1、Designation:F133992(Reapproved 2008)Standard Guide forOrganization and Operation of Emergency Medical ServicesSystems1This standard is issued under the fixed designation F1339;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year
2、of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This standard established guidelines for the organizationand operation of Emergency Medical Services Systems(EMSS)at the
3、 state,regional and local levels.This guide willidentify methods of developing state standards,coordinating/managing regional EMS Systems,and delivering emergencymedical services through the local EMS System.1.1.1 At the state level this guide identifies scope,methods,procedures and participants in
4、the following state structureresponsibilities:(a)establishment of EMS legislation;(b)development of minimum standards;(c)enforcement of mini-mum standards;(d)designation of substate structure;(e)provision of technical assistance;(f)identification of fundingand other resources for the development,mai
5、ntenance,andenhancement of EMS systems;(g)development and imple-mentation of training systems;(h)development and implemen-tation of communication systems;(i)development and imple-mentation of record-keeping and evaluation systems;(j)development and implementation of public information,publiceducatio
6、n,and public relations programs;(k)development andimplementation of acute care center designation;(l)develop-ment and implementation of a disaster medical system;(m)overall coordination of EMS and related programs within thestate and in concert with other states or federal authorities.1.2 At the reg
7、ional level,this guide identifies methods ofplanning,implementing,coordinating/managing,and evaluat-ing the emergency medical services system which exists withina natural catchment area and provides guidance on the use ofthese methods.1.3 At the local level,this guide identifies a basic structurefor
8、 the organization and management of a local EMS systemand outlines the responsibilities that a local EMS shouldassume in the planning,development,implementation andevaluation of its EMS system.2.Referenced Documents2.1 ASTM Standards:2F1086 Guide for Structures and Responsibilities of Emer-gency Med
9、ical Services Systems OrganizationsF1149 Practice for Qualifications,Responsibilities,and Au-thority of Individuals and Institutions Providing MedicalDirection of Emergency Medical ServicesF1220 Guide for Emergency Medical Services System(EMSS)TelecommunicationsF1268 Guide for Establishing and Opera
10、ting a PublicInformation,Education,and Relations Program for Emer-gency Medical Service SystemsF1285 Guide for Training the Emergency Medical Techni-cian to Perform Patient Examination Techniques2.2 American Ambulance AssociationStandards and Accreditation Document33.Significance and Use3.1 This gui
11、de suggests methods for organizing and operat-ing state,regional,and local EMS systems,in accordance withGuide F1086.It will assist state,regional,or local organiza-tions in assessing,planning,documenting,and implementingtheir specific operations.The guide is general in nature andable to be adapted
12、for existing EMS Systems.For organiza-tions that are establishing EMS System operations,the guide isspecific enough to form the basis of the operational manual.4.State Guide4.1 Establishment of EMS Legislation:4.1.1 Methods and ProceduresThe legislative process var-ies from state to state.The EMS le
13、ad agency should seek adescription of the process in its state from:4.1.1.1 The legislatures staff or clerk offices.4.1.1.2 The legislative liaison,or other appropriate staff ofthe governmental unit housing EMS(its“umbrella”).4.1.1.3 The legal counsel assigned to EMS.1This guide is under the jurisdi
14、ction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.03 onOrganization/Management.Current edition approved Feb.1,2008.Published March 2008.Originallyapproved in 1992.Last previous edition approved in 2003 as F1339 92(2003).DOI:10.1520/F1339-92
15、R08.2For referenced ASTM standards,visit the ASTM website,www.astm.org,orcontact ASTM Customer Service at serviceastm.org.For Annual Book of ASTMStandards volume information,refer to the standards Document Summary page onthe ASTM website.3Available from the American Ambulance Association.Copyright A
16、STM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 4.1.2 Legislative proposals are commonly subject to thefollowing processes:4.1.2.1 DraftingThe standard-setting or other goal is putinto general form by the agency,citing the sections of statute itbelieves are affected.The entities listed in 4.1.1 4.1.1.3 maybe a resource,or may be required to be involved,in thisproposal development.4.1.2.2 SponsorshipThe proposal may be submittedthrough the agency
