Ariz. Admin. Code § R9-25-202 - On-line Medical Direction (Authorized by A.R.S. sections 36-2201, 36-2202(A)(3) and (A)(4), 36-2204(5), (6), and (7), 36-2204.01, and 36-2205(A) and (D)) licensed:
A. In
this Section, "physician" means an individual
1. According to A.R.S. Title 32, Chapter 13
or 17; or
2. When working in a
health care institution operating under federal or tribal law as an
administrative unit of the U.S. government or a sovereign tribal nation, by a
similar licensing board in another state.
1. Except as provided in
R9-25-203(C)(3), ensure that a physician provides on-line medical direction to EMCTs on behalf
of the emergency medical services provider or ambulance service only if the
physician meets one of the following:c.
e. Has completed an emergency medicine residency
training program accredited by the Accreditation Council for Graduate Medical
Education or approved by the American Osteopathic Association; or
d.
f. Is
an emergency medicine physician in an emergency department located in Arizona
and has current certification that meets the requirements in
R9-25-201(A)(1)(f)(i) through (iii);
a. Has
emergency medicine certification issued by a member board of the American Board
of Medical Specialties;
b. Has
emergency medical services certification issued by the American Board of
Emergency Medicine;
c. Has
emergency medicine certification issued by the American Osteopathic Board of
Emergency Medicine;
d. Has
emergency medicine certification issued by the American Board of Physician
Specialties;
2. For each physician providing on-line
medical direction on behalf of the emergency medical services provider or
ambulance service, maintain for Department review either:
a. The name, e-mail address, telephone
number, and qualifications of the physician providing on-line medical direction
on behalf of the emergency medical services provider or ambulance service;
or
b. If the emergency medical
services provider or ambulance service provides on-line medical direction
through an ALS base hospital or a centralized medical direction communications
center, a copy of a written agreement with the ALS base hospital or centralized
medical direction communications center documenting that the physician
providing on-line medical direction is qualified under subsection
(B)(1);
3. Ensure that
the on-line medical direction provided to an EMCT on behalf of the emergency
medical services provider or ambulance service is consistent with:
a. The EMCT's scope of practice, as specified
in Table 5.1; and
b. Communication
protocols, triage protocols, treatment protocols, and protocols for prehospital
incident history reports, specified in
R9-25-201(E)(2);
and
4. Ensures that a
physician providing on-line medical direction on behalf of the emergency
medical services provider or ambulance service relays on-line medical direction
only through one of the following individuals, under the supervision of the
physician and consistent with the individual's scope of practice:
a. Another physician,
b. A physician assistant,
c. A registered nurse practitioner,
d. A registered nurse,
e. A Paramedic, or
f. An EMT-I(99).
1. Uses the ALS base hospital for on-line
medical direction only for patients who are children, and
2. Has an additional written agreement for
the provision of on-line medical direction with an ALS base hospital that meets
the requirements in
R9-25-203(B)(1)
or a centralized medical direction communications center.
1. Operational and
accessible communication equipment that will allow on-line medical direction to
be given to an EMCT;
2. A written
plan for alternative communications with an EMCT in the event of a disaster,
communication equipment breakdown or repair, power outage, or malfunction;
and
3. A physician qualified under
subsection (B)(1) available to give on-line medical direction to an EMCT 24
hours a day, seven days a week.
Notes
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