Emergency Medical Technician - Intermediate

(1) Definition and Functions - An actively licensed EMT-Intermediate is an individual who has met all requirements for licensure as an EMT-Basic and who has also been trained in additional emergency medical procedures through the emergency medical technician-intermediate course of instruction, or its equivalent, as approved by the State Board of Health, and who, after having passed the approved EMT-Intermediate examination and completed the appropriate credentialing requirements, has been granted a license by the State Board of Health to regularly perform emergency medical procedures at the basic and intermediate levels.
A credentialed EMT-Intermediate is authorized to perform all of the procedures authorized for individuals licensed at the EMT- Basic level. A credentialed EMT-Intermediate is also authorized to perform the following ALS procedures in the manner taught in the approved curriculum for EMT-Intermediate training, in accordance with the protocols approved by the State Board of Health.

(a) Administration of Dextrose 50%, intravenously;

(b) Placement of oral and nasal endotracheal tubes;

(c) Placement of approved esophogeal blind insertion devices;

(d) Peripheral venipuncture and intravenous administration of fluids,to include intraosseous infusion;

(e) Use of cardiac monitoring equipment, INCLUDING placement of electrical leads;

(f) Delivery of electrical therapy to patients via manual defibrillators; and

(g) 12-lead EKG monitoring.

(h) Adult and pediatric naso-gastric intubation.

(i) Administration of aspirin.

NOTE: Credentialed EMT-Intermediates are prohibited from performing any procedure or utilizing any drug not approved by the State Board of Health even though they may have been taught these drugs and procedures in their EMT-Intermediate curriculum.

(2) A credentialed EMT-Intermediate shall not perform ALS procedures unless he or she receives orders to do so from an on-line medical direction physician, or unless he or she is authorized to do so by standing orders from an off-line medical direction physician. On-line and off-line medical direction physicians must be authorized to provide such orders according to section 420-2-1-.06 of these rules.

An EMT-Intermediate shall not perform ALS or BLS procedures unless currently credentialed by the EMS Division pursuant to these rules. An EMT-Intermediate who wishes to be able to perform BLS procedures must credential at the EMT-Basic level by successfully completing the EMT-Basic credentialing requirements. No EMT-Intermediate 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.

(3) Responsibilities.

(a) Upon arrival at the scene of a medical or trauma emergency, credentialed EMT-Intermediate 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, a credentialed EMT-Intermediate shall promptly offer such necessary emergency treatment that the EMT is authorized by these rules to deliver.

(b) An EMT-Intermediate 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.

(c) A credentialed EMT-Intermediate 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.

(d) An EMT-Intermediate providing ALS and BLS care shall successfully complete all credentialing requirements between the date that a license is initially granted or renewed and January 31 preceding the date of license expiration.

(e) A credentialed EMT-Intermediate shall carry the following item while on duty or while otherwise providing patient care: 1. Current Alabama EMT-Intermediate wallet licensure certificate.

(f) A credentialed EMT-Intermediate, 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:

1. A picture identification badge which includes the EMT-Intermediate's name, and licensure level. This requirement may be met by wearing an appropriate uniform and name plate.

(g) An EMT-Intermediate 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.