Scope of Practice Matrix
|
Legende |
|
| ✓ |
FreigegebenDie |
| E |
Freigegeben,
|
| (✓) |
Freigegeben, wenn beherrschtDie |
| ✗ |
Nicht freigegebenDie |
| Weiterleitung zur |
|
| RS | NFS | NKA | NKV | NKI | |
|---|---|---|---|---|---|
| A - Airway (Atemweg) |
|||||
| Standardisierte Beurteilung des |
✓ | ✓ | ✓ | ✓ | ✓ |
| Atemwegs- |
✓ | ✓ | ✓ | ✓ | ✓ |
| Absaugen der oberen Atemwege | ✓ | ✓ | ✓ | ✓ | ✓ |
| Absaugen mit starrem Absaugkatheter | ✗ | ✓ | ✓ | ✓ | ✓ |
| Absaugen der unteren Atemwege | ✗ | ✓ | ✓ | ✓ | ✓ |
| Absaugen |
✓ | ✓ | ✓ | ✓ | ✓ |
| Atemwegssicherung |
✗ | ✓ | ✓ | ✓ | ✓ |
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| ✗ | ✗ | ✗ | ✗ | ✓ | |
| Oropharyngealtubus (Erwachsene) | ✓ | ✓ | ✓ | ✓ | ✓ |
| Oropharyngealtubus (Kinder) | ✗ | ✓ | ✓ | ✓ | ✓ |
| Nasopharyngealtubus (Erwachsene) | ✓ | ✓ | ✓ | ✓ | ✓ |
| Nasopharyngealtubus (Kinder) | ✗ | ✓ | ✓ | ✓ | ✓ |
| Larynxtubus (Erwachsene) | ✓ | ✓ | ✓ | ✓ | ✓ |
| Larynxtubus (Kinder) | ✗ | ✗ | ✗ | ✗ | ✗ |
| Larynxmaske i-gel (Erwachsene) | ✓ | ✓ | ✓ | ✓ | ✓ |
| Larynxmaske i-gel (Kinder) | (✓) | (✓) | (✓) | (✓) | ✓ |
| Endotracheale Intubation (alle Altersklassen) | ✗ | ✗ | ✗ | ✗ | E |
| Magensonde ( |
✓ | ✓ | ✓ | ✓ | ✓ |
| Magensonde (nach endotrachealer Intubation) | ✗ | (✓) | (✓) | (✓) | ✓ |
| Cuffdruckmessung | (✓) | ✓ | ✓ | ✓ | ✓ |
| Notfallkoniotomie | ✗ | ✗ | ✗ | ✗ | ✗ |
| B - Breathing (Atmung) |
|||||
| Standardisierte Beurteilung der Atmung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Atmung- |
✓ | ✓ | ✓ | ✓ | ✓ |
| SpO2-Messung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Kapnometrie/Kapnografie (Anwendung) | (✓) | ✓ | ✓ | ✓ | ✓ |
| Kapnometrie/Kapnografie (Beurteilung) | ✗ | ✓ | ✓ | ✓ | ✓ |
| SpCO-Messung | ✗ | ✓ | ✓ | ✓ | ✓ |
| Auskultation der Lunge | (✓) | ✓ | ✓ | ✓ | ✓ |
| Sauerstoffinsufflation | ✓ | ✓ | ✓ | ✓ | ✓ |
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| Beutel-Masken-Beatmung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Beatmung mit |
✗ | ✗ | ✗ | ✗ | ✗ |
| NIV CPAP-ASB Beatmung | ✗ | ✗ | ✗ | ✗ | ✗ |
| kontrollierte Beatmung mit Beatmungsbeutel | ✓ | ✓ | ✓ | ✓ | ✓ |
| assistierte Beatmung mit Beatmungsbeutel | (✓) | ✓ | ✓ | ✓ | ✓ |
| C - Circulation (Kreislauf) |
|||||
| Standardisierte Beurteilung des Kreislaufes | ✓ | ✓ | ✓ | ✓ | ✓ |
| Kreislauf- |
✓ | ✓ | ✓ | ✓ | ✓ |
| Blutstillung- |
✓ | ✓ | ✓ | ✓ | ✓ |
| EKG (Anwendung) | ✓ | ✓ | ✓ | ✓ | ✓ |
| EKG (Beurteilung) | ✗ | ✓ | ✓ | ✓ | ✓ |
| Notfallsonographie | ✗ | ✗ | ✗ | ✗ | ✗ |
| Herzdruckmassage | ✓ | ✓ | ✓ | ✓ | ✓ |
| halbautomatische Defibrillation | ✓ | ✓ | ✓ | ✓ | ✓ |
| halbautomatische Defibrillation (Kinder) | ✓ | ✓ | ✓ | ✓ | ✓ |
| manuelle Defibrillation | ✗ | ✗ | ✗ | ✗ | ✗ |
| Wechsel Defibrillationsvektor | ✗ | ✓ | ✓ | ✓ | ✓ |
| Abbindung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Druckverband (z.B. mittels Emergency Bandage) | ✓ | ✓ | ✓ | ✓ | ✓ |
