<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s34ad6288-9ada-49b7-9a13-42fc86fac947P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s34ad6288-9ada-49b7-9a13-42fc86fac947C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s34ad6288-9ada-49b7-9a13-42fc86fac947000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:61:04:05"><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000000">20:61:04:05</span></a><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000001">.  Protocols.</span><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0"> </span><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">A paramedic who has been issued a community paramedic endorsement by the board shall provide services in accordance with the patient care plan developed pursuant to SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-18.3"><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000002">36-4B-18.3</span></a><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">. The care plan must ensure that the services provided by the community paramedic are not duplicated by another provider or home health service. In addition to providing services as required by the patient care plan, the community paramedic shall at each initial visit:</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">(1)  Have the patient fill out initial consents and any additional paperwork as required;</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    (2)  Obtain a complete history and physical, including vital signs;</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    (3)  Provide additional assessments as indicated by the patient's medical needs or as requested by the patient or provider; and</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    (4)  Schedule follow up visits as necessary.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">The community paramedic shall at each follow up visit:</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    (1)  Provide services as outlined in the patient care plan; and</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    (2)  Document any additional services provided if indicated upon arrival.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    Upon completion of an initial or follow up visit, the community paramedic shall document the visit notes in the patient health record within twenty-four hours of the completed visit.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000001">Source:</span><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0"> </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">52 SDR 18, effective August 25, 2025</span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000001">General Authority:</span><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-35"><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000002">36-4B-35</span></a><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">    </span><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000001">Law Implemented:</span><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-18.3"><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0-000002">36-4B-18.3</span></a><span class="s34ad6288-9ada-49b7-9a13-42fc86fac947C0">.</span></p><p dir="ltr" class="s34ad6288-9ada-49b7-9a13-42fc86fac947P0"><span xml:space="preserve" class="s34ad6288-9ada-49b7-9a13-42fc86fac947000003"> </span></p></div></body></html>