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Well, if you violate your scope of practice:
1) Make sure it's an emergency
2) Make sure no one near-by, i.e. your partner, is qualified to do it. Otherwise, let them.
3) You better make sure that action saves your patient's life

If these are true, your medical director will probably look over it.

If not, I believe you can be taken to court. Assuming, your medical director wants to do that, and/or your patient knows what is and is not in your scope

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Q: What are the consequences for emt's violations of scope of practice?
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