Scope of practice for emt

SCOPE OF PRACTICE FOR EMS PERSONNEL


FIRST RESPONDERS

ƒ Airway Management

Obstructive Airway Management—Basic Basic Airway Management-Cannulas, Masks, BVM Basic Adjunctive Airway Equipment-Nasal & Oral Airways Positive Pressure Oxygen Delivery Inhalation Devices ƒ Cardiac Management
Cardiopulmonary
ƒ Medication Administration

ƒ Other Skills

Bleeding Control via Positive Pressure Spinal Immobilization; Splinting
EMT-BASIC
ƒ Airway Management

Obstructive Airway Management — Basic Basic Airway Management-Cannulas, Masks, BVM Basic Adjunctive Airway Equipment — Nasal & Oral Airways Positive Pressure Oxygen Delivery Inhalation Devices Multi-lumen Airway Devices ƒ Cardiac Management
Cardiopulmonary
ƒ Medication Administration
Oral
Intramuscular — Assisted Nebulized Aerosol — Special Skill ƒ Allowable Drugs
Oxygen
Oral Glucose Pre-measured Inhalation Devices — Assisted Pre-measured Epinephrine Devices — Assisted Nitroglycerin — Assisted Activated Charcoal Acetylsalicylic Acid Acetaminophen Albuterol — Special Skill ƒ Other Skills

Bleeding Control via Positive Pressure Spinal Immobilization; Splinting Pneumatic Anti-Shock Garment Monitoring of Blood Glucose Level Monitoring of Pulse Oxycemtry
EMT-INTERMEDIATE
ƒ Airway Management
Obstructive Airway Management — Basic Basic Airway Management-Cannulas, Masks, BVM Basic Adjunctive Airway Equipment — Nasal & Oral Airways Positive Pressure Oxygen Delivery Inhalation Devices Multi-lumen Airway Devices ƒ Cardiac Management
Cardiopulmonary
ƒ Infusion of IV Fluids

Intravenous Cannulation — venous (to include external jugular/femoral) Intraosseous Cannulation ƒ Medication Administration
Oral
Intramuscular — Assisted Nebulized Aerosol — Special Skill Intravenous Cannulation — venous (to include external jugular/femoral) Intraosseous Cannulation Subcutaneous ƒ Allowable Drugs
Oxygen
Oral Glucose Pre-measured Inhalation Devices — Assisted Pre-measured Epinephrine Devices — Assisted Nitroglycerin Activated Charcoal Acetylsalicylic Acid Acetaminophen Albuterol Dextrose 50% Naloxone Epinephrine 1:1000; Epinephrine 1:10000 Diphenhydramine Narcotic Analgesic — Morphine Immunization and Biologicals Potassium — Monitor Only ƒ Other Skills
Bleeding Control via Positive Pressure Spinal Immobilization; Splinting Pneumatic Anti-Shock Garment Monitoring of Blood Glucose Level Monitoring of Pulse Oxycemtry EMT-PARAMEDIC
ƒ Airway Management
Obstructive Airway Management — Basic Basic Airway Management — Cannulas, Masks, BVM Basic Adjunctive Airway Equipment — Nasal & Oral Airways Positive Pressure Oxygen Delivery Inhalation Devices Multi-lumen Airway Devices Endotracheal Intubation — Nasal & Oral Surgical Cricothyroidotomy Transtracheal Jet Insufflation Thoracic Decompression Positive Pressure Oxygen Delivery Inhalation Device ƒ Cardiac Management
Cardiopulmonary Resuscitation Semi-Automatic Defibrillation Cardioversion and Defibrillation-Manual External Cardiac Pacing Cardiac Monitoring ƒ Infusion of IV Fluids
Intravenous Cannulation — venous (to include external jugular/femoral) Intraosseous Cannulation ƒ Medication Administration
Oral Intramuscular — Assisted Nebulized Aerosol — Special Skill Intravenous Cannulation — venous (to include external jugular/femoral) Intraosseous Cannulation Subcutaneous Endotracheal Intubation — Nasal & Oral Rectal Intradermal ƒ Allowable Drugs
Oxygen
Oral Glucose Pre-measured Inhalation Devices — Assisted Pre-measured Epinephrine Devices — Assisted Nitroglycerin Activated Charcoal Acetylsalicylic Acid Acetaminophen Albuterol Dextrose 50% Naloxone Epinephrine 1:1000; Epinephrine 1:10000 Diphenhydramine Adenosine Atropine Benzodiazepines Calcium Gluconate Dopamine Hydrochloride Furosemide Lidocaine Magnesium Sulfate Narcotic Analgesics Oxytocin Sodium Bicarbonate Immunization and Biologicals Topical Anesthetics — Monitoring Potassium — Monitoring Fibrolytic Drugs — Monitoring Heparin and Protamine — Monitoring Mannital — Monitoring Blood and Blood Products — Monitoring Aminophylline — Monitoring Antibiotics — Monitoring Dobutamine — Monitoring Sodium Nitroprusside — Monitoring Insulin — Monitoring Terbutaline — Monitoring Norephinephrine — Monitoring Methylprednisolone — Monitoring ƒ Other Skills
Bleeding Control via Positive Pressure Spinal Immobilization; Splinting Pneumatic Anti-Shock Garment Monitoring of Blood Glucose Level Monitoring of Pulse Oxycemtry

Source: http://www.nmschoolhealthmanual.org/forms/sectionVIII/08_Scope_Practice_EMT.pdf