reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 4 - Certification › Section 100124 - Advanced EMT Recertification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In order to recertify, an Advanced EMT shall:
(a) Possess a current Advanced EMT Certification
				  issued in California.
(b) Obtain at
				  least thirty-six (36) hours of continuing education hours (CEH) from an approved
				  continuing education (CE) provider in accordance with the provisions contained in
				  the Prehospital Continuing Education Chapter, Chapter 11 of this Division.
(c) Complete an application form that contains
				  this statement, "I hereby certify
under penalty of perjury
that all
				  information on this application is true and correct to the best of my knowledge and
				  belief, and I understand that any falsification or omission of material facts may
				  cause forfeiture on my part of all rights to Advanced EMT certification in the state
				  of California. I understand all information on this application is subject to
				  verification, and I hereby give my express permission for this certifying entity to
				  contact any person or agency for information related to my role and function as an
				  Advanced EMT in California."
(d)
				  Disclose any certification or licensure action against an EMT, Advanced EMT, EMT-II
				  certificate or a Paramedic license or any denial of certification by a LEMSA or in
				  the case of Paramedic licensure, a denial by the Authority.
(e) Starting July 1, 2010, complete the criminal
				  history background check requirements as specified in Article 4, Chapter 10 of this
				  Division.
(f) Submit a completed
				  Advanced EMT Skills Competency Verification Form, EMSA-AEMT SCVF (01/07)
				  incorporated herein by reference. Skills competency shall be verified by direct
				  observation of an actual or simulated patient contact. Skills competency shall be
				  verified by an individual who is currently certified or licensed as an Advanced EMT,
				  Paramedic, Registered Nurse, Physician Assistant, or Physician and who shall be
				  designated as part of a skills competency verification process approved by the
				  LEMSA. The skills requiring verification of competency are:
(1) Injection (IM or SQ)
(2) Peripheral IV
(3) IV Push Medication
(4) Inhaled medications
(5) Blood Glucose Determination
(6) Perilaryngeal Airway
				  Adjunct
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 4 - Certification › Section 100125 - Advanced EMT Recertification After Lapse in Certification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to be eligible for recertification,
				  for an individual whose Advanced EMT Certification has lapsed, the following
				  requirements shall apply:
(1) For a lapse of less
				  than six (6) months, the individual shall comply with the requirements contained in
				  Section 100124(b), (c), (d), (e) and
				  (f) of this Chapter.
(2) For a lapse of six (6) months or more, but
				  less than twelve (12) months, the individual shall comply with the requirements of
				  Section 100124(b), (c), (d), (e) and
				  (f) of this Chapter, and complete an additional
				  twelve (12) hours of continuing education for a total of forty-eight (48) hours of
				  training.
(3) For a lapse of twelve (12)
				  months or more, but less than twenty-four (24) months, the individual shall comply
				  with the requirements of Section
				  100124(b), (c), (d), (e) and
				  (f) of this Chapter and complete an additional
				  twenty-four (24) hours of continuing education for a total of sixty (60) hours of
				  training and the individual shall pass the written and skills certification exam as
				  specified in Section
				  100123(a)(3).
(4) For a lapse of greater than twenty-four (24)
				  months, the individual shall complete an entire Advanced EMT course and comply with
				  the requirements of Section
				  100123(a).
(5) Individuals who are a member of the reserves
				  and are deployed for active duty with a branch of the Armed Forces of the United
				  States, whose Advanced EMT or EMT-II certificate expires during the time they are on
				  active duty may be given an extension of the expiration date of their Advanced EMT
				  or EMT-II certificate for up to six (6) months from the date of their
				  deactivation/release from active duty in order to meet the renewal requirements for
				  their Advanced EMT certificate upon compliance with the provisions of Section
				  100124(i) of this
				  Chapter and the requirements of subsection (a) of this section.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 5 - Operational Requirements › Section 100126 - Advanced EMT Service Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A LEMSA with
				  a LALS system, shall establish policies and procedures for the approval, designation
				  and evaluation through its EMSQIP of Advanced EMT service provider(s). These
				  policies and procedures shall include provisions requiring an Advanced EMT to be
				  affiliated with an approved Advanced EMT service provider in order to perform the
				  scope of practice specified in this Chapter.
(b) An approved Advanced EMT service provider
				  shall:
(1) Provide emergency medical service
				  response on a continuous twenty-four (24) hours per day basis unless otherwise
				  specified by the LEMSA, in which case there shall be adequate justification for the
				  exemption (e.g., lifeguards, ski patrol personnel, etc.).
