string(11) "/protocols/"

Authorized Activities

Unauthorized = Not allowed under your scope of practice. Not Allowed = Not allowed by local protocol

Id Category Activity EMR EMT AEMT Paramedic
1 General Operating an ambulance in a safe manner (emergency and non-emergency) Allowed Allowed Allowed Allowed
2 General Stocking/Restocking an ambulance Allowed Allowed Allowed Allowed
3 General Disinfecting the equipment and ambulance Allowed Allowed Allowed Allowed
4 General Disposing of contaminated equipment, including sharps and personal protective equipment Allowed Allowed Allowed Allowed
5 General Decontaminating self, equipment, material and ambulance Allowed Allowed Allowed Allowed
6 General Assessing the scene and determining a need for additional resources Allowed Allowed Allowed Allowed
7 General Identifying a multiple-casualty incident and implementing the local incident management system Allowed Allowed Allowed Allowed
8 General Recognizing and preserving a crime scene Allowed Allowed Allowed Allowed
9 General Triaging patients utilizing local triage protocols Allowed Allowed Allowed Allowed
10 General Providing safety for self, each patient, other emergency personnel and bystanders Allowed Allowed Allowed Allowed
11 General Utilizing methods to reduce stress for each patient, other emergency personnel and bystanders Allowed Allowed Allowed Allowed
12 General Communicating with public safety dispatchers and medical control facilities Allowed Allowed Allowed Allowed
13 General Providing a verbal report to receiving personnel Allowed Allowed Allowed Allowed
14 General Providing a written report to receiving personnel Allowed Allowed Allowed Allowed
15 General Completing a prehospital care report Allowed Allowed Allowed Allowed
16 General Setting up and providing patient and equipment decontamination Allowed Allowed Allowed Allowed
17 General Using personal protective equipment Allowed Allowed Allowed Allowed
18 General Practicing infection control precautions Allowed Allowed Allowed Allowed
19 General Moving patients with or without a carrying device Allowed Allowed Allowed Allowed
20 General Recognize and comply with advanced directives (DNR, living will, or durable POA for health care decisions) Allowed Allowed Allowed Allowed
21 General Referral of patient of alternate medical care site based on assessment Unauthorized Unauthorized Allowed Allowed
22 General Obtaining consent for providing care Allowed Allowed Allowed Allowed
23 General Communicating with bystanders, other health care providers, and patient family members Allowed Allowed Allowed Allowed
24 General Communicating with each patient while providing care Allowed Allowed Allowed Allowed
25 General Positioning the patient based upon situational need Allowed Allowed Allowed Allowed
26 General Securing the patient on transport devices Allowed Allowed Allowed Allowed
27 General Cardiac Arrest Management through CPR and an AED Allowed Allowed Allowed Allowed
28 General Manual CPR for an adult, child, or infant using one or two persons Allowed Allowed Allowed Allowed
29 General CPR using a mechanical device Allowed Allowed Allowed Allowed
30 General Postresuscitative care to a cardiac arrest patient Allowed Allowed Allowed Allowed
31 General Following medical protocols for declared or potential organ retrieval Allowed Allowed Allowed Allowed
32 General Participating in the quality improvement process Allowed Allowed Allowed Allowed
33 General Providing EMS education to the public Allowed Allowed Allowed Allowed
34 General Providing education on injury prevention to the public Allowed Allowed Allowed Allowed
35 Vital Sign Assessment and Monitoring Assessing blood pressure manually by auscultation or palpation Allowed Allowed Allowed Allowed
36 Vital Sign Assessment and Monitoring Assessing blood pressure automatically by non-invasive methods Allowed Allowed Allowed Allowed
37 Vital Sign Assessment and Monitoring Assessing heart rate Allowed Allowed Allowed Allowed
38 Vital Sign Assessment and Monitoring Assessing level of consciousness Allowed Allowed Allowed Allowed
39 Vital Sign Assessment and Monitoring Assessing body temperature Allowed Allowed Allowed Allowed
40 Vital Sign Assessment and Monitoring Assessing pupil size and responsiveness to light Allowed Allowed Allowed Allowed
41 Vital Sign Assessment and Monitoring Assessing absence or presence of respirations (including rate) Allowed Allowed Allowed Allowed
42 Vital Sign Assessment and Monitoring Assessing the quality of breath sounds by auscultation Unauthorized Allowed Allowed Allowed
43 Vital Sign Assessment and Monitoring Assessing skin color, temperature, and condition Allowed Allowed Allowed Allowed
