N.J. Admin. Code § 8:41-7.11

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:41-7.11 - Standing orders for suspected acute myocardial infarction/chest pain

(a) The following standing orders are authorized in the event that an adult patient presents with acute myocardial infarction/chest pain with systolic blood pressure greater than, or equal to, 110 mmHg:

1. Assess and secure airway;

2. Administer at least 4 lpm nasal oxygen;

3. Administer 0.4 mg Nitroglycerin sublingually every five minutes, to a maximum dose of 1.2 mg (which is three tablets or sprays of 0.4 mg each), provided the systolic blood pressure is greater than or equal to 110 mmHg;

4. Administer Acetylsalicylic Acid by mouth after the first dose of Nitroglycerin; The provider's medical director shall notify the Department whether the program will administer 81 mg or 324 mg of Acetylsalicylic Acid;

5. Establish IV access;

6. If time and clinical condition of the patient allows, obtain a 12-lead electrocardiogram tracing;

7. If the patient is having an acute myocardial infarction, review patient's eligibility for thrombolytic therapy as determined by the provider's medical director; and

8. Contact the medical command physician.

N.J. Admin. Code § 8:41-7.11