Optional skills: Performances of these skills are optional however; they must be

Optional skills: Performances of these skills are optional however; they must be taught in all training programs. #24068 1. Drug Assisted Intubation, using MDTQA approved medications for this procedure, in strict adherence with the following measures: a. A specific verbal order from online medical direction must be obtained to institute DAI; b. Initiate and continue, before, during and after each DAI, continuous monitoring and recording of heart rate and rhythm, oxygen saturation, and end-tidal carbon dioxide using a capnography or capnometric device (to exclude colormetric only devices); c. Appropriate resources for drug storage and delivery must be present and used; d. DAI protocols must contain continuing quality assurance, quality control and performance review measures, and when indicated, supplemental training; e. DAI protocols must include requirements for initial training and continuing education in: i. Proper patient selection for DAI; ii. Demonstrating initial and continuing competency in the DAI procedure; iii. Confirming initial and verifying ongoing tube placement, including training in the utilization of appropriate instrumentation; iv. Airway management of patients who cannot be intubated; v. The use of backup rescue airway methods in the event of failed DAI;. vi. Every instance of the initiation or attempted initiation of an airway by DAI shall be reported to BEMS by the local EMS on forms or in a format approved by BEMS. Every instance of the institution or attempted institution of an airway by DAI shall be reviewed by the State Medical Director, who shall submit a quarterly report to MDTQA and the EMS Advisory Council.