2016-721-E Emergency Svc - NC DHHS EMD Center Renewal Application

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SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0401 COMPONENTS OF MEDICAL OVERSIGHT FOR EMS SYSTEMS Each EMS System shall have the following components in place to assure medical oversight of the system: 10A NCAC 13P .0401(3) for systems providing EMD service, an EMDPRS approved by the medical director. NOTE: Medical Director’s signature is required on this application. 10A NCAC 13P .0403 RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR EMS SYSTEMS 10A NCAC 13P .0403(a) The Medical Director for an EMS System is responsible for the following: 10A NCAC 13P .0403(a)(3) EMD programs, the establishment, approval, and annual updating of the EMDPRS. DATE OF LAST EMDPRS REVIEW: 10A NCAC 13P .0407 REQUIREMENTS FOR EMERGENCY MEDICAL DISPATCH PRIORITY REFERENCE SYSTEM 10A NCAC 13P .0407(a) EMDPRS used by an EMD within an approved EMD program shall: 10A NCAC 13P .0407(a)(1) be approved by the OEMS Medical Director and meet or exceed the statewide standard for EMDPRS as defined by the "North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection," incorporated by reference in accordance with G.S. 150B-21.6, including subsequent amendments and editions. 10A NCAC 13P .0407(a)(2) not exceed the EMD scope of practice defined by the North Carolina Medical Board pursuant to G.S. 143-514. 10A NCAC 13P .0407(b) An EMDPRS developed locally shall be reviewed and updated annually and submitted to the OEMS Medical Director for approval. Any change in the EMDPRS shall be submitted to the OEMS Medical Director for review and approval at least 30 days prior to the implementation of the change. (EXAMPLE: EMDPRS will be reviewed every January or as changes occur throughout the year.) EMDPRS CARD SET NAME: VERSION NO:EMDPRS LICENSE NO: NOTE: If the EMDPRS is developed locally, please provide a complete copy of card set and assurance that the EMDPRS will be reviewed annually and submit to OEMS Medical Director for approval. VERIFY THE EMD ROSTER LISTED IN THE CREDENTIALING INFORMATION SYSTEM (CIS) IS CORRECT (if no, update in CIS):YES NO BRIEFLY DESCRIBE THE EMD PROGRAM CONTINUING EDUCATION AND RECREDENTIALING REQUIREMENTS TO INCLUDE EDCUATIONAL INSTITUTION AND INSTRUCTOR INFORMATION: VERIFY THEFCC CALL SIGNAND EXPIRATION DATEOF THECENTERTHATWILL BE UTILIZINGTHE EMD PROGRAM INTHE CREDENTIALINGINFORMATIONSYSTEM (CIS) IS CORRECT (if no, update in CIS):YES NO FCC CALL SIGN: EXPIRATION DATE: NOTE: EMD Centers must have representation at Peer Review Committee Meetings. BE PREPARED TO PRESENT SUPPORTING DOCUMENTATION UPON REQUEST EMD Center Renewal Effective 8/1/2014 DHHS/DHSR/OEMS 4917 Page 2 of 3 DocuSign Envelope ID: 0123867B-484A-40EF-9EC6-2607BAF583F8 IAED Medical Priority Dispatch System 90-10620 Monthly con ed through Richmond Community College, as well as regular in-house training based on identified areas found during the Quality Assurance process. Recredentialing is every 2 years, through Priority Dispatch, via an online test and submission of con ed hours. Laura Piche' - NC Sheriffs' Education and Training Standards General Instructor, NC Level I Instructor, EMD-Q 13.0 1/5/2023 KSQ687