DEPARTMENT OFCOMMUNITYHEALTH AND HUMAN SERVICES
DIRECTOR’S OFFICEBUREAU OF EMS, TRAUMA, AND PREPAREDNESS
EMERGENCY MEDICAL SERVICES PERSONNEL LICENSING Filed with the secretary of state on These rules take effect immediately upon filing with the secretary of state unless adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after filing with the secretary of state. (By authority conferred on the director of the department ofcommunityhealth and human services by section2090120975 of the public health code, 1978 PA 368, MCL 333.2090120975et seq.and Executive Reorganization Order No.s. 1996-1,1996-2, and 2003-18, being MCL 330.3101, 445.2001, and 445.20112015-1, MCL 400.227)
R 325.22301, R 325.22302, R 325.22311, R 325.22312, R 325.22313,
R 325.22314, R 325.22315, R 325.22316, R 325.22321, R 325.22322, R 325.22323,
R 325.22324, R 325.22325, R 325.22326, R 325.22327, R 325.22331, R 325.22332,
R 325.22333, R 325.22334, R 325.22335, R 325.22336, R 325.22337, R 325.22338,
R 325.22339, R 325.22340, R 325.22341, R 325.22342, R 325.22343, R 325.22344,
and R 325.22345 of the Michigan Administrative Code are amended, and R 325.22303 is added, as follows:
PART 1. GENERAL PROVISIONS R 325.22301 Definitions.Rule 22301. (1) As used in these rules:
(a) “Advanced Emergency Medical Technician” means an emergency medical technician specialist.
(ab) “Code” means the public health code, 1978 PA 368, MCL 333.1101et seq.to 333.25211.
(c) “Compliance conference” means a meeting that provides an opportunity for the licensee to show compliance with the code and these rules before having the matter proceed to an administrative hearing.
(bd) “Continuing education” means programs of education or training approved by the department for use by licensees to meet requirements for renewal or relicensure.
(ce) “CPR credential” means a department-approved cardiac pulmonary resuscitation or(cprCPR)program for a health care provider or highest equivalent level of training.
(df) “Department” means the department ofcommunityhealth and human services.
(eg) "EMS" means emergency medical services.
(f) “Endorsement” means the recognition of the licensing authority of one state by another state.(gh) “NREMT” means the national registry of emergency medical technicians.
(hi) "Ongoing education" or "continuing education" means education or training sessions, refresher courses, and other learning activities approved by the department and designed to assist individuals who are seeking licensure, or to assist personnel in maintaining and upgrading their knowledge and skills on an ongoing basis throughout the term of their licensure.
(i) “Ongoing education” is also referred to as continuing education.(j) “Ongoing education credits" means the unit of measure,equal to 50 to 60 minutes of instruction, whichthat is assigned to a specific ongoing education topic.
(k) “On-site program sponsor approval” means compliance with the state-approved program criteria by which an educational program is reviewed to determine its compliance with preset educational goals, expectations, and equipment requirements.
(l) "Physician" means a doctor of medicine or doctor of osteopathy who possesses a valid license to practice medicine inMichigan.this state.
(m) "Physician director" means a physician who serves as the medical advisor for an education program and who is responsible for establishing the standards for emergency medical care instruction utilized in the program. (n) “Professional development” means continuing education for licensed instructor coordinators.(o) “Reciprocity” means the recognition of the licensing authority of one state by another state.
(p)(n)“Relicensure” means the granting of a license to a person whose license has lapsed for failure to renew the license within 60 days after the expiration date.
(q)(o)“Renewal” means continuation of a license based on completion of requirements and payment of any fees within the time limits established.
(r) “Subject matter expert” means a content expert with extensive knowledge and experience in the specific specialty topic.
(2) Terms defined in the code have the same meanings when used in these rules.
R 325.22302Terms defined in the code.Allegations and investigations.
Rule 22302.Terms defined in the code have the same meanings when used in these rules.(1) If a person or entity believes that a violation of the code or a rule promulgated under the code exists, they may submit an allegation to the department in writing.
