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PA Bulletin, Doc. No. 15-1020


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. Albumin1,2

 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. Antivenom1,2

 7. Atenolol1,2

 8. Barbiturates2

 9. Bivalirudin2

 10. Blood Products2

 11. Clopidogrel2

 12. Dextran1,2

 13. Digoxin2

 14. Dilaudid2

 15. Eptifibatide2

 16. Esmolol2

 17. Fibrinolytics/Thrombolytics: All Types2

 18. Glucocorticoids/Mineralcorticoids1,2

 19. Heparin2

 20. Hespan1,2

 21. Hydralazine1,2

 22. Hydroxocobalamin1,2

 23. Insulin2

 24. Ketamine1,2

 25. Ketorolac1,2

 26. Labetolol1,2

 27. Mannitol2

 28. Metaproterenol1,2

 29. Metoprolol1,2

 30. Milrinone1,2

 31. Non-Depolarizing Agents1,2

 32. Norepinephrine2

 33. Other Non-Benzodiazepine Anti-Convulsants2

 34. Phenylephrine2

 35. Phenytoin/Phosphenytoin1,2

 36. Plasmanate1,2

 37. Potassium Chloride2

 38. Propofol1,2

 39. Propranolol1,2

 40. Prostaglandins: All Types2

 41. Quinidine Sulfate/Gluconate2

 42. Romazicon2

 43. Succinylcholine2

 44. Theophylline1,2

 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, (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).


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

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