Medical Direction. Oversight Contractor shall engage by contract a Medical Director who shall be a physician licensed to practice in the State of Nebraska, and is Board certified in emergency medicine or experienced in the practice of emergency medicine, to provide the overall medical direction and control necessary for all out-of-hospital emergency medical services, including but not limited to emergency ambulance service, special event standby ambulance service, routine ambulance service, but shall not include air medical services and shall not apply to hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employee, within the out-of-hospital emergency medical care system as required by the Emergency Medical Services Act (Neb. Rev. Stat. §71-5172, et. seq. (▇▇▇▇▇▇▇ 2003)), and related statutes. The contract with the Medical Director will provide that such Director may not terminate or suspend his or her employment without 60 days notice to the Oversight Contractor. The Medical Director shall, jointly with the Lancaster County Medical Society, promulgate Medical Care Protocols/Medical Treatment Guidelines to be followed by out-of-hospital emergency medical care personnel in the Lincoln emergency medical care system and to enforce such protocols/medical treatment guidelines. However, the Medical Director shall retain ultimate authority and responsibility for monitoring and supervision, for establishing protocols/medical treatment guidelines, for standing orders, and for the overall supervision of the medical aspects of the emergency medical service. For purposes of this Agreement, Medical Care Protocols/Medical Treatment Guidelines shall include those protocols/medical treatment guidelines that govern the provision of out-of-hospital emergency medical care by a provider to a patient, and shall include the adopting of pre-arrival instructions and response modes under the priority dispatch system currently used by the City in the dispatch of out-of-hospital emergency medical care providers. Such authority to promulgate protocols/medical treatment guidelines relating to dispatch must be exercised in a manner consistent with licenses and agreements as may exist between the City and the provider of any such priority dispatch system and may not cause the City to breach or act inconsistently with any labor contract governing emergency dispatchers (currently the Lincoln City Employees Association). For purposes of this Agreement, the emergency medical care system shall be deemed to include Saint ▇▇▇▇▇▇▇▇▇, BryanLGH, the Lincoln Fire and Rescue Department and any student/intern who may be permitted by the Lincoln Fire Department to ride along for the purpose of obtaining field experience as part of a curriculum at any institution approved by EMS, Inc. in their Policy Number 8 as such policy may from time to time be amended or otherwise approved by EMS, Inc., the ▇▇▇▇▇▇▇-▇▇▇▇▇▇▇▇▇ County Communications Center in its capacity as dispatch center for emergency medical calls, any person or entity holding a Routine Ambulance Service license issued by the City; however, the Medical Director shall not have control over hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employee. Such protocols/medical treatment guidelines shall be in writing. Prior to final approval being given to any new protocol, or the revision of any existing protocol, Oversight Contractor shall forward copies of the new or revised protocol to the Oversight Contractor’s Board of Directors, to the Lancaster County Medical Society Medical Direction Board, and to the other parties for their review and comment. Such new or revised protocols/medical treatment guidelines shall be provided to all entities and agencies comprising the emergency medical care system. The Medical Director is authorized to restrict the privileges of any out-of-hospital emergency care provider employed by any emergency medical service within the system based upon the refusal or failure of such provider to properly follow any patient care protocol, standing order, or other medical control directive; provided, however, this authority shall not apply to hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employee. Upon being informed of any such refusal or failure, the Medical Director shall make such investigation as he or she deems appropriate and shall discuss the alleged refusal or failure with the out-of-hospital emergency care provider involved. The Medical Director shall consult with the head of the emergency medical service employing such provider to determine the appropriate restrictions, if any, to be placed on the provider and any remedial education or training required. The Medical Director's determination as to the appropriate restrictions and remediation shall be final and shall be reduced to writing with copies being provided to the provider and to the head of the emergency medical service employing the provider. The Medical Director, as required by law, shall also report any such refusal or failure to the State of Nebraska for appropriate action in accordance with the Uniform Licensing Law of the State of Nebraska. Any provider receiving a revocation, or a restriction of their scope of practice, shall have the right to request an informal hearing before the Oversight Contractor’s Board of Directors to review the action(s) of the Medical Director. If the provider fails to complete any required remedial training or education, the restrictions shall continue until such remedial education or training is completed. Any restriction imposed hereunder by the Medical Director shall be in addition to, and not in lieu of, any discipline deemed appropriate by the employer of the provider.
