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

Go Back   EMTLife.com - The #1 Online Forum for EMS-Related Discussion > Main EMS Forum > EMS Talk

EMS Talk General EMS Discussion. Not quite sure where to post? Try here first!

Reply
 
Thread Tools Search this Thread Display Modes
Old 08-15-2008, 02:02 PM   #21
Blacke00
Forum Lieutenant
 
Blacke00's Avatar
 
Join Date: May 2008
Location: Knoxville, Tn
Posts: 103
Training: EMT-IV

Found a good source (I think it's current):

http://en.wikipedia.org/wiki/Emergen...-_Intermediate


Quote:
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?


Blacke00 is offline   Reply With Quote

Old 08-15-2008, 02:04 PM   #22
TransportJockey
Community Leader Emeritus
Community Leader Emeritus
 
TransportJockey's Avatar
 
Join Date: Dec 2007
Location: Central NM
Posts: 5,419
Training: Lil o this lil o tha
My latest updated Scope of practice:
http://nmems.org/SOPFinal2007.pdf
__________________
N. Zecco
FPC #003175, NREMT-P
"EMS does not save lives, EMS is to care for people. It is 95% of what we do."
Quote:
Originally Posted by usalsfyre
TransportJockey as my partner sound like it would be made of win smothered in awsomesauce...
TransportJockey is offline   Reply With Quote
Old 09-16-2008, 08:18 AM   #23
flhtci01
Forum Captain
 
flhtci01's Avatar
 
Join Date: Mar 2008
Location: Mid-Coast
Posts: 319
Training: NREMT-P, RN
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
flhtci01 is offline   Reply With Quote
Old 09-16-2008, 11:36 PM   #24
mycrofft
Just sayin'
 
mycrofft's Avatar
 
Join Date: Jun 2008
Location: Central California
Posts: 11,013
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.
mycrofft is offline   Reply With Quote
Old 09-18-2008, 02:04 PM   #25
Northstar453
Forum Ride Along
 
Join Date: Sep 2008
Location: Maine
Posts: 4
Training: current EMT-I stdent
Here's the link to Maine's EMS Protocols, they are statewide protocols. We just had an update in Maine in July.

http://www.maine.gov/dps/ems/legal.html
Northstar453 is offline   Reply With Quote
Old 09-19-2008, 11:45 AM   #26
RESQ_5_1
Forum Lieutenant
 
RESQ_5_1's Avatar
 
Join Date: Feb 2008
Location: Fairview, AB, Canada
Posts: 226
Training: EMT-A
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.
__________________
Quando Omni Flunkus Moratati.
RESQ_5_1 is offline   Reply With Quote
Old 09-19-2008, 12:28 PM   #27
RESQ_5_1
Forum Lieutenant
 
RESQ_5_1's Avatar
 
Join Date: Feb 2008
Location: Fairview, AB, Canada
Posts: 226
Training: EMT-A
UPDATE: The Alberta Scopes of Practice can be found at the following link:
http://www.qp.gov.ab.ca/documents/regs/1993_048.cfm

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.
__________________
Quando Omni Flunkus Moratati.
RESQ_5_1 is offline   Reply With Quote
Old 09-19-2008, 02:33 PM   #28
MedCoast Ambulance
Forum Probie
 
Join Date: May 2008
Location: Long Beach Ca -Greater Los Angeles
Posts: 17
Training: EMT-Paramedic
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
MedCoast Ambulance is offline   Reply With Quote
Old 09-27-2008, 08:29 PM   #29
ResTech
Forum Asst. Chief
 
ResTech's Avatar
 
Join Date: Jun 2004
Posts: 888
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?
ResTech is offline   Reply With Quote
Old 10-22-2008, 05:11 AM   #30
emtmomof2
Forum Ride Along
 
emtmomof2's Avatar
 
Join Date: Aug 2007
Location: New Jersey
Posts: 8
Training: EMT-Basic
how about nj

Anyone have a link with nj protocols?
Theresa
emtmomof2 is offline   Reply With Quote
Reply

Bookmarks

Tags
scope of practice

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Proposed EMS Scope of Practice Model disassociative Education and Training 31 12-30-2007 04:00 PM
Scope of Practice in your District? danvtemt ALS Discussion 4 06-12-2007 02:34 AM
first aid scope of practice? rdkl BLS Discussion 14 06-15-2005 01:00 PM
EMS Scope of Practice ffemt8978 EMS-Related News 3 04-18-2005 03:05 AM
NEW NATIONAL SCOPE OF PRACTICE Summit EMS Talk 2 04-14-2005 02:27 AM


All times are GMT -4. The time now is 03:27 AM.


Powered by vBulletin
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright 2001-2014, EMTLife LLC. All rights reserved.