Wisconsin EMS Scope of Practice
Bureau of Local Health Support & EMS 10-19-2005
First Responder
This EMS provider level identifies individuals who have successfully
completed a
program of training that used as a minimum, the 1996 First Responder National
Standard Curriculum with the Wisconsin revised curriculum, and have successfully
completed the testing requirements. First Responder certifications expire on
June 30th
of even-numbered years. Recertification requirements include a state approved
18 hour
refresher course, which includes the required Weapons of Mass Destruction training.
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AIRWAY / VENTILATION / OXYGENATION
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CARDIOVASCULAR /
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ASSISTED MEDICATIONS - PATIENTS Auto-Injected Epinephrine *** |
IMMOBILIZATION Spinal Immobilization - Manual |
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APPROVED MEDICATION by PROTOCOL
Epinephrine for Anaphylaxis |
MISCELLANEOUS Assisted Delivery (childbirth) |
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REMINDER: Personnel must be trained & competent
in all equipment that is used by the service ** Requires documentation of additional training |
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EMT-Basic (30-531-3)
This EMS provider level identifies individuals who have successfully
completed a
program of training that used, as a minimum, the 1996 EMT-Basic National Standard
Curriculum and the Wisconsin supplemental curriculum, and have successfully
completed the department's testing requirements. EMT-Basic licenses expire on
June
30th of even numbered years. Recertification requirements include a state approved
30
hour refresher, which includes the required Weapons of Mass Destruction training.
-Items in red denote change from previous license level -
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AIRWAY / VENTILATION
/
OXYGENATION |
CARDIOVASCULAR /
CIRCULATION |
| Airway - Lumen (Non-visualized) | ECG Monitor ** |
| Airway - Nasal (Nasopharyngeal) | 12-Lead ECG - (acquire but clinician non -interpretive)*** |
| Airway - Oral (Oropharyngeal) | Cardiopulmonary Resuscitation (CPR) |
| Bag-Valve-Mask (BVM) | CPR - Mechanical Device ** |
| Capnography *** | Defibrillation - Automated / Semi-Automated (AED) |
| CPAP*** (Members of CPAP Project ONLY) |
Defibrillation - Manual *** |
| Cricoid Pressure (Sellick) | Hemorrhage Control - Direct Pressure |
| Manual Airway Maneuvers | Hemorrhage Control - Pressure Point |
| Obstruction - Forceps (Direct Visual) | Hemorrhage Control - Tourniquet |
| Obstruction - Manual | Trendelenberg Positioning |
| Oxygen Therapy - Nebulizer | |
| Oxygen Therapy - Nasal Cannula |
ASSISTED MEDICATIONS - PATIENTS
|
| Oxygen Therapy -Non-rebreather Mask | Auto-Injected Epinephrine |
| Oxygen Therapy - Regulators | Medicated Inhaler - Prescribed Albuterol |
| Pulse Oximetry ** | Medicated Inhaler - Prescribed Atrovent ** |
| Suctioning -Upper Airway (Soft & Rigid) | Nitroglycerin |
| Oral Glucose | |
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IMMOBILIZATION
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MISCELLANEOUS
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| Spinal Immobilization - Cervical Collar | Assisted Delivery (Childbirth) |
| Spinal Immobilization - Long Board | Blood Glucose Monitoring |
| Spinal Immobilization - Manual Stabilization | Blood Pressure - Manual / Automated |
| Spinal Immobilization - Seated Patient (KED, etc.) | Eye Irrigation |
| Selective Spinal Immobilization *** | Vital Signs - Obtain/ Monitor/ Document (Pulse, BP, Respiration, Temperature) |
| Splinting - Manual | Pain Management Techniques |
| Splinting - Pelvic Wrap / MAST / PASG | Patient Physical Restraint Application |
| Splinting - Rigid | |
| Splinting - Soft |
APPROVED MEDICATIONS BY
PROTOCOL |
| Splinting - Traction | Activated Charcoal |
| Splinting - Vacuum | Albuterol (Nebulized - Unit Dose) |
| Aspirin (ASA) for chest pain | |
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MEDICATIONS
|
Atrovent (Nebulized - Unit Dose)** |
| HFS 110. 05 (4)(d) Administration of additional medications approved by the department based on recommendations of |
Epinephrine for Anaphylaxis
only Auto- Injector or manually drawn*** |
| the emergency medical services board | Glucagon |
| under s. 146.58, Stats., the EMS physician | Mark I Auto-Injector (For Self & Crew) |
| advisory committee under s. 146.58 (1), | Oral Glucose |
| Stats., and the Wisconsin EMS program medical director under s. 146.55 (2m), Stats. |
|
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REMINDER: Personnel must be trained
& competent in all equipment that is used by the service
** Requires documentation of additional training *** Requires additional training and approval |
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Basic Intermediate Technician (3-531-6)
This EMS provider level identifies individuals
who have successfully completed a
program of training that used, as a minimum, the 1985 EMT-Intermediate National
Standard Curriculum and have successfully completed the department's testing
requirements. EMT Basic IV-Technician licenses expire on June 30th of evennumbered
years. Recertification requirements include a state approved 30 hour EMT
Basic refresher, which includes the required Weapons of Mass Destruction training
and
a 12 hour EMT Basic IV-Technician refresher course.
