Skills Matrix

UNCONTROLLED WHEN PRINTED

Clinical Scope of Practice	Emergency Medical Responder	Emergency Medical Assistant	Event Ambulance Officer	Emergency Medical Technician	Ambulance Transport Officer	Medic	Ambulance Officer	Transport Medic	Contract Paramedic	Ambulance Paramedic	Extended Care^*
Clinical Scope of Practice	Assessment
Primary Survey	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Secondary & CNS Survey	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Spinal Assessment	✘	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔
Pulse & Respirations	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Pulse Oximetry	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Auscultation	✘	✘	✘	E1	✘	✔	✔	✔	✔	✔	✔
Blood Pressure	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Electrocardiography (ECG)	✘	✘	✘	E1	✘	E1	✔	✔	✔	✔	✔
Glasgow Coma Scale (GCS)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Blood Glucose Monitor	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Tympanic Thermometer	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Pain Score	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Rapid Antigen Testing	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Airway
Lateral Position	Supervised	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Oropharyngeal Airway (OPA)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Nasopharyngeal Airway (NPA)	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Supraglottic Airway (SGA)	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Endotracheal Intubation (ETT)	✘	✘	✘	✘	✘	✘	✘	✘	✘	✔	✔
Cricothyrotomy	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Rapid Sequence Induction	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Naso/Orogastric Tube	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Failed Intubation Drill	✘	✘	✘	✘	✘	✘	✘	✘	✘	✔	✔
Suction	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Direct Laryngoscopy	✘	✘	✘	✘	✘	✘	✔	✘	✔	✔	✔
Foreign Body Airway Obstruction	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Ventilation Emergencies (DOPES)	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Breathing
Bag Valve Mask Ventilation	Supervised	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Oxygen Delivery	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Circulation
Chest Compressions	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
(Manual) Defibrillation*	✘	✘	✘	✘	✘	✘	✔	✔	✔	✔	✔
Modified Valsalva Manoeuvre	✘	✘	✘	✘	✘	✘	S	✔	✔	✔	✔
Transcutaneous Pacing	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Pressure Immobilisation Technique (PIT)	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Medications
Adrenaline Autoinjector 'Epipen'	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Intramuscular (IM) Injection	✘	✘	✘	✘	✘	✔	^✔	✔	✔	✔	✔
Intranasal (IN) Atomiser	✘	✘	✘	E1	✘	✘	^✔	✔	✔	✔	✔
I.V. Giving Sets	✘	✘	✘	✔	S	E1	^✔	✔	✔	✔	✔
I.V. Pumps	✘	✘	✘	✔	✔	E1	S	✔	✔	✔	✔
MDI and Space Chamber	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Nebuliser	✘	✘	✘	✔	✘	✔	✔	✔	✔	✔	✔
Penthrox Inhaler	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Peripheral IV Access	✘	✘	✘	✘	✘	✘	S	S	✔	✔	✔
Prehospital Blood Sample Collection	✘	✘	✘	✘	✘	✘	✔	✘	✘	✔	✔
External Jugular Access	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Intraosseous Access	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Trauma
Combat Application Tourniquet (CAT)	✘	✘	Where trained/authorised	✔	✔	✔	✔	✔	✔	✔	✔
Eye washing and Irrigation	✘	✘	✘	✘	✔	E1	✘	✘	E1	E3	✘
Finger Thoracostomy	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Fractures and Dislocations	✘	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔
Helmet Removal	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Minor Wound Management	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
Needle Thoracentesis	✘	✘	✘	✘	✘	✘	S	✘	✘	E2 E3	✔
Pelvic Splints	✘	✘	✘	✔	✘	✔	✔	✘	✔	✔	✔
QuikClot Combat Gauze	✘	✘	✘	✘	✘	✘	✘	✘	✘	E2	Z2 Z3
Log Roll	✘	✔	✔	✔	✔	✔	✔	✔	✔	✔	✔
C-Spine Collar	✘	✔	✔	✔	✘	✔	✔	✔	✔	✔	✔
Vacuum Mattress	✘	✔	✘	✔	E1	E1	^✔	✔	✔	✔	✔
Spinal Immobilisation	✘	✔	✔	✔	✘	✔	✔	✔	✔	✔	✔
Steri Strips	✘	✘	✘	✘	✘	E1	✘	✘	E1	E3	✘
Fernotrac Traction Splint	✘	✘	Where trained/authorised	✔	✘	✔	✔	✘	✔	✔	✔
Kendrick Traction Device	✘	✘	✘	✘	✘	✘	✘	✘	✘	E2	Z2 Z3
Sager Traction Splint	✘	✘	Where trained/authorised	✔	✘	✔	✔	✘	✔	✔	✔
Traumatic Procedural Analgesia	✘	✘	✘	✘	✘	✘	✘	✘	✘	✘	Z3
Obstetrics
Childbirth	✘	✘	✘	✔	✘	E1	S	✘	✘	✔	✔
Shoulder Dystocia	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Breech Delivery	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Postpartum Haemorrhage	✘	✘	✘	✘	✘	✘	S	✘	✘	✔	✔
Relief of Aortocaval Compression	✘	✘	✘	✘	✘	✘	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)

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

Z1

Authorised for Paramedic Special Operations role

Z2

Authorised for Clinical Support Paramedic role

Z3

Authorised for Critical Care Paramedic role

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
AO(G1)	Ambulance Officer Grade 1 (Intermediate)
AO(G2)	Ambulance Officer Grade 2 (Transition)
AP	Ambulance Paramedic
PSO	Paramedic Special Operations
CSP	Clinical Support Paramedic
CCP	Critical Care Paramedic
Medical Services
MEDIC	Industrial Medic
IP	Industrial Paramedic

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