Policy 19 - Scope of Practice

What is the status of all protocols regarding standing orders?

All protocols are standing orders

What is the purpose of the Scope of Practice policy?

To define the specific psychomotor skills that may be performed by emergency medical technicians at the EMT-B, EMT-I, and EMT-P levels of patient care

What can higher certification levels perform in addition to skills specific to their scope?

All lower-level skills

What airway adjuncts can an EMT-Basic use?

Oropharyngeal and/or nasopharyngeal airway

What advanced airway device can an EMT-Basic place?

BIAD

What ventilation skill can an EMT-Basic perform?

BVM ventilation

What ventilator device can an EMT-Basic use?

Automatic transport ventilator

What suctioning skill can an EMT-Basic perform?

Upper airway suctioning

What oxygen therapy can an EMT-Basic provide?

Supplemental oxygen therapy

What epinephrine administration can an EMT-Basic perform?

Auto-injector / intramuscular epinephrine

What cardiac monitoring skill can an EMT-Basic perform?

Apply cardiac monitor leads

What capnography skill can an EMT-Basic perform?

Apply capnography devices

What transport skill can an EMT-Basic perform if under their scope of practice?

Accompany patient during transport

What defibrillation device can an EMT-Basic use?

AED

What lab skill can an EMT-Basic perform?

Blood glucose analysis

What IV access can an EMT-Basic establish and maintain?

A peripheral or external jugular IV

What vascular access can an EMT-Basic establish?

IO access

What spinal skill can an EMT-Basic perform?

Manual stabilization of the cervical spine

What fracture skill can an EMT-Basic perform?

Manual stabilization of extremity fractures

What bleeding control skill can an EMT-Basic perform?

Hemorrhage control

What medication can an EMT-Basic administer under Paramedic supervision for hypoglycemia?

Oral glucose

What other medication can an EMT-Basic administer under Paramedic supervision?

Elovate

What antiplatelet medication can an EMT-Basic administer under Paramedic supervision?

Aspirin

What gas can an EMT-Basic administer under Paramedic supervision?

Oxygen

What antiemetic can an EMT-Basic administer under Paramedic supervision?

Zofran (PO)

What NSAID can an EMT-Basic administer under Paramedic supervision?

Ibuprofen

What analgesic/antipyretic can an EMT-Basic administer under Paramedic supervision?

Tylenol

What antihistamine can an EMT-Basic administer under Paramedic supervision?

Benadryl (PO)

What bronchodilator can an EMT-Basic administer under Paramedic supervision?

Albuterol

What anticholinergic bronchodilator can an EMT-Basic administer under Paramedic supervision?

Atrovent

What suctioning skill can an EMT-Advanced perform?

Tracheobronchial suctioning of an intubated patient

What IV access can an EMT-Advanced establish and maintain?

A peripheral INT/IV

What vascular access can an EMT-Advanced establish and maintain?

An IO

What access can an EMT-Advanced use for fluid/medication administration?

Indwelling catheters and central IV ports

What transport skill can an EMT-Advanced perform if under their scope of practice?

Accompany patient during transport

What fluid administration can an EMT-Advanced perform?

Administer non-medicated IV fluid

What medication administration can an EMT-Advanced perform?

Administer IV medications as indicated by protocol

What airway skill can an EMT-Advanced perform?

Perform endotracheal intubation

What GI skill can an EMT-Advanced perform?

Perform gastric decompression

What cardiac skills can an EMT-Paramedic perform?

Cardioversion, manual defibrillation, and transcutaneous pacing

What spinal skill can an EMT-Paramedic perform?

Spinal clearance

What airway skill scope does an EMT-Paramedic have?

Perform all airway measures

What chest skill can an EMT-Paramedic perform?

Perform chest decompression

What monitoring skill can an EMT-Paramedic perform regarding capnography?

Interpret and monitor capnography

What monitoring skill can an EMT-Paramedic perform regarding cardiac rhythms?

Interpret and monitor cardiac rhythms

What resuscitation skill can an EMT-Paramedic perform?

Discontinue pre-hospital resuscitation

What medication/fluid administration scope does an EMT-Paramedic have?

Administer all medications/IV fluids as listed in the protocols