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Emergency Medical Services (EMS) Providers

https://www.oregon.gov/oha/PH/ProviderPartnerResources/EMSTraumaSystems/Pages/BoardsandCommittees.aspxThe Oregon Medical Board is responsible for the scope of practice for Emergency Medical Services Providers and the requirements and duties of EMS supervising physicians.  

Emergency Scope of Practice Change

Oregon Health Authority  |  Updated March 8, 2021 

In the event of an emergency declared by the Governor of Oregon, Emergency Medical Service providers may assist in patient care as directed by the supervising physician's standing orders and within the protocols established by the State of Oregon EMS Medical Director during the period of the declared emergency, subject to such limitations and conditions as the Governor or Oregon Medical Board may prescribe.

Under the direction of their supervising physician, EMTs, Advanced EMTs, EMT Intermediates, and Paramedics may prepare and administer immunizations in the event of an outbreak or epidemic as declared by the Governor of the state of Oregon, the State Public Health Officer or a county health officer, as part of an emergency immunization program, under the agency's supervising physician's standing order.

Prior to vaccine administration, EMS providers must be trained by their EMS Medical Director or designee. Such training shall include but is not limited to:

  1. Sterile technique
  2. Familiarization with needed equipment
  3. How to choose needle and syringe
  4. Instruction on record keeping and completion of required consent forms
  5. Indications and contraindications to the vaccine in question
  6. How to prepare vaccine safely and sterilely
  7. How to select and prepare vaccine injection site
  8. Vaccine administration 
  9. Post injection site care
  10. Post vaccine administration patient observation
  11. Familiarization with instructions to give patient after vaccination

EMS agency must maintain records of training.

Protocol for immunization administration:

  1. Check the ALERT Immunization Information System (IIS) to determine whether the patient needs this vaccine.
  2. Screen patient for contraindications.
  3. Provide an Emergency Use Authorization Fact Sheet for patients and caregivers and answer any questions (Pfizer) (Moderna) (Johnson & Johnson).
  4. Record all required data elements in the medical record.
  5. Verify needle length for IM injection.
  6. To avoid injury related to vaccine administration, make sure staff who administer vaccines recognize the anatomic landmarks for identifying the vastus lateralis or deltoid muscle and use proper IM administration technique.
  7. For Pfizer vaccine only: thaw and mix vaccine prior to administration.
    1. See Appendix B of Model Standing Orders for COVID-19 Vaccine.
    2. Administer a 0.3-mL dose of Pfizer COVID-19 vaccine according to vaccine package insert.
  8. For Moderna vaccine only: thaw vaccine prior to administration.
    1. See Appendix C of Model Standing Orders for COVID-19 Vaccine.
    2. Administer a 0.5-mL dose of Moderna COVID-19 vaccine according to vaccine package insert.
  9. For Johnson & Johnson only, the vaccine does not need to be thawed or reconstituted.
    1. See Appendix D of Model Standing Orders for COVID-19 Vaccine.
    2. Administer a 0.5-mL dose of the J&J COVID-19 vaccine according to vaccine package insert.
  10. COVID-19 vaccines are not interchangeable.
  11. If patient is due for a second dose of COVID-19 vaccine, verify that staff are using the same vaccine brand that was administered for the first dose.
  12. COVID-19 vaccine appears to be highly reactogenic. Inform patient that symptoms of immune system activation are normal and should improve without intervention in 12–24 hours.
  13. Anaphylaxis has been reported after COVID-19 vaccination. Vaccinator must be prepared to respond to a severe allergic reaction.
  14. Ask patient to remain seated in the clinic for 15 minutes after vaccination to decrease the risk of injury should they faint. Patients with a history of severe allergic reactions should be asked to remain for 30 minutes.

For more information see: Model Standing Order for COVID-19 Vaccine (Pfizer-BioNTech, Moderna, Johnson & Johnson)

For questions please visit healthoregon.org/coronavirus.


Notice of Proposed Rulemaking for OAR Chapter 333, Division 265: Continuing Education Requirements for EMS Providers

The Oregon Health Authority, Public Health Division, EMS and Trauma Systems program is proposing to permanently amend Oregon Administrative Rules in chapter 333, division 265, relating to continuing education requirements for EMS providers.

In response to passage of HB 2011 (Oregon Laws 2019, chapter 186), the EMS and Trauma Systems program is amending the continuing education requirements in Appendix 1 to include one hour of cultural competency education for Emergency Medical Responders (EMRs) and two hours of cultural competency education for Emergency Medical Technicians (EMTs), Advanced EMTs, EMT Intermediates (EMT-I), and Paramedics.

Please see the Notice of Proposed Rulemaking for further details.

Those who wish to review and comment on the proposed rules may present oral testimony during a public hearing held via teleconference on December 18, 2020, at 11:30 a.m. If you wish to speak during the hearing, please call 1-877-848-7030 (Access Code: 2030826#). More information on filing comments can be found in the Notice of Proposed Rulemaking


333-265-0058: Emergency Temporary EMS Provider License

The Oregon Health Authority’s Public Health Division adopted a temporary emergency rule to allow available EMS providers licensed or certified in another state or providers with current certification or provisional certification by the National Registry of EMTs (NREMT) to obtain a short-term provisional license to practice as an EMS provider in Oregon with a licensed ambulance service or a registered EMS non-transporting agency, in a paid or volunteer status.

 

Emergency Medical Services Advisory Committee  

   Committee Member
Terms
  Mike Verkest, Paramedic, Clackamas, Chair
July 10, 2018 - July 9, 2021
July 10, 2015 - July 9, 2018
   Stephen Brost, Paramedic, Pendleton
July 1, 2020 - June 29, 2023
July 1, 2017 - June 30, 2020
   Mohamud Daya, MD, Portland

July 10, 2018 - July 9, 2021
July 10, 2015 - July 9, 2018

   Sarah Laiosa, DO, Burns

October 3, 2019 - October 2, 2022

   Michael Lepin, Paramedic, Madras

April 1, 2021 - March 31, 2024

   Joan Paluzzi, PhD, Public Member, Milwaukie

October 5, 2018 - October 4, 2021

   Christoffer Poulsen, DO, Eugene, Board Liaison


 


 

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Interested in serving on one of the Oregon Health Authority's EMS or Trauma Systems committees? Click here to learn more about available opportunities throughout the state.

 

EMS Committee Meeting Information 

The statute governing EMS providers limits their scope of practice to "prehospital" care, which is defined as "care rendered by EMS providers as an incident of the operation of an ambulance and...other public or private safety duties, and includes, but is not limited to, emergency care." (ORS 682.025(11))
 

An EMS provider is able to work as an employee in a hospital or other health care setting, and the job description and expectations are set by the employee's supervisor or employer. In this situation, the EMS provider may perform any assigned job duties, including critical care responses. However, the employee may NOT use his or her license or title as an EMS provider while performing these duties, even though the training he or she has received may be beneficial or even required qualifications for the employment position.

 

The EMT scope of practice (OAR Chapter 847, Division 035) does not limit or otherwise affect the individual’s employment or job description except that the individual may not use his or her title or licensure as an EMS provider.


 

POLST (Physician Orders for Life-Sustaining Treatment)


The Public Health Division of the Oregon Health Authority is responsible for certification and discipline of Emergency Medical Services Providers

 
 



 

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