6 CCR 1015-3-2-5 - EMS Agency Medical Directors
5.1
EMS agency medical directors are responsible for the medical direction of EMS
providers in the prehospital setting. Their duties shall include:
5.1.1 Be actively involved in the provision
of emergency medical services in the community served by the EMS service agency
being supervised. Involvement does not require that a physician have such
experience prior to becoming a medical director but does require such
involvement during the time that he or she acts as a medical director. Active
involvement in the community could include, by way of example and not
limitation, those inherent, reasonable, and appropriate responsibilities of a
medical director to interact with patients, the public served by the EMS
service agency, the hospital community, the public safety agencies, and the
medical community and should include other aspects of liaison, oversight, and
communication normally expected in the supervision of EMS providers.
5.1.2 Be actively involved on a regular basis
with the EMS service agency being supervised. Involvement does not require that
a physician have such experience prior to becoming a medical director but does
require such involvement during the time that he or she acts as a medical
director. Involvement could include, by way of example and not limitation,
involvement in continuing education, audits, and protocol development. Passive
or negligible involvement with the EMS service agency and supervised EMS
providers does not meet this requirement.
5.1.3 Notify the Department on an annual
basis and upon any change of medical direction of the EMS service agencies for
which medical direction is being provided in a manner and form as determined by
the Department.
5.1.4 Establish a
medical continuous quality improvement (CQI) program for each EMS service
agency being supervised. The medical CQI program shall assure the continuing
competency of the performance of that agency's EMS providers. This medical CQI
program shall include, but not be limited to: appropriate protocols and
standing orders and provision for medical care audits, observation, critiques,
continuing medical education, and direct supervisory communications.
5.1.5 Submit to the Department an affidavit
that attests to the development and use of a medical CQI program for all EMS
service agencies supervised by the medical director. As set forth in Section
4.4 , the Department may review the records of a medical director to determine
compliance with the CQI requirements in these rules.
5.1.6 Provide monitoring and supervision of
the medical field performance of EMS providers. This includes ensuring that EMS
providers have adequate clinical knowledge of, and are competent in performing,
medical acts within the EMS provider's scope of practice authorized by the
medical director. These duties and operations may be delegated to other
physicians or other qualified health care professionals designated by the
medical director. However, the medical director shall retain ultimate authority
and responsibility for the monitoring and supervision, for establishing
protocols and standing orders, and for the competency of the performance of
authorized medical acts.
5.1.7
Ensure that all protocols issued by the medical director are appropriate for
the certification or license and skill level of each EMS provider to whom the
performance of medical acts is authorized and compliant with accepted standards
of medical practice. Ensure that a system is in place for timely access to
communication of direct verbal orders.
5.1.8 Be familiar with the training,
knowledge, and competence of EMS providers under his or her supervision and
ensure that EMS providers are appropriately trained and demonstrate ongoing
competency in all medical acts authorized in accordance with Section 15.1 and,
as applicable, Appendices A-G.
5.1.9 Be aware that certain medical acts
authorized in accordance with Section 15.1 and, as applicable, Appendices A-G
(and as identified by the Department) may not be included in the National EMS
Education Standards and ensure that appropriate additional training is provided
to supervised EMS providers.
5.1.10
Ensure that any data and/or documentation required by the rules are submitted
to the Department.
5.1.11 Notify
the Department within fourteen business days excluding state holidays prior to
his or her cessation of duties as medical director.
5.1.12 Notify the Department within fourteen
business days excluding state holidays of his or her termination of the
supervision of an EMS provider for reasons that may constitute good cause for
disciplinary sanctions pursuant to the Rules Pertaining to EMS and EMR
Education, EMS Certification or Licensure, and EMR Registration
6 CCR
1015-3, Chapter One. Such notification shall be in
writing and shall include a statement of the actions or omissions resulting in
termination of supervision and copies of all pertinent records.
5.1.13 Physicians acting as medical directors
for EMS education programs recognized by the Department that require clinical
and field internship performance by students shall be permitted to delegate
authority to a student-in-training during their performance of program-required
medical acts and only while under the control of the education
program.
5.1.14 Physicians acting
as medical directors responsible for the supervision and authorization of a
P-CC shall have training and experience in the medical acts for which they are
providing supervision and authorization. Additional duties related to medical
directors responsible for the supervision and authorization of a P-CC are set
forth in Section 17 of these rules.
5.2 EMS agency medical directors shall be
trained in Advanced Cardiac Life Support.
Notes
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