NFPA 450-2017 Guide for Emergency Medical Services and Systems (Effective Date 06 02 2016).pdf

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1、 NFPA 450 Guide for Emergency Medical Services and Systems 2017IMPORTANT NOTICES AND DISCLAIMERS CONCERNING NFPA DOCUMENTS NOTICE AND DISCLAIMER OF LIABILITY CONCERNING THE USE OF NFPA DOCUMENTS NFPA codes, standards, recommended practices, and guides (“NFPA Standards”), of which the document contai

2、ned herein is one, are developed through a consensus standards development process approved by the American National Standards Institute. This process brings together volunteers representing varied viewpoints and interests to achieve consensus on re and other safety issues. While the NFPA administer

3、s the process and establishes rules to promote fairness in the development of consensus, it does not independently test, evaluate, or verify the accuracy of any information or the soundness of any judgments contained in NFPA Standards. The NFPA disclaims liability for any personal injury, property o

4、r other damages of any nature whatsoever, whether special, indirect, consequential or compensatory, directly or indirectly resulting from the publication, use of, or reliance on NFPA Standards. The NFPA also makes no guaranty or warranty as to the accuracy or completeness of any information publishe

5、d herein. In issuing and making NFPA Standards available, the NFPA is not undertaking to render professional or other services for or on behalf of any person or entity. Nor is the NFPA undertaking to perform any duty owed by any person or entity to someone else. Anyone using this document should rel

6、y on his or her own independent judgment or, as appropriate, seek the advice of a competent professional in determining the exercise of reasonable care in any given circumstances. The NFPA has no power, nor does it undertake, to police or enforce compliance with the contents of NFPA Standards. Nor d

7、oes the NFPA list, certify, test, or inspect products, designs, or installations for compliance with this document. Any certication or other statement of compliance with the requirements of this document shall not be attributable to the NFPA and is solely the responsibility of the certier or maker o

8、f the statement. REMINDER: UPDATING OF NFPA STANDARDS Users of NFPA codes, standards, recommended practices, and guides (“NFPA Standards”) should be aware that NFPA Standards may be amended from time to time through the issuance of Tentative Interim Amendments or corrected by Errata. An ofcial NFPA

9、Standard at any point in time consists of the current edition of the document together with any Tentative Interim Amendment and any Errata then in effect. In order to determine whether an NFPA Standard has been amended through the issuance of Tentative Interim Amendments or corrected by Errata, visi

10、t the Document Information Pages on NFPAs website. The Document Information Pages provide up-to-date, document specic information including any issued Tentative Interim Amendments and Errata. To access the Document Information Page for a specic NFPA Standard, go to http:/ www.nfpa.org/docinfo to cho

11、ose from the list of NFPA Standards or use the search feature on the right to select the NFPA Standard number (e.g., NFPA 101). The Document Information page includes postings of all existing Tentative Interim Amendments and Errata. It also includes the option to register for an “Alert” feature to r

12、eceive an automatic email notication when new updates and other information are posted regarding the document. ISBN: 978-145591403-6 (Print) ISBN: 978-145591404-3 (PDF)IMPORTANT NOTICES AND DISCLAIMERS CONCERNING NFPA STANDARDS ADDITIONAL NOTICES AND DISCLAIMERS Updating of NFPA Standards Users of N

13、FPA codes, standards, recommended practices, and guides (“NFPA Standards”) should be aware that these documents may be superseded at any time by the issuance of new editions or may be amended from time to time through the issuance of Tentative Interim Amendments or corrected by Errata. An ofcial NFP

14、A Standard at any point in time consists of the current edition of the document together with any Tentative Interim Amendments and any Errata then in effect. In order to determine whether a given document is the current edition and whether it has been amended through the issuance of Tentative Interi

15、m Amendments or corrected through the issuance of Errata, consult appropriate NFPA publications such as the National Fire Codes Subscription Service, visit the NFPA website at www.nfpa.org, or contact the NFPA at the address listed below. Interpretations of NFPA Standards A statement, written or ora

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19、Policy”), and hereby gives the following notice pursuant to that policy: NOTICE: The users attention is called to the possibility that compliance with an NFPA Standard may require use of an invention covered by patent rights. NFPA takes no position as to the validity of any such patent rights or as

