ASTM F1339-92(2016)
(Guide)Standard Guide for Organization and Operation of Emergency Medical Services Systems
Standard Guide for Organization and Operation of Emergency Medical Services Systems
SIGNIFICANCE AND USE
3.1 This guide suggests methods for organizing and operating state, regional, and local EMS systems, in accordance with Guide F1086. It will assist state, regional, or local organizations in assessing, planning, documenting, and implementing their specific operations. The guide is general in nature and able to be adapted for existing EMS Systems. For organizations that are establishing EMS System operations, the guide is specific enough to form the basis of the operational manual.
SCOPE
1.1 This standard established guidelines for the organization and operation of Emergency Medical Services Systems (EMSS) at the state, regional and local levels. This guide will identify methods of developing state standards, coordinating/managing regional EMS Systems, and delivering emergency medical services through the local EMS System.
1.1.1 At the state level this guide identifies scope, methods, procedures and participants in the following state structure responsibilities: (a) establishment of EMS legislation; (b) development of minimum standards; (c) enforcement of minimum standards; (d) designation of substate structure; (e) provision of technical assistance; (f) identification of funding and other resources for the development, maintenance, and enhancement of EMS systems; (g) development and implementation of training systems; (h) development and implementation of communication systems; (i) development and implementation of record-keeping and evaluation systems; (j) development and implementation of public information, public education, and public relations programs; (k) development and implementation of acute care center designation; (l) development and implementation of a disaster medical system; (m) overall coordination of EMS and related programs within the state and in concert with other states or federal authorities.
1.2 At the regional level, this guide identifies methods of planning, implementing, coordinating/managing, and evaluating the emergency medical services system which exists within a natural catchment area and provides guidance on the use of these methods.
1.3 At the local level, this guide identifies a basic structure for the organization and management of a local EMS system and outlines the responsibilities that a local EMS should assume in the planning, development, implementation and evaluation of its EMS system. (A) If there are no regional organizations, within the state, the State EMS will need to accomplish, either directly or through delegation, regional tasks.
General Information
Relations
Standards Content (Sample)
This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation: F1339 − 92 (Reapproved 2016)
Standard Guide for
Organization and Operation of Emergency Medical Services
1
Systems
This standard is issued under the fixed designation F1339; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope 2. Referenced Documents
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2.1 ASTM Standards:
1.1 Thisstandardestablishedguidelinesfortheorganization
F1086 Guide for Structures and Responsibilities of Emer-
and operation of Emergency Medical Services Systems
gency Medical Services Systems Organizations
(EMSS) at the state, regional and local levels. This guide will
F1149 Practice for Qualifications, Responsibilities, and Au-
identify methods of developing state standards, coordinating/
thority of Individuals and Institutions Providing Medical
managing regional EMS Systems, and delivering emergency
Direction of Emergency Medical Services
medical services through the local EMS System.
F1220 Guide for Emergency Medical Services System
1.1.1 At the state level this guide identifies scope, methods,
(EMSS) Telecommunications
procedures and participants in the following state structure
F1268 Guide for Establishing and Operating a Public
responsibilities: (a) establishment of EMS legislation; (b)
Information, Education, and Relations Program for Emer-
development of minimum standards; (c) enforcement of mini-
gency Medical Service Systems
mum standards; (d) designation of substate structure; (e)
F1285 Guide for Training the Emergency Medical Techni-
provision of technical assistance; (f) identification of funding
cian to Perform Patient Examination Techniques
and other resources for the development, maintenance, and
2.2 American Ambulance Association
enhancement of EMS systems; (g) development and imple-
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Standards and Accreditation Document
mentation of training systems; (h) development and implemen-
tation of communication systems; (i) development and imple-
3. Significance and Use
mentation of record-keeping and evaluation systems; (j)
development and implementation of public information, public
3.1 This guide suggests methods for organizing and operat-
education, and public relations programs; (k) development and
ing state, regional, and local EMS systems, in accordance with
implementation of acute care center designation; (l) develop-
Guide F1086. It will assist state, regional, or local organiza-
ment and implementation of a disaster medical system; (m)
tions in assessing, planning, documenting, and implementing
overall coordination of EMS and related programs within the
their specific operations. The guide is general in nature and
state and in concert with other states or federal authorities.
able to be adapted for existing EMS Systems. For organiza-
tions that are establishing EMS System operations, the guide is
1.2 At the regional level, this guide identifies methods of
specific enough to form the basis of the operational manual.
planning, implementing, coordinating/managing, and evaluat-
ingtheemergencymedicalservicessystemwhichexistswithin
4. State Guide
a natural catchment area and provides guidance on the use of
4.1 Establishment of EMS Legislation:
these methods.
4.1.1 Methods and Procedures—Thelegislativeprocessvar-
1.3 At the local level, this guide identifies a basic structure
ies from state to state. The EMS lead agency should seek a
for the organization and management of a local EMS system
description of the process in its state from:
and outlines the responsibilities that a local EMS should
4.1.1.1 The legislature’s staff or clerk offices.
assume in the planning, development, implementation and
4.1.1.2 The legislative liaison, or other appropriate staff of
evaluation of its EMS system.
the governmental unit housing EMS (its “umbrella”).
4.1.1.3 The legal counsel assigned to EMS.
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This guide is under the jurisdiction of ASTM Committee F30 on Emergency
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Medical Services and is the direct responsibility of Subcommittee F30.03 on For referenced ASTM standards, visit the ASTM website, www.astm.org, or
Organization/Management. contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
Current edition approved June 1, 2016. Published June 2016. Originally Standards volume information, refer to the standard’s Document Summary page on
approved in 1992. Last previous edition approved in 2008 as F1339 – 92 (2008). the ASTM website.
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DOI: 10.1520/F1339-92R16. Available from the American Ambulance Association.
Copyright © ASTM International,
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