Ambulance Scopes Of Practice: Difference between revisions

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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.
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:
{|class="wikitable"
 
!Authority to Practice Level!!Education Requirement
 
{| class="wikitable"
! Authority to practice level !! Education Requirement  
|-
|-
| Emergency Medical Technician || National Diploma in Ambulance Practice  
|Emergency Medical Technician||National Diploma in Ambulance Practice
|-
|-
| Paramedic || Bachelor of Health Science  
|Paramedic||Bachelor of Health Science
|-
|-
| Intensive Care Paramedic || Post Graduate Certificate/Post Graduate Diploma  
|Intensive Care Paramedic||Post Graduate Certificate/Post Graduate Diploma
|}
|}


{| class="wikitable"
{|class="wikitable"style="text-align:center;"
!style="text-align:left" | Skill !!style="width:100px" | EMT !!style="width:100px" | Paramedic !!style="width:100px" | ICP  
|+style="text-align:left;"|The 2019-2022 scopes are as follows:
!style="text-align:left" |Skill !!style="width:100px" |EMT !!style="width:100px" |Paramedic !!style="width:100px" |ICP
|-
|style="text-align:left;"|Adrenaline IN, IM, Nebulised and Topical
|✔||✔||✔
|-
|style="text-align:left"|Aspirin PO
|✔||✔||✔
|-
|style="text-align:left"|Glucagon IM
|✔||✔||✔
|-
|style="text-align:left"|GTN SL and Patch
|✔||✔||✔
|-
|style="text-align:left"|Ibuprofen PO
|✔||✔||✔
|-
|style="text-align:left"|Ipratropium Nebulised
|✔||✔||✔
|-
|style="text-align:left"|Laryngeal Mask Airway
|✔||✔||✔
|-
|style="text-align:left"|Laryngoscopy (Airway Obstruction)
|✔||✔||✔
|-
|style="text-align:left"|Loratadine PO
|✔||✔||✔
|-
|style="text-align:left"|Methoxyflurane Inhaled
|✔||✔||✔
|-
|style="text-align:left"|Ondansetron IM
|✔||✔||✔
|-
|-
| Adrenaline IM, IN, Nebulised and Topical
|style="text-align:left"|Paracetamol PO
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| Entonox Inhaled
|style="text-align:left"|Prednisolone PO
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| Glucagon IM
|style="text-align:left"|Prednisone PO
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| GTN SL
|style="text-align:left"|PEEP
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| Ibuprofen PO
|style="text-align:left"|Salbutamol Nebulised
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| Ipratropium Nebulised
|style="text-align:left"|Tramadol PO
|style="text-align:center;" | ✔ ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|✔||✔||✔
|-
|-
| Laryngeal Mask Airway
|style="text-align:left"|Adrenaline IV (cardiac arrest only)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Loratadine PO
|style="text-align:left"|Amiodarone IV (cardiac arrest only)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Methoxyflurane Inhaled
|style="text-align:left"|Amoxicillin/Clavulanic Acid IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Ondansetron PO
|style="text-align:left"|Ceftriaxone IM and IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Paracetamol PO
|style="text-align:left"|Clopidogrel PO
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Prednisone PO
|style="text-align:left"|CPAP
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| PEEP
|style="text-align:left"|Droperidol IM and IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Salbutamol Nebulised
|style="text-align:left"|Enoxaparin SC
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Tramadol PO
|style="text-align:left"|Fentanyl IN, IM and IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Urinary Catheter Troubleshooting
|style="text-align:left"|Gentamicin IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Adrenaline IV (cardiac arrest only)
|style="text-align:left"|Glucose IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Amiodarone IV (cardiac arrest only)
|style="text-align:left"|Heparin IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Amoxicillin/Clavulanic Acid IM or IV
|style="text-align:left"|IO Access
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Clopidogrel PO
|style="text-align:left"|IV Cannulation
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Enoxaparin SC
|style="text-align:left"|Ketamine IM, PO and IV (analgesia only)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Fentanyl IN and IV
|style="text-align:left"|1% Lignocaine SC and IO
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Gentamicin IV
|style="text-align:left"|Manual Defibrillation
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Glucose IV
|style="text-align:left"|Midazolam IM <br> (seizures and agitated delirium only)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Heparin IV
|style="text-align:left"|Midazolam IV (seizures only)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| IV Cannulation
|style="text-align:left"|Naloxone IM and IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| !% Lignocaine SC
|style="text-align:left"|Olanzapine PO
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Manual Defibrillation
|style="text-align:left"|Ondansetron IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Metoprolol IV
|style="text-align:left"|Oxytocin IM
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Midazolam IM <br> (seizures or agitated delirium only)
|style="text-align:left"|0.9% Sodium Chloride IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Midazolam IV (seizures only)
|style="text-align:left"|Synchronised Cardioversion
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Morphine IM and IV
|style="text-align:left"|Tenecteplase IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Naloxone IM and IV
|style="text-align:left"|Tranexamic Acid IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Olanzapine PO
|style="text-align:left"|Valproate IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||✔||✔
|-
|-
| Ondansetron IM and IV
|style="text-align:left"|Adenosine IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Oxytocin IM
|style="text-align:left"|Adrenaline (all routes)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| 0.9% Sodium Chloride IV
|style="text-align:left"|Amiodarone IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Synchronised Cardioversion
|style="text-align:left"|Atropine IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Tenecteplase IV
|style="text-align:left"|Calcium Chloride IV
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Valproate IV
|style="text-align:left"|Chest Decompression (needle)
|style="text-align:center;" | ||style="text-align:center;" | ✔ ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Adenosine IV
|style="text-align:left"|Cricothyroidotomy
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Adrenaline (all routes)
|style="text-align:left"|Endotracheal Intubation
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Amiodarone IV
|style="text-align:left"|Fascia Iliaca Block
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Atropine IV
|style="text-align:left"|Finger Thoracostomy
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Calcium Chloride IV
|style="text-align:left"|GTN IV Infusion
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Chest Decompression (needle)
|style="text-align:left"|Hydrocortisone IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Cricothyroidotomy
|style="text-align:left"|Ketamine (analgesia and dissociation)
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Endotracheal Intubation
|style="text-align:left"|Labetalol IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Finger Thoracostomy
|style="text-align:left"|Magnesium IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| IO Access
|style="text-align:left"|Metaraminol IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Ketamine (all routes)
|style="text-align:left"|Metoprolol IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| 1% Lignocaine (all routes)
|style="text-align:left"|Midazolam IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Magnesium IV
|style="text-align:left"|Pacing
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Midazolam IV
|style="text-align:left"|Promethazine IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Pacing
|style="text-align:left"|Rocuronium IV
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Rocuronium IV
|style="text-align:left"|0.75% Ropivacaine SC
|style="text-align:center;" | ||style="text-align:center;" |  ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| 8.4% Sodium Bicarbonate IV
|style="text-align:left"|8.4% Sodium Bicarbonate IV
|style="text-align:center;" | ||style="text-align:center;" | ||style="text-align:center;" | ✔  
|||||✔
|-
|-
| Suxamethonium (RSI endorsed personnel only)
|style="text-align:left"|Suxamethonium IV (RSI endorsed personnel only)
|style="text-align:center;" | ||style="text-align:center;" | ||style="text-align:center;" | ✔  
|||||✔
|}
|}