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| (✓) | ✓ | ✓ | ✓ | ✓ | |
| Blutstillung Epistaxis- |
✓ | ✓ | ✓ | ✓ | ✓ |
| Blutstillung Epistaxis-Erweiterte |
✗ | ✓ | ✓ | ✓ | ✓ |
| manuelle und mechanische nichtinvasive Blutdruckmessung | ✓ | ✓ | ✓ | ✓ | ✓ |
| modifiziertes Valsalva- |
✗ | ✓ | ✓ | ✓ | ✓ |
| Beckenschlinge (Vorbereitung) | (✓) | ✓ | ✓ | ✓ | ✓ |
| Beckenschlinge (Anwendung) |
✗ | ✓ | ✓ | ✓ | ✓ |
| Thoraxentlastungspunktion | ✗ | ✗ | ✗ | ✗ | ✗ |
| Thoraxdrainage | ✗ | ✗ | ✗ | ✗ | ✗ |
| Transkutanes Pacing | ✗ | ✗ | ✗ | ✗ | ✗ |
| Synchronisierte Kardioversion | ✗ | ✗ | ✗ | ✗ | ✗ |
| Maschinelle Herzdruckmassage | ✗ | (✓) | (✓) | (✓) | (✓) |
| Arterieller Zugang inkl. intravasaler Blutdruckmessung | ✗ | ✗ | ✗ | ✗ | ✗ |
| ✗ | ✗ | ✗ | ✓ | ✓ | |
| ✗ | ✗ | ✗ | (✓) | (✓) | |
| ✗ | ✗ | ✗ | ✗ | ✗ | |
| D - Disability (Neurologie) |
|||||
| Standardisierte Beurteilung der Neurologie | ✓ | ✓ | ✓ | ✓ | ✓ |
| Blutzuckermessung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Temperaturmessung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Temperaturmessung mit Temperatursonde | ✗ | ✗ | ✗ | ✗ | ✗ |
| Rettungstechniken |
|||||
| Rettungstechniken- |
✓ | ✓ | ✓ | ✓ | ✓ |
| Aktiver |
✓ | ✓ | ✓ | ✓ | ✓ |
| Immobilisation- |
✓ | ✓ | ✓ | ✓ | ✓ |
| Helmabnahme | ✓ | ✓ | ✓ | ✓ | ✓ |
| Rettungstuch | ✓ | ✓ | ✓ | ✓ | ✓ |
| Schaufeltrage | ✓ | ✓ | ✓ | ✓ | ✓ |
| Vakuummatratze | ✓ | ✓ | ✓ | ✓ | ✓ |
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| HWS-Schienung | ✓ | ✓ | ✓ | ✓ | ✓ |
| Rettungsband | ✓ | ✓ | ✓ | ✓ | ✓ |
| Spineboard | ✓ | ✓ | ✓ | ✓ | ✓ |
| Reposition Fraktur |
(✓) | ✓ | ✓ | ✓ | ✓ |
| Reposition Luxation/Luxationsfraktur oberes Sprunggelenk | (✓) | ✓ | ✓ | ✓ | ✓ |
| Reposition Luxation Kniescheibe | ✗ | ✓ | ✓ | ✓ | ✓ |
| Reposition sonstige Luxation | ✗ | ✗ | ✗ | ✗ | ✗ |
| Geburt | |||||
| ✓ | ✓ | ✓ | ✓ | ✓ | |
| Versorgung vitales Neugeborenes | ✓ | ✓ | ✓ | ✓ | ✓ |
| Versorgung nicht vitales Neugeborenes | ✓ | ✓ | ✓ | ✓ | ✓ |
| Versorgung der Mutter direkt nach der Geburt | ✓ | ✓ | ✓ | ✓ | ✓ |
| (✓) | ✓ | ✓ | ✓ | ✓ | |
| Fundusmassage | (✓) | ✓ | ✓ | ✓ | ✓ |
| Einsatztaktik |
|||||
| (✓) | ✓ | ✓ | ✓ | ✓ | |
| Untersuchung/Behandlung ohne Transport | (✓) | ✓ | ✓ | ✓ | ✓ |
| Telenotarzt | ✗ | ✓ | ✓ | ✓ | ✓ |
| Vorsichtung bei |
✓ | ✓ | ✓ | ✓ | ✓ |
| Triage bei |
✗ | ✓ | ✓ | ✓ | ✓ |
| Unterlassen von |
✓ | ✓ | ✓ | ✓ | ✓ |
| Unterlassen von |
✓ | ✓ | ✓ | ✓ | ✓ |
| Arzneimittel |
|||||
| ✗ | ✓ | ✓ | ✓ | ✓ | |
| ✗ | ✗ | ✓ | ✓ | ✓ | |
| Adenosin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Adrenalin (Epinephrin) im. | ✗ | ✓ | ✓ | ✓ | ✓ |
| Adrenalin (Epinephrin) inh. | ✗ | ✓ | ✓ | ✓ | ✓ |
| Adrenalin (Epinephrin) iv. | ✗ | ✗ | ✓ | ✓ | ✓ |
| Amiodaron | ✗ | ✗ | ✓ | ✓ | ✓ |
| Atropin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Budesonid | ✗ | ✗ | ✗ | ✗ | ✗ |