(2) A licensee or applicant must notify the department of any criminal conviction within 7 calendar days after the date of the conviction. (3) A licensee or applicant must notify the department within 7 calendar days of any disciplinary or licensing action taken by any of the following: (a) Any agency of this state. (b) A state other than this state. (c) Any other governmental entity, foreign or domestic. (d) A medical control authority. (4) This applies to, but is not limited to, a disciplinary action that is stayed pending appeal. Failure of a licensee or applicant to notify the department under this rule may result in an administrative action under section 20958 of the code, MCL 333.20958. (5) If the department determines, after reviewing an application or an allegation, that there is reasonable basis to believe that a violation of the code or a rule promulgated under the code exists, the department shall investigate the alleged violation. (6) After an investigation is completed, the department shall do one or more of the following: (a) Conduct a compliance conference. (b) Issue a letter of reprimand. (c) Issue a consent order. (d) Issue a cease and desist order. (e) Issue an enforcement action under part 201 or 209 of the code, MCL 333.20101 to 333.20211 and MCL 333.20901 to 333.20979, or the rules promulgated under those parts. (f) Close the investigation with no action. R 325.22303 Enforcement; fines. Rule 22303. (1) A violation of the code or these rules by an individual licensee may result in an administrative fine of not more than $500.00 in accordance with section 2262 of the code, MCL 333.2262. (2) A violation of the code or these rules as it relates to a continuing education program or initial education program may result in an administrative fine of not more than $1,000.00 in accordance with section 2262 of the code, MCL 333.2262. (3) An individual whose license was suspended, denied, or revoked may apply to the department for reinstatement of his or her previous license by using the department prescribed application and reinstatement fee, which is equal to the licensure fees in section 20950(6) of the code, MCL 333.20950. (4) The department may require that an applicant complete corrective measures or remedial education as a condition of reinstatement. (5) The department shall not consider an application for reinstatement received before the expiration of the applicable period as established in the enforcement notice or final order issued by the department. (6) After an eligible reinstatement application has been reviewed, the department shall do one or more of the following: (a) Issue the license. (b) Conduct a compliance conference. (c) Issue a consent order. (d) Issue an application denial in accordance with section 20958(1) of the code, MCL 333.20958.PART 2. EMERGENCY MEDICAL SERVICES PERSONNEL LICENSING R 325.22311 Examination application.Rule 22311. For an applicant to take the appropriate examination, an application for examinationshallmust be completed and submitted to the department or state-designated representative within 2 years of the course completion date.An applicant who submits an application more than 2 years after the course completion date shall meet any additional requirements established for acceptance into the examination.
R 325.22312 Licensure by examination.Rule 22312. (1) An applicant for licensure by examinationshallmust submit a completed application on a form provided by the department,togetherwith therequisiterequired fee.
(2)In addition to meeting the requirements of the code and theseadministrativerules, an applicant for licensure by examinationshallmust meetall ofthe following requirements:
(a) Completion of an appropriate education program at the level applied for, as approved under section 20912 of the code, MCL 333.20912, and the proof of completion sent directly from the education program to the department. The initial education course must have been taken within 2 years of application date.
(b) A If the applicant is a first-time applicant, shall
attain a passing score on the appropriate department-prescribed examination.
The passing scores shall be submitted directly to the department by the testing agency.
(c) An
individual applying to the department for licensure by having passed the
department-prescribed examinations shall have completed an initial education
course within 2 years of application.
(2) (d) The fees
paid by an applicant who has not completed all requirements for licensure by
examination within 2 years of the department’s receiving the application shall
be are forfeited to the department and the application shall
be is void.
(3) (e) An
individual who is guilty of fraud or deceit in procuring or attempting to
procure licensure, including using falsified documents to gain admittance to a
department-prescribed licensure examination, shall must be denied
licensure for at least 2 3 years.
(4) (f)
An individual shall may not represent himself or herself as,
function as, or perform the duties of, a licensed medical first responder,
emergency medical technician, emergency medical technician specialist or paramedic
until licensed by the department in accordance with the code and these rules.
R 325.22313 Licensure at lower levels.
