SDCL § 36-4B-15: Medical supervision--Direct and indirect control--Hardship exemption.

Except as otherwise provided in this section, advanced life support personnel must, through the use of direct and indirect control, be supervised by a physician licensed in accordance with chapter 36-4.

If advanced life support personnel are affiliated with an ambulance service that has been granted a hardship exemption in accordance with chapter 34-11, the personnel must, through the use of direct and indirect control, be supervised by a:

(1) Physician licensed in accordance with chapter 36-4;

(2) Physician assistant licensed in accordance with chapter 36-4A; or

(3) Nurse practitioner licensed in accordance with chapter 36-9A.

A physician, or a physician assistant or nurse practitioner if the ambulance service has been granted a hardship exemption, must oversee the practice and review the patient care reports of the advanced life support personnel.