(2) Have and agree to utilize and maintain
				  telecommunications as specified by the LEMSA.
(3) Maintain a drug and solution inventory, basic
				  and LALS medical equipment and supplies as specified by the LEMSA.
(4) Have a written agreement with the LEMSA to
				  participate in the LALS program and to comply with all applicable State regulations,
				  and local policies and procedures, including participation in the LEMSA's EMSQIP as
				  specified in Section
				  100107.1.
(5) Be responsible for assessing the current
				  knowledge of their Advanced EMTs in local policies, procedures, and protocols and
				  for assessing their Advanced EMTs skills competency.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 5 - Operational Requirements › Section 100128 - Medical Control

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The medical directorof a LEMSA shall establish and maintain
					 medical control in the following manner:
(a) Prospectively, by assuring the development of
				  written medical policies and procedures, to include at a minimum:
(1) Treatment protocols that encompass the
				  Advanced EMT scope of practice.
(2)
				  Local medical control policies and procedures as they pertain to the Advanced EMT
				  base hospitals, alternative base stations, patient destination, and the
				  LEMSA.
(3) Criteria for initiating
				  specified emergency treatments on standing orders, which are consistent with this
				  Chapter.
(4) Requirements to be followed
				  when it is determined that the patient will not require transport to the hospital by
				  ambulance or when the patient refuses transport.
(5) Requirements for initiating, completing,
				  reviewing and retaining patient care records as specified in this Chapter. These
				  requirements shall address, but not be limited to:
(A) Initiation of a record for every patient
				  contact.
(B) Responsibilities for record
				  completion.
(C) Responsibilities for
				  record review and evaluation.
(D)
				  Responsibilities for record retention.
(E) Record distribution to include the LEMSA,
				  receiving hospital, Advanced EMT and/or EMT-II base hospital, alternative base
				  station, and Advanced EMT and/or EMT-II service
				  provider.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100129 - Record Keeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  Advanced EMT Approving Authority shall maintain a list of approved training programs
				  within its jurisdiction and provide the Authority annually with the names,
				  addresses, phone number, course director, frequency of classes, student eligibility
				  requirements and cost of each class and date of expiration for each approved
				  program. The Authority shall be notified of any changes in the list of approved
				  training programs as such occurs.
(b)
				  Each Advanced EMT Approving Authority shall maintain a list of current Advanced EMT
				  program medical directors, course directors and principal instructors within its
				  jurisdiction.
(c) The Authority shall
				  maintain a record of approved Advanced EMT training programs.
(d) The Advanced EMT is responsible for accurately
				  completing the patient care record referenced in 100128(a)(5) which shall contain,
				  but not be limited to, the following information when such information is available
				  to the Advanced EMT:
(1) The date and estimated
				  time of incident.
(2) The time of
				  receipt of the call (available through dispatch records).
(3) The time of dispatch to the scene.
(4) Time of unit enroute.
(5) Time of arrival at the scene.
(6) The location of the incident.
(7) The patient's:
(A) Name;
(B) age;
(C) gender;
(D) weight, if necessary for treatment;
(E) address;
(F) chief complaint; and
(G) vital signs.
(8) Appropriate physical assessment.
(9) The emergency care rendered and the patient's
				  response to such treatment.
(10) Name of
				  designated Physician and/or authorized Registered Nurse issuing orders.
(11) Patient disposition.
(12) The time of departure from scene.
(13) The time of arrival at receiving hospital (if
				  transported).
(14) The name of receiving
				  facility (if transported).
(15) The
				  name(s) and unique identifier number(s) of the Advanced EMT(s).
(16) Signature(s) of Advanced
				  EMT(s).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100130 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A LEMSA may establish a schedule of fees for Advanced EMT
					 training program review and approval, Advanced EMT certification, and the Advanced
					 EMT recertification in an amount sufficient to cover the reasonable cost of
					 complying with the provisions of this Chapter.
1. Amendment of
					 section and NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.171
						and
						1797.212,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.82,
						1797.171,
						1797.184
						and
						1797.212,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100135 - Approved Testing Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Approved Testing Agency" means an agency approved by the
					 Emergency Medical Services Authority (Authority) to administer the licensure
					 examination.
1. New section
					 filed 7-10-89; operative 8-9-89 (Register 89, No. 29).