Rule 22313. A current
ems EMS licensee who applies for a lower-level license shall
must submit a new application for the lower-level license along with the
fee and proof of having earned the required continuing education at the lower-level
license. meet all of the following requirements:
(a)
A paramedic, who holds an active license, may apply for a license as an
emergency medical technician specialist, emergency medical technician or medical
first responder by submitting a new application for the lower level license
along with the fee and proof of having earned the required
continuing education at the emergency medical technician specialist, emergency
medical technician, or medical first responder level.
(b)
An emergency medical technician specialist, who holds an active license,
may apply for a license as an emergency medical technician or medical
first responder by submitting a new application for the lower level along with
the fee and proof of having earned the required continuing education at the emergency
medical technician or medical first responder
level.
(c)
An emergency medical technician, who holds an active license, may apply for a
license as a medical first responder by submitting a new application for the
lower level along with the fee and proof of having earned the required continuing
education at the medical first responder level.
R 325.22314 Licensure
by endorsement reciprocity.
Rule 22314. An
applicant for licensure by endorsement reciprocity shall must
submit a completed application on a form provided by the department together
with the requisite required fee, and all of the following documentation:
(1a)
Verification of current licensure/certification/registration in any state which
that granted permission to practice.
(2b)
Examination scores Successful completion for of a
department-prescribed examination which shall be submitted to
department and which that verify verifies passage
of examinations or NREMT status, or both.
(3c)
Sanctions or grounds for sanctions by another state that may exist at time of
application which shall that will disqualify the applicant
until the other state certifies that
those sanctions or grounds for sanctions no longer exist for the applicant.
(d) Proof of training that is substantially equivalent to the state-prescribed curriculum. If deficiencies are noted, proof of continuing education or training in areas determined deficient by the department must be submitted.
R 325.22315 Licensure by national registry status only.Rule 22315. An applicant for licensure who has activenremtNREMT status only and who has not been licensed in any other stateshallmust submit a completed applicationon the form provided byto the department, together with therequisiterequired fee, andshallmeet both of the following requirements:
(a)(1)RequestnremtVerification of NREMT.to send verification of scores or nremt status, or both.
(b)(2)Provide proofProof of training that is substantially equivalent to the state-prescribed curriculum. If deficiencies are noted,andproof of continuing education or training in areas determined deficient by the department must be submitted.
R 325.22316 License renewal. Rule 22316. Not more than 60 days before the date of license expiration, the department shall transmitto the last known address of the licensee an application for licensea renewal notice to the licensee. Failure of the licensee to receive notice for renewalshalldoes not relieve the licensee of the responsibility for renewing his or her license.
PART 3. CONTINUING EDUCATION REQUIREMENTS R 325.22321 License renewal or relicensure for medical first responders; continuing education.Rule 22321. (1) An applicant for license renewal as a medical first responder who has been licensed for the 3-year period immediately preceding the expiration date of the license or an applicant for relicensure as a medical first respondershallmust accumulate at least 15 continuing education credit hours that are approved by the department under these rules during the 3 years preceding an application for renewal or relicensure.
(2) An applicant
for license renewal or for relicensure under section 20954 of the code, MCL
333.20954, in addition to the requirements of subrule (1) of this rule, shall
must have an appropriate and current CPR credential as determined by the
department. Continuing education credit for a CPR credential may be part of the
medical continuing education category requirement.
(3) The categories of
approved continuing education activities for medical first responders are prescribed
by the department, in collaboration with the EMSCC, on a triennial basis. shall
include, but are not limited to, all of the following topics:
(a) Preparatory.
(b)
Airway management and ventilation.
(c)
Patient assessment.
(d)Trauma.
(e)
Medical.
(f)
Special considerations.
(g)
Operations.
R 325.22322 License renewal or relicensure for emergency medical technicians; continuing education. Rule 22322. (1) An applicant for license renewal as an emergency medical technician who has been licensed for the 3-year period immediately preceding the expiration date of the license or an applicant for relicensure as an emergency medical technicianshallmust accumulate at least 30 continuing education credit hours that are approved by the department under these rules during the 3 years preceding an application for renewal or relicensure.
(2) An applicant
for license renewal or relicensure pursuant to section 20954 of the code, MCL
333.20954, in addition to the requirements of subrule (1) of this rule, shall
must have an appropriate and current cpr CPR credential as
determined by the department. Continuing education credit for a cpr CPR
credential may be part of the medical continuing education category requirement.
