(A) (1) The EMS Foundation Board of Directors shall have the authority to promulgate regulations, standards and rules necessary to implement the policy and intent of this chapter. They shall constitute one volume to be filed in the office of the City Clerk.
(2) The EMS Foundation Board of Directors shall consider, but not be limited to, the following factors when promulgating regulations, standards and rules:
(a) The protection of the safety and health of the inhabitants of the city, adopting townships and neighboring participating political subdivisions;
(b) Accepted standards of practice for emergency medical care;
(c) Accepted requirements for equipment and supplies to provide advanced life support services;
(d) Federal and state requirements;
(e) Standards and recommendations of federal, state and local professional organizations interested in the provision of quality emergency medical care; and
(f) Recommendations of the Medical Director.
(3) The EMS Foundation Board of Directors shall promulgate standards controlling the following segments of the ambulance service system:
(a) Production standards related directly or indirectly to clinical performance and patient care; including response time consistent with the provisions of § 112.40;
(b) Diagnosis-specific and problem-oriented medical protocols to serve as the required standard of pre-hospital emergency care;
(c) Procedures governing the reliable provision of 24-hour medical control;
(d) Procedures and protocols for the operation of the EMS control center, which may include but not be limited to radio protocols, telephone protocols and other operating standards;
(e) Procedures for the provisions of medical control over the delivery of advanced life support procedures by ambulance personnel, which may include but not be limited to medical control communications standards, radio equipment standards, radio protocol, medical protocol, qualifications of base station physicians or emergency department nurses from whom ambulance personnel may take direction;
(f) In-service training for ambulance personnel, EMTs and dispatchers as recommended by the EMS Foundation;
(g) Standards, rules and regulations governing volunteer providers.
(B) (1) The Medical Director shall be responsible for compliance with the regulations, standards and rules promulgated under this section.
(2) The Medical Director shall have the duty to prescribe and procure narcotics and controlled drugs used within the system.
(3) The Medical Director shall also serve as the medical advisor for the authority as regulated by state law.
(C) (1) The Medical Director, subject to approval of the EMS Foundation Board, shall develop a plan for the rescue and medical care of persons in disaster situations.
(2) The EMS control center shall be authorized to control all ambulances, helicopter rescue units, mutual aid responders and special use vehicles after a government proclamation has established the existence of a disaster situation, whether resulting from tornado, fire, wind, flood, enemy action, or any other common disaster or catastrophe.
(D) The EMS Foundation Board of Directors shall approve the dispatch communications system and the medical control communications system established by the Three Rivers Ambulance Authority. In revising the medical control communications system, the EMS Foundation shall be consulted. Nothing herein shall prevent the Medical Director from promulgating regulations or standards controlling communications systems.
(E) The Medical Director shall issue licenses, permits and certificates.
('74 Code, § 9-22) (G-16-82, passed 7-27-82)