Medical Direction

Medical Direction Overview

"Medical direction" means the written or verbal authorization of a physician that is required prior to the performance of emergency medical services by EMS providers (emergency medical responders, emergency medical technicians, advanced emergency medical technicians or paramedics).

  • In accordance with section 4765.41 of the Ohio Revised Code, the medical director of each emergency medical service organization shall establish written protocols to be followed by EMS providers in performing emergency medical services.
  • The medical director for an EMS organization may limit, but not exceed, the EMS scope of practice as established by the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) for EMS providers who provide emergency medical services under the auspices of the physician's certificate to practice medicine and surgery, or osteopathic medicine and surgery, issued under Chapter 4731of the Ohio Revised Code.
  • Protocols shall be consistent with applicable trauma triage protocols adopted under division (A) or approved under division (B)(2) of section 4765.40 of the Ohio Revised Code.

In accordance with section 4765.42 of the Ohio Revised Code, each emergency medical service organization shall give notice of the name of its medical director to the EMFTS Board in writing by updating their agency information in the online EMS Agencies system.

All medical directors will be verified by the Division of EMS and may require additional review and approval by the Regional Physicians Advisory Board (RPAB) and the EMFTS Board.

Agency Information Update Guide

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