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21、 applicants desiring to obtain such a license, copies of such led statements can be obtained, on request, from NFPA. For further information, contact the NFPA at the address listed below. Law and Regulations Users of NFPA Standards should consult applicable federal, state, and local laws and regulat

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23、e variety of both public and private uses. These include both use, by reference, in laws and regulations, and use in private self-regulation, standardization, and the promotion of safe practices and methods. By making these documents available for use and adoption by public authorities and private u

24、sers, the NFPA does not waive any rights in copyright to these documents. Use of NFPA Standards for regulatory purposes should be accomplished through adoption by reference. The term “adoption by reference” means the citing of title, edition, and publishing information only. Any deletions, additions

25、, and changes desired by the adopting authority should be noted separately in the adopting instrument. In order to assist NFPA in following the uses made of its documents, adopting authorities are requested to notify the NFPA (Attention: Secretary, Standards Council) in writing of such use. For tech

26、nical assistance and questions concerning adoption of NFPA Standards, contact NFPA at the address below. For Further Information All questions or other communications relating to NFPA Standards and all requests for information on NFPA procedures governing its codes and standards development process,

27、 including information on the procedures for requesting Formal Interpretations, for proposing Tentative Interim Amendments, and for proposing revisions to NFPA standards during regular revision cycles, should be sent to NFPA headquarters, addressed to the attention of the Secretary, Standards Counci

28、l, NFPA, 1 Batterymarch Park, P.O. Box 9101, Quincy, MA 02269-9101; email: stds_adminnfpa.org For more information about NFPA, visit the NFPA website at www.nfpa.org. All NFPA codes and standards can be viewed at no cost at www.nfpa.org/freeaccess.450-1 NFPA and National Fire Protection Association

29、are registered trademarks of the National Fire Protection Association, Quincy, Massachusetts 02169. Copyright 2016 National Fire Protection Association . All Rights Reserved. NFPA 450 Guide for Emergency Medical Services and Systems 2017 Edition This edition of NFPA 450, Guide for Emergency Medical

30、Services and Systems, was prepared by the Technical Committee on Emergency Medical Services. It was issued by the Standards Council on May 13, 2016, with an effective date of June 2, 2016, and supersedes all previous editions. This edition of NFPA 450 was approved as an American National Standard on

31、 June 2, 2016. Origin and Development of NFPA 450 In January 1999, the NFPA Standards Council considered NFPAs role in Emergency Medical Services (EMS). After a review of extensive information submitted on the need for such a project, the council voted to create a new EMS project to address EMS-rela

32、ted topics not covered by other existing NFPA projects. A forum on EMS was scheduled at the May 1999 Association meeting in Baltimore, Maryland. In June 1999, NFPA held a focus group meeting to further discuss NFPAs role in EMS. A request for persons interested in being members of this new project w

33、as sent out, and a Technical Committee was formed. The rst meeting of the Technical Committee was held in Tampa, Florida, to discuss what specic projects the Technical Committee wanted to address. The rst edition of NFPA 450, Guide for Emergency Medical Services and Systems, was issued in 2004 to as

34、sist individuals, agencies, organizations, or systems, as well as those interested or involved in emergency medical services system design, by providing EMS guidelines and recommendations. For the 2009 edition, the Technical Committee reviewed and revised a number of denitions in Chapter 3 and added

35、 new denitions for new material in Chapter 5. The committee also revised material in Section 5.6, Essential System Analysis Components. The table from Annex B was modied and moved to Chapter 5, and Annex B was deleted. For the 2013 edition, the committee went through and updated the referenced publi

36、cations to ensure that they were still relevant or pertinent to the document. The intent was to bring the document in line or ensure correlation with many of the nationally published EMS documents in use. Some changes were also made to clarify commonly used terms that initially might have been prese

37、nted with some confusion or misuse. For the 2017 edition, the Technical Committee updated several of the references throughout the document and addressed the many changes in the delivery of healthcare services as a result of the Affordable Care Act. Special attention was also made to include mobile