-Items in red denote change from previous license level -
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AIRWAY / VENTILATION /
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MEDICATION ADMINISTRATION ROUTES Aerosolized/Nebulizer Auto-Injector Intramuscular(IM) Intravenous (IV) Push Oral Subcutaneous (SQ) Sub-Lingual (SL) APPROVED MEDICATION BY |
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IV INITIATION MAINTENANCE/FLUIDS IV Solutions- D5W, Normal Saline, |
MEDICATIONS
HFS 110. 05 (4)(d) Administration of additional medications approved by the department based on recommendations of the emergency medical services board under s. 146.58, Stats., the EMS physician advisory committee under s. 146.58 (1), Stats., and the Wisconsin EMS program medical director under s. 146.55 (2m), Stats. |
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CARDIOVASCULAR / ECG Monitor ** |
IMMOBILIZATION Selective Spinal Immobilization *** |
|
MISCELLANEOUS Assisted Delivery (Childbirth) |
|
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REMINDER: Personnel must be trained
& competent in all equipment that is used by the service
** Requires documentation of additional training *** Requires additional training and approval |
|
EMT- Intermediate (30-531-4)
This EMS provider level identifies individuals
who have successfully completed a
program of training that used, as a minimum, the Wisconsin Revised 1999 EMTIntermediate
National Standard Curriculum, and have successfully completed the
department's testing requirements. EMT-Intermediate licenses expire on June
30th of
even-numbered years. Recertification requirements include 48 hours of approved
continuing education which includes the state required Weapons of Mass Destruction
training.
-Items in red denote change from previous license level -
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AIRWAY / VENTILATION /
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CARDIOVASCULAR /
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IMMOBILIZATION
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MEDICATION ADMINISTRATION
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MEDICATIONS & SKILLS
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APPROVED MEDICATIONS BY
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MISCELLANEOUS
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Unstable cardiac patients are defined
by the AHA under ACLS guidelines
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REMINDER: Personnel must be trained
& competent
in all equipment that is used by the service |
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EMT-Paramedic (10-531-1)
This EMS provider level identifies individuals
who have successfully completed a
program of training that used, as a minimum, the 1998 EMT-Paramedic National
Standard Curriculum, with the required Wisconsin Revised Curriculum and have
successfully completed the department's testing requirements. EMT-Paramedic
licenses expire on June 30th of even-numbered years. Recertification requirements
include 48 hours of approved continuing education which includes the state required
Weapons of Mass Destruction training
-Items in red denote change from previous license level -
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AIRWAY / VENTILATION /
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CARDIOVASCULAR /
MEDICATION ADMINISTRATION Routes |
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IMMOBILIZATION Selective Spinal Immobilization ** |
IV INITATION / MAINTENANCE / Blood/ Blood By-Products (Maintenance |
|
MISCELLANEOUS Assisted Delivery (childbirth) |
MEDICATIONS HFS 112.04(4)b2. Administration of |
|
REMINDER: Personnel must be trained
& competent in all equipment that is used by the service
** Requires documentation of additional training *** Requires additional training and approval |
|