PULSE Magazine | March 2019 Issue

OPERATIONAL UPDATE March 25, 2019 OMD PL4 Credentialing

PL3-ILS Technician Additional Approved Interventions for Credential Level PL3 • Peripheral intravenous access (IV) • Intraosseous access (IO) (cardiac arrest) or Critical patient in which initial IV •Tracheal suctioning attempt has failed or is not possible • BIAD (non-cardiac arrest) Additional Approved Medications for Credential Level PL3 • Acetaminophen PO • Dextrose solutions IV • Naloxone (all routes) • Glucagon IM • Ibuprofen PO • Diphenhydramine (all routes) • Ondansetron (all routes) • Lidocaine for eye irrigation only • Epinephrine 1mg/10mL (cardiac arrest) • Non-medicated intravenous solutions • Ketorolac IM OLMC or if on-scene PL5 directs The OMD will begin credentialing providers at the PL4 level starting at the end of March. Please review the below procedures and medications that can be administered by the PL4 provider. The PL4 will still be filling the MEDIC role. The OMD will be sending out dates in the near future for those that are interested in obtaining this credentialing. There will be many opportunities over the next few months. The below descriptions of skills were taken from OMDR-3. PL4-Paramedic Technician All above listed requirements/skills/interventions/medications/patient assist medications PL4 providers may perform procedures and administer medications at the PL5 level if done under DIRECT oversight by PL5 credentialed provider Additional Approved Interventions for Credential Level PL4 Independent of Oversight by PL5 • External jugular vein cannulation • ECG monitoring and interpretation • Manual defibrillation • Alternate vascular access (indwelling catheter) • Gastric tube insertion • Modified Valsalva • FBAO with direct laryngoscopy Additional Approved Medications for Credential Level PL4 Independent of Oversight by PL5 • Epinephrine (additional doses, nebulized) • Tranexamic acid • Atropine sulfate (cardiac arrest & Organophosphate) • Hydroxocobalamin • Magnesium sulfate • Pralidoxime • Calcium chloride (cardiac arrest) • Methylprednisolone • Sodium bicarbonate (cardiac arrest) • Lidocaine (cardiac arrest) • Amiodarone (cardiac arrest)

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