simply, ambulance technician. most emts hold an institute for healthcare development ambulance technician certificate and are employed in private ambulance companies or in national health service ambulance trusts. as of 2016, the ihcd ambulance technician certificate was replaced with the faq level 4 diploma for associate ambulance practitioners & qa level 5 diploma in first response emergency and urgent care (rqf) this provided a defined scope of practice agreed nationally by ambulance service trusts. their role title, however, may still be defined by their employer as emergency medical technician. they can work autonomously, making their own clinical decisions within their training and remit. they may also work as a clinical lead working alongside an emergency care assistant or as assistants themselves to a paramedic. as the role does not have a single defined scope, the skills they have can include: administration of select general sales list, pharmacy and prescription only medicines under provision of the human medicines regulations 2012 administration of medicines by select parenteral or non-parenteral routes; typically oral, intramuscular, inhaled, nebulised or sublingual intermediate life support, including manual defibrillation and supraglottic airway placement ability to discharge patients to different care pathways the term emergency medical technician is not commonly used by members of the public in the united kingdom. instead, it is common for all ambulance personnel to be referred to as "paramedics", although the paramedic title is protected under registration of the health and care professions council. united states