National EMS Scope of Practice Model Final Draft

May 15, 2018


May 15, 2018 (Falls Church, VA) The National Association of State Emergency Medical Services Officials (NASEMSO), under contract from the USDOT NHTSA Office of EMS and USDHHS HRSA EMS-C, is soliciting feedback on the 3rd and final draft of the 2018 National EMS Scope of Practice Model (“Practice Model”) prior to publication. Over the past 18 months, a Subject Matter Expert Panel has solicited public comment and updated the 2007 document to guide an upcoming revision to the National EMS Education Standards. The Expert Panel was tasked to define entry-level expectations, the minimum requirements in advance of gaining field experience, to ensure a level of national consistency. In other words, the Practice Model suggests the practice requirements prior to supervised or individual work experience at the levels of an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), or Paramedic. Although some jurisdictions already exceed the Practice Model where coordination between the State and EMS Medical Director have determined that an experienced practitioner with proper education and oversight can safely serve the local needs and health of the public, the Expert Panel determined that increasing the Practice Model to the level of an experienced practitioner would create an unsustainable burden in time and expense to programs and individuals without substantial measurable benefit to the Nation as a whole.

National engagement provides interested parties with an opportunity to comment on the draft to ensure that the document reflects the collective expertise and experience of the whole community. The 2007 version of the National EMS Scope of Practice Model is available for viewing at The Draft 3 revision is available at Individuals or organizations that wish to provide input should visit: The comment period will conclude at 5:00 pm EDT on May 31, 2018.