1. (a) A medical director's approval of standing orders for a state-certified or licensed EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher, for the activities described in 7 AAC 26.040, must be in writing. Additional medications or procedures not listed in 7 AAC 26.040 may be approved by direct voice contact with an on-line physician, or by written standing orders from the medical director in accordance with 7 AAC 26.670.

2. (b) The medical director for a state-certified EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher shall

   1. (1) provide direct or indirect supervision of the medical care provided by each state-certified EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher;
   2. (2) establish and annually review treatment protocols;
   3. (3) approve medical standing orders that delineate the advanced life-support techniques that may be performed by each state-certified or licensed EMT-I, EMT-II, EMT-III, AEMT, or paramedic and the circumstances under which the techniques may be performed;
   4. (4) provide quarterly critiques of patient care provided by the EMT-I, EMT-II, EMT-III, AEMT, or paramedic and quarterly on-site supervisory visits; the department may grant a written waiver of this requirement based on difficult geographic, transportation, or climatic factors; and
   5. (5) regularly review the competency of each sponsored EMS provider.
3. (c) Repealed 12/26/2014.

(Eff. 10/23/92, Register 124; am 5/22/96, Register 138; am 7/4/99, Register 151; am 12/26/2014, Register 212; am 8/21/2019, Register 231; am 1/1/2022, Register 241)

Authority: AS 18.08.080, AS 18.08.082, AS 18.08.084