6 Colo. Code Regs. § 1015-3-2-15
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1015-3-2-15 - Scope of Practice15.1 All of the following appendices define the maximum medical acts an EMT, EMT-IV, AEMT, EMT-I, and Paramedic may be authorized to perform under appropriate medical direction by the applicable medical director for each setting.15.2 A medical director may establish the methods by which an EMS provider obtains authorization in the prehospital or clinical setting to perform any medical acts contained in these rules including, but not limited to: advanced standing orders that are written or electronically conveyed, contemporaneous orders that are direct verbal orders, or written orders that are conveyed in realtime.15.3 As used in all of the Appendices, the following terms are defined to mean:15.3.1 "Y" = YES: May be performed or administered by EMS providers with supervision as described in these rules.15.3.2 "VO" = Verbal Order: Indicates a category of medical acts or medications that EMS providers may only perform or administer within their scopes of practice after receiving authorization from a physician. Such authorization shall be communicated by direct verbal or written order received from a physician contemporaneous to when patient is receiving treatment, unless specific exception criteria are established by the applicable medical director. A) In a clinical setting, a medical supervisor may instruct EMS providers to perform a medical act or administer a medication that requires a physician's authorization only if the physician has contemporaneously communicated the direct verbal or written order to the medical supervisor.B) Exception criteria may include, but are not limited to cardiac arrest, behavioral management, or communications failure.C) Medical Directors shall not develop exception criteria that merely waive all direct verbal order requirements.15.3.3 "N" = NO: May not be performed or administered by EMS providers except with an approved waiver as described in Section 12 of these rules.15.3.4 "EMT" = Medical acts that may be performed or administered by an EMT with appropriate medical director authorization and training recognized by the Department.15.3.5 "EMT-IV" = Medical acts that may be performed or administered by an EMT-IV with appropriate medical director authorization and training recognized by the Department.15.3.6 "AEMT" = Medical acts that may be performed or administered by an AEMT with appropriate medical director authorization and training recognized by the Department.15.3.7 "EMT-I" = Medical acts that may be performed or administered by an EMT-I with appropriate medical director authorization and training recognized by the Department.15.3.8 "P" = Medical acts that may be performed or administered by a Paramedic with appropriate medical director authorization and training recognized by the Department.37 CR 12, June 25, 2014, effective 5/21/201437 CR 12, June 25, 2014, effective 7/15/201437 CR 22, November 25, 2014, effective 12/15/201438 CR 24, December 25, 2015, effective 1/14/201640 CR 10, May 25, 2017, effective 7/1/201740 CR 20, October 25, 2017, effective 1/1/201840 CR 21, November 10, 2017, effective 1/1/201841 CR 23, December 10, 2018, effective 1/14/201943 CR 22, November 25, 2020, effective 1/1/202144 CR 23, December 10, 2021, effective 12/30/202145 CR 10, May 25, 2022, effective 6/14/2022