Can EMT-B intubate or start IVs?

He probably just meant placing a supraglottic airway.
 
Yea Oregon can do supraglottic airways, Washington state can train their EMT-Basics to put in IV's after they have had STATE cert for 1 year or they get permission from someone in their company who thinks they can handle it which is considered EMT-IV Tech.
 
Washington has I believe 7 "different" EMT's. Basic, IV tech, Airway tech, IV/Airway tech... EDIT. Never mind. Washington has gone to just the 4. First responder, EMT, AEMT, and Paramedic. Though I do believe they still have some "ad-on classes" but I can't find those.
 
I didn't think WA was still licensing those levels, that they were just hold overs.
 
DEmedic said:
I didn't think WA was still licensing those levels, that they were just hold overs.
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Last year when I was recertifing they still had all 7. I know that in mid January the DOH updated their EMS system as a whole so I am guessing that is when they dropped those.
 
We had some IV EMTs in Yakima, but they weren't supposed to act outside the BLS scope. They had the certification, but the medical director hadn't given them authority to practice at that level.
 
FireWA1 said:
Washington has I believe 7 "different" EMT's. Basic, IV tech, Airway tech, IV/Airway tech... EDIT. Never mind. Washington has gone to just the 4. First responder, EMT, AEMT, and Paramedic. Though I do believe they still have some "ad-on classes" but I can't find those.
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Im certain they still have EMT-IV Tech simply because I see posting after posting by AMR looking for full time EMT-IV Techs, last one I saw posted was a month or two ago. Also as far as I know they don't do anything advanced other than putting an IV in. I am not even sure they are allowed to administer any additional medications although they may be able to.
 
My guess is that they still exist and that some places might still be able to do the classes. But looking at the website where they used to list all 7. Now only 4 exist with AEMT taking most of them.
 
FireWA1 said:
My guess is that they still exist and that some places might still be able to do the classes. But looking at the website where they used to list all 7. Now only 4 exist with AEMT taking most of them.
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Then maybe as you say they are in the process of eliminating EMT-IV Tech spots, but to be honest I have no idea. It would not surprise me because Clark County Washington use to require all EMT-Basics to have 1 year exp AND IV Tech cert, but a few months back I was told that the 1 year requirement has been taken out. To further clarify it I have seen EMT-Basic postings for Clark County in the past few months while they NEVER posted for them in the year or so before that.
 
I know where I'm at emt's can do IV's, io's, and supraglottic airways. With your iv cert you can give ns, lr, d50, iv narcan. You can also push every medication your medic tells you to From ketamine to epi. You also do blood draws.
 
samsbgm said:
I know where I'm at emt's can do IV's, io's, and supraglottic airways. With your iv cert you can give ns, lr, d50, iv narcan. You can also push every medication your medic tells you to From ketamine to epi. You also do blood draws.
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Meanwhile out here they don't even want Basics checking blood sugar because those little tiny finger lancets that people use OTC are too invasive for us or something like that
 
Jim37F said:
Meanwhile out here they don't even want Basics checking blood sugar because those little tiny finger lancets that people use OTC are too invasive for us or something like that
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Our protocol used to state that EMTs can only check BGL after directed to do so by the medic. Now it states EMTs can check BGL as long as a paramedic is present haha
 
Some medics in our department don't want us even touching them...others straight up hand them to us lol
 
The majority of the BGL testing we do is from the IV flash so EMT have always been able to do most of the checks. The way the protocol was written it sounded like if there was already any blood then an EMT can test it lol
 
Yeah they've never had a problem with us getting it off the flash...it's just the finger sticks some of our medics don't want us touching (or like I said others will simply hand me the Lancet and glucometer)
 
I thought everyone could do a d-stick. In my opinion every emt should be able to do that. How many diabetic problems do we run on? It just makes sense. IV's are a much needed skill for emt's to have to. Most patients get an iv and blood draw.
 
samsbgm said:
I thought everyone could do a d-stick. In my opinion every emt should be able to do that. How many diabetic problems do we run on? It just makes sense. IV's are a much needed skill for emt's to have to. Most patients get an iv and blood draw.
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Things vary greatly by system. Here when someone calls 911 they get at least 2 medics so there isn't really a need for EMTs to start IVs.
 
cprted said:
EMTs can be trained to ASSIST with an intubation. Putting a tube in a doll a couple of times does not, in any way shape or form, make someone trained to intubate.
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You're right. It's the start. We did the adult/peds intubations on dummies and then had to do three actual in the field or ER to get fully signed off.
 
DesertEMT66 said:
Things vary greatly by system. Here when someone calls 911 they get at least 2 medics so there isn't really a need for EMTs to start IVs.
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Where I'm at you always get two medics too. Can emt's attend on a call if someone has an iv? Half the time I'm just getting one enroute.
 
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