N.J. Admin. Code § 8:41-7.18

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-7.18 - Standing orders for unconscious person/altered mental status

(a) The following standing orders are authorized in the event that an adult patient is unconscious or presents with altered mental status. The treatment of an unconscious person/altered mental status patient shall be directed by the suspected etiology of the event. Specific orders may be omitted by an ALS crewmember if the order does not pertain to the suspected etiology of the medical emergency:

1. Assess and secure airway;

2. Evaluate a blood glucose reagent strip;

3. Establish IV access;

4. Draw blood, if possible;

5. If the blood reagent strip indicates a blood glucose level less than 60 mg/dl;

i. Administer 25 gm of 50 percent Dextrose in water intravenously;

(1) If unable to establish IV access, administer 1 mg Glucagon intramuscularly; and

ii. Administer 100 mg Thiamine IV;

iii. If there is no response to (a)5i and ii above, or if the blood glucose level is greater than 60 mg/dl, administer up to 2 mg Naloxone IV. Start with 1 mg and titrate the dose to reversal of any respiratory depression;

iv. If IV access is unobtainable administer Naloxone 2 mg IM; and

6. Contact the medical command physician.

N.J. Admin. Code § 8:41-7.18