Skills Matrix

UNCONTROLLED WHEN PRINTED

Clinical Scope of Practice	Emergency Medical Responder	Emergency Medical Assistant	Event Ambulance Officer	Emergency Medical Technician	Ambulance Transport Officer	EHS/IHS Medic	Ambulance Officer	Transport Medic	Contract Paramedic	Ambulance Paramedic	Extended Care^*
Clinical Scope of Practice	Assessment
Auscultation	✘	✘	✘	E1	✘	✔	✔	✔	✔	✔	✔
Blood Glucose Monitor	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Blood Pressure	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Extended Focused Assessment with Sonography in Trauma (eFAST)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Electrocardiography (ECG)	✘	✘	✘	E1	✘	E1	✔	✔	✔	✔	✔
End-tidal Waveform Capnography	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Glasgow Coma Scale (GCS)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
i-STAT POC Blood Gas Analysis	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Oesophageal Probe Temperature	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Pain Score	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Primary Survey	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Pulse Oximetry	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Pulse & Respirations	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Rapid Antigen Testing	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Secondary & CNS Survey	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Spinal Assessment	✘	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔
NEXUS Clinical Assessment	✘	✘	✘	✔	✘	✘	✔	✘	✔	✔	✔
Tympanic Thermometer	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Airway
Cricothyrotomy (Horizontal)	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Cricothyrotomy (Vertical)	✘	✘	✘	✘	✘	✘	✘	✘	✘	E4	✔
Drug assisted Intubation (RSI)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Endotracheal Intubation (ETT)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✔	✔
Failed Intubation Drill	✘	✘	✘	✘	✘	✘	✘	✘	✘	✔	✔
Foreign Body Airway Obstruction	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
In-line Suction	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Laryngoscopy: Direct	✘	✘	✘	✘	✘	✘	✔	✘	✔	✔	✔
Laryngoscopy: Video	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Lateral Position	Supervised	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Naso/Orogastric Tube	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Nasopharyngeal Airway (NPA)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Oropharyngeal Airway (OPA)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Suction	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Supraglottic Airway (SGA)	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Ventilation Emergencies (DOPES)	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Breathing
Bag Valve Mask Ventilation	Supervised	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Mechanical Ventilation	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Non-invasive Ventilation	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Oxygen Delivery	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Positive End Expiratory Pressure (PEEP)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
VAPOX – Ventilator Assisted Pre-Oxygenation	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Circulation
BOA-Constrictor Device	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Cardioversion	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Chest Compressions	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
(Manual) Defibrillation*	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Modified Valsalva Manoeuvre	✘	✘	✘	✘	✘	✘	S	✘	✔	✔	✔
Transcutaneous Pacing	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Pressure Immobilisation Technique (PIT)	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Medications
Adrenaline Autoinjector 'Epipen'	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Braun Syringe Driver	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
External Jugular Access	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
In-line Nebuliser	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Influenza Vaccination	✘	✘	✘	✘	✘	✘	✘	✘	✘	E1	✘
Intramuscular (IM) Injection	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔	✔
Inotrope & Vasopressor Support	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Intranasal (IN) Atomiser	✘	✘	✘	E1	✘	✘	^✔	✔	✔	✔	✔
Intraosseous Access	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
IV Giving Sets	✘	✘	✘	✔	S	E1	^✔	✔	✔	✔	✔
IV Pumps	✘	✘	✘	✔	✔	E1	S	✔	✔	✔	✔
MDI and Space Chamber	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
MEQU Fluid & Blood Warmer	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Nebuliser	✘	✘	✘	✔	✘	✔	✔	✔	✔	✔	✔
Penthrox Inhaler	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Peripheral IV Access	✘	✘	✘	✘	✘	✘	S	S	✔	✔	✔
Pre-drawn RSI Medication	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Prehospital Blood Sample Collection	✘	✘	✘	✘	✘	✘	✔	✘	✘	✔	✔
Ultrasound-guided Femoral Nerve Block	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Ultrasound-guided IV Access	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Trauma
Abdominal Aortic Junctional Tourniquet (AAJT)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Advanced Haemorrhage Control & Management	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
C-Spine Collar	✘	✔	✔	✔	✘	✔	✔	✔	✔	✔	✔
Combat Application Tourniquet (CAT)	✘	✘	Where trained/authorised	✔	✔	✔	✔	✔	✔	✔	✔
Eye washing and Irrigation	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Fernotrac Traction Splint	✘	✘	Where trained/authorised	✔	✘	✔	✔	✘	✔	✔	✔
Finger Thoracostomy	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Fractures and Dislocations	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Helmet Removal	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Trauma Bandages	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Kendrick Traction Device	✘	✘	✘	✘	✘	✘	✘	✘	✘	E2	Z2 Z3
Log Roll	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Minor Wound Management	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Minor injuries and epistaxis	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Needle Thoracocentesis	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Pelvic Splints	✘	✘	✘	✔	✘	✔	✔	✘	✔	✔	✔
QuikClot Combat Gauze	✘	✘	✘	✘	✘	✘	✘	✘	✘	E2	Z2 Z3
Sager Traction Splint	✘	✘	Where trained/authorised	✔	✘	✔	✔	✘	✔	✔	✔
Slishman Traction Splint	✘	✘	Where trained/authorised	✔	✘	✔	✔	✘	✔	✔	✔
Spinal Immobilisation	✘	✔	✔	✔	✘	✔	✔	✔	✔	✔	✔
Steri Strips	✘	✘	✘	✘	✘	E1	✘	✘	E1	E3	✘
Traumatic Procedural Analgesia	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Vacuum Mattress	✘	✔	✘	✔	E1	E1	✔	✔	✔	✔	✔
Obstetrics
Breech Delivery	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Childbirth	✘	✘	✘	✔	✘	E1	S	✘	✘	✔	✔
Postpartum Haemorrhage	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Relief of Aortocaval Compression	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Shoulder Dystocia	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔

*Automatic External Defibrillation (AED) is authorised for all holders of Provide First Aid (HLTAID003) certificate or otherwise being coached by Communications Officer.

The skills conveyed as per Provide First Aid (HLTAID003) are not reflected in this Skills Matrix. Cadet First Aider’s (CFA) and Emergency Medical Responders (EMR)’s require the supervision of a senior volunteer (EMT) of all skills applied in clinical practice

Extended care refers to registered paramedics with an extended scope of practice as approved by SJWA (e.g. Clinical Support, Special Operations & Critical Care Paramedics)

	Can be performed upon successful completion of Intermediate Course/Paramedic Intern 2 Induction course
	Can be performed upon successful completion of Transition Course/Paramedic Intern 2 Complex Skills course
S	Following completion of formal training skill can be performed under supervision of higher skilled/level of officer
E1	Authorised under extended scope of practice if required, trained and authorised (i.e. Industrial site specific, authorised volunteer centre, etc.).
E2	Authorised under extended scope when acting as Clinical Support Paramedic if required, trained and authorised
E3	Authorised for Paramedic Special Operations paramedics if required when on deployment, trained and authorised
E4	Authorised only for Ambulance Paramedics trained by SJWA in the Vertical Incision technique
Z1	Authorised for Paramedic Special Operations role
Z2	Authorised for Clinical Support Paramedic role
Z3	Authorised for Critical Care Paramedic role

Key Terms & Links

Acronym	Title
Event Health Services
CFA	Cadet First Aider
EAO	Event Ambulance Officer
MEDIC	Event Medic
Patient Transport Services
ATO	Ambulance Transport Officer
ATM	Ambulance Transport Medic
Ambulance Service
EMR	Emergency Medical Responder
EMA	Emergency Medical Assistant
EMT	Emergency Medical Technician
SAO	Student Ambulance Officer
AP	Ambulance Paramedic
PSO	Paramedic Special Operations
CSP	Clinical Support Paramedic
CCP	Critical Care Paramedic
Medical Services
MEDIC	Industrial Medic
IP	Industrial Paramedic

References

Document Control

Directorate

Clinical Services

Responsible Manager

Head of Clinical Services

Version

Published Date

Review Date

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