KRS 311A.180: Medical control documents -- Review -- Approval -- Appeal -- Schedule

for submission and review.

(1) Each emergency medical services medical director for an ambulance service, or

other emergency medical services provider, shall submit:

(a) His or her protocols, including the pre -hospital care protocols related to the

assessment, treatment, and transport of stroke, trauma, cardiac arrest, and

heart attack patients;

(b) His or her standing orders; and

(c) Similar medical control documents to the board for approval prior to placing

the document in use.

(2) The medical advisor for the board shall review each document submitted to

ascertain if it is in accordance with accepted standards of medical care and in

accordance with the provisions of thi s chapter and administrative regulations

promulgated thereunder. If the protocol, standing order, or other medical control

document clearly violates the accepted standards of medical care, this chapter, or an

administrative regulation, the medical advisor shall notify the emergency medical

services medical director of the exact violation and recommend a correction thereof.

(3) Following review of protocol, standing order, and medical control documents and

giving the emergency medical services medical direct or who submitted the

documents an opportunity to review the medical advisor's comments, the medical

advisor shall submit the documents together with his or her comments to the board

for approval or disapproval.

(4) The board shall approve, disapprove, or a pprove with modifications protocol,

standing order, and medical control documents submitted by the emergency medical

services medical director at its next regular or special meeting following the

submission of the documents.

(5) If a protocol, standing ord er, or other medical control document is disapproved by

the board, the emergency medical services medical director who submitted it may

appeal the decision to the Franklin Circuit Court. If the decision of the board is

appealed to the Franklin Circuit Cour t, the board shall bear the burden of proving

that the protocol, standing order, or other medical control document violates the

accepted standards of medical care, or an administrative regulation.

(6) The board shall, by administrative regulation, specify a schedule for submission and

prompt review and decision making with regard to protocols, standing orders, and

medical control documents submitted to the board.