Current through Register Vol. 63, No. 9, September 1, 2024
(1) A supervising
physician is responsible for the following:
(a) Issuing, reviewing and maintaining
standing orders within the scope of practice not to exceed the licensure level
of the emergency medical services provider when applicable;
(b) Explaining the standing orders to the
emergency medical services provider, making sure they are understood and not
exceeded;
(c) Ascertaining that the
emergency medical services provider is currently licensed and in good standing
with the Division;
(d) Providing
regular review of the emergency medical services provider's practice by:
(A) Direct observation of prehospital
emergency care performance by riding with the emergency medical service;
and
(B) Indirect observation using
one or more of the following:
(i) Prehospital
emergency care report review;
(ii)
Prehospital communications tapes review;
(iii) Immediate critiques following
presentation of reports;
(iv)
Demonstration of technical skills; and
(v) Post-care patient or receiving physician
interviews using questionnaire or direct interview techniques.
(e) Providing
or coordinating formal case reviews for emergency medical services providers by
thoroughly discussing a case (whether one in which the emergency medical
services provider has taken part or a textbook case) from the time the call was
received until the patient was delivered to the hospital. The review should
include discussing what the problem was, what actions were taken (right or
wrong), what could have been done that was not, and what improvements could
have been made; and
(f) Providing
or coordinating continuing education. Although the supervising physician is not
required to teach all sessions, the supervising physician is responsible for
assuring that the sessions are taught by a qualified
person.
(2) The
supervising physician may delegate responsibility to his/her agent to provide
any or all of the following:
(a) Explanation
of the standing orders to the emergency medical services provider, making sure
they are understood, and not exceeded;
(b) Assurance that the emergency medical
services provider is currently licensed and in good standing with the
Division;
(c) Regular review of the
emergency medical services provider's practice by:
(A) Direct observation of prehospital
emergency care performance by riding with the emergency medical service; and
(i) Prehospital emergency care report
review;
(ii) Prehospital
communications tapes review;
(iii)
Immediate critiques following presentation of reports;
(iv) Demonstration of technical skills;
and
(v) Post-care patient or
receiving physician interviews using questionnaire or direct interview
techniques.
(B) Indirect
observation using one or more of the following:
(d) Provide or coordinate continuing
education. Although the supervising physician or agent is not required to teach
all sessions, the supervising physician or agent is responsible for assuring
that the sessions are taught by a qualified person.
(3) Nothing in this rule may limit the number
of emergency medical services providers that may be supervised by a supervising
physician so long as the supervising physician can meet with the emergency
medical services providers under his/her direction for a minimum of two hours
each calendar year.
(4) An
emergency medical services provider may have more than one supervising
physician as long as the emergency medical services provider has notified all
of the supervising physicians involved, and the emergency medical services
provider is functioning under one supervising physician at a time.
(5) The supervising physician must report in
writing to the Authority's Chief Investigator any action or behavior on the
part of the emergency medical services provider that could be cause for
disciplinary action under ORS
682.220 or
682.224.
Stat. Auth.: ORS
682.245
Stats. Implemented: ORS
682.245
