Okla. Admin. Code § 310:641-3-4

Current through Vol. 42, No. 4, November 1, 2024

Section 310:641-3-4 - Requirement

(a) While performing with a licensed ambulance service and/or a certified emergency medical response agency, emergency medical personnel shall perform authorized procedures, which may not exceed the level of license or certification.

(b) Each licensed ambulance service and/or certified emergency medical response agency shall have a physician medical director who is a fully licensed, non-restricted doctor of medicine (M.D.) or a doctor of osteopathy (D.O.) in the State of Oklahoma. Medical direction for a certified emergency medical response agency shall be provided by or approved by the sponsoring licensed ambulance service. The Department shall be notified within twenty four (24) hours of any lapse of medical direction by the respective agency.

(1) The physician medical director of an air, ground, specialty care ambulance service and/or emergency medical response agency based in another state shall not be required to be licensed to practice in the State of Oklahoma, but shall be fully licensed in good standing in the home state of that air, ground, or specialty care ambulance service and/or certified first response agency.

(2) The physician medical director for an ambulance service and/or emergency medical response agency operated by the federal government shall be fully licensed in good standing in Oklahoma or another state. If not licensed in Oklahoma, the physician shall be actively employed by the federal agency responsible for the operation of the ambulance service or emergency medical response agency.

(c) The physician director shall:

(1) Demonstrate appropriate training and experience in adult and pediatric emergency medical services. Demonstrated training and experience may include appropriate board certification approved by the Department or successful completion of training programs such as Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Advanced Trauma Life Support (ATLS), Advanced Disaster Life Support (ADLS) or other equivalent training.

(2) Be familiar with the design and operation of pre-hospital emergency medical services systems, and knowledgeable about the capabilities of the different levels of licensed personnel and of the established protocols.

(3) Have experience in the emergency department management of the acutely ill or injured patient(s). In the rural setting, the physician shall routinely and actively participate in the care for acutely ill or injured patient(s).

(4) Be knowledgeable and actively involved in quality assurance and the educational activities of the emergency medical technician, and supervise a quality assurance (QA) program by either direct involvement or appropriate designation and surveillance of his responsible designee. The QA program, or policy, shall be submitted with treatment protocols for approval by the Department. The Department may require quality assurance documentation for review, and shall protect the confidentiality of that information.

(5) Have knowledge and a relationship with the licensed ambulance service(s) and/or certified emergency medical response agency(ies) and their primary service area coverage. A physician may be the medical director for more than one (1) licensed ambulance service and/or certified emergency medical Response agency.

(6) Provide a written statement, to the Department, which includes:

(A) Agreement to provide medical direction and establish the standard of care provided by the service;

(B) Regular mail and email addresses;

(C) An Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD) number or appropriate state equivalent;

(D) Current medical license;

(E) A curriculum vitae, and be actively involved in pre-hospital care.

(7) Develop medical protocols for patient care techniques, both on-line and off-line standing orders and present written EMT Intermediate, and EMT Paramedic life support protocols to the Department for approval, before use. Protocols shall include medications to be used, treatment modalities for patient care procedures, and appropriate security procedures for controlled and dangerous drugs.

(8) List all medications with quantities to be carried on each emergency vehicle.

(9) Participate in the statewide emergency medical services system.

Okla. Admin. Code § 310:641-3-4

Added at 8 Ok Reg 3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at 11 Ok Reg 3843, eff 7-11-94; Amended at 17 Ok Reg 392, eff 11-1-99 (emergency); Amended at 17 Ok Reg 2948, eff 7-13-00; Amended at 18 Ok Reg 2501, eff 6-25-01; Amended at 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff 6-25-07; Amended at 26 Ok Reg 1498, eff 6-11-09

Amended and renumbered by Oklahoma Register, Volume 33, Issue 24, September 1, 2016, eff. 9/11/2016