West Virginia Office of Emergency Medical Services

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.

This listing of procedures is intended as guidance for EMS personnel affiliated with and/or during employment with ambulance services, first responder, or rescue providers within the West Virginia EMS system.

Procedures listed must be authorized by duly engaged physician medical directors and must be performed according to written and published protocols and/or direct voice communication with a medical command center. Certain procedures may require direct verbal orders from medical command physicians.

Certified EMT-Basics may perform all procedures and administer all medications contained in the current 6000 Series WV EMS System Protocols.

Medications authorized for administration by EMT-Basics are:

• Activated Charcoal
• Albuterol
• Aspirin
• Epinephrine, 1:1,000 via EpiPen®
• Nitroglycerin (Tablet or Spray)
• Oral Glucose Gel
• Oxygen
• Tylenol

Contact with Medical Command is generally required prior to administration with the following exceptions:

If contact with Medical Command is not possible, the following specific medications may be administered within protocol guidelines to save life or reduce morbidity:

• Aspirin
• Epinephrine 1:1,000 via EpiPen®
• Oral glucose gel
• Oxygen

EMT Basics may also perform any procedure or administer any drug contained in the current 7000 (First Responder) or 9000 (Special Operational) Series Protocols.

EMT-Basics may perform interfacility transports for patients requiring only those medical monitoring, procedures or medications contained in the 6000 Series WV EMS System Protocols.

When specifically trained, and the agency and regional medical director have specifically authorized, EMT-Basics may also monitor non-medicated intravenous solutions during interfacility transports.

EMT-Basics must have current practice privileges at a licensed West Virginia EMS Agency to function within this Scope of Practice.