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Scope of Practice for Critical Care Transport Emergency Medical Service Providers; Corrective Update to 2015 Notice

[45 Pa.B. 2947]
[Saturday, June 13, 2015]

 Under 28 Pa. Code § 1027.39(d) (relating to critical care transport ambulance service), the Department of Health (Department) is authorized to publish the expanded scope of practice for authorized paramedics, prehospital registered nurses (PHRN), prehospital physician extenders (PHPE) and prehospital emergency medical services physicians (PHP) when functioning for an emergency medical service (EMS) agency that has been licensed as a critical care transport (CCT) ambulance service under 35 Pa.C.S. § 8129 (relating to emergency medical services agencies).

 In its notice of expanded scope of practice for CCT EMS providers published at 45 Pa.B. 2678 (May 30, 2015), the Department provided an inaccurate explanation of the expanded scope of practice for CCT EMS providers providing airway/ventilation/oxygenation. This skill is listed at item 49 in both the general scopes of practice published at 45 Pa.B. 377 (January 17, 2015) and in the expanded scope of practice published at 45 Pa.B. 2678. The accurate explanation of the skill is as follows:

Category Skill Critical Care Transport
Provider (Paramedic,
PHRN, PHPE or PHP)
49 Airway/ventilation/oxygenation Ventilators that are portable and capable of being transported with a patient and are multi-modal, with a blender, that are used on patients requiring pressure control, pressure support or other advanced setting, or when there is an anticipated need by a healthcare provider involved with the care of the patient to actively titrate ventilator settings during transport, regardless of ventilation mode. Yes1
Yes—The skill is in the scope of practice for Paramedics, PHRNs, PHPEs and PHPs who are authorized to function for an EMS agency that has been licensed as a CCT ambulance service.
1. Paramedics, PHRNs, PHPEs and PHPs who are authorized to function for an EMS agency that has been licensed as a CCT ambulance service may only perform or assist with these skills during interfacility transport with a CCT ambulance.

 All other skills listed at 45 Pa.B. 2678 for CCT EMS providers are unchanged by the correction listed in this update.

 As a reminder, skills identified may be performed by CCT EMS providers only if the provider has successfully completed training (cognitive, affective and psychomotor) on the specified skill, which includes training to perform the skill on adults, children and infants, as appropriate. These providers may only perform skills that are indicated through either Statewide or other Department-approved protocols or that are ordered online by a medical command physician.

 Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Richard L. Gibbons, Bureau Director, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0710, (717) 787-8740. Speech or hearing impaired persons may use V/TT (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).

KAREN M. MURPHY, PhD, RN, 
Secretary

[Pa.B. Doc. No. 15-1128. Filed for public inspection June 12, 2015, 9:00 a.m.]



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