Singapore legislation
Regulation 9
of Healthcare Services (Emergency Ambulance Service and Medical Transport Service) Regulations 2022
Regulation 9
Service crew
Subregulation 1
A licensee must ensure that a service crew that complies with the requirements in this regulation is deployed to each approved emergency ambulance or approved medical transport, as the case may be.
Subregulation 2
Each service crew must include the following members:
a driver who —
holds a valid driving licence under the Road Traffic Act 1961 to drive an emergency ambulance or a medical transport, as the case may be;
is trained in defensive driving by a body recognised by the Land Transport Authority of Singapore;
holds one or more valid certifications certifying competency —
in the use of Automated External Defibrillation; and
in the provision of cardio‑pulmonary resuscitation; and
possesses appropriate competencies in the care and evacuation of patients;
subject to paragraph (2A), a crew leader who is any of the following:
where the crew leader is deployed to an approved emergency ambulance — an ambulance doctor, a relevant ambulance nurse or an ambulance paramedic;
where the crew leader is deployed to an approved medical transport — an ambulance doctor, ambulance nurse, ambulance paramedic or emergency medical technician.
Subregulation 2A
If a licensee wishes to deploy as a crew leader to an approved emergency ambulance or approved medical transport an ambulance doctor who is a conditionally registered medical practitioner, the licensee must, before deploying that ambulance doctor, notify the Singapore Medical Council.
Subregulation 3
Where a licensee deploys one or more service crew members to an approved emergency ambulance or approved medical transport (as the case may be) in addition to the members mentioned in paragraph (2), each additional service crew member must be an ambulance doctor, ambulance nurse, ambulance paramedic or emergency medical technician or any other individual with such knowledge or expertise relating to the provision of the applicable service as is acceptable to the Director-General.
Subregulation 3A
Where a licensee deploys a conditionally registered medical practitioner mentioned in paragraph (2A) as a crew leader, the licensee must ensure that the conditionally registered medical practitioner —
complies with all conditions and restrictions imposed on his or her registration by the Singapore Medical Council under the Medical Registration Act 1997 in relation to his or her deployment as a crew leader; and
performs the duties and functions of a crew leader under the supervision of an ambulance doctor who is a fully registered medical practitioner and is employed or engaged by the licensee.
Subregulation 4
A driver who is deployed to an approved emergency ambulance must, in addition to satisfying the requirements in paragraph (2)(a), be trained in the appropriate use, while conveying patients, of any sirens and beacon lights fitted to the approved emergency ambulance in accordance with these Regulations.
Subregulation 5
A licensee must ensure that each service crew member (other than the driver) deployed to an approved emergency ambulance or approved medical transport (as the case may be) must be able to properly and safely handle and operate all equipment for the care and monitoring of patients that is installed or made available in the approved emergency ambulance or approved medical transport, as the case may be.
Subregulation 6
A service crew must not include —
an individual who is training to be a driver of an emergency ambulance or a medical transport, as the case may be; or
an individual who is training to be an ambulance doctor, ambulance nurse, ambulance paramedic or emergency medical technician.
Subregulation 7
To avoid doubt, paragraphs (2)(b)(i) and (4) apply to the service crew of an approved emergency ambulance, whether or not the approved emergency ambulance is being used to convey an emergency patient.
Subregulation 8
In this regulation —[Deleted by S 1050/2024 wef 01/01/2025][Deleted by S 1050/2024 wef 01/01/2025][Deleted by S 1050/2024 wef 01/01/2025][Deleted by S 1050/2024 wef 01/01/2025]
Definition
“relevant ambulance nurse” means an ambulance nurse who —
is a registered nurse; and
holds a valid certification certifying —
the individual’s competency in the provision of Advanced Cardiac Life Support; or
the individual’s successful completion of a Life Support Course for Nurses.