Idaho Admin. Code r. 16.02.02.400 - PHYSICIAN SUPERVISION IN THE OUT-OF-HOSPITAL SETTING
01.
Medical Supervision
Required. In accordance with Section
56-1011, Idaho Code, licensed EMS
personnel must provide emergency medical services under the supervision of a
designated EMS medical director . (3-17-22)
02.
Designation of EMS Medical
Director. The EMS agency must designate a physician for the medical
supervision of licensed EMS personnel affiliated with the EMS agency .
(3-17-22)
03.
Delegated
Medical Supervision of EMS Personnel. The EMS medical director can
designate other physicians to supervise the licensed EMS personnel in the
temporary absence of the EMS medical director . (3-17-22)
04.
Direct Medical Supervision by
Physician Assistants and Nurse Practitioners. The EMS medical director
can designate Physician Assistants (PA) and Nurse Practitioners for purposes of
direct medical supervision of licensed EMS personnel under the following
conditions: (3-17-22)
a. A designated
physician is not present in the anticipated receiving health care facility; and
(3-17-22)
b. The Nurse
Practitioner, when designated, must have a preexisting written agreement with
the EMS medical director describing the role and responsibilities of the Nurse
Practitioner; or (3-17-22)
c. The
physician supervising the PA, as defined in IDAPA 24.33.02, "Rules for the
Licensure of Physician Assistants," authorizes the PA to provide direct
(on-line) supervision; and (3-17-22)
d. The PA, when designated, must have a
preexisting written agreement with the EMS medical director describing the role
and responsibilities of the PA related to supervision of EMS personnel.
(3-17-22)
e. Such designated
clinician must possess and be familiar with the medical supervision plan,
protocols, standing orders, and standard operating procedures authorized by the
EMS medical director . (3-17-22)
05.
Indirect Medical Supervision by
Non-Physicians. Non-physicians can assist the EMS medical director with
indirect medical supervision of licensed EMS personnel. (3-17-22)
06.
Medical Supervision Plan.
The medical supervision of licensed EMS personnel must be provided in
accordance with a documented medical supervision plan that includes direct,
indirect, on-scene, educational, and proficiency standards components. The
requirements for the medical supervision plan are found in the Idaho EMS
Physician Commission Standards Manual that is incorporated by reference under
Section 004 of these
rules. (3-17-22)
07.
Out-of-Hospital Medical Supervision Plan Filed with EMS Bureau.
The agency EMS medical director must submit the medical supervision plan within
thirty (30) days of request to the EMS Bureau in a form described in the
standards manual. (3-17-22)
a. The agency EMS
medical director must identify the designated clinicians to the EMS Bureau
annually in a form described in the standards manual. (3-17-22)
b. The agency EMS medical director must
inform the EMS Bureau of any changes in designated clinicians or of a change in
the agency medical director within thirty (30) days of the change(s).
(3-17-22)
c. The EMS Bureau must
provide the Commission with the medical supervision plans within thirty (30)
days of request. (3-17-22)
d. The
EMS Bureau must provide the Commission with the identification of EMS Medical
directors and designated clinicians annually and upon request.
(3-17-22)
Notes
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No prior version found.