pa ems approved medication list

The Bureau of EMS communicates . The National Registry of EMT's relies heavily on input from volunteers in the EMS community to improve our products and services. Statewide Preferred Drug List (PDL) Opens In A New Window The Department of Human Services ("the department") maintains a Statewide Preferred Drug List (PDL) to ensure that Medical Assistance (MA) program beneficiaries in the Fee-for-Service (FFS) and HealthChoices/Community HealthChoices Managed Care Organization delivery systems have access to clinically effective pharmaceutical care with an . EMS personnel are encouraged to provide recommendations for improvement at any time. The official website of the Commonwealth of Pennsylvania. One listed type of bronchodilator medication must be carried on each licensed vehicle. Extended Use Date. 4729:5-14-02 Licensure. All service programs that carries and administers prescription drugs are required to have and maintain a written Pharmacy Emergency Medical Responder (EMR) This program provides training in emergency medical care designed for initial responders to an accident or medical emergency prior to ambulance arrival. EMS Safety Services (approved only for the CPR/AED for the Professional Rescuer course) 7. An EMS provider may administer medications on this list if the EMS provider is credentialed to do so and the EMS vehicle on which they are providing EMS is properly licensed to carry the medication. 5. The VA Formulary Search tool is an aid for VA and Non-VA user to easily search for formulary items. Each Participating Hospital is required to replace all drugs, supplies and exchange equipment as designated by the Region 11 EMS Drug, Equipment and Supply and. This document was updated in January 2021. An AEMT must be at least 18 years of age. EMS Regulation - 28 Pa.Code § 1001. Out-Of-Hospital Do-Not-Resuscitate (DNR) Orders. While the AEMT scope of practice includes medication administration, Pennsylvania considers AEMT to be a Basic Life Support (BLS) designation. 9. Specialty Medications (Up to a 30-day supply at Accredo Specialty Pharmacy or Freedom Fertility Pharmacy): $10 Generic; $25 Preferred (Formulary) $45 Non-preferred (Non-Formulary) For brand medications that have FDA approved generic equivalents, PICA will pay for the generic medication only. For a full list of medications approved for use by EMS professionals, please refer to the North Carolina Medical Board document entitled: Approved Medications for Credentialed EMS Personnel. AEMTs may not administer this medication by intravenous or intraosseous route. For more recent information or other questions, please This notice also specifies the minimum required medications to be stocked on a specified EMS vehicle based upon the type of EMS service the EMS agency is licensed to provide. Hospira / Casper. The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules. Social Media. 12/13) The scope-of-practice document identifies the skills, equipment, and medications approved for use at each identified level of Emergency Medical Services (EMS) licensure or certification in Wisconsin. Beginning July 2019, claims may deny due to common billing issues. 2019 PA ALS Protocols Final_11 2 419 Update PA Fire and EMS Grant Program FY 19-20 Announcement EMSOF Funding Priorities for FY 19-20 . If you cannot access your State Online Application Portal (SOAP) account, contact our office at HealthEMS@health.nv.gov and we will assist you as quickly as possible. AEMTs are restricted to administering this medication by intransasal, intramuscular or subcutaneous routes only, consistent with Statewide AEMT protocols. Protocols provide direction for Emergency Medical Services Personnel to render appropriate care for the sick and injured of all ages. For prehospital transport, continuous infusions of crystalloid solutions containing medication (except intravenous electrolyte solutions with potassium concentrations of no more than 20 mEq/L) and all vasoactive medications must be rate controlled by electronic IV pump or a manual flow control device capable of setting specific numeric flow rates. In each class, drugs are listed alphabetically by either brand name or generic name. Approved Medications. Guides to PA. News. Under 28 Pa. Code §§ 1027.3(c) and 1027.5(b) (relating to licensure and general operating standards; and medication use, control and security), the Department of Health (Department) has the authority to publish in the Pennsylvania Bulletin a list of medications approved for use by emergency medical services (EMS) agencies, by EMS provider certification level and a list of medications that an EMS agency is required to stock based upon the type of EMS service it is licensed, under 35 Pa.C.S. QRS—Quick Response Service; BLS—Basic Life Support ambulance service; IALS—Intermediate Advanced Life Support ambulance service; ALS—Advanced Life Support ambulance service; CCT—Critical Care Transport ambulance service; Air—Air ambulance service. The Pennsylvania Department of Health, Bureau of Emergency Medical Services, is pleased to provide this updated version of the Statewide ALS and BLS Protocols. 