"Backup agreement" means a written agreement between nearby licensed ambulance service providers to provide response when the primary service provider is unable to do so.
"Biennial licensing period" or "biennium" means the 2-year period beginning on July 1 of an even-numbered year and ending on June 30 of the next even-numbered year.
"CPR organization" means an entity whose program is authorized to provide CPR certification based on national standards and is approved by the department to fulfill the CPR requirement for certified first responders and licensed EMT's.
"Cardiopulmonary resuscitation" or "CPR" means a combination of rescue breathing and chest compressions delivered to victims believed to be in cardiac arrest.
"Clinical training" means training received in a hospital or other health care facility.
"Coverage agreement" means a written agreement between two neighboring ambulance service providers that each will cover the other's 9-1-1 area when the other knows in advance that it will be unable to do so.
"Credential" means written authorization by the service director and medical director of a licensed emergency medical services provider permitting a certified first responder or licensed emergency medical technician to perform specified emergency medical care while in the service of the provider. To be "credentialed" means to hold a credential issued by a licensed emergency medical services provider.
"Critical care paramedic" means an emergency medical technician — paramedic who is licensed and endorsed by the department to provide an advanced level of paramedic care based on completion of an advanced level of paramedic training.
"Dedicated services" means that with respect to special events the emergency medical services provider will have resources dedicated and immediately available on the grounds of the event that will not be subject to responses other than requests from the event.
"Department" means the Wisconsin department of health services.
"Emergency medical care" means medical care to sick, disabled, or injured individuals at the scene of an emergency, during transport to a hospital, while in the hospital emergency department until responsibility for care is assumed by the regular hospital staff, and during transfer of a patient between health care facilities, which is based on department approved patient care protocols.
"Emergency medical services" or "EMS" means an arrangement of personnel, communications, equipment, and supplies for the delivery of emergency medical care.
"EMS instructor" means a person approved by the department or, if employed by the Wisconsin technical college system board, jointly approved by the department and the Wisconsin technical college system board, at a specified level or levels, to train individuals in the provision of emergency medical services.
"EMS professional" or "EMS personnel" means a certified first responder, licensed emergency medical technician, registered nurse, physician assistant or physician, who is authorized to provide emergency medical care.
"Emergency medical service provider" or "EMS provider" means an emergency medical services program under s. 256.12
, Stats., that provides emergency medical services as a first responder service provider, non-transporting EMT provider, or ambulance service provider.
"Emergency medical technician — intermediate" or "EMT-I" has the meaning given in s. 256.01 (7)
"Emergency medical technician — intermediate technician" or "EMT-IT" means an emergency medical technician — intermediate who has completed the Wisconsin intermediate technician curriculum.
"Emergency medical technician — paramedic" or "paramedic" "has the meaning given in s. 256.01 (8)
"Endorsement" means validation by the department that a licensed EMT has received the training and education required to be a specialist within a license level.
"Field training" means a training experience where a student is placed with an ambulance service provider and, under direct supervision of an approved preceptor, cares for patients to gain proficiency in the skills, medications, and treatments taught in the training program in which the student is enrolled.
"First responder" means a person who is certified by the department as a first responder under s. 256.15 (8)
, Stats., and this chapter and who, as a condition of employment or as a member of an organization that provides emergency medical care before hospitalization, provides emergency medical care to sick, disabled or injured individuals before the arrival of an ambulance, but who does not provide transportation for a patient.
"First responder service provider" means an emergency medical services provider that provides emergency medical care with staff certified as first responders to sick, disabled or injured individuals before hospitalization and the arrival of an ambulance, but that does not provide transportation for patients.
"Individual" means a natural person, and does not include a firm, corporation, association, partnership, institution, public agency, joint stock association or any other group of individuals.
"Interfacility transport" means any transfer of a patient between health care facilities or any non-emergent transfer of a patient.
"Intercept service" means a specialized EMS service provider that sends higher trained EMS professionals to assist a lower level EMS service provider in caring for a patient who requires a higher level of emergency medical care than the lower level EMS service provider is able to administer.
Supervision and quality control of patient care by the service medical director or by a physician designated by the service medical director.
Coordination of all medical-related activities of EMS personnel in a pre-hospital setting or interfacility transport of a patient.
"Medical control facility" means a hospital that provides medical advice via wireless communication to first responders and emergency medical technicians who are with a sick or injured person.
"Medical director" means a physician with the qualifications specified under this chapter who is associated with an EMS service provider and trains, medically coordinates, directs, supervises, establishes standard operating procedures for, designates physicians for direction and supervision of, and reviews the performance of the service's first responders or emergency medical technicians, as required under s. 256.15 (8m)
"Mutual aid agreement" means a written agreement between licensed ambulance service providers whereby each provides emergency medical care in the other's primary service area when the primary ambulance service provider requires additional resources because it has already committed all its resources to other 9-1-1 emergency responses.
"National registry of emergency medical technicians" or "NREMT" means the non-profit, independent, non-governmental agency that certifies the proficiency of EMS professionals through provision of a standardized examination for individuals who have completed state-approved EMS training.
"National standard curriculum for training EMS personnel" or "national standard curriculum" means the most recent edition of the first responder or emergency medical technician national standard curriculum published by the national highway traffic safety administration of the U.S. department of transportation.
"9-1-1 emergency response" means the dispatch and movement of an ambulance in response to a request for emergency medical services, which was initiated by a 9-1-1 phone call and dispatched through a 9-1-1 dispatch center.
