includes the following information— (a) the patient's name; and (b) the patient's address; and (c) the patient's date of birth; and (d) the patient's gender; and (e) all relevant clinical details of the patient including any co-morbidities; and (f) the admission diagnosis of the patient; and (g) the time and date of the patient's transport and, in the case of an aeromedical service, the flight time; and (h) the reason for the patient's transport; and (i) the name of the registered medical practitioner that has assessed the patient as being haemodynamically stable for the duration of the transport; and (j) the patient's pick up location and final destination; and r. 35 -- 31 of 68 -- Part 6—Records Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 28 (k) details of any monitoring or treatment provided to the patient during transportation; and (l) the printed names and titles of staff undertaking the patient's transport. Penalty: 10 penalty units. (4) If a medium or high acuity patient's destination is a health or aged care service, a provider must ensure that— (a) the information contained in the patient care record is communicated verbally to the person receiving the patient at the health or aged care service; and (b) a copy of the patient care record is provided to the person receiving the patient at the health or aged care service. 36. Staff records (1) For the purposes of regulation 34, staff records must include the following information in relation to each staff member— (a) full name; and (b) date of birth; and (c) job classification; and (d) qualifications; and (e) relevant clinical experience; and (f) if registered with a professional body, the relevant registration number; and (g) immunisation records as recommended in the infection control guidelines; and (h) mandatory skills maintenance training and accreditation record. Penalty: 10 penalty units. r. 36 -- 32 of 68 -- Part 6—Records Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 29 (2) In the case of an aeromedical service, in addition to the information specified in sub-regulation (1), staff records must contain— (a) details of a pre-employment examination by a CASA appointed designated aviation medical examiner who is not a staff member of the service; and (b) a schedule of and report on health and fitness reviews of staff members. Penalty: 10 penalty units. (3) A provider must retain the staff records for a period of not less than 2 years following cessation of employment of the staff member. Penalty: 10 penalty units. 37. Records of an aeromedical service A provider of an aeromedical service must produce a copy of its current Air Operators Certificate issued by CASA to the Department at the request of the Department. Penalty: 10 penalty units. __________________ r. 37 -- 33 of 68 -- Part 7—Patient Rights and Information Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 30 PART 7—PATIENT RIGHTS AND INFORMATION 38. Establishment of complaints register A provider must establish a complaints register for all complaints received about the service, whether the complaints were made in writing or verbally. Penalty: 10 penalty units. 39. Contents of complaints register A provider must ensure that its complaints register contains the following information— (a) the nature of the complaint; and (b) the date of the complaint; and (c) details of any investigation of the complaint; and (d) the outcome of any investigation of the complaint; and (e) any action taken. Penalty: 10 penalty units. 40. Contact details of a provider A provider must ensure that contact details for its non-emergency patient transport service are provided to each patient transported by the service, before the completion of the transport. Penalty: 10 penalty units. 41. Provision of information brochure A provider must ensure that an information brochure containing the information set out in regulation 42 is made available on request to a patient transported by the service. Penalty: 10 penalty units. r. 38 -- 34 of 68 -- Part 7—Patient Rights and Information Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 31 42. Content of information brochure An information brochure provided to a patient in accordance with regulation 41 must contain the following information— (a) the patient's rights when using a non- emergency patient transport service; and (b) the non-emergency patient transport service's complaints procedure, including— (i) contact details of the non-emergency patient transport service; and (ii) how a complaint about the service will be managed and the associated time frames; and (iii) alternative avenues for making a complaint about the service. Penalty: 10 penalty units. __________________ r. 42 -- 35 of 68 -- Part 