If operating outside the scope of care, whom can you call for permission?

The best choice for seeking permission when operating outside the scope of care is to contact the medical director. The medical director is responsible for overseeing the medical policies and protocols of the emergency medical service (EMS) organization. They have the authority to grant permissions for procedures or treatments that may fall outside standard protocols, especially in unique or emergency situations.

In a scenario where you need to deviate from established practice, the medical director can provide guidance specific to that situation and ensure that the care delivered is safe and appropriate. It is important to operate under the authority and guidelines established by the medical director to ensure patient safety and compliance with medical protocols.

While a family physician or ER physician may provide medical advice, they are not typically the one overseeing the protocols for EMS personnel. A supervisor may be involved in operational decisions but usually does not have the clinical authority that a medical director possesses. Therefore, reaching out to the medical director is the most appropriate action in these situations.