Who has the final decision-making power regarding policy or protocol changes?

The final decision-making power regarding policy or protocol changes is held by the EMS director. This role typically has the expertise and authority to oversee emergency medical services, ensuring that any changes to policies or protocols align with best practices, regulatory standards, and the operational needs of the EMS system. The EMS director is responsible for implementing and managing the educational and clinical practices of emergency personnel, which is crucial for adapting to new developments or challenges in the field.

While other roles such as the Fire Chief, City Council, and Medical Supervisor play important parts in the overall governance and operation of emergency services, their influence might be more focused on specific areas or approvals rather than having the ultimate authority to enact changes to protocols themselves. The EMS director’s background in both clinical and administrative aspects equips them with the insight needed to make informed decisions that will affect the operational and patient care standards within the EMS system.