8—Infection Control Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 32 PART 8—INFECTION CONTROL 43. Infection control management plan (1) A provider must ensure that an infection control management plan is developed in compliance with the infection control guidelines. Penalty: 20 penalty units. (2) Without limiting the generality of sub- regulation (1) the plan must— (a) identify all possible areas where there is a risk of transmission of infection; and (b) identify areas that require ongoing infection control education; and (c) state the name and qualifications of the person responsible for identifying areas of risk; and (d) identify the mechanism by which compliance with the infection control management plan will be monitored. Penalty: 20 penalty units. (3) A provider must ensure that the infection control management plan is reviewed annually. Penalty: 20 penalty units. 44. Vehicles (1) A provider must ensure that a vehicle-cleaning plan is developed in compliance with the infection control guidelines. Penalty: 20 penalty units. r. 43 -- 36 of 68 -- Part 8—Infection Control Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 33 (2) The vehicle-cleaning plan must include— (a) an associated cleaning schedule; and (b) guidelines on cleaning practices. Penalty: 20 penalty units. (3) A provider must ensure that all vehicles used for the transport of patients by a non-emergency patient transport service are kept in a clean and hygienic condition. Penalty: 20 penalty units. 45. Linen A provider must ensure that the use, disposal and laundering of linen is included in the infection control management plan developed under regulation 43. __________________ r. 45 -- 37 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 34 PART 9—PROVISION, INSPECTION AND MAINTENANCE OF VEHICLES AND EQUIPMENT 46. Maintenance of vehicles and equipment A provider must ensure that an annual maintenance schedule is developed to ensure all vehicles and equipment are kept in good working order in accordance with the manufacturers' specifications. Penalty: 10 penalty units. 47. Records of maintenance (1) A provider must keep an accurate record of all maintenance and repairs to vehicles and equipment. Penalty: 10 penalty units. (2) A provider must ensure that the record referred to in sub-regulation (1) is retained and maintained for the lifespan of any vehicle or equipment to which it relates. Penalty: 10 penalty units. 48. Restraints (1) A provider must ensure that all stretcher and seating positions within a road vehicle are provided with adequate restraints as defined in AS/NZS 4535:1999 and the Australia/New Zealand Standard on Child restraint systems for use in motor vehicles, AS/NZS 1754:2000 incorporating Amendment No.1, published jointly by Standards Australia International and Standards New Zealand in April 2001. Penalty: 20 penalty units. r. 46 -- 38 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 35 (2) If a non-emergency patient transport service transports neonates within incubators, the provider must ensure that— (a) the incubator is fastened to the stretcher using restraint devices compliant with AS/NZS 4535:1999 in a manner that does not obstruct access to the infant; and (b) the neonate is restrained within the incubator with netting or a harness designed for this purpose. Penalty: 20 penalty units. (3) A provider must ensure that vehicle interiors are provided with adequate infant and child restraint devices to accommodate infants and children being transported. Penalty: 20 penalty units. (4) A provider must ensure that vehicle interiors are provided with adequate restraint devices compliant with AS/NZS 4535:1999 to allow for the restraint of equipment within the vehicle. Penalty: 20 penalty units. (5) A provider must ensure that vehicle interiors are provided with restraint devices adequate to secure a mobility device of up to 1 metre × 0⋅6 metres × 0⋅3 metres in size. Penalty: 20 penalty units. r. 48 -- 39 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 36 49. Interiors of road vehicles (1) A provider must ensure that vehicle interiors are provided with adequate room between stretchers and seats that is sufficient to facilitate proper patient care. Penalty: 10 penalty units. (2) A provider must ensure that vehicle interiors are provided with seating in the patient compartment to allow for at least one attendant and for adequate seating for all persons travelling in the vehicle. Penalty: 10 penalty units. (3) A provider must ensure that vehicle interiors allow the patient to be viewed at all times by staff working in an operational role. Penalty: 5 penalty units. (4) A provider must ensure that vehicle interiors are provided with heating and