APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

Care management including the administration of medications as per level of training and division on the PHECC Register. Pre-Hospital Responders and Practitioners shall only provide care management including medication administration for which they have received specific training. Key 3 Authorised under PHECC CPGs URMPIO Authorised under PHECC CPGs under registered medical practitioners instructions only APO 3SA Authorised under PHECC CPGs to assist practitioners only (when applied to EMT, to assist Paramedic or higher clinical levels) Authorised subject to special authorisation as per CPG

CFR MEDICATION Aspirin PO Oxygen Glucose Gel Buccal GTN SL Salbutamol Aerosol Epinephrine (1:1,000) auto injector Glucagon IM Nitrous oxide & Oxygen (Entonox) Paracetamol PO Morphine IM Epinephrine (1:1,000) IM Ibuprofen PO Naloxone IM 3

OFA

EFR

EMT

AP

3 3 3 SA 3 SA 3 SA

3 3 3 3 3 SA 3 3 3 3 URMPIO

3 3 3 3 3 3 3 3 3 URMPIO 3 3 3

3 3 3 3 3 3 3 3 3 3 SA 3 3 3

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CFR MEDICATION (Cont.) Salbutamol nebule Dextrose 10% IV Hartmanns Solution IV/IO Sodium Chloride 0.9% IV/IO Amiodarone IV/IO Atropine IV/IO Benzylpenicillin IM/IV/IO Clopidogrel PO Cyclizine IV Diazepam IV/PR Enoxaparin IV/SC Epinephrine (1:10,000) IV/IO Furosemide IV/IM Hydrocortisone IV/IM Ipratropium bromide Nebule Lorazepam PO Magnesium Sulphate IV Midazolam IV/IM/Buccal/IN Morphine IV/PO Naloxone IV/IO Nifedipine PO Ondansetron IV Paracetamol PR Sodium Bicarbonate IV Syntometrine IM Tenecteplase IV Lidocaine IV

OFA

EFR

EMT

P 3 3 SA 3 SA 3 SA

AP 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 SA

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APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

CFR SKILLS COMPETENCY Airway & Breathing Management FBAO management 3 Head tilt chin lift 3 Pocket Mask 3 Recovery position 3 Jaw Thrust Non-rebreather mask OPA Suctioning Venturi Mask BVM Cricoid pressure Oxygen humidification SpO2 monitoring Flow restricted oxygen powered ventilation device Supraglottic airway adult NPA Peak flow End Tidal CO2 monitoring Endotracheal intubation Laryngoscopy and Magill forceps Supraglottic airway child Nasogastric tube Needle cricothyrotomy Needle thoracocentesis

OFA

EFR

EMT

AP

3 3 3 3

3 3 3 3 3 3 3 3 3 3 SA

3 3 3 3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

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APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

CFR SKILLS COMPETENCY (Cont.) Cardiac AED adult 3 CPR adult, child & infant 3 Emotional support 3 Recognise death and 3 resuscitation not indicated AED child 3 SA 2-rescuer CPR CPR newly born ECG monitoring (lead II) Mechanical assist CPR device 12-lead ECG Active cooling Cease resuscitation Impedance Threshold Device Manual defibrillation Haemorrhage Control Direct pressure Nose bleed Pressure points Tourniquet use Medication Administration Oral 3 Buccal route Per aerosol Sublingual Intramuscular injection Per nebuliser

OFA

EFR

EMT

AP

3 3 3 3 3 SA

3 3 3 3 3 SA

3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3

3 3

3 3

3 3

3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3

3 3 3 3

3 3 3 3 3

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APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

CFR SKILLS COMPETENCY (Cont.) Infusion maintenance Infusion calculations Intraosseous injection/ infusion Intravenous injection/ infusion Per rectum Subcutaneous injection Trauma Cervical spine manual stabilisation Application of a sling Cervical collar application Helmet stabilisation/ removal Splinting device application to upper limb Move and secure patient to a long board Rapid Extraction Log roll Move patient with a canvas sheet Move patient with an orthopaedic stretcher Splinting device application to lower limb Secure and move a patient with an extrication device Active re-warming

OFA

EFR

EMT

P 3 SA

AP 3 3 3 3 3 3

3 3

3 3 3 3 3 3 SA 3 SA APO APO APO APO APO

3 3 3 3 3 3 3 3 3 3 3 APO 3

3 3 3 3 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3

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APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

CFR SKILLS COMPETENCY (Cont.) Move and secure patient into a vacuum mattress Traction splint application Repositioning # limbs Move and secure a patient to a paediatric board Spinal Injury Decision Taser gun barb removal Other Assist in the normal delivery of a baby De-escalation and breakaway skills Glucometry Broselow tape Delivery complications External massage of uterus Intraosseous cannulisation Intravenous cannulisation Urinary catheterisation Patient Assessment Assess responsiveness Check breathing FAST assessment AVPU Breathing & pulse rate Primary survey SAMPLE history Secondary survey

OFA

EFR

EMT

AP

3 APO APO

3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

APO

3 3 3

3 3 3 3 3 3

3 3 3

3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3

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APPENDIX 2 - MEDICATIONS & SKILLS MATRIX

CFR SKILLS COMPETENCY (Cont.) Capillary refill CSM assessment Rule of Nines Assess pupils Blood pressure Capacity evaluation Medical Early Warning Score Paediatric Assessment Triangle Patient Clinical Status Pulse check (cardiac arrest) Temperature C Triage sieve Chest auscultation GCS Revised Trauma Score Triage sort

OFA

EFR 3 3 3

EMT 3 3 3 3 3 3 3 3 3 3 3 3

P 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

AP 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

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