Emergency Medical Services

A.   There shall be an adequate number of emergency medical ambulances based on the following:

1. Identification of ambulance districts consisting of homogenous geographic areas that are either urban or rural;
2. Establishment, within the prescribed ambulance districts, of ambulance sectors that shall be designated as the geographic area in which one ambulance unit is capable of responding within the appropriate response standards prescribed herein;
3. Emergency ambulance response in its service area for ninety-five percent of all calls within the average of twenty minutes, which response time shall be computed from the time the emergency medical services dispatch center notifies the ambulance to the time the ambulance arrives at the scene-of the emergency; and
4. Provision of backup emergency ambulances as prescribed in Section 11- 72-28(b).

B.   All ground and air ambulance vehicles and personnel staffing those vehicles shall conform to the licensing and certification
       requirements of this chapter. (c) There shall be appropriate transfer agreements between physicians, the hospitals and the
       emergency ambulance services for the transfer of seriously injured, ill, or psychiatrically incapacitated individuals from one
       care facility to another.

      [Eff. AUG 12 1985] (Auth: HRS §§321-227, 321- 233) (Imp: HRS §§321-224, 321-226, 321-22