Each emergency medical responder shall be authorized to perform any intervention specified in K.S.A. 65-6144, and amendments thereto, and as further specified in this regulation:

1. (a) Emergency vehicle operations:

   1. (1) Operating each ambulance in a safe manner in nonemergency and emergency situations. "Emergency vehicle" shall mean ambulance, as defined in K.S.A. 65-6112 and amendments thereto; and
   2. (2) stocking an ambulance with supplies in accordance with regulations adopted by the board and the ambulance service's approved equipment list to support local medical protocols;

2. (b) initial scene management:

   1. (1) Assessing the scene, determining the need for additional resources, and requesting these resources;
   2. (2) identifying a multiple-casualty incident and implementing the local multiple-casualty incident management system;
   3. (3) recognizing and preserving a crime scene;
   4. (4) triaging patients, utilizing local triage protocols;
   5. (5) providing safety for self, each patient, other emergency personnel, and bystanders;
   6. (6) utilizing methods to reduce stress for each patient, other emergency personnel, and bystanders;
   7. (7) communicating with public safety dispatchers and medical control facilities;
   8. (8) providing a verbal report to receiving personnel;
   9. (9) providing a written report to receiving personnel;
   10. (10) completing a prehospital care report;
   11. (11) setting up and providing patient and equipment decontamination;
   12. (12) using personal protection equipment;
   13. (13) practicing infection control precautions;
   14. (14) moving patients without a carrying device; and
   15. (15) moving patients with a carrying device;

3. (c) patient assessment and stabilization:

   1. (1) Obtaining consent for providing care;
   2. (2) communicating with bystanders, other health care providers, and patient family members while providing patient care;
   3. (3) communicating with each patient while providing care; and
   4. (4) assessing the following: blood pressure manually by auscultation or palpation or automatically by noninvasive methods; heart rate; level of consciousness; temperature; pupil size and responsiveness to light; absence or presence of respirations; respiration rate; and skin color, temperature, and condition;

4. (d) cardiopulmonary resuscitation and airway management:

   1. (1) Applying cardiac monitoring electrodes;

   2. (2) performing any of the following:

      1. (A) Manual cardiopulmonary resuscitation for an adult, child, or infant, using one or two attendants;
      2. (B) cardiopulmonary resuscitation using a mechanical device;
      3. (C) postresuscitative care to a cardiac arrest patient;
      4. (D) cricoid pressure by utilizing the sellick maneuver;
      5. (E) head-tilt maneuver or chin-lift maneuver, or both;
      6. (F) jaw thrust maneuver;
      7. (G) modified jaw thrust maneuver for injured patients;
      8. (H) modified chin-lift maneuver;
      9. (I) mouth-to-barrier ventilation;
      10. (J) mouth-to-mask ventilation;
      11. (K) mouth-to-mouth ventilation;
      12. (L) mouth-to-nose ventilation;
      13. (M) mouth-to-stoma ventilation;
      14. (N) manual airway maneuvers; or
      15. (O) manual upper-airway obstruction maneuvers, including patient positioning, finger sweeps, chest thrusts, and abdominal thrusts; and
   3. (3) suctioning the oral and nasal cavities with a soft or rigid device;

5. (e) control of bleeding, by means of any of the following:

   1. (1) Elevating the extremity;
   2. (2) applying direct pressure;
   3. (3) utilizing a pressure point;
   4. (4) applying a tourniquet;
   5. (5) utilizing the trendelenberg position; or
   6. (6) applying a pressure bandage;

6. (f) extremity splinting, by means of any of the following:

   1. (1) Soft splints;
   2. (2) anatomical extremity splinting without return to position of function;
   3. (3) manual support and stabilization; or
   4. (4) vacuum splints;

7. (g) spinal immobilization, by means of any of the following:

   1. (1) Cervical collar;
   2. (2) full-body immobilization device;
   3. (3) manual stabilization;
   4. (4) assisting an EMT, an AEMT, or a paramedic with application of an upper-body spinal immobilization device;
   5. (5) helmet removal; or
   6. (6) rapid extrication;

8. (h) oxygen therapy by means of any of the following:

   1. (1) Humidifier;
   2. (2) nasal cannula;
   3. (3) non-rebreather mask;
   4. (4) partial rebreather mask;
   5. (5) regulators;
   6. (6) simple face mask;
   7. (7) blow-by;
   8. (8) using a bag-valve-mask with or without supplemental oxygen; or
   9. (9) ventilating an inserted supraglottic or subglottic airway;
9. (i) administration of medications according to the board's "approved medication list," dated June 4, 2021, which is hereby adopted by reference;
10. (j) recognizing and complying with advanced directives by making decisions based upon a do-not-resuscitate order, living will, or durable power of attorney for health care decisions; and

11. (k) providing the following techniques for preliminary care:

    1. (1) Cutting of the umbilical cord;
    2. (2) irrigating the eyes of foreign or caustic materials;
    3. (3) bandaging the eyes;
    4. (4) positioning the patient based on situational need;
    5. (5) securing the patient on transport devices;
    6. (6) restraining a violent patient, if technician or patient safety is threatened;
    7. (7) disinfecting the equipment and ambulance;
    8. (8) disposing of contaminated equipment, including sharps and personal protective equipment, and material;
    9. (9) decontaminating self, equipment, material, and ambulance;
    10. (10) following medical protocols for declared or potential organ retrieval;
    11. (11) participating in the quality improvement process;
    12. (12) providing EMS education to the public; and
    13. (13) providing education on injury prevention to the public.

(Authorized by K.S.A. 2020 Supp. 65-6111; implementing K.S.A. 65-6144; effective March 9, 2012; amended May 5, 2017; amended Jan. 24, 2020; amended Nov. 12, 2021.)