7 AAC 26.640. Medical director responsibilities: certified persons

(a) A medical director's approval of standing orders for a state-certified EMT-I, EMT-II, or EMT-III, for the activities described in 7 AAC 26.040 and 7 AAC 26.540, must be in writing. Additional medications or procedures not listed in 7 AAC 26.040 or 7 AAC 26.540 may be approved by direct voice contact with an on-line physician, or by written standing orders from the medical director in accordance with 7 AAC 26.670.

(b) The medical director for a state-certified EMT-I, EMT-II, or EMT-III shall

(1) provide direct or indirect supervision of the medical care provided by each state-certified EMT-I, EMT-II, or EMT-III;

(2) establish and annually review treatment protocols;

(3) approve medical standing orders that delineate the advanced life-support techniques that may be performed by each state-certified EMT-I, EMT-II, or EMT-III and the circumstances under which the techniques may be performed;

(4) provide quarterly critiques of patient care provided by the EMT-I, EMT-II, or EMT-III, and quarterly on-site supervisory visits; the department will, in its discretion, grant a written waiver of this requirement based on difficult geographic, transportation, or climatic factors; and

(5) approve a program of continuing medical education for each state-certified EMT supervised.

(1) provide direct or indirect supervision of medical care provided by each state-certified manual defibrillator technician;

(2) approve medical standing orders that delineate the emergency care procedures that each state-certified manual defibrillator technician may perform and the circumstances under which these procedures may be performed;

(3) review each run in which a shock was delivered to a patient; and

(4) provide, or arrange for, at least quarterly training sessions that include practice sessions and assessment of each state-certified manual defibrillator technician's ability to perform in compliance with local protocol.

History: Eff. 10/23/92, Register 124; am 5/22/96, Register 138; am 7/4/99, Register 151

Authority: AS 18.08.080

AS 18.08.082

AS 18.08.084

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