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(55) (55)“Person" has the meaning specified in s. 256.15 (1) (L), Stats.
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(63) (63)“Regional trauma advisory council" or “RTAC" has the meaning as defined in s. DHS 118.03 (36).
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(65) (65)“Reprimand" means an enforcement action under s. DHS 110.56.
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(74) (74)“Training permit" has the meaning as specified under s. 256.15 (5) (a), Stats.
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; correction in (30) under s. 13.92 (4) (b) 7., Stats., Register July 2018 No. 751.
subch. II of ch. DHS 110 Subchapter II — Emergency Medical Professionals; Licensing; Certification; Training; Credential; Fees
DHS 110.05 DHS 110.05License 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 110.06Application 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)(a) (a) The individual is 18 years of age or older.
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)1. 1. Advanced cardiac life support.
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 110.07Application 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)(a) (a) The individual is 18 years of age or older.
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) (c) The individual has received refresher training as follows:
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.
DHS 110.07(1)(c)2. 2. `Emergency medical technician–basic.' The individual has completed a 30-hour EMT-basic refresher course based on the Wisconsin EMT-basic curriculum or other training, approved by the department, during the biennium for which the current license expires. Recertification through examination by the NREMT or the completion of a department-approved initial EMT-basic course, initial EMT-intermediate technician course, or the didactic portion of the initial EMT-intermediate or initial EMT-paramedic course during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)3. 3. `Emergency medical technician-intermediate technician.' The individual has completed a 30-hour EMT-basic refresher course based on the Wisconsin EMT-basic curriculum or other training approved by the department, and either a 12-hour EMT-IT refresher course or 12 hours of continuing education that is based on the Wisconsin EMT-IT curriculum and approved by the medical director of an emergency medical service provider with which the individual is credentialed. The training shall be obtained during the biennium for which the current license expires.
DHS 110.07(1)(c)4. 4. `Emergency medical technician — intermediate.' The individual has completed a 48 hour EMT-I refresher course based on the Wisconsin curriculum for the EMT-I or 48 hours of continuing education that is based on the Wisconsin EMT-I curriculum and covers the subject areas identified by the department. The training shall be obtained during the biennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)5. 5. `Emergency medical technician-paramedic.' The individual has completed a 48-hour EMT-paramedic refresher course based on the Wisconsin curriculum for the EMT-paramedic or 48 hours of continuing education that is based on the Wisconsin EMT-paramedic curriculum and covers the subject areas identified by the department. The training shall be obtained during the biennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)6. 6. `Critical care endorsement.' The individual is licensed as an EMT-paramedic with a critical care endorsement, has completed a 48-hour paramedic refresher course based on the Wisconsin EMT-paramedic curriculum and an additional 24 hours of training specified by the department for the critical care paramedic during the biennium for which the current license expires.
DHS 110.07(1)(c)7. 7. `First responders and EMTs.' Successful completion of an initial training course above the current license level of the individual may be used to fulfill the refresher requirements of this paragraph. If the course is an initial EMT-intermediate or initial EMT-paramedic course, completion of the didactic portion fulfills this requirement.
DHS 110.07(1)(d) (d) The individual is certified in CPR at the professional level by an organization specified under s. DHS 110.17 (1).
DHS 110.07(1)(e) (e) 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 an EMS professional, as determined by the department.
DHS 110.07(2) (2)Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The application and documentation shall be submitted to the department in the manner or method specified by the department.
DHS 110.07 Note Note: Application for license or certificate renewal 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 110.07 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; (1) (c) 7. (title) created under s. 13.92 (4) (b) 2., Stats., Register December 2010 No. 660.
DHS 110.08 DHS 110.08Practice level upgrades; downgrades.
DHS 110.08(1)(1)Upgrading emt practice levels. To upgrade an EMT practice level, the EMT shall complete the application requirements under s. DHS 110.06 for the desired EMT practice level.
DHS 110.08(2) (2)Downgrading emt practice levels. To downgrade an EMT practice level, the EMT shall complete the application requirements under s. DHS 110.06 for the practice level to which the EMT wishes to downgrade. When the downgrade occurs at renewal, the individual shall submit proof of refresher training at the downgraded level or the previous license level.
DHS 110.08(3) (3)Upgrading to the emt practice level. To upgrade from first responder certification to EMT-basic licensure, the first responder shall complete the application requirements under s. DHS 110.06 for the EMT-basic license level.
DHS 110.08 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.09 DHS 110.09Expiration date; expired license or certification; late renewal; reinstatement. Licenses and certificates expire on June 30 of the even numbered year of the biennium. If a license or certificate expires, the following as applicable, applies:
DHS 110.09(1) (1)Late renewal. An individual may renew a license or certificate that has been expired for less than 6 months by applying to the department for license or certificate renewal as specified under s. DHS 110.07 and submitting the late renewal fee specified under s. DHS 110.16 (1). Upon the department's renewal of the applicant's license or certificate, the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care as an EMT or first responder.
DHS 110.09(2) (2)Reinstatement of license or certificate.
DHS 110.09(2)(a)(a) A license or certificate that has been expired for over 6 months but less than 2 years has lapsed. To reinstate a lapsed license or certificate, the applicant shall do all of the following:
DHS 110.09(2)(a)1. 1. Apply to the department for reinstatement of licensure or certification in the manner specified under s. DHS 110.06 (2).
DHS 110.09(2)(a)2. 2. Receive permission from the department to take the NREMT written and practical examination.
DHS 110.09(2)(a)3. 3. Successfully complete the NREMT written and practical examination.
DHS 110.09(2)(a)4. 4. Submit the reinstatement fee specified under s. DHS 110.16 (1) (b).
DHS 110.09(2)(b) (b) A license or certificate that has been expired for 2 years or more may be reinstated only if the applicant has successfully completed the training and examination requirements for the initial license or certificate within the 24 months immediately preceding submission of the application for reinstatement.
DHS 110.09(2)(c) (c) Upon reinstatement of licensure or certification by the department under par. (a) or (b), the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care.
DHS 110.09 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.10 DHS 110.10Department decision on applications.
DHS 110.10(1)(1)Complete application. The department shall review and make a determination on an application that has been completed in accordance with all of the department's instructions for completion within 60 business days of receiving the application. If the department approves the application, the department will notify the applicant and issue a license, certificate or permit. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.
Loading...
Loading...
Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.