DHS 110.04(28)
(28) "Emergency medical technician — intermediate" or "EMT-I" has the meaning given in s.
256.01 (7), Stats.
DHS 110.04(29)
(29) "Emergency medical technician — intermediate technician" or "EMT-IT" means an emergency medical technician — intermediate who has completed the Wisconsin intermediate technician curriculum.
DHS 110.04(30)
(30) "Emergency medical technician — paramedic" or "paramedic" "has the meaning given in s.
256.01 (8), Stats.
DHS 110.04(31)
(31) "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.
DHS 110.04(32)
(32) "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.
DHS 110.04(33)
(33) "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.
DHS 110.04(34)
(34) "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.
DHS 110.04(36)
(36) "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.
DHS 110.04(37)
(37) "Interfacility transport" means any transfer of a patient between health care facilities or any non-emergent transfer of a patient.
DHS 110.04(38)
(38) "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.
DHS 110.04(40)(b)
(b) Supervision and quality control of patient care by the service medical director or by a physician designated by the service medical director.
DHS 110.04(40)(c)
(c) Coordination of all medical-related activities of EMS personnel in a pre-hospital setting or interfacility transport of a patient.
DHS 110.04(41)
(41) "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.
DHS 110.04(42)
(42) "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), Stats.
DHS 110.04(43)
(43) "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.
DHS 110.04(44)
(44) "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.
DHS 110.04(45)
(45) "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.
DHS 110.04(46)
(46) "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.
DHS 110.04(47)
(47) "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.
DHS 110.04(48)
(48) "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.
DHS 110.04(49)
(49) "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.
DHS 110.04(50)
(50) "On-site medical direction" means that a medical director is located at a special event and directs EMS professionals in the treatment of patients.
DHS 110.04(51)
(51) "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.
DHS 110.04(52)
(52) "Patient" means individual of any age who may require assessment, treatment or transport.
DHS 110.04(53)
(53) "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.
DHS 110.04(54)
(54) "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.
DHS 110.04(56)
(56) "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.
DHS 110.04(57)
(57) "Physician" means a person licensed in Wisconsin under
ch. 448, Stats., to practice medicine and surgery.
DHS 110.04(58)
(58) "Physician assistant" means a person licensed in Wisconsin under
ch. 448, Stats., to perform as a physician assistant.
DHS 110.04(59)
(59) "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.
DHS 110.04(60)
(60) "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.
DHS 110.04(61)
(61) "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.
DHS 110.04(62)
(62) "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.
DHS 110.04(64)
(64) "Registered nurse" means a person who is licensed in Wisconsin as a registered nurse under s.
441.06, Stats.
DHS 110.04(66)
(66) "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.
DHS 110.04(67)
(67) "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.
DHS 110.04(68)
(68) "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.
DHS 110.04(69)
(69) "Supervised field training" means training received on an ambulance under the direct supervision of an approved preceptor.
DHS 110.04(70)
(70) "Tactical team" means a paramilitary special operations tactical unit typically found in law enforcement or the military that responds to threats to public safety.
DHS 110.04(71)
(71) "Tactical emergency medical services" means medical services provided by licensed EMS professionals operating as part of a tactical team.
DHS 110.04(72)
(72) "Training center" means an entity certified by the department to provide first responder and emergency medical technician training.
DHS 110.04(73)
(73) "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.
DHS 110.04(75)
(75) "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.
DHS 110.04(76)
(76) "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.
DHS 110.04(77)
(77) "Wisconsin first responder curriculum" means the course of study approved by the department for training first responders.
DHS 110.04(78)
(78) "Wisconsin scope of practice" means the skills, equipment, and medications approved by the department for a level of expertise for emergency medical personnel.
DHS 110.04(79)
(79) "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.
DHS 110.04(80)
(80) "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
DHS 110.05
DHS 110.05
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:
DHS 110.05(1)(a)
(a) The individual provides emergency medical care as a volunteer practitioner under s.
257.03, Stats.
DHS 110.05(1)(b)
(b) The individual provides emergency medical care as a trainee under
s. DHS 110.15, while under supervision of a preceptor.
