Section 17-6 - Authorized Acts or Scope of Practice for an IEMT (a) An IEMT may: - (i) Perform the authorized acts of an AEMT;
- (ii) Administer the following additional medications in accordance with written standing orders and protocols and the prevailing standards of practice:
- (A) Amiodarone bolus and maintenance drip infusion;
- (F) Epinephrine, 1:1000 intravenously;
- (G) Epinephrine, 1:10,000;
- (K) Heparin, monitoring and discontinuation of infusion drips initiated by a hospital or healthcare facility;
- (L) Lidocaine, bolus and maintenance drip infusion;
- (N) Naloxone via any appropriate route;
- (O) Nitroglycerin, sublingual as a tablet or spray, or through drip infusion;
- (iii) Perform manual defibrillation;
- (iv) Apply non-invasive patient monitoring devices, including the application of cardiac monitoring devices;
- (v) Perform needle thoracotomy;
- (vi) Perform endotracheal intubation if specifically authorized by the Division; and
- (vii) Monitor antibiotic infusions.
(b) An individual that was certified or licensed at an Intermediate level that exceeds the scope of practice for that of the EMT level in this section prior to the adoption of this Chapter, shall be considered to be "grandfathered" and shall retain the authorization to perform those specific skills unless one of the following occurs: - (i) The license is revoked subsequent to a disciplinary action.
- (ii) The license is upgraded as specified in Chapter 16, Section 9 of these Rules.
- (iii) The licensee completes a Transition Course approved by the Division. Transition Courses shall not be considered to meet the entirety of the Continuing Education Requirements for license renewal under Chapter 8 of these Rules.
- (iv) The licensee is granted a voluntary downgrade under Chapter 16, Section 9 of these Rules.
- (v) The license has been expired more than one (1) year. In these circumstances, the applicant may only recover an EMT or AEMT level license as specified in Section 11(a)(i) of Chapter 16.
048-17 Wyo. Code R. § 17-6