It is within the scope of practice of the appropriately prepared registered nurse to function as a registered nurse on an ambulance provided:

1. The registered nurse is trained and competent in the care necessary for the patient and knowledgeable regarding the use of available equipment. This training and competence should be documented initially and on an ongoing basis;
2. There is a medical order, emergency protocol or standing orders directing the care of the patient;
3. The registered nurse functions according to accepted standards of practice;
4. The ambulance provider/facility has policies and procedures in place addressing all aspects of the issue.