Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 641 - Emergency Medical Services
Subchapter 15 - Emergency Medical Response Agency
Section 310:641-15-13 - Emergency medical response agency medical control requirement
Universal Citation: OK Admin Code 310:641-15-13
Current through Vol. 41, No. 13, March 15, 2024
(a) Each certified emergency medical response agency certified in Oklahoma 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) Certified emergency medical response agencies 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 63 O.S. Section 1-2506 relating to the medical
authority to perform medical procedures:
(A)
may respond to a request for service to provide first aid, CPR, and the use of
an AED, 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 agency that
only provides care within the Basic Life Support scope of practice, the medical
director shall:
(i) hold a valid,
non-restricted medical license,
(ii) not be restricted from obtaining or
maintaining OBNDD and DEA registrations for controlled dangerous substances,
(iii) demonstrate appropriate
training and experience in adult and pediatric emergency care. Demonstrated
training and experience may include appropriate board training, basic life
support, or pre-hospital trauma life support courses.
(D) An agency that provides Intermediate,
Advanced, or Paramedic level interventions by State approved protocols, the
medical director shall:
(i) hold a valid,
non-restricted medical license,
(ii) maintain current OBNDD and DEA
registrations for controlled dangerous substances,
(iii) demonstrate appropriate training and
competence in adult and pediatric emergency medical services, to include
pediatric and adult trauma. Demonstrated training and experience may include
completed residency training as well as relevant work experience with current
clinical competency.
(E)
demonstrate appropriate training and experience in the types of patients the
service will be treating. Demonstrated training may include board training and
appropriate certifications or supplemental training;
(F) development of on-line or off-line
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;
(3) Attend or
demonstrate participation in medical director training provided by the
Department subject to the availability of funding. Verification of attendance
or participation will be maintained at the agency.
(4) Attend or demonstrate participation in
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.
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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