1020 Approved medications list for critical care transport ambulance services

Approved Medications List for Critical Care Transport Ambulance Services

[45 Pa.B. 2677]
[Saturday, May 30, 2015]

 Under 28 Pa. Code §§ 1027.3(c) and 1027.5(b) (relating to licensure and general operating standards; and medication use, control and security), the following medications are approved for administration by paramedics, prehospital registered nurses (PHRN), prehospital physician extenders (PHPE) and prehospital emergency medical services physicians (PHP) when functioning for an emergency medical service (EMS) agency that has been licensed as a critical care transport (CCT) ambulance service under 35 Pa.C.S. § 8129 (relating to emergency medical services agencies) during interfacility transport in a CCT ambulance when use of those medications is permitted by the applicable Department of Health-approved critical care transport protocols or when ordered online by a medical command physician. CCT ambulance services may use the following medications in addition to the approved medications listed for advanced life support ambulance services at 43 Pa.B. 3060 (June 1, 2013).

 1. Abciximab²

 2. Albumin^1,2

 3. Anti-Coagulants/Anti-Platelets: All Types (Not otherwise specified)^1,2

 4. Anti-Emetics: All Types (Not otherwise specified)^1.2

 5. Anti-Hypertensives: All Types (Not otherwise specified)²

 6. Antivenom^1,2

 7. Atenolol^1,2

 8. Barbiturates²

 9. Bivalirudin²

 10. Blood Products²

 11. Clopidogrel²

 12. Dextran^1,2

 13. Digoxin²

 14. Dilaudid²

 15. Eptifibatide²

 16. Esmolol²

 17. Fibrinolytics/Thrombolytics: All Types²

 18. Glucocorticoids/Mineralcorticoids^1,2

 19. Heparin²

 20. Hespan^1,2

 21. Hydralazine^1,2

 22. Hydroxocobalamin^1,2

 23. Insulin²

 24. Ketamine^1,2

 25. Ketorolac^1,2

 26. Labetolol^1,2

 27. Mannitol²

 28. Metaproterenol^1,2

 29. Metoprolol^1,2

 30. Milrinone^1,2

 31. Non-Depolarizing Agents^1,2

 32. Norepinephrine²

 33. Other Non-Benzodiazepine Anti-Convulsants²

 34. Phenylephrine²

 35. Phenytoin/Phosphenytoin^1,2

 36. Plasmanate^1,2

 37. Potassium Chloride²

 38. Propofol^1,2

 39. Propranolol^1,2

 40. Prostaglandins: All Types²

 41. Quinidine Sulfate/Gluconate²

 42. Romazicon²

 43. Succinylcholine²

 44. Theophylline^1,2

 45. Tirofiban²

 46. Tocolytics: All Types (Not otherwise specified)²

 47. Total Parenteral Nutrition²

 1. Paramedics who are authorized to function for an EMS agency that has been licensed as a CCT ambulance service are restricted to the maintenance and monitoring of medication administration that is initiated at the sending medical facility.

 2. Paramedics who are authorized to function for an EMS agency that has been licensed as a CCT ambulance service may only administer the medication in the direct physical presence of, and supervised by, a PHRN, PHPE or PHP.

 Persons with a disability who require an alternate format of this notice (for example, large print, audiotape, Braille) should contact Richard L. Gibbons, Bureau Director, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0710, [phone]. Speech or hearing impaired persons may use V/TT [phone] or the Pennsylvania AT&T Relay Service at [phone] (TT).

KAREN M. MURPHY, PhD, RN, 
Secretary

[Pa.B. Doc. No. 15-1020. Filed for public inspection May 29, 2015, 9:00 a.m.]