Obtaining BGL - EMTLife.com - The #1 Online Forum for EMS-Related Discussion

Thriceknight · 01-14-2012, 12:41 AM

Is obtaining a PT's Blood Glucose Level as an EMT-B in ANYONE'S scope of practice?? ? ? ? ? ? ?

PoeticInjustice · 01-14-2012, 12:45 AM

I've never seen it not in a basic's scope, but that's down here in Tx.

Chris07 · 01-14-2012, 01:50 AM

Some counties in California allow it via expanded scopes (not many however). I heard that Orange County allows EMTs to check BGL, but I do not know if that is true (I would be quite surprised if they did).

JPINFV · 01-14-2012, 01:52 AM

I believe EMTs in OC are now (well, as of the January 1, 2011) allowed to assist paramedics with obtaining a BGL, not simply do it on their own.

To the OP, if you're at a health care facility like a nursing home, you can always ask if they can get an updated BGL "for the hospital."

DesertEMT66 · 01-14-2012, 01:57 AM

My county will now(sometime in march) allow EMTs to get a BGL when asked to by a AEMT or medic.

emt.dan · 01-14-2012, 03:32 AM

Massachusetts EMTs can, and often DO perform BGL while working BLS and ALS. It's a service option-- requiring a simple signature from one's medical director, a limited lab license, and training for the entire staff.

PoeticInjustice · 01-14-2012, 11:59 AM

Quote:

Originally Posted by Linuss

Yes, along with syringe drawn episode, duonebs and king tubes.

Yay Texas, boo crappy states that suck at EMS.

I even know of a few Basics that can perform IVs, IOs, needle decompression, and D50 and Narcan admin in addition to what you stated

Gotta love Texas

EMSLaw · 01-14-2012, 12:06 PM

Quote:

Originally Posted by PoeticInjustice

I even know of a few Basics that can perform IVs, IOs, needle decompression, and D50 and Narcan admin in addition to what you stated

Gotta love Texas

Don't they call those people EMT-Intermediates?

BGL is outside of the EMT-B scope of practice in NJ at the moment. The theory is apparently that it wouldn't effect treatment decisions.

PoeticInjustice · 01-14-2012, 12:16 PM

Quote:

Originally Posted by EMSLaw

Don't they call those people EMT-Intermediates?

Might as well, but they still keep their pretty little EMT-B patch :p

Ramis46 · 01-14-2012, 12:37 PM

Yeah here in Iowa we can, But by 2016.. (14 or 16) we are rescoping the scope of practice, since there are up to like 12 different active lvls in iowa. I really can't understand why they wouldn't let EMT-B to obtain BGL, its a helpful tool, and its not all that invasive.

01-14-2012, 12:45 AM	#2
PoeticInjustice Premium+ Member Forum Alchemist Join Date: Nov 2010 Location: Texas Posts: 2,214 Training: EMT-Paramedic	I've never seen it not in a basic's scope, but that's down here in Tx. __________________ "Beware of false knowledge; it is more dangerous than ignorance." -George Bernard Shaw

01-14-2012, 01:52 AM	#4
JPINFV Premium+ Member Forum Chief Join Date: Dec 2007 Location: 404: No Meme Found Posts: 11,503 Training: MS, EMT-B, OMS-3	I believe EMTs in OC are now (well, as of the January 1, 2011) allowed to assist paramedics with obtaining a BGL, not simply do it on their own. To the OP, if you're at a health care facility like a nursing home, you can always ask if they can get an updated BGL "for the hospital." __________________ Step 1 [X] IM [X] IM [X] Psych [X] Surg [X] Family [X] IM [X] OB/Gyn [X] Peds [X] Anesth [X] Vacation [_] OMM [_] Holy EMS Trinity: Backboard, oxygen, lights and sirens.

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01-14-2012, 12:41 AM	#1
Thriceknight Forum Crew Member Join Date: Apr 2011 Location: Central Valley Posts: 77 Training: EMT-B/Medic Student	Obtaining BGL Is obtaining a PT's Blood Glucose Level as an EMT-B in ANYONE'S scope of practice?? ? ? ? ? ? ? __________________ "A man is accepted into a church for what he believes and he is turned out for what he knows."-Mark Twain

01-14-2012, 01:50 AM	#3
Chris07 Premium Member Forum Lieutenant Join Date: May 2010 Location: Southern CA Posts: 182 Training: EMT, NREMT-B, WFR	Some counties in California allow it via expanded scopes (not many however). I heard that Orange County allows EMTs to check BGL, but I do not know if that is true (I would be quite surprised if they did).

01-14-2012, 03:32 AM	#6
emt.dan Premium Member Forum Deputy Chief Join Date: Nov 2006 Location: Northeast Posts: 2,258	Massachusetts EMTs can, and often DO perform BGL while working BLS and ALS. It's a service option-- requiring a simple signature from one's medical director, a limited lab license, and training for the entire staff.

01-14-2012, 12:37 PM	#10
Ramis46 Forum Crew Member Join Date: Jan 2012 Location: Oskaloosa IA Posts: 44 Training: EMT-Paramedic	Yeah here in Iowa we can, But by 2016.. (14 or 16) we are rescoping the scope of practice, since there are up to like 12 different active lvls in iowa. I really can't understand why they wouldn't let EMT-B to obtain BGL, its a helpful tool, and its not all that invasive.