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Code · Kentucky · Kentucky Revised Statutes

311A.180 Medical control documents -- Review -- Approval -- Appeal -- Schedule

353 words·~2 min read·/ky/311a-180

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for submission and review.
(1)Each emergency medical services medical director for an ambulance service, or
other emergency medical services provider, shall submit:
(a)His or her protocols, including the pre-hospital care protocols related to the
assessment, treatment, and transport of stroke, trauma, cardiac arrest, and
heart attack patients;
(b)His or her standing orders; and
(c)Similar medical control documents to the board for approval prior to placing
the document in use.
(2)The medical advisor for the board shall review each document submitted to
ascertain if it is in accordance with accepted standards of medical care and in
accordance with the provisions of this chapter and administrative regulations
promulgated thereunder. If the protocol, standing order, or other medical control
document clearly violates the accepted standards of medical care, this chapter, or an
administrative regulation, the medical advisor shall notify the emergency medical
services medical director of the exact violation and recommend a correction thereof.
(3)Following review of protocol, standing order, and medical control documents and
giving the emergency medical services medical director who submitted the
documents an opportunity to review the medical advisor's comments, the medical
advisor shall submit the documents together with his or her comments to the board
for approval or disapproval.
(4)The board shall approve, disapprove, or approve with modifications protocol,
standing order, and medical control documents submitted by the emergency medical
services medical director at its next regular or special meeting following the
submission of the documents.
(5)If a protocol, standing order, or other medical control document is disapproved by
the board, the emergency medical services medical director who submitted it may
appeal the decision to the Franklin Circuit Court. If the decision of the board is
appealed to the Franklin Circuit Court, the board shall bear the burden of proving
that the protocol, standing order, or other medical control document violates the
accepted standards of medical care, or an administrative regulation.
(6)The board shall, by administrative regulation, specify a schedule for submission and
prompt review and decision making with regard to protocols, standing orders, and
medical control documents submitted to the board.
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