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EMR
EMT
AEMT
Paramedic
Extended
EMT Responsibilities
This protocol represents a revision of the previously established guidelines and changes must be noted by each
individual that works under these directives. It is the responsibility of each EMR, EMT, AEMT, and Paramedic
to read and understand the changes that have been made. Changes are effective November 1, 2014.
The first point of order is that all providers must be familiar with the Ohio State EMS Scope of Practice for their
appropriate level and only function at the level allowed by this EMS protocol. Any order within the provider’s
scope of practice that requires a call-in permission may be performed after receiving direct online medical
control or with the direction and direct supervision of an on-scene Paramedic. Deviation beyond your scope of
practice or this protocol may warrant disciplinary or even legal actions to be taken.
Secondly, there will also, at some point, be a tiered protocol for Paramedics. This protocol includes some
procedures that are designated for these “Category 2” Paramedics. Every Paramedic working under this
protocol will be cleared as a “Category 1” Paramedic, but eventually we will be designating a select few as
“Category 2” Paramedics after completion of some specialized training. The selection of “Category 2”
Paramedics will be based on a number of factors including years of experience, annual run involvement,
approval by the appropriate Chief Officer, EMS Coordinator, and Medical Director. Becoming a “Category 2”
Paramedic is strictly on a volunteer basis, applies only to the designated procedures and in no way alters the
chain of command. Those procedures labeled as ‘only for Category 2 Paramedics’ are otherwise off limits to
those not approved as Category 2 Paramedics. Any deviation or practice outside of your approved scope of
practice will lead to disciplinary and possibly legal actions.
My signature indicates that I have read and understand this statement as well as the medical protocol to which it
pertains.
Name __________________________________________
Signature _______________________________________ Date _________________________
EMT Responsibilities