EMS Event Medical — ICP Application & Assessment

Before You Begin

This assessment evaluates competency in the safe administration of Schedule 8 controlled substances (Morphine, Fentanyl, Ketamine) in the event medical setting, as an additional scope of practice under EMS Event Medical clinical governance and the EMS TGA Medications Licence.

Schedule 8 substances are drugs of addiction. Authorisation to carry and administer them is granted by EMS Event Medical, is tied to the EMS TGA Medications Licence, requires Medical Director approval, is valid for 12 months from approval, is subject to annual reassessment, and is revocable.

How it works

Applicant details — identity, AHPRA registration, signature.
Scope selection — choose any or all of Morphine, Fentanyl, Ketamine. Only drugs you select and fully pass appear on the certificate.
Knowledge — a core S8 section plus a module for each selected drug. 100% is required for the core section and for each drug module independently.
Practical & Q&A — for each selected drug, an EMS assessor verifies a practical demonstration and a contraindications Q&A, by name and signature.
Sign-off — assessor confirms the practical, and the Medical Director authorises. The certificate cannot issue without both.

Consistency note: this tool uses the same 100% standard and assessor practical sign-off as the EMS ICP credentialling tool. (The source paper assessment specified 85%; the higher bar here is a deliberate EMS standardisation decision and is admin-adjustable.)

I understand this is an additional scope of practice tied to the EMS TGA Medications Licence, requiring Medical Director approval, valid 12 months, revocable. The responses I give are my own clinical knowledge; my information is true and complete. I understand authorisation applies only to drugs whose knowledge module (100%) and practical/Q&A I pass, and only after assessor and Medical Director sign-off.

Applicant Details

Assessment Number Date & Time (AEST)

Full Name *

AHPRA Registration Number * Contact Number *

Email *

Applicant Signature

Sign with finger or stylus Clear

Select Scope

Choose any or all medications. You sit the core section plus a module and practical for each drug selected. Only drugs you fully pass appear on your certificate as additional scope of practice.

Morphine Sulphate
Moderate–severe pain, ACS, pulmonary oedema Fentanyl
Rapid analgesia, haemodynamically unstable patients Ketamine
Severe trauma pain, procedural sedation, agitation

Knowledge Assessment

Answered 0 / 0 100% per section

The core section and each selected drug module must each be 100%. A single wrong answer in a section fails that section — the drug is not authorised. Rationale shown from the EMS reference.

Practical Demonstration & Contraindications Q&A

Completed by an EMS assessor for each selected drug that passed the knowledge module. Each item is confirmed Demonstrated or Not yet.

Only drugs that passed the 100% knowledge module appear here. A drug is authorised only when every practical item is Demonstrated.

Assessor & Medical Director Sign-Off

Result Summary

Assessor Declaration

I confirm the applicant passed the knowledge modules and satisfactorily demonstrated the practical and contraindications Q&A for the drugs marked authorised, under my direct supervision, to EMS standard.

Assessor Name * Assessor Role / PIN reference

Assessor signature Clear

Medical Director Authorisation

Authorisation to carry and administer Schedule 8 controlled substances is granted by the Medical Director under the EMS TGA Medications Licence. Required before the certificate issues.

Medical Director Name *

Medical Director signature Clear

Certificate Issued

Print or save, then export the full record for the EMS file.

EMS EVENT MEDICAL® — EVENT MEDICAL SPECIALISTS

Certificate to Practice

ADDITIONAL SCOPE OF PRACTICE

has been assessed by EMS Event Medical as competent — knowledge at 100% and practical competency demonstrated under direct supervision — in the safe administration of the following Schedule 8 controlled substances, and is authorised to carry and administer them under the EMS Event Medical TGA Medications Licence and clinical governance:

This authorisation is granted by EMS Event Medical under its TGA Medications Licence and clinical governance, on the approval of the Medical Director. It is an internal scope-of-practice authorisation, not an independent qualification or external licence. Valid for 12 months from the date of issue, subject to annual reassessment, and may be reviewed, suspended or withdrawn by EMS Event Medical at any time. Validity is subject to the holder remaining within scope, role and current EMS clinical direction.

Issued

Assessor

Valid until

AUTHORISED BY THE MEDICAL DIRECTOR — EMS EVENT MEDICAL

UNDER THE EMS EVENT MEDICAL TGA MEDICATIONS LICENCE

EMS Event Medical clinical governance — Schedule 8 controlled substances authorisation

Verification ID: | A record of this certification has been sent to help@emseventmedical.com.au

Internal EMS authorisation. Tied to the EMS TGA Medications Licence. Subject to EMS clinical governance and revocable.