(3) The categories
of approved continuing education activities for emergency medical technicians are
prescribed by the department, in collaboration with the EMSCC, on a triennial
basis. shall include, but are not limited to, all of the following topics:
(a) Preparatory.
(b) Airway
management and ventilation.
(c) Patient assessment.
(d) Trauma.
(e) Medical.
(f) Special considerations.
(g) Operations.
R 325.22323 License renewal or relicensure for emergency medical technician specialists; continuing education.
Rule 22323. (1)
An applicant for license renewal as an emergency medical technician specialist
who has been licensed for the 3-year period immediately preceding the
expiration date of the license or an applicant for relicensure as an emergency
medical technician specialist shall must accumulate at least 36
continuing education credit hours that are approved by the department under
these rules during the 3 years preceding an application for renewal or relicensure.
(2) An applicant
for license renewal or for relicensure under section 20954 of the code, MCL
333.20954, in addition to the requirements of subrule (1) of this rule, shall
must have an appropriate and current cpr CPR credential as
determined by the department. Continuing education credit for a cpr CPR
credential may be part of the medical continuing education category requirement.
(3) The
categories of approved continuing education activities for emergency medical
technician specialists are prescribed by the department, in collaboration
with the EMSCC, on a triennial basis. shall include, but are not limited
to, each of the following topics:
(a) Preparatory.
(b) Airway
management and ventilation.
(c) Patient assessment.
(d) Trauma.
(e) Medical.
(f) Special considerations.
(g) Operations.
R 325.22324 License renewal or relicensure for paramedics; continuing education.Rule 22324. (1) An applicant for license renewal or relicensure as a paramedic who has been licensed for the 3-year period immediately preceding the expiration date of the license or an applicant for relicensure as a paramedicshallmust accumulate at least 45 continuing education credit hours that are approved by the department under these rules during the 3 years preceding an application for renewal or relicensure.
(2) An applicant
for license renewal or for relicensure under section 20954 of the code, MCL 333.20954, in addition to the
requirements of subrule (1) of this rule,
shall must have an appropriate and current CPR credential as
determined by the department. Continuing education credit for CPR credential
may be part of the medical continuing education category requirement.
(3) The categories
of approved continuing education activities for paramedics are prescribed by the department, in collaboration with
the EMSCC, on a triennial basis. shall include, but are not limited
to, all of the following topics:
(a) Preparatory.
(b) Airway
management and ventilation.
(c) Patient assessment.
(d) Trauma.
(e) Medical.
(f) Special considerations.
(g) Operations.
R 325.22325 Certification of compliance; additional documentation.Rule 22325. (1) Submission of an application for renewal or relicensureshallconstitutes the applicant’s certification of compliance with the requirements of these rules.
(2) The
department may require an applicant or licensee to submit documentation to demonstrate
compliance with the continuing education requirement. The applicant or licensee
shall must maintain documentation of his or her compliance with the
continuing education requirement for a period of 1 year after the expiration date
of the license. Failure to provide such the documentation creates
a rebuttable presumption that the licensee has made a false and fraudulent
statement in applying for a license to practice emergency medical services. As provided
under section 20958 of the code, MCL 333.20958, the department shall determine if failure to provide
documentation of compliance with the continuing education requirement is a
violation of section 20954 of the code, MCL 333.20954.
(3) Acceptable documentation
of continuing education shall must
include all of the following:
(a) Name of the licensee participating in the program.
(b) Name of the sponsoring organization and instructor-coordinator number.
(c) Title of the program.
(d) Hours of continuing education credit awarded per required category.
(e) Date of the program.
(f) Signature of the instructor-coordinator or designee.
R 325.22326 Continuing education courses and programs; standards for approval.Rule 22326. (1) One continuing education credit hour may be earned for each 50 to 60 minutes of instruction at an approved education program that complies with this rule and R 325.22327. One half of a continuing education credit hour may be earned for each 25 to 30 minutes of instructions.
(2) Initial education
program sponsors shall may be approved for up to 3 years for
presentation of continuing education programs at the level consistent with
education approval upon submission and approval of a continuing education sponsor
application.
