DHS 110.04(3)
(3) “Algorithm protocol" means a graphical representation or flow chart of a written patient care protocol.
DHS 110.04(4)
(4) “Ambulance" means an emergency vehicle, including any motor vehicle, boat or aircraft, whether privately or publicly owned, which is designed, constructed or equipped to transport sick, disabled or injured individuals.
DHS 110.04(5)
(5) “Ambulance service provider" means a person engaged in the business of transporting sick, disabled or injured individuals by ambulance to or from facilities or institutions providing health services.
DHS 110.04(6)
(6) “Ambulance staffing configuration" means the different ways that an ambulance can be staffed based on level of services as described in s.
DHS 110.50.
DHS 110.04(7)
(7) “As needed services" means that with respect to special events the EMS service provider will provide emergency medical services as its resources are available and will not commit resources exclusively for the event.
DHS 110.04(9)
(9) “Backup agreement" means a written agreement between nearby licensed ambulance service providers to provide response when the primary service provider is unable to do so.
DHS 110.04(12)
(12) “CPR organization" means an entity whose program is authorized to provide CPR certification or training based on national standards and is approved by the department to fulfill the CPR requirement for certified emergency medical responders and licensed emergency medical services practitioners.
DHS 110.04(13)
(13) “Cardiopulmonary resuscitation" or “CPR" means a combination of rescue breathing and chest compressions delivered to victims believed to be in cardiac arrest.
DHS 110.04(14)
(14) “Clinical training" means training received in a hospital or other health care facility.
DHS 110.04(14m)
(14m) “Community emergency medical services practitioner” or “CEMS practitioner” has the meaning given under s.
256.21 (1), Stats.
DHS 110.04(14r)
(14r) “Community emergency medical services provider” or “CEMS provider” has the meaning given under s.
256.215(1)(a), Stats.
DHS 110.04(15)
(15) “Coverage agreement" means a written agreement between two neighboring ambulance service providers that each will cover the other's 9-1-1 area when the other knows in advance that it will be unable to do so.
DHS 110.04(16)
(16) “Credential" means written authorization by the service director and medical director of a licensed emergency medical services provider permitting a certified emergency medical responder or licensed emergency medical services practitioners to perform specified emergency medical care while in the service of the provider. To be “credentialed" means to hold a credential issued by a licensed emergency medical services provider.
DHS 110.04(17)
(17) “Critical care paramedic" means a paramedic who is licensed and endorsed by the department to provide an advanced level of paramedic care based on completion of an advanced level of paramedic training.
DHS 110.04(18)
(18) “Dedicated services" means that with respect to special events the emergency medical services provider will have resources dedicated and immediately available on the grounds of the event that will not be subject to responses other than requests from the event.
DHS 110.04(20)
(20) “Department" means the Wisconsin department of health services.
DHS 110.04(21)
(21) “Emergency medical care" means medical care to sick, disabled, or injured individuals at the scene of an emergency, during transport to a hospital, while in the hospital emergency department until responsibility for care is assumed by the regular hospital staff, and during transfer of a patient between health care facilities, which is based on department approved patient care protocols.
DHS 110.04(21e)
(21e) “Emergency medical dispatch” means a process used by a public safety answering point or dispatch center to determine whether to dispatch an advanced life support or basic life support ambulance based on information obtained from a 9-1-1 caller.
DHS 110.04(21s)
(21s) “Emergency medical responder service provider" means an emergency medical service provider that provides emergency medical care with staff certified as emergency medical responders to sick, disabled or injured individuals before hospitalization and the arrival of an ambulance, but that does not provide transportation for patients.
DHS 110.04(22)
(22) “Emergency medical services" or “EMS" means an arrangement of personnel, communications, equipment, and supplies for the delivery of emergency medical care.
DHS 110.04(23)
(23) “EMS instructor" means a person approved by the department or, if employed by the Wisconsin technical college system board, jointly approved by the department and the Wisconsin technical college system board, at a specified level or levels, to train individuals in the provision of emergency medical services.
DHS 110.04(24)
(24) “EMS professional" means a certified emergency medical responder, licensed emergency medical services practitioner, registered nurse, physician assistant or physician, who is authorized to provide emergency medical care.
DHS 110.04(25)
(25) “Emergency medical service provider" or “EMS provider" means an emergency medical services program under s.
256.12, Stats., that provides emergency medical services as an emergency medical responder service provider, non-transporting EMS provider, or ambulance service provider.
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:
