Statutes, codes, and regulations
Colorado Administrative Code
Department 1000 - Department of Public Health and EnvironmentDivision 1011 - Health Facilities and Emergency Medical Services Division (1011, 1015 Series)Rule 6 CCR 1015-3 - EMERGENCY MEDICAL SERVICES
Chapter 2 - RULES PERTAINING TO EMS PRACTICE AND MEDICAL DIRECTOR OVERSIGHT
Section 6 CCR 1015-3-2-11 - General Acts Allowed

6 Colo. Code Regs. § 1015-3-2-11

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Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1015-3-2-11 - General Acts Allowed
11.1 Any EMS provider working for an EMS service agency shall be supervised by an EMS agency medical director who complies with the requirements in these rules.
11.2 EMS providers who are providing medical care in a clinical setting must function under the authority of a clinical medical director and under the medical supervision of a medical supervisor.
11.3 An EMS agency medical director, CIHCS agency medical director, or clinical medical director may limit the scope of practice of any EMS provider over whom they provide medical direction.
11.4 In a prehospital setting, the gathering of laboratory and/or other diagnostic data for the sole purpose of providing information to another health care provider does not require a waiver provided:
11.4.1 The method by which the data is gathered is within the scope of practice of the EMS provider as contained in these rules;
11.4.2 The collection method and analysis of the information collected is done in accordance with applicable regulations including, but not limited to, the Clinical Laboratory Improvement Amendments (CLIA) and FDA requirements; and,
11.4.3 Unless otherwise allowed in Table A.6, the information obtained will not be used to alter the prehospital treatment or destination of the patient without a direct verbal order.
11.4.4 A medical director shall obtain a waiver as set forth in Section 12 of these rules for any other data gathering activities that do not meet the provisions listed above.
11.5 EMS providers who are providing out-of-hospital medical services, as specifically defined in Section 2.36 of these rules, for a CIHCS agency or in a clinical setting must obtain a Community Paramedic endorsement.
11.5.1 An endorsed Community Paramedic may provide out-of-hospital medical services as defined in these rules while employed by or contracting with a CIHCS agency.
11.5.2 Paramedics with a Community Paramedic endorsement working in a CIHCS agency can perform and interpret POCT, excluding imaging procedures that are not performed by the P-CP in real time, as defined in Appendix G.
A) A P-CP may interpret POCT for clinical decision making based on the protocols and procedures of the CIHCS agency medical director.
B) A P-CP may interpret laboratory studies outside of POCT if part of a prescribed service plan approved by the CIHCS agency medical director.
11.5.3 An endorsed Community Paramedic may provide out-of-hospital medical services in the clinical setting pursuant to the provisions set forth in Section 9 of these rules.
11.6 EMS providers may not practice in camps in a nursing capacity including the dispensing of medications.

6 CCR 1015-3-2-11

37 CR 12, June 25, 2014, effective 5/21/2014
37 CR 12, June 25, 2014, effective 7/15/2014
37 CR 22, November 25, 2014, effective 12/15/2014
38 CR 24, December 25, 2015, effective 1/14/2016
40 CR 10, May 25, 2017, effective 7/1/2017
40 CR 20, October 25, 2017, effective 1/1/2018
40 CR 21, November 10, 2017, effective 1/1/2018
41 CR 23, December 10, 2018, effective 1/14/2019
43 CR 22, November 25, 2020, effective 1/1/2021
44 CR 23, December 10, 2021, effective 12/30/2021
45 CR 10, May 25, 2022, effective 6/14/2022