Virginia Administrative Code – EMS Regulations §12VAC5-31-1050 – Scope of Practice, states – EMS Personnel shall only perform those procedures, skills, or techniques for which he is currently licensed or certified, provided that he is acting in accordance with the local medical treatment protocols and medical direction provided by the OMD of the licensed EMS agency with which he is affiliated and within the scope of the EMS agency licenses as authorized in the Emergency Medical Services Procedures and Mediations Schedule as approved by the board.