North Carolina Administrative Code (Last Updated: November 13, 2014) |
TITLE 10A. HEALTH AND HUMAN SERVICES |
CHAPTER 13. NC MEDICAL CARE COMMISSION |
SUBCHAPTER P. EMERGENCY MEDICAL SERVICES AND TRAUMA RULES |
10A NCAC 13P .0402. COMPONENTS OF MEDICAL OVERSIGHT FOR SPECIALTY CARE TRANSPORT PROGRAMS
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Each Specialty Care Transport Program shall have the following components in place to assure Medical Oversight of the system:
(1) a medical director. The administration of the SCTP shall appoint a medical director following the criteria for medical directors of Specialty Care Transport Programs as defined by the "North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection," incorporated by reference in accordance with G.S. 150B-21.6, including subsequent amendments and editions. This document is available from the OEMS, 2707 Mail Service Center, Raleigh, North Carolina 27699-2707, at no cost. The program administration may elect to appoint one or more assistant medical directors;
(2) treatment protocols for adult and pediatric patients for use by medical crew members;
(3) an EMS Peer Review Committee; and
(4) a written protocol for use by medical crew members to obtain on-line medical direction. On-line medical direction shall:
(a) be restricted to medical orders that fall within the scope of practice of the medical crew members and within the scope of approved program treatment protocols;
(b) be provided only by a physician, MICN, EMS-NP, or EMS-PA. Only physicians may deviate from written treatment protocols; and
(c) be provided by a system of two-way voice communication that can be maintained throughout the treatment and disposition of the patient.
History Note: Authority G.S. 143‑508(b); 143-509(12);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1, 2003;
Amended Eff. January 1, 2009; January 1, 2004.