10 Guam Code Ann. § 84122
Terms Used In 10 Guam Code Ann. § 84122
- Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- Oversight: Committee review of the activities of a Federal agency or program.
(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
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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
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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.
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SOURCE: Added by P.L. 31-146:2 (Nov. 17, 2011). Subsections (a) and
(b) amended by P.L. 36-121:13 (Nov. 9, 2022).