air-conditioning sufficient to ensure patient comfort within the vehicle. Penalty: 5 penalty units. (5) A provider must ensure that vehicles are provided with windows fitted to all doors. Penalty: 5 penalty units. (6) A provider must ensure that vehicle interiors are provided with window tinting, to a degree which is legally acceptable, to maintain patient privacy. Penalty: 5 penalty units. r. 49 r. 49 -- 40 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 37 (7) A provider must ensure that vehicle interiors are provided with adequate interior lighting to provide safe patient care at all times within all areas of the vehicle, together with the ability to adjust lighting from the patient compartment and from the driver compartment. Penalty: 10 penalty units. (8) A provider must ensure that vehicle interiors are provided with a 240 volt (2 amp) power supply with two outlets within the vehicle that must be installed by a qualified electrical contractor, and where the transport of incubators or other 12 volt devices is required, that a 12 volt (10 amp) power supply compliant with applicable electrical standards is available. Penalty: 10 penalty units. (9) A provider must ensure that vehicle interiors are provided with smooth, impermeable, seamless materials for the surface of floors and walls in accordance with the infection control guidelines. Penalty: 5 penalty units. 50. Exterior of vehicles and livery A provider must ensure that all vehicles used for the transport of patients by a non-emergency patient transport service are clearly distinguishable from an ambulance operated by an ambulance service within the meaning of section 39(1) of the Ambulance Services Act 1986, and that if the word "paramedic" or any variation to the word appears on the vehicle, the letters must be no larger than 6 centimetres in height. Penalty: 10 penalty units. r. 50 -- 41 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 38 51. Equipment (1) A provider, if transporting a low acuity patient in a vehicle by road or by air, must ensure that the vehicle or aircraft carries all the equipment and supplies specified in Schedule 8 and that the equipment is maintained in working order. Penalty: 20 penalty units. (2) A provider, other than NETS, if transporting a medium or high acuity patient in a vehicle by road or by air, must ensure that the vehicle or aircraft carries all the equipment and supplies specified in Schedule 9 and that the equipment is maintained in working order. Penalty: 20 penalty units. (3) NETS, if transporting a medium or high acuity patient in a vehicle by road or by air, must ensure that the vehicle or aircraft carries all the equipment and supplies specified in Schedule 10 and that the equipment is maintained in working order. Penalty: 20 penalty units. (4) A provider must ensure that any defibrillator carried is a shock advisory external defibrillator. Penalty: 20 penalty units. (5) A provider may use any additional health equipment supplied by the health service from which the patient is being transported, provided the health equipment complies with AS/NZS 4535:1999. (6) A provider must ensure that all electrical equipment is adequately charged for use during all hours of vehicle operation. Penalty: 10 penalty units. r. 51 -- 42 of 68 -- Part 9—Provision, Inspection and Maintenance of Vehicles and Equipment Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 39 52. Communication devices (1) A provider must ensure that communication devices are available during a non-emergency patient transport service's hours of operations to enable the service to maintain contact with the non-emergency patient transport service base, the health service destination and an ambulance service. Penalty: 20 penalty units. (2) In the case of an aeromedical service, the provider must ensure that all aircraft have a clinical communication system that facilitates direct, duplex communication between staff and other medical and transport services on the ground or any health service by the public switched telephone network. Penalty: 20 penalty units. __________________ r. 52 r. 52 -- 43 of 68 -- Part 10—General Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 40 PART 10—GENERAL 53. Licence to be prominently displayed A provider must display its non-emergency patient transport service licence in a prominent position in the reception or administrative area of the non-emergency patient transport service office. Penalty: 5 penalty units. 54. Public and professional liability insurance A provider must obtain public liability insurance and professional indemnity insurance, each to the value of 10 million dollars. 