DEPARTMENT OF HEALTH
Approved Drugs for ALS Ambulance Services
[34 Pa.B. 3987]
Under 28 Pa. Code § 1005.11 (relating to drug use, control and security), the following drugs are approved for use by ground advanced life support (ALS) ambulance services and may be administered by emergency medical technician-paramedics, prehospital registered nurses and health professional physicians when use of the drugs is permitted by the applicable Department of Health (Department) approved regional medical treatment protocols:
5. Atropine sulfate
6. Benzocaine--for topical use only
8. Calcium chloride
9. Dexamethasone sodium phosphate
11. Dilaudid--for interfacility transports only
13. Diphenhydramine HCL
16. Epinephrine HCL
20. Heparin by intravenous drip--for interfacility transports only
21. Heparin lock flush
22. Hydrocortisone sodium succinate
23. Glycoprotein IIb/IIIa Inhibitors--for interfacility transports only
24. Intravenous electrolyte solutions
b. Lactated Ringer's
c. Sodium chloride
e. Potassium--for interfacility transports only
25. Ipratropium bomide
26. Isoproterenol HCL--for interfacility transports only
27. Levalbuterol--for interfacility transports only
28. Lidocaine HCL
30. Magnesium sulfate
34. Morphine sulfate
35. Naloxone HCL
36. Nitroglycerin by intravenous drip--for interfacility transports only
37. Nitroglycerin ointment
38. Nitroglycerin spray
39. Nitroglycerin sublingual tablets
40. Nitrous oxide
43. Pralidoxime CL
45. Sodium bicarbonate
46. Sodium thiosulfate
47. Sterile water for injection
49. Tetracaine--for topical use only
This list supercedes the list of approved drugs published at 33 Pa.B. 2713 (June 7, 2003). Changes made are as follows: (1) addition of levalbuterol for interfacility transports only; (2) addition of ipratropium bromide; and (3) change of benzocaine/tetracaine in combination to separate listings of benzocaine and tetracaine for topical use. Ambulance services are not authorized to stock drugs designated ''for interfacility transports only.'' However, paramedics and health professionals may administer a drug so designated if the facility transferring a patient provides the drug, directs that it be administered to the patient during the transfer and the regional transfer and medical treatment protocols permit the administration of the drug by those personnel.
Section 1005.11 of 28 Pa. Code permits a ground ALS ambulance service to exceed, under specified circumstances, the drugs (taken from the master list) that a region's medical treatment protocols authorize for use within the region. In addition, under 28 Pa. Code § 1001.161 (relating to research), the Department may approve an ambulance service to engage in a research project that involves use of a drug not included in a region's medical treatment protocols. Finally, under 28 Pa. Code § 1001.4 (relating to exceptions), a ground ALS ambulance service and its ALS service medical director may apply to the Department for an exception to a region's medical treatment protocols.
The list of drugs in this notice does not apply to air ambulance services. Under 28 Pa. Code § 1007.7(i)(2) (relating to licensure and general operating requirements), each air ambulance service is to develop its own medical treatment protocols which identify drugs that may be used by the air ambulance service. The air ambulance service is to then submit the protocols to the medical advisory committee of the appropriate regional emergency medical services council for the medical advisory committee's review and recommendations. Following its consideration of the recommendations, and after making further revisions if needed, the air ambulance service is to file the protocols with the Department for approval.
Persons with a disability who require an alternate format of this notice (for example, large print, audiotape or Braille) should contact Robert Gaumer, Department of Health, Emergency Medical Services Office, Room 1032, Health and Welfare Building, Harrisburg, PA, 17120, (717) 787-8740, speech or hearing impaired persons may use V/TT: (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).
CALVIN B. JOHNSON, M.D., M.P.H.,
[Pa.B. Doc. No. 04-1371. Filed for public inspection July 23, 2004, 9:00 a.m.]
No part of the information on this site may be reproduced for profit or sold for profit.
This material has been drawn directly from the official Pennsylvania Bulletin full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.