Current through Register Vol. 24-06, March 15, 2024
(1)
Qualifications - Applicants for certification as a medical program director
(MPD) must:
(a) Hold and maintain a current
and valid license to practice medicine and surgery under
chapter
18.71 RCW or osteopathic
medicine and surgery under
chapter
18.57 RCW; and
(b) Be qualified and knowledgeable in the
administration and management of emergency medical care and services;
and
(c) Complete a medical director
training course approved by the department; and
(d) Be recommended for certification by the
local medical community and local emergency medical services and trauma care
council.
(2) MPD
certification process. In certifying the MPD, the department will:
(a) Work with the local EMSTC council to
identify physicians interested in serving as the MPD;
(b) Receive a letter of interest and
curriculum vitae from the MPD candidate;
(c) Perform required background checks
identified in
RCW
18.130.064;
(d) Work with and provide technical
assistance to local EMSTC councils on evaluating MPD candidates;
(e) Obtain letters of recommendation from the
local EMSTC council and local medical community;
(f) Make final appointment of the
MPD.
(3) The certified
MPD must:
(a) Provide medical control and
direction of EMS certified personnel in their medical duties. This is done by
oral or written communication;
(b)
Develop and adopt written prehospital patient care protocols to direct EMS
certified personnel in patient care. These protocols may not conflict with
regional patient care procedures. Protocols may not exceed the authorized care
of the certified prehospital personnel as described in WAC
246-976-182;
(c) Establish policies for storing,
dispensing, and administering controlled substances. Policies must be in
accordance with state and federal regulations and guidelines;
(d) Participate with local and regional
EMS/TC councils to develop and revise:
(i)
Regional patient care procedures;
(ii) County operating procedures when
applicable. COPS do not conflict with regional patient care procedures;
and
(iii) Participate with the
local and regional EMS/TC councils to develop and revise regional
plans;
(e) Work within
the parameters of the approved regional patient care procedures and the
regional plan;
(f) Supervise
training of all EMS certified personnel;
(g) Develop protocols for special training
described in WAC
246-976-023(4);
(h) Periodically audit the medical care
performance of EMS certified personnel;
(i) Recommend to the secretary certification,
recertification, or denial of certification of EMS personnel;
(j) Recommend to the secretary disciplinary
action to be taken against EMS personnel, which may include modification,
suspension, or revocation of certification; and
(k) Recommend to the department individuals
applying for recognition as senior EMS instructors.
(4) In accordance with department policies
and procedures, the MPD may:
(a) Delegate
duties to other physicians, except for duties described in subsection (3)(b),
(i), (j), and (k) of this section. The delegation must be in writing;
(i) The MPD must notify the department in
writing of the names and duties of individuals so delegated, within fourteen
days of appointment;
(ii) The MPD
may remove delegated authority at any time, which shall be effective upon
written notice to the delegate and the department.
(b) Delegate duties relating to training,
evaluation, or examination of certified EMS personnel, to qualified
nonphysicians. The delegation must be in writing;
(c) Enter into EMS medical control agreements
with other MPDs;
(d) Recommend
denial of certification to the secretary for any applicant the MPD can document
is unable to function as an EMS provider, regardless of successful completion
of training, evaluation, or examinations; and
(e) Utilize examinations to determine the
knowledge and abilities of certified EMS personnel prior to recommending
applicants for certification or recertification.
(5) The secretary may withdraw the
certification of an MPD for failure to comply with the Uniform Disciplinary Act
(chapter
18.130 RCW) and other
applicable statutes and regulations.
Statutory Authority:
Chapters
18.71,
18.73, and 70.168 RCW. 11-07-078,
§ 246-976-920, filed 3/22/11, effective 5/15/11; 00-08-102, §
246-976-920, filed 4/5/00, effective 5/6/00. Statutory Authority:
RCW
43.70.040 and
chapters
18.71,
18.73 and 70.168 RCW. 93-01-148
(Order 323), § 246-976-920, filed 12/23/92, effective
1/23/93.