55. Clinical practice protocols A provider must comply with the clinical practice protocols. __________________ r. 53 -- 44 of 68 -- Part 11—Aeromedical Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 41 PART 11—AEROMEDICAL SERVICES 56. Report of breach of CASA requirements (1) A provider of an aeromedical service must report immediately to the Department if it is issued by CASA with— (a) a non-conformance notice; or (b) a show just cause notice. Penalty: 20 penalty units. (2) A provider of an aeromedical service must notify the Department of any exemptions granted by CASA to CASA's requirements for the provision of an aeromedical service. Penalty: 20 penalty units. 57. Aircraft equipment A provider of an aeromedical service must ensure that any aircraft it uses for an aeromedical service is fitted with— (a) the minimum equipment required by CASA to fly the aircraft solely using the aircraft's instruments, without visual references; and (b) anti-icing and de-icing facilities; and (c) a 240 volt (2 amp) power supply with two outlets; and (d) if the transport of incubators or other 12 volt devices is required, a 12 volt (10 amp) power supply compliant with applicable electrical standards. Penalty: 20 penalty units. r. 56 -- 45 of 68 -- Part 11—Aeromedical Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 42 58. Configuration (1) A provider of an aeromedical service must ensure that the clinical facilities and equipment in an aircraft used by it for an aeromedical service are placed in a position to allow continued patient treatment at all times, including during adverse weather conditions. Penalty: 10 penalty units. (2) A provider of an aeromedical service must ensure that a seat is provided for any person travelling on the aircraft. Penalty: 10 penalty units. 59. Stowage (1) A provider of an aeromedical service must ensure that an aircraft used by it for an aeromedical service provides sufficient and appropriate storage space and restraint for any medical equipment carried on board. Penalty: 10 penalty units. (2) A provider of an aeromedical service must ensure that provision is made in an aircraft used by it for an aeromedical service for the carriage and stowage of passenger or patient cabin baggage and five kilograms of luggage per passenger. Penalty: 10 penalty units. 60. Loading (1) A provider of an aeromedical service must ensure that the main cabin door and stretcher loading system of an aircraft used by it for an aeromedical service are designed to permit boarding and disembarking of both ambulatory and stretcher patients. Penalty: 10 penalty units. r. 58 -- 46 of 68 -- Part 11—Aeromedical Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 43 (2) A provider of an aeromedical service must ensure that stretcher loading and unloading requires the assistance of not more than two persons. Penalty: 10 penalty units. (3) A provider of an aeromedical service must ensure that loading and unloading of stretcher patients is achievable without rotating the patient more than ten degrees in roll, or eight degrees in pitch, measured relative to the floor of the aircraft. Penalty: 10 penalty units. (4) A provider of an aeromedical service must ensure the stretcher-loading device allows access to patients to be maintained at all times during loading and unloading. Penalty: 10 penalty units. 61. Cabin A provider of an aeromedical service must ensure, in respect of any aircraft used by it for an aeromedical service, that— (a) the cabin lining and floor coverings are of a smooth, non-skid, anti-static, washable material, sealed against the aircraft sidewalls to window level; and (b) for night flights, opaque washable curtains or dividers are fitted between the cockpit and cabin. Penalty: 10 penalty units. r. 61 -- 47 of 68 -- Part 11—Aeromedical Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 44 62. Medical equipment A provider of an aeromedical service must ensure that any aircraft used by it for an aeromedical service is provided with the equipment and supplies set out in Schedule 9 with the following additional requirements— (a) oxygen, with the following minimum requirements— (i) medical aircraft must be fitted with a CASA approved medical oxygen system capable of supplying adequate oxygen for any foreseeable mission profile; and (ii) warning device or devices for main medical oxygen supply exhaustion; and (iii) oxygen must be able to be turned off during flight; (b) suction, with the following minimum requirements— (i) medical aircraft must be fitted with a suction system capable of performing in all foreseeable cabin pressures; and (ii) there should be one suction outlet and apparatus per stretcher, plus one reserve method of applying suction; and (iii) suction equipment is able to operate when aircraft is not in flight. Penalty: 20 penalty units. r. 62 -- 48 of 68 -- Part 11—Aeromedical Services Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 45 63. Other equipment requirements A provider of an aeromedical service must ensure that all patients dependent on a mechanical ventilator during non-emergency transport by air are protected with a disconnect alarm and have capnography available to them. Penalty: 20 penalty units. __________________ r. 63 -- 49 of 68 -- Part 12—Infringements Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 46 PART 12—INFRINGEMENTS 64. Infringement notices For the purposes of section 56(1) of the Act, a prescribed offence is an offence set out in column 1 of the Table in Schedule 11. 