Header:
CODE OF MARYLAND REGULATIONS
TITLE 30. MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
SUBTITLE 03. EMS OPERATIONAL PROGRAMS
CHAPTER 05. PROTOCOL DEVELOPMENT
Date:
08/31/2009
Document:
.02 Protocol Development.
A. The EMS Board shall approve and issue the Maryland Medical Protocols for Emergency Medical Services Providers and any protocol revisions or supplemental protocols.
B. MIEMSS shall develop the Maryland Medical Protocols for Emergency Medical Services Providers and any protocol revisions or supplemental protocols with the advice of a protocol review committee.
C. Any individual may recommend a protocol, protocol revision or supplemental protocol to the protocol review committee by forwarding the recommendation to the protocol review committee and the office of the State EMS Medical Director at MIEMSS.
D. MIEMSS shall appoint the protocol review committee which shall be composed of:
(1) Representatives of interested parties including:
(a) The EMS Board,
(b) The State Board of Physicians,
(c) The Statewide Emergency Medical Services Advisory Council,
(d) The Pediatric Emergency Medical Advisory Group,
(e) The Jurisdictional Advisory Committee,
(f) The Commercial Ambulance Service Advisory Council,
(g) The EMS operational program medical directors,
(h) EMS providers, including volunteer and career providers at the BLS and ALS level,
(i) Physicians in specialty areas, and
(j) Other health practitioners as necessary; and
(2) The regional medical directors.
E. The protocol review committee shall review the fiscal impact of any proposed protocol, protocol revision, or supplemental protocol.
F. All recommendations for protocols, protocol revisions, or supplemental protocols concerning the practice of medicine shall be presented to the Practice of Medicine Committee of the State Board of Physicians.
G. All recommendations for protocols, protocol revisions, or supplemental protocols concerning the practice of nursing shall be presented to the Board of Nursing.
H. The Executive Director of MIEMSS shall present all recommendations for protocols, protocol revisions, or supplemental protocols to the EMS Board.
I. In an emergency situation in which a delay in the issuance of a protocol, protocol revision, or supplemental protocol would pose a threat to the health and welfare of patients, the Executive Director of MIEMSS, with the concurrence of the Chair of the EMS Board, may issue an immediate emergency protocol or revision which shall be effective pending action by the EMS Board at the next meeting of the EMS Board.
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