Control competence

Regulatory competence is a term from the rescue service . It describes the regulated concession of competencies that emergency medical personnel may use in the absence of an (emergency) doctor . Examples of this are the puncture of peripheral veins, the administration of selected medications , endotracheal intubation and early defibrillation .

The standard competence is in contrast to the emergency competence , which is not defined in type and scope, i.e. it is not regulated. It is based on Section 34 of the Criminal Code (justifying emergency) and allows the paramedic to take medical measures if these are essential to save human life, if minimally invasive measures do not promise success (e.g. intubation → mask ventilation), if an emergency doctor was asked to do so however, will not be available in a reasonable time.

The standard competence is currently not part of the legal provisions for the practice of paramedics (e.g. RettAssG). However, because the emergency competence does not offer any legal and action security, efforts to amend the Paramedics Act of 1989 aim at a "conversion" into a standard competence.