Singapore legislation
Regulation 9C
of Healthcare Services (Emergency Ambulance Service and Medical Transport Service) Regulations 2022
Regulation 9C
Service crew of paediatric 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 a paediatric critical care service (called in this regulation the applicable EAS licensee).
Subregulation 2
An applicable EAS licensee must ensure that each service crew deployed to an emergency ambulance used to provide the paediatric critical care service includes the following members:
a driver who satisfies the requirements in regulation 9(2)(a);
a crew leader who is a fully registered medical practitioner or conditionally registered medical practitioner and —
holds a valid practising certificate under the Medical Registration Act 1997;
holds one or more valid certifications certifying competency in the provision of Advanced Paediatric Life Support; and
satisfies any of the requirements in paragraph (3);
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 paediatric critical care service as is acceptable to the Director-General.
Subregulation 3
The requirements mentioned in paragraph (2)(b)(iii) are the following:
the fully registered medical practitioner or conditionally registered medical practitioner mentioned in paragraph (2)(b) (called in this paragraph the applicable medical practitioner) is registered under section 22 of the Medical Registration Act 1997 as a specialist in the branch of anaesthesiology, emergency medicine, neonatology or paediatric intensive care;
the applicable medical practitioner holds —
one or more valid certifications in the provision of Paediatric Fundamental Critical Care Support; or
one or more valid certifications equivalent to the certification specified in sub-paragraph (i) as is acceptable to the Director-General;
the applicable medical practitioner has been trained by a medical practitioner registered under section 22 of the Medical Registration Act 1997 in any branch of medicine specified in sub-paragraph (a);
the applicable medical practitioner is granted clinical privileges by an applicable acute hospital service licensee to manage patients who require —
the use of extracorporeal membrane oxygenation, an intra-aortic balloon pump, a chest tube or a mechanical ventilator, as the case may be; or
the administration of any inotrope, sedative or paralytic by continuous intravenous infusion,as the case may be.
Subregulation 4
Where a crew leader mentioned in paragraph (2)(b) is a conditionally registered medical practitioner, the applicable EAS licensee must additionally comply with regulation 9(2A) and (3A).
Subregulation 5
In paragraph (3), “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.