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8 <br />13.Access patient care records and reports in the statewide electronic EMS data system for <br />EMS services under their oversight; <br />14.Audit the medical care performance of EMS providers in accordance with the MPD <br />quality improvement plan; <br />15.Perform counseling and assign remediation regarding the clinical practice of EMS <br />providers; <br />16.Participate in regional quality improvement activities; <br />17.Approve equipment and medications used to provide medical care by EMS personnel ; <br />18.Make recommendations for corrections for EMS services that are out of compliance <br />with the regional plan to the department in accordance with WAC 246-976-400; and <br />19.Assist the Medical Program Director in: <br />a.Develop and adopt written prehospital patient care protocols for specialized <br />training and to direct EMS certified personnel in patient care; <br />b.Participate with Snohomish County and North Region EMS/TC councils to <br />develop and revise regional EMS and trauma care plans; <br />c.Recommend to the department approval of individuals applying for recognition <br />as senior EMS instructors candidates, senior EMS instructors, EMS evaluators, <br />and locally approve all guest instructors for any EMS education and training; <br />d.Recommend to the department approval of training programs, courses, ongoing <br />education and training plans (“OTEP”), and content for continuing medical <br />education (“CME”) and ongoing training; <br />e.Recommend to the secretary certification, recertification, reciprothe City, <br />challenge, reinstatement, reissuance of expired certification or denial of <br />certification of EMS personnel and sign applications; provided, however, all such <br />recommendations shall be made known in writing to the Fire Chief and/or EMS <br />Administrator of the agency whose employee or volunteer is subject to the <br />action prior to the action being sent to the Department of Health; <br />f.Recommend certified providers to be approved or denied endorsements for <br />specialized skills; <br />g.Recommend to the secretary disciplinary action to be taken against EMS <br />personnel, which may include modification, suspension, or revocation of <br />certification; and