<?xml version='1.0' encoding='utf-8'?>
<chapter num="03" heading="Scope of Practice and Duties" title_num="30" subtitle_num="02">
  <regulation prefix="Regulation" num=".01" heading="Scope of Practice.">
    <paragraph num="A.">
      <text>Except as provided in §B of this regulation, an EMS provider shall provide emergency medical services in accordance with the “Maryland Medical Protocols for EMS Providers”.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The following EMS providers shall provide emergency medical services in accordance with the procedures indicated in this section:</text>
      <paragraph num="(1)">
        <text>An EMD shall provide emergency medical dispatch services in accordance with the curriculum and protocols approved by the EMS Board for the EMD program with which the EMD is affiliated;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An emergency medical responder not utilizing an AED shall provide emergency medical services in accordance with the emergency medical responder curriculum approved by the EMS Board; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An emergency medical responder utilizing an AED shall provide emergency medical services in accordance with the emergency medical responder curriculum approved by the EMS Board and the portions of the “Maryland Medical Protocols for EMS Providers” concerning use of an AED.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>An EMS provider shall provide emergency medical services under the oversight of an EMS operational program except in rare instances when an EMS provider happens upon the scene of a medical emergency.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Limitations upon Delegation.">
    <paragraph num="A.">
      <text>This regulation governs the delegation of medical duties by a physician to an EMS provider while providing emergency medical services.</text>
    </paragraph>
    <paragraph num="B.">
      <text>An EMS provider shall accept only that delegation which is in accordance with the regulations of the EMS Board.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Except as provided by standing orders consistent with the “Maryland Medical Protocols for EMS Providers”, an EMS provider may not accept physician delegation of the:</text>
      <paragraph num="(1)">
        <text>Ultimate responsibility for diagnosis or therapy; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Duty of independently administering or dispensing drugs.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Education Article, §13-516, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: January 1, 1999 (25:26 Md. R. 1926)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B amended effective December 12, 2013 (40:24 Md. R. 2017)</annotation>
  </annotations>
</chapter>