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Medical Direction. Oversight Contractor shall engage employ by contract a Medical Director who shall be a physician licensed to practice in the State of Nebraska, and is Board certified in emergency medicine or experienced in the practice of emergency medicine, to provide the overall medical direction and control necessary for all out-of-hospital emergency medical services, including but not limited to emergency ambulance service, special event standby ambulance service, routine ambulance service, but shall not include air medical services and shall not apply to hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employeeaeromedical services, within the out-of-hospital emergency medical care system as required by the Emergency Medical Services Act (Neb. Rev. Stat. §71-5172, et. seq. 5101 (▇▇▇▇▇▇▇ 2003Reissue 1996)), and related statutes. The contract with the Medical Director will provide that such the Director may not terminate or suspend his or her employment without 60 days notice to the Oversight Contractor. The Medical Director shall, jointly with the Lancaster County Medical Society, promulgate Medical Care Protocols/Medical Treatment Guidelines Protocols to be followed by out-of-hospital emergency medical care personnel in the Lincoln emergency medical care system and to enforce such protocols/medical treatment guidelines. However, the Medical Director shall retain ultimate authority and responsibility for monitoring and supervision, for establishing protocols/medical treatment guidelines, for standing orders, and for the overall supervision of the medical aspects of the emergency medical service. For purposes of this Agreement, Medical Care Protocols/Medical Treatment Guidelines Protocols shall include those protocols/medical treatment guidelines protocols that govern the provision of out-of-hospital emergency medical care by a provider to a patient, and shall include the adopting of pre-arrival instructions and response modes under the priority dispatch system currently approved by Oversight Contractor and used by the City in the dispatch of out-of-hospital emergency medical care providers. Such authority to promulgate protocols/medical treatment guidelines protocols relating to dispatch must be exercised in a manner consistent with licenses and agreements as may exist between the City and the provider of any such priority dispatch system and may not cause the City to breach or act inconsistently with any labor contract governing emergency dispatchers (currently the Lincoln City Employees Association)system. For purposes of this Agreement, the emergency medical care system shall be deemed to include Saint St. ▇▇▇▇▇▇▇▇▇, BryanLGH, the Lincoln Fire and Rescue Department and any student/intern who may be permitted by the Lincoln Fire Department to ride along for the purpose of obtaining field experience as part of a curriculum at any institution approved by EMS, Inc. in their Policy Number 8 as such policy may from time to time be amended or otherwise approved by EMS, Inc.Department, the ▇▇▇▇▇▇▇-▇▇▇▇▇▇▇▇▇ County Communications Center in its capacity as dispatch center for emergency medical calls, and any person or entity holding a Routine Ambulance Service license Certificate of Public Convenience and Necessity issued by the City; however, the Medical Director shall not have control over hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employee. Such protocols/medical treatment guidelines protocols shall be in writing. Prior to final approval being given to any new protocol, or the revision of any existing protocol, Oversight Contractor shall forward copies of the new or revised protocol to the Oversight Contractor’s Board of Directors, to the Lancaster County Medical Society Medical Direction Board, and to the other parties for their review and comment. Such new or revised protocols/medical treatment guidelines protocols shall be provided to all entities and agencies comprising the emergency medical care system. The Medical Director is authorized to restrict the privileges of any out-of-hospital emergency care provider employed by any emergency medical service within the system based upon the refusal or failure of such provider to properly follow any patient care protocol, standing order, or other medical control directive; provided, however, this authority shall not apply to hospital employees performing out-of-hospital emergency medical care in their capacity as hospital employee. Upon being informed of any such refusal or failure, the Medical Director shall make such investigation as he or she deems appropriate and shall discuss the alleged refusal or failure with the out-of-hospital emergency care provider involved. The Medical Director shall consult with the head of the emergency medical service employing such provider to determine the appropriate restrictions, if any, to be placed on the provider and any remedial education or training required. The Medical Director's determination as to the appropriate restrictions and remediation shall be final and shall be reduced to writing with copies being provided to the provider and to the head of the emergency medical service employing the provider. The Medical Director, as required by law, shall also report any such refusal or failure to the State of Nebraska for appropriate action in accordance with the Uniform Licensing Law of the State of Nebraska. Any provider receiving a revocation, or a restriction of their scope of practice, shall have the right to request an informal hearing before the Oversight Contractor’s Contractors Board of Directors to review the action(s) of the Medical Director. If the provider fails to complete any required remedial training or education, the restrictions shall continue until such remedial education or training is completed. Any restriction imposed hereunder by the Medical Director shall be in addition to, and not in lieu of, any discipline deemed appropriate by the employer of the provider.
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