Section 16-85-60 - Supervision; responsibility(a) Supervision of certified EMT-Paramedics providing services within the practice of medicine shall be by: (1) Standing orders for life-threatening situations where morbidity or mortality may be increased without immediate medical intervention approved: (A) By the department of health for emergencies requiring immediate life-saving medical care; and(B) By the chief of the emergency department of a designated MEDICOM hospital; and(2) Emergency physicians at a state-designated MEDICOM base station hospital who communicate with emergency medical services personnel via radio or telephone and provide medical direction on-site and in-transit to a medical facility in accordance with the knowledge and skills required for State-certified treatment, transfer, and triage protocols approved by the State department of health.(b) Responsibility of EMT-Paramedics. Advance life-support treatment shall rest with the EMT-Paramedic and the physician and: (1) Recognition is to be made that the designated emergency physician's communications are dependent on accurate and precise description of medical assessment by EMT-Paramedics, since the physician is not physically present at the scene;(2) Recognition is to be made that the emergency physician communicating with EMT-Paramedics is dependent upon the skills of the EMT-Paramedic in performing procedures as directed, since the physician is not physically present at the scene; and(3) If the emergency physician is not compensated for the communication by the patient, the ambulance service, or the hospital, the emergency physician is deemed to be acting in good faith as a good samaritan and is to be protected by Hawaii state law as performing a good samaritan act.[Eff 4/27/83; am and comp 7/27/87; comp 10/28/89; comp 8/25/90; am and comp 12/22/97] (Auth: HRS § 453-33) (Imp: HRS §§ 453-32, 663-1.5)The amended version of this section by Hawaii Administrative Rules Listing of Filings, 2015-01, June, eff.6/22/2015 is not yet available.