Ambulance Scopes Of Practice

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In New Zealand the National Ambulance Sector Clinical Working Group (part of Ambulance New Zealand) formulates the Clinical Practice Guidelines and delegated scopes of practice that Ambulance Officers may use when treating patients. The 2013-2015 scopes are as follows;

Emergency Medical Technician

Education Requirement: National Diploma in Ambulance Practice

  • Adrenaline (IM, IN and nebulised),
  • Automated defibrillation,
  • Automated cardioversion,
  • Entonox
  • Glucagon,
  • Glucose gel
  • GTN spray,
  • Ibuprofen,
  • Ipratropium,
  • Laryngeal mask airway,
  • Loratadine,
  • Methoxyflurane
  • Nasopharyngeal airway,
  • Ondansetron (oral),
  • Paracetamol
  • Prednisone (oral),
  • PEEP,
  • Salbutamol,
  • Tramadol (oral),
  • Urinary catheter troubleshooting

Paramedic

Education Requirement: Bachelor of Health Science

  • 0.9% NaCl (IV),
  • IV cannulation,
  • IV glucose 10%
  • Lignocaine ring blocks
  • Manual cardioversion,
  • Manual defibrillation,
  • Adrenaline (IV) for cardiac arrest,
  • Amiodarone for cardiac arrest,
  • Ceftriaxone,
  • Clopidogrel,
  • Fentanyl,
  • Midazolam (IM) for seizures,
  • Morphine,
  • Naloxone,
  • Ondansetron (IV),
  • Oxytocin

Intensive Care Paramedic

Education Requirement: Post Graduate Certificate/Post Graduate Diploma

  • Adenosine,
  • Adrenaline (bradycardia/septic shock),
  • Amiodarone,
  • Atropine,
  • Capnography,
  • Chest decompression,
  • Cricothyrotomy,
  • IO access,
  • Endotracheal intubation,
  • Ketamine,
  • Laryngoscopy,
  • Lignocaine (IO),
  • Midazolam (seizures and sedation),
  • Rocuronium,

Crush injury endorsement

  • Calcium chloride
  • Sodium bicarbonate,

RSI endorsement

  • Suxamethonium