Medical direction facilities shall:

1. (1) Provide properly credentialed and licensed medical direction physician coverage in the emergency department 24 hours per day, 7 days a week, 365 days a year.
2. (2) Provide on-1ine medical direction to EMSP for out of hospital care on a 24 hour per day, 7 day a week, 365 days a year basis in accordance with approved operations, treatment, triage, and transfer protocols.
3. (3) Complete and sign a Memorandum of Understanding (MOU) with the OEMS. The agreement shall include a list of all licensed emergency medical direction physicians who give medical orders to EMSP. The list shall also include the full name of each physician and his or her MDPID.
4. (4) Maintain a Hospital Emergency Administrative Radio (HEAR) communication system capable of serving the emergency medical provider services' needs for the areas served.
5. (5) Ensure that all on-1ine medical direction physicians communicate directly with emergency medical provider services and EMSP when providing orders unless the physician is providing other critical medical duties which can only be provided by a physician.

Author: William Crawford, M.D.; Jamie Gray

Statutory Authority: Code of Ala. 1975, §22-18-1, et seq.

Editor’s Note: Rule 420-2-1-.14 was renumbered 420-2-1-.05 as per certification Filed February 20, 2019; effective April 7, 2019.

History: New Rule: Filed September 20, 1996; effective October 24, 1996. Amended: Filed March 20, 2001; effective April 24, 2001. Repealed and New Rule: December 17, 2007; effective January 21, 2008. Repealed and New Rule: Filed March 16, 2017; effective April 30, 2017. Repealed and New Rule: Filed February 20, 2019; effective April 7, 2019. Repeal and New Rule: Published April 30, 2020; effective June 14, 2020. Repeal and New Rule: Published February 28, 2022; effective April 14, 2022.