NAC450B.390. Performance of special procedures: Venipuncture, management of airways, administration of medication and performance of intraosseous infusion.

     1. The following are the circumstances and conditions under which the special procedures of venipuncture, management of airways, administration of medication and performance of intraosseous infusion must be documented by a licensed attendant who is an intermediate emergency medical technician:

     (a) Any oral order from the physician, or a registered nurse acting on the authority of a physician, authorizing the attendant to perform one of the procedures must originate from an emergency department of a hospital or any other site designated by the Health Division and must be recorded on magnetic tape or digital disc.

     (b) Each tape or digital recording of a physician’s oral orders to an attendant concerning the procedures must be retained by the hospital or the facility issuing the medical directions, or the regional dispatch center, for at least 90 days after the recording is made.

     (c) The attendant shall enter the physician’s oral order or circumstances under which the emergency medical technician performed pursuant to a written order or protocol on the report of emergency care.

     (d) The entry on the report of emergency care must be countersigned by the physician receiving the patient unless the intermediate emergency medical technician was performing pursuant to a written order or protocol.

     2. The fluids, tubing and needles used for venipuncture, equipment for the management of airways and the other supplies and medications needed to support the special procedures performed by the authorized attendants must not be carried or stored in any vehicle other than an ambulance or agency’s vehicle operated under a permit. The special procedures may be performed only when the attendant is functioning as part of the ambulance’s team or as an attendant of a fire-fighting agency at the scene of an emergency.

     3. A person may perform one of the special procedures only if the person is:

     (a) A licensed attendant who is licensed as an intermediate emergency medical technician; and

     (b) Authorized for the procedure by the medical director of the service or fire-fighting agency.

     4. The Health Division shall suspend the license and certificate of any person who performs one of the procedures without authorization or not in accordance with this section.

     [Bd. of Health, Ambulance Reg. § 14.003 subsec. 3, eff. 6-6-76; A and renumbered as § 16.6.2, 2-28-80; §§ 16.6-16.6.1.4 & 16.7-16.9, eff. 2-28-80; § 14.003 subsec. 5, eff. 6-6-76; A and renumbered as § 16.10, 2-28-80]—(NAC A 10-14-82; 8-22-86; 8-1-91; R045-97, 10-30-97; R182-01, 3-5-2002)