Each Specialty Care Transport Program shall have the following components in place to assure Medical Oversight of the system:

1. (1) a medical director. The administration of the SCTP shall appoint a medical director following the criteria for medical directors of Specialty Care Transport Programs as defined by the "North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection." The program administration may elect to appoint one or more assistant medical directors;
2. (2) treatment protocols for adult and pediatric patients for use by medical crew members;
3. (3) an EMS Peer Review Committee; and

4. (4) a written protocol for use by medical crew members to obtain on-line medical direction. On-line medical direction shall:

   1. (a) be restricted to medical orders that fall within the scope of practice of the medical crew members and within the scope of approved program treatment protocols;
   2. (b) be provided only by a physician, EMS-NP, or EMS-PA. Only physicians may deviate from written treatment protocols; and
   3. (c) be provided by a system of two-way voice communication that can be maintained throughout the treatment and disposition of the patient.

History Note: Authority G.S. 143‑508(b); 143-509(12);
Temporary Adoption Eff. January 1, 2002;
Eff. April 1, 2003;
Amended Eff. January 1, 2009; January 1, 2004;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016;
Amended Eff. April 1, 2024.