65. Infringement penalties For the purposes of section 57 of the Act, the infringement penalty for an offence set out in column 1 of the Table in Schedule 11 is the amount in penalty units set out opposite that infringement in column 2 of that Table. __________________ r. 64 -- 50 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 47 SCHEDULES SCHEDULE 1 Regulation 25 APPLICATION FOR A NON-EMERGENCY PATIENT TRANSPORT SERVICE LICENCE SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: (4) If the applicant is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the non-emergency patient transport service: SECTION B (1) The class of non-emergency patient transport for which a licence is sought— ∗ transport of low acuity patients; or ∗ transport of medium acuity patients; or ∗ transport of high acuity patients. (2) The proposed name of the non-emergency patient transport service, its street address and the municipal district in which the business is located: (3) The proposed number and types of vehicles: Type of vehicle Number of vehicles road fixed wing aircraft rotary wing aircraft Sch. 1 -- 51 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 48 Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *Delete if inapplicable. __________________ Sch. 1 -- 52 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 49 SCHEDULE 2 Regulation 26 Non-Emergency Patient Transport Regulations 2005 APPLICATION FOR THE RENEWAL OF A NON-EMERGENCY PATIENT TRANSPORT SERVICE LICENCE SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: (4) If the applicant is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the non-emergency patient transport service: SECTION B (1) The name of the non-emergency patient transport service and its street address: (2) Date of expiry of current licence: Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: __________________ Sch. 2 -- 53 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 50 SCHEDULE 3 Regulation 27 Non-Emergency Patient Transport Regulations 2005 APPLICATION FOR VARIATION OF A NON-EMERGENCY PATIENT TRANSPORT SERVICE LICENCE SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: SECTION B (1) The nature of the variation sought— ∗ variation of any condition to which the licence is subject; or ∗ an alteration in the number of vehicles to which the licence relates; or ∗ an alteration in the type of vehicles to which the licence relates. (2) Details of the variation sought: Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *Delete if inapplicable. __________________ Sch. 3 -- 54 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 51 SCHEDULE 4 Regulation 28 APPLICATION FOR APPROVAL IN PRINCIPLE TO OPERATE A NON-EMERGENCY PATIENT TRANSPORT SERVICE SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: (4) If the applicant is a body corporate, the name and address of a director or officer of the body corporate who may exercise control over the non-emergency patient transport service: SECTION B (1) The name (or proposed name) of the non-emergency patient transport service, its street address and the municipal district in which the service is, or is to be, located: (2) This application is for an approval in principle for a non-emergency patient transport service intending to undertake: ∗ transport of low acuity patients; or ∗ transport of medium acuity patients; or ∗ transport of high acuity patients. (3) The proposed number and types of vehicles: Type of vehicle Number of vehicles road fixed wing aircraft rotary wing aircraft Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *Delete if inapplicable. __________________ Sch. 4 -- 55 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 52 SCHEDULE 5 Regulation 29 APPLICATION FOR VARIATION OR TRANSFER OF CERTIFICATE OF APPROVAL IN PRINCIPLE TO OPERATE A NON-EMERGENCY PATIENT TRANSPORT SERVICE SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: SECTION B (1) The name (or proposed name) of the non-emergency patient transport service, its street address and the municipal