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5) The TEMS provider shall document every patient encounter in accordance with the <br />pre - approved method of documentation. Documentation may be reviewed by the TEMS Medical <br />Director for Quality Assurance purposes. <br />6) The TEMS provider will participate in Quality Assurance exercises pertaining to <br />training or live operations. <br />7) In a confidential manner, the TEMS providers will familiarize themselves with the <br />medical history and health status of the individual law enforcement officers with whom they <br />work. <br />8) Aside from tending to acute injury or illness, the TEMS provider will monitor the <br />physical and psychological well -being of each other and law enforcement officers during <br />prolonged deployments. Environmental factors, sleep deprivation, hydration, and nutrition are to <br />be closely monitored. <br />9) If circumstances permit, the TEMS providers shall check the operational field for any <br />health or safety hazards that may jeopardize the safety of themselves, law enforcement, or <br />civilians. <br />D. RESPONSIBILITES OF THE TEMS MEDICAL DIRECTOR <br />1) The TEMS Medical Director and his appointees shall carry an unrestricted Ohio <br />medical license and have experience in on -line EMS medical direction. <br />2) TEMS physicians will be available for "real time" medical oversight by phone for <br />every operation. On -site medical command in the 'bold zone" as determined by law enforcement <br />on scene may be employed if the TEMS physician deems it appropriate and it is approved by the <br />law enforcement officer in charge. <br />3) TEMS physicians will organize and participate in the continuing medical education of <br />TEMS providers. This may include, but is not limited to, didactic sessions, field training, and <br />medical simulation. <br />4) The TEMS Medical Director will approve the medical competency of each TEMS <br />Director prior to initiation of active duty. <br />5) The TEMS Medical Director will assess the competency and proficiency of TEMS <br />providers on a continuous basis. <br />6) For Quality Assurance, the TEMS Medical Director may review any deployment of <br />TEMS providers. The application of TEMS protocols, the medical care provided, and any <br />concerns with regard to patient or provider safety will be reviewed for every case. <br />7) For Quality Assurance, the TEMS Medical Director may keep a database of TEMS <br />activity and any relevant medical data therein. <br />8) Any TEMS provider or law enforcement officer suspected of being unfit for duty or <br />incapable of performing to the degree necessary to achieve the goals of the tactical operation due <br />to injury, illness, potential for medication side effect, or mental state may be immediately <br />relieved of duty at the discretion of the TEMS Medical Director or his appointee in close <br />collaboration with the law enforcement officer in charge. <br />9) The TEMS Medical Director reserves the right to evaluate the status of any TEMS <br />provider based on competency, safety issues, adherence to protocol, or any other reason he <br />deems appropriate. The TEMS Medical Director reserves the right to suspend any TEMS <br />provider from his oversight pending an investigation of the relevant circumstances. Such action <br />will be taken in close collaboration with the relevant law enforcement agencies. <br />A -2 <br />