|
1. Conduct primary and secondary examinations
|
X
|
X
|
X
|
X
|
|
2. Take and record vital signs
|
X
|
X
|
X
|
X
|
|
3. Utilize noninvasive diagnostic devices in accordance with manufacturer’s
recommendation
|
X
|
X
|
X
|
X
|
|
4. Basic airway management, including, but not limited to:
|
|
|
|
|
|
a. Open and maintain an airway by positioning the patient’s head
|
X
|
X
|
X
|
X
|
|
b. Oropharyngeal and nasopharyngeal airways
|
Xa
|
X
|
X
|
X
|
|
c. Pharyngeal suctioning
|
Xa
|
X
|
X
|
X
|
|
5. Advanced airway management, including, but not limited to:
|
|
|
|
|
|
a. Pharyngeal esophageal airway devices
|
|
X
|
X
|
X
|
|
b. Endotracheal intubation
|
|
|
|
X
|
|
c. Insert LMA
|
|
|
|
X
|
|
d. Needle cricothyrotomy
|
|
|
|
X
|
|
e. Transtracheal jet insufflation
|
|
|
|
X
|
|
f. Tracheal suctioning
|
|
|
|
X
|
|
g. Orogastric tubes
|
|
|
X
|
X
|
|
h. Nasogastric tubes
|
|
|
|
X
|
|
6. Administration of medical oxygen with cannulas or masks
|
Xa
|
X
|
X
|
X
|
|
7. Use of bag -mask ventilation device with reservoir
|
Xa
|
X
|
X
|
X
|
|
8. Obstructed airway/cardiopulmonary resuscitation - infants, children, adults
|
X
|
X
|
X
|
X
|
|
9. Provide care for soft tissue injuries
|
X
|
X
|
X
|
X
|
|
10. Provide care for suspected fractures
|
X
|
X
|
X
|
X
|
|
11. Provide care for shock including the use of the pneumatic anti-shock garment
|
|
X
|
X
|
X
|
|
12. Complete a clear and accurate prehospital emergency care report form on all patient contacts and provide a copy of that report to the senior EMT with the transporting ambulance
|
X
|
X
|
X
|
X
|
|
13. Provide care for suspected medical emergencies, including:
|
|
|
|
|
|
a. Obtaining a peripheral blood specimen for blood glucose monitoring, obtained via finger-stick, heel-stick, or earlobe-puncture
|
|
X
|
X
|
X
|
|
b. Administer liquid oral glucose for hypoglycemia
|
Xa
|
X
|
X
|
X
|
|
c. Administer Epinephrine by subcutaneous or automatic injection device for anaphylaxis (automatic injection device only for FR)
|
Xa
|
X
|
X
|
X
|
|
d. Administer activated charcoal, following local written protocol
|
|
X
|
X
|
X
|
|
14. Assist with prehospital childbirth
|
X
|
X
|
X
|
X
|
|
15. Cardiac defibrillation (AED/SAD only for EMT-B)
|
Xab
|
X
|
X
|
X
|
|
16. Emergency cardioversion
|
|
|
|
X
|
|
17. Initiate electrocardiograph monitoring and interpret presenting rhythms
|
|
|
X
|
X
|
|
18. Transcutaneous cardiac pacing
|
|
|
|
X
|
|
19. Initiate and maintain peripheral intravenous therapy
|
|
|
X
|
X
|
|
20. Initiate saline or similar locks
|
|
|
X
|
X
|
|
21. Initiate intraosseous infusion
|
|
|
X
|
X
|
|
22. Initiate placement of femoral intravenous line
|
|
|
|
X
|
23. Infuse following intravenous fluids, or combinations thereof, including:
|
|
|
|
|
|
a. Dextrose 5% water
|
|
|
X
|
X
|
|
b. Lactated Ringers
|
|
|
X
|
X
|
|
c. Normal Saline
|
|
|
X
|
X
|
|
d. Any physiologic isotonic crystalloid solution
|
|
|
X
|
X
|
|
24. Draw peripheral intravenous blood specimens
|
|
|
X
|
X
|
|
25. Administer the following medications under specific written protocols authorized by the supervising physician, or direct orders from a licensed physician:
|
|
|
|
|
|
a. Vasoconstrictors:
|
|
|
|
|
|
i. Epinephrine 1:10,000
|
|
|
X
|
X
|
|
ii. Vasopressin
|
|
|
X
|
X
|
|
b. Antiarrhythmics:
|
|
|
|
|
|
i. Atropine sulfate
|
|
|
X
|
X
|
|
ii. Lidocaine
|
|
|
X
|
X
|
|
iii. Amiodarone
|
|
|
X
|
X
|
|
c. Antidotes:
|
|
|
|
|
|
i. Naloxone hydrochloride
|
|
|
X
|
X
|
|
d. Antihyperglycemics:
|
|
|
|
|
|
i. Hypertonic glucose
|
|
|
X
|
X
|
|
ii. Glucagon
|
|
|
X
|
X
|
|
e. Vasodilators:
|
|
|
|
|
|
Nitroglycerine
|
|
Xd
|
X
|
X
|
|
f. Nebulized bronchodilators :
|
|
|
|
|
|
i. Albuterol
|
|
|
X
|
X
|
|
ii. Ipratropium bromide
|
|
|
X
|
X
|
|
iii. Metered dose inhaler
|
|
Xd
|
|
|
|
g. Analgesics:
|
|
|
|
|
|
i. Aspirin
|
|
Xc
|
X
|
X
|
|
ii. Morphine
|
|
|
X
|
X
|
|
iii. Nalbuphone Hydrochloride
|
|
|
X
|
X
|
|
iv. Ketoraloc tromethamine
|
|
|
X
|
X
|
|
h. Antihistamine:
|
|
|
|
|
|
i. Diphenhydramine
|
|
|
X
|
X
|
|
i. Diuretic:
|
|
|
|
|
|
i. Furosemide
|
|
|
X
|
X
|
|
26. Initiate or administer any medication or blood product
|
|
|
|
X
|
|
27. Transport stable patients with saline locks, heparin locks, foley catheters or in-dwelling vascular devices
|
|
X
|
X
|
X
|
|
28. Maintain intravenous medication infusions and other procedures initiated in a medical facility with appropriate written instructions from the sending facility
|
|
|
X
|
X
|
|
29. Initiate needle decompression for tension pneumothorax
|
|
|
|
X
|
|
30. Initiate placement of a urinary catheter for certain trauma patients
(see OAR 847-35-030(11)(i)
|
|
|
|
X
|
|
31. Perform other emergency tasks by order and under the direct visual supervision of a physician
|
|
X
|
X
|
X
|
(100K).