|02-29-2012, 11:46 AM||#1|
Forum Deputy Chief
Join Date: Mar 2008
Location: Columbus, OH (Worthington)
Training: EMT-B, MED-1
Scope of Practice and Online Medical Control
Recently, a lot has changed in both my state and our departmental protocols. As the standing orders get revised, some things are missing or just overlooked. For example, when rewriting the chest pain protocol, they accidentally left of 12 lead EKG transmission as a basic skill (even though it still is). My question is this, if I call up a hospital as a squad, and they ask me for an EKG, as long as I get a physician to order it as online medical control, legally speaking I'm still ok right? This happened the other night, and while I knew it wasn't in our protocol, I asked them to order it as online medical control. It was a moot point as by the time we got around to it we were a minute out and they just did it after I transferred care.
So I guess more broadly, as long as you stay within your State's scope of practice, you can stray outside your standing orders because online medical control takes precedence right?
This is of course assuming that there are not SOGs to the contrary (for example, even though it is in our state scope, we have an SOG that states under no circumstances, including with online verbal direction, should basics use Epi off of the truck).
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