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24.156.2771    SCOPE OF PRACTICE

(1) An EMT licensed or endorsed at the BLS level may perform any acts allowed within the EMT's licensure or endorsement level when:

(a) operating within the most current version of the Montana statewide EMT protocols;

(b) under the medical oversight from a medical director who is taking responsibility for the EMT; or

(c) participating in a continuing education program.

(2) An EMT licensed or endorsed at the ALS level may perform any acts allowed within the EMT's licensure level or endorsement level when:

(a) under medical oversight from a medical director who is taking responsibility for the EMT;

(b) operating on a Montana licensed EMS with a medical director; or

(c) participating in a continuing education program.

(3) An EMT may perform beyond the level of the EMT's individual licensure when functioning as a student in an approved course and under the direct observation of a clinical preceptor. The EMT must perform within the acts allowed at the level for which the EMT is a student candidate.

(4)  Except as provided in (3), an EMT may not perform any acts that are beyond the EMT's level of licensure or endorsement.

(5) An EMT currently licensed and in good standing in another state may function during a state and/or federally managed incident under the Montana statewide protocols, policies, and procedures but shall comply with all of the following:

(a) limit the EMT's practice to the duration of the state and/or federally managed incident;

(b) practice within the geographic area, whether on federal, state, or private land, designated as being within the state and/or federally managed incident;

(c) practice at the basic level, even if the EMT is licensed at a higher level in another state, unless the individual is licensed at an EMT-I or EMT-P level, and the federally managed incident has medical control provided by a Montana licensed physician, and the physician authorizes the individual to function beyond the basic level;

(d) provide proof of current licensure and good standing in another state; and

(e)  submit the appropriate form to the board.

(6) In the event of a bioterrorism attack in which chemical agents are used or suspected as being used, EMTs at all levels who are appropriately trained are authorized by the board to carry auto-injectors and administer them as instructed to themselves and any others.

History: 50-6-203, MCA; IMP, 37-1-131, 50-6-203, MCA; NEW, 2004 MAR p. 188, Eff. 1/30/04; AMD, 2007 MAR p. 507, Eff. 4/27/07; AMD, 2007 MAR p. 1813, Eff. 11/9/07.

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