Level Scope

ACO Ambulance Community Officer Authorised

ALS Advance Life Support Paramedic Not authorised
BLS Basic Life Support Paramedic Only for MICA > 12 months
CERT Community Emergency Response Team CONS Medical/Clinician consult only

Scope of Practice Matrix MFP

MICA
MICA Flight Paramedic
Mobile Intensive Care Ambulance
A Accredited staff only

Version 3, 14 July 2022

CERT Registered Paramedic CERT Registered Paramedic

Guideline ACO BLS ALS MICA MFP
Guideline ACO BLS ALS MICA MFP
Airway Pharmacology
Basic airway maneuvers (e.g. jaw thrust) CHECK CHECK CHECK CHECK CHECK Adenosine TIMES TIMES TIMES CHECK CHECK
Bag valve mask CHECK CHECK CHECK CHECK CHECK Adrenaline nebulised TIMES TIMES CHECK CHECK CHECK
Oropharyngeal airway CHECK CHECK CHECK CHECK CHECK Adrenaline IM TIMES CHECK CHECK CHECK CHECK
Nasopharyngeal airway CHECK CHECK CHECK CHECK CHECK Adrenaline IV TIMES TIMES CHECK CHECK CHECK
Supra-Glottic Airway CHECK A CHECK CHECK CHECK Adrenaline IM (Epipen) CHECK CHECK CHECK CHECK CHECK
Orogastric tube TIMES TIMES CHECK CHECK CHECK Adrenaline infusion TIMES TIMES TIMES CHECK CHECK
Endotracheal intubation TIMES TIMES TIMES CHECK CHECK Amiodarone TIMES TIMES TIMES CHECK CHECK
Rapid sequence intubation – adult TIMES TIMES TIMES CHECK* CHECK Aspirin CHECK CHECK CHECK CHECK CHECK
Rapid sequence intubation – paed TIMES TIMES TIMES TIMES CHECK Atropine TIMES TIMES TIMES CHECK CHECK
Intubation facilitated by sedation (paediatrics only) TIMES TIMES TIMES CHECK* CHECK Calcium gluconate TIMES TIMES TIMES CHECK CHECK
Sedation to maintain intubation TIMES TIMES TIMES CHECK* CHECK Ceftriaxone IM / IV TIMES TIMES CHECK CHECK CHECK
Paralysis to maintain intubation (adult) TIMES TIMES TIMES CHECK* CHECK Dexamethasone TIMES TIMES CHECK CHECK CHECK
Paralysis to maintain intubation (paediatric) TIMES TIMES TIMES CONS CHECK Dextrose 5% TIMES TIMES TIMES CHECK CHECK
Cricothyroidotomy – Quicktrach II TIMES TIMES TIMES CHECK* CHECK Dextrose 10% TIMES TIMES CHECK CHECK CHECK
Surgical cricothyroidotomy TIMES TIMES TIMES CHECK CHECK Droperidol TIMES TIMES CHECK CHECK CHECK
Needle cricothyroidotomy (paediatric) TIMES TIMES TIMES TIMES CHECK Fentanyl IM / IV TIMES TIMES CHECK CHECK CHECK
Mechanical ventilation TIMES TIMES TIMES CHECK CHECK Fentanyl IN A A CHECK CHECK CHECK
Cardiac Fentanyl IV infusion TIMES TIMES TIMES CHECK CHECK
High-performance CPR CHECK CHECK CHECK CHECK CHECK Furosemide TIMES TIMES TIMES CHECK CHECK
Cardiac monitoring TIMES CHECK CHECK CHECK CHECK Glucagon CHECK CHECK CHECK CHECK CHECK
12 lead ECG TIMES TIMES CHECK CHECK CHECK Glucose paste CHECK CHECK CHECK CHECK CHECK
Manual defibrillation TIMES CHECK CHECK CHECK CHECK Glyceryl Trinitrate (GTN) tablet CHECK CHECK CHECK CHECK CHECK
Semi-automatic defibrillation CHECK CHECK CHECK CHECK CHECK Glyceryl Trinitrate (GTN) patch TIMES CHECK CHECK CHECK CHECK
Nitrates for associated hypertension TIMES TIMES TIMES CHECK CHECK Heparin TIMES TIMES CONS CHECK CHECK
Transthoracic pacing TIMES TIMES TIMES CHECK CHECK Hydrocortisone TIMES TIMES CHECK CHECK CHECK
Abdominal valsalva manoeuvre TIMES TIMES CHECK CHECK CHECK Ipratropium Bromide CHECK CHECK CHECK CHECK CHECK
Sync cardioversion TIMES TIMES TIMES CHECK CHECK Ketamine IN / IM TIMES TIMES CHECK CHECK CHECK
Arterial line insertion and monitoring TIMES TIMES TIMES TIMES CHECK Ketamine IV TIMES TIMES CONS CHECK CHECK
Envenomation Ketamine IV infusion TIMES TIMES TIMES CHECK CHECK
Pressure bandage with immobilisation CHECK CHECK CHECK CHECK CHECK Lignocaine 1% IM TIMES TIMES CHECK CHECK CHECK
