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 2016-2018 scopes are as follows:

Authority to practice level Education Requirement
Emergency Medical Technician National Diploma in Ambulance Practice
Paramedic Bachelor of Health Science
Intensive Care Paramedic Post Graduate Certificate/Post Graduate Diploma
Skill EMT Paramedic ICP
Adrenaline IM, IN, Nebulised and Topical
Entonox Inhaled
Glucagon IM
Ibuprofen PO
Ipratropium Nebulised
Laryngeal Mask Airway
Loratadine PO
Methoxyflurane Inhaled
Ondansetron PO
Paracetamol PO
Prednisone PO
Salbutamol Nebulised
Tramadol PO
Urinary Catheter Troubleshooting
Adrenaline IV (cardiac arrest only)
Amiodarone IV (cardiac arrest only)
Amoxicillin/Clavulanic Acid IM or IV
Clopidogrel PO
Enoxaparin SC
Fentanyl IN and IV
Gentamicin IV
Glucose IV
Heparin IV
IV Cannulation
!% Lignocaine SC
Manual Defibrillation
Metoprolol IV
Midazolam IM
(seizures or agitated delirium only)
Midazolam IV (seizures only)
Morphine IM and IV
Naloxone IM and IV
Olanzapine PO
Ondansetron IM and IV
Oxytocin IM
0.9% Sodium Chloride IV
Synchronised Cardioversion
Tenecteplase IV
Valproate IV
Adenosine IV
Adrenaline (all routes)
Amiodarone IV
Atropine IV
Calcium Chloride IV
Chest Decompression (needle)
Endotracheal Intubation
Finger Thoracostomy
IO Access
Ketamine (all routes)
1% Lignocaine (all routes)
Magnesium IV
Midazolam IV
Rocuronium IV
8.4% Sodium Bicarbonate IV
Suxamethonium (RSI endorsed personnel only)