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department-approved equivalent. (c) To be a medical director for a state-certified medevac service (7 AAC 26.310 — 7 AAC 26.390), a person must have 16 hours of department-approved medevac training. (d) To be a medical director for a state-certified critical care air ambulance service (7 AAC 26.310 — 7 AAC 26.390), a person must have 16 hours of department-approved aeromedical training and must be either board-certified or board-eligible in, or have other department-approved credentials demonstrating competence in, critical care or aeromedicine. (e) To be a medical director for a state-certified specialty aeromedical transport team (7 AAC 26.310 — 7 AAC 26.390), a person must have 16 hours of department-approved aeromedical training and must be board-certified or board-eligible in the medical specialty for which the aeromedical team is to be certified. (Eff. 10/23/92, Register 124; am 7/4/99, Register 151; am 12/26/2014, Register 212; am 8/21/2019, Register 231; am 1/1/2022, Register 241) Statutory Authority: Authority: AS 18.08.080 AS 18.08.082 AS 18.08.084 7 AAC 26.640. Medical director responsibilities: certified or licensed persons. (a) A medical director’s approval of standing orders for a state-certified or licensed EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher, for the activities described in 7 AAC 26.040, must be in writing. Additional medications or procedures not listed in 7 AAC 26.040 may be approved by direct voice contact with an on-line physician, or by written standing orders from the medical director in accordance with 7 AAC 26.670. (b) The medical director for a state-certified EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher shall

(1) provide direct or indirect supervision of the medical care provided by each state-certified EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher;

(2) establish and annually review treatment protocols;

(3) approve medical standing orders that delineate the advanced life-support techniques that may be performed by each state-certified or licensed EMT-I, EMT-II, EMT-III, AEMT, or paramedic and the circumstances under which the techniques may be performed;

(4) provide quarterly critiques of patient care provided by the EMT-I, EMT-II, EMT-III,