44:68:03:02.  Content of transport plan. The LEMSTP shall include:

 

          (1)  The name of the ambulance service;

          (2)  The city where the ambulance service is located;

          (3)  Name of person completing the transport plan;

          (4)  The date the transport plan was completed;

          (5)  Hospital resources, including designated trauma hospitals in response area;

          (6)  Other resources, including rugged and technical rescue or special rescue capability or biohazard decontamination capability;

          (7)  Additional resources, including ground ambulance service, quick response units, rescue and extrication units, air medical services, and first responder groups;

          (8)  A service area map;

          (9)  The trauma transport protocol, by zones if applicable;

          (10)  The criteria utilized to activate a trauma team alert;

          (11)  The criteria utilized to activate mutual aid or ALS by ground and air; and

          (12)  A signature page including the signatures of:

 

               (a)  The ambulance service chief officer;

               (b)  The ambulance service medical director; and

               (c)  The primary receiving hospital trauma coordinator.

 

          Transport plans will be made available to any licensed trauma hospital in South Dakota.

 

          Source: 35 SDR 304, effective June 29, 2009; 42 SDR 97, effective January 4, 2016.

          General Authority: SDCL 34-12-54.

          Law Implemented: SDCL 34-12-53, 34-12-54.