F 1149 – 93 R98

Desig natio n: F 114 9 – 93 (Reap prov ed 1998) Standard Practice for Qualifications, Responsibilities, and Authority of Individuals and Institutions Providing Medical Direction of Emergency Medic al Servi ces 1 This standard is issued under the fixed designation F 1149; the number immediately following the designation indicates the year of original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A supersc ript epsilon (e) indicates an editorial change since the last revision or reapproval. 1. Scope 1.1 This practice covers the qualificat ions, responsibiliti es, and authority of individuals and institutions providing medical direction of emergency medical services. 1.2 This practice addresses th e qualifications, authorit y, and responsibility of a Medical Director (off-line) and the relationship of the EMS (Emergency Medical Services) provider to this individual. 1.3 This practice also add res ses compon ent s of on-lin e medical direction (direct medical control) including the qualifications and responsibilities of on-line medical physicians and the relationship of the prehospital provider to on-line medical direction. 1.4 This practic e addre sses the rela tions hip of the on-line medical physician to the off-line Medical Director. 1.5 The aut hor ity for contro l of med ica l ser vic es at the scene of a medical emergency is addressed in this practice. 1.6 The requirements for a Communic ation Resour ce are also addressed within this practice. 2. Re fe re nced Docume nt s 2.1 ASTM Standards: F 1031 Practice for Trainin g the Emergency Medical Tech- nician (Basic) 2 F 1086 Guide for Structures and Responsi bili ties of Emer - gency Medical Services Systems Organizations 2 3. T erminology 3.1 Description of Terms Specific to This Practice 3.2 communi cation resource—an ent it y respons ible for imple men tat ion of dir ect med ical contro l. (Al so known as medical control resource.) 3.3 deleg ated pract ice—on ly phy sicians are lic ens ed to practice medicine; prehospital providers must act only under the medical direction of a physician. 3.4 direct medical control —when a physician or authorized communic ation resourc e perso nnel, under the dire ction of a physician, provides immediate medical direction to prehospital providers in remote locations. (Also known as on-line medical direction.) 3.5 emergency medical services system (EMSS) —all com- ponen ts needed to provi de comp rehen sive preho spit al and hospital emergency care including, but not limited to; Medical Direc tor , trans port vehicles, trai ned pers onnel , access and dispatch, communications, and receiving medical facilities. 3.6 intervener physicians —a licensed M.D. or D.O., having not previously established a doctor/patient relationship with the emer genc y pati ent and will ing to acce pt respo nsibi lity for a medical emergency scene, and can provide proof of a current Medical License. 3.7 medical directi on—wh en a physician is ide nti fied to devel op, impl ement , and evaluate all medi cal aspects of an EMS system. (syn. medical accountability.) 3.8 medical director off-line —a physician responsible for all aspects of an EMS system dealing with provision of medical care. (Also known as System Medical Director.) 3.9 on- line medic al physi cian—a physi cian imme diat ely available, when medically appropriate, for communication of medi cal dire ction to non-p hysi cian prehospital provi ders in remote locations. 3.10 prehospit al provider —all perso nnel prov iding emergency medical care in a location remote from facilities capable of providing definitive medical care. 3.11 protocols—standards for EMS practice in a variety of situations within the EMS system. 3.12 standi ng ord ers—str ictl y define d writ ten order s for actions, techniques, or drug administration when communication has not been established with an on-line physician. 1 This practice is under the jurisdiction of ASTM Committee F30 on Emergency Medical Serv ices and is the dir ect resp ons ibi lity of Sub commit tee F30 .03 on Organization/Management. Current edition approved August 15, 1993. Published October 1993. Originally published as F 1149 – 88. Last previous edition F 1149 – 88. 2 Annual Book of ASTM Standard s, Vol 13.02. 1 Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States. NOTICE: This standard has either been superceded and replaced by a new version or discontinued. Contact ASTM International (www.astm.org) for the latest information.

F 1149 – 93 R98

Documents

Transcript of F 1149 – 93 R98