(3) The department
approves and adopts, by reference, the standards and criteria of a nationally
approved continuing education accrediting body, Commission on Accreditation for
Pre-Hospital Continuing Education (CAPCE). A copy of the publication is
available for inspection and distribution to the public at no cost from the Department
of Health and Human Services, P.O. Box 30207, Lansing, Michigan 48909-0207. A
printed copy is also available from CAPCE at no cost at P.O. Box 293835, Lewisville,
Texas 75029 or https://capce.org/docs/Accred%20Guidebook.pdf
. the continuing education coordinating board for emergency medical
services (cecbems) that are in the publication entitled “CECBEMS Standards and
Requirements for Organizational Accreditation”. A copy of the publication
is available for inspection and distribution to the public at cost from the
Department of Community Health, Bureau of Health Professions, P.O. Box 30670,
Lansing, MI 48909. A printed copy also is available at from CECBEMS 5111
Mill Run Road Dallas, TX 75244 or on-line at http://www.cecbems.org/system.cfm at no cost. Any
program approved by cecbems shall be considered a Michigan-approved continuing
education program.
(4) The department approves and
accepts, by reference, the standards for credentialing in basic and advanced
life support set forth by the American heart association in the guidelines for
cardiopulmonary resuscitation and emergency cardiac care for professional providers
and published in “Guidelines 2000 for Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care” (70-2041). A copy of the guidelines for
cardiopulmonary resuscitation and emergency cardiac care is available for
inspection and distribution to the public at cost from the Department of Community
Health, Bureau of Health Professions, P.O. Box 30670, Lansing, MI 48909. A printed copy also is available from the American Heart
Association, 7272 Greenville Avenue, Dallas, TX 75231 or http://www.americanheart.org
at
a cost of $20 as of the adoption of these rules.
(54)
Medical first responders completing an emergency medical technician course, or
emergency medical technicians and emergency medical technician specialists completing a paramedic program,
may be awarded all the required ongoing education credit for the lower licensure
level for the current renewal period. An emergency medical technician
completing an advanced emergency medical technician program may be awarded all
the required ongoing education credit hours for the lower-license level for the
current renewal period.
(65)
Continuing education credit hours may be awarded for continuing education
programs approved by the Michigan boards of medicine, osteopathic medicine,
nursing, or pharmacy toward the ems EMS license if directly related
to the emergency medical scope of practice issues, as determined by the department.
(76) Five continuing
education credit hours may be awarded for each semester credit earned for
academic courses related to ems EMS that are offered either in an
educational program approved by the Michigan boards of medicine, osteopathic
medicine, or nursing, or in an approved physician assistant program.
(87) Three continuing
education credit hours may be awarded for each term credit earned for academic
courses related to ems EMS that are offered either in an
educational program approved by the Michigan boards of medicine, osteopathic
medicine, or nursing, or in an approved physician assistant program.
(98)
Credit may be requested for programs offered by out-of-state or military-sponsored
ems EMS agencies before license
renewal.
(109)
The
department or its designee shall must publish a list of
acceptable state or national programs sponsored by emergency medical
organizations or other related organizations that do not meet any of the criteria
listed in subrules (2) to (8) of this rule with pre-approved credits indicated
in the publication.
R 325.22327 Continuing education program sponsors.Rule 22327. (1) The department shall consider requests for approval of continuing education programs by instructor-coordinators, program sponsors, or other parties not covered in R 325.22326 who submit applications on a form provided by the department. The department or its designee shall evaluate applications for approval based on, but not limited to, the following criteria:
(a) Educational goals or learning objectives.
(b) Time schedule and continuing education credits to be awarded.
(c) Sample certificate or documentation of attendance to be issued to attendees.
(d) Documentation of qualifications of presenters.
(e) Use of appropriate and adequate facilities for a program.
(f) Program
content that shall relates to the general subject of emergency medicine.
(g) Evaluation tools to be used in a program.
(2) All
applications for approval to conduct continuing education courses shall must
be submitted to the department or its designee on forms provided by the department
at least 30 days before implementing the programs.
(3) Any individual
attending out-of-state or military-sponsored ongoing education programs shall
must submit a request for approval of the program to the department or
its designee if continuing education credits are to be awarded.
(4) Continuing education sponsor approval may be granted for up to 3 years.
(5) Independent
study such as continuing education articles in professional journals, ongoing
serial productions, or interactive computer programs shall be are
acceptable, if the program is developed by a professional group such as an educational institution, corporation, professional association, or other
approved provider of continuing education
and meets all of the following criteria:
(a) Requires a participant to make an active and appropriate response to the educational materials presented.
(b) Provides a test or evaluation tool.
(c) Provides a record of completion as described in R 325.22325.
PART 4. INSTRUCTOR-COORDINATORS R 325.22331 Licensure by examination; requirements.
Rule 22331. (1)
An applicant for licensure by examination shall submit a completed application on
a form provided by the department, together with and the requisite
fee. In addition to meeting the other requirements of the code and these
administrative rules, an applicant shall must do all of
the following:
(a) Be a
licensed ems in this state as an EMS personnel. emergency
medical technician, emergency medical technician specialist, or paramedic.
(b) Demonstrate successful completion of an approved instructor-coordinator educational program.
(c) Have completed
3 years of full time, part time, full-time, part-time, on-call,
or volunteer direct patient care with a licensed life support agency. or
other organization providing health care services as formally verified by a
licensed physician or health care services agency director.
(d) Pass the examination set forth in R 325.22333.
(2) The fees
paid by an applicant who has not completed all requirements for licensure by
examination within 2 years of the department’s receiving the application shall
be are forfeited to the department and the application shall
be is void.
(3) An individual
who is guilty of fraud or deceit in procuring or attempting to procure
licensure, including using falsified documents to gain admittance to a department-prescribed
licensure examination, shall will be denied licensure for a
period of at least 2 years to
be determined by the department.
(4) An
individual shall not represent himself or herself as, function as, or perform
the duties of, a licensed instructor-coordinator until licensed as such an
instructor-coordinator by the department in accordance with the code and
these rules.
R 325.22332 Examination application for instructor-coordinator.Rule 22332. An application for examination as an instructor-coordinatorshallmust be completed and returned to the department within 2 calendar years of course completion. A candidate for examination whose application is received more than 2 calendar years after course completionshallmust successfully complete another instructor-coordinator course before being admitted into a subsequent examination.
R 325.22333 Instructor-coordinator examination.Rule 22333. The department or its designeeshallmust administer a written examination to graduates of an instructor-coordinator education course conducted by a department-approved education program.
R 325.22334 Failure to pass examination; education course required; reexamination. Rule 22334. An applicant who fails to attain a passing score on the written examination in 3 attemptsshallmust successfully complete an approved instructor-coordinator education course or refresher course before reapplying to the department for further examination.
R 325.22335 Licensure by endorsement. Rule 22335. (1) An applicant for licensure by endorsement shall must submit a completed application on a form provided by the department together with the requisite fee, and submit documentation of all of the following:
(a) Verification
of current licensure, /certification/registration certification,
or registration in any state in which the applicant is granted
permission to practice.
(b) Examination
scores for a department-prescribed examination which shall be
submitted to the department and which that verify passage of examinations.
and/or nremt status.
(c) Proof of
training that is substantially equivalent to the state-prescribed curriculum and
qualifications described in R 325.22331(c). If deficiencies are noted,
proof of continuing education or training in areas deemed determined
deficient by the department must
be submitted.
(2) (d) Sanctions
or grounds for sanctions by another state will disqualify an applicant from
licensure. that may exist at time of application, which shall disqualify
the applicant until the other state certifies that those sanctions or grounds for
sanctions no longer exist for the applicant.
R 325.22336 Continuing
education Professional development for instructor-
coordinators; requirements.
Rule 22336. (1) All licensed
instructor-coordinators shall must accrue 30 continuing education
professional development credits in ongoing education programs specified
by the department as appropriate for licensed instructor-coordinators. The continuing
education professional development credits shall must be
accrued during the 3-year licensure period.
(2) All
continuing education professional development courses shall
must be approved by the department or its designee before implementation
if continuing education professional development credits are to
be awarded.
