DHS 110.07(1)(c)7.7. ‘Emergency medical responders and emergency medical services practitioners.’ Successful completion of an initial training course above the current license level of the individual may be used to fulfill the refresher requirements of this paragraph. If the course is an initial paramedic course, completion of the didactic portion fulfills this requirement. DHS 110.07(1)(d)(d) The individual provides documentation of successful completion of a CPR course at the healthcare professional level within the last two years by a CPR organization specified under s. DHS 110.17 (1). If the application is for renewal of a license at the EMT-intermediate or paramedic level, the applicant is also certified by an organization specified under s. DHS 110.17 (1) in advanced cardiac life support. DHS 110.07(1)(e)(e) 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 EMS professional, as determined by the department. DHS 110.07(2)(2) Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The application and documentation shall be submitted to the department in the manner or method specified by the department. DHS 110.07 NoteNote: Application for license or certificate renewal 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 110.07 HistoryHistory: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; (1) (c) 7. (title) created under s. 13.92 (4) (b) 2., Stats., Register December 2010 No. 660; CR 20-028: am. (1) (intro.), (c) (intro.), 1. to 6., cr. (1) (c) 6g, 6r., am. (1) (c) 7., r. and recr. (1) (d) Register September 2021 No. 789, eff. 10-1-21. DHS 110.08DHS 110.08 Practice level upgrades; downgrades. DHS 110.08(1)(1) Upgrading emergency medical services practitioner practice levels. To upgrade an emergency medical services practitioner practice level, the emergency medical services practitioner shall complete the application requirements under s. DHS 110.06 for the desired emergency medical services practitioner practice level. DHS 110.08(2)(2) Downgrading emergency medical services practitioner practice levels. To downgrade an emergency medical services practitioner practice level, the emergency medical services practitioner shall complete the application requirements under s. DHS 110.06 for the practice level to which the emergency medical services practitioner wishes to downgrade. When the downgrade occurs at renewal, the individual shall submit proof of refresher training at the downgraded level or the previous license level. DHS 110.08(3)(3) Upgrading to the emt practice level. To upgrade from emergency medical responder certification to EMT licensure, the emergency medical responder shall complete the application requirements under s. DHS 110.06 for the EMT license level. DHS 110.088(1)(1) Eligibility. To apply for an endorsement on an emergency medical services practitioner license, the applicant shall meet all of the following requirements: DHS 110.088(1)(a)(a) The individual holds a current emergency medical service practitioner license that is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11), Stats. DHS 110.088(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 110.088(1)(c)(c) The individual provides documentation of successful completion of a CPR course at the healthcare professional level within the last two years by a CPR organization specified under s. DHS 110.17 (1). If the application is for an endorsement on a license at the EMT-intermediate or paramedic level, the applicant is also certified by an organization specified under s. DHS 110.17 (1) in advanced cardiac life support. DHS 110.088(1)(d)(d) The individual, in accordance with ss. 111.321, 111.322, and 111.335, Stats., does not have an arrest or conviction record that is substantially related to performing the duties of an 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 pre-determination fee specified under s. DHS 110.16 (1) (g) with the application. DHS 110.088 NoteNote: 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 110.088(2)(a)(a) 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 110.088(2)(b)(b) If the application is for the tactical EMS endorsement, the applicant shall present documentation of an affiliation with a department recognized tactical team. DHS 110.088(2)(c)(c) If the application is for the critical care paramedic endorsement, the applicant shall be licensed as a paramedic and have completed training based on the Wisconsin critical care paramedic curriculum or be certified by a department-approved critical care program or an equivalent program as approved by the department within the 24 months immediately preceding application to the department for an endorsement. Training completed through an ambulance service provider that meets the content of the Wisconsin critical care paramedic curriculum and was completed prior to December 31, 2011 may meet the educational requirements if approved by the department. DHS 110.088(2)(d)(d) If the application is for the community emergency medical services practitioner endorsement, the applicant shall have the equivalent of two years of experience as an emergency medical services practitioner at any level and have completed training based on the approved Wisconsin community emergency medical services practitioner curriculum or an equivalent program as approved by the department within the 24 months immediately preceding application to the department for an endorsement. Training completed through an emergency medical services provider that meets the content of the Wisconsin community emergency medical services curriculum and was completed prior to December 31, 2020, may meet the educational requirements if approved by the department. DHS 110.088(2)(e)(e) If the application is for the community paramedic endorsement, the applicant shall be licensed as a paramedic with the equivalent of two years of service as a paramedic and have completed training based on the approved Wisconsin community paramedic curriculum or an equivalent program as approved by the department with the 24 months immediately preceding application to the department for an endorsement. Training completed through an emergency medical services provider that meets the content of the Wisconsin community paramedic curriculum and was completed prior to December 31, 2020, may meet the educational requirements if approved by the department. DHS 110.088 NoteNote: 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 110.088 HistoryHistory: CR 20-028: cr. Register September 2021 No. 789, eff. 10-1-21; correction in (2) (d), (e) made under s. 35.17, Stats., Register September 2021 No. 789. DHS 110.09DHS 110.09 Expiration date; expired