Current through Register Vol. 48, No. 1, January 10, 2025
Section 6 CCR 1015-3-2-6 - Medical Acts Allowed for the EMT6.1 An EMT may, under the authorization of an EMS agency medical director or clinical medical director, perform medical acts consistent with and not to exceed those listed in Appendices A and C of these rules for an EMT.6.2 An EMT may, under the authorization of an EMS agency medical director or clinical medical director, administer and monitor medications and classes of medications consistent with and not to exceed those listed in Appendices B and D of these rules for an EMT.6.3 Any EMT who is a member or employee of an EMS service agency and who performs medical acts in a prehospital setting must have authorization and be supervised by an EMS agency medical director to perform the medical acts.6.4 Any EMT who performs medical acts in a clinical setting must have the authorization of a clinical medical director and be supervised by a medical supervisor.6.5 An EMT may carry out a physician order for a mental health hold as set forth in Section 27-65-105(1), C.R.S. Such physician order may be a direct verbal order or by electronic communications.6.6 An EMT who has successfully completed a Department-recognized Intravenous Therapy and Medication Administration Course may be referred to as an Emergency Medical Technician with Intravenous Authorization (EMT-IV). Any provisions of these rules that are applicable to an EMT shall also be applicable to an EMT-IV. In addition to the acts an EMT is allowed to perform, an EMT-IV may, under authorization of an EMS agency medical director or clinical medical director, perform medical acts consistent with and not to exceed those listed in Appendices A and C of these rules for an EMT-IV. In addition to the medications and classes of medications an EMT is allowed to administer and monitor pursuant to these rules, an EMT-IV may, under authorization of an EMS agency medical director or clinical medical director, administer and monitor medications and classes of medications consistent with and not to exceed those listed in Appendices B and D of these rules for an EMT-IV.6.7 An EMT-IV may, under the authorization of an EMS agency medical director or clinical medical director, administer and monitor medications and classes of medications which exceed those listed in Appendices B and D of these rules for an EMT-IV under the direct visual supervision of an AEMT, EMT-I, or Paramedic when in the prehospital setting, or the medical supervisor in a clinical setting, when the following conditions have been established:6.7.1 The patient must be in cardiac arrest or in extremis.6.7.2 Drugs administered must be limited to those authorized by these rules for an AEMT, EMT-I, or Paramedic as stated in Appendices B and D.6.7.3 The EMS agency medical director or clinical medical director shall amend the appropriate protocols and medical CQI program used to supervise the EMS providers to reflect this change in patient care. The applicable medical director and the protocols of the EMT-IV and the AEMT, EMT-I, or Paramedic shall all be in agreement.6.8 In the event of a governor-declared disaster or public health emergency, the Chief Medical Officer for the Department or designee may temporarily authorize the performance of additional medical acts, such as the administration of other immunizations, vaccines, biologicals, or tests not listed in these rules.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