(3) Instructor-coordinators
shall earn 30 continuing education professional development hours
in 1 of the following ways:
(a) Completion of a minimum 30-hour department-approved instructor-coordinator refresher course.
(b) Completion of the required 30 hours in department-approved professional development programs.
(c) Completion of a total of 30 hours in professional development and educational experience with a minimum of 20 hours in department-approved professional development programs and a minimum of 10 hours in educational experience as defined by the department.
R 325.22337 Instructor-coordinator license renewal or relicensure.
Rule 22337. (1)
Not more than 60 days before the date of license expiration, the department shall
transmit to the last known address of a renewal notice to the licensee.
an application for license renewal. Failure of the licensee to receive
notice for renewal shall does not relieve the licensee of the
responsibility for renewing his or her license.
(2) An applicant
for license renewal or relicensure as an instructor-coordinator who has
been licensed for the 3-year period immediately before the expiration date of
the license or an applicant for relicensure, in addition to holding a current
license as an emergency medical technician, emergency medical technician
specialist, or paramedic, shall must accumulate during the 3
years before an application for renewal or relicensure at least 30 continuing
education professional development credit hours in department-approved programs.
R 325.22338 Certification of compliance; additional documentation.Rule 22338.(1)Instructor-coordinator renewal or relicensure must be done in accordance with R 325.22325.Submission of an application for renewal or relicensure shall constitute an applicant’s certification of compliance with the requirements of this rule.
(2) The
department may require an applicant or licensee to submit documentation to
demonstrate compliance with the continuing education requirement. An
applicant or licensee is responsible for maintaining documentation of
his or her compliance with the continuing education requirement for a period
of 1 year from the expiration date of the license. Failure to provide such
documentation creates a rebuttable presumption that the licensee has made a false
and fraudulent statement in applying for a license to practice emergency
medical services. As provided under section 20958 of the code, the department
shall determine if failure to provide documentation of compliance with the continuing
education requirement is a violation of section 20954 of the code.
(3) Acceptable
documentation of continuing education shall include all of the following:
(a) Name of
the licensee participating in the program.
(b) Name of
sponsoring organization and instructor-coordinator number.
(c) Title of program.
(d) Hours of
continuing education credit awarded per required category.
(e) Date of program.
(f) Signature
of instructor-coordinator or designee.
PART 5. EDUCATION PROGRAM REQUIREMENTS
R 325.22339 Education programs; requirements.
Rule 22339. An
emergency medical first responder, emergency medical technician, advanced
emergency medical technician specialist, or paramedic education program shall
must comply with all of the following requirements:
(a) Be under the direction of a physician director, except for emergency medical first responder education programs. Programs requiring emergency medical responder students to do clinicals must have physician direction and vaccination requirements.
(b) Be
coordinated by a licensed instructor-coordinator who shall must ensure
that an instructor-coordinator, qualified instructor, or subject matter expert
is in attendance at all didactic and practical sessions.
(c) Qualified instructors and subject matter experts are subject to review and approval by the department through the program sponsor approval process.
(d) Apply to
the department, on forms Complete an application prescribed provided
by the department or its designee, for educational program sponsor
approval to conduct an education course at least 60 days before the start of
the course., and be approved by the department through an on- site program sponsor approval process
before implementation.
(e) Advise the students before or at the first-class session that the education program and course are approved by the department.
(f) Conduct courses according to an on-site program sponsor approval process.
(g) Provide the department
and its designee within 30 calendar days of course completion with a list
roster of students who successfully completed the course, including at
least each student’s name and date of birth., and, if possible,
social security number.
R 325.22340 Instructor-coordinator education program; requirements.
Rule 22340. (1)
An instructor-coordinator education program shall must comply
with all of the following requirements:
(a) Be coordinated by a licensed instructor-coordinator who has coordinated at least 1 initial education program in the last 3 consecutive years.
(b) Utilize qualified instructional staff with appropriate expertise.
(c) Include classroom and supervised student teaching or internship experience in the curriculum.
(d) Apply to
the department, on forms provided Complete an application prescribed
by the department or its designee, to conduct an education course at
least 60 days before the start of the course, and be approved by the department
through an on-site program sponsor approval before implementation.
