Guam § 84122 - Division of EMS.

§ 84122. Division of EMS.

(a) The Guam Memorial Hospital Authority (GMHA) shall

establish a Division of EMS. The Division shall be headed by the

GMHA Emergency Medical Services (EMS) Medical Director,

who shall be a licensed physician. The Division’s responsibilities

shall include, but not be limited to:

(1) providing off-line medical control for government

of Guam pre-hospital providers, E-911 dispatchers, and on-

line emergency department personnel;

(2) participating with other Emergency Medical

Systems (EMS) agencies in the planning, development and

advancement of EMS;

(3) creating and maintaining up to date medical

treatment protocols to be used by government of Guam pre-

hospital providers;

(4) coordinating with the Department of Public Health

and Social Services – Office of EMS, the Guam Fire

Department Training Bureau, the Guam Community

College, and all other training centers, for the training of pre-

hospital personnel;

(5) aiding government of Guam agencies in achieving

compliance with the Department of Public Health and Social

Services EMS rules and regulations relative to personnel,

equipment training, vehicles, communications and supplies;

(6) conducting EMS research as needed;

(7) establishing a quality improvement program within

government of Guam agencies and share data with the

DPHSS Office of EMS;

(8) ensuring there is a seamless process for on-line

medical control available to all government of Guam

agencies; and

(9) establishing a multidisciplinary committee made

up of GMHA physicians, nurses, and pharmacists to address

changes or recommendations for new pre-hospital policies,

procedures and protocols.

(b) The Division shall designate the following:

(1) EMS Medical Director. A GMHA Emergency

Department staff physician with either formal training or

extensive experience in EMS shall be the head of this

Division under the title of Off-line EMS Medical Director,

and this physician shall operate as an agent of GMHA; and

(2) Assistant EMS Medical Director. Following

recommendations of the federal program EMS for children,

the involvement of a GMHA Emergency Department Staff

Physician, or GMHA Staff Pediatrician as a Second EMS

Medical Control Physician, with additional duties to include

ensuring all off-line medical control (medical protocols) for

pre-hospital medical care provided specifically to children by

government of Guam EMS personnel is consistent with best

practices; and

(3) EMS Medical Coordinator. The Division of EMS

at GMHA shall have one (1) full-time EMS Medical

Coordinator, who shall be a certified Paramedic or

Registered Nurse with EMS experience, and who shall work

under the guidance of the EMS Medical Director and

Assistant EMS Medical Director.

(c) Administrative and Educational Resources. GMHA

shall make available adequate GMHA administrative and

educational resources to support the Division of EMS and its

mission.

(d) EMS Agencies to Share Resources. In recognition of the

multi-agency nature of EMS Medical Direction, all agencies

involved with EMS on Guam shall, within reason, share personnel

and other resources with each other across agency lines in an effort

to assure the uninterrupted and effective existence of all three (3)

levels of physician involvement in Guam’s EMS system.

(e) EMS Oversight Authority. The authority of the

Division at GMH in EMS oversight shall not supersede the

regulatory authority of the Department of Public Health and Social

Services and the EMS Commission as previously established in

Guam law.

(f) The amount of Two Hundred Thousand Dollars

($200,000) is hereby appropriated from the General Fund to the

Guam Office of EMS under the DPHSS. The unexpended balance

of the appropriation shall not revert back to the General Fund, but

shall be carried over into the next fiscal year to be expended in

accordance with the original purpose of said funds. The funds

appropriated herein shall not be subject to I Maga’Låhen

Guåhan’s transfer authority.

(g) The Civil Service Commission, in collaboration with the

Guam Memorial Hospital Authority, shall develop the job

descriptions and salary structure for the positions delineated in this

Act within six (6) months upon enactment of this Act.

(h) Severability. If any provision of this Act or its

application to any person or circumstances is found to be invalid

or contrary to law, such invalidity shall not affect other provisions

or applications of this Act which can be given effect without the

invalid provisions or applications, and to this end the provisions

of this Act are severable.