emergency settings. (1) As used in this section: (a) "Direct supervision" means a medical director or other physician is present and available for face-to-face communication with an emergency medical service employee being supervised by the medical director or other physician at the time and place any non-911 emergency medical services authorized by the medical director or other physician are being provided by the emergency medical service employee. (b) "Emergency medical service employee" means a following individual licensed under this chapter: (i) a paramedic; (ii) an advanced emergency medical services technician; (iii) emergency medical services technician; or (iv) an emergency medical responder. (c) "Indirect supervision" means a medical director or other physician, licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, who is available for consultation regarding any non-911 emergency medical services the medical director or other physician has authorized an emergency medical service employee to perform, regardless of whether the medical director or other physician is located on the same premises as the emergency medical service employee being supervised. (d) "Medical director" means a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, who is accountable for the non-911 emergency medical services provided by an emergency medical service employee. (e) "Non-911 emergency medical services" means medical services that are not provided by a licensed ambulance provider or a licensed paramedic provider. (2) A company, a corporation, a partnership, or other entity may employ an emergency medical service employee to provide non-911 emergency medical services as described in Subsection (3) if the company, corporation, partnership, or other entity: (a) employs a medical director to manage the emergency medical service employee; (b) has protocols approved by the medical director establishing how the emergency medical service employee is: (i) to provide non-911 emergency medical services; and (ii) to be supervised by the medical director or other physician as described in Subsection (4); (c) implements and maintains a quality improvement process; (d) establishes a process for the emergency medical service employee to initiate 911 emergency services for identified emergencies in compliance with rules made by the bureau; (e) maintains patient records for all patients receiving non-911 emergency medical services that: (i) comply with typical medical documentation standards; and (ii) are auditable and accessible upon request by the bureau; (f) obtains any licenses required by law for the non-911 emergency medical services the company, corporation, partnership, or other entity will employ the emergency medical service employee to perform; (g) does not advertise or claim that the company, corporation, partnership, or other entity is providing non-911 emergency medical services as an alternative to 911 emergency response; (h) assesses the education and training of the emergency medical service employee to ensure that the emergency medical service employee is competent and able to provide the non-911 emergency medical services sought; (i) provides continuing education and training as needed to ensure the continued competency and eligibility for licensure of the emergency medical service employee to provide the non-911 emergency medical services sought; and (j) complies with any bureau rules created in accordance with this section. (3) (a) Except as provided in Subsection (3)(b), and subject to Subsection (4), an emergency medical service employee employed by a company, a corporation, a partnership, or other entity that complies with Subsection (2) may provide non-911 emergency medical services that: (i) the emergency medical service employee has been trained to perform; (ii) the emergency medical service employee has been credentialed, privileged, or authorized to perform; and (iii) are within the emergency medical service employee's scope of practice as defined by the bureau. (b) Notwithstanding Subsection (3)(a), an emergency medical service employee may provide non-911 emergency medical services outside the emergency medical service employee's scope of practice described in Subsection (3)(a) if: (i) the medical service is approved by the bureau; (ii) the emergency medical service employee has been trained to perform the non-911 emergency medical service; and (iii) the emergency medical service employee is otherwise complying with the requirements of this section. (4) (a) Except as provided in Subsection (4)(b), an emergency medical service employee may provide the non-911 emergency medical services described in Subsection (3) if the emergency medical service employee is providing the services under the direct supervision or indirect supervision of a medical director or another physician. (b) An emergency medical service employee may provide the non-911 emergency medical services described in Subsection (3) under the direct supervision or indirect supervision of a nurse practitioner or physician assistant if: (i) the emergency medical service employee is providing the non-911 emergency medical services in a county of the fourth, fifth, or sixth class as described in Section 17-50-501; or (ii) if approved by the bureau. (5) An emergency medical service employee providing non-911 emergency medical services under this section may perform the non-911 emergency medical services in a hospital, in an emergency room, in a clinic, in a community paramedicine program, at an event, or any other location where non-911 emergency medical services may need to be provided. (6) The bureau shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to: (a) define the scope of practice for an emergency medical service employee as described in Subsection (3)(a); and (b) establish minimum standards for the requirements listed in Subsection (2). (7) This section does not expand or limit the scope of practice for an emergency medical service employee when the emergency medical service employee is responding to an emergency or providing 911 ambulance services.
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