Texas does not have a rigid scope of practice for EMS personnel defined in rule or law as some other states do. That’s because Texas Medical Board rules allow physician-medical directors to delegate medical tasks to EMS personnel as long as they’ve trained and/or verified and documented the training, in the context of the Texas Medical Board language of 22 Texas Administrative Code, Section 197.1. Medical personnel with specific training and competencies may be able to perform skills outside the bounds of traditional practice if their medical director evaluates, provides additional training, authorizes them accordingly and develops protocols to match. For the purpose of this explanation, traditional practice may be defined as the knowledge and competencies described in the DOT National Standard Curriculum at each EMS training level. Q: Would a licensed ambulance service be in violation of Texas Administrative Code if it has a unit respond to a call with only person on the unit and then