EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System Review8.41-11.19 (c) AddUnauthorized response to an emergency mission will lead to revocation or suspension ofthe service certification. The first offense will incur a suspension of 90 days, with subsequentoffenses making the service subject to revocation.Subchapter 12. Scope of Practice…8.41-12.1 (e) 5 Scope of Practice – Delete8.41-12.2 (b) 6 Scope of practice for the EMT-BasicChange to meet guidelines of the current DOT EMT-B Curriculum.8.41-12.2 (b) 15 AddThe administration of sublingual nitroglycerin, epinephrine auto-injector, ornebulized/metered-dose beta agonist inhalers.8.41-12.2 (b) 16 AddAt the discretion of the local medical director, able to transport patients assessed by ALSbut determined not to require additional ALS monitoring or procedures.8.41-12.3 (e) 10 Delete8.41-12.3 (i) AddViolations of legislative mandates, regulations or medical protocols may first beadjudicated and appropriate corrective action taken by the local program. Local programs mayrequest that NJOEMS accept this action in lieu of further action against the licensee. If accepted,the incident will be recorded as a formal written warning as per 8.41-12.3 (c). Nothing in thissection will affect the licensee’s rights under 8.41-12.4.8.41-12.3 (j) AddNothing in this section will prevent the local medical director from withdrawing practiceprivileges from a licensee. Upon removal of practice privileges, for any reason, the ALS programwill notify the NJOEMS of the action. Notification is not synonymous with NJOEMS actionagainst the license. NJOEMS will take action only if the licensee may be in violation oflegislative mandates, regulations or EMS protocols separate actions may be pursued as per theseregulations.8.41-12 AppendicesAny provider who adopts a NJOEMS-approved electronic patient care report, includingreporting elements, are not required to submit any reports contained in these appendices.TriData, a Division of 78September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewAdditional Legislation, Regulations, or Protocols to be ConsideredThe following legislation, regulations, or protocols should be considered. Any additionsshould be based on the goal of quality patient care with a minimum of bureaucratic regulation.Comprehensive EMS Legislation should include each of these items.Legislation – Legislation to be considered:• Volunteer BLS services should be licensed similar to other EMS services.• Identify the position of NJOEMS director as an assistant commissioner.• Allow the creation of three EMS regions, as part of the NJOEMS. A regionaladministrator may be appointed for each EMS region who acts with the delegatedauthority of the assistant commissioner.• Mandate a countywide PSDP.• Merge pediatric legislation into the comprehensive legislation package.Regulations – The following should be added under regulations:• BLS Units required to be staffed by at least two EMT-Bs.• Air Medical dispatch updates.• Consider the advantages of having a formal ALS-RN license.Executive Orders – Executive orders including reorganization of the NJEMS Councilshould become part of Comprehensive EMS Legislation.Protocols – Develop a New Jersey State EMS protocol for EMT-Bs and paramedics.This would be a statewide document that is followed by all programs. Program medicaldirections would be required to apply to the MAC for additions. The protocols should bestreamlined and concentrate on patient care. NJOEMS should avoid the temptation of makingthis a procedure manual or teaching manual.This is an appropriate time to create this as a recommendation was to deemphasize onlinemedical direction in favor of standing orders. Online direction should be considered exceptiononly. Although the literature is limited, the trends show that not requiring online medicaldirection leads to slightly shorter on-scene times and a high-level of agreement betweenTriData, a Division of 79September 2007System Planning Corporation
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EMS ResearchState of New Jersey, DH
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EMS System Review - State of New Jersey

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