Current through Register Vol. 54, No. 44, November 2, 2024
(a)
Roles
and responsibilities. A paramedic performs basic and advanced EMS
skills which include interventions and administration of medications and
vaccines with basic and advanced equipment found on an EMS vehicle found or
within a paramedic's scope of practice, as follows:
(1) For an EMS agency as a member of the crew
of an ambulance or squad vehicle.
(2) For an EMS agency as a member of a QRS to
stabilize and improve a patient's condition in an out-of-hospital emergency
until an ambulance arrives at the scene. The paramedic may then assist the
ambulance crew.
(3) As a member of
a special operations EMS service.
(4) As a first aid or safety officer, or in a
similar capacity, for or independent of an EMS agency. When serving in this
capacity independent of an EMS agency, a paramedic does not function under the
direction of an EMS agency medical director or a medical command physician. The
paramedic shall perform skills as prescribed by applicable Statewide and
regional EMS protocols, and may not perform the following:
(i) Skills other than those permitted at the
EMT level of care.
(ii) A skill for
which the EMT is required to secure medical command direction under those
protocols.
(b)
Certification. The Department will certify as a paramedic an
individual who meets the following qualifications:
(1) Completes an application for paramedic
certification on a form or through an electronic process, as prescribed by the
Department.
(2) Is certified as an
EMT or an AEMT by the Department or possesses an equivalent certification
issued by another state.
(3) Is 18
years of age or older.
(4) Has a
high school diploma or its equivalent.
(5) Has successfully completed an EMS
provider educational course for paramedics.
(6) Has a current certificate evidencing
successful completion of a CPR course acceptable to the Department.
(7) Has passed a practical test of paramedic
skills for paramedic certification approved by the Department.
(8) Has passed a written examination for
paramedic certification approved by the Department.
(c)
Biennial registration.
(1) When a paramedic certification is issued
it is deemed registered through December 31 of that year if it is issued in an
odd-numbered year, or through December 31 of the next odd-numbered year if it
is issued in an even-numbered year. Thereafter, a paramedic shall biennially
register the certification by completing a form or through an electronic
process, as prescribed by the Department. A paramedic shall submit the form or
complete the electronic process at least 30 days prior to the expiration of a
current registration. Failure to do so in a timely manner may result in the
paramedic certification not being registered again before the prior
registration expires. The Department will issue a new registration within 30
days after the paramedic completes the form or the electronic process if the
information provided establishes that the paramedic has successfully completed
one of the following:
(i) The paramedic
practical skills and written knowledge biennial registration examinations
prescribed by the Department.
(ii)
The continuing education requirements for biennial registration of a paramedic
certification in §
1023.31(e)
(relating to continuing education requirements).
(2) A paramedic who is a member of the armed
forces who is returning from active military service and whose paramedic
registration has expired or will expire within 12 months after returning from
active military service may secure an exception to the triennial registration
requirements under §
1023.21(d)
(relating to general rights and responsibilities).
(d)
Scope of practice.
(1) A paramedic's scope of practice
incorporates the scope of practice of an AEMT and additional skills in the
following skill areas, as published in the
Pennsylvania
Bulletin, if the paramedic has been educated to perform the following
skills:
(i)
Airway/ventilation/oxygenation.
(ii) Cardiovascular circulation.
(iii) Immobilization.
(iv) Medication
administration-routes.
(v) IV
initiation/maintenance fluids.
(2) A paramedic's scope of practice may be
expanded to include advanced EMS skills in other skill areas as the Department
publishes in a notice in the
Pennsylvania Bulletin. A
paramedic may not perform those additional skills unless the paramedic has
received education to perform those skills, and is able to document having
received the education, in one of the following:
(i) A course approved by the Department that
covers the complete curriculum for certification as a paramedic.
(ii) A course which is determined by the
Department to meet or exceed the standards of a course approved by the
Department under subparagraph (i).
(iii) A course for which the paramedic may
receive continuing education credit towards biennial registration of the
paramedic certification.
(3) The Department will publish in the
Pennsylvania Bulletin, at least biennially, a list of the
skills the Department has approved as being within the scope of practice of a
paramedic.
This section cited in 28 Pa. Code §
1023.28 (relating to prehospital
registered nurse); 28 Pa. Code §
1023.29 (relating to prehospital
physician extender); and 28 Pa. Code §
1023.31 (relating to continuing
education requirements).