Current through Register Vol. 47, No. 24, December 25, 2024
Section 6 CCR 1015-3-2-17 - Critical Care17.1 In addition to the medical acts within the scope of practice of a Paramedic contained within Appendices A, B, C, and D, a P-CC may perform the medical acts contained within this section, Appendices E and F, under the authorization of an EMS agency medical director or clinical medical director. 17.1.1 Additions to these medical acts in a prehospital setting are not allowed unless a waiver has been granted as described in Section 12 of these rules.17.1.2 It is understood that these medical acts may not be addressed in the National EMS Education Standards for Paramedics. As such, it is the joint responsibility of the applicable medical director and individuals performing these medical acts to obtain appropriate additional training needed to safely and effectively utilize and monitor these interventions in the critical care environment.17.2 A P-CC may decline transport of any patient that requires a level of care outside of their defined scope of practice or that the P-CC believes is beyond their capabilities.17.3 In addition to the duties of an EMS agency medical director or clinical medical director outlined in Sections 5 and 19 of these rules, the duties of such a medical director responsible for authorization of a P-CC shall include:17.3.1 Be qualified, by education, training, and experience in the medical acts for which the applicable medical director is authorizing the P-CC to practice.17.3.2 Have protocols in place clearly defining which medical acts, from Appendices E and F, the applicable medical director is authorizing the P-CC to perform.17.3.3 Have protocols in place to ensure the appropriate level of care is available during critical care transport. The capabilities of the transporting agency and the safety of the patient should be considered when making transport decisions.37 CR 12, June 25, 2014, effective 5/21/201437 CR 12, June 25, 2014, effective 7/15/201437 CR 22, November 25, 2014, effective 12/15/201438 CR 24, December 25, 2015, effective 1/14/201640 CR 10, May 25, 2017, effective 7/1/201740 CR 20, October 25, 2017, effective 1/1/201840 CR 21, November 10, 2017, effective 1/1/201841 CR 23, December 10, 2018, effective 1/14/201943 CR 22, November 25, 2020, effective 1/1/202144 CR 23, December 10, 2021, effective 12/30/202145 CR 10, May 25, 2022, effective 6/14/2022