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4 <br />2. The duties of the Medical Director shall include the following: <br />a. Provide medical direction for the emergency medical services <br />program of Orange County, including First Responder, Basic Life <br />Support, Advanced Life Support, and special events coverage <br />personnel, including the EMS personnel of Orange County Rescue <br />Squad and South Orange Rescue Squad. <br />b. Develop, review, and periodically update medical treatment <br />protocols in conjunction with the County Director of Emergency <br />Management or designee (hereafter "the Director"). <br />c. Provide medical treatment supervision of personnel by randomly <br />responding to EMS calls and observing the approach, demeanor, <br />relationships, and medical treatment provided to the patient and <br />others by all responding personnel including, First Responders, <br />Fire, Law Enforcement, Rescue, and EMS. <br />d. Facilitate a program of total quality management of patients <br />addressing compliance to protocol, standards of care, technician <br />proficiency, appropriate patient management, effectiveness of <br />treatments and protocols, evaluation for positive patient <br />outcomes and other components of the EMS system that occur <br />from access through 911 to delivery through the Emergency <br />Department at the University of North Carolina Hospitals. Provide <br />ongoing recommendations to the Director of system needs and <br />changes necessary to implement and operate the patient total <br />