Medical Oversight, Protocols, and Quality Improvement Practice Test

An EMS Medical Director, noting a regional increase in multi-drug resistant infections, requires all paramedics to complete a training module on new PPE protocols before they are implemented system-wide. This action is best described as what form of medical oversight?

You are treating a patient with a known rare metabolic disorder who is profoundly hypoglycemic. Standard dextrose administration per protocol has been ineffective. The patient's family presents a specific, physician-prescribed emergency medication kit for this condition that is not in your service's formulary. What is the most appropriate action?