"Non-transporting EMT service provider" means an emergency medical service provider that provides emergency medical care with staff licensed as EMTs to sick, disabled or injured individuals before hospitalization and the arrival of an ambulance, but that does not transport patients.
"Nonvisualized airway" means a department-approved device that is inserted through a patient's mouth into the patient's esophagus or trachea without direct visualization of the larynx.
"On-line medical control" means direct voice contact between a physician at the medical control hospital and EMS professionals for the purpose of medical direction.
"On-site medical direction" means that a medical director is located at a special event and directs EMS professionals in the treatment of patients.
"Operational plan" means a written plan of operations prepared by or for an emergency medical service provider that describes the provider's methods and procedures for providing emergency medical services in the provider's primary service area and other areas served through mutual aid or contract.
"Patient" means individual of any age who may require assessment, treatment or transport.
"Patient care report" means the written documentation that is the official medical record that documents events and the assessment and care of a patient treated by EMS professionals.
"Patient care protocol" means a written statement signed and dated by the service medical director and approved by the department that lists and describes the steps within the applicable scope of practice that EMS professionals are required to follow when assessing and treating a patient.
"Phase-in period" means a period of time during which an EMS service provider is upgrading its level of service and begins to provide service at the higher level before it is able to meet the staffing requirements for that level.
"Physician" means a person licensed in Wisconsin under ch. 448, Stats.
, to practice medicine and surgery.
"Physician assistant" means a person licensed in Wisconsin under ch. 448, Stats.
, to perform as a physician assistant.
"Preceptor" means any of the following who provides direct supervision of clinical or field training for EMT students: an EMT licensed at or above the level of the training he or she provides, a physician, a registered nurse or a physician assistant.
"Primary service area" means the geographical area in which an ambulance service provider is designated to provide first-in emergency medical services under contract with a local government. "Primary service area" does not include areas that the provider serves through mutual aid or back-up arrangements.
"Program director" means the person at a training center who is responsible for the actions of the training center and for directing day to day activities.
"Quality assurance program" means a program of formalized review of patient care reports, statistical information, and training evaluation by the medical director or designee to verify current and improve future performance.
"Registered nurse" means a person who is licensed in Wisconsin as a registered nurse under s. 441.06
"Service director" means the person designated by the emergency medical service provider to oversee operations and ensure compliance with applicable statutes, administrative rules and the approved operational plan.
"Special event" means a public event, such as a fair, concert or automobile race, for which an EMS service provider may provide on-site medical care that is in addition to its normal day to day operations and may exceed its normal personnel or equipment resources.
"Subject matter expert" means someone who has advanced knowledge in a specific area related to emergency medical services. Expertise is verifiable through degree, work experience, or specific education or certification.
"Supervised field training" means training received on an ambulance under the direct supervision of an approved preceptor.
"Tactical team" means a paramilitary special operations tactical unit typically found in law enforcement or the military that responds to threats to public safety.
"Tactical emergency medical services" means medical services provided by licensed EMS professionals operating as part of a tactical team.
"Training center" means an entity certified by the department to provide first responder and emergency medical technician training.
"Training center medical director" means the physician who is responsible for medical coordination, direction and conduct of an EMS training program at a training center.
"Wisconsin ambulance run data system" or "WARDS" means a web-based reporting system emergency medical service providers use to enter and submit patient care data via the internet.
"Wisconsin Emergency Medical Services Communications Plan" means the written plan for emergency medical services communication throughout the state that specifies what communication equipment is required on all ambulances.
"Wisconsin first responder curriculum" means the course of study approved by the department for training first responders.
"Wisconsin scope of practice" means the skills, equipment, and medications approved by the department for a level of expertise for emergency medical personnel.
"Wisconsin Standards and Procedures of Practical Skills" means the document published and approved by the department that outlines the appropriate ways to perform certain skills used by all EMS professionals.
"WTCS" means the Wisconsin technical college system.
DHS 110.04 History
History: CR 10-085
: cr. Register December 2010 No. 660
, eff. 1-1-11; correction in (19), (33) made under s. 13.92 (4) (b) 7.
, Stats., Register December 2010 No. 660
subch. II of ch. DHS 110
Subchapter II — Emergency Medical Professionals; Licensing; Certification; Training; Credential; Fees
License or certificate and credential required. DHS 110.05(1)(1)
Before an individual may perform emergency medical care or advertise for the provision of emergency medical care as an EMS professional, the individual shall be certified as a first responder or licensed as an EMT by the department and shall be credentialed by each emergency medical service provider with which the individual serves, except under the following conditions:
The individual provides emergency medical care as a volunteer practitioner under s. 257.03
The individual provides emergency medical care as a trainee under s. DHS 110.15
, while under supervision of a preceptor.
Except when acting under sub. (1) (a)
, a person acting or advertising as an EMT or first responder without a license or certificate issued by the department or without appropriate credentialing may be subject to department action under subch. V
or s. 256.15 (11) (c)
, or (f)
, Stats., as applicable.
DHS 110.05 History
History: CR 10-085
: cr. Register December 2010 No. 660
, eff. 1-1-11.
Application for initial license or certificate; initial training requirements; endorsements. DHS 110.06(1)(1)
To apply for an initial license as an EMT or certificate as a first responder, the applicant shall meet all of the following requirements:
The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.
The individual satisfies one of the following training requirements: