Category Archives: Florida

REVA Air Ambulance Finalizes Purchase of American Care Air Ambulance

REVA Medical Flights, the world’s most distinguished Medical Flights service transport company in the North American continent , has finalized the takeover of American Care Air Ambulance and its subsidiaries (“American Care”). American Care is a pronounce Medical Flights transporter with business Spokane, WA and San Diego, CA.  The American Care transaction continues REVA’s geographic expansion and further strengthens REVA’s presence and coverage of the Western U.S. and Asia.
Based in Fort Lauderdale, FL, REVA is the largest dedicated fixed wing medical flights services provider in the Americas. REVA provides responsive, safe and reliable air transportation and quality medical care through its company owned and operated fleet of aircraft, experienced pilots and world-class medical staff. The company is a leader in the challenging international transport segment executing trips throughout North America, South America, Europe and Asia. For more information, please visit http://www.flyreva.com/.

American care air ambulance has a over nineteen year operating history and a strong reputation with its loyal client base. As a result of the American Care transaction, REVA now operates a fleet of more than 10 Medical Flights aircraft at 5 strategically positioned bases, with continued growth expected in new planes and markets. American Care founder Milan Floribus will continue as a valuable member of the REVA team and the American Care operations will benefit greatly from the increased scale and capabilities of the combined company.
“We are excited to have Milan and the American Care team join the REVA family and to expand REVA’s presence in a key region. This combination will allow us to better serve our existing clients and we look forward to working with new clients through our partnership with American Care” said Stuart Hayman, CEO of REVA. Milan Floribus added, “REVA was the right partner for us given their extraordinary professionalism, dedication to patient safety and impressive global alliances and capabilities.” Mr. Hayman added that REVA Air Ambulance remains interested in acquiring or partnering with additional fixed wing Medical Flights providers.

 

For Canadian air ambulance ratings please see AirAmbulanceRatings.com.

Do emergency medical vehicles or aircraft have to permitted before operating them in Florida?

Yes, vehicles and aircraft must be permitted under your service license before operating them.   Vehicles are permitted either at the Basic Life Support (BLS) or Advanced Life Support (ALS) level.  Once permitted at that level, the vehicle must be operated at all times at that level with the required staffing and equipment.

Reference Section 401.26, Florida Statutes and Section 64J-1.007, Florida Administrative Code.

 

Who needs an air ambulance service license in Florida?

Every person, firm, corporation, association or governmental entity owning or acting as an agent for the owner of any business or service which furnishes, operates, conducts, maintains, advertises, engages in, proposes to engage in or professes to engage in the business or service of transporting by air ambulance, must be licensed as an air ambulance service, before offering such service to the public.

Reference Section 401.251, Florida Statutes and Section 64J-1.005, Florida Administrative Code.

What are Trauma Transport Protocols in Florida?

Trauma Transport Protocols (TTP) describe the procedures used by the emergency medical services prehospital provider for dispatch of vehicles, assessment of the extent and severity of injuries of trauma patients and determination of the destination (facility) to which trauma alert patients are transported. TTP’s are a legal document that should outline, as accurately as possible, the actual procedures followed by the emergency medical service provider, written within the context of section 395.4045, Florida Statutes and Chapter 64J-2, Florida Administrative Code.

 

When to Submit TTP’s:

  • Applying for initial licensure as an EMS provider.
  • A change in medical directors for the EMS provider.
  • A change in ownership of the EMS provider.
  • A change in hospital destination for the routine transport of trauma alert patients. Any change in EMS providers or health care facilities that will impact transportation requirements.
  • When the department requests a revision.

The approval period for TTPs is the same as the EMS provider’s two-year licensure period, unless revisions are made to department approved TTPs during that period.

Who Does Not Submit TTPs:

  • A service that provides only inter-facility services and does not respond to the scene of an injury to provide stabilization of injured patients in prehospital settings. The EMS provider needs to submit to the Bureau of EMS either a copy of the Certificate of Public Convenience and Need or a letter from the director or chief of the service stating that it is an inter-facility service only.

What are the requirements for an air ambulance service license in Florida?

