Chapter DHS 110

DHS 110.19(7)(f) (f) A list of the qualified preceptors for each field site.

DHS 110.19(7)(g) (g) Examples of records or forms that will be used to document the clinical and supervised field training.

DHS 110.19(7)(h) (h) A written description of the audit process used to assure accuracy of the clinical and supervised field training documentation.

DHS 110.19(7)(i) (i) An explanation of how student performance and practical competencies will be evaluated and how the effectiveness of the training program will be evaluated.

DHS 110.19(7)(j) (j) Samples of the handouts and checklists used, which shall be consistent with the knowledge and skills standard of the department-approved curriculum appropriate to the level of instruction and the Wisconsin Standards and Procedures of Practical Skills manual.

DHS 110.19(7)(k) (k) Other information requested by the department.

DHS 110.19 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.

DHS 110.20 DHS 110.20 Emergency medical responder training course content and hours.

DHS 110.20(1) (1) The emergency medical responder training course shall include content and behavioral objectives that meet or exceed the Wisconsin curriculum for emergency medical responders. Each course shall include training for responding to acts of terrorism that covers the content required by the department.

DHS 110.20(2) (2) A training center shall obtain department approval of any training on skills, equipment or medications that is not included in the Wisconsin curriculum for emergency medical responders before the training may be included in a course.

DHS 110.20(3) (3) An emergency medical responder training course shall include the minimum number of hours outlined in the approved Wisconsin curriculum for emergency medical responders.

DHS 110.20 Note Note: All training curricula may be found on the department’s website at www.dhs.wisconsin.gov/ems.

DHS 110.20 History 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 110.21 DHS 110.21 Emergency medical services practitioner training course content and hours.

DHS 110.21(1) (1) Courses. All emergency medical services practitioner training courses shall include content and behavioral objectives that meet or exceed the appropriate Wisconsin curriculum. Each course shall include training for responding to acts of terrorism that covers the content required by the department.

DHS 110.21(2) (2) Certain approvals required. The training center shall obtain department approval of any training on skills, equipment or medications that is not included in the Wisconsin curriculum for emergency medical services practitioner level training provided before the training can be included in the course.

DHS 110.21(3) (3) Emergency medical services practitioner training course hours. An emergency medical services practitioner training course shall include the minimum number of hours specified in the department approved curriculum. The clinical and supervised field training shall satisfy the minimum skill and patient assessment requirements identified by the department.

DHS 110.21(4) (4) Field training agreements.

DHS 110.21(4)(a) (a) The training center shall arrange for supervised field training of students with an ambulance service provider that is licensed at or above the level of training provided to the students. The arrangement shall be set out in a written agreement between the training center and the ambulance service provider.

DHS 110.21(4)(b) (b) A training center shall ensure that any student who enters supervised field training holds a training permit issued by the department under s. DHS 110.15.

DHS 110.21 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (title), (1) to (3) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.22 DHS 110.22 Accreditation of training centers.

DHS 110.22(1) (1) Effective July 1, 2013, all EMT-paramedic training centers shall be accredited by a national EMS education credentialing body.

DHS 110.22(2) (2) Initial Critical Care Paramedic programs shall be taught by training centers accredited by a national EMS education credentialing body.

DHS 110.22(3) (3) Initial Community Paramedic programs are exempt from the accreditation requirement.

DHS 110.22 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: renum. DHS 110.22 to (1), cr. (2), (3) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.23 DHS 110.23 Records and recordkeeping requirements.

DHS 110.23(1) (1) The training center shall retain at a minimum all of the following records for each student for at least 5 years after course completion and make the records available for review upon request by the department:

DHS 110.23(1)(a) (a) Attendance records.

DHS 110.23(1)(b) (b) Evaluations of student progress, such as quizzes, exams, and practical evaluations and their scores.

DHS 110.23(1)(c) (c) Clinical training records.

DHS 110.23(1)(d) (d) Field training records.

DHS 110.23(1)(e) (e) Other documentation identified by the department.

DHS 110.23(2) (2) The training center shall keep its applications and supporting documentation for EMS instructor approvals and a list of all individuals approved as EMS instructors. Documents shall be made available upon request by the department.

DHS 110.23 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.

DHS 110.24 DHS 110.24 Required training center personnel; personnel responsibilities. A training center shall have all of the following personnel:

DHS 110.24(1) (1) Program director. The training center shall have a program director who has a current certificate of approval issued by the department under s. DHS 110.25. The program director shall be responsible for all of the following:

DHS 110.24(1)(a) (a) Coordinating and overseeing all training offered by the training center.

DHS 110.24(1)(b) (b) Assuring the center’s compliance with all relevant requirements under this chapter.

DHS 110.24(1)(c) (c) Supervising and evaluating each EMS instructor who teaches for the training center. Evaluation shall include a determination whether the instructor is capable, qualified and prepared to provide EMS training at the levels of instruction he or she provides.

DHS 110.24(1)(d) (d) Notifying the department of students’ successful completion of each course using a method determined by the department.

DHS 110.24(2) (2) Medical director. The training center shall have a medical director who is a Wisconsin licensed physician and who has experience in emergency medicine, medical director training, and current approval by the department as specified in s. DHS 110.26. The training center may have a different medical director for each level of licensure for which training is provided. The medical director shall be responsible for all of the following:

DHS 110.24(2)(a) (a) Authorizing instructors to teach with the recommendation of the program director.

DHS 110.24(2)(b) (b) Assuring that EMS training meets medical standards of practice.

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, have successfully completed a CPR course within the last two years at the healthcare professional level, have 2 years experience as an emergency medical services practitioner 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; CR 20-028: am. (3) (intro.) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.25 DHS 110.25 Program 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 110.26 Training 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 110.27 EMS 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 successfully completed a CPR course within the last two years at the healthcare professional level and 2 years experience as an emergency medical services practitioner 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 successful completion of a CPR course within the last two years 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; CR 20-028: am. (1), (2) (c) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.28 DHS 110.28 EMS 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 emergency medical services practitioner 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 level or higher and at or above the level for which the applicant seeks department certification. Certification with the NREMT at the paramedic level is required for critical care paramedic EMS instructor II certification. If the applicant was licensed as a paramedic under this chapter before January 1, 2013, certification with the NREMT is not required for instructor II certification for any level of training.

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 emergency medical services practitioner 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.