Virginia Administrative Code – EMS Regulations §12VAC5-31-1050 – Scope of Practice, states – EMS Personnel shall only perform those procedures, skills, or techniques for which he is currently licensed or certified, provided that he is acting in accordance with the local medical treatment protocols and medical direction provided by the OMD of the licensed EMS agency with which he is affiliated and within the scope of the EMS agency licenses as authorized in the Emergency Medical Services Procedures and Mediations Schedule as approved by the board.   

The updated Scope of Practice Documents were approved by the State EMS Advisory Board on March 11, 2022 and were subsequently posted on March 16, 2022. The changes to these documents (both procedures and formulary) include all levels of Virginia EMS certified providers.  While no skills or medications were removed from a provider’s scope of practice, there has been a change to the color of dots utilized to denote if a procedure (skill) or formulary (medication) is within that provider’s scope. 

Black Dot = procedure or formulary is included in that certification levels standard scope of practice.

Red Dot = procedure or formulary is NOT included in that certification levels standard scope of practice. For a provider to have access to Red Dot(s) scope of practice; the following requirements must be met:

• Documentation of EMS agency (post-affiliation) training, specific to red dot skills and medications, must be present and maintained in the providers personnel file, and 2.EMS agency Operational Medical Director must provide specific written authorization, to include and/or limit, red dot skills and medications, in the provider’s scope of practice. Written authorization must be kept and maintained in the providers personnel file. Compliance with red dot Scope of Practice requirements will be enforced on and after July 1, 2022. This affords all EMS agencies three (3) months to complete these training and documentation requirements. The update Scope of Practice Documents are posted to the OEMS website.
• Follow this link to review: Click Here

Forms specific to BREMS are below. These have been approved by RMD Dr. Wendy Wilcoxson and the VA OEMS Rules & Regulations staff.

pdf EMT Red Dot Scope of Practice Competency Form (103 KB)

pdf Advanced EMT Red Dot Scope of Practice Competency Form (103 KB)

pdf Intermediate Red Dot Scope of Practice Competency Form (104 KB)

pdf Paramedic Red Dot Scope of Practice Competency Form (109 KB)