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," incorporated by reference in accordance with G.S. 150B-21.6, including subsequent amendments and editions.  This document is available from the OEMS, 2707 Mail Service Center, Raleigh, North Carolina 27699-2707, at no cost.  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, MICN, 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.