NORTH COAST EMERGENCY MEDICAL SERVICES Policy #2306

POLICIES AND PROCEDURES

Subject: Physician Involvement with EMTs and Paramedics

I. Authority and Reference (incorporated herein by reference)

A. Division 2.5, Health and Safety Code

B. Title 22, Code of Regulation

C. California Medical Association

D. State Emergency Medical Services Authority

E. North Coast Emergency Medical Services Policies and Procedures

II. Purpose

To establish alternatives for physician involvment with EMTs and

Paramedics.

III. Procedure

A. Physicians

After identifying yourself by name as a physician licensed in the

State of California, and if requested, showing proof of identity, you

may choose to do one of the following:

1. Offer your assistance with another pair of eyes, hands, or

suggestions, but let the life support team remain under base

hospital control; or,

2. Request to talk to the base hospital physician and directly offer

your medical advice and assistance; or,

3. Take total responsibility for the care given by the life support

team and physically accompany the patient until the patient

arrives at a base hospital and responsibility is assumed by the

receiving physician. In addition, you must sign for all

instructions given in accordance with local policy and procedure.

When possible, remain in contact with the base hospital physician.

B. EMTs and Paramedics

1. Treat all physicians on-scene politely and with respect.

2. May request that the physician identify himself as a physician

licensed in the State of California, and may request proof of

identity.

3. If possible, contact base hospital physician.

4. Drugs and equipment may be made available for the physician's use

if the MD complies with the requirements as listed above under

Section A.

5. Medical control of ALS/LALS personnel remains with the base

hospital.

6. If complications arise, consider initiation of an incident report.

Approved: Date:

Approved: Date: