Review of reserved and high-risk operations | Ambulance


To prepare for practical testing, you will go through the relevant e-learning modules independently. The actions are then tested practically during a simulated setting.



Ambulance personnel are expected to be able to perform reserved procedures. Read more about the review here.

Review of reserved and high-risk operations Ambulance

Under the BIG Act and the Decree on Functional Independence, an ambulance nurse may perform protocolized (reserved and risky) actions without the supervision or intervention of a physician. The ambulance nurse is personally responsible for maintaining and demonstrating (professional) competence. One way to present (subject) competence (“know” and “show” from the Miller pyramid) is to test actions.

Theoretical section:
You independently go through 13 mandatory e-learning modules, which must be successfully completed before taking part in the practical assessment.
Practical section:
You will be sent observation lists of all actions that will be tested for preparation. During the practical session, you will be practically tested in a simulated setting. Two teachers independently assess the actions using so-called “evidence-based” observation lists.

Learning objectives course

Upon completion of the practical assessment, you will have demonstrated mastery of the following during a simulated setting:
  • insertion nasopharyngeal airway
  • insertion oropharyngeal airway
  • insertion of laryngeal mask
  • perform coniotomy
  • ventilate with balloon and mask
  • endotracheal intubation
  • insertion of intravenous cannula
  • bone needle insertion
  • relieve tension pneumothorax
  • injecting intramuscularly
  • wife catheterization
  • Gastric tube insertion through the nose
  • suctioning out the airway

Target audience and level:

BIG registered ambulance nurse

Length and study load:

Preparation (theory): 6-10 hours (depending on prior education and experience).
Assessment (practical): 1.5 hours.

Study Material

DocZero e-learning modules


  • mandatory theory testing (incorporated into e-learning modules)
  • compulsory practical testing

Certification and accreditation

  • Certificate of “competence in simulated setting” (valid for 2 years).
  • 13 certificates of e-learning modules taken
  • V&VN accreditation points: 13


€ 349 exempt from VAT.