44 Vital Sign Assessment and Monitoring Assessing exhaled carbon dioxide by colorimetric detection device Unauthorized Allowed Allowed Allowed
45 Vital Sign Assessment and Monitoring Assessing exhaled carbon dioxide by capnometry Unauthorized Allowed Allowed Allowed
46 Vital Sign Assessment and Monitoring Non-invasive monitoring of hemoglobin derivatives (Ex: pulse oximetry, pulse CO-oximetry, etc.) Allowed Allowed Allowed Allowed
47 Airway Management Cricoid pressure by using the Sellick maneuver Allowed Allowed Allowed Allowed
48 Airway Management Head-tilt maneuver Allowed Allowed Allowed Allowed
49 Airway Management Chin-lift maneuver Allowed Allowed Allowed Allowed
50 Airway Management Modified chin-lift maneuver Allowed Allowed Allowed Allowed
51 Airway Management Jaw thrust maneuver Allowed Allowed Allowed Allowed
52 Airway Management Modified jaw thrust maneuver for injured patients Allowed Allowed Allowed Allowed
53 Airway Management Mouth-to-barrier ventilation Allowed Allowed Allowed Allowed
54 Airway Management Mouth-to-mask ventilation Allowed Allowed Allowed Allowed
55 Airway Management Mouth-to-mouth ventilation Allowed Allowed Allowed Allowed
56 Airway Management Mouth-to-nose ventilation Allowed Allowed Allowed Allowed
57 Airway Management Mouth-to-stoma ventilation Allowed Allowed Allowed Allowed
58 Airway Management Manual airway maneuvers Allowed Allowed Allowed Allowed
59 Airway Management Manual upper-airway obstruction maneuvers (patient positioning, finger sweeps, chest thrusts, and abdominal thrusts) Allowed Allowed Allowed Allowed
60 Airway Management Suctioning the oral and nasal cavities with a soft or rigid device Allowed Allowed Allowed Allowed
61 Airway Maintenance Single lumen airways (supraglottic only) Unauthorized Allowed Allowed Allowed
62 Airway Maintenance Multi-lumen airways (supraglottic only) Unauthorized Allowed Allowed Allowed
63 Airway Maintenance Ventilator devices Unauthorized Allowed Allowed Allowed
64 Airway Maintenance Non-invasive positive pressure ventilation Unauthorized Allowed Allowed Allowed
65 Airway Maintenance Forceps removal of airway obstruction Unauthorized Not Allowed Not Allowed Allowed
66 Airway Maintenance Airway suctioning Unauthorized Allowed Allowed Allowed
67 Airway Maintenance Blind insertion of a supraglottic airway that is not a laryngeal mask airway Unauthorized Allowed Allowed Allowed
68 Airway Maintenance Blind insertion of the laryngeal mask airway Unauthorized Unauthorized Not Allowed Allowed
69 Airway Maintenance Oxygen venturi mask Unauthorized Allowed Allowed Allowed
70 Airway Maintenance Gastric decompression by orogastric or nasogastric tube with any authorized airway device providing that capability Unauthorized Allowed Allowed Allowed
71 Airway Maintenance Monitoring a nasogastric tube Unauthorized Unauthorized Allowed Allowed
72 Airway Maintenance Automatic transport ventilator Unauthorized Allowed Allowed Allowed
73 Airway Maintenance Manually triggered ventilator Unauthorized Not Allowed Not Allowed Allowed
74 Airway Maintenance Flow-restricted oxygen-powered ventilation device Unauthorized Allowed Allowed Allowed
75 Airway Maintenance Bag-valve-mask with in-line small-volume nebulizer Unauthorized Allowed Allowed Allowed
76 Airway Maintenance Suctioning a stoma Unauthorized Allowed Allowed Allowed
77 Airway Maintenance Endotracheal intubation Unauthorized Unauthorized Unauthorized Allowed
78 Airway Maintenance Rapid sequence intubation/induction (medication assisted intubation) Unauthorized Unauthorized Unauthorized Allowed
79 Airway Maintenance Needle Cricothyrotomy Unauthorized Unauthorized Unauthorized Allowed
80 Airway Maintenance Surgical Cricothyrotomy Unauthorized Unauthorized Unauthorized Allowed
81 Airway Maintenance Chest Decompression Unauthorized Unauthorized Unauthorized Allowed
82 Oxygen Therapy Methods Humidifier Allowed Allowed Allowed Allowed
83 Oxygen Therapy Methods Nasal cannula Allowed Allowed Allowed Allowed
84 Oxygen Therapy Methods Non-rebreather mask Allowed Allowed Allowed Allowed
85 Oxygen Therapy Methods Partial rebreather mask Allowed Allowed Allowed Allowed
86 Oxygen Therapy Methods Regulators Allowed Allowed Allowed Allowed
87 Oxygen Therapy Methods Simple face mask Allowed Allowed Allowed Allowed
88 Oxygen Therapy Methods Blow-by Allowed Allowed Allowed Allowed
89 Oxygen Therapy Methods Using a bag-valve-mask with or without supplemental oxygen Allowed Allowed Allowed Allowed
90 Oxygen Therapy Methods Ventilating an inserted supraglottic airway Allowed Allowed Allowed Allowed