2. Amendment of
					 chapter heading and section filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
3. Amendment filed 2-11-2013; operative 4-1-2013 (Register 2013, No.
					 7).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.172
						and
						1797.185,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100136 - Emergency Medical Services System Quality Improvement Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Emergency Medical Services System Quality Improvement Program"
					 or "EMSQIP" means methods of evaluation that are composed of structure, process, and
					 outcome evaluations which focus on improvement efforts to identify root causes of
					 problems, intervene to reduce or eliminate these causes, and take steps to correct
					 the process and recognize excellence in performance and delivery of care, pursuant
					 to the provisions of Chapter 12 of this Division. This is a model program which will
					 develop over time and is to be tailored to the individual organization's quality
					 improvement needs and is to be based on available resources for the
					 EMSQIP.
1. Amendment
					 filed 7-10-89; operative 8-9-89 (Register 89, No. 29). For prior history, see
					 Register 84, No. 20.
2. Renumbering of former section
					 100136 to section
					 100137 and new section
					 100136 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
3. Amendment of section heading and section filed
					 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
4. Amendment
					 filed 2-11-2013; operative 4-1-2013 (Register 2013, No.
					 7).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.172
						and
						1797.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100137 - Paramedic Training Program Approving Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Paramedic training program approving
				  authority" means an agency or person authorized by this Chapter to approve a
				  Paramedic training program and/or a Critical Care Paramedic (CCP) training program,
				  as follows:
(1) A paramedic training program and/or
				  a CCP training program conducted by a qualified statewide public safety agency shall
				  be approved by the director of the Authority.
(2) Any other paramedic training program and/or a
				  CCP training program not included in subsection (1) shall be approved by the local
				  EMS agency (LEMSA) that has jurisdiction in the county where the training program is
				  located.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100138 - Paramedic Licensing Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Paramedic Licensing Authority" means the director of the
					 Authority.
1. New section
					 filed 5-17-84; effective thirtieth day thereafter (Register 84, No.
					 20).
2. Editorial correction of History No. 1 (Register 89, No.
					 29).
3. Renumbering of former section
					 100138 to section
					 100139 and renumbering of former
					 section 100137 to section
					 100138, including amendment of section
					 heading, section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
4. Amendment filed 2-11-2013; operative 4-1-2013 (Register 2013, No.
					 7).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.194
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100139 - Paramedic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Paramedic" or "EMT-P" or "mobile intensive care paramedic"
					 means an individual who is educated and trained in all elements of prehospital
					 advanced life support (ALS); whose scope of practice to provide ALS is in accordance
					 with the standards prescribed by this Chapter, and who has a valid license issued
					 pursuant to this Chapter.
1. Repealer and
					 renumbering and amendment of former section
					 100140 to section
					 100139 filed 11-29-93 as an emergency;
					 operative 12-1-93 (Register 93, No. 49). A Certificate of Compliance must be
					 transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of
					 law on the following day. For prior history, see Register 92, No. 10.
2.
					 Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94;
					 disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94
					 (Register 94, No. 19).
3. 11-29-93 order including amendment of section
					 refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A
					 Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language
					 will be repealed by operation of law on the following day.
4. Editorial
					 correction of HISTORY 3 (Register 94, No. 21).
5. Certificate of
					 Compliance as to 5-12-94 order transmitted to OAL 9-9-94 with amendment and filed
					 10-24-94 (Register 94, No. 43).
6. Renumbering of former section
					 100139 to section
					 100141 and renumbering of former
					 section 100138 to section
					 100139, including amendment of section
					 and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
7.
					 Amendment of section heading and section filed 2-11-2013; operative 4-1-2013
					 (Register 2013, No. 7).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.84,
						1797.172
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100140 - Psychomotor Skills Examination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Psychomotor Skills examination" means the National Registry of
					 Emergency Medical Technicians (NREMT) Paramedic Psychomotor Skills Examination to
					 test the skills of an individual applying for licensure as a
					 paramedic.
1. Renumbering of
					 former section 100140 to section
					 100139 and renumbering and amendment of
					 former section 100141 to section
					 100140 filed 11-29-93 as an emergency;
					 operative 12-1-93 (Register 93, No. 49). A Certificate of Compliance must be
					 transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of
					 law on the following day. For prior history, see Register 92, No. 10.
2.
					 Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94;
					 disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94
					 (Register 94, No. 19).
3. 11-29-93 order refiled 5-12-94 as an emergency;
					 operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be
					 transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of
					 law on the following day.
4. Editorial correction of HISTORY 3 (Register
					 94, No. 21).
5. Certificate of Compliance as to 5-12-94 order transmitted
					 to OAL 9-9-94 with amendment and filed 10-24-94 (Register 94, No. 43).
6.
