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.
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 tTo 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) (intro.) The individual is certified provides documentation of successful completion of a CPR course within the last two years at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the paramedic level, the applicant is also certified provides documentation of successful completion of coursework provided by an organization specified under s. DHS 110.17 (1) in all of the following: DHS 110.06 (1) (e) 2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent course approved by the department.
SECTION 42. DHS 110.06 (1) (f) is amended to read:
DHS 110.06 (1)(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 an emergency medical responder or EMT emergency medical services practitioner, as determined by the department. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination which includes providing the date of conviction and the nature and circumstances of the crime and submitting it to the department. The individual shall submit the application for the pre-determination fee specified under s. DHS 110.16 (1) (g) with the application. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights. SECTION 43. DHS 110.06 (1) (g) and (h) are repealed.
SECTION 44. DHS 110.06 (1) (h) (note) is re-numbered to DHS 110.06 (1) (f) note.
SECTION 45. DHS 110.066 is created to read:
DHS 110.066 Application for license or certificate when licensed and trained in another state as an EMS professional. (1) Eligibility. To be eligible to apply for a license based on out-of-state license or education as an emergency medical services practitioner or certificate as an emergency medical responder, the applicant shall meet all of the following requirements:
(a) The individual is 18 years of age or older.
(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.
(c) The individual presents documentation of a current license or certificate issued by another state at or above the level being applied and a completed verification of licensure form from every state the individual has ever been licensed or certified as an emergency medical responder or emergency medical services practitioner.
(d) The individual 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 the applicable Wisconsin curriculum, 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.
(e) The individual shall successfully complete the cognitive and psychomotor exam through the NREMT for the certification or license level being applied for. If an applicant holds current NREMT certification at or above the certification or license levels being applied, that individual shall be considered to come from a jurisdiction with licensing or certification standards at least substantially similar to Wisconsin and exempt from examination under s. 256.15 (7), Stats. Applicants who do not hold current NREMT shall not be considered to come from jurisdictions with substantially similar licensing and certifications standards to Wisconsin and must complete the NREMT cognitive and psychomotor assessment examinations. 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. (f) The individual provides documentation of successful completion of a CPR course within the last two years at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the paramedic level, the applicant provides documentation of successful completion of coursework provided by an organization specified under s. DHS 110.17 (1) in all of the following: 1. Advanced cardiac life support.
2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent approved by the department.
(g) 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 emergency medical responder or emergency medical services practitioner, as determined by the department. 1. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination including the date of conviction and the nature and circumstances of the crime and submitting it to the department.
2. The individual shall submit the application for pre-determination fee specified under s. DHS 110.16(1)(g).
