W. Va. Code R. § 64-48-10 - [Effective 8/1/2025] EMS Personnel in Emergency Departments

10.1. EMS personnel employed by a hospital may, in the event of a life-threatening emergency, perform their full scope of practice as outlined by the MPCC, within the hospital under the direct supervision of the attending physician.

10.2. In all other situations, EMS personnel may only perform those services outlined in the written policy and procedures established by the local facility as outlined in subsection 10.3.

10.3. Any hospital using or employing EMS personnel to provide services within the hospital emergency room or department shall develop and implement written policies and procedures governing these activities. These policies and procedures shall:

10.3.1. Include the roles, responsibilities, and specific tasks or procedures which may be performed by EMS personnel;

10.3.2. Be developed jointly by the director of nursing of the emergency room and the medical director of the emergency room or department;

10.3.3. Allow for the direct supervision of the EMS personnel by a registered professional nurse and comply with all supervision guidelines established by the Board of Registered Professional Nurses;

10.3.4. Comply with the training requirements established by OEMS;

10.3.5. Contain specific procedures governing medical review and quality improvement of services provided by EMS personnel in the hospital setting and shall include the mechanisms for identification, correction, training, and disciplinary functions associated with these activities; and

10.3.6. Be approved by the Joint Care Committee as established in subsection 10.7. of this rule.

10.4. EMS personnel may not exceed the scope of practice established by the MPCC for the individual's licensure level.

10.5. EMS personnel must maintain active EMS licensure and meet all requirements contained in section 6 of this rule.

10.6. The medical facility shall maintain training records and in-service records of the EMS personnel in its employment and make the records available for inspection by OEMS and the Board of Examiners for Registered Professional Nurses.

10.7. The State Medical Director or designee and the President of the Board of Examiners for Registered Professional Nurses or his or her designee shall establish a Joint Care Committee for the purpose of establishing minimum guidelines for the policies and procedures to be used by the local facilities concerning the functioning of EMS personnel in the emergency room setting. These guidelines may include a list of specific procedures and activities performed by EMS personnel in the emergency room setting and shall also contain the definition of a life-threatening emergency.

Notes

W. Va. Code R. § 64-48-10