Operations, Patient Care, Training

Indiana’s Updated Scope of Practice Begins March 1

Image/Indiana Department of Homeland Security

INDIANAPOLIS, Ind. –  Indiana is gearing up to give emergency medical service providers more options to treat patients in an emergency. The state’s updated scope of practice standards are set to begin on March 1, according to Indiana EMS Director Michael A. Kaufmann, MD, FACEP, FAEMS.

Related: Update to the EMS Education Standards

EMR-Emergency Medical Responder

  • NP Airways: The EMR level will now include nasopharyngeal (NP) airways. The utilization of NP airways has been in textbooks and taught for several years, but it was technically not part of the EMR SOP.
  • Pulse Oximetry: The EMR level will now include pulse oximetry monitoring. There will be an Acadis course developed and available for all EMRs as an educational offering. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • Oral glucose: The EMR level will now include oral glucose administration. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.

EMT-Emergency Medical Technician

  • CPAP: The EMT and AEMT levels will now include CPAP ventilatory assistance. There will be an Acadis course developed and available for all EMTs and AEMTs as an educational offering. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • End tidal CO2 / Waveform Capnography: The EMT and AEMT levels will now include end tidal CO2 monitoring and interpretation. There will be an Acadis course developed and available for all EMTs and AEMTs as an educational offering. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • Nebulized bronchodilators: The EMT level will now include nebulized bronchodilators, beta agonists and anticholinergics (albuterol, atrovent). There will be an Acadis course developed and available for all EMTs as an educational offering. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • OTC Pain Medication: The EMT and AEMT levels will now include OTC pain management. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.

AEMT-Advanced EMT

  • CPAP: The EMT and AEMT levels will now include CPAP ventilatory assistance. There will be an Acadis course developed and available for all EMTs and AEMTs as an educational offering. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • End tidal CO2 / Waveform Capnography: The EMT and AEMT levels will now include end tidal CO2 monitoring and interpretation. There will be an Acadis course developed and available for all EMTs and AEMTs as an educational offering. In order to authorize  performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • OTC Pain Medication: The EMT and AEMT levels will now include OTC pain management. However, in order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • Medications: The AEMT medication levels were increased to include additional IV medications. The national scope of practice includes analgesia, anti-nausea/antiemetic, dextrose, epinephrine, glucagon and naloxone. The specific medications/medication classifications allowed in Indiana will be determined at the January 2020 EMS Commission meeting. In order to authorize performance of this skill/procedure, the provider organization and medical director must approve in written protocol and then provide skills training and credentialing.
  • Parenteral Pain Management: The AEMT medication level will now include parenteral pain management. The specific medications/medication classifications will be determined at the January 2020 EMS Commission meeting.

Paramedic

  • Although a few specific paramedic level skills were discussed, ultimately the EMS Commission reiterated that there is no cap on the paramedic skill, so long as the provider organization and medical director have an approved written protocol and then provide skills training and credentialing.

Read more here.