Singapore legislation
Regulation 9A
of Healthcare Services (Emergency Ambulance Service and Medical Transport Service) Regulations 2022
Regulation 9A
Service crew of adult cardiac critical care service
Subregulation 1
Despite anything in regulation 9(2), this regulation applies to an emergency ambulance service licensee that is approved to provide an adult cardiac critical care service (called in this regulation the applicable EAS licensee).
Subregulation 2
An applicable EAS licensee that uses or intends to use extracorporeal membrane oxygenation on any emergency patient in the course of providing the adult cardiac critical care service must ensure that each service crew deployed to an emergency ambulance used to provide the adult cardiac critical care service includes the following members:
a driver who satisfies the requirements in regulation 9(2)(a);
a crew leader who is an ambulance doctor and —
is registered under section 22 of the Medical Registration Act 1997 as a specialist in the branch of cardiothoracic surgery; or
is granted clinical privileges by an applicable acute hospital service licensee to manage patients who require the use of extracorporeal membrane oxygenation;
a service crew member who is 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 adult cardiac critical care service as is acceptable to the Director-General.
Subregulation 3
An applicable EAS licensee that uses or intends to use an intra-aortic balloon pump on any emergency patient in the course of providing the adult cardiac critical care service must ensure that each service crew deployed to an emergency ambulance used to provide the adult cardiac critical care service includes the following members:
a driver who satisfies the requirements in regulation 9(2)(a);
a crew leader who is an ambulance doctor and —
is registered under section 22 of the Medical Registration Act 1997 as a specialist in the branch of cardiology or cardiothoracic surgery; or
is granted clinical privileges by an applicable acute hospital service licensee to manage patients who require the use of an intra-aortic balloon pump;
a service crew member who is 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 adult cardiac critical care service as is acceptable to the Director-General.
Subregulation 4
Where a crew leader mentioned in paragraph (2)(b) or (3)(b) is a conditionally registered medical practitioner, the applicable EAS licensee must additionally comply with regulation 9(2A) and (3A).
Subregulation 5
In this regulation, “applicable acute hospital service licensee” means either of the following:
the acute hospital service licensee of the acute hospital to which an emergency patient is conveyed, unless sub-paragraph (b) applies;
where an emergency patient is conveyed from an acute hospital to another acute hospital, the acute hospital service licensee of either acute hospital.