Anti-venom TIMES TIMES CONS CONS CONS Lignocaine 1% IO TIMES TIMES TIMES CHECK CHECK
Medication route / access Magnesium sulfate TIMES TIMES TIMES TIMES CHECK
Oral CHECK CHECK CHECK CHECK CHECK Metaraminol TIMES TIMES TIMES CHECK CHECK
Intranasal CHECK CHECK CHECK CHECK CHECK Methoxyflurane CHECK CHECK CHECK CHECK CHECK
Peripheral intravenous – adult TIMES TIMES CHECK CHECK CHECK Midazolam TIMES CHECK CHECK CHECK CHECK
Peripheral intravenous – paediatrics TIMES TIMES TIMES CHECK CHECK Midazolam IV infusion TIMES TIMES TIMES CHECK CHECK
Subcutaneous TIMES TIMES CHECK CHECK CHECK Morphine TIMES TIMES CHECK CHECK CHECK
External jugular TIMES TIMES TIMES CHECK CHECK Morphine IV infusion TIMES TIMES TIMES CHECK CHECK
Intraosseous (femur/humeral) TIMES TIMES TIMES CHECK CHECK Naloxone TIMES A CHECK CHECK CHECK
Pathology Normal Saline TIMES TIMES CHECK CHECK CHECK
Blood glucose level CHECK CHECK CHECK CHECK CHECK Noradrenaline TIMES TIMES TIMES CHECK CHECK
Blood gas analysis TIMES TIMES TIMES TIMES CHECK Olanzapine TIMES TIMES CHECK CHECK CHECK
Point of care pathology TIMES TIMES TIMES TIMES CHECK Ondansetron oral CHECK CHECK CHECK CHECK CHECK
Respiratory Ondansetron IV TIMES TIMES CHECK CHECK CHECK
Pulse oximetry CHECK CHECK CHECK CHECK CHECK Oxytocin TIMES TIMES CHECK CHECK CHECK
Supplemental oxygen (simple face mask, non- CHECK CHECK CHECK CHECK CHECK Packed red cell concentrate (emergency blood TIMES TIMES TIMES TIMES CHECK
rebreather mask or nasal canula transfusion)
Nebulised therapy CHECK CHECK CHECK CHECK CHECK Paracetamol oral CHECK CHECK CHECK CHECK CHECK
Metered dose inhaler CHECK CHECK CHECK CHECK CHECK Paracetamol IV TIMES TIMES TIMES TIMES CHECK
PEEP valve TIMES TIMES CHECK CHECK CHECK Parecoxib Sodium TIMES TIMES TIMES TIMES CHECK
CPAP / NIV TIMES TIMES CHECK CHECK CHECK Prochlorperazine TIMES TIMES CHECK CHECK CHECK
Trauma Propofol TIMES TIMES TIMES TIMES CHECK
Burns – cooling measures / plastic cling wrap CHECK CHECK CHECK CHECK CHECK Rocuronium TIMES TIMES TIMES CHECK CHECK
Tension pneumothorax decompression (adult) – ARS or TIMES TIMES CHECK CHECK CHECK Salbutamol CHECK CHECK CHECK CHECK CHECK
14 g or 16 g cannula
Sodium Bicarbonate 8.4% TIMES TIMES TIMES CHECK CHECK
Tension pneumothorax decompression (Paediatric) – TIMES TIMES TIMES CHECK CHECK
Tenecteplase TIMES TIMES CONS CHECK CHECK
14 g or 16 g Cannula
Decompression in traumatic cardiac arrest – TIMES TIMES TIMES CHECK CHECK
Pneumocath
Notes
Finger thoracostomy TIMES TIMES TIMES TIMES CHECK
– Staff are responsible for ensuring they only operate within their individually approved
Combat Application Tourniquet (CAT) CHECK CHECK CHECK CHECK CHECK scope of practice. Clarification regarding scope of practice can be obtained from the
Pelvic splinting CHECK CHECK CHECK CHECK CHECK associated CPG / protocol or CWI which is the definitive information source.
Haemostatic dressing CHECK CHECK CHECK CHECK CHECK – The medication route is only specified where the route differs between practice levels.
Splinting / slings CHECK CHECK CHECK CHECK CHECK All other medication routes are outlined in the related AV CPG.
Ultrasound TIMES TIMES TIMES TIMES CHECK – ALS Flight Paramedic are endorsed to administer the following medicines:
IV paracetamol, parecoxib sodium, nifedipine and IV ketamine as per AAV CPGs.
Withholding and/or Ceasing Pre-hospital Resuscitation CONS CHECK CHECK CHECK CHECK
– This scope of practice is subject to change for the purposes of clinical trials, or due to
medication or equipment shortages.
Feedback can be sent to: [email protected]
Scope of Practice Matrix