91 Oxygen Therapy Methods Ventilating an inserted subglottic airway Allowed Allowed Allowed Allowed
92 EKG Applying cardiac monitoring electrodes Allowed Allowed Allowed Allowed
93 EKG Acquiring an EKG rhythm strip for an ALS provider interpretation Allowed Allowed Allowed Allowed
94 EKG Cardiac monitoring Unauthorized Unauthorized Allowed Allowed
95 EKG EKG Interpretation Unauthorized Unauthorized Allowed Allowed
96 EKG Automated external defibrillation (AED use) Allowed Allowed Allowed Allowed
97 EKG Manual defibrillation Unauthorized Unauthorized Allowed Allowed
98 EKG Synchronized cardioversion Unauthorized Unauthorized Unauthorized Allowed
99 EKG External pacing Unauthorized Unauthorized Unauthorized Allowed
100 Bleeding control Elevating the extremity Allowed Allowed Allowed Allowed
101 Bleeding control Applying direct pressure Allowed Allowed Allowed Allowed
102 Bleeding control Utilizing a pressure point Allowed Allowed Allowed Allowed
103 Bleeding control Applying a tourniquet Allowed Allowed Allowed Allowed
104 Bleeding control Utilizing the Trendelenberg position Allowed Allowed Allowed Allowed
105 Bleeding control Applying a pressure bandage Allowed Allowed Allowed Allowed
106 Bleeding control Wound packing Allowed Allowed Allowed Allowed
107 Extremity splinting Soft splints Allowed Allowed Allowed Allowed
108 Extremity splinting Anatomical extremity splinting without return to position of function Allowed Allowed Allowed Allowed
109 Extremity splinting Manual support and stabilization Allowed Allowed Allowed Allowed
110 Extremity splinting Vacuum splints Allowed Allowed Allowed Allowed
111 Extremity splinting Application of a traction splint Unauthorized Allowed Allowed Allowed
112 Spinal Immobilization Cervical collar Allowed Allowed Allowed Allowed
113 Spinal Immobilization Full-body immobilization device Allowed Allowed Allowed Allowed
114 Spinal Immobilization Manual stabilization Allowed Allowed Allowed Allowed
115 Spinal Immobilization Assisting with application of an upper-body spinal immobilization device Allowed Allowed Allowed Allowed
116 Spinal Immobilization Helmet removal Allowed Allowed Allowed Allowed
117 Spinal Immobilization Rapid Extrication Allowed Allowed Allowed Allowed
118 Spinal Immobilization Spinal motion restriction Allowed Allowed Allowed Allowed
119 Vascular Access Blood glucose monitoring Allowed Allowed Allowed Allowed
120 Vascular Access Capillary blood sampling Unauthorized Allowed Allowed Allowed
121 Vascular Access Monitor, maintain or discontinue flow of IV line on transfers where physician approves transfer by an EMT **Must be an approved IV fluid from the medication list Unauthorized Allowed Allowed Allowed
122 Vascular Access Monitor, maintain or discontinue flow of IV line **Must be an approved IV fluid from the medication list Unauthorized Unauthorized Allowed Allowed
123 Vascular Access Venipuncture for obtaining blood sample Unauthorized Unauthorized Allowed Allowed
124 Vascular Access Initiation and maintenance of IV infusion or Saline Lock Unauthorized Unauthorized Allowed Allowed
125 Vascular Access Cannulation of an external jugular vein Unauthorized Unauthorized Not Allowed Allowed
126 Vascular Access Transportation of patient with capped arterial line Unauthorized Unauthorized Allowed Allowed
127 Vascular Access Accessing a peripherally inserted central catheter (PICC) Unauthorized Unauthorized Unauthorized Allowed
128 Vascular Access Accessing a central line Unauthorized Unauthorized Unauthorized Allowed
129 Vascular Access Initiation of IO infusion Unauthorized Unauthorized Allowed Allowed
130 Other Monitoring a urinary catheter Unauthorized Allowed Allowed Allowed
131 Other Assisting with childbirth Allowed Allowed Allowed Allowed
132 Other Cutting of the umbilical cord Allowed Allowed Allowed Allowed
133 Other Irrigating the eyes of foreign or caustic materials Allowed Allowed Allowed Allowed
134 Other Bandaging the eyes Allowed Allowed Allowed Allowed
135 Other Restraining a violent patient if technician or patient safety is threatened Allowed Allowed Allowed Allowed
136 Other Administration of whole blood, packed red blood cells, or blood products Unauthorized Unauthorized Unauthorized Allowed
137 Other Administration of any medications or procedures deemed necessary by a physician Unauthorized Unauthorized Unauthorized Allowed
138 Other During an emergency, administration of any medication or procedure through medical protocol Unauthorized Unauthorized Unauthorized Allowed
139 Other During nonemergency transportation, any activity specifically authorized by medical protocols or physician order Unauthorized Unauthorized Unauthorized Allowed