38、integrated healthcare and community paramedicine, growing areas in the delivery of emergency medical services.EMERGENCY MEDICAL SERVICES AND SYSTEMS 450-2 2017 Edition Technical Committee on Emergency Medical Services Kenneth R. Knipper, Chair National Volunteer Fire Council, KY U Rep. National Volu

39、nteer Fire Council Kyle R. Gorman, Secretary Clackamas County Fire District #1, OR E Scott R. Altemose, Trefoil Training & Technical Assistance, PA SE Chris Bell, Vermont Department of Health, VT U Lawrence T. Bennett, Univerity of Cincinnati, OH SE Richard G. Blais, Providence Fire Department, MA U

40、 David A. Bradley, Volunteer Firemens Insurance Services, Inc., PA I Timothy J. Crowley II, Las Vegas, NV SE Michael Dailey, Albany Medical College, NY SE Chad Deardorff, City of York Fire/Rescue Services, PA E Timothy Donovan, Bridgewater Fire Department, MA E Coleman D. Figg, Emerald Isle Fire Dep

41、artment, NC E Heather L. Fredenburg, McNeil and Company, Inc., NY I David R. Harris, U.S. Air Force, NJ U Jeffrey T. Lindsey, University of Florida, FL SE Charles Lucas, Bolivar County Fire Department, MS E Richard D. MacKinnon, Jr., Town of Whitman Fire Department, MA L Rep. International Associati

42、on of Fire Fighters Kevin J. McGee, Prince William County Fire & Rescue, VA E Marc E. Nason, Artesia Fire Department, NM U Mark Niemeyer, City of Meridian Fire Department, ID E Rep. Western Fire Chiefs Association Richard W. Patrick, U.S. Department of Homeland Security, MD SE Karen M. Pickard, UT S

43、outhwestern Medical Center, TX E Rep. International Association of Fire Chiefs Franklin D. Pratt, Los Angeles County Fire Department, CA U Rep. American College of Emergency Physicians Aarron Reinert, Lakes Region EMS, MN E David O. Simmons, Firemens Association of the State of New York, NY U David

44、K. Tan, Washington University School of Medicine, MO U Rep. National Association of EMS Physicians Robert A. Ungar, Robert A. Ungar, P.C., NY L Rep. American Federation of State, County & Municipal Employees Robert M. Ziegler, Emergency Resource Management, LLC, CT SE Alternates Byron F. Andrews, II

45、I, Sterling Volunteer Rescue Squad, VA E (Alt. to Karen M. Pickard) Thomas Breyer, International Association of Fire Fighters, DC L (Alt. to Richard D. MacKinnon, Jr.) Matt Ellis, Mississippi State Fire Academy, MS E (Alt. to Charles Lucas) Richard M. Huff, Atlantic Highlands First Aid & Safety Squa

46、d, NJ U (Alt. to Kenneth R. Knipper) William S. Niehenke, Glatfelter Insurance Group, PA I (Alt. to David A. Bradley) Kendall Holland, NFPA Staff Liaison This list represents the membership at the time the Committee was balloted on the nal text of this edition. Since that time, changes in the member

47、ship may have occurred. A key to classications is found at the back of the document. NOTE: Membership on a committee shall not in and of itself constitute an endorsement of the Association or any document developed by the committee on which the member serves. Committee Scope: This Committee shall ha

48、ve primary responsibility for documents relating to emergency medical services, except those documents covered by other existing NFPA committees.CONTENTS 450-3 2017 Edition Contents Chapter 1 Administration 450 5 1.1 Scope. . 450 5 1.2 Purpose. . 450 5 Chapter 2 Referenced Publications 450 5 2.1 Gen

49、eral. 450 5 2.2 NFPA Publications. 450 5 2.3 Other Publications. . 450 5 2.4 References for Extracts in Advisory Sections. . 450 6 Chapter 3 Denitions . 450 6 3.1 General. 450 6 3.2 NFPA Ofcial Denitions. 450 6 3.3 General Denitions. 450 6 Chapter 4 System Regulation and Policy 450 9 4.1 General. 450 9 4.2 Oversight. . 450 9 4.3 Authorization. 450 9 4.4 Evaluation. . 450 9 4.5 Roles and Responsibilities. 450 9 4.6 Service Levels. 450 9 4.7 Management Structure. 450 9

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