For an Arkansas-licensed EMSP to perform skills for which they are licensed within a hospital, the EMSP shall ensure that the following actions have been taken by the hospital:

1. (1)

   1. (A) The medical staff must approve the privileges granted to the individual EMSP with the concurrence of the hospital's governing body.

   2. (B) Specific policies governing the supervision and the procedures to be performed by the EMSP must be:

      1. (i) Developed by the hospital medical staff; and
      2. (ii) Approved by the hospital's governing body.
   3. (C) EMSPs may not perform a procedure on a patient in a hospital that is outside of the scope of practice for his or her licensure level;

2. (2) Approved EMSPs in a hospital setting must function:

   1. (A) In accordance with the supervising physician's orders; and
   2. (B) Under the direct supervision of either the physician or the registered nurse responsible for emergency services within a hospital;

3. (3) In addition, with hospital concurrence, students in Department of Health-approved EMSP training programs must be trained by qualified personnel within the hospital under guidelines:

   1. (A) Established by the medical staff; and
   2. (B) Approved by the hospital’s governing body; and
4. (4) A roster with the delineation of privileges shall be maintained and readily available to the department.