district in which the service is to be located: (2) This application is for approval in principle for— ∗ variation of the certificate of approval in principle or any condition to which it is subject; or ∗ transfer of the certificate of approval in principle to another person. (3) Reason for the proposed variation: (4) If the application relates to the transfer of the certificate to another person: (a) the name of that person; and (b) the postal address of that person; and (c) that person's, telephone and facsimile numbers and email address. (5) If the transferee is a body corporate, the name and address of any director or officer of the body corporate who may exercise control over the non-emergency patient transport service: Sch. 5 -- 56 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 53 Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: *Delete if inapplicable. __________________ Sch. 5 -- 57 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 54 SCHEDULE 6 Regulation 32 Non-Emergency Patient Transport Regulations 2005 APPLICATION FOR STAND-BY SERVICE ACCREDITATION SECTION A (1) Full name of applicant: (2) Postal address of applicant: (3) The name, telephone and facsimile numbers and email address of a contact person for the purposes of the application: SECTION B (1) The name of the non-emergency patient transport service and its street address: (2) Date of expiry of current licence: (3) Class of current licence: Signature of applicant: Name of each signatory (in BLOCK LETTERS): Date: __________________ Sch. 6 -- 58 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 55 SCHEDULE 7 Regulations 25, 26, 27, 28, 29, 32 FEES No. Item Fee 1 Fee for application for approval in principle 126 fee units 2 Fee for variation or transfer of approval in principle 28 fee units 3 Fee for application for non-emergency patient transport licence 0–9 vehicles 10–19 vehicles 20–29 vehicles 30–39 vehicles 40–49 vehicles 50+ vehicles 48 fee units 154 fee units 250 fee units 336 fee units 441 fee units 537 fee units 4 Surcharge per aircraft 10 fee units 5 Fee for variation of licence 82 fee units 6 Fee for renewal of licence 0–9 vehicles 10–19 vehicles 20–29 vehicles 30–39 vehicles 40–49 vehicles 50+ vehicles 48 fee units 154 fee units 250 fee units 336 fee units 441 fee units 537 fee units 7 Fee for stand-by accreditation 33 fee units __________________ Sch. 7 -- 59 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 56 SCHEDULE 8 Regulation 51 EQUIPMENT AND SUPPLIES TO BE PROVIDED IN NON- EMERGENCY PATIENT TRANSPORT VEHICLES INCLUDING AIRCRAFT USED TO TRANSPORT LOW ACUITY PATIENTS Portable suction Fixed oxygen supply Fixed oxygen flowmeter Suction catheter set Sharps container Personal protective equipment Stethoscope Urine bottle Bedpan Toilet paper Drinking water Emesis bags Portable oxygen resuscitator capable of providing oxygen therapy Spare portable oxygen bottles Oxygen key wheel (if required) Oxygen tubing and connectors Oxygen masks/nasal cannula (adult and child) Disposable gloves Assortment of pads and bandages Infectious waste bags Eye pads Linen to adequately service stretchers Alcohol hand rub __________________ Sch. 8 -- 60 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 57 SCHEDULE 9 Regulations 51 and 62 EQUIPMENT AND SUPPLIES TO BE PROVIDED IN NON- EMERGENCY PATIENT TRANSPORT VEHICLES INCLUDING AIRCRAFT USED TO PROVIDE TRANSPORT FOR MEDIUM AND HIGH ACUITY PATIENTS Portable suction Fixed oxygen supply Fixed oxygen flowmeter Suction catheter set Sharps container Portable intravenous mounting equipment for stretcher Intravenous cannulae and equipment Intravenous fluids Defibrillator (cardiac monitor if not incorporated in defibrillator) Defibrillation pad set Personal protective equipment Stethoscope Urine bottle Bedpan Toilet paper Drinking water Portable oxygen resuscitator capable of providing oxygen therapy Spare portable oxygen bottles Oxygen bottle wheel (if required) Oxygen tubing and connector Oxygen masks/nasal cannula (adult and child) Disposable gloves Spare ECG electrodes Assortment of pads and bandages Sch. 9 -- 61 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 58 Infectious waste bags Eye pads Sphygmomanometer (not mercury) Emesis bags Linen to adequately service stretchers Alcohol hand rub Nebulisers and masks (adult and child) for use in accordance with a health services permit issued under section 19 of the Drugs, Poisons and Controlled Substances Act 1981. __________________ Sch. 9 -- 62 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 59 SCHEDULE 10 Regulation 51 EQUIPMENT AND SUPPLIES TO BE PROVIDED IN NON- EMERGENCY PATIENT TRANSPORT VEHICLES INCLUDING AIRCRAFT USED BY NETS TO PROVIDE TRANSPORT FOR MEDIUM