					 Renumbering of former section
					 100140 to section
					 100142 and renumbering of former
					 section 100142 to section
					 100140, including amendment of section
					 heading, section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
7. Amendment filed 9-10-2004; operative 10-10-2004 (Register 2004,
					 No. 37).
8. Amendment filed 6-26-2008; operative 7-26-2008 (Register
					 2008, No. 26).
9. Amendment filed 2-11-2013; operative 4-1-2013 (Register
					 2013, No. 7).
10. Amendment of section heading and section filed
					 1-24-2020; operative 4-1-2020 (Register 2020, No. 4).
Note: Authority cited: Sections
						1797.107,
						1797.172,
						1797.175,
						1797.185
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.175,
						1797.185
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100141 - Cognitive Written Examination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Cognitive Written Examination" means the NREMT Paramedic
					 Cognitive Written Examination to test an individual applying for licensure as a
					 paramedic.
1. Renumbering of
					 former section 100141 to section
					 100140 and renumbering of former
					 section 100141.2 to section
					 100141 filed 11-29-93 as an emergency;
					 operative 12-1-93 (Register 93, No. 49). A Certificate of Compliance must be
					 transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of
					 law on the following day. For prior history, see Register 89, No. 29.
2.
					 Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94;
					 disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94
					 (Register 94, No. 19).
3. 11-29-93 order refiled 5-12-94 as an emergency;
					 operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be
					 transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of
					 law on the following day.
4. Certificate of Compliance as to 5-12-94
					 order transmitted to OAL 9-9-94 and filed 10-24-94 (Register 94, No.
					 43).
5. Repealer of former section
					 100141 and renumbering of former
					 section 100139 to section
					 100141, including amendment of section
					 heading, section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
6. Amendment filed 9-10-2004; operative 10-10-2004 (Register 2004,
					 No. 37).
7. Amendment filed 6-26-2008; operative 7-26-2008 (Register
					 2008, No. 26).
8. Amendment filed 2-11-2013; operative 4-1-2013 (Register
					 2013, No. 7).
9. Amendment of section heading and section filed
					 1-24-2020; operative 4-1-2020 (Register 2020, No. 4).
Note: Authority cited: Sections
						1797.107,
						1797.172,
						1797.175,
						1797.185
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.63,
						1797.172,
						1797.175,
						1797.185,
						1797.194
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100141.1 - High Fidelity Simulation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
High Fidelity Simulation means using computerized manikins,
					 monitors, and similar devices or augmented virtual reality environments that are
					 operated by a technologist from another location to produce audible sounds and to
					 alter and manage physiological changes within the manikin to include, but not be
					 limited to, altering the heart rate, respirations, chest sounds, and saturation of
					 oxygen.
1. New section
					 filed 1-24-2020; operative 4-1-2020 (Register 2020, No.
					 4).
Note: Authority cited: Sections
						1797.107,
						1797.172,
						1797.175,
						1797.185
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.63,
						1797.172,
						1797.175,
						1797.185,
						1797.194
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100141.2 - Quality Assurance. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 11-4-91; operative 1-1-92 (Register 92, No. 10).
2. Renumbering of
					 former section 100141.2 to section
					 100141 filed 11-29-93 as an emergency;
					 operative 12-1-93 (Register 93, No. 49). A Certificate of Compliance must be
					 transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of
					 law on the following day.
3. Certificate of Compliance as to 11-29-93
					 order transmitted to OAL 3-30-94; disapproved by OAL and order of repeal as to
					 11-29-93 order filed on 5-11-94 (Register 94, No. 19).
4. Renumbering of
					 former section 100141.2 to section
					 100141 refiled 5-12-94 as an emergency;
					 operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be
					 transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of
					 law on the following day.
5. Certificate of Compliance as to 5-12-94
					 order transmitted to OAL 9-9-94 and filed 10-24-94 (Register 94, No.
					 43).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.172
						and
						1797.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100141.5 - State EMT-P Application. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 12-20-89 as an emergency; operative 12-20-89 (Register 89, No. 52). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or emergency
					 language will be repealed by operation of law on 4-19-90.
2. Certificate
					 of Compliance as to 12-20-89 order transmitted to OAL 3-16-90 and filed 4-12-90
					 (Register 90, No. 18).
3. Amendment filed 11-4-91; operative 1-1-92
					 (Register 92, No. 10).
4. Amendment of section heading and repealer and
					 new text filed 11-29-93 as an emergency; operative 12-1-93 (Register 93, No. 49). A
					 Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency
					 language will be repealed by operation of law on the following day.
5.
					 Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94;
					 disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94
					 (Register 94, No. 19).