Latest revision as of 15:39, 15 January 2022

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.

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
The 2019-2022 scopes are as follows:
Skill EMT Paramedic ICP
Adrenaline IN, IM, Nebulised and Topical
Aspirin PO
Glucagon IM
GTN SL and Patch
Ibuprofen PO
Ipratropium Nebulised
Laryngeal Mask Airway
Laryngoscopy (Airway Obstruction)
Loratadine PO
Methoxyflurane Inhaled
Ondansetron IM
Paracetamol PO
Prednisolone PO
Prednisone PO
PEEP
Salbutamol Nebulised
Tramadol PO
Adrenaline IV (cardiac arrest only)
Amiodarone IV (cardiac arrest only)
Amoxicillin/Clavulanic Acid IV
Ceftriaxone IM and IV
Clopidogrel PO
CPAP
Droperidol IM and IV
Enoxaparin SC
Fentanyl IN, IM and IV
Gentamicin IV
Glucose IV
Heparin IV
IO Access
IV Cannulation
Ketamine IM, PO and IV (analgesia only)
1% Lignocaine SC and IO
Manual Defibrillation
Midazolam IM
(seizures and agitated delirium only)
Midazolam IV (seizures only)
Naloxone IM and IV
Olanzapine PO
Ondansetron IV
Oxytocin IM
0.9% Sodium Chloride IV
Synchronised Cardioversion
Tenecteplase IV
Tranexamic Acid IV
Valproate IV
Adenosine IV
Adrenaline (all routes)
Amiodarone IV
Atropine IV
Calcium Chloride IV
Chest Decompression (needle)
Cricothyroidotomy
Endotracheal Intubation
Fascia Iliaca Block
Finger Thoracostomy
GTN IV Infusion
Hydrocortisone IV
Ketamine (analgesia and dissociation)
Labetalol IV
Magnesium IV
Metaraminol IV
Metoprolol IV
Midazolam IV
Pacing
Promethazine IV
Rocuronium IV
0.75% Ropivacaine SC
8.4% Sodium Bicarbonate IV
Suxamethonium IV (RSI endorsed personnel only)