Emergency Medical Dispatch was implemented in 2000. Providing Medical Direction. Bureau of EMS Policy Statement. Policy Statement #0. Date. 12/1. 0/2. 00. Subject. Providing Medical Direction. Supercedes/Updates. Purpose. This policy was written in consultation with of the State Emergency Medical Advisory Committee (SEMAC). It is intended to provide assistance to Emergency Medical Service (EMS) agencies and physician medical directors so that they may better understand medical direction for patients of all ages at the agency level. The policy should clarify and expand upon the definitions contained in Policy Statement # 9. Medical Control, issued May 3. It is also the intent of this policy to define the roles and responsibilities of the EMS agency, the agency medical director the Regional EMS Council (REMSCO) and the Regional Emergency Medical Advisory Committee (REMAC) in relation to this topic. While the Department recommends that every agency providing pre- hospital emergency medical care have a physician medical director, it is a requirement for the agencies described below; All Ambulance Services providing Defibrillation. All Ambulance Services providing any level of Advanced Life Support (ALS). All Basic Life Support First Response agencies providing Defibrillation. An EHCP is defined as . AN EHCP is defined as (i) a physician with knowledge and experience in the delivery of emergency care; or (ii) a hospital licensed under article twenty- eight of this chapter that provides emergency care. Responsibilities of a Public Access Defibrillation Program EHCP. It will be the EHCP's responsibility to receive and review these reports of use. They must also communicate any concerns relating to the use of the device to the provider. It will be the responsibility of the EHCP to oversee the acquisition and deployment of the devices and to assure the quality control standards implemented by the manufacturer are maintained. Serve as the physician of record for the purposes of purchasing or issuing a prescription for the program to obtain epinephrine auto injectors. Immunity from Liability for EHCP. Operation of an automated external defibrillator pursuant to this section shall be considered first aid or emergency treatment for the purpose of any statute relating to liability. Operation of an automated external defibrillator pursuant to this section shall not constitute the unlawful practice of a profession under title VIII of the education law. Use of an epinephrine auto- injector device pursuant to this section shall be considered first aid or emergency treatment for the purpose of any statute relating to liability. Purchase, acquisition, possession or use of an epinephrine auto- injector device pursuant to this section shall not constitute the unlawful practice of a profession or other violation under title eight of the education law or article thirty- three of this chapter. Any person otherwise authorized to sell or provide an epinephrine auto- injector device may sell or provide it to a person authorized to possess it pursuant to this section. Implementation: All EMS agencies should immediately identify a physician medical director that meets the criteria set forth by the REMAC. All EMS agencies must carry a copy of the Statewide Basic Life Support Adult & Pediatric Treatment Protocols and the applicable Advanced Life Support written protocols either on their person and/or on each responding vehicle); the appropriate written protocols need to be available to the provider from the time of dispatch through patient transport to a definitive care facility. REMSCOs, when receiving a Notice of Intent to provide Public Access Defibrillation or Epinephrine auto injectors, shall assure the Emergency Health Care Provider meets the requirements detailed in the applicable laws. REMACs shall establish, maintain and make available, annually, the policies and procedures established for the credentialling of physicians as service medical directors in the region. Physician medical direction of emergency medical services dispatch programs. American College of Emergency Physicians.Emergency Medical Dispatch. Medical Direction and Emergency Medical Dispatch white paper FINAL.doc. Physician Medical Direction of Emergency Medical Services Dispatch Programs. Reaffirmed by the ACEP Board of Directors June 2010 Revised and approved by the ACEP Board of Directors September 2003 Originally approved by the. California Professionals Health Programs. Physician health and well being is a prerequisite for. Medical legal and expert witness services Medical Review. EMS Systems Medical Direction Emergency Medical Dispatch. They shall also maintain and make available, annually, the list of physicians who have met those credentialling policies and procedures and are serving as medical directors. Physicians asked to serve as EMS agency Medical Directors of BLS services shall maintain a ratio of physician to certified providers that is no greater than 5. An Advanced Life Support Ambulance or First Response service must maintain a physician to certified provider ratio of no greater than 1. However, physician may not be the medical director for more than 1. REMAC. These ratios were developed and approved by the SEMAC as part of Policy Statement # 9. Greenberg & Sucher . The program includes random drug testing, relapse prevention groups facilitated by experienced professionals, regular case management, individual evaluations and coordination of medical and psychiatric care, and 2. Each participant signs an individualized contract based on their specific needs. This contract provides structured support and accountability and defines all elements of the program. Participants are randomly drug tested and are required to attend relapse prevention groups regularly. Every participant's care is supervised by a certified addiction medicine physician. PTS is available to anyone eighteen and older, who has successfully completed a primary treatment program for alcohol and/or drug abuse and dependence. PTS provides strong support for those in early recovery or individuals with a history of relapse. Based on the extremely successful model of health professional monitoring programs, PTS dramatically increases the likelihood of long- term recovery when combined with primary treatment. Call us for more information at 8. California Professionals Health Programs. Physician health and well being is a prerequisite for quality health care. California Physicians Health Program provides a turnkey approach to helping organizations and individuals solve problems for troubled health care professionals. Greenberg and Sucher are experts in the field of physician health and well being. Currently they are directing and managing the Physician Health Program for the Arizona Medical Board. Greenberg and Sucher have also worked with the Medical Board of California's prior Diversion Program. Their clients include numerous hospitals, physician groups and regulatory boards. The California Physicians Health Program works with a full range of issues; Substance use disorder. Disruptive behavior. Psychiatric issues. Professional Sexual misconduct. Chronic Pain. Medical issues. Boundary issues. Age Related issues. Services Include: Evaluations and treatment referral, oversight and management. Fitness- for- Duty evaluations and Forensic assessments. Board and committee meeting representation and appearances upon request. Physician Health Programs. Post Treatment Monitoring. Working with Regulatory Agencies. Physician well- being consulting, training and management. Education and training services. Medical legal and expert witness services. Medical Review Officer. Consulting services. Drs. Greenberg and Sucher and a statewide network of group facilitators experienced in professional monitoring, work with a team of specialists including Psychiatrists, Psychologists, Internal Medicine Physicians, Neurologists, Pain Management Specialists and other medical disciplines. Please call us today for more information. Areas of Expert Testimony Include: Addiction Medicine. Medical Review Officer and Drug testing Issues. Addiction Medicine Evaluation. Sexual Addictions, Harassment Issues and Boundary Violations. Behavioral Process Addictions. Behavioral Health System Issues. Administrative Medicine. EMS Systems Medical Direction. Emergency Medical Dispatch. Individual Substance Use Evaluations and Treatment. Assessment of individuals for substance use disorders. Family consultations. Development and management of comprehensive treatment and monitoring plans. Individual addiction treatment. Consulting Services. Physician and other Professional Health Care Programs. Regulatory and Law Enforcement Agencies. Treatment Facilities. Medical Groups. Hospital Medical Staff and Well Being Committees. Medical and other professional schools. Preventative Drug Testing Programs. Greenberg & Sucher, P.
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