Kentucky Statutes 311A.180 – Medical control documents — Review — Approval — Appeal — Schedule for submission and review
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(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.
Effective: July 14, 2022
History: Amended 2022 Ky. Acts ch. 115, sec. 5, effective July 14, 2022. — Amended
2015 Ky. Acts ch. 9, sec. 2, effective June 24, 2015. — Created 2002 Ky. Acts ch.
211, sec. 33, effective July 15, 2002.
(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;
Terms Used In Kentucky Statutes 311A.180
- Ambulance: means a vehicle which has been inspected and approved by the board, including a helicopter or fixed-wing aircraft, except vehicles or aircraft operated by the United States government, that are specially designed, constructed, or have been modified or equipped with the intent of using the same, for the purpose of transporting any individual who is sick, injured, or otherwise incapacitated who may require immediate stabilization or continued medical response and intervention during transit or upon arrival at the patient's destination to safeguard the patient's life or physical well-being. See Kentucky Statutes 311A.010
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Arrest: Taking physical custody of a person by lawful authority.
- Board: means the Kentucky Board of Emergency Medical Services. See Kentucky Statutes 311A.010
- Emergency medical services medical director: means a physician licensed in Kentucky and certified by the board under this chapter who is employed by, under contract to, or has volunteered to provide supervision for a paramedic or an ambulance service, or both. See Kentucky Statutes 311A.010
- Trauma: means a single or multisystem life-threatening or limb-threatening injury requiring immediate medical or surgical intervention or treatment to prevent death or permanent disability. See Kentucky Statutes 311A.010
- Treatment: when used in a criminal justice context, means targeted interventions
that focus on criminal risk factors in order to reduce the likelihood of criminal behavior. See Kentucky Statutes 446.010
(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.
Effective: July 14, 2022
History: Amended 2022 Ky. Acts ch. 115, sec. 5, effective July 14, 2022. — Amended
2015 Ky. Acts ch. 9, sec. 2, effective June 24, 2015. — Created 2002 Ky. Acts ch.
211, sec. 33, effective July 15, 2002.