• Describes what interventions a licensed individual legally can and cannot do.
• Idaho’s SoP is established by the EMS Physician Commission (EMSPC).

Learn More: EMSPC Standards Manual

• Four separate but related activities:

-    Education (trained to do)

-    Certification (certified as competent)

-    Licensure (state licensed to practice)

-    Credentialing (agency medical director)

• The skills and interventions that all personnel of a certain license level can perform. 
• The fundamental skills at each level that define the minimum standard of service.
• Floor skills are marked with an “X” in the SoP grid.

• Optional skills that can be authorized by an agency’s medical director.
• Optional modules are marked with an “OM” in the SoP grid.

• The agency medical director chooses to incorporate OMs.
• Agency must: report patient care, submit addendum to medical supervision plan MSP) indicating which OMs will be implemented, and submit verification of OM credentialing to the EMS Bureau.

Learn More: EMSPC Standards Manual > pg 14       
                 Idaho EMS Webpage > Education > Optional Modules

• OMs are independent of the scope transition. 
• Transitioning does not automatically give an agency authority to implement OMs.
• Even if currently authorized to use OMs, providers will still have to transition before practicing the new SoP.
• There are some select OMs that will become floor skills in the new scope (see below).

• EMR-2011: Tourniquet

• EMT-2011: Pulse Oximetry, Asprin, Epi Auto Injector

• AEMT-2011: Pulse Oximetry, Intraosseous-Adult, IM medication admin, Subcutaneous medication admin, Aspirin, Epi Auto Injector, Glucagon

• Paramedic: BiPAP, CPAP, PEEP-Therapeutic, Blood Chemistry Analysis, Maintenance of Blood Admin