Emergency Medical Technician - Paramedic

(1) Definition and Functions - An actively licensed EMT-Paramedic is an individual who has met all requirements for licensure as an EMT-Intermediate and who has also been trained in additional emergency medical procedures through the EMT-Paramedic course of instruction, or its equivalent, as approved by the State Board of Health, and who, after having passed the approved EMT-Paramedic 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, intermediate, and paramedic levels.

A credentialed EMT-Paramedic is authorized to perform all of the procedures authorized for individuals licensed at the EMT-Intermediate level. A credentialed EMT-Paramedic is also authorized to perform the following ALS procedures in the manner taught in the approved curriculum for EMT-Paramedic training:

(a) Administration of drugs on the list approved by the State Board of Health for such use in the EMS setting. Drugs may be administered via the intravenous, subcutaneous, intramuscular, oral, sublingual, rectal routes, and through inhalers and endotracheal tubes if approved for such administration by the State Board of Health; and

(b) Within the constraints specified in section 420-2-1-.07 of these rules, administration of drugs and maintenance of I.V. drips for inter-hospital transfer patients.

(2) A credentialed EMT-Paramedic, in accordance with the protocols approved by the State Board of Health, may perform the following procedures:

(a) External Cardiac Pacing

(b) Adult and Pediatric Naso-Gastric Tube Placement

(c) Needle Decompression of the Thorax An EMT-Paramedic is 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-Paramedic curriculum.

(3) A credentialed EMT-Paramedic 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 under section 420-2-1-.06 of these rules. An EMT-Paramedic shall not perform ALS or BLS procedures unless currently credentialed by the EMS Division pursuant to these rules.

An EMT-Paramedic 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-Paramedic 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.

(4) Responsibilities.

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

(b) An EMT-Paramedic 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-Paramedic 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-Paramedic providing ALS or 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-Paramedic shall carry the following item while on duty or while otherwise providing patient care:

1. Current Alabama EMT-Paramedic wallet licensure certificate.

(f) A credentialed EMT-Paramedic, 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-Paramedic’s name, and licensure level. This requirement may be met by wearing an appropriate uniform and name plate.

(g) An EMT-Paramedic 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.