| Butylscopolamin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Clopidogrel | ✗ | ✗ | ✗ | ✗ | ✗ |
| Diazepam | ✗ | ✓ | ✓ | ✓ | ✓ |
| Dimetinden | ✗ | ✗ | ✓ | ✓ | ✓ |
| Diphenhydramin | ✗ | ✗ | ✓ | ✓ | ✓ |
| Ephedrin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Esketamin | ✗ | ✗ | ✓ | ✓ | ✓ |
| Esmolol | ✗ | ✗ | ✗ | ✗ | ✗ |
| Fenoterolhydrobromid+Ipratropiumbromid | ✗ | ✓ | ✓ | ✓ | ✓ |
| Fentanyl | ✗ | ✗ | ✗ | ✗ | ✗ |
| Flumazenil | ✗ | ✗ | ✓ | ✓ | ✓ |
| Furosemid | ✗ | ✗ | ✗ | ✗ | ✗ |
| Glucose | ✗ | ✗ | ✓ | ✓ | ✓ |
| Glyzeroltrinitrat | ✗ | ✗ | ✗ | ✗ | ✗ |
| Heparin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Hexoprenalin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Ibuprofen | ✗ | ✗ | ✗ | ✗ | ✗ |
| kristalloide |
✗ | ✗ | ✓ | ✓ | ✓ |
| Levetiracetam | ✗ | ✗ | ✗ | ✗ | ✗ |
| Lidocain | ✗ | ✗ | ✗ | ✗ | ✗ |
| Lorazepam | ✗ | ✗ | ✓ | ✓ | ✓ |
| Magnesiumsulfat | ✗ | ✗ | ✗ | ✗ | ✗ |
| Metamizol | ✗ | ✗ | ✓ | ✓ | ✓ |
| Methoxyfluran | ✗ | ✓ | ✓ | ✓ | ✓ |
| Metoprolol | ✗ | ✗ | ✗ | ✗ | ✗ |
| Midazolam in. | ✗ | ✓ | ✓ | ✓ | ✓ |
| Midazolam iv. | ✗ | ✗ | ✓ | ✓ | ✓ |
| Morphin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Naloxon in. | ✗ | ✓ | ✓ | ✓ | ✓ |
| Naloxon iv. | ✗ | ✗ | ✓ | ✓ | ✓ |
| Noradrenalin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Ondansetron | ✗ | ✗ | ✓ | ✓ | ✓ |
| Oxytocin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Pantoprazol | ✗ | ✗ | ✗ | ✗ | ✗ |
| Paracetamol | ✗ | ✓ | ✓ | ✓ | ✓ |
| Phenylephrin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Piritramid | ✗ | ✗ | ✗ | ✗ | ✗ |
| Prasugrel | ✗ | ✗ | ✗ | ✗ | ✗ |
| Prednisolon (Prednison, Methylprednisolon) rect. | ✗ | ✓ | ✓ | ✓ | ✓ |
| Prednisolon (Prednison, Methylprednisolon) iv. | ✗ | ✗ | ✓ | ✓ | ✓ |
| Propofol | ✗ | ✗ | ✗ | ✗ | ✗ |
| Rocuroniumbromid | ✗ | ✗ | ✗ | ✗ | ✗ |
| Salbutamol |
✗ | ✓ | ✓ | ✓ | ✓ |
| Salbutamol+Ipratropiumbromid | ✗ | ✓ | ✓ | ✓ | ✓ |
| Sugammadex | ✗ | ✗ | ✗ | ✗ | ✗ |
| Tenecteplase | ✗ | ✗ | ✗ | ✗ | ✗ |
| Terbutalin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Terlipressin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Theophyllin | ✗ | ✗ | ✗ | ✗ | ✗ |
| Ticagrelor | ✗ | ✗ | ✗ | ✗ | ✗ |
| ✗ | ✗ | ✓ | ✓ | ✓ | |
| Urapidil | ✗ | ✗ | ✓ | ✓ | ✓ |
Version
| Datum | Info | |
|---|---|---|
| Version SCOPMNOE 24.0.6 | 05/2026 |
Versorgung vitales Neugeborenes Versorgung nicht virales Neugeborenes Versorgung der Mutter direkt nach der Geburt
Fundusmassage |
| Version SCOPMNOE 24.0.5 | 03/2026 |
Larynxmaske / i-gel Plus (Erwachsene) |
| Version SCOPMNOE 24.0.4 | 12/2025 |
Aktiver |
| Version SCOPMNOE 24.0.3 | 09/2025 |
Blutstillung Epistaxis- Blutstillung Epistaxis-Erweiterte
Untersuchung/Behandlung ohne Transport (Einsatztaktik)
|
| Version SCOPMNOE 24.0.2 | 03/2025 |
Neue Druckverband (z.B. mittels Emergency Bandage), Abbindung,
|
| Version SCOPMNOE 24.0.1 | 12/2024 | |
| Version SCOPMNOE 24.0 | 06/2024 | Ursprungsversion |