Protocol Update: Advanced Practice/”Red Dot” Items

Protocol Update: Advanced Practice/”Red Dot” Items

On March 16th the Office of EMS released an update to the state Scope of Practice Procedure
and Medication Formulary documents. Several items were identified as “Red Dot”
or Advanced Practice items, and will require EMS Providers receive additional training before
they are allowed to perform those procedures or use those medications after the July 1, 2022
implementation date. The REMS Patient Care Protocol Scope of Practice Table and
Medication Formulary have been updated to reflect these changes (and a copy of the new
tables is attached to this memo). Additional protocol changes will be released as part of the
Protocol Sub-committee’s triennial update after the Board of Directors has reviewed them at
their August 17th meeting.

Each provider must have post-affiliation documentation of approved training that is maintained
in their individual files at their agency, in which the EMS Physician specifically includes/limits
which Advanced Practice procedure/medication the provider is allowed to perform/use; if a
provider is affiliated with multiple agencies, they must have post-affiliation documentation in
each file at each agency. The Patient Care Protocols will be updated on the REMS website
and AccessMeCare on July 1st when the changes take effect. If providers are unable to obtain
training for a particular Advanced Practice procedure/medication by the July 1st deadline, then
they are no longer able to perform/administer that procedure/medication.

If you have any questions, please feel free to contact Kelsey Rideout at 540-373-0249, or We welcome your comments or other feedback on how to serve you
better. Thank you for your professionalism and dedication to the regional EMS system.


View the updated protocols.

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