West Virginia Code § 16-4C-14

Services that may be performed by emergency medical service
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personnel.
Notwithstanding any other provision of law, emergency medical service personnel may
provide the services as determined by the commissioner by legislative rule pursuant to the
provisions of article three, chapter twenty-nine-a of this code. Legislative rules governing
provision of these services in a hospital emergency room setting shall be deeveloped by the
commissioner and shall include provisions allowing paramedics to function under the direct
supervision of a registered professional nurse in a hospital emergency rroom setting.
Provision of these services in an emergency room hospital setting shall not be initiated until
a legislative rule establishing training requirements, standards and requirements for these
functions is in effect. The Legislature therefore directs the commissioner to propose this
legislative rule on or before July 1, 2006. Further, the Commtissioner may promulgate this
rule as an emergency rule pursuant to the provisions of section fifteen, article three, chapter
twenty-nine-a of this code. Any rule so promulgated shall provide that paramedics are under
the jurisdiction of the commissioner. The West Virginia Board of Registered Professional
Nurses may propose legislative rules, pursuant to article three, chapter twenty-nine-a of the
code relating to the scope of practice for nurses as those practices relates to overseeing
these paramedics. The provisions of this section and any rules promulgated thereunder may
not be construed to alter in any manner the duties, role or responsibilities of attending
physicians regarding the providing and oversight of patient care.

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