1.1本规程涵盖提供紧急医疗服务医疗指导的个人和机构的资格、责任和权限。 1.2本规程涉及医疗主管（离线）的资格、权限和责任，以及EMS（紧急医疗服务）提供商与该个人的关系。 1.3本规程还涉及在线医疗指导（直接医疗控制）的组成部分，包括在线医生的资格和责任，以及院前提供者与在线医疗指导的关系。 1.4本实践解决了- 从一线医生到线下医疗主管。 1.5本规程涉及医疗紧急情况现场医疗服务的控制权限。 1.6通信资源的要求也在本实践中解决。 ====意义和用途====== 4.1本规程的实施将确保EMS系统具有与职责相称的权限，以确保所有院前提供者以及满足最低标准的人员和设施获得充分的医疗指导，以实施院前服务的医疗指导。 4.1.1州将制定、推荐并鼓励使用一项计划，以确保本文件中概述的标准能够在地方、区域或州各级适当实施（见指南） F1086 ). 4.1.2本规程旨在描述和定义转移期间的医疗指导责任。根据《综合综合预算调节法案》和其他类似的联邦或州法律，或两者兼而有之，其目的不是确定医疗或法律转移的适当性。

1.1 This practice covers the qualifications, responsibilities, and authority of individuals and institutions providing medical direction of emergency medical services. 1.2 This practice addresses the qualifications, authority, and responsibility of a Medical Director (off-line) and the relationship of the EMS (Emergency Medical Services) provider to this individual. 1.3 This practice also addresses components of on-line medical direction (direct medical control) including the qualifications and responsibilities of on-line medical physicians and the relationship of the prehospital provider to on-line medical direction. 1.4 This practice addresses the relationship of the on-line medical physician to the off-line Medical Director. 1.5 The authority for control of medical services at the scene of a medical emergency is addressed in this practice. 1.6 The requirements for a Communication Resource are also addressed within this practice. ====== Significance And Use ====== 4.1 Implementation of this practice will ensure that the EMS system has the authority, commensurate with the responsibility, to ensure adequate medical direction of all prehospital providers, as well as personnel and facilities that meet minimum criteria to implement medical direction of prehospital services. 4.1.1 The state will develop, recommend, and encourage use of a plan that would assure the standards outlined in this document can be implemented as appropriate at the local, regional, or state level (see Guide F1086 ). 4.1.2 This practice is intended to describe and define responsibility for medical directions during transfers. It is not intended to determine the medical or legal, or both, appropriateness of transfers under the Consolidated Omnibus Budget Reconciliation Act and other similar federal or state laws, or both.