The medical director issues a written order that allows an emt to give glucose in certain circumstances without speaking to another physician. this is called:

This is called off-line medical direction.  It is a type of medical direction wherein the EMT can conduct a specific advanced life support procedure before he contacts a medical control physician. In this scenario, the medical director permits the EMT to give glucose in specific situations without speaking to a different physician.

nucleus

would be most reasonable answer tbh