(1) Definition and Functions - An actively licensed EMT-Basic is an individual who has been trained in basic emergency medical procedures through the basic emergency medical technician course of instruction, or its equivalent, as approved by the State Board of Health, and who, after having passed the approved EMT-Basic examination and completed the appropriate credentialing requirements, has been granted a license by the State Board of Health to regularly perform basic emergency medical procedures. A credentialed EMT- Basic is authorized to perform the following BLS procedures in the manner taught in the approved curriculum for EMT-Basic training:
- Patient assessment;
- Taking and recording vital signs;
- Taking and recording an appropriate history;
- Properly lifting and moving a patient;
- Opening and maintaining a patent airway using simple airway maneuvers;
- Cardiopulmonary resuscitation;
- Simple management of a cardiac emergency, NOT including use of manual defibrillation, administration of fluids, or administration of drugs by any means, except those drugs or substances listed below;
- Administration of activated charcoal, syrup of ipecac, and glucose paste;
- ASSISTANCE with self-administration of nitroglycerin, auto-inhalers, and auto-injection epinephrine, BUT ONLY if the EMT-Basic has been trained to do so through the approved course after September 1, 1995;
- Spine immobilization;
- Long bone fracture immobilization;
- Joint dislocation immobilization;
- Application of pneumatic anti-shock garment;
- Control of bleeding and shock, NOT including suturing or administration of I.V. fluids;
- Splinting, INCLUDING traction splinting;
- Assistance with emergency childbirth, NOT including any surgical procedures whatsoever;
- Use of bag-valve mask;
- Use of oropharyngeal and nasopharyngeal airways;
- Use of mouth to mask device with or without supplemental oxygen;
- Administration of supplemental oxygen, INCLUDING use of pulse oximetry devices;
- Capillary puncture for the purpose of blood glucose monitoring, including use of digital blood glucometer;
- Maintenance of heparin locks and saline locks;
- Use of suction equipment;
- Patient extrication;
- Scene management, such as directing traffic, but only when scene management activities do not interfere with patient care duties and law enforcement personnel are not at the scene;
- Responding appropriately to mass casualty incident, hazardous material incident, and triage situation; and taking appropriate infection control precautions.
(2) An EMT-Basic shall not perform ALS procedures. No EMT-Basic shall provide care beyond his or her level of credentialing on behalf of any organization or entity that is regularly engaged in the provision of emergency medical care, such as an ambulance service or fire department. An organization or entity shall have in place a system for the emergency treatment or transport of motor crash victims, or other trauma victims or emergency medical patients to be deemed to be regularly engaged in the provision of emergency medical care. An organization or entity that merely offers cardiopulmonary resuscitation and other first aid and rescue in the course of activities such as firefighting and related activities shall not be deemed for that reason alone to be regularly engaged in the provision of emergency medical care.
- Upon arrival at the scene of a medical or trauma emergency, a credentialed EMT-Basic shall assess the condition of any sick or injured person. Unless the health or safety of the EMT would thereby be jeopardized by scene conditions, an EMT shall promptly offer such necessary emergency treatment that the EMT is authorized by these rules to deliver.
- An EMT-Basic shall not smoke, shall not use smokeless tobacco, and shall not be under the influence of alcohol or drugs while operating or riding in an emergency vehicle or while providing care to any patient.
- A credentialed EMT-Basic shall maintain a current American Heart Association (AHA) Cardiopulmonary Resuscitation (CPR) BLS for Health Care Providers or American Red Cross (ARC) CPR BLS for the Professional Rescuer successful course completion card.
- A credentialed EMT-Basic shall successfully complete the required credentialing education between the date that a license is initially granted or renewed and January 31 preceding the date of expiration.
- A credentialed EMT-Basic shall carry the following item while on duty or while otherwise providing patient care: Current Alabama EMT-Basic wallet licensure certificate.
- A credentialed EMT-Basic, not dressed in protective firefighting clothing, or responding in civilian clothes as a volunteer, shall wear the following item while on duty or while otherwise providing patient care: A picture identification badge which includes the EMT-Basic’s name, and licensure level. This requirement may be met by wearing an appropriate uniform and name plate.
- An EMT-Basic shall report to the EMS Division, within 10 calendar days, the outcome of any criminal action brought against the EMT, and the outcome of any civil action to which the EMT was a party and which involved EMS activities.
Source: The State of Alabama Public Health Department EMS Rules 2001