Our local protocols.
Central CA EMS Agency policy 341.
If the patientís care needs exceed the scope of practice of the available EMS personnel, the
transferring physician will arrange for the patient to be accompanied by a physician or registered
nurse along with any other personnel, equipment or supplies necessary for patient care. In these
cases, while assisting the M.D. or R.N. with patient care, EMS personnel must function within
I know that this does go on with the Tuolumne County's blessing. Tuolumne County uses EMT-P for their CCT calls down to the valley. The County EMS Medical Director has given the Medics the OK to move pts on NTG, Dopamine, Dobutamine & Heprin drips. These are mostly heart pts going to a cath lab. The main reasons was they could not get RNs to do the transfers. They have been doing this for ~ 8-9 years that I know of. I have not heard of a bad outcome, but I don't work up in the mountains anymore either.
For those unfamiliar with Cali, each COUNTY tells what the medic can and cannot do. Yes there is state level but the county can ask for more or take away more. I have to say that is one of teh biggest problems with EMS in this state. Many of the medics I work with carry 4-8 different county certifications depending on where they work. Some counties accept other county's certs, others don't. Mind you each county cert is ~ $250.00. Thus this is what I see drives it all. Because the medic still needs to pay the state as well for the Medic Lic.