EMS medical direction frequently requested information

Procedures and drugs used in rapid sequence intubation (RSI)

You needn't submit a waiver for each procedure or drug your paramedics use in RSI. Submit one waiver for the entire procedure. However, be sure to include a detailed RSI protocol including all medications.

Quality control plans and protocols

You must submit a copy of your quality control plan and protocol for the entire agency being supervised, not for procedures or medications. The supervising medical director must demonstrate his or her compliance with the current rules before a waiver will be granted. The Emergency Medical Practice and Advisory Council (EMPAC) and the department may not provide a waiver to a physician who can't demonstrate adequate supervision of prehospital personnel as required in the rules.

Waiver requests and provider levels

A waiver request can be submitted for any level of EMS provider.

The waiver process

The Emergency Medical Practice and Advisory Council (EMPAC) meets every three months. Waiver applications will be processed as quickly as possible to ensure review by EMPAC at the next meeting. Submission deadlines for waivers are posted on this page and on the "Waiver Request Form Instructions."