Scope of Practice for Each State - Discussion

WuLabsWuTecH said:
Hi All!

I found the following as the scope of practice in Ohio: http://www.ems.ohio.gov/PDF/EMS_SCOPE_Practice0608.pdf (outdated)

I was wondering if there are similar files/sites for other states. I'm particularly interested in Missouri since I'll be splitting my time between St. Louis, MO and Columbus, OH.

Feel free to add your state(s)'s scope of practice as well and maybe we can keep a kind of a database for easy reference!

-Wu

---------List of States---------

California: (JPINFV)
EMT-One (Basic): http://www.emsa.ca.gov/personnel/files/emt/FinalApprovedChapter3242007.pdf (Starts on bottom of page 6)
EMT-Two (Intermediate): http://www.emsa.ca.gov/personnel/files/emt/regs3.pdf (Starts on page 2. )
EMT-Paramedic:http://www.emsa.ca.gov/paramedic/files/scopechart.pdf (listed by county)

Colorado: http://www.dora.state.co.us/medical/rules/500.pdf (outdated)

beow is added for the paramedics in state
http://www.dora.state.co.us/medical/Rules/800.pdf (zacdac89) (outdated)

Georgia: http://health.state.ga.us/programs/ems/Resource Documents/R-P-01-A Scope of Practice for EMS Personnel/R-P01-A- Scope of Practice for EMS Personnel.pdf (outdated)

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

Mississippi: http://www.ems.doh.ms.gov/pdf/ems_rules_regs_2-08.pdf (The EMT-B starts at about page 91 with scope defined starting at page 103.) (Ventmedic)

Ohio: http://www.ems.ohio.gov/critical.aspx#scope
http://www.publicsafety.ohio.gov/links/ems_scope_practice.pdf

Oregon: http://www.oregon.gov/DHS/ph/ems/docs/scope.pdf

Wisconsin: http://dhs.wisconsin.gov/ems/License_certification/scope_of_practice.htm

List updated 9 July 2008 by WuLabsWuTecH. Thanks to those who helped me find these links whose names are in parentheses after the state they found!
Click to expand...


According to www.health.ny.gov: Viewed in 2018.

Q: Where can I find the scope of practice document for a NYS DOH Bureau of EMS Certified First Responder/EMT/AEMT?\

A: New York State does not have a specific scope of practice document for the CFR/EMT/AEMT. Instead, in NYS, scope of practice for the CFR/EMT/AEMT is defined by curriculum, protocol, and physician medical direction at the EMS agency, region, and State levels. In order to determine whether a particular skill falls within the EMS provider's scope of practice, one would need to refer to the appropriate curriculum and protocol.

~ Estrella
 
Emergency Medical Technician
Methoxyflurane, oral pracetamol, oral ibuprofen, oral tramadol, adrenaline (IM, IN, neb, topical), glucagon, aspirin, GTN spray, salbutamol, ipratropium, oral loratadine, ondansetron (oral), oral prednisone, PEEP, urinary catheter troubleshooting, mizadolam (IM - seizures), laryngoscopy (airway obstruction).

Paramedic
IV cannulation, 0.9% NaCl (IV), glucose 10% (IV), lignocaine SQ digital blocks, manual defibrillation, synchronised cardioversion, adrenaline (IV) for cardiac arrest only, amiodarone (IV) for cardiac arrest only, amoxicillin and clavulanic acid, gentamicin, morphone, fentanyl, naloxone, ondansetron IM or IV, oxytocin, midazolam IM for agitated delerium, midazolam IV for sezirues, valproate IV, oral olanzepine, ketamine (IM for severe agitation and IV for analgesia). For thrombolysis trial officers: clopidogrel, enoxiparin, heparin, metoprolol.

Intensive Care Paramedic
Adenosine, adrenaline IV for all indications, amiodarone IV for tachydysrhythmia, atropine, calcium chloride, chest decompression and thoracostomy, cricothyrotomy, intraosseous access, endotracheal intubation, ketamine, midazolam for all indications, magnesium, pacing, rocuronium, sodium bicarbonate, suxamethonium (RSI officers only).
 
WuLabsWuTecH said:
Hi All!

I found the following as the scope of practice in Ohio: http://www.ems.ohio.gov/PDF/EMS_SCOPE_Practice0608.pdf (outdated)

I was wondering if there are similar files/sites for other states. I'm particularly interested in Missouri since I'll be splitting my time between St. Louis, MO and Columbus, OH.

Feel free to add your state(s)'s scope of practice as well and maybe we can keep a kind of a database for easy reference!

-Wu

---------List of States---------

California: (JPINFV)
EMT-One (Basic): http://www.emsa.ca.gov/personnel/files/emt/FinalApprovedChapter3242007.pdf (Starts on bottom of page 6)
EMT-Two (Intermediate): http://www.emsa.ca.gov/personnel/files/emt/regs3.pdf (Starts on page 2. )
EMT-Paramedic:http://www.emsa.ca.gov/paramedic/files/scopechart.pdf (listed by county)

Colorado: http://www.dora.state.co.us/medical/rules/500.pdf (outdated)

beow is added for the paramedics in state
http://www.dora.state.co.us/medical/Rules/800.pdf (zacdac89) (outdated)

Georgia: http://health.state.ga.us/programs/ems/Resource Documents/R-P-01-A Scope of Practice for EMS Personnel/R-P01-A- Scope of Practice for EMS Personnel.pdf (outdated)

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

Mississippi: http://www.ems.doh.ms.gov/pdf/ems_rules_regs_2-08.pdf (The EMT-B starts at about page 91 with scope defined starting at page 103.) (Ventmedic)

Ohio: http://www.ems.ohio.gov/critical.aspx#scope
http://www.publicsafety.ohio.gov/links/ems_scope_practice.pdf

Oregon: http://www.oregon.gov/DHS/ph/ems/docs/scope.pdf

Wisconsin: http://dhs.wisconsin.gov/ems/License_certification/scope_of_practice.htm

List updated 9 July 2008 by WuLabsWuTecH. Thanks to those who helped me find these links whose names are in parentheses after the state they found!
Click to expand...


KBEMS provides education standards, but as far as scope goes... it takes some searching and reading into things to know. Here are the Ed standards at least.

 
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