DEPARTMENT OF HEALTH Division of Emergency Medical Services Systems; Approved Drugs, Medications and Solutions [26 Pa.B. 1187] Under 28 Pa. Code § 1005.11(b) (relating to medications, use, control and security) and § 1007.7(c) (relating to licensure requirements), the following drugs, medications and solutions are approved for use by advanced life support (ALS) ambulance services and may be administered by EMT-paramedics, prehospital registered nurses and health professional physicians under medical command or Department of Health approved medical protocols:
1. Adenosine
2. Albuterol
3. Aminophylline
4. Aspirin
5. Atropine Sulfate
6. Bretylium
7. Calcium Chloride
8. Dexamethasone Sodium Phosphate
9. Diazepam
10. Diphenhydramine HCL
11. Dobutamine
12. Dopamine
13. Epinephrine HCL
14. Furosemide
15. Glucagon
16. Heparin Intravenous (Drip) (for interfacility transports, only)
17. Heparin Lock Flush
18. Hydrocortisone Sodium Succinate
19. Intravenous Electrolyte Solutions
(a) Dextrose
(b) Lactated Ringer's
(c) Sodium Chloride
(d) Normosol
20. Isoproterenol HCL
21. Lidocaine HCL
22. Magnesium Sulfate
23. Meperidine
24. Metaproterenol
25. Morphine Sulfate
26. Naloxone HCL
27. Nitroglycerin Intravenous (Drip) (for interfacility transports, only)
28. Nitroglycerin Ointment
29. Nitroglycerin Spray
30. Nitroglycerin Sublingual Tablets
31. Nitrous Oxide
32. Oxytocin
33. Procainamide
34. Sodium Bicarbonate
35. Sterile Water for Injection
36. Terbutaline
37. Verapamil
An air ALS ambulance service may use drugs, medications and solutions in addition to those identified in the list upon securing the written approval of the Department of Health in accordance with 28 Pa. Code § 1001.4 (relating to exceptions).
Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, braille) should contact Caroline L. Bowes, R.N., at the Department of Health, Division of Emergency Medical Services Systems, Room 1033, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-8740 or telephone TDD (717) 783-6514, so she may make the necessary arrangements.
PETER J. JANNETTA, M.D.,
Secretary[Pa.B. Doc. No. 96-404. Filed for public inspection March 15, 1996, 9:00 a.m.]