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311A.170 Paramedics -- Permitted activities -- Employment by hospitals -Reasonable control by employers.
(1)
(2)
(3)
(4)
(5)
Subject to the provisions of this section, a paramedic may perform any procedure:
(a) Specified in the most recent curriculum of the United States Department of
Transportation training course for paramedics; and
(b) Any additional procedure specified by the board by administrative regulation.
When there is a change in the United States Department of Transportation
curriculum for paramedics, or the board approves an additional skill or procedure by
administrative regulation, or approves a protocol differing from the curriculum or
administrative regulations, no person who was not trained under that curriculum or
administrative regulation shall perform any activity or procedure in the new
curriculum, administrative regulation, or protocol unless the person has been trained
according to the new curriculum, administrative regulation, or protocol and
demonstrates competency in the new knowledge or skill. Competency in a new skill
shall be demonstrated through a return demonstration to a competent evaluator. If
the board adopts the new procedure or skill, the board shall promulgate an
administrative regulation specifying the new procedure, training requirements,
examination requirements, and a time period during which the paramedic shall
successfully complete the material or lose his or her license as a paramedic.
A paramedic may draw blood samples from a criminal defendant upon the request
of a peace officer and the consent of the defendant, or without the consent of the
defendant upon receipt of a court order requiring the procedure, if the paramedic is
authorized to do so by his or her employer. The authorization shall be in writing and
may be by general written policy of the employer and the service's medical director.
The paramedic who drew the blood sample shall deliver the sample to the peace
officer or other person specified by the court in a court order and shall testify in
court with regard thereto upon service of a proper subpoena.
A paramedic shall be permitted to render services only under the supervision of an
emergency medical services medical director.
Any provision of this chapter other than this section relating to the requirement for
additional training, requirement for skill examination, or approval of standing
orders, protocols, or medical procedures to the contrary notwithstanding, a
paramedic may be employed by a hospital to work as a licensed paramedic in the
emergency department of the hospital subject to the following conditions:
(a) The hospital in collaboration with the medical staff shall provide operating
procedures and policies under which the paramedic shall operate consistent
with the paramedic's scope of practice;
(b) A paramedic shall provide patient care services under the orders of a
physician, physician assistant, advanced practice registered nurse, or as
delegated by a registered nurse;
(c) Subject to the provisions relating to the scope of practice of a paramedic, a
hospital may require a paramedic to take additional training on any subject or
skill which the paramedic may be required to perform in a hospital and
(6)
demonstrate competency in the skill or subject to a competent evaluator; and
(d) The paramedic does not violate the provisions of KRS 311A.175 or any other
statute or administrative regulation relating to a paramedic.
No provision of this section shall prevent a paramedic from being employed in any
other section of the hospital where the paramedic's job duties do not require
certification or licensure by the board and do not otherwise constitute the unlawful
practice of medicine.
Except as provided in subsection (2) of this section, nothing in this section shall
prevent an employer from exercising reasonable fiscal control over the costs of
providing medical services to its citizens nor prevent the employer from exercising
any reasonable control over paramedics providing care on behalf of the licensed
entity.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 85, sec. 50, effective July 15, 2010. -- Created
2002 Ky. Acts ch. 211, sec. 31, effective July 15, 2002.
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