DHS 110.04(26)
(26) “Emergency medical services practitioner” or “EMS practitioner” has the meaning given in s.
256.01 (5), Stats.
DHS 110.04(28)
(28) “Emergency medical technician — intermediate" or “EMT-Intermediate" has the meaning given in s.
256.01 (7), Stats.
DHS 110.04(31)
(31) “Endorsement" means validation by the department that a licensed EMS practitioner 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(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)
(40) “Medical consultation" means all of the following:
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 professionals in a pre-hospital setting or interfacility transport of a patient.
DHS 110.04(42)
(42) “Medical director" means a physician who 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 emergency medical responders or emergency medical services practitioners and ambulance service providers, 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(43m)
(43m) “National emergency medical service information system” or “NEMSIS” means 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.
DHS 110.04(43r)
(43r) “National EMS Education Standards” or “national education standards” means the most recent edition of the emergency medical responder or emergency medical services practitioner curriculum published by the national highway traffic safety administration of the U.S. department of transportation.
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(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 EMS provider" means an emergency medical service provider that provides emergency medical care with staff licensed as EMS practitioners to sick, disabled or injured individuals, but that does not transport patients.
DHS 110.04(49)
(49) “On-line medical consultation" means direct contact between a medical consultation physician or physician assistant or advanced practice nurse practitioner 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)
(50) “On-site medical consultation" means that a service medical director or designee 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 EMS practitioner students: an EMS practitioner 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 emergency medical responder and emergency medical services practitioner 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(74m)
(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 3rd year.
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(75m)
(75m) “Wisconsin emergency medical responder curriculum" means the course of study approved by the department for training emergency medical responders.
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(78)
(78) “Wisconsin scope of practice” means the skills, equipment, and medications approved by the department for a level of expertise for emergency medical professionals.
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;
CR 20-028: renum. (1) to (1r), cr. (1g), r. (11), renum. (10) to (11), am. (12), cr. (14e) to (14s), am. (16), (17), cr. (21e) to (21s), am. (24) to (28), r. (29), (30), am. (31), r. (33), (34), am. (35), (40) (intro.), (c), r. (41), am. (42), cr. (43m), am. (45), (47), r. (48), am. (49), (50), cr. (51m), am. (59), cr. (61m), (65m), am. (72), cr. (74m), am. (77), (78)
Register September 2021 No. 789, eff. 10-1-21; renum. (14e), (45), (77) to (14r), (43r), (75m) under s.
13.92 (4) (b) 1., Stats., and correction in (43m), (74m) made under s.
35.17, Stats.,
Register September 2021 No. 789.
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 an emergency medical responder or licensed as an 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:
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(1)(c)
(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.
DHS 110.05(1)(d)
(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.
DHS 110.05(1)(e)
(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.
DHS 110.05(2)
(2) Except when acting under sub.
(1) (a),
(b),
(c),
(d), or
(e), a person acting or advertising as an emergency medical responder or emergency medical services practitioner without a 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.
DHS 110.05 History
History: CR 10-085: cr.
Register December 2010 No. 660, eff. 1-1-11;
CR 20-028: am. (1) (intro.), cr. (1) (c) to (e), am. (2)
Register September 2021 No. 789, eff. 10-1-21.
DHS 110.06
DHS 110.06 Application for initial license or certificate; initial training requirements. DHS 110.06(1)(1)
Eligibility. To apply for an initial license as an emergency medical services practitioner or certificate as a an emergency medical 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 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)(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 cognitive and psychomotor assessment exam through the NREMT which must be authorized by the department.
DHS 110.06 Note
Note: 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 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:
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 course 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 an emergency medical responder or 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.
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;
CR 20-028: am. (title), (1) (intro.), cons. and renum. (1) (c) (intro.) and 1. to (1) (c) and am., r. (1) (c) 2., am. (1) (d), (e) (intro.), 2., (f), r. (1) (g), (h)
Register September 2021 No. 789, eff. 10-1-21.
DHS 110.066
DHS 110.066 Application for license or certificate when licensed and trained in another state as an EMS professional. DHS 110.066(1)(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:
DHS 110.066(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 110.066(1)(c)
(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.
DHS 110.066(1)(d)
(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.
