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B
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I
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CT
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P
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1. Perform comprehensive patient assessments.
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2. Taking and recording of vital signs.
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3. Basic airway management, including but not limited to:
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a. open and maintain airway using head-tilt, chin-lift, tongue and jaw lift, and modified jaw thrust
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b. Oropharyngeal and nasopharyngeal airways
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c. Pharyngeal suctioning
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4. Advanced airway management, including, but not limited to:
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a. Supraglottic ventilation devices
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 (1) |
(1)
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b. Endotracheal intubation
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c. Needle cricothyrotomy
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d. Tracheal suctioning
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5. Perform gastric decompression (NG of OG tube-suctioning by gastric intubation)
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6. Use of oxygen units with cannulas or masks
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7. Use of bag-valve-mask ventilation devices
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8. Use of barrier devices
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9. Use of positive pressure devices
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10. Transport ventilator management
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a. chronic home ventilators
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(2)
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(2)
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(2)
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b. Acute use ventilators
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(2)
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(2)
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11. CPAP/BiPAP administration and management
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(2)
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(2)
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(2)
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12. Obstructed airway management/cardiopulmonary resuscitation-infants, children and adults
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(3) |
(3) |
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13. Manage soft tissue injuries
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14. Manage suspected fractures
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15. Utilization of pneumatic anti-shock garment (PASG)
(As of March 26, 2006, the EMS Medical Director’s Advisory Council voted to remove this procedure from all levels of Scope of Practice
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16. Managing suspected medical emergencies, including:
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a. Obtaining a peripheral blood specimen for blood glucose monitoring, obtained via finger-stick, heel-stick or earlobe-stick
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b. Hypoglycemia - administration of anti-hypoglycemic medication
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(4)
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(5)
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c. Anaphylactic shock - administration of epinephrine by parenteral routes
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d. Poisons – administration of activated charcoal
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e. Ischemic chest pain – administration of aspirin
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(2)
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(2)
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(2)
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f. Narcotic overdoes – narcotic antagonist
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g. Febrile emergency – oral antipyretic medications as approved by medical direction
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(2) |
2)
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17. Emergency childbirth management
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18. Cardiac defibrillation (AED only for EMT-B, EMT-I)
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(7)
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(7)
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(8)
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19. Emergency cardioversion, to include vagal maneuvers
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(2)
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20. Initiate electrocardiograph monitoring and interpret presenting rhythms
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21. Transcutaneous cardiac pacing
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(2)
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22. Initiate and maintain peripheral intravenous therapy
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23. Initiate saline locks/NT
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24. Initiate intraosseous infusion
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a. Pediatric
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(2)
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b. Adult
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(2)
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(2)
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25. Access in-dwelling catheters and implanted central IV ports for fluid and medication administration
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26. Infuse the following intravenous fluids, or combinations thereof, including:
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a. Dextrose 5%
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b. Lactated Ringers
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c. Normal Saline
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d. Any physiologic isotonic crystalloid solution
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27. Draw peripheral intravenous blood specimens
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28. Initiate or administer the following medications, including but not limited to:
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a. Anti-arrhythmics
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b. Vagolytic agents
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c. Chronotropic agents
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d. Alkalizing agents
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e. Parenteral Analgesic agents
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(9)
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f. Vasopressor agents
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g. Inhaled (nebulized) respiratory agents
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(2)
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(2)
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(2)
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h. Mark I Plus Kit
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