North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-36 - Emergency Medical Services Personnel › Chapter 33-36-04 - Scope of Practice for Emergency Medical Services Professionals › Section 33-36-04-02 - Scopes of practice

Current through Supplement No. 393, July, 2024
Each level of emergency medical services professional has a
				  scope of practice that includes the scopes of practice of all subordinate
				  emergency medical services professionals and the scopes of all emergency
				  medical services providers listed in chapter 33-36-03. The hierarchy of
				  emergency medical services professionals is listed sequentially in this
				  section.
1.
Emergency medical
				technician.
a. Scope. The emergency
				medical technician's core scope of practice includes basic, noninvasive
				interventions to reduce the morbidity and mortality associated with acute
				out-of-hospital medical and traumatic emergencies. Emergency care is based on
				assessment findings. An emergency medical technician is not prepared to make
				decisions independently regarding the appropriate disposition of patients. The
				emergency medical technician may make destination decisions in collaboration
				with medical oversight. The principal disposition of the patient encounter will
				result in the direct delivery of the patient to an acute care facility. The
				primary differences between an advanced first-aid ambulance attendant and
				emergency medical technician are the educational and testing requirements
				required for licensure as an emergency medical technician.
b. Curriculum. The educational requirements
				include successful completion of a state-authorized emergency medical
				technician training program and continued educational requirements as defined
				in 33-36-01.
c. Scope
				enhancements. Emergency medical technicians may provide enhanced treatments
				beyond the core scope if they have completed training as defined in section
				33-36-01-04 and have authorization
				to perform those skills from their medical director.
d. Skills. Specific skills for the emergency
				medical technician are defined by the department. Local medical directors may
				limit the specific skills that an emergency medical technician may provide and
				they may not exceed those specific skills defined by the department.
e. Occupational setting. Emergency medical
				technicians may participate in the emergency medical services system as a sole
				responder in a quick response unit, as the primary care provider of a basic
				life support air or ground ambulance service, or as part of the crew of an
				advanced life support air or ground ambulance service. Emergency medical
				technicians may also provide services to a private company or organization as
				part of a response team that is not offered to the general public.
f. Medical oversight. An emergency medical
				technician provides medical care with physician oversight. A physician
				credentials the emergency medical technician and establishes patient care
				standards through protocol.
g.
				Supervision. An emergency medical technician may be the highest trained person
				on a quick response unit and as the primary care provider may supervise other
				emergency medical technicians, emergency medical responders, or drivers. As
				part of a basic life support ambulance crew, an emergency medical technician
				may supervise subordinate emergency medical services personnel. As part of an
				advanced life support ambulance service, an emergency medical technician is
				supervised by a paramedic.