Current through Register Vol. 54, No. 44, November 2, 2024
(a)
Roles and
responsibilities. A medical command facility medical director is
responsible for the following for the medical command facility:
(1) Medical command.
(2) Quality improvement.
(3) Liaison with regional EMS medical
director.
(4) Participation in
prehospital training activities.
(5) Clinical and continuing education
training of EMS providers.
(6)
Verifying to the Department that an applicant for medical command physician
certification has an arrangement to serve as a medical command physician for
the medical command facility under the direction of the medical command
facility medical director and meets all medical command physician certification
requirements.
(7) Monitoring the
operation of the medical command facility and the performance of its medical
command physicians to ensure that they are satisfying all statutory and
regulatory requirements.
(8)
Reviewing a departure from the Statewide EMS protocols of one of the facility's
medical command physicians when requested by the Department and apprising the
Department whether the medical command facility medical director believes there
is good cause for the departure.
(b)
Minimum qualifications.
To qualify and continue to function as a medical command facility medical
director, an individual shall be serving as a medical command facility medical
director immediately prior to February 16, 2010, or:
(1) Complete an application for medical
command facility medical director certification on a form or through an
electronic application process, as prescribed by the Department.
(2) Currently serve as a medical command
physician.
(3) Satisfy one of the
following:
(i) Have completed a residency
program in emergency medicine accredited by a residency program accrediting
body recognized by the State Board of Medicine or the State Board of
Osteopathic Medicine.
(ii) Have
completed a residency program in surgery, internal medicine, family medicine,
pediatrics or anesthesiology accredited by a residency program accrediting body
recognized by the State Board of Medicine or the State Board of Osteopathic
Medicine and completed or taught the ACLS course within the preceding 2 years,
the ATLS course and either an APLS or PALS course or other program determined
by the Department to meet or exceed the standards of these programs.
(4) Have experience in prehospital
and emergency department care of the acutely ill or injured patient.
(5) Have experience in providing medical
command direction to EMS providers.
(6) Have experience in the training of EMS
providers above and below the AEMT level.
(7) Have experience in the medical audit,
review and critique of EMS providers above and below the AEMT level.
(8) Have an arrangement with a medical
command facility to serve as its medical director after receiving certification
as a medical command facility medical director.
(c)
Triennial registration.
A medical command facility medical director's certification is deemed
registered for 3 years. Thereafter, a medical command facility medical director
shall triennially register the certification on a form or through an electronic
process, as prescribed by the Department. The Department will issue a new
registration within 30 days after the application for registration is filed if
the application demonstrates that the medical command facility medical director
shall be:
(1) Serving as a medical command
physician and a medical command facility medical director for a medical command
facility.
(2) Providing prehospital
and emergency department care of acutely ill or injured patients.
(3) Performing medical audit, review and
critique of EMS providers above and below the AEMT level.
This section cited in 28 Pa. Code §
1031.8 (relating to discipline of
medical command physicians and medical command facility medical
directors).