(e) (2)
Conduct courses according to an on-site program sponsor approval process.
R 325.22341 Education program sponsor responsibilities.Rule 22341.(1)An education program sponsorshallbeis responsible for the overall quality of the program and courses offered. The program sponsor, the instructor-coordinator, and the physician directorshall beare responsible for, but not limited to, allofthe following:
(a) Establishing admission requirements and conducting entry assessments. (b) Establishing standards for successful course completion. (c) Establishing standards for instructors and approval of all instructors, ensuring that all instructors meet or exceed the standards established in R 325.22344. (d) Ensuring that the medical control authority in the region is informed of the program. (e) Establishing clinical contracts specific to the level of the program and expected activities. (f) Monitoring the activities of the emergency medical services instructor-coordinator based on standards developed by the program sponsor. (g) Establishing an equal opportunity policy that at a minimum complies with state and federal law. (h) Providing an adequate and appropriate instructional facility including making available equipment that is functional, in good repair, and is of a similar type to that currently on the list of required minimum equipment for life support vehicles. (i) Developing examinations based on approved curricula.(j) Developing a process for students to appeal decisions made by the staff or sponsor relative to their performance in the course. This processshallmust be made available, in writing, to each student.
R 325.22342 Instructor-coordinator responsibilities.Rule 22342. (1) An instructor-coordinator for all emergency medical educational training coursesshallmust possess a currentemsEMS license thatshall beis commensurate with the level of the training course being taught.Only an instructor- coordinator with a paramedic license may be responsible for a paramedic course.
(2) The instructor-coordinator responsibilitiesshallinclude, but are notbelimited to, allofthe following:
(a) Complying with instructor-coordinator performance standards indicated in instructor-coordinator curriculum. (b) Being responsible for course development, evaluation, and coordination of curricular elements, including those of a clinical nature, and assisting in the selection and evaluation of instructors, with the approval of the program sponsor and physician director. (c) Planning the course content and ensuring that it complies with the department’s requirements. (d) Assisting in the evaluation and selection of students. (e) Evaluating and maintaining records of student performance. (f) Maintaining and assuring the availability of equipment and training aids. (g) Coordinating and maintaining records of clinical experience. (h) Counseling and assisting students, as appropriate.(i) Providing the department, within 30 calendar days of course completion, with alistroster of students who successfully completed the course, includingat leasteach student’s name and date of birth.and, if possible, social security number.
R 325.22343 Education program physician director; responsibilities.Rule 22343.(1)The education program physician director responsibilitiesshallmust include, but are not limited to, allofthe following:
(a) Conducting a periodic review of the organization and content of a course to ensure that current standards of emergency medical care are being utilized throughout the course. (b) Working with the education sponsor and the instructor-coordinator in carrying out the responsibilities of course development, evaluation, and coordination of curricular elements, including those of a clinical nature, and selecting and evaluating instructors. (c) Having clinical experience and current expertise in providing emergency care. R 325.22344 Education program course instructor; requirements.Rule 22344.(1)An education program course instructorshallmust meet, at a
minimum, both of the following requirements: (a) Have a working and practical knowledge of the objectives and components of the education course relevant to his or her area of instruction. (b) Be a licensed health professional with relevant and current clinical experience or possess educational expertise that is appropriate to his or her specific topic of instruction. R 325.22345 Department evaluation of education programs.Rule 22345. (1) The department may evaluate an emergency medical services program at any time. An evaluationshall commencewill be completed when any of the following occurs:
(a) A request for a new program is submitted. (b) The failure rate on the required licensure examination for 1 calendar year of compiled statistics is more than 10% below the threshold established by the department.(c) A cComplaintregarding the conduct of the program are received and it is necessary to validate the complaintsis received by the department.
(2) Evaluation processes may include any of the following: (a) A site visit. (b) A follow-up study of graduates and employers. (c) A review of available statistical information available regarding the program.(3) An evaluation that is found to have deficiencies may result in any of the following:
(a) The creation of a program performance improvement plan with reports to the department. (b) Program suspension for a period determined by the department. (c) Revocation of a program approval.