526.1 The Director shall develop a scope of practice policy in accordance with the Department of Transportation and the National Highway Traffic Safety Administration's current national standard guidelines.

526.2 The medical directors of each EMS agency shall develop a scope of practice that meets or exceeds the Director's scope of practice model.

526.3 An EMS provider shall adhere to the scope of practice approved and in effect for his or her respective EMS agency.

526.4 EMS personnel shall only provide emergency medical care while acting under the authority of the medical director for the EMS agency for which he or she is affiliated and within the scope of the EMS agency certification.

526.5 The Director may authorize providers to exceed the current scope of practice.

(a) The EMS Agency's medical director shall submit a request to expand the scope of practice for the EMS agency to the District's EMS Officer.

(b) The State EMS Officer shall review the request and make a recommendation to the Director to approve or deny the request.

SOURCE: Final Rulemaking published at 60 DCR 16569 (December 6, 2013).