Scope of Practice – IV Certification

Scope of Practice – IV Certification

Posted on: June 10th, 2020

Closing the Circuit: Taping the King LT Suction Port

Can a non-IV certified paramedic assume care of a patient once an IV has been established by their IV certified partner?

The short answer is no.  If the IV has been initiated because the patient requires or is anticipated to require an intervention requiring IV access (which is why the IV would be placed) then the patient should be cared for by the paramedic who is capable of utilizing this access.

The longer explanation can be found in the latest SWORBHP PCP vs PCP Expanded Scope Crew Configuration – Division of Responsibilities Policy (June 2019)  and SWORBHP PCP/ACP Crew Configuration – Division of Responsibilities Policy (June 2019).  The following are the pertinent sections of each:

  • 0 The PCP with expanded scope and certified in auxiliary medical directives MUST attend any patient when the patient has received, requires, or is anticipated to require an intervention or treatment requiring the expanded scope of the auxiliary medical directives.
  • 1 The PCP with expanded scope and certified in auxiliary directives will not perform auxiliary medical directives of expanded scope and then transfer care to a PCP crew for transportation to hospital unless there are extenuating circumstances. These must be reported through the SWORBHP Communication Line
  • 0 The ACP MUST attend any patient when the patient has received, required, or is anticipated to require an intervention or treatment beyond the PCP scope of practice.
  • An ACP crew will not perform ACP medical directives and then transfer care to a PCP crew for transportation to hospital unless there are extenuating circumstances. These must be reported through the SWORBHP Communication Line/
  • In cases where an ACP is attending, transfer of care to a PCP crew can occur in hospital offload delay as long as treatment beyond PCP scope of practice has not occurred.

 

 

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