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 7 - STANDING ORDERS FOR ADULT PATIENT
Section 8:41-7.2 - Applicability and restrictions
Current through Register Vol. 56, No. 6, March 18, 2024
(a) The standing orders set forth in this subchapter shall be adopted in their entirety by the provider's medical director with the exception of the standing order for cyanide poisoning and standing order for nerve agent poisoning, after notification of OEMS. Except where specifically noted, these standing orders shall not be altered, abbreviated, or enhanced in any manner.
(b) The standing orders contained in this subchapter are initial treatment protocols that may be utilized by ALS crewmembers. These protocols apply only to adult patients, and may be implemented prior to contact with the medical command physician. In the event the implementation of these standing orders is delayed for any reason, the medical command physician shall be contacted immediately following the delay.
(c) Any situation other than those specifically identified in this subchapter requires the ALS crewmembers to contact the medical command physician before providing any ALS treatment.
(d) These standing orders shall not be interpreted as a requirement to administer ALS treatment prior to contact with the medical command physician. ALS crewmembers may elect to contact the medical command physician at any time during the provision of therapy. Unless otherwise provided in these rules, standing orders cease to be operative once contact is made with the medical command physician.
(e) The standing orders contained in this subchapter shall not be considered to represent total patient management. Contact with the medical command physician shall be established at the point indicated in the standing order, unless established sooner in accordance with (d) above. At no time shall communications with the medical command physician be delayed due to difficulty in intubating the patient and/or initiating an IV line.
(f) The presence of an allergy to any medication or therapeutic agent set forth in these standing orders shall be deemed to be a contraindication to the administration of that medication or therapeutic agent. In such instances, the medication or therapeutic agent shall not be administered.
(g) Each case utilizing these standing orders shall be fully documented on the patient care report. The provider's quality assurance plan shall include provisions for review of calls where standing orders are utilized, in accordance with the standards set. Cases that do not follow the standing orders as set forth in this chapter or where contact is never made with the medical command physician shall be forwarded to the medical director for a mandatory review.
