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Re: Oil Spill Operations

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Where is the authority for persons certified by the NREMT to practice without

supervision " by an EMT-P licensed in Louisiana. " I'm not trying to be contrary

as this information could actually benefit me.

Regarding state/federal guidelines, within 3 miles of shore are state

territorial waters (i.e. the EMS regulations of Louisiana should prevail.) I've

actually asked on another list and done some research trying to find the law

regarding medical care offshore, though without success so far.

> The Medics and EMTs operating during the spill are under medical direction of

their agency's MD and licensed in Louisiana.

>

> The reciprocity provided by Jindal's order is a temporary, valid license to

operate in Louisiana, under the terms of the order. NREMTs that are going out to

work are being approved in a emergency fashion in much the same way, but with no

requirement of supervision.

>

> I'm not sure how legality applies 3 miles or more offshore. That's US Federal

Waters and all operations there are being directed by the Coast Guard, with the

vessels paid for by BP, and medics provided by the major carriers. Anyone know

previous law on that? Since there is no Federal standard for EMT, you are

operating as an extension of the medical director... if I remember right, that's

borrowed servant, right legal beagles?

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Where is the authority for persons certified by the NREMT to practice without

supervision " by an EMT-P licensed in Louisiana. " I'm not trying to be contrary

as this information could actually benefit me.

Regarding state/federal guidelines, within 3 miles of shore are state

territorial waters (i.e. the EMS regulations of Louisiana should prevail.) I've

actually asked on another list and done some research trying to find the law

regarding medical care offshore, though without success so far.

> The Medics and EMTs operating during the spill are under medical direction of

their agency's MD and licensed in Louisiana.

>

> The reciprocity provided by Jindal's order is a temporary, valid license to

operate in Louisiana, under the terms of the order. NREMTs that are going out to

work are being approved in a emergency fashion in much the same way, but with no

requirement of supervision.

>

> I'm not sure how legality applies 3 miles or more offshore. That's US Federal

Waters and all operations there are being directed by the Coast Guard, with the

vessels paid for by BP, and medics provided by the major carriers. Anyone know

previous law on that? Since there is no Federal standard for EMT, you are

operating as an extension of the medical director... if I remember right, that's

borrowed servant, right legal beagles?

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I think I didn't explain clearly... The reciprocity allows for a non-Nat

Registry EMT to operate on an emergency basis as certified state personnel. They

will require protocols and medical direction, but this is through the agency

they deploy with.

The kicker is, if you are a NREMT, you can operate as an everyday, run of the

mill EMT during the cleanup. If you are an out-of-state EMT, you must be paired

with someone of equal certification at all times. How this is to be interpreted

is a big question mark I think people don't want to touch.

I don't know if there's any case law to say what happens with malpractice by

paramedics offshore. Since they are in the US, and certified by that doctor to

perform at a certain level, I *guess* that everything is same as usual. However

I don't know, and only case law could tell us... which is where I duck my head

and let the lawyers speak...

-Brad

>

> > The Medics and EMTs operating during the spill are

> under medical direction of their agency's MD and licensed in

> Louisiana.

> >

> > The reciprocity provided by Jindal's order is a

> temporary, valid license to operate in Louisiana, under the

> terms of the order. NREMTs that are going out to work are

> being approved in a emergency fashion in much the same way,

> but with no requirement of supervision. 

> >

> > I'm not sure how legality applies 3 miles or more

> offshore. That's US Federal Waters and all operations there

> are being directed by the Coast Guard, with the vessels paid

> for by BP, and medics provided by the major carriers. Anyone

> know previous law on that? Since there is no Federal

> standard for EMT, you are operating as an extension of the

> medical director... if I remember right, that's borrowed

> servant, right legal beagles?

>

>

>

> ------------------------------------

>

>

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