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* |
---|---|---|---|---|---|---|---|---|---|---|---|
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 | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✔ | ✘ | ✔ | ✔ | ✔ |
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 |
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 |
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