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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.  

EMS Providers Working in Hospitals and Other Health Care Settings

The statute governing licensed EMS providers limits prehospital care to "care rendered by EMS providers as an incident of the operation of an ambulance and care rendered by EMS providers as incidents of other public or private safety duties, and includes, but is not limited to, emergency care." ORS 682.025(11). In addition, the “Scope of Practice" is defined as “the maximum level of emergency or nonemergency care that an emergency medical services provider may provide." ORS 682.025(12).

An EMS provider can work as an employee in a hospital or other health care setting and the job description and expectations are set by the employer. In this situation, the EMS provider may perform any assigned job duties, including critical care responses. While the EMS scope of practice (OAR Chapter 847, Division 035) is a good example of the education and training of EMS providers, it does not apply in a non-prehospital setting. It does not however 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.

  • Hospitals wishing to utilize EMS providers to augment their workforce may contact local EMS agencies to request those providers directly or may request them as a state resource through County OEM.
  • Hospitals that have pre-existing contracts with Oregon EMS provider schools as clinical training sites, may directly contact those programs, and request that the trainees be utilized to augment the current workforce.
  • Hospitals that wish to become training sites for Oregon EMS provider schools should contact their local Oregon EMS provider schools directly to establish contracts.
  • Hospitals may confirm here that an EMS provider's license is current and in good standing. All Oregon licensed EMS providers have criminal background checks performed with initial licensure and every two years thereafter during license renewal.

EMS providers are included in the governor's order for health care workers to be vaccinated against COVID-19. Hospitals utilizing EMS providers are expected to provide all equipment for the performance of their duties, to include personal protective equipment. Hospitals should integrate EMS providers into their staffing models.

For questions contact the Oregon Health Authority EMS & Trauma Systems program at EMS.TRAUMA@dhsoha.state.or.us.


EMS Providers Emergency Scope of Practice Change

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. These protocols are only valid during the declared emergency in Oregon. The State of Oregon EMS Medical Director has adopted the following protocols:

  • Testing of infectious disease: Under the direction of their supervising physician's, EMTs, advanced EMTs, intermediate EMTs, and Paramedics may perform nasopharyngeal swabs for the testing of infectious disease.
  • Administration of epinephrineUnder the direction of their supervising physician’s, EMTs may prepare and administer epinephrine by automatic injection device for asthma.
  • Prepare and Administer COVID-19 Vaccines: 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. To extend this scope of practice change, the Oregon Medical Board adopted a temporary rule that aligns with the State of Oregon EMS Medical Director protocol. The temporary rule is valid from June 15, 2021 until December 11, 2021, see OAR 847-035-0030.

Emergency Medical Services Advisory Committee  

   Committee Member
Terms
   Stephen Brost, Paramedic, Pendleton, Chair
July 1, 2020 - June 29, 2023
July 1, 2017 - June 30, 2020
   Jim Cole, Paramedic, Veneta
July 1, 2021 - June 30, 2024
   Matthew Neth, MD, Portland

July 1, 2021 - June 30, 2024

   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 

EMS Providers Scope of Practice Information 


EMS Providers Working in Other Capacities

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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