Wisconsin Legislature: DHS 110.15(1)(e)

Note: A credential agreement is obtained from and submitted to the department electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed agreements 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.

(2) Credential period. A credential is valid until the individual voluntarily surrenders the credential, the service medical director limits, suspends, or revokes the credential under s. DHS 110.52 (7) or the department suspends or revokes the EMS professional’s license, certificate or endorsement under ss. DHS 110.57 or 110.58.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (2) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.12 Authorized actions; scope of practice. An emergency medical services practitioner or emergency medical responder may only perform the skills, use the equipment, and administer the medications that are specified by the department in the Wisconsin scope of practice for the level to which the individual is licensed, certified, or credentialed.

Note: The Wisconsin scope of practice for each practice level may be found on the department’s website at www.dhs.wisconsin.gov/ems. The Wisconsin scope of practice for each practice level is reviewed annually in consultation with the Wisconsin EMS Advisory Board and the Physician Advisory Committee and published and posted on the department website by March 31 of each year.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-087: am. Register September 2021 No. 789, eff. 10-1-21.

DHS 110.13 Professional responsibilities.

(1) An EMS professional shall maintain a current credential with each emergency medical service provider with which the EMS professional serves. An EMS professional may not provide emergency medical care if the EMS professional does not have a current credential.

(2) An EMS professional may only perform emergency medical care that is within the Wisconsin scope of practice for the practice level at which the EMS professional is licensed or certified.

(3) An EMS professional shall follow the patient care protocols or guidelines of the emergency medical service provider with which the EMS professional is serving while performing patient care, regardless whether the EMS professional is licensed at a practice level higher than that of the provider.

(4) An EMS professional shall notify the department of any change in his or her name, address, or other information kept by the department within 30 days of the change, using the department’s electronic licensing system or, at the department’s request, submitting updated information to the department in paper form.

(4m) An EMS professional shall demonstrate current competencies in CPR at the healthcare professional level by maintaining documentation of successful completion of a CPR course at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1) throughout the triennial license period.

(5) An EMT-intermediate or paramedic shall maintain current certification in advanced cardiac life support throughout the triennial license period.

Note: The Wisconsin scope of practice for each practice level may be found on the department’s website at www.dhs.wisconsin.gov/ems. The Wisconsin scope of practice for each practice level is reviewed annually in consultation with the Wisconsin EMS Advisory Board and the Physician Advisory Committee and is published and posted on the department website by March 31 of each year.

(6) An EMS professional shall notify the department within seven days of any arrest for violation of any law substantially related to the practice of emergency medical services.

(7) An EMS professional shall notify the department of a felony or misdemeanor conviction in writing within 48 hours after the entry of the judgement of conviction, including the date, time, place, and nature of the conviction of finding. Notice shall include a copy of the judgement of conviction and a copy of the complaint or other information which describes the nature of the crime in order that the department determine whether the circumstances of the crime of which the person was convicted are substantially related to the practice of emergency medical services.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (3), cr. (4m), am. (5), cr. (6), (7) Register September 2021 No. 789, eff. 10-1-21; EmR 2214: emerg. am. (5), eff. 11-11-22; CR 22-073: am. (5) Register September 2023 No. 813, eff. 10-1-23.

DHS 110.14 Written and practical examinations retakes.

(1) An individual who fails a state approved written or practical examination required for emergency medical responder certification after 3 attempts shall successfully take department approved emergency medical responder refresher course before being eligible to retake the examination.

(2) An individual who fails a state approved written or practical examination required for any emergency medical services practitioner level after 3 attempts shall take a refresher course for the level he or she failed. After completion of the refresher course the individual may attempt the examination 3 more times. After six failed attempts the individual shall retake the entire initial training course before being eligible to retake the examination.

(3) An individual who has successfully completed training from the Wisconsin curriculum for paramedic and who fails the state approved examination for the paramedic practice level after 3 attempts may take the state approved AEMT examination for licensure at the AEMT level. Successful completion of both the cognitive and psychomotor parts of the state approved AEMT examination is required.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. Register September 2021 No. 789, eff. 10-1-21.

DHS 110.15 Emergency medical services practitioner training permit application; authorized actions and limitations.

(1) Application. To apply for a training permit, the applicant shall submit to the department, in the manner specified by the department, an application with documentation acceptable to the department showing that the applicant meets all of the following eligibility requirements:

(a) The individual is 17 years of age or older.

(b) If applying for an EMT training permit to serve as part of the required minimum ambulance staff, the individual has completed the first 46 hours of the initial EMT training or has current certification as an emergency medical responder and holds a training permit at the EMT level.

(c) If applying for an emergency medical services practitioner training permit above the EMT level, the individual has a current emergency medical services practitioner license.

(d) The individual is enrolled in an initial emergency medical services practitioner training course offered by a training center certified by the department.

(dm) The individual has successfully completed a CPR course at the healthcare professional level within the last two years by a CPR organization specified under s. DHS 110.17 (1).

(e) The applicant provides any additional information the department requests during its review of the application.

Note: Application for training permit 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.

(2) Authorized actions and limitations.

(a) A training permit granted by the department authorizes the training permit holder to participate in field and clinical training and to perform the duties of an emergency medical services practitioner at the practice level for which the permit is issued while enrolled as a student with the training center.

(b) A person who holds a training permit issued under this section may serve as part of a legal ambulance service provider crew for 9-1-1 emergency response or inter-facility transport only if supervised by a preceptor authorized under s. DHS 110.51 (2).

(c) A person holding an EMT training permit may serve as part of the required ambulance staff but may not be the primary care giver during transport.

(d) A person holding a training permit may only perform those skills for which he or she has been adequately trained in the course in which he or she is actively enrolled.

