Minutes for Medical Standards/ALS Scope of Practice May 2, 2002 Capitol Annex, Room :00 a.m.

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Minutes for Medical Standards/ALS Scope of Practice May 2, 2002 Capitol Annex, Room 129 11:00 a.m. Chairman Bentley called the meeting to order at 11:05 a.m. Chairman Bentley asked the recording secretary Darby McDonald to call roll. Those in attendance were: Dr. Bentley, Dr. Fallat, Duane Lee, Terry Fraley, Mary Guidugli, and Mike Phillips Minutes: Motion was made by Duane Lee to approve the March 7, 2002 minutes, seconded by Terry Fraley, motion passed unanimously. Unfinished Business: Dr. Bentley discussed the advisory opinion and recommended regulation for Paramedics in Healthcare Facilities that the Task Force Committee has developed and will submitted for Board consideration. New Business: Protocols Motion was made by Dr. Bentley to approve first three protocols as submitted with no modifications: Clinton County EMS, Estill County and The Medical Center, seconded by Duane Lee, motion passed unanimously. Motion was made by Terry Fraley to approve protocols contingent upon required modification: Rural/Metro Ambulance Page eighty-three (83) item (3), the statement needs to include a list of allowed medications that will be administered to the patient. Leslie County Fire and Rescue Ambulance Service - Requesting comprehensive list of all drugs contained in protocol. Menifee County - Requesting second attendant with the use of mag. sulfate.

Cincinnati/Northern Kentucky International Airport Fire/EMS - Requesting second attendant with the use of thrombolytle or meg. sulfate transfers. Knott County Ambulance Service, Inc. - Requesting second attendant with thrombolytle or meg. sulfate transfers. Montgomery County Ambulance District - Requesting second attendant with the use of thrombolytle. Seconded by Duane Lee, motion passed unanimously. Medical Directors Motion was made by Terry Fraley to approve Medical Directors: Edmondson County Ambulance Service - Dr. Pravin Avula, six (6) months to obtain PALS. Left Beaver Volunteer Fire and Rescue Squad - Dr. Caren L. Daniels as submitted. Seconded by Duane Lee, motion passed unanimously. Breathitt County submitted a request to approve Dr. Michael Oghia to serve as Medical Director. After reviewing the request, which contained no evidence that Dr. Oghia is Board certified in Emergency Medicine, or that he has met the requirements of ATLS, ACLS and PALS the committee decided to take no action. Waivers Motion was made by Duane Lee to approve the waiver request from The University of Tennessee Medical Center to continue authority to operate utilizing Tennessee licensed paramedics until April 30, 2003. Seconded by Dr. Fallat, motion passed unanimously. Education Motion was made by Duane Lee to approve education list and recommendations presented by Lee Brown. I. Course Applications Continuation of agreement: Approval Hickman/Fulton Co. EMS Reinstate #802 due to expiring October 31, 2001 Originally #802 and requesting to continue to do EMT-FR o No support materials but probably on file if so and no changes then approve Delete EMS Educe. Institution #843 under same name

Continuation of agreement: Contingent Approval Washington Co. EMS: Originally #305 and requesting to continue EMT-B, EMT-FR, EMT-FR TX Has updated curriculum o Contingent upon sending in instructor credentials for EMT-B Instructor and EMT-FR Instructor Adding course to existing agreement: Contingent approval TransCare of KY Adding EMT-FR Transition to existing agreement o Existing agreement lists EMT-FR course if original agreement has current instructors for this course then change to approval Martin Volunteer Fire Department According to letter continuing to be an educational institution for the EMT- FR course. but no number listed. o Syllabus is not clear if using KY supplemental curriculum (AED, O2, Spine immob.) o Have no EMT-FR Instructor credentials II. Motions Recommend that THE AMERICAN HEALTH AND SAFETY INSTITUTE CPR PRO course meet the CPR requirement for licensure/certification education. Recommend that the KBEMS staff write a letter to AHSI verifying that we accept this as meeting the CPR standard. Recommend that KBEMS staff add OUTREACH PROGRAMS to the Educational Institution Agreement to include CEU offering institutions only. Recommend blanket approval for all FAA medical helicopter pilots to be expert professionals to award EMT-B CEU hours (REASON: pilots do scene safety and LZ set up classes.) Recommend that these people be granted authority to award EMT CEU s (related to 202 KAR 7:050 Sect 4) o George Leonardo Haz Mat Awareness o Kenny Bernardi Scene Survival o Kenny Knicter Haz Mat Awareness Level CISM Rehab o Marlena Bruington Scene Survival

Approvals STATCARE ***can only be approved if the Outreach Education category is approved Requesting Outreach Education for EMT-FR, EMT-B, EMT-I, EMT-P Anchorage Fire and EMS Requesting EMT-P Contingent Approvals Oldham County EMS Requesting EMT-FR o Calendar does not show KY supplemental curricula o No instructor credentials KEMSMEC (not sure what is stands for) Requesting EMT-FR, EMT-FR TX, EMT-B o No first responder or first responder TX info o EMT-B info is approved Hazard Comm. College Requesting EMT-B Calendar does not show KY supplemental curricula (IV maintenance??) American Emergency Resources Requesting EMT-B, First Responder, EMT- B instructor, EMT-I, EMT-P, and Outreach o No instructor credentials at all o No info on courses EXCEPT EMT-B West Lincoln County EMS Requesting EMT-B, EMT-FR, EMT-FR TX o No instructor credentials Motion to approve education list and recommendations presented by Lee Brown was seconded by Dr. Fallat, and passed unanimously. Information/Announcements Duane Lee made a motion to approve the Committees schedule to follow the Boards regularly scheduled meetings and meet two hours prior to Board. Seconded by Mary Guidugli, motion passed unanimously. Meeting adjourned at 12:00 p.m.