![]() Regardless of what happens there will be changes, so it’s important for EMS agencies to stay current. Many of the provisions of the affordable care act also encouraged Accountable Care Organizations to invest more in population health which has been a significant driver of community paramedicine. Some of the early estimates say that changes to the healthcare laws could cause 20 million people to lose coverage or have their coverage changed which could impact peoples’ ability to pay for EMS services and could cause further strain on some small rural hospitals. The changes could also potentially have unforeseen effects on EMS. The changes may increase the efficiency and lower the costs of healthcare. It’s difficult to say how these changes will affect the healthcare system or EMS, but it’s always important for EMS agencies to keep a view towards any possible changes in their reimbursement. With the election there may be changes with the laws overseeing the provisions governing health insurance and how Medicaid and Medicare are administered. Becoming an Emergency Medical Technician is a great way to get started with a medical career. They feature challenging questions along with detailed explanations. Our website offers 6 free practice tests with 40 questions each. These rule changes will also reflect national guidelines. Our NREMT practice tests will help you prepare for your EMT Certification Exam. ![]() EMT-Intermediate will become Advanced EMT. The rules will also change the names of the EMS skill levels in North Carolina. Some of the rules will affect how trauma centers are designated. The target date for the rules to take effect is January 1, 2017. There will also be new rules taking effect for EMS in North Carolina. Currently ketamine can only be used within the RSI protocol or for sedating patients after RSI. The North Carolina Medical Board did not agree to expand the scope of practice for ketamine. Kalbitor is a medication used to treat hereditary angioedema. The North Carolina Medical Board will also now allow paramedics to administer the drug Kalbitor to patients who have the medication with them and have had that medicine prescribed to them by a physician. The capnography, noninvasive positive pressure ventilation, and intraosseous catheter changes will align North Carolina scope of practice with national scope of practice. Basic EMTs will also now be able to use noninvasive positive pressure ventilation. The scope of practice for continuous capnography has expanded to include Basic EMTs. In regards to scope of practice, the North Carolina Medical Board has expanded the scope of practice for intraosseous catheters so that advanced intermediates (EMT-Is) can utilize intraosseous catheters.
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