Ariz. Admin. Code § 9-25-708

Current through Register Vol. 30, No. 25, June 21, 2024

Section R9-25-708 - Minimum Standards for Medical Control (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), and 36-2213)

A. a licensee shall ensure that:

1. The air ambulance service has an administrative medical director who:

a. Meets the qualifications in subsection (B);

b. Supervises and evaluates the quality of medical care provided by medical team members;

c. Ensures the competency and current qualifications of all medical team members;

d. Except as provided in subsections (A)(3) and (4), ensures that:

i. Each EMCT medical team member receives medical direction as required under Article 2 of this Chapter; and

ii. Each non-EMCT medical team member receives medical guidance through written treatment protocols and according to subsection (C); and

e. Approves, ensures implementation of, and annually reviews treatment protocols to be followed by medical team members;

2. The administrative medical director reviews data related to patient care and transport services provided, documentation, and patient status upon arrival at destination that are collected through the quality management program in R9-25-705(A)(11);

3. For an interfacility maternal transport mission, on-line medical direction or on-line medical guidance provided to medical team member is provided by a physician who meets the qualifications of subsection (B)(2)(b)(i);

4. For an interfacility neonatal transport mission, on-line medical direction or on-line medical guidance provided to medical team member is provided by a physician who meets the qualifications of subsection (B)(2)(b)(ii);

B. an administrative medical director shall:

1. Be a physician; and

2. Comply with one of the following:

a. If the air ambulance service provides emergency medical services transports, meet the qualifications of R9-25-201(A)(1); or

b. If the air ambulance service does not provide emergency medical services transports, meet the qualifications of R9-25-201(A)(1) or one of the following:

i. If the air ambulance service provides interfacility maternal transport missions, have board certification or have completed an accredited residency program in one of the following specialty areas:

(1) Obstetrics and gynecology, with subspecialization in critical care medicine or maternal and fetal medicine; or

(2) Pediatrics, with subspecialization in neonatal-perinatal medicine;

ii. If the air ambulance service provides interfacility neonatal transport missions, have board certification or have completed an accredited residency program in one of the following specialty areas:

(1) Obstetrics and gynecology, with subspecialization in maternal and fetal medicine; or

(2) Pediatrics, with subspecialization in neonatal-perinatal medicine, neonatology, pediatric critical care medicine, or pediatric intensive care; or

iii. If neither subsection (B)(2)(b)(i) or (ii) applies, have board certification or have completed an accredited residency program in one of the following specialty areas:

(1) Anesthesiology, with subspecialization in critical care medicine;

(2) Internal medicine, with subspecialization in critical care medicine;

(3) If the air ambulance service transports only pediatric patients, pediatrics, with subspecialization in pediatric critical care medicine or pediatric emergency medicine; or

(4) If the air ambulance service transports only surgical patients, surgery, with subspecialization in surgical critical care.

C. An administrative medical director shall ensure that each non-EMCT medical team member receives on-line medical guidance provided by:

1. The administrative medical director;

2. Another physician designated by the administrative medical director; or

3. If the medical guidance needed exceeds the administrative medical director's area of expertise, a consulting specialty physician.

Ariz. Admin. Code § R9-25-708

New Section made by final rulemaking at 12 A.A.R. 656, effective April 8, 2006 (Supp. 06-1). Renumbered from R9-25-715 and amended by final rulemaking at 28 A.A.R. 842, effective 6/5/2022.