New Jersey Administrative Code
Title 8 - HEALTH
Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES
Subchapter 11 - SPECIFIC AIR MEDICAL SERVICE REQUIREMENTS
Section 8:41-11.6 - Medical command
Current through Register Vol. 56, No. 6, March 18, 2024
(a) The provision of advanced life support care by ALS crewmembers staffing an AMU is deemed a delegated medical practice. The medical command physician provides the authority for the ALS crewmembers to act.
(b) The medical command physician shall provide medical command to ALS crewmembers in a timely fashion and without undue delay.
(c) Except as provided for in the event of communications failure or standing orders authorized by this chapter, no ALS crewmember shall perform any skill or procedure, administer any pharmaceutical agent or engage in any other activity patently within his or her approved scope of practice unless that person has received the direct and specific order of a physician.
(d) All orders given to ALS crewmembers shall be specific with regard to treatments ordered or medications and dosages to be given and the sequence in which the treatment is to be performed.
(e) ALS crewmembers shall provide the medical command physician with an appropriate report of patient assessment, patient condition, patient updates after treatment has been rendered and any other information required by the physician.
(f) Communications with the ALS crewmembers shall be performed directly by the medical command physician unless prevented by emergent patient care duties. In that case, a physician directed registered nurse may relay the report and orders if the registered nurse:
(g) A medical command physician shall not order any crewmember to perform any treatment or administer any medication outside of the crewmember's approved scope of practice.
(h) The medical command physician shall review the patient care report and affix his or her original signature to it, in accordance with established institutional policies, but not later than 30 calendar days after providing the medical direction. The medical command physician shall inform the medical director of any discrepancies in the patient care report.
(i) In an instance where patient care is provided in accordance with approved communications failure protocols, the authority for such treatment shall be deemed to emanate from the medical director.
(j) In every instance where an ALS crewmember has treated a patient, the medical command physician who provided the medical direction to the ALS crewmember shall ensure that the receiving health care facility is notified as soon as possible after providing medical command. The report shall be relayed to either a physician or registered nurse at the receiving health care facility, and shall contain: