DHS 110.24(2)(c) (c) Liaising with the medical community concerning medical care provided by students during training.
DHS 110.24(3) (3)EMS instructor i. The training center may have an EMS instructor I. If the training center has an EMS instructor I, the individual shall be licensed at or above the level of instruction provided, be certified in CPR at the professional level, have 2 years experience as an EMT at or above the level being taught, and have current approval by the department under s. DHS 110.27. The EMS instructor I shall be responsible for all of the following:
DHS 110.24(3)(a) (a) Assisting in small group learning in the classroom.
DHS 110.24(3)(b) (b) Presenting core course content in small groups.
DHS 110.24(3)(c) (c) Teaching as lead instructor for a refresher course, if approved by the training center.
DHS 110.24(3)(d) (d) In an emergency, replacing an EMS instructor II for a single class session, provided the EMS instructor I is a subject matter expert in the topic covered in the class.
DHS 110.24(4) (4)EMS instructor II. The training center shall have an EMS instructor II who has current approval by the department. The EMS instructor II shall be responsible for all of the following:
DHS 110.24(4)(a) (a) Proper delivery of course content and objectives.
DHS 110.24(4)(b) (b) Course oversight and logistics.
DHS 110.24(4)(c) (c) Supervision of any EMS instructor I who is involved in a course taught by the EMS instructor II.
DHS 110.24 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.25 DHS 110.25Program director; application for department approval.
DHS 110.25(1) (1)Eligibility. Before an individual may act as a program director, the individual shall be approved by the department under this section. The applicant shall be 18 years of age or older and shall successfully complete an EMS instructor orientation workshop conducted by the department and the WTCS board or equivalent training or experience as approved by the department prior to, or within 6 months after accepting the position of program director.
DHS 110.25(2) (2)application. To apply for approval the applicant shall submit all of the following to the department:
DHS 110.25(2)(a) (a) A letter from the training center designating the individual as the program director.
DHS 110.25(2)(b) (b) Documentation of successful completion of an EMS instructor orientation workshop conducted by the department and the WTCS board or equivalent training or experience as determined and approved by the department, or a letter indicating intent to complete the EMS instructor workshop within six months and to submit documentation of successful completion of the workshop.
DHS 110.25(2)(c) (c) Any other documentation required by the department.
DHS 110.25 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.26 DHS 110.26Training center medical director; application for department approval.
DHS 110.26(1) (1)Eligibility. Before an individual may act as a training center medical director, the individual shall be approved by the department under this section. The applicant shall be licensed as a physician in Wisconsin, shall have experience in emergency medicine, and shall have completed the department-approved medical director training.
DHS 110.26(2) (2)Application. To apply for approval, the applicant shall submit all of the following to the department:
DHS 110.26(2)(a) (a) In the manner specified by the department, a fully completed application for training center medical director.
DHS 110.26(2)(b) (b) A letter from the training center stating that the applicant will serve as training center medical director.
DHS 110.26(2)(c) (c) A copy of the individual's physician license.
DHS 110.26(2)(d) (d) Documentation that the individual has experience in emergency medicine as a physician.
DHS 110.26(2)(e) (e) Documentation that the individual has successfully completed the department approved medical director training or will do so within 6 months of accepting the position of training center medical director.
DHS 110.26(2)(f) (f) Other information requested by the department.
DHS 110.26 Note Note: Medical director application 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 110.26 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.27 DHS 110.27EMS instructor I; application for department approval.
DHS 110.27(1)(1)Eligibility. Before an individual may act as an instructor I, the training center shall approve the individual under this section. The individual shall be licensed by the department at or above the level of the instruction the individual will provide and shall have current certification in CPR at the healthcare provider level and 2 years experience as an emergency medical technician at or above the practice level for which the individual will provide instruction. Once approved there is no renewal requirement.
DHS 110.27(2) (2)Application. To apply for EMS instructor I approval for an individual, the individual shall submit all of the following to the training center:
DHS 110.27(2)(a) (a) In the manner specified by the department, a fully completed application for instructor approval.
DHS 110.27(2)(b) (b) Documentation of the individual's current licensure by the department at or above the level of instruction the individual will provide.
DHS 110.27(2)(c) (c) Documentation of the individual's current certification in CPR at the healthcare provider level.
DHS 110.27(2)(d) (d) Documentation that the individual has at least 2 years experience as an emergency medical technician at or above the level the individual will teach.
DHS 110.27 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.28 DHS 110.28EMS instructor II; application for initial and renewal certification.
DHS 110.28(1) (1)Eligibility. Before an individual may act as an EMS instructor II, the individual shall be certified by the department under this section. The individual shall be licensed by the department at or above the level of instruction the individual will provide and shall have: current certification with the NREMT at or above the level for which the individual requests approval; the equivalency of 2 years experience as a licensed, practicing EMT at or above the level of EMS instructor certification being requested or equivalent critical care experience as determined by the department; supervised teaching experience; and EMS instructor II orientation training.
DHS 110.28(2) (2)Application. To apply for EMS instructor II certification, the applicant shall submit to the department, in the manner specified by the department, all of the following:
DHS 110.28(2)(a) (a) Documentation of current certification with the NREMT at the EMT basic level or higher and at or above the level for which the applicant seeks department certification. If the applicant is an EMT- paramedic licensed under this chapter before January 1, 2013, certification with the NREMT is not required. Certification with the NREMT at the EMT-paramedic level is required for critical care paramedic EMS instructor II certification.
DHS 110.28(2)(b) (b) Proof of licensure by the department at or above the practice level for which the EMS instructor II approval is sought.
DHS 110.28(2)(c) (c) Proof of equivalency of 2 years experience as a licensed, practicing EMT at or above the level of EMS instructor II certification sought, or equivalent critical care experience as determined by the department.
DHS 110.28(2)(d) (d) Proof of prior supervised teaching experience sufficient for the training center to consider the instructor competent and to authorize the EMS instructor II to lead a training course.
DHS 110.28(2)(e) (e) Proof of successful completion of an EMS instructor II orientation workshop conducted by the department and the WTCS board, or an equivalent determined by the department.
DHS 110.28(2)(f) (f) If previously certified at any level as an EMS instructor, demonstration of competent instruction as evidenced by a minimum 70% pass rate on the state approved examination for the last course taught.
DHS 110.28(2)(g) (g) Any other information requested by the department.
DHS 110.28(3) (3)WTCS approval. If employed by the WTCS board, the applicant shall be jointly approved by the department and the WTCS board.
DHS 110.28(4) (4)EMS instructor ii renewal certification.
DHS 110.28(4)(a)(a) Certification for EMS instructor II shall expire on June 30 of the even numbered year of the biennial period unless renewed. If an individual does not timely renew his or her EMS instructor II certification, the certification expires and the individual may not act as an EMS instructor II until the certification is renewed.
DHS 110.28(4)(b) (b) To renew EMS instructor II certification, the individual shall submit in the manner specified by the department the application and documentation required under sub. (2) and documentation of continued affiliation with the training center on or before June 30 of the even numbered year of the biennial licensing period.
DHS 110.28 Note Note: Instructor application 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 110.28 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.29 DHS 110.29Training center oversight.
DHS 110.29(1) (1)Quality assurance.
DHS 110.29(1)(a)(a) The department is responsible for quality assurance of training centers and instructors. If a training center or instructor is part of the WTCS, quality assurance is a joint responsibility of the department and the WTCS.
DHS 110.29(1)(b) (b) The department may review the performance of training centers and instructors and conduct quality assurance assessments and audits to assure quality education and compliance with educational standards and curriculum. Failure to meet educational, professional, or ethical standards may result in department action under subch. V against a training center or instructor.
DHS 110.29(2) (2)Wisconsin Technical College System. The WTCS office and the department will work to assure that the training centers and instructors under their authority are jointly regulated. The responsibilities of the department and the WTCS will be outlined in a memorandum of understanding, which will be reviewed at least once every 5 years and updated as appropriate.
DHS 110.29 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.30 DHS 110.30Department decision on applications.
DHS 110.30(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 certificate of approval. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.
DHS 110.30(2) (2)Incomplete application. When an incomplete application is received, the department will notify the applicant of any deficiencies within 60 business days. If the applicant fails to respond to the notice and fails to complete the application within 6 months from the date of initial submission to the department, the application is void. The department will not take any further action on the incomplete application. To be considered further by the department, the applicant shall meet the eligibility requirements and submit a new application as required under this subchapter.
DHS 110.30 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.31 DHS 110.31Expiration dates; approvals and certifications.
DHS 110.31(1)(1)Medical director and program director approval. Department approval of the training center medical director and the training center program director shall remain in effect as long as all requirements continue to be met or until the approval is revoked, suspended, or voluntarily surrendered.
DHS 110.31(2) (2)EMS instructor II certification. Certification for EMS instructor II shall expire on June 30 of the even numbered year of the biennial period unless renewed. If an individual does not timely renew his or her EMS instructor II certification, under s. DHS 110.28 (2), the certification expires and the individual may not act as an EMS instructor II until the certification is renewed.
DHS 110.31 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
subch. IV of ch. DHS 110 Subchapter IV — Emergency Medical Service Provider Licensing and Operation
DHS 110.32 DHS 110.32Emergency medical service provider license required; license levels.
DHS 110.32(1) (1) No person may act as or advertise for the provision of services as a first responder service, a non-transporting EMT service provider, or an ambulance service provider unless the person is licensed by the department to do so.
DHS 110.32(2) (2) A person licensed as a first responder service provider may provide emergency medical services at the first responder level of care before hospitalization and the arrival of an ambulance but may not transport patients.
DHS 110.32(3) (3) A person licensed as a non-transporting EMT service provider may provide emergency medical services before hospitalization and the arrival of an ambulance at the EMT-basic, EMT-intermediate technician, EMT-intermediate, or EMT-paramedic level of care, but may not transport patients.
DHS 110.32(4) (4) A person may be licensed as an ambulance service provider to provide 9-1-1 emergency response, interfacility transport or both, and at one of the following levels of care: EMT basic, EMT-intermediate technician, EMT-intermediate, or EMT-paramedic. An ambulance service provider licensed to provide both a 9-1-1 emergency response and interfacility transports shall be licensed at the same level of care for both services.
DHS 110.32 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.33 DHS 110.33Authorized services.
DHS 110.33(1) (1) An emergency medical services provider may advertise and provide only those services for which it has been licensed by the department.
DHS 110.33(2) (2) An emergency medical services provider may advertise and provide only those services that are within the Wisconsin scope of practice for the level at which the provider is licensed.
DHS 110.33(3) (3) An emergency medical services provider may advertise and provide only those services that are described in its department-approved operational plan. The provider shall keep the operational plan and any addendums current. Any changes to the operational plan, including addendums, shall be submitted to the department for approval not less than 60 days before the intended implementation date and may not be implemented until the service receives department approval.
DHS 110.33 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.34 DHS 110.34Responsibilities. An emergency medical service provider shall do all of the following:
DHS 110.34(1) (1) Comply with the requirements of this chapter and ch. 256, Stats.
DHS 110.34(2) (2) Advertise and provide only those services it is authorized to provide under this subchapter.
DHS 110.34(3) (3) Designate a hospital that will provide day-to-day medical control.
DHS 110.34(4) (4) Designate the primary service area in which it will operate.
DHS 110.34(5) (5) Assure response to 9-1-1 emergency response requests 24 hours-a-day, 7 days-a-week, unless it is not licensed to do so. First responder services are exempt from this requirement but should assure every effort is made to respond to 9-1-1 requests.
DHS 110.34(6) (6) Meet the staffing requirements identified in s. 256.15 (4), Stats., and s. DHS 110.50.
DHS 110.34(7) (7) If the emergency medical services provider is an ambulance service provider, submit a written report to the receiving hospital upon delivering a patient and a complete patient care report within 24 hours of patient delivery. A written report may be a complete patient care report or other documentation approved by the department and accepted by the receiving hospital. A non-transporting EMT service provider or first responder service provider shall hand a written report to the ambulance service provider at the time of the patient care transfer.
DHS 110.34(8) (8) If the emergency medical service provider is an ambulance service provider or non-transporting EMT service provider, submit patient care report data electronically to the department through WARDS using direct web-based input to WARDS or uploading patient care report data to WARDS within 7 days of the patient transport. If the emergency medical service provider is a first responder service provider, submit a patient care report to WARDS only if advanced skills are used in caring for the patient.
DHS 110.34 Note Note: An abbreviated first responder report is available in WARDS to eliminate duplicate entry and facilitate quick entry of this information. The WARDS system can be accessed via the internet at www.emswards.org.
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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.