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It also requires agency-level medical director and protocol compliance, initial training documentation, defined training objectives, evaluation and test-score tracking, at least 24-month competency reassessment, and continuous monitoring, quality improvement, and reporting. Tables outline role-based capability across EMS levels for airway, ventilation, oxygenation, cardiovascular care, IV management, and related patient 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requirements must an agency meet to add an optional skill under an expanded scope?","Question",{"text":63,"@type":64},"The agency must create and maintain a medical director and an approved protocol meeting Mississippi Model Protocol minimum standards, and it must maintain documentation showing initial training for authorized individuals.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What must the training documentation include for each authorized provider?",{"text":68,"@type":64},"Documentation must include attendance dates, method of instruction, specific knowledge objectives addressing gaps versus standard curricula, and evaluation measures including test scores.",{"name":70,"@type":61,"acceptedAnswer":71},"How often must continuing education or competency evaluations be completed for optional protocols?",{"text":72,"@type":64},"Continuing education/competency evaluations for individuals who completed initial training must be conducted and documented at least every 24 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Expanded Scope  \nAgency submits the request for change to the Agency Protocols that are justifiable, are supported by research, required by practice changes, or are in common use by equivalent providers working under another Mississippi approved protocol. If the State EMS Medical Director approves and determines that this expansion of a skill, procedure or medication can be safely administered and monitored at the agency level, a minimal standard will be published in the Mississippi Model Protocol. Any Mississippi EMS agency electing to add the skill must:  \n1. Create and maintain a Medical Director and agency approved protocol meeting the minimum standards established in the Mississippi Model Protocol.  \n2. Maintain documentation demonstrating that all individuals authorized by the agency’s medical director to perform these skills/procedures have received initial training.  \n3. The documentation must specify:  \n1. Dates of attendance for all individuals trained  \n2. Method of instruction  \n3. Specific knowledge objectives that address any knowledge/ skill gaps between the skill/ procedure and those taught in the standard curricula at the level of training.  \n4. Evaluation measures and Test Scores  \n4. Continuing education/ competency evaluations on the optional protocols must be conducted and  \ndocumented at least every 24 months for every individual who has successfully completed the initial training requirements.  \n5. Have in place a system for continuous monitoring, quality improvement, and reporting required  \ndata results to BEMS as defined in this document.  \nAirway Management/Ventilation/Oxygenation  \n\n| SKILL/PROCEDURE | EMR | EMT | AEMT | PARAMEDIC | CCP |\n| --- | --- | --- | --- | --- | --- |\n| Manual Airway Control (Head Tilt/Jaw Thrust) | √ | √ | √ | √ | √ |\n| Airway: Nasal |  | √ | √ | √ | √ |\n| Airway: Oral | √ | √ | √ | √ | √ |\n| Airway: Supraglottic |  |  | √ | √ | √ |\n| Endotracheal Intubation (Oral and Nasal) |  |  |  | √ | √ |\n| Pharmacological Assisted Intubation (Non-paralytic) |  |  |  | √∗ | √ |\n| Pharmacological Assisted Intubation (With paralytic) |  |  |  |  | √ |\n| Airway Obstruction: Dislodgement by Direct\u003Cbr>Laryngoscopy with McGill Forceps |  |  |  | √ | √ |\n| Airway Obstruction: Manual Dislodgement Techniques | √ | √ | √ | √ | √ |\n| Airway Obstruction: Percutaneous Cricothyrotomy |  |  |  | √ | √ |\n| Airway Obstruction: Surgical Cricothyrotomy |  |  |  |  | √ |\n| Mouth to Patient Ventilation (All Routes) | √ | √ | √ | √ | √ |\n| Bag-Valve-Mask (BVM) | √ | √ | √ | √ | √ |\n| Use of PEEP Valves |  |  | √ | √ | √ |\n| BiPAP Administration and Management |  |  |  | √ | √ |\n| CPAP |  | √ | √ | √ | √ |\n| Carbon Monoxide Monitoring |  | √ | √ | √ | √ |\n| Chest Decompression: Needle |  |  |  | √ | √ |\n| Chest Tube Placement: Assist Only |  |  |  | √ | √ |\n| Chest Tube: Monitoring and Management |  |  |  | √ | √ |\n| Chest Tube/ Thoracostomy: Finger or Tube |  |  |  |  | √ |\n| End Tidal CO2 : Monitoring and Interpretation |  |  | √ | √ | √ |\n| Gastric Decompression: NG or OG Tube |  |  |  | √ | √ |\n| Oxygen Therapy: High Flow Nasal Cannula |  |  |  | √ | √ |\n| Oxygen Therapy: Humidifiers |  | √ | √ | √ | √ |\n| Oxygen Therapy: Nasal Cannula | √ | √ | √ | √ | √ |\n| Oxygen Therapy: Non-Rebreather Mask | √ | √ | √ | √ | √ |\n| Oxygen Therapy: Partial-Rebreather mask |  | √ | √ | √ | √ |\n\n\n| Oxygen Therapy: Simple Face Mask |  | √ | √ | √ | √ |\n| --- | --- | --- | --- | --- | --- |\n| Oxygen therapy: Venturi Mask |  | √ | √ | √ | √ |\n| Pulse Oximetry |  | √ | √ | √ | √ |\n| Suctioning: upper airway | √ | √ | √ | √ | √ |\n| Suctioning: Tracheobronchial of an Intubated Patient |  |  | √ | √ | √ |\n| Tracheostomy Maintenance |  | √ | √ | √ | √ |\n| Tracheostomy Tube Replacement |  |  |  | √ | √ |\n| Positive Pressure Ventilation Devices\u003Cbr>(Manually Triggered or Automatic Ventilators) |  |  | √ | √ | √ |\n| Transport Ventilator (Man","cbCaiuolyHhoJwnP","https://ap.wps.com/l/cbCaiuolyHhoJwnP","pdf",314777,"English","# Agency Expanded Scope\n## Request and Approval Requirements\n## Minimum Documentation Standards\n## Airway Management/Ventilation/Oxygenation\n## Cardiovascular/Circulation\n## IV Initiation/Maintenance Fluids\n## Splinting, Spinal Motion Restriction (SMR), and Patient Restraint","[{\"question\":\"What requirements must an agency meet to add an optional skill under an expanded scope?\",\"answer\":\"The agency must create and maintain a medical director and an approved protocol meeting Mississippi Model Protocol minimum standards, and it must maintain documentation showing initial training for authorized individuals.\"},{\"question\":\"What must the training documentation include for each authorized provider?\",\"answer\":\"Documentation must include attendance dates, method of instruction, specific knowledge objectives addressing gaps versus standard curricula, and evaluation measures including test scores.\"},{\"question\":\"How often must continuing education or competency evaluations be completed for optional protocols?\",\"answer\":\"Continuing education/competency evaluations for individuals who completed initial training must be conducted and documented at least every 24 months.\"}]","Agency Expanded Scope - Mississippi Model Protocol - August 2024 | PDF",1791157562,23]