(3) Duration of permits. Training permits are issued and valid for the following periods:

(a) An EMT training permit to serve as part of the required minimum ambulance staff is valid for 12 months from date of issuance, unless the student fails to complete the training under the permit, in which case the permit expires when the trainee leaves the training program.

(b) Except as provided in (a), the training permit at the EMT, AEMT or paramedic level expires on the date the student completes the training course. An ambulance service provider may extend the permit up to 12 months from the completion date of the training course. To extend the permit the service must have in place a training plan approved by the department that includes participation of the medical director and is tied to the provider’s quality assurance program.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (title), (1) (b) to (d), cr. (1) (dm), am. (2) (a), (c), (3) (a), (b) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.16 Department administrative fees.

(1) The department may assess the following fees as applicable. The fees may be increased each year at the annual rate of inflation as determined by movement in the consumer price index for all urban consumers, published each month in the CPI detailed report by the U.S. department of labor’s bureau of labor statistics with the approval of the EMS board:

(a) Late renewal fee. If an application for renewal is not received by the department before the expiration date of the certificate or license, the individual shall pay to the department a late renewal fee of $50 prior to issuance of the renewal certificate or license.

(b) Reinstatement fee. If an individual’s certificate or license is expired for more than 6 months but less than 24 months, the individual shall pay to the department a late fee of $75 prior to reinstatement of the certificate or license.

(c) Returned renewal fee. If a renewal notice is returned due to an incorrect address, the individual shall pay to the department a fee of $30 prior to issuance of the renewal certificate or license.

(d) Verification of Wisconsin certification or license. If a certified emergency medical responder or licensed emergency medical services practitioner asks the department to verify Wisconsin certificate or license information to another state, the individual shall pre-pay to the department $25 for the service and provide to the department a self-addressed, stamped envelope for mailing.

(e) Reciprocity fee. If an applicant applies for a certificate or license based on training or licensing from another state, the individual shall pre-pay a fee of $50 to the department.

(f) Manual processing fee. If an applicant or licensee is unable or chooses not to use an available electronic processing method, the individual shall submit a manual processing fee of $35 with the application and supporting paperwork and the department shall have 90 business days to respond instead of the normal 60 business days.

(g) Pre-determination fee. If an individual with a conviction record applies for a pre-determination on their eligibility for certification or licensure, the individual shall submit a review fee of $50 with the department-approved application.

(2) Payment of a fee shall be by cashiers check or money order payable to “Department of Health Services” or “DHS”, or may be charged to a VISA or MasterCard. The department will not accept cash payment or personal checks. Fees are nonrefundable and nontransferable.

(3)

(a) If the department permits the payment of a fee by a credit card, the department may charge a cost recovery fee of no more than $2.50 per transaction in addition to the fee under sub. (1).

(b) The department may contract for services relating to the payment of fees by credit card under this section.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (1) (d), cr. (1) (g) Register September 2021 No. 789, eff. 10-1-21.

Subchapter III — CPR Training Organizations; Training Centers

DHS 110.17 CPR and AED training and instruction.

(1) Organizations approved for CPR training. All of the following organizations are approved by the department to provide CPR training:

(a) American Heart Association.

(b) American Red Cross.

(d) American Academy of Orthopedic Surgeons.

(e) Medic First Aid.

(f) EMS Safety Services.

(g) Any other organization identified and approved by the department.

(2) Training content and frequency.

(a) Any person who provides CPR and AED instruction to an emergency medical services practitioner or emergency medical responder shall successfully complete any one of the following courses with a certification period not to exceed 2 years:

1. American Heart Association — Basic Life Support for Healthcare Providers course or equivalent.

2. American Red Cross – Basic Life Support for Healthcare Providers course or equivalent.

3. American Safety and Health Institute — Basic Life Support for Healthcare Providers and Professional Rescuers course or equivalent.

4. Emergency Care and Safety Institute — Healthcare Provider CPR course or equivalent.

5. Medic First Aid – CarePlus course or equivalent.

6. EMS Safety Services - Basic Life Support for Healthcare Providers course or equivalent.

7. Any other course identified and approved by the department. Equivalency will be determined by the department.

(b) All of the training courses specified under par. (a) shall be taught by an instructor who is affiliated with, employed by, or under contract with an organization specified under sub. (1), and shall include instruction in all of the following:

1. How to recognize life-threatening cardiac emergencies.

2. How to perform adult, child and infant CPR at the professional level, including the performance of CPR by one person and by 2 persons, and the use of medical devices to help an individual breathe.

3. How to use an automated external defibrillator on persons of any appropriate age.

4. How to clear the airway of a conscious or unconscious person who is choking.

(3) Instructor qualifications.

(a) An individual who provides CPR or AED instruction to an emergency medical services practitioner, emergency medical responder, or a person who is required as a condition of licensure, certification, or registration to have current proficiency in the use of an AED, shall meet all of the qualifications, including qualifications for frequency of training, that are specified by the approved provider with whom the instructor is affiliated, employed or under contract.

(b) An instructor certification in CPR or AED that is issued to an individual by an approved provider may not be valid for more than 2 years from the date the certification is issued.

History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (2) (a), (3) (a) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.18 Training center initial and renewal certification requirements.

(1) Authorized actions and qualifications. No person may provide training that is represented as qualifying an individual for emergency medical responder certification or emergency medical services practitioner licensure or renewal unless the person is certified by the department as a training center.

(2) Application requirements. An applicant for training center certification shall submit a fully and accurately completed application obtained from the department, which shall include all of the following:

(a) Documentation of the community need, showing that there are not adequate resources for EMS training available through any current training center in the area.

(b) A description of the organization’s capabilities to train students in the provision of emergency medical care in pre-hospital, interfacility and hospital settings.