DHS 110.05(2)
(2) Except when acting under
sub. (1) (a) or
(b), 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),
(d), or
(f), Stats., as applicable.
DHS 110.05 History
History: CR 10-085: cr.
Register December 2010 No. 660, eff. 1-1-11.
DHS 110.06
DHS 110.06
Application for initial license or certificate; initial training requirements; endorsements. DHS 110.06(1)(1)
Eligibility. To apply for an initial license as an EMT or certificate as a first responder, the applicant shall meet all of the following requirements:
DHS 110.06(1)(b)
(b) 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.
DHS 110.06(1)(c)
(c) The individual satisfies one of the following training requirements:
DHS 110.06(1)(c)1.
1. If trained in Wisconsin, the individual has successfully completed training in the applicable Wisconsin curriculum within the 24 months immediately preceding submission of the application to the department for an initial license or certificate.
DHS 110.06(1)(c)2.
2. If trained in another state, the applicant presents documentation of a current license or certificate issued by another state at or above the level being applied for and presents a completed verification of education form documenting completion of an initial course equivalent to the training required for an initial license or certificate under
subd. 1., as determined by the department. If initial training was completed prior to the current licensing period, the applicant also presents documentation of completion of an approved refresher course, as determined by the department
DHS 110.06(1)(d)
(d) The individual has current registration with the NREMT at or above the practice level for which the application is made. If the individual does not hold certification with the NREMT, he or she must complete a written and practical assessment exam through the NREMT which must be authorized by the department.
DHS 110.06 Note
Note: Verification of education forms may be obtained electronically through the department's E-Licensing system available at
www.dhs.wisconsin.gov/ems. The form must be printed out and sent to the training institution, which will complete and return the form directly to the department. For further information or to request an assessment exam contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.06(1)(e)
(e) The individual is certified in CPR at the healthcare professional level by a CPR organization specified under
s. DHS 110.17 (1). If the application is for licensure at the EMT-intermediate or EMT-paramedic level, the applicant is also certified by an organization specified under
s. DHS 110.17 (1) in all of the following:
DHS 110.06(1)(e)2.
2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent approved by the department.
DHS 110.06(1)(f)
(f) Subject to ss.
111.321,
111.322, and
111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of a first responder or EMT, as determined by the department.
DHS 110.06(1)(g)
(g) If the application is for the critical care paramedic endorsement, the applicant shall be licensed as an EMT-paramedic and have completed training based on the Wisconsin critical care paramedic curriculum or be certified by a department-approved critical care program or an equivalent program as approved by the department. Training completed through an ambulance service provider that meets the content of the Wisconsin critical care paramedic curriculum and was completed prior to December 31, 2011, may meet the educational requirements if approved by the department.
DHS 110.06(1)(h)
(h) If the application is for the tactical EMS endorsement, the applicant shall be licensed as an EMT and affiliated with a department-recognized tactical team. The applicant shall present documentation of an affiliation with a department recognized tactical team.
DHS 110.06 Note
Note: The Wisconsin curricula for training, training requirements, Wisconsin Scopes of Practice, and information on organizations approved for CPR training may be found on the department's website at
www.dhs.wisconsin.gov/ems. Organizations approved for CPR training may also be found in s.
DHS 110.17 (1).
DHS 110.06(2)
(2) Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The applicant shall submit the application and documentation to the department in the manner or method specified by the department.
DHS 110.06 Note
Note: Application for an initial license or certification is submitted by the applicant to the department electronically through the department's E-Licensing system available at
www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.06 History
History: CR 10-085: cr.
Register December 2010 No. 660, eff. 1-1-11.
DHS 110.07
DHS 110.07
Application for renewal license or certificate; refresher training requirements. DHS 110.07(1)
(1)
Eligibility. To apply for renewal of an EMT license or first responder certificate, the applicant shall meet all of the following eligibility and training requirements:
DHS 110.07(1)(b)
(b) 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.
DHS 110.07(1)(c)1.
1. `First responder.' The individual has completed an 18-hour first responder refresher course from the Wisconsin first responder curriculum during the biennium for which the current certification expires.
