Advanced EMT Scope of Practice.

22 CCR 100076.02

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22 CCR 100076.02

§ 100076.02. Advanced EMT Scope of Practice.

(a)

An Advanced EMT may perform any activity identified in the scope of practice of an EMT in Chapter 3.1 of this Division.

(b)

A certified Advanced EMT or an Advanced EMT trainee, as part of an organized EMS system,while caring for patients in a hospital as part of their training or continuing education, under the direct supervision of a Physician or Registered Nurse, or while at the scene of a medical emergency or during transport, or during interfacility transfer is authorized to do all of the following according to the policies and procedures approved by the LEMSA:

(1)

Perform pulmonary ventilation by use of a perilaryngeal airway adjunct.

(2)

Perform tracheo-bronchial suctioning of an intubated patient.

(3)

Institute intravenous (IV) catheters, saline locks, needle or other cannula (IV lines), in peripheral veins.

(4)

Administer the following intravenously:

(A)

Glucose solutions;

(B)

Isotonic balanced salt solutions (including Ringer's lactate solution);

(C)

Naloxone;

(D)

Intravenous administration of 50% dextrose for adult patients, and 10% or 25% dextrose for pediatric patients.

(5)

Establish and maintain intraosseous access in a pediatric patient.

(6)

Obtain venous and/or capillary blood samples for laboratory analysis.

(7)

Use blood glucose measuring device.

(8)

Administer the following drugs in a route other than intravenous:

(A)

Sublingual nitroglycerine preparations;

(B)

aspirin;

(C)

glucagon;

(D)

inhaled beta-2 agonists (bronchodilators);

(E)

activated charcoal;

(F)

naloxone;

(G)

epinephrine.

(c)

During a mutual aid response into another jurisdiction, an Advanced EMT may utilize the scope of practice for which s/he is trained and certified according to the policies and procedures established by his/her certifying LEMSA.

(d)

The scope of practice of an Advanced EMT shall not exceed those activities authorized in this section except in those limited situations as approved in Section 100076.03.

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