This evolving role builds on the skills and preparation of the Emergency Medical Technician (EMT) and Paramedic, in which they function outside their customary emergency response and transport roles. The possible services CPs may perform include primary care, public health, disease management, prevention and wellness, such as well baby visits, mental health, oral health services, home assessment, health teaching and consultation, and direct care such as wound management.
Initially, demonstration projects funded through grants supported this role. As interest has grown, so have efforts to recognize the title and practice in statute or regulations. The American Nurses Association (ANA) embraces innovative models that promote the delivery of safe, quality care and allow all members of the healthcare team to function to the full extent of their education and training, and defined scope of practice as inter-professional partners. Given the significant variability in preparation and practice of CPs across the country, ANA is working with the Emergency Medical Services (EMS) community and its’ state nurses associations in an effort to achieve uniformity.