N.M. Admin. Code § 7.27.3.8

Current through Register Vol. 35, No. 23, December 10, 2024

Section 7.27.3.8 - MEDICAL DIRECTION ADMINISTRATION

A. Duties: The duties of the medical direction committee shall be:

(1) reviewing the medical appropriateness of all regulations proposed by the bureau;

(2) reviewing and approving the applications of providers for special skills authorizations, as outlined in 7 NMAC 27.2 [now 7.27.2 NMAC] "Certification and Licensing of EMS Personnel", or such other regulations as may be adopted by the department;

(3) assisting in the development of regulations pertaining to medical direction;

(4) updating at least annually a list of skills, techniques, and medications approved for each level of life support that will be approved by the secretary and issued by the bureau. These skills, techniques and medications shall be called the "scope of practice" and will be attached as an Appendix to 7 NMAC 27.3 [now 7.27.3 NMAC] "Certification and Licensing of EMS Personnel", or such other regulations as may be adopted by the department; and,

(5) as needed, develop guidelines and appendices to regulations governing medical direction issues as prescribed by law;

(6) collecting data from the EMS community in order to oversee the actual medical impact of the approved scope of practice for each level and for actions undertaken or contemplated.

B. Organization: Members of the medical direction committee are appointed by the secretary as provided by law.

(1) Membership shall be nine individuals including:

(a) the state EMS medical director who shall serve as chair;

(b) one physician representative experienced in pre-hospital care selected from a list proposed by the New Mexico chapter of the American college of emergency physicians;

(c) one physician representative from the EMS academy;

(d) one physician from each of the EMS geographic regions (may be the regional medical director or other physician within the region); and,

(e) one emergency medical technician from each level of life support.

(f) There shall be no designated term of service for these members who shall serve at the pleasure of the secretary.

(2) In the event of a vacancy on the committee by resignation or removal, the bureau shall immediately notify the secretary so as to expedite the appointment of a new member.

(3) The committee may recommend to the secretary the removal of any member for the following reasons:

(a) failing to attend or otherwise participate in two (2) consecutive meetings without a valid reason; or,

(b) any other good cause.

(4) The state EMS medical director shall serve as chair. If he/she is unable to chair a meeting, the chair shall be assumed by a member appointed by the state EMS medical director.

(5) The bureau shall serve as staff for the committee.

C. Meetings: The committee shall meet as needed, but not less than semiannually. Minutes of the meetings shall be taken and maintained at the bureau.

D. Reconsideration process: If a recommendation made by the committee is not accepted by the bureau:

(1) the bureau shall communicate in writing to the committee as to the reasons for that recommendation not being accepted.

(2) at the request of the committee, the decision shall be submitted for reconsideration to the director of the public health division of the department and subsequently to the secretary.

(3) any decision made pursuant to a request for reconsideration shall be communicated in writing by the department to the committee.

N.M. Admin. Code § 7.27.3.8

3/16/95, 1/1/97, 4/1/98; Recompiled 10/31/01