Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 641 - Emergency Medical Services
Subchapter 11 - Specialty Care Ambulance Service
Section 310:641-11-13 - Specialty care medical control requirement
Universal Citation: OK Admin Code 310:641-11-13
Current through Vol. 42, No. 1, September 16, 2024
(a) Each specialty care ambulance service licensed in Oklahoma that initiates and responds to interfacility calls within the state shall have a physician medical director who is a fully licensed, non-restricted Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) by the State of Oklahoma.
(b) Licensed ambulance services will have a plan or policy that describes how the agency will address a sudden lapse of medical direction, such as a back-up medical director, that is used to ensure coverage when the medical director is not available.
(1) The Department shall be
notified the next business day of any lapse or change of medical direction by
the respective agency. If the agency has made arrangements for a back-up
medical director or an immediate replacement, then a lapse has not
occurred.
(2) In the event of a
lapse in medical direction; in that, there is no a medical director providing
the authority for medical interventions for an agency's certified and licensed
personnel, the agency will, pursuant to O.S. Section 63-1-2506:
(A) cease all operations involving patient
care, and
(B) implement mutual aid
plans to ensure requests for service receive responses until the agency is able
to implement their plan or policy for substitution or back-up medical
direction.
(c) The medical director shall:
(1) be accessible, knowledgeable, and
actively involved in quality assurance and the educational activities of the
agency's personnel and supervise a quality assurance (QA) program by either
direct involvement or appropriate designation and surveillance of the
responsible designee(s). The appointment of a designee does not absolve the
medical director of their responsibility of providing oversight.
(2) Provide a written statement to the
Department, which includes:
(A) an agreement
to provide medical direction and establish treatment protocols and the agency
specific scope of practice for all certified and licensed agency
personnel;
(B) the physician's
primary practice address or home address if the physician does not have a
practice, and email address(es);
(C) an OBNDD registrant number or appropriate
state equivalent as appropriate;
(D) current Oklahoma medical
license;
(E) appropriate training
and experience in the types of patients the service will be transporting.
Training may include board training and appropriate certifications or
supplemental training;
(F) the
agency's on-line and/or off line specific licensure level medical protocols
with medication formulary for patient care techniques. Protocols shall include
medication to be used, treatment modalities for patient care procedures, and
appropriate security procedures for controlled dangerous substances;
(G) attendance or demonstrated participation
in:
(i) medical director training provided by
the Department subject to the availability of funding. Verification of
attendance or participation will be maintained at the agency; and
(ii) one hour of continuing education
specific to providing medical oversight to EMS providers and agencies each
year, provided by the Department subject to the availability of
funding.
(H) A physician
may be the medical director for more than one (1) service.
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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