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(1) approve treatment protocols or medical standing orders that delineate medical procedures that may be performed by the certified or licensed medical care personnel;

(2) review, at least quarterly, the patient care provided by each certified or licensed medical person; the department will, in its discretion, grant a written waiver of this requirement, based on difficult geographic, transportation, or climatic factors; and

(3) advise on the medical requirements of patient transportation in the airborne environment. (Eff. 10/23/92, Register 124; am 7/4/99, Register 151) Statutory Authority: Authority: AS 18.08.082 AS 18.08.084 AS 18.18.080 7 AAC 26.655. Emergency medical dispatcher medical director. (a) The medical director for emergency medical service dispatch services using emergency medical dispatchers (EMD’s) shall

(1) approve an emergency medical dispatch priority reference system; the system must include caller interrogation questions, pre-arrival EMS instructions, and protocols matching the dispatcher’s evaluation of severity of injury or illness and the number of victims with vehicle response modes and configurations;

(2) provide indirect supervision of medical triage decisions and treatment instructions provided by EMD’s;

(3) periodically review on at least a monthly basis a sample of medical triage decisions and treatment instructions provided by EMD’s to callers. (b) The medical director of the emergency medical dispatcher services may be the medical director of an ambulance service dispatched by the same agency or business. (Eff. 4/7/96, Register 138) Statutory Authority: Authority: AS 18.08.080 AS 18.08.082 AS 18.08.084