2018 REMSA Paramedic Program Drug List Acetaminophen (APAP) Class: Analgesic, antipyretic Action: Increases pain threshold and reduces fever by acting on the hypothalamus. Under 28 Pa. Code § 1027.5(d), EMS providers, other than a PHP, may administer to a patient, or assist the patient to administer medications previously prescribed for that patient, as specified in the Statewide EMS protocols or as authorized by a medical command physician. OEMS is part of the department's division of Public Health Infrastructure, Laboratories, & Emergency Preparedness. This is a list of medications "You need to know" before taking the NREMT exam. Approved DNR Identifier - (866 . The Rules & Regs promulgating the EMS System Act can be viewed/downloaded at the PEHSC website homepage at www.pehsc.org. The Department has approved the following medications for administration by emergency medical responders (EMR), emergency medical technicians (EMT), advanced emergency medical technicians (AEMT), paramedics, prehospital registered nurses (PHRN), prehospital physician extenders (PHPE) and prehospital emergency medical services physicians (PHP) when functioning on behalf of an EMS agency. If the protocol identifies repeat doses, then additional medication must be carried. The following standards of practice are published as provided for in the Code of West Virginia, Article Four-C, Chapter Sixteen and West Virginia Division of Health Legislative Rules Title 64, Series 48. Notice #1 - Provisional Certificates and Licenses. Please direct comments or questions to, Albuterol with ipratropium bromide (nebulizer solution), Anti-coagulants/Platelet Inhibitors: all types (unless otherwise specifically listed), Anticonvulsants: all types (unless otherwise specifically listed), Anti-emetics: all types (not otherwise specifically listed), Anti-hypertensives: all types (unless otherwise specifically listed), Bronchodilators, short-acting medications listed in Statewide BLS protocol and contained in multidose inhaler (MDI), assist with patient's own prescribed medication. The Act requires the health department to develop Rules for administering emergency response systems in the state. Under 28 Pa. Code § 1027.5(d), EMS providers, other than a PHP, may administer to a patient medications, or assist the patient to administer medications previously prescribed for that patient, as specified in the Statewide EMS protocols or as authorized by a medical command physician. The approvals are based upon the type of EMS service an EMS agency is licensed to provide under 35 Pa.C.S. Medical Directors Medical Directors ensure the continued competency of Nationally Registered EMS personnel by validating level specific skills. Paramedics who are authorized to function for an EMS agency that has been licensed as a CCT or air ambulance service may only administer this medication when in the direct physical presence of, and supervised by, a PHRN, PHPE or PHP. 5. National Safety Council (approved only for the Standard First Aid, CPR and AED course or the Basic Life Support for Health Care Providers . When a pediatric dose option is available (for example a pediatric EPINEPHrine autoinjector), then both the adult and pediatric options must be carried. Indications: Fever, pain relief Contraindications: Hypersensitivity and use caution in patients with liver disease. Bronchodilators (nebulizer solution), (albuterol or albuterol with ipratropium bromide)—At least one type must be carried. Paramedic level services providing Critical Care level service in Wisconsin must meet the following criteria: Be licensed as a Critical Care Paramedic service and approved for interfacility transports. Billing Information. Operate under approved protocols. One benzodiazepine class medication must be carried on each licensed vehicle. Proudly founded in 1681 as a place of tolerance and freedom. AEMTs are restricted to administering this medication by intramuscular route only, consistent with Statewide AEMT protocols. PA or RN exception forms (if applicable) . Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Richard L. Gibbons, Bureau Director, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0710, (717) 787-8740. EMS Responds to COVID-19. General and Public Information: (602) 542-1025 Operate under the Wisconsin Scope of Practice for Critical Care. If yes, click here to log into the Pennsylvania EMS Registry System to request reregistation. By authority approved and delegated by the Maine Board of EMS, in accordance with emergency legislation passed by Governor Janet Mills, Maine EMS is waiving certain rules pertaining to re-licensure for both Maine licensed EMS personnel. It must have the supervising physicians name, practice address, and phone number. Due to the limitations of HTML or differences in display capabilities Quality continuing EMS education with some fun. Products listed in RED have changed from the previous month's publication. (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 00019362, Version Number 39 This formulary was updated on 12/01/2019. Over the following 20+ years over 10,000 attendees accrued more than 150,000 hours of continuing education. 