The medical directorof a LEMSA shall establish and maintain medical control in the following manner:
(a) Prospectively, by assuring the development of written medical policies and procedures, to include at a minimum:
(1) Treatment protocols that encompass the Advanced EMT scope of practice.
(2) Local medical control policies and procedures as they pertain to the Advanced EMT base hospitals, alternative base stations, patient destination, and the LEMSA.
(3) Criteria for initiating specified emergency treatments on standing orders, which are consistent with this Chapter.
(4) Requirements to be followed when it is determined that the patient will not require transport to the hospital by ambulance or when the patient refuses transport.
(5) Requirements for initiating, completing, reviewing and retaining patient care records as specified in this Chapter. These requirements shall address, but not be limited to:
(A) Initiation of a record for every patient contact.
(B) Responsibilities for record completion.
(C) Responsibilities for record review and evaluation.
(D) Responsibilities for record retention.
(E) Record distribution to include the LEMSA, receiving hospital, Advanced EMT and/or EMT-II base hospital, alternative base station, and Advanced EMT and/or EMT-II service provider.
(b) Establish policies which provide for direct voice communication between an Advanced EMT and/or EMT-II and base hospital Physician or Mobile Intensive Care Nurse, as needed.
(c) Retrospectively, by providing for organized evaluation and CE for Advanced EMT and/or EMT-II personnel. This shall include, but need not be limited to:
(1) Review by a base hospital Physician or Mobile Intensive Care Nurse of the appropriateness and adequacy of ALS procedures initiated and decisions regarding transport.
(2) Maintenance of records of communications between the service provider(s) and the base hospital through audio recordings and through emergency department communication logs sufficient to allow for medical control and continuing education of the Advanced EMT and/or EMT-II.
(3) Organized field care audit(s).
(4) Organized opportunities for CE including maintenance and proficiency of skills as specified in this Chapter.
(d) In circumstances where use of a base hospital as defined in Section 100127 is precluded, alternative arrangements for complying with the requirements of this Section may be instituted by the medical director of the LEMSA if approved by the Authority.
Credits
Note: Authority cited: Sections 1797.107, 1797.171 and 1797.176, Health and Safety Code. Reference: Sections 1797.82, 1797.90, 1797.171, 1797.202, 1797.220, 1798, 1798.2, 1798.3, 1798.101 and 1798.105, Health and Safety Code.
1. Amendment of section and Note filed 5-18-2010; operative 6-17-2010 (Register 2010, No. 21).
This database is current through 4/19/24 Register 2024, No. 16.
Cal. Admin. Code tit. 22, § 100128, 22 CA ADC § 100128
