Document Citation: 22 CCR 100106

Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 9. PREHOSPITAL EMERGENCY MEDICAL SERVICES
CHAPTER 3. ADVANCED EMERGENCY MEDICAL TECHNICIAN
ARTICLE 2. GENERAL PROVISIONS

Date:
08/31/2009

Document:

§ 100106. Advanced EMT Scope of Practice

(a) An Advanced EMT may perform any activity identified in the scope of practice of an EMT in Chapter 2 of this Division.

(b) A certified Advanced EMT or an Advanced EMT trainee, as part of an organized EMS system,while caring for patients in a hospital as part of their training or continuing education, under the direct supervision of a Physician or Registered Nurse, or while at the scene of a medical emergency or during transport, or during interfacility transfer is authorized to do all of the following according to the policies and procedures approved by the LEMSA:

(1) Perform pulmonary ventilation by use of a perilaryngeal airway adjunct.

(2) Institute intravenous (IV) catheters, saline locks, needle or other cannulae (IV lines), in peripheral veins.

(3) Administer intravenous glucose solutions or isotonic balanced salt solutions, including Ringer's lactate solution.

(4) Obtain venous and/or capillary blood samples for laboratory analysis.

(5) Use blood glucose measuring device.

(6) Administer the following drugs in a route other than intravenous:

(A) Sublingual nitroglycerine preparations;

(B) aspirin;

(C) glucagon;

(D) inhaled beta-2 agonists (bronchodilators);

(E) activated charcoal;

(F) naloxone;

(G) epinephrine;

(7) Intravenous administration of 50% dextrose.

(c) During a mutual aid response into another jurisdiction, an Advanced EMT may utilize the scope of practice for which s/he is trained and certified according to the policies and procedures established by his/her certifying LEMSA.

(d) The scope of practice of an Advanced EMT shall not exceed those activities authorized in this section except in those limited situations as approved in Section 100106.1.