# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 03 — Ems Operational Programs

### Chapter 06 — Base Stations

#### Regulation .04 Online Medical Direction.

*COMAR 30.03.06.04*

A. Online medical direction as required in the Maryland Medical Protocols for Emergency Medical Services Provider shall be:

  (1) Given directly by a physician authorized to provide medical direction; or

  (2) Given directly by a resident or fellow under the direct supervision of a physician authorized to provide medical direction; or

  (3) Relayed from a physician authorized to provide medical direction through a registered nurse, a physician assistant or a nurse practitioner authorized to participate in medical direction.

B. The Base Station Medical Director and Base Station Coordinator shall participate in and attend a combined minimum of 50 percent of the scheduled MIEMSS Regional Council meetings;

C. All personnel providing online medical direction and all EMS providers shall ensure that online communications are understood by speaking:

  (1) Slowly;

  (2) Clearly; and

  (3) At a proper volume to be heard.