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.

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
Salbutamol Nebulised
Tramadol PO
Adrenaline IV (cardiac arrest only)
Amiodarone IV (cardiac arrest only)
Amoxicillin/Clavulanic Acid IV
Ceftriaxone IM and IV
Clopidogrel PO
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)
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
Promethazine IV
Rocuronium IV
0.75% Ropivacaine SC
8.4% Sodium Bicarbonate IV
Suxamethonium IV (RSI endorsed personnel only)