Current through Register Vol. 39, No. 6, September 16, 2024
(a) The Medical Director for an EMS System is
responsible for the following:
(1) ensuring
that medical control as set forth in Rule .0401(5) of this Section is available
24 hours a day, seven days a week;
(2) the establishment, approval, and annual
updating of adult and pediatric treatment protocols as set forth in Rule .0405
of this Section;
(3) EMD programs,
the establishment, approval, and annual updating of the EMDPRS, including
subsequent editions published by the EMDPRS program utilized by the EMS
System;
(4) medical supervision of
the selection, system orientation, continuing education and performance of all
EMS personnel;
(5) medical
supervision of a scope of practice performance evaluation for all EMS personnel
in the system based on the treatment protocols for the system;
(6) the medical review of the care provided
to patients;
(7) providing guidance
regarding decisions about the equipment, medical supplies, and medications that
will be carried on all ambulances and EMS nontransporting vehicles operating
within the system;
(8) determining
the combination and number of EMS personnel sufficient to manage the
anticipated number and severity of injury or illness of the patients
transported in Medical Ambulance/Evacuation Bus Vehicles defined in Rule .0219
of this Subchapter; and
(9) keeping
the care provided up-to-date with current medical practice.
(b) Any tasks related to Paragraph
(a) of this Rule may be completed, through the Medical Director's written
delegation, by assisting physicians, physician assistants, nurse practitioners,
registered nurses, EMDs, or paramedics.
The EMS System Medical Director may delegate physician
medical oversight for a licensed EMS provider at the EMT level of service that
does not back up the emergency 911 EMS System. Any decision delegating medical
oversight for a licensed provider shall comply with the EMS System franchise
requirements in Rule .0204 of this Subchapter. Medical oversight delegated for
a licensed EMS provider shall meet the following requirements:
(1) a medical director for adult and
pediatric patients. 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 Collection;"
(2) treatment protocols must be adopted in
their original form from the standard adult and pediatric treatment protocols
as defined in the "North Carolina College of Emergency Physicians: Standards
for Medical Oversight and Data Collection;" and
(3) establish an agency peer review committee
that meets quarterly. The agency peer review committee minutes shall be
reported to the EMS System peer review committee.
(c) The Medical Director may suspend
temporarily, pending review, any EMS personnel from further participation in
the EMS System when he or she determines that the individual's actions are
detrimental to the care of the patient, the individual committed unprofessional
conduct, or the individual failed to comply with credentialing requirements.
During the review process, the Medical Director may:
(1) restrict the EMS personnel's scope of
practice pending completion of remediation on the identified
deficiencies;
(2) continue the
suspension pending completion of remediation on the identified deficiencies;
or
(3) permanently revoke the EMS
personnel's participation in the EMS System.
Authority
G.S.
143-508(b);
143-508(d)(3);
143-508(d)(7);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1,
2003;
Amended Eff. January 1, 2009; January 1, 2004;
Readopted Eff. January 1, 2017.
