333-250-0300 Emergency Medical Services (EMS) Medical Direction (1) A licensed ambulance service must have one emergency medical services (EMS) medical director responsible for the duties described in OAR 847-035-0025(1) and may have additional agents, as that term is defined under OAR 847-035-0001, as determined necessary. (a) If the licensed ambulance service operates in non-contiguous counties, then the licensed ambulance service may have one EMS medical director in each non-contiguous county of operation. (b) If a county or regional EMS system prescribes that an ambulance service agency must have a governmentally appointed EMS medical director, that agency may have a different EMS medical director in contiguous counties. A signed agreement or contract may be entered between the EMS medical director and the county or regional EMS system. (2) The EMS medical director may delegate the duties described in OAR 847-035-0025(2) to one or more agents as defined in OAR 333-250-0205. (3) A licensed ambulance service must ensure that the EMS medical director: (a) Meets the requirements and duties as prescribed in OAR 847-035-0020 through 847-035-0030; (b) Has a written set of standing orders applicable to the specific geographic region for each level of service offered by the licensed ambulance service. Standing orders must be reviewed annually, and signed and dated within one year; and (c) Has a signed and dated agreement or contract with the licensed ambulance service. (4) When an EMS medical director authorizes the administration of controlled substances, the EMS medical director must have on file with the licensed ambulance service: (a) A US Drug Enforcement Administration License listing the name of the licensed ambulance service and address where the controlled substances are stored when not on an ambulance; and (b) A signed and dated policy describing the type and amount of controlled substances stored on each ambulance and how controlled substances will be stored, accessed, recorded, administered, destroyed and secured. It is the responsibility of the EMS medical director to ensure that the procedure meets the minimum US Drug Enforcement Administration requirements. (5) A licensed ambulance service shall ensure that: (a) Controlled substances, when authorized by the EMS medical director, are stored, accessed, inventoried, administered, destroyed and secured in a manner consistent with the signed and dated procedure established by the EMS medical director. The procedure must be in accordance with the regulations promulgated by the US Drug Enforcement Administration . (b) A copy of the EMS medical director's US Drug Enforcement Administration license is maintained in a secure manner, inaccessible to the public, at each fixed ambulance location where controlled substances are stored other than in the ambulance. (c) Pharmacological and medical supplies with expiration dates affixed thereon by the manufacturer or packager are removed from service no later than the expiration date. Expired pharmacological and medical supplies must be disposed of in accordance with applicable laws and regulations. (d) Medications and equipment are stored in a manner that protects viability and proper operation; and (e) Ambulances available for or subject to a call are maintained to allow immediate starting of the engine and to prevent medications and medical supplies from becoming environmentally degraded. (6) A licensed ambulance service must notify the Oregon Health Authority in writing of: (a) Any denial, suspension, or voluntary surrender of an EMS medical director's or agent's medical license or US Drug Enforcement Administration license within 72 hours; and (b) Any change in the EMS medical director or agents, 21 days prior to the change. Statutory/Other Authority: ORS 682.017 & 682.068 Statutes/Other Implemented: ORS 682.017 - 682.117 & 682.991 History: PH 19-2025, amend filed 09/24/2025, effective 01/01/2026 Renumbered from 333-250-0047, PH 7-2017, f. & cert. ef. 3-21-17 PH 1-2013, f. & cert. ef. 1-25-13 PH 11-2010, f. 6-30-10, cert. ef. 7-1-10 PH 2-2007, f. & cert. ef. 2-1-07 OHD 7-2001, f. & cert. ef. 4-24-01