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Old 08-15-2008, 02:02 PM   #21
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Found a good source (I think it's current):


Tennessee EMTs are licensed at either the EMT-IV (Intravenous Therapy) Level or the EMT-Paramedic Level. EMT-IVs are trained to the NREMT-B standard in accordance with DOT regulations, as well as receive additional training in advanced airway management, administration of Epinephrine 1:1000 in Anaphylaxis, administration of nebulized and aerosolized Beta-2 Agonists such as Xopenex and Albuterol, administration of D50W and D25W, IV Therapy and Access, and trauma life support including the use of MAST Trousers. EMT-IVs can also administer nitroglycerine and aspirin in the event of cardiac emergencies, and can give Glucagon. EMT-IVs can also administer the Mark 1 Autoinjector kit for Organophospate poisoning and suspected nerve gas exposure. The State of TN Board of EMS is currently evaluating allowing EMT-IVs to administer NARCAN and Nitrous Oxide, as well. The Board is also considering going to an Emergency Medical Responder, EMT-B, EMT-Advanced, and EMT-P format and eliminating the EMT-IV rank.
That's more than I would have expected for what would be an EMT-B anywhere else, right?

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Old 08-15-2008, 02:04 PM   #22
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My latest updated Scope of practice:
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Old 09-16-2008, 08:18 AM   #23
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You listed the Iowa scope of practice.

The state approved protocols for all levels are at http://www.idph.state.ia.us/ems/protocols.asp
"It is necessary for you to learn from others' mistakes. You will not live long enough to make them all yourself." Hyman G. Rickover
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Old 09-16-2008, 11:36 PM   #24
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Here's a joker: Standardized Procedures

At least in CA, within a given medical director/company's bailiwick, some otherwise verboten procedures can be assigned for LVN's, RN's, and other non-traditional EMS operators by setting up approved training (good to have a provider's number as a training facility, not too hard to get), keep good records, teach the St Proc, then have a test and periodic refreshers. I once had this explained to me: as long as the employees did not leave the premises or even a company owned vehicle, they could perform the st proc. Scarey.
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Old 09-18-2008, 02:04 PM   #25
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Here's the link to Maine's EMS Protocols, they are statewide protocols. We just had an update in Maine in July.

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Old 09-19-2008, 11:45 AM   #26
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Scope of practice for Alberta EMS can be found at: www.collegeofparamedics.org and then follow the links to each level from EMR to EMT-P.

I would like to note, that we are regulated by a COLLEGE. This term confuses alot of people. However, our DRs are regulated by the COLLEGE of physicians and surgeons. And, our nurses are regulated by the COLLEGE of nursing. Also, as EMS practitioners, we also fall under the health PROFESSIONS act. At least up here, we receive the recognition as a necessary provider of medical treatment. The term COLLEGE in this case does not mean an institute of learning.
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Old 09-19-2008, 12:28 PM   #27
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UPDATE: The Alberta Scopes of Practice can be found at the following link:

Please disregard the previous link as a source for the Alberta scope of practice. However, additional information concerning EMS in Alberta can be found at the previous link.
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Old 09-19-2008, 02:33 PM   #28
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county to county......So Cal

Here in So Cal it varies from county to county.....in Los Angeles there is an expanded scope policy 802- 802.2 but in Orange County the scope is limited
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Old 09-27-2008, 08:29 PM   #29
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Pennsylvania just underwent some progressive updates in their protocols for both BLS and ALS.

In summery here are the BLS changes and additions:

- CPAP carried on BLS units
- No longer required to carry activated charcoal
- Bleeding Control Protocol
Tourniquet use emphasized for bleeding control
Hemostatic agents (powders) for bleeding control
- Nerve agent kits (injectable meds) for personal use onboard BLS ambulance. May only administer to patients after ALS evaluation.

In summery here are the ALS changes and additions:
- Change in Benedryl dose from 25mg to 50mg
- Addition of IV NTG
- Benzo's for vertigo
- Intranasal - fentanyl, glucogon, Ativan, Versed, Naloxone
- Crush injury treatment (sodium bicarb & calcium chloride immediately prior to extrication)
- ACE inhibitors for CHF - pretty much done away with lasix
- Therapeutic hypothermmia
- Analgesic for fluid or med admin by IO in conscious patient

Any other states allow CPAP for BLS?
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Old 10-22-2008, 05:11 AM   #30
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how about nj

Anyone have a link with nj protocols?
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