North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 13 - NC MEDICAL CARE COMMISSION
Subchapter P - EMERGENCY MEDICAL SERVICES AND TRAUMA RULES
Section .0400 - MEDICAL OVERSIGHT
Section 13P .0401 - COMPONENTS OF MEDICAL OVERSIGHT FOR EMS SYSTEMS

Universal Citation: 10A NC Admin Code 13P .0401

Current through Register Vol. 39, No. 6, September 16, 2024

Each EMS System shall have the following components in place to assure medical oversight of the system:

(1) a medical director for adult and pediatric patients appointed, either directly or by written delegation, by the county responsible for establishing the EMS System. Systems may elect to appoint one or more assistant medical directors. The medical director and assistant medical directors shall meet the criteria defined in the "North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection;"

(2) written treatment protocols for adult and pediatric patients for use by EMS personnel;

(3) for systems providing EMD service, an EMDPRS approved by the medical director;

(4) an EMS Peer Review Committee; and

(5) written procedures for use by EMS personnel to obtain on-line medical direction. On-line medical direction shall:

(a) be restricted to medical orders that fall within the scope of practice of the EMS personnel and within the scope of approved system treatment protocols;

(b) be provided only by a physician, EMS-NP, or EMS-PA. Only physicians may deviate from written treatment protocols; and

(c) be provided by a system of two-way voice communication that can be maintained throughout the treatment and disposition of the patient.

Authority G.S. 143-508(b); 143-509(12);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1, 2003;
Amended Eff. January 1, 2009; January 1, 2004;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016.

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