The paper work requirements are listed on the application for AIR ambulance licensure, “Air Ambulance Service Provider Licensure Application”, DOH Form 1575.  Click on the application and the application checklist to review most requirements.  Other requirements will be found in Section 401, Florida Statutes, & Chapter 64J-1, Florida Administrative Code. The following is a partial list of the major requirement:  Certificate of Public Convenience and Necessity (COPCN) from the county commission in the county you wish to operate your prehospital service, a medical director (licensed Florida physician) with a Department of Justice-Drug Enforcement Administration (DEA) registration (prehospital only), aircraft vehicle liability insurance, trauma transport protocols and an approved radio communication system.  Approval of a radio communication system is completed by Department of Management Services-Information Technology Program.  Contact DMS for more information on EMS radio communication systems.

Reference Section 401.251, Florida Statutes and Section 64J-1.005, Florida Administrative Code.

Who needs a Basic Life Support (BLS) or Advanced Life Support (ALS) ambulance service license in Florida?

Every person, firm, corporation, association or governmental entity owning or acting as an agent for the owner of any business or service which furnishes, orperates, conducts, maintains, advertises, engages in, proposes to engage in or professes to engage in the business or service of providing prehospital or interfacility advanced life support services or basic life support transportation service must be licensed as a basic or advanced life support ambulance service, before offering such service to the public.
Reference Section 401.25, Florida Statutes & Section 64J-1.002, & 64J-1.003, Florida Administrative Code.

What are the requirements for an ambulance driver in Florida?

An ambulance driver must meet the following requirements:

  • Is at least 18 years of age;
  • certifies under oath that he or she is not addicted to alcohol or any controlled substance, and is free from any physical or mental defect or disease that might impair their ability to drive an ambulance;
  • Upon initial designation as a driver, has not within the past 3 years, been convicted of reckless driving or driving under the influence of alcohol or controlled substance and has not had a driver’s license suspended under the point system provided for in Chapter 322, Florida Statutes;
  • successfully completed a 16 hour course of instruction on driving an authorized emergency vehicle, which includes, at a minimum, classroom and behind the wheel training.  Section 64J-1.013, Florida Administrative Code for details on the 16 hour course content;
  • possess a valid American Red Cross or National Safety Council first aid course or its equivalent; and
  • possess a valid American Red Cross or American Heart Association cardiopulmonary resuscitation card.

Reference Section 401.281, Florida Statutes and Chapter 64J-1.013, Florida Administrative Code.

What is the required staffing for BLS and ALS vehicles and air ambulances in Florida?

BLS vehicles are required to have at a minimum an emergency medical technician (EMT) attending the patient and a driver meeting the requirements in Section 401.281, Florida Statutes.
ALS vehicles are required to have at a minimum a paramedic attending the patient and an EMT.

Aircraft-Prehospital air ambulances are required to have a minimum of one paramedic.

Interfacility air ambulance staffing is based on the patient’s condition as determined by the medical director.

Reference Section 401.25, Florida Statutes, Section 401.251, Florida Statutes, & Sections 64E-2.003; 64J-1.004; & 64J-1.005, Florida Administrative Code.

Can and unpermitted vehicle or aircraft be substituted for a permitted one while the permitted vehicle or aircraft us undergoing maintenance in Florida

Yes, when it is necessary for a permitted vehicle/aircraft to be out of service for routine maintenance or repairs, a substitute vehicle/aircraft meeting the same transport capabilities and equipment specifications as the out of service vehicle/aircraft may be used for a period of time not to exceed 30 days.  An unpermitted vehicle/aircraft cannot be placed into service, nor can a BLS vehicle be used at the ALS level unless it is replacing a vehicle that has been temporarily taken out of service for maintenance.  When such a substitution is made, the following information shall be maintained by the licensee and shall be accessible to the department:

  • identification of permitted vehicle/aircraft taken out of service;
  • identification of substitute vehicle/aircraft; and,
  • the date on which the substitute vehicle/aircraft was placed into service, the date on which it was removed from service and the date the permitted vehicle/aircraft was returned to service.