Vision

The NARMP believes the first step in accomplishing their vision is the establishment of three related but standardized scopes of practice which

include:

• Emergent Scope of Practice (EmSP): The minimum standards are defined by the United States National Highway Traffic Safety Administration (NHTSA) as the national EMS Scope of Practice unless the member medical professional has received an equivalent or higher form of recognized emergency medical training.
• The specific professionals identified for the EmSP are regulated by current certification or license from the states they are authorized to operate in.
• The National Registry is a measure of training, competence, and knowledge base, not an authority to render care.  As such, many states have elected to subscribe to the National Registry as their minimum standard, but the authorization to operate within that state comes from the state, not the National Registry.

• Expanded Scope of Practice (ExSP): The expanded scope of practice is established by a Medical Control physician, regulated under their license, and can vary from organization to organization.
• Most commonly, the ExSP, resembles a process of sick-call management, a process for collaborating with consulting physicians, a process for escalating patient cases directing the care of cases that can be managed on location and a process for escalation and evacuation of cases that cannot.
• Additionally, the ExSP commonly includes additional training on higher level history and physical examination and emergency procedure skills.

• Occupational Medicine Scope of Practice (OMSP): The occupational medicine scope of practice includes a wide variety of support services designed to keep human assets or workers operating in the remote environment so they can continue supporting the mission objectives.
• These services can include drug and alcohol testing, regulatory physicals, medical surveillance, environmental testing, and several other components that are relevant to the mission, industry, organizations operating in the remote environment.