I. Authority and Reference (incorporated herein by reference)
A. Division 2.5 of the Health and Safety Code.
B. California Code of Regulations, Title 22.
C. North Coast Emergency Medical Services Policies and Procedures.
II. Purpose
To define the regional EMT-II scope of practice.
III. Procedure
While at the scene of an emergency, and during transport of the sick and injured, or as a part of their training or continuing education, an EMT-II or an EMT-II student may, in accordance with North Coast EMS policies and procedures and California State law, do the following:
A. Perform any skill identified in the EMT-I scope of practice.
B. Administer the following medications:
1. Albuterol sulfate (Proventil, Ventolin).
2. Aspirin.
3. Atropine sulfate.
4. Calcium chloride.
5. 50% dextrose.
6. Diazepam (Valium).
7. Epinephrine.
8. Furosemide (Lasix).
9. Lidocaine hydrochloride.
10. Morphine sulfate.
11. Naloxone (Narcan).
12. Sodium bicarbonate.
13. Sublingual nitroglycerine preparations.
14. Syrup of ipecac.
C. Perform the following procedures:
1. Adult and pediatric endotracheal (ET) intubation and use of Magill forceps.
2. Use of esophageal obturator airway (EOA) or esophageal gastric tube airway (EGTA)
3. Defibrillation of patients in ventricular fibrillation.
4. Synchronized cardioversion of unconscious patients in ventricular tachycardia.
5. Insertion of intravenous (IV) catheters, saline locks, needles, or other cannulae in peripheral veins (including external jugular vein).
6. Administration of IV glucose or isotonic balanced salt solutions.
7. Obtain venous blood samples for laboratory analysis.
8. Determination of blood glucose via glucose test strip.
9. Administration of medications via IV, intramuscular (IM), subcutaneous (SQ), and ET routes.
10. Administration of Albuterol sulfate via small volume nebulizer.
11. Rectal administration of Diazepam.
12. Use of non-invasive diagnostic monitoring devices (e.g., pulse oximetry, end-tidal CO2 detector).
13. Use of pneumatic antishock trousers (MAST).
14. Use of snake bite kit and constricting bands.
Approved: Date:
Approved As To Form: Date: