Re: National Scope of Practice

[Guest guest]

Actually, we already do. I know of at least one rural/frontier EMS system

that allows EMT-Bs to administer IVs with additional training. And South

Plains EMS (regional protocols for theLubbock area) allows EMT-Bs to administer

NTG and insert Combitubes. Austin EMS does not allow any of those skills

until at the intermediate level. And of course, almost every EMS system has

different protocols at the EMT-P level. Some allow RSI, some allow 12-leads,

etc

[Guest guest]

Actually, we already do. I know of at least one rural/frontier EMS system

that allows EMT-Bs to administer IVs with additional training. And South

Plains EMS (regional protocols for theLubbock area) allows EMT-Bs to administer

NTG and insert Combitubes. Austin EMS does not allow any of those skills

until at the intermediate level. And of course, almost every EMS system has

different protocols at the EMT-P level. Some allow RSI, some allow 12-leads,

etc

[Guest guest]

> (as a lawyer), I would be very concerned if any national group

proposed such

> severe limits on my professional judgment and expertise. To limit

any EMS

> provider's scope of practice is little more than an unwarranted

intrusion on

> the physician medical director's judgment and expertise in allowing

the medics

> under their supervision to perform such skills as the physician deems

> necessary.

>

We already have a system like this in the form of different provider

levels. While the physician medical director is ultimately

responsible for delegating practices in accordance with each provider

level, I would venture to say there are very few MD's that would

authorize an EMT-B to follow EMT-I protocols, an EMT-I to follow

paramedic protocols, etc.

Regards,

Alfonso R. Ochoa

[Guest guest]

I'm Bill Woodward, BS, LP from the San area. I'm the EMS

Administrator of two system, Alamo Heights Fire/EMS and Frio County EMS.

Both system make approximately 1000 EMS call annually. Frio County EMS

is a rural system that is paid/volunteer. I have paid personnel during

the day 6a to 6p and fill in with volunteer during the off hours. Being

rural, we have EMT-Bs who, with experience, additional training have

protocol to start and maintain Ivs, insert Combitubes, and administer

certain medications. My EMT-I who have the experience, ACLS training

have been cleared through protocol to provide ACLS to patient who

require it. These protocols are written by me and approved by our

Medical Director. Our patients receive the best care possible with

personnel who are trained to do their job. No-they don't have a 4 year

degree, but then none of them are planning on going to medical school to

become a physician or nurse. Most of them want to be EMS providers.

Bill Woodward

Re: Re: National Scope of Practice

Actually, we already do. I know of at least one rural/frontier EMS

system

that allows EMT-Bs to administer IVs with additional training. And

South

Plains EMS (regional protocols for theLubbock area) allows EMT-Bs to

administer

NTG and insert Combitubes. Austin EMS does not allow any of those

skills

until at the intermediate level. And of course, almost every EMS

system has

different protocols at the EMT-P level. Some allow RSI, some allow

12-leads, etc

[Guest guest]

I'm Bill Woodward, BS, LP from the San area. I'm the EMS

Administrator of two system, Alamo Heights Fire/EMS and Frio County EMS.

Both system make approximately 1000 EMS call annually. Frio County EMS

is a rural system that is paid/volunteer. I have paid personnel during

the day 6a to 6p and fill in with volunteer during the off hours. Being

rural, we have EMT-Bs who, with experience, additional training have

protocol to start and maintain Ivs, insert Combitubes, and administer

certain medications. My EMT-I who have the experience, ACLS training

have been cleared through protocol to provide ACLS to patient who

require it. These protocols are written by me and approved by our

Medical Director. Our patients receive the best care possible with

personnel who are trained to do their job. No-they don't have a 4 year

degree, but then none of them are planning on going to medical school to

become a physician or nurse. Most of them want to be EMS providers.

Bill Woodward

Re: Re: National Scope of Practice

Actually, we already do. I know of at least one rural/frontier EMS

system

that allows EMT-Bs to administer IVs with additional training. And

South

Plains EMS (regional protocols for theLubbock area) allows EMT-Bs to

administer

NTG and insert Combitubes. Austin EMS does not allow any of those

skills

until at the intermediate level. And of course, almost every EMS

system has

different protocols at the EMT-P level. Some allow RSI, some allow

12-leads, etc