10. Prior authorization is the process of obtaining approval of benefits before The approved medication list is found at the beginning of this document. Public Notice #2, 3, & 4 - Summary. Aquasol A (Vitamin A Palmitate) Injection, 50,000 USP units/mL (15 mg retinol), single dose vial. Please direct comments or questions to, Albuterol with ipratropium bromide (nebulizer solution), Anti-coagulants/Platelet Inhibitors: all types (unless otherwise specifically listed), Anticonvulsants: all types (unless otherwise specifically listed), Anti-emetics: all types (not otherwise specifically listed), Anti-hypertensives: all types (unless otherwise specifically listed), Bronchodilators, short-acting medications listed in Statewide BLS protocol and contained in multidose inhaler (MDI), assist with patient's own prescribed medication. Crystalloid solution containing potassium, interfacility transport only, potassium concentration may not exceed 20 mEq/kg unless managed by qualified CCT or Air Medical provider, Dextrose (for intravenous bolus in concentrations between 10-50%), EPINEPHrine HCl 1:1,000 (unless otherwise specifically listed), EPINEPHrine HCl 1:10,000 solution and diluted concentrations for intravenous infusion, EPINEPHrine HCl autoinjector, assist with patient's own prescribed medication, EPINEPHrine HCl autoinjector (adult and pediatric dose sizes), (unless otherwise specifically listed), EPINEPHrine HCl autoinjector (adult and pediatric dose sizes), applies only to EMTs in BLS services approved for EMT EPINEPHrine program, EPINEPHrine HCl, including racemic (by nebulizer), Glucocorticoids/mineralcorticoids (unless otherwise specifically listed), Heparin (unless otherwise specifically listed), Heparin (by continuous intravenous infusion). The Department's Bureau of Emergency Medical Services is responsible for the statewide development and coordination of a comprehensive system. authorizes the Department to publish, through the Pennsylvania Bulletin, vehicle construction, equipment and supply requirements for EMS agencies based upon the type of EMS vehicles operated and the services provided. No part of the information on this site may be reproduced for profit or sold for profit. market, for both preferred or non-preferred agents, unless a Brand Medical Necessity prior authorization request is approved. Previous Scopes of Practice and Medication List: PA EMS Provider Scope of Practice 06-29-19. Opens In A New Window. The Food and Drug Administration Amendments Act of 2007 gave FDA the authority to require a Risk Evaluation and Mitigation Strategy (REMS) from manufacturers to ensure that the benefits of a drug or biological product outweigh its risks. UB-04 and NEW CMS 1500 Billing Medicaid Secondary to a Medicare HMO/Advantage Plan: ASC-SPU Medicare HMO Billing Instructions. * Drugs@FDA includes information about drugs, including biological products, approved for human use in the United States (see FAQ), but does not include information about FDA-approved products regulated by the Center for Biologics Evaluation and Research (for example, vaccines, allergenic products, blood and blood products, plasma derivatives, cellular and gene therapy products). Title 28 : EMS Rules and Regulations can be found by clicking PA Title 28: EMS Rules and Regulations . Directory. EMRs and EMTs are restricted to administering this medication by intranasal and intramuscular autoinjector routes only, consistent with Statewide BLS protocols. 1-Oct-2021 . Individual EMS Systems may or may not utilize these or other approved drugs. The table below provides links to currently approved individual and shared system REMS. May administer to a patient when assisting an EMS provider above the level of AEMT who has determined the dose for the patient consistent with Statewide ALS protocols. This medication must be carried on a CCT ambulance so that it is only accessible when a PHRN, PHPE or PHP is part of the crew. 1-Jul-2021. PA EMS Approved Medication List - Jan 18 2020. AEMTs are restricted to administering this medication by intransasal, intramuscular or subcutaneous routes only, consistent with Statewide AEMT protocols. Naloxone (unless otherwise specifically listed). § 8129 (relating to emergency medical services agencies), to provide. The department is committed to providing Pennsylvania’s EMS personnel with the most up-to-date protocols. 6. Inpatient Medicare HMO Billing Instructions. 3. EMT Scope of Practice. Breadcrumb. The inaugural edition of the National Association of State EMS Officials (NASEMSO) NationalModel EMS Clinical Guidelines was released in September 2014 and has been warmly welcomed by EMS practitioners, agencies, me dical directors, and healthcare organizations in our nation as well as abroad. 11/19) PA Department of Health Approved and Required Medications List for EMS (rev. Advanced Emergency Medical Technicians function as part of a comprehensive EMS response, under medical oversight. This includes the replacement of drugs and supplies for non-transported termination of resuscitation patients that would have otherwise been transported to the hospital. Pennsylvania Bulletin full text database. However the official formulary is the VA National Formulary (VANF) spreadsheet that contains additional restrictions and conditions that are not shown on the VA Formulary Search. official printed version. 4729:5-14-04 Record keeping. AEMTs may not give this medication by intravenous route. EMS Training Programs Summary. • No statutes or acts will be found at this website. This page lists the requirements for enrollment in each of the various EMS training programs currently approved by the Virginia Office of EMS. 00 Weeks. During interfacility transport, paramedics who are authorized to function for an EMS agency that has been licensed as an ALS, CCT or air ambulance service are restricted to the maintenance and monitoring of medication administration that is initiated at the sending medical facility. The Georgia Composite Medical Board (GCMB), as a matter of policy, and in its effort to protect the integrity of information received by Georgia health care consumers, posts these lists after each Board meeting.The Nurse Practitioners on these lists have submitted protocols to the Georgia Composite Medical Board for review and it has been . Speech or hearing impaired persons may call by using V/TT (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT). Please refer to the PA EMS Rules and Regulations Section 1027.3 for all required documentation for licensure. EMSIB 2018-09 Approved and Required Medication List Clarification (PDF) EMSIB 2018-08 Statewide ALS Protocol Update (PDF) EMSIB 2018-07 Updated CCT and Air Ambulance Transport Approved Educational Programs (PDF) List of CCT and Air Ambulance Transport Approved Educational Programs (PDF) EMSIB 2018-06 EMS Agency NEMSIS Compliance Update (PDF) May administer to a patient when assisting an EMS provider above the level of AEMT who has determined the dose for the patient consistent with Statewide ALS protocols. Follow the link below to see all of the latest bulletins. Crystalloid solutions (the following solutions may be administered separately or in combination in various concentrations of each: dextrose, Lactated Ringers, Normosol, saline (NaCl)) (unless otherwise specifically listed). Nitroglycerin infusion must be regulated with an electronic pump. Medication Lists. No part of the information on this site may be reproduced forprofit or sold for profit. This material has been drawn directly from the official One opioid class medication must be carried on each licensed vehicle. Douglas F. Kupas, MD, EMT-P, FAEMS Commonwealth EMS Medical Director Pennsylvania Department of Health Bureau of Emergency Medical Services Medications 2020 Approved Medications List (updated 4/2/2020) Approved and Required Medications Lists for Emergency Medical Service Agencies and Emergency Medical Service Providers (click here) 2018 . Nitroglycerin infusion must be regulated with an electronic pump. Kansas EMS Educational Development Taskforce . 4729:5-14-03 Security and control of dangerous drugs. The scope of practice is a description of what a licensed provider or individual legally can, and cannot, do. Naloxone Resources for EMTs and EMRs . The Preferred Drug List (PDL) is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code §9-5-15. This material has been drawn directly from the official An EMS provider may administer medications contained on this list if . 12. Medications not listed above, but within Department-approved air ambulance service protocol for use by PHRN, PHPE and PHP. Each and every ensuing year, the Pocono EMS Conference continued to grow. Crystalloid solutions (the following solutions may be administered separately or in combination in various concentrations of each: dextrose, Lactated Ringers, Normosol, saline (NaCl)) (unless otherwise specifically listed). of different browsers, this version may differ slightly from the Medications that are listed as required must be carried on the specified EMS vehicle and must be carried in a quantity sufficient to treat at least one adult using the Statewide EMS protocols. For additional information relating to security and medication tracking requirements for controlled substances, see 28 Pa. Code § 1027.5. medications or medication levels they carry. Under 28 Pa. Code § 1027.5 (d), EMS providers, other than a PHP, may administer to a patient, or assist the patient to administer medications previously prescribed for that patient, as specified in the Statewide EMS protocols or as authorized by a medical command physician. Narcotic analgesics (fentaNYL or morphine sulfate) At least one type must be carried. Legend . This medication must be carried on a CCT ambulance so that it is only accessible when a PHRN, PHPE or PHP is part of the crew. Login below to access the PA EMS Registry. The prescription form may be paper or electronic but must comply with ss. Having difficulties with reregistration, call EMS West at 412-242-7322 and one of our staff members will be happy. There are 14 Regional EMS Councils in the Commonwealth that administer the EMS Program for the Department of Health as promulgated by Pennsylvania's Act 37 which was signed into law on August 18, 2009 (Replacing Act 45 of 1984). A state EMS authority or regional EMS authority likely maintains a drug formulary, which is the list of approved drugs for EMS providers in the authority's jurisdiction. Under 28 Pa. Code §§ 1027.3(c) and 1027.5(b) (relating to licensure and general operating standards; and medication use, control and security), the Department of Health (Department) has approved the following medications for administration by emergency medical responders (EMR), emergency medical technicians (EMT), advanced emergency medical technicians (AEMT), paramedics, prehospital registered nurses (PHRN), prehospital physician extenders (PHPE) and prehospital emergency medical services physicians (PHP) when functioning on behalf of an emergency medical service (EMS) agency. Permitted for services that meet Department requirements for training, medication stocking and any agency or quality improvement requirements, as verified by the agency's assigned regional EMS council. 6. Naturally, the medications AEMT's can administer includes all those that are given by EMT's, for information on those medications (albuterol . The dataset includes 43,488,767 EMS activations submitted by . Created in 1967, Office of Emergency Medical Services (OEMS) was the first office of its kind in the United States. EMS Regulations. A state EMS authority or regional EMS authority likely maintains a drug formulary, which is the list of approved drugs for EMS providers in the authority's jurisdiction. Unless otherwise stated or restricted to a specific level of provider, listed medications may be given by any acceptable route as listed in protocol or as ordered by a medical command physician. 2019 Approved Medications. Home. § 8129 (relating to emergency medical services agencies). Services must complete training and medication changes for STP v.201 8.1 by April 1, 2018. AEMT Medications. 2020 Regional ALS Medication List (rev. Arizona Department of Health Services 150 North 18th Avenue Phoenix, Arizona 85007 Find us on Google Maps. ProTrainings.com: a. ProCPR Blended Program ( Adult/Child/Infant CPR & AED Certification One Lens. Section 8129(j) of 35 Pa.C.S. If your plan includes the 3-Tier Copayment Program, then you will pay the Tier-3 (highest) copayment if the medication is approved for coverage. Medications marked with an asterisk (*) may be opened and sprinkled into soft food or dissolved in water, as per product labeling. Onset/Duration: Onset: Rapid and Duration: 3-4 hours Dose/route: Adult: 325-650 mg PO every 4-6 hr medications or medication levels they carry. It is recommended that services require EMS Personnel to familiarize themselves with the service approved Protocols and show successful Emergency Medical Services. Governor's Order - Augmenting the EMS Workforce - 3/19/2020. There is, however, a list of drugs that Tufts Health Plan currently does not cover. 2. One listed type of bronchodilator medication must be carried on each licensed vehicle. The Advanced Emergency Medical Technician is a link from the scene to the emergency health care system. Kansas EMS Naloxone (Narcan) Administration . 4. Topics include airway care, CPR, AED, oxygen administration, control of bleeding and prevention of shock, and treatment of trauma and medical emergencies. Approved Drugs for ALS Ambulance Services [41 Pa.B. 12. The Pennsylvania Medical Assistance Program Fee-For-Service Preferred Drug List (PDL) is supported by Change Healthcare. • No statutes or acts will be found at this website. Lists of Approved & Terminated APRN Protocols. One opioid class medication must be carried on each licensed vehicle. The inaugural edition of the National Association of State EMS Officials (NASEMSO) NationalModel EMS Clinical Guidelines was released in September 2014 and has been warmly welcomed by EMS practitioners, agencies, me dical directors, and healthcare organizations in our nation as well as abroad. During interfacility transport, paramedics who are authorized to function for an EMS agency that has been licensed as an ALS, CCT or air ambulance service are restricted to the maintenance and monitoring of medication administration that is initiated at the sending medical facility. Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Aaron M. Rhone, EMS Program Manager, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0710, (717) 787-8740, or for speech and/or hearing impaired persons, call the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users). of different browsers, this version may differ slightly from the A prospective AEMT will complete another approved course. Medication within Department-approved air ambulance service protocol for use by PHRN, PHPE or PHP on crew. Medication within DOH-approved air ambulance service protocol for use by PHRN, PHPE or PHP on crew. 1/20) Medical Director's Agreement Form. Mississippi EMS strives to maintain and promote the highest standards of prehospital care for the citizens and visitors of Mississippi. Nerve agent antidote kit, autoinjector only (may include atropine, pralidoxime and diazepam), Non-depolarizing neuromuscular blocking agents: all types, intravenous bolus during rapid sequence induction, assisting PHRN, PHPE or PHP, Non-depolarizing neuromuscular blocking agents: all types, intravenous infusion during interfacility transport, Nitroglycerin, sublingual (unless otherwise specifically listed), Nitroglycerin, sublingual, assist with patient's own prescribed medication, Normal Saline Solution (0.9% NaCl solution for intravenous volume infusion), Oxygen, delivered by devices within the published scope of practice for the EMS provider, Potassium Cl (in concentrations above 20 mEq/L), Tocolytics: all types (unless otherwise specifically listed), Medications not listed above, but within DOH-approved air ambulance service protocol for use by PHRN, PHPE and PHP.
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