EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewSubchapter 8. Standing orders for pediatric patientsDelete the entire section. Updated information will be contained in the New Jersey StateEMS Protocols.Subchapter 9. Specific Mobile Intensive Care…….8:41-9.1 Scope and purposeChange –“These rules shall apply to any agency that …..”Change-“No agency shall operate…..”8:41-9.2 Certificate of need requirements and…..thru (d) DeleteThe ALS program will enter into agreement with the jurisdiction having authority toprovide service.The ALS program must agree that if local jurisdictions cannot enter into agreements withan ALS program, the NJOEMS may require that ALS program to provide service for that areauntil an agreement can be reached. In these cases, NJOEMS will guarantee compensation forthose services.8:41-9.4 Medical director(c) delete(d) delete(e) change “medical control” to “medical oversight”Add – Program medical directors must be approved by the state EMS medical director (orregional medical director).8:41-9.6 Medical commandthru (m) delete- to be addressed in the New Jersey State EMS Medical Protocols.8:41-9.7 Medical treatment protocolsChange – All providers will follow the New Jersey State EMS Medical Protocols.Programs will be permitted to apply for additions thru the MICU council and state EMS medicaldirector.8:41-9.8 Required crewmembersTriData, a Division of 76September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewChange to read –When “in service” each non-transport MICU shall be staffed by at leastone paramedic or one registered nurse who meets the requirements set forth at N.J.A.C. 8:41-9.9.Transport capable units shall be staffed by at least two EMS providers, at a minimum,one paramedic or one registered nurse who meets the requirements set forth at N.J.A.C. 8:41-9.9and one EMT-B8:41-9.19 MICU DispatchAdd (b) 6 – Dispatchers that are certified as New Jersey Emergency MedicalDispatchers.8:41-9.21 Hours of operationsAdd (b) EMS supervisory vehicles may, at the program medical director’s discretion,carry ALS equipment and function as an ALS non-transport unit. Programs are not obligated toadvise NJOEMS of their daily service status.8:41-9.22 Temporary utilization of…Delete- this is a local program issue.Subchapter 10. Specific Specialty Care……8:41-10.4 thru 10.6 these should be merged with MICU medical direction regulations.8.41-10.8 Required crewmembersChange to read:At least one approved RN and two basic EMT-Bs or two paramedics or one EMT-B andone paramedic.If the RN is also an EMT-B or paramedic than only another provider of the appropriatelevel is required.The program medical director may approve an STCU unit operate without a nurse whenthe paramedic’s scope of practice covers patient care needs.Subchapter 11. Specific Air Medical Services Requirements8:41-11.6 Medical CommandMove to EMS Protocols8.41-11.17 (a) 1 DispatchConsider going to one statewide dispatch centerTriData, a Division of 77September 2007System Planning Corporation
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EMS System Review - State of New Jersey

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