National engagement provides interested parties with an opportunity to comment on draft documents to ensure that the content reflects the collective expertise and experience of the whole community. The National Association of State Emergency Medical Services Officials (NASEMSO) is soliciting feedback on revised portions contained in the 2007 National EMS Scope of Practice Model (“Practice Model”.) The challenge facing the EMS community including regulators is to develop a system that establishes national standards for personnel licensure and their minimum competencies while remaining flexible enough to meet the unique needs of state and local jurisdictions.

A Subject Matter Expert Panel has determined that clinical practice decisions must be based on the level of cognitive and psychomotor preparation of EMS personnel.  This draft is intended to reflect an improved description of the spectrum of EMS levels from the 2007 Practice Model.  Once community consensus has been reached on these descriptions, the assignment of skills and tasks will be revised for the final draft and provided for public comment.

In addition, we have determined that guidance is needed to explain the general recommendations and procedures applicable when emergent changes to sustain and strengthen national preparedness for public health, military, and domestic emergencies need to occur to the National EMS Scope of Practice Model (SoPM) between regular revision cycles.  (Examples may include but are not limited to the opioid overdose epidemic, emerging infectious diseases such as pandemic influenza or ebola virus disease, naturally occurring and man-made disaster situations under conditions of scarce resources, etc.)  Input to these procedures is also invited.

The 2007 version of the National EMS Scope of Practice Model is available for viewing at www.ems.gov/education/EMSScope.pdf.  The Draft 2 revision is available at http://nasemso.org/Projects/EMSScopeOfPractice/. 

Thank you very much for your participation!!

* 1. Contact info for person completing this form.

* 2. Are you submitting comments as an individual or on behalf of an agency/organization?

* 3. If you are submitting on behalf of an agency/organization, please name the agency/organization here.

* 4. Your primary EMS position (if multiple categories apply, please choose BEST answer.)

* 5. USA Region

* 6. Does the description in the proposed draft accurately reflect the level of Emergency Medical Responder?

* 7. Does the description in the proposed draft accurately reflect the level of Emergency Medical Technician?

* 8. Does the description in the proposed draft accurately reflect the level of Advanced Emergency Medical Technician?

* 9. Does the description in the proposed draft accurately reflect the level of Paramedic?

* 10. The National Scope of Practice Model supports national EMS program accreditation at the AEMT level. Please advise the time interval most appropriate to phase in this requirement.

* 11. In looking at the description and performance expectations of paramedics, what level of education do you think is necessary to ensure that personnel achieve an appropriate level of cognitive and psychomotor competency upon completion?

* 12. What professional attributes, industry trends, or directions not currently described in the draft do you think need to be considered/discussed in future versions (beyond 2018) of the National EMS Scope of Practice Model?

* 13. Do you support the proposed “Rapid Revision Process for Expedited Changes to the National EMS Scope of Practice Model” as written?

* 14. Please enter any additional comments here.

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