AEMT Paramedic EMT All EMT skills All EMT & AEMT skills Minimum Scope of Patient Assessment Perilaryngeal airways and medications Advanced first aid and Practice Tracheo-bronchial Laryngoscope OTC Medications with suctioning Endotracheal (ET) LEMSA approval Institute intravenous (IV) intubation (adults, Transportation of ill & oral) injured persons catheters, saline Valsalva’s Maneuver Use of adjunctive needles or other Needle thoracostomy breathing aids, cannulae (IV lines) & cricothyroidotomy administration of oxygen Administer 4 Naso/orogastric tube Automated external drugs/solutions insertion/suction defibrillator intravenously Monitor thoracostomy Cardiopulmonary Glucose measuring tubes resuscitation Establish and maintain Monitor/adjust Use of tourniquets and pediatric intraosseous potassium (< 40 hemostatic dressings for access mEq/L) IV lines bleeding control Obtain venous and/or Utilization & Pulse oximetry capillary samples monitoring of Humidifiers Measure blood glucose electrocardiographic Continuous positive Administer 7 drugs in a devices airway pressure route other than Administer 25 intravenous medications BPAP (Bi-level positive airway pressure)/PEEP (Positive pressure) Previously certified EMS Agencies Notable Perilaryngeal EMT-IIs have may add additional Optional Skills airways additional medications skills and (added at the Epi pens approved by the local medications if local level) Duodote kits EMS agency. approved by the Naloxone EMS Authority. Administered by the Administered by Written and Skills Administered by the National Registry of the National National Registry of EMTs Registry of EMTs EMTs 2 year certification 2 year licensure Length of 2 year certification with verification of without retesting Certification with verification of skills competency or Licensure skills competency every 2 years every 2 years 36 hours of CE every 2 48 hours of CE every Refresher Course/ 24 hour refresher years 2 years Continuing course or 24 hours of Education CE every two years Certified Licensed by Certification Certified locally State & License locally valid statewide Provisions statewide local statewide accreditation
EMT AEMT Paramedic Minimum Scope of Practice Patient Assessment Advanced first aid and OTC Medications with LEMSA approval Transportation of ill & injured persons Use of adjunctive breathing aids, administration of oxygen Automated external defibrillator Cardiopulmonary resuscitation Use of tourniquets and hemostatic dressings for bleeding control Pulse oximetry Humidifiers Continuous positive airway pressure All EMT skills Perilaryngeal airways Tracheo-bronchial suctioning Institute intravenous (IV) catheters, saline needles or other cannulae (IV lines) Administer 4 drugs/solutions intravenously Glucose measuring Establish and maintain pediatric intraosseous access Obtain venous and/or capillary samples Measure blood glucose Administer 7 drugs in a route other than intravenous All EMT & AEMT skills and medications Laryngoscope Endotracheal (ET) intubation (adults, oral) Valsalva’s Maneuver Needle thoracostomy & cricothyroidotomy Naso/orogastric tube insertion/suction Monitor thoracostomy tubes Monitor/adjust potassium (< 40 mEq/L) IV lines Utilization & monitoring of electrocardiographic devices Administer 25 medications BPAP (Bi-level positive airway pressure)/PEEP (Positive pressure) Notable Optional Skills (added at the local level) Perilaryngeal airways Epi pens Duodote kits Naloxone Previously certified EMT-IIs have additional medications approved by the local EMS agency. EMS Agencies may add additional skills and medications if approved by the EMS Authority. Written and Skills Administered by the National Registry of EMTs Administered by the National Registry of EMTs Administered by the National Registry of EMTs Length of Certification or Licensure 2 year certification with verification of skills competency every 2 years 2 year certification with verification of skills competency every 2 years 2 year licensure without retesting Refresher Course/ Continuing Education 24 hour refresher course or 24 hours of CE every two years 36 hours of CE every 2 years 48 hours of CE every 2 years Certification & License Provisions Certified locally statewide Certified locally statewide Licensed by State valid statewide local accreditation
emsa_131_12202013.docx