DHS 110.04 (35) “Hospital" has the meaning given in s. 50.33 (2) (a) Stats. SECTION 20. DHS 110.04 (40) (intro.) and (c) are amended to read:
DHS 110.04 (40) (intro) “Medical control consultation" means all of the following:
DHS 110.04 (40) (c) Coordination of all medical-related activities of EMS personnel professionals in a pre-hospital setting or interfacility transport of a patient.
SECTION 21. DHS 110.04 (41) is repealed.
SECTION 22. DHS 110.04 (42) amended to read:
DHS 110.04 (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 emergency medical responders or emergency medical technicians services practitioners and ambulance service providers, as required under s. 256.15 (8m), Stats. SECTION 23. DHS 110.04 (43m) is created to read:
DHS 110.04 (43m) “National emergency medical service information system” or “NEMSIS” is the national database system used to aggregate, store, and share emergency medical service data from multiple states and federal territories administered through the National Highway Traffic Safety Administration of the U.S. Department of Transportation.
SECTION 24. DHS 110.04 (45) is amended to read:
DHS 110.04 (45) “National standard curriculum for training EMS personnel professionals" or “national standard curriculum" means the most recent edition of the first emergency medical responder or emergency medical technician services practitioner national standard curriculum published by the national highway traffic safety administration of the U.S. department of transportation.
SECTION 25. DHS 110.04 (47) is amended to read:
DHS 110.04 (47) “Non-transporting EMT EMS provider" means an emergency medical service provider that provides emergency medical care with staff licensed as EMTs EMS practitioners to sick, disabled or injured individuals before hospitalization and the arrival or an ambulance, but that does not transport patients.
SECTION 26. DHS 110.04 (48) is repealed.
SECTION 27. DHS 110.04 (49) and DHS 110.04 (50) are amended to read:
DHS 110.04 (49)“On-line medical control consultation" means direct voice contact between a medical consultation physician or physician assistant or advanced practice nurse practitioner at the medical control hospital and EMS professionals for the purpose of medical direction. Physician assistants or advanced practice nurse practitioners shall only act within their credentialed or licensed scope of practice for the facility in which they are employed in providing on-line medical consultation.
DHS 110.04 (50) “On-site medical direction consultation" means that a service medical director or designee is located at a special event and directs EMS professionals in the treatment of patients.
SECTION 28. DHS 110.04 (51m) is created to read:
DHS 110.04 (51m) “Paramedic” has the meaning given in s. 256.01 (14), Stats.
SECTION 29. DHS 110.04 (59) is amended to read:
DHS 110.04 (59) “Preceptor" means any of the following who provides direct supervision of clinical or field training for EMT EMS practitioner students: an EMT EMS practitioner licensed at or above the level of the training he or she provides, a physician, a registered nurse or a physician assistant.
SECTION 30. DHS 110.04 (61m) is created to read:
DHS 110.04 (61m) “Public safety answering point” has the meaning given in s. 256.35(1)(gm), Stats. SECTION 31. DHS 110.04 (72) is amended to read:
DHS 100.04 (72) “Training center" means an entity certified by the department to provide first emergency medical responder and emergency medical technician services practitioner training.
SECTION 32. DHS 110.04 (74m) is created to read:
DHS 110.04 (74m) “Triennial licensing period" or “triennium" means the 3-year period beginning on July 1 of the first year and ending on June 30 of the third year.
SECTION 33. DHS 110.04 (77) is amended to read:
DHS 110.04 (77) “Wisconsin first emergency medical responder curriculum" means the course of study approved by the department for training first emergency medical responders.
SECTION 34. DHS 110.04 (78) is amended to read:
DHS 110.04 (78) “Wisconsin scope of practice” means the skills, equipment, and medications approved by the department for a level of expertise for emergency medical personnel professionals.
SECTION 35. DHS 110.05 (1) (intro) is amended to read:
DHS 110.05 (1) License or certificate and credential required. (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 an emergency medical responder or licensed as an EMT EMS practitioner by the department and shall be credentialed by each emergency medical service provider with which the individual serves, except under the following conditions:
SECTION 36. DHS 110.05 (1) (c) to (e) are created to read:
DHS 110.05 (1) (c) The individual is a certified emergency medical responder in another state who provides emergency medical care to 10 or fewer patients in this state under s. 256.15 (2) (b), Stats. (d) The individual is a licensed emergency medical services practitioner in another state or holds a training permit from another state who is involved 10 or fewer patient transports per year that originate and terminate in this state under s. 256.15 (2) (b), Stats. (e) The individual holds a valid certificate, license or training permit allowing the individual to act as an emergency medical responder or emergency medical services practitioner in another state and is acting in response from that state to a request for mutual aid under s. 256.15 (2) (c), Stats. SECTION 37. DHS 110.05 (2) is amended to read:
DHS 110.05 (2) Except when acting under sub. (1) (a), or (b), (c), (d), or (e), a person acting or advertising as an EMT or first emergency medical responder or emergency medical services practitioner without a license or certificate or license 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. SECTION 38. DHS 110.06 (title) and (1) (intro.) are amended to read:
DHS 110.06 (1) Application for initial license or certificate; initial training requirements; endorsements. (1) Eligibility. To apply for an initial license as an EMT emergency medical services practitioner or certificate as a first an emergency medical responder, the applicant shall meet all of the following requirements:
SECTION 39. DHS 110.06 (1) (c) (intro.) and 1. are consolidated and renumbered (1) (c) and amended to read:
DHS 110.06 (1) (c) (intro.) The individual satisfies one of the following training requirements:
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.
SECTION 40. DHS 110.06 (1) (c) 2. is repealed.
SECTION 41. DHS 110.06 (1) (d) and (note), (e) (intro.) and 2. are amended to read:
DHS 110.06 (1) (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 cognitive and practical psychomotor assessment exam through the NREMT which must be authorized by the department.
