Ambulance Scopes Of Practice: Difference between revisions
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Revision as of 08:58, 7 January 2019
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 | ✔ | ✔ | ✔ |
GTN SL | ✔ | ✔ | ✔ |
Ibuprofen PO | ✔ | ✔ | ✔ |
Ipratropium Nebulised | ✔ | ✔ | ✔ |
Laryngeal Mask Airway | ✔ | ✔ | ✔ |
Loratadine PO | ✔ | ✔ | ✔ |
Methoxyflurane Inhaled | ✔ | ✔ | ✔ |
Ondansetron PO | ✔ | ✔ | ✔ |
Paracetamol PO | ✔ | ✔ | ✔ |
Prednisone PO | ✔ | ✔ | ✔ |
PEEP | ✔ | ✔ | ✔ |
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) | ✔ | ||
Cricothyroidotomy | ✔ | ||
Endotracheal Intubation | ✔ | ||
Finger Thoracostomy | ✔ | ||
IO Access | ✔ | ||
Ketamine (all routes) | ✔ | ||
1% Lignocaine (all routes) | ✔ | ||
Magnesium IV | ✔ | ||
Midazolam IV | ✔ | ||
Pacing | ✔ | ||
Rocuronium IV | ✔ | ||
8.4% Sodium Bicarbonate IV | ✔ | ||
Suxamethonium (RSI endorsed personnel only) | ✔ |