Section 16.02.02.400 - PHYSICIAN SUPERVISION IN THE OUT-OF-HOSPITAL SETTING01.Medical Supervision Required. Under Section 56-1011, Idaho Code, licensed EMS personnel must provide emergency medical services under the supervision of a designated EMS medical director.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.03.Education of EMS Medical Director. Medical director must complete mandatory education required by the EMSPC.04.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.05.Direct Medical Supervision by Physician Assistants (PA) and Nurse Practitioners. The EMS medical director can designate PAs and Nurse Practitioners for purposes of direct medical supervision of licensed EMS personnel under the following conditions:a. A designated physician is not present in the anticipated receiving health care facility; andb. 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; orc. The physician supervising the PA, under IDAPA 24.33.02, "Rules for the Licensure of Physician Assistants," authorizes the PA to provide direct (on-line) supervision; andd. 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.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.06.Indirect Medical Supervision by Non-Physicians. Non-physicians can assist the EMS medical director with indirect medical supervision of licensed EMS personnel.07.Medical Supervision Plan. The medical supervision of licensed EMS personnel must be provided under 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 under Section 004 of these rules.08.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. a. The agency EMS medical director must identify the designated clinicians to the EMS Bureau annually in a form described in the standards manual.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).c. The EMS Bureau must provide the EMSPC with the medical supervision plans within thirty (30) days of request.d. The EMS Bureau must provide the EMSPC with the identification of EMS Medical directors and designated clinicians annually and upon request.Idaho Admin. Code r. 16.02.02.400