National EMS Scope of Practice Model

EMR	EMT	AEMT	Paramedic
Airway and Breathing Minimum Psychomotor Skill Set
Oral airway	Humidifiers	Esophageal intubation	BiPAP/CPAP
Bag-mask Device	Partial rebreathing mask	Multilumen airways	Needle chest decompression
Sellick Maneuver	Venturi mask		Chest tube monitoring
Head tilt-chin lift	Manually triggered ventilators		Percutaneous cricothyrotomy
Jaw Thrust	Automatic transport ventilators		ETCO2/capnography
Modified chin lift	Oral and nasal airways		NG/OG tube
Obstruction, manual			Nasal and oral endotracheal intubation
Oxygen therapy			Airway obstruction removal by direct laryngoscopy
Nasal Cannula			Positive end-expiratory pressure
Nonrebreathing mask
Upper airway suctioning
Assesment Minimum Psychomotor Skill Set
Manual BP	Pulse oximetry	Blood glucose monitoring	ECG interpretation
	Manual and auto BP		Interpretive 12-lead
			Blood chemistry analysis
Pharmacologic Intervention Minimum Psychomotor Skill Set
Medication Administration Routes: *Unit dose auto-injector for self or peer care (eg. Mark 1)	Assisted Medications: *Assisting a patient in administering his/her own prescribed medications, including auto-injector	*Peripheral IV insertion * IV fluid infusion *Pediatric IO insertion	*Central line monitoring *IO insertion *Venous blood sampling
	Medication administration routes: *Buccal *Oral	Medication administration routes: *Subcutaneous (SQ) *Intramuscular (IM) *Nebulized *Sublingual (SL) *Intranasal *IV push or D50 and narcotic antagonist only	Medication administration routes: *Endotracheal *IV (push and infusion) *Nasogastric (NG) *Rectal *Intraosteous (IO) *Topical *Accessing implanted central IV port
	Medications to be administered: *Physician-approved over-the-counter medications (oral glucose, aspirin for chest pain of suspected ischemic origin)	Medication administration routes: *SL nitroglycerin for chest pain of suspected ischemic origin *SQ and IM empinephrine for anaphylaxis *Glucagon and IV D50 for hypoglycemia *Inhaled beta-agonist for dyspnea and wheezing *Narcotic antagonist *Nitrous oxide for pain relief	Medication administration routes: *Physician-approved medications *Maintenance of blood administration *Initiation of thrombolytics
Emergency Trauma Care Minimum Psychomotor Skill Set
Manual cervical stabilization	Spinal immobilization		Morgan lens
Manual extremity stabilization	Seated spinal immobilization
Eye irrigation	Long board
Direct pressure	Extremity splinting
Emergency moves for endangered patients	Traction splinting
	Mechanical patient restraint
	Tourniquet
	MAST/PASG
	Cervical collar
	Rapid extrication
Medical/Cardiac Care Minimum Psychomotor Skill Set
CPR	Mechanical CPR		Cardioversion
AED	Assisted complicated delivery of an infant		Carotid Massage
Assisted normal delivery of an infant			Manual defibrillation
			TC pacing