10a ncac 13p .0402       COMPONENTS OF MEDICAL OVERSIGHT FOR SPECIALTY CARE TRANSPORT PROGRAMS

Each Specialty Care Transport Program shall have the following components in place to assure Medical Oversight of the system:

(1)           a medical director. The administration of the SCTP shall appoint a medical director following the criteria for medical directors of Specialty Care Transport Programs as defined by the "North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection." The program administration may elect to appoint one or more assistant medical directors;

(2)           treatment protocols for adult and pediatric patients for use by medical crew members;

(3)           an EMS Peer Review Committee; and

(4)           a written protocol for use by medical crew members to obtain on-line medical direction. On-line medical direction shall:

(a)           be restricted to medical orders that fall within the scope of practice of the medical crew members and within the scope of approved program treatment protocols;

(b)           be provided only by a physician, EMS-NP, or EMS-PA. Only physicians may deviate from written treatment protocols; and

(c)           be provided by a system of two-way voice communication that can be maintained throughout the treatment and disposition of the patient.

History Note:        Authority G.S. 143‑508(b); 143-509(12);

Temporary Adoption Eff. January 1, 2002;

Eff. April 1, 2003;

Amended Eff. January 1, 2009; January 1, 2004;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016;

Amended Eff. April 1, 2024.