Obtaining BGL

[Thriceknight]

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

 

[STXmedic]

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

 

[Chris07]

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]

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."

 

[DesertMedic66]

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

 

[medicdan]

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.

 

[Martyn]

In Florida we can do BGL

 

[Shishkabob]

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


Yay Texas, boo crappy states that suck at EMS.

 

[rescue1]

In Maryland it's an optional by county protocol which we use.

 

[fast65]

It's in the EMT-B scope of practice here.

 

[STXmedic]

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 h34r: Gotta love Texas

 

[tylerp1]

http://www.idph.state.ia.us/ems/common/pdf/scope_of_practice.pdf

It's allowed here in Iowa, but I heard they were possibly taking it out? Not quite sure, but I did it in the ER..best case scenario? a Basic telling me my unconscious pt's glucose is 28 when I arrive on scene..

..keep dreaming, right? haha jk

 

[EMSLaw]

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 h34r: 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.

 

[STXmedic]

Don't they call those people EMT-Intermediates?

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

 

[Ramis46]

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.

 

[Sourmash]

In my scope here in Oregon. Had to demonstrate the ability to do so in order to get my reciprocity. Check em daily.

 

[Medic Tim]

in Maine a basic can do it if they have taken the extra training module. In New Brunswick the lowest Provider on any truck is the equivalent to an Intermediate so everyone can do bgl.

 

[DownSouthMedic]

In Florida we can do BGL

Yep, do it everyday...although we don't really have much as far as treatment outside of oral glucose or a upgrade to ALS for those extreme cases.

 

[Tigger]

As mentioned it's allowed in Massachusetts, though I had never heard of those additional training requirements. It's a standing order for basics in Colorado, which is where I was first certified.

 

[Tigger]

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 h34r: Gotta love Texas

An extra 21 hour class in Colorado and pending medical director approval Basics can start IVs, give fluids, D50, narcan (IV and IN), and first line cardiac drugs under a medic's direction during an arrest. IOs are allowed under a waiver in some areas.