AND HIGH ACUITY PATIENTS Portable suction Fixed oxygen supply Fixed oxygen flowmeter Suction catheter set Sharps container Intravenous cannulae and equipment Intravenous fluids Personal protective equipment Stethoscope Portable oxygen resuscitator capable of providing oxygen therapy Spare portable oxygen bottles Oxygen bottle wheel (if required) Oxygen tubing and connector Disposable gloves Assortment of pads and bandages Infectious waste bags Emesis bags Linen to adequately service stretchers Alcohol hand rub __________________ Sch. 10 -- 63 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 60 SCHEDULE 11 Regulations 64 and 65 INFRINGEMENT NOTICES AND PENALTIES Infringement Offence Penalty An offence against regulation 36(1) 2 penalty units An offence against regulation 36(2) 2 penalty units An offence against regulation 36(3) 2 penalty units ═══════════════ Sch. 11 -- 64 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 61 ENDNOTES 1 Reg. 4 def. of "rural location": S.R. No. 19/2004. 2 Reg. 7(c): S.R. No. 84/1999. —— Table of Applied, Adopted or Incorporated Matter The following table of applied, adopted or incorporated matter is included in accordance with the requirements of regulation 5 of the Subordinate Legislation Regulations 2004. Table of Applied, Adopted or Incorporated Matter Statutory Rule Provision Title of applied, adopted or incorporated document Matter in applied, adopted or incorporated document Regulation 4 Definition of AS/NZS 4535:1999 Definition of the clinical practice protocols Definition of infection control guidelines Australia/New Zealand Standard 4535:1999, Ambulance restraint systems, as published jointly by Standards Australia and Standards New Zealand on 5 February 1999. Clinical Practice Protocols Manual published by the Department of Human Services in September 2005. Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004. The whole The whole The whole Endnotes -- 65 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 62 Statutory Rule Provision Title of applied, adopted or incorporated document Matter in applied, adopted or incorporated document Regulation 24(1)(c) Clinical Practice Protocols Manual published by the Department of Human Services in September 2005. The whole Regulation 34(2) Australian/New Zealand Standard 7799.2.2003, Information Security Management, Part 2: Specification for information security management systems, as published jointly by Standards Australia/Standards New Zealand on 11 February 2003. The whole Regulation 36(1)(g) Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004. Part 1 5.3 Health care workers Regulation 43(1) Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004. Part 1 Part 2 8.2 Implementing an infection control program -- 66 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 63 Statutory Rule Provision Title of applied, adopted or incorporated document Matter in applied, adopted or incorporated document Regulation 44(1) Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004. Part 1 6.1 Clean technique and 7.2 Chemical disinfectants and sterilants Regulation 48(1) and 48(2)(a) Australia/New Zealand Standard 4535:1999, Ambulance restraint systems, as published jointly by Standards Australia and Standards New Zealand on 5 February 1999. The whole Regulation 48(1) Australia/New Zealand Standard on Child restraint systems for use in motor vehicles, AS/NZS 1754:2000 incorporating Amendment No. 1, published jointly by Standards Australia International and Standards New Zealand in April 2001. The whole Regulation 49(9) Infection Control Guidelines for the Prevention of Transmission of Infectious Diseases in the Health Care Setting published by the Commonwealth Department of Health and Ageing in January 2004. Part 1 Part 3 11.2 Surfaces Regulation 55 Clinical Practice Protocols Manual published by the Department of Human Services in September 2005. The whole -- 67 of 68 -- Non-Emergency Patient Transport Regulations 2005 S.R. No. 135/2005 64 Fee Units These Regulations provide for fees by reference to fee units established under the Monetary Units Act 2004. The amount of the fee is to be calculated, in accordance with section 7 of that Act, by multiplying the number of fee units applicable by the value of a fee unit. The value of a fee unit for the financial year commencing 1 July 2005, is $10.49. The amount of the calculated fee may be rounded to the nearest 10 cents. The value of a fee unit for future financial years is to be fixed by the Treasurer under section 5 of the Monetary Units Act 2004. The value of a fee unit for a financial year must be published in the Government Gazette and a Victorian newspaper before 1 June in the preceding financial year. -- 68 of 68 --