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Was wondering what providers thought of version 2 of the National EMS Scope of Practice. Pennsylvania is currently in the revision phase of it's EMS ACT and I was impressed to see some wording from the National EMS Scope of Practice included in the revisions.
One area that caught my attention was the addition of an "advanced EMT" level of practitioner in both the NEMSSOP and Pennsylvania's draft of the new EMS Act of 2006. Per the NEMSSOP the "advanced EMT" at a minimum will be able to perform the following.
- Initiate IV access and administer limited drugs through the IV
- Beta-2 agonist (albuterol more then likely) for asthma/COPD
- D50 & glucagon for hypoglycemia
- Nitroglycerin, ASA, and other OTC meds for pain (ie. tylenol, motrin)
- Narcotic antagonist (ie. Narcan)
- Nitrous Oxide for pain relief
- SQ Epi for anaphylaxis
- Blood glucose monitoring
- Combitube type airway's (intubation is specifically not permitted in the NEMSSOP)
This is the minimum skill set and hopefully with QA and QI over time, additional pharmacological and psychomotor skills can be added.
One area that caught my attention was the addition of an "advanced EMT" level of practitioner in both the NEMSSOP and Pennsylvania's draft of the new EMS Act of 2006. Per the NEMSSOP the "advanced EMT" at a minimum will be able to perform the following.
- Initiate IV access and administer limited drugs through the IV
- Beta-2 agonist (albuterol more then likely) for asthma/COPD
- D50 & glucagon for hypoglycemia
- Nitroglycerin, ASA, and other OTC meds for pain (ie. tylenol, motrin)
- Narcotic antagonist (ie. Narcan)
- Nitrous Oxide for pain relief
- SQ Epi for anaphylaxis
- Blood glucose monitoring
- Combitube type airway's (intubation is specifically not permitted in the NEMSSOP)
This is the minimum skill set and hopefully with QA and QI over time, additional pharmacological and psychomotor skills can be added.