Here’s a quick question, and a quick answer:
I am a paramedic in the private space (Events/Industrial etc). And would like some advice on what skills we can perform outside a state service. Are you able to advise on these, either in the blog or paid for.
Paramedicine is an unregulated industry. You can do whatever you are competent to do. The only restrictions involves scheduled drugs and that depends on the authority granted to you or your employer. If the quality of treatment isn’t ‘reasonable’ or if the treatment isn’t ‘reasonably required in the circumstances’ there may be liability in negligence but there is no law that says what paramedics may or may not do; and in states other than South Australia, Tasmania and New South Wales, there is no law on who is a ‘paramedic’.
As noted in the ‘about’ page (https://emergencylaw.wordpress.com/about-2/) ‘This is not a place for providing specific legal advice…’ so that is a general proposition. If you do want advice on what particular paramedics, with particular skills sets can do when working for a particular provider with reference to their training documents and authorities, then that is advice you have to pay for. Always happy to discuss that too.
Australian Emergency Law 
Do yourself a favour. If you don’t have a defined scope of practice, or CPGs ie, if you are working for yourself or for another company, then write one and get a commercial medical director. Don’t use the St John ambulance CPGs as they are illegal to use without paying a yearly fee (yes, they will sue you). Keep your documented PD up as well. Never be in a hurry to do too much. If you don’t keep your cannulation skills up, for example…don’t do them. I work in ED and commercial/state. Depending on contract. Just because you can, doesn’t mean you should. Ego MUST be cast aside.
Terry’s comments of course represent good practice, and having a defined scope of practice and clinical practice guidelines are important for a service to ensure its staff perform within their competency. That is therefore getting into the detail of how you verify and maintain competence, but is consistent with my comment that what a paramedic can do is whatever he or she is competent to do.
I agree with Terry and Michael here. I operate under specific CPG’s that have to be approved or endorsed by the relevant state health department, which include, approvals for medications, at the individual medic’s defined level of practice. Maintenance of CPD is managed and reviewed over annual period. And if you find you have skill degradation, then refresh, up skill, or don’t do it until you do and are endorsed.