license or certification; late renewal; reinstatement. Licenses and certificates expire on June 30 of the third year of the triennium. If a license or certificate expires, the following as applicable, applies: DHS 110.09(1)(1) Late renewal. An individual may renew a license or certificate that has been expired for less than 6 months by applying to the department for license or certificate renewal as specified under s. DHS 110.07 and submitting the late renewal fee specified under s. DHS 110.16 (1). Upon the department’s renewal of the applicant’s license or certificate, the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care as an emergency medical services practitioner or emergency medical responder. DHS 110.09(2)(a)(a) A license or certificate that has been expired for over 6 months but less than 2 years has lapsed. To reinstate a lapsed license or certificate, the applicant shall do all of the following: DHS 110.09(2)(a)2.2. Receive permission from the department to take the NREMT cognitive and psychomotor examination. DHS 110.09(2)(a)3.3. Successfully complete the NREMT cognitive and psychomotor examination. DHS 110.09(2)(b)(b) A license or certificate that has been expired for 2 years or more may be reinstated only if the applicant has successfully completed the training and examination requirements for the initial license or certificate within the 24 months immediately preceding submission of the application for reinstatement. DHS 110.09(2)(c)(c) Upon reinstatement of licensure or certification by the department under par. (a) or (b), the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care. DHS 110.09 HistoryHistory: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (intro.), (1), (2) (a) 2., 3. Register September 2021 No.789, eff. 10-1-21. DHS 110.10DHS 110.10 Department decision on applications. DHS 110.10(1)(1) Complete application. The department shall review and make a determination on an application that has been completed in accordance with all of the department’s instructions for completion within 60 business days of receiving the application. If the department approves the application, the department will notify the applicant and issue a license, certificate or permit. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights. DHS 110.10(2)(2) Incomplete application. When an incomplete application is received, the department will notify the applicant of any deficiencies within 60 business days. If the applicant fails to respond to the notice and fails to complete the application within 6 months from the date of initial submission to the department, the application is void. The department will not take any further action on the incomplete application. To be considered further by the department, the applicant shall meet the eligibility requirements and submit a new application as required under s. DHS 110.06. DHS 110.10(3)(3) Pre-determination. The department shall review and make a determination on a pre-determination application that has been completed in accordance with all of the department’s instructions for completion within 30 days of receiving the application. DHS 110.11(1)(1) Credential agreement. Before an EMS professional may provide emergency medical care, the EMS professional shall be credentialed under s. DHS 110.52. To be credentialed, the EMS professional shall submit to the department a credential agreement for each emergency medical service provider with which the EMS professional serves, in the manner specified by the department. DHS 110.11 NoteNote: 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. DHS 110.11(2)(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. DHS 110.12DHS 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. DHS 110.12 NoteNote: 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. DHS 110.13DHS 110.13 Professional responsibilities. DHS 110.13(1)(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. DHS 110.13(2)(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. DHS 110.13(3)(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. DHS 110.13(4)(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. DHS 110.13(4m)(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. DHS 110.13(5)(5) An EMT-intermediate or paramedic shall maintain current certification in advanced cardiac life support throughout the triennial license period. DHS 110.13 NoteNote: 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. DHS 110.13(6)(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. DHS 110.13(7)(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. DHS 110.13 HistoryHistory: 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 110.14DHS 110.14 Written and practical examinations retakes. DHS 110.14(1)(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. DHS 110.14(2)(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. DHS 110.14(3)(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. DHS 110.15DHS 110.15 Emergency medical services practitioner training permit application; authorized actions and limitations. DHS 110.15(1)(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: DHS 110.15(1)(b)(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. DHS 110.15(1)(c)(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. DHS 110.15(1)(d)(d) The individual is enrolled in an initial emergency medical services practitioner training course offered by a training center certified by the department. DHS 110.15(1)(dm)(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). DHS 110.15(1)(e)(e) The applicant provides any additional information the department requests during its review of the application. DHS 110.15 NoteNote: 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. DHS 110.15(2)(a)(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. DHS 110.15(2)(b)(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). DHS 110.15(2)(c)(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. DHS 110.15(2)(d)(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. DHS 110.15(3)(3) Duration of permits. Training permits are issued and valid for the following periods: DHS 110.15(3)(a)(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. DHS 110.15(3)(b)(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. DHS 110.15 HistoryHistory: 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 110.16DHS 110.16 Department administrative fees. DHS 110.16(1)(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: DHS 110.16(1)(a)(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. DHS 110.16(1)(b)(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.
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