Article 1 This Regulations is enacted pursuant to Article 24.2 of the Fire Act.
Article 2 Emergency Medical Technician (EMT) referred to in this Regulations is
defined as the personnel in the fire departments in municipal or county/city
governments who provides emergency medical service.
Article 3 The terms in this Regulations are defined as follows:
1.Emergency Medical Service: refers to on-scene medical care for the
sick or injured person, or patients in mass casualty incident, as well as
en-route patient care
2.Patient: refers to any of the following:
(1)Anyone who is in urgent need of medical care due to disaster or
contingency.
(2)Anyone who falls down on the road due to injury or sickness.
(3)Any pregnant woman who is ready for childbirth.
(4)Other injured or medical conditions.
Article 4 Upon receiving the request for emergency medical service or being
informed of occurrence of emergency, the fire department of a municipal
or county/city government shall confirm the accident scene, the number of
patients, degree of severity, and then immediately dispatch the EMTs to
provide on-scene medical care.
The transportation of the above-mentioned patients is undertaken by the
EMS system, and application processing and contacting hospitals is
undertaken by the dispatch center.
Patients or the interested persons need to apply to fire department
transported for EMTs certificate.
Forms of certificate mentioned above are formulated by the central authorities.
Article 5 The patient shall be transported to the hospital that is designated to take
charge of emergency medical treatment or another appropriate nearby medical organizations.
Article 6 The patient or the family shall undertake the hospitalization procedure and
undertake the medical expense himself/herself. If it is unable to find out the
patient’s identity or the patient is found to be low-income earner, the
medical expense shall be paid pursuant to the Social Assistance Law and
other relevant prescriptions. Where it is unable to identify the patient, the
EMTs shall fill in the emergency hospitalized form and send him/her to the
responsible hospital or the appropriate nearby hospital at first; and after
finding out his/her identity from the local police, the succeeding affairs shall
be handled pursuant to the former proportion of this article.
Article 7 During performing emergency medical care, if the patient or the family
refuses to be transported, EMTs shall request the patient or the family to
sign on the run report before leaving the scene.
Article 8 When transporting the patient who is suspected to have infectious disease
that is prescribed in law, the EMTs shall take universal precautions in order
to avoid the EMTs and the ambulance from contaminant. In addition, the
disinfection procedure shall be performed immediately after the call. The
processing of the affair must be reported to the related departments level
by level. When it is confirmed that the patient has an infectious disease
that is prescribed in law, the hospital shall inform the fire department of the
diagnosis for the department to take necessary measures.
Article 9 When providing the emergency medical care to all patients, the EMTs shall
follow the scope of practice and treatment protocols, which are developed
by local Department of Health.
Article 10 Fire departments shall train different level of EMTs to quality them to
perform the emergency medical service tasks. They include: Basic EMT,
Intermediate, and Paramedic. The training qualification, curriculums,
hours, instructors, and certificate examination must be in accordance with
the prescriptions of the Department of Health.
Article 11 Fire departments shall hold continuous training programs for EMTs
annually to enable the EMTs to maintain the skills and knowledge
necessary for performing emergency medical service.
Article 12 The EMTs shall wear uniform when performing emergency medical care.
Article 13 Fire departments of municipal and county/city governments shall carry out
disinfection or decontamination to the ambulances and equipment
pursuant to the following prescriptions:
(1)Periodic disinfection: once a month.
(2)Disinfections after usage: every time after usage.
(3)Decontamination: every time after transport the patient who is
contaminated by chemical or radiant materials.
Processing of the above-mentioned periodic disinfection must be recorded
into the disinfection log sheet.
Article 14 EMTs shall fill out the run report when ever providing the emergency
medical service. Upon arriving the hospital, the EMTs shall have the
physician or nurse to sing and confirm the run report.
Article 15 Fire departments shall scheme the plan corresponding to the
requirements of emergency medical service for special disaster, and carry
out training or drill once each year according to the plan.
Article 16 Fire departments of municipal or county/city governments shall make
investigation to the following matters within the areas under their
jurisdictions for better performing emergency medical service:
(1)Terrain and traffic conditions.
(2)Object that is likely to cause emergent accident, and its location and construction.
(3)Location of medical facilities and other necessary matters.
(4)Other matters deemed to be necessary by the fire regulating
authorities.
Article 17 In case of mass casualty incident, fire departments of municipal or
county/city governments shall scheme the mutual aid plans.
Article 18 Central Authorities shall collaborate with Department of Health to perform
the EMS system annual quality evaluation and appraisal, in order to ensure
the quality of care.
Article 19 (Repealed)
Article 20 This Regulations shall take effect on the date it is promulgated.