Update: 9 Jul 2015 – Protocols are now available. See the Summary section for a download link.
Update: 26 Nov 2014 – They published a scope of practice!
This page will serve as an up-to-date source of information on the status of the Advanced EMT (AEMT) certification in Pennsylvania. While the NREMT exam and National Standard Curriculum are in place, the PA AEMT certification is still somewhat in limbo.
- AEMT Recognition in PA – Yes
- Scope of Practice – YES
- Protocols – Statewide_AEMT_Protocols-Final-2015-07-02
AEMT Recognition in Pennsylvania
As of April 10th, 2014, the AEMT certification level is officially recognized in 28 Pa. Code § 1023.26.
Current certification requirements for AEMT in Pennsylvania are:
- Completes an application for AEMT certification on a form or through an electronic process, as prescribed by the Department
- Is 18 years of age or older.
- Has successfully completed one of the following:
- An EMS provider educational course for AEMTs.
- An EMS provider educational course for EMTs and education, through continuing education courses, in skills required in the scope of practice of an AEMT for which the applicant did not receive education in the EMT course.
- Has a current certificate evidencing successful completion of a CPR course acceptable to the Department.
- Has passed a written examination for AEMT certification prescribed by the Department.
- Has passed a practical test of AEMT skills for AEMT certification prescribed by the Department.
Currently, paramedic students in Pennsylvania apply for reciprocity based on their NRP certification, and although I haven’t seen it in writing, I would expect the AEMT process to be the same.
Scope of Practice
This is a quick review. I’ll provide a more thorough overview in the next day or two. You can find the full PA AEMT Scope of Practice document here.
- Nonsurgical Alternative/Rescue Airway (CombiTube, King LT-D/LTS-D)
- NOT allowed to place PTL (Pharyngeal tracheal lumen)
- EtCO2 Monitoring
- Inspiratory Impedance Threshold Device (ITD)*
- Peak expiratory flow assessment
- Suctioning—tracheobronchial by means of advanced airway
- Saline lock insertions as no-flow IV
- Intraosseous—needle placement & infusion—tibia, femur, and humerus***
- IV insertion, peripheral venous—initiation (cannulation)
- Venous blood sampling, peripheral—for clinical diagnostic purposes only, not for legal purposes***
- Venous central line (blood sampling)—obtaining (EMT-B too!)
Routes of Administration:
NO: ET, IO, IV, NG, Rectal
- IVF Bolus
- IVF Maintainance (as published in medication list)
Medications (+Immunizations), as published
- Electrocardiogram (ECG) monitoring— apply electrodes for single leads***
- Electrocardiogram (ECG) monitoring—obtain and transmit 12-lead ECG (does NOT include interpretation)
- Blood Glucose
* Additional training by agency medical director is required, and may only be used when functioning with a licensed EMS agency that complies with DOH requirements.
** May Assist EMT-P or higher
*** Only under physical presence and under direct supervision of EMT-P or higher
I have no solid facts on the state of the AEMT protocols in Pennsylvania. The last rumor I’ve heard said they were on the desk of the state medical director, but I have no confirmation of that.