6. 11-29-93 order refiled 5-12-94 as an emergency;
					 operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be
					 transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of
					 law on the following day.
7. Certificate of Compliance as to 5-12-94
					 order transmitted to OAL 9-9-94 and filed 10-24-94 (Register 94, No.
					 43).
8. Renumbering of former section
					 100141.5 to section
					 100143 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.107,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.63,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100142 - Local Accreditation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Local Accreditation" or "accreditation" or "accreditation to
					 practice" means authorization by the LEMSA to practice as a paramedic within that
					 jurisdiction. Such authorization indicates that the paramedic has completed the
					 requirements of Section
					 100165 of this
					 Chapter.
1. Renumbering
					 and amendment of former section
					 100142 to section
					 100146, and new section
					 100142 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Amendment filed 11-29-93 as an emergency; operative 12-1-93 (Register 93, No. 49). A
					 Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency
					 language will be repealed by operation of law on the following day.
3.
					 Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94;
					 disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94
					 (Register 94, No. 19).
4. 11-29-93 order including amendment of section
					 refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A
					 Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language
					 will be repealed by operation of law on the following day.
5. Editorial
					 correction of HISTORY 3 (Register 94, No. 21).
6. Certificate of
					 Compliance as to 5-12-94 order transmitted to OAL 9-9-94 with amendment and filed
					 10-24-94 (Register 94, No. 43).
7. Renumbering of former section
					 100142 to section
					 100140 and renumbering of former
					 section 100140 to section
					 100142, including amendment of section
					 and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
8.
					 Amendment filed 9-10-2004; operative 10-10-2004 (Register 2004, No.
					 37).
9. Amendment filed 2-11-2013; operative 4-1-2013 (Register 2013, No.
					 7).
Note: Authority cited: Sections
						1797.7,
						1797.107,
						1797.172
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.178,
						1797.185,
						1797.194
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100142.5 - State Written Examination. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 12-20-89 as an emergency; operative 12-20-89 (Register 89, No. 52). A
					 Certificate of Compliance must be transmitted to OAL within 120 days or emergency
					 language will be repealed by operation of law on 4-19-90.
2. Editorial
					 correction of HISTORY 1. to read "4-19-90" instead of "4-19-89" (Register 90, No.
					 18).
3. Certificate of Compliance as to 12-20-89 order transmitted to OAL
					 3-16-90 and filed 4-12-90 (Register 90, No. 18).
4. Repealer filed
					 11-4-91; operative 1-1-92 (Register 92, No.
					 10).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100143 - State Paramedic Application

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"State Paramedic Application" or "state application" means an
					 application form provided by the Authority to be completed by an individual applying
					 for a license or renewal of license, as identified in Section
					 100164.
1. Renumbering
					 and amendment of former section
					 100143 to section
					 100147, and renumbering and amendment
					 of section 100140 to section
					 100143 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Editorial correction of printing error restoring section (Register 91, No.
					 32).
3. Amendment filed 11-4-91; operative 1-1-92 (Register 92, No.
					 10).
4. Editorial correction of NOTE (Register 99, No. 12).
5.
					 Renumbering of former section
					 100143 to section
					 100144 and renumbering of former
					 section 100141.5 to section
					 100143, including amendment of section
					 heading, section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
6. Editorial correction removing duplicative article 2 heading
					 (Register 99, No. 14).
7. Amendment filed 9-10-2004; operative 10-10-2004
					 (Register 2004, No. 37).
8. Amendment filed 2-11-2013; operative 4-1-2013
					 (Register 2013, No. 7).
9. Change without regulatory effect amending
					 section filed 2-8-2016 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2016, No. 7).
Note: Authority cited: Sections
						1797.107,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.63,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100143.1 - Electronic Health Record

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Electronic health record" or EHR, or electronic patient care
					 record or ePCR means real time, patient-centered records that make information
					 available securely to authorized users in a digital format capable of being shared
					 with other providers across more than one health care
					 organization.
1. New section
					 filed 1-24-2020; operative 4-1-2020 (Register 2020, No.
					 4).
Note: Authority cited: Sections
						1797.107,
						1797.122
						and
						1797.227,
						Health and Safety Code. Reference: Sections
						1797.107,
						1797.122
						and
						1797.227,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100144 - Critical Care Paramedic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A "Critical Care Paramedic" (CCP) is an individual who is
					 educated and trained in critical care transport, whose scope of practice is in
					 accordance with the standards prescribed by this Chapter, has completed a training
					 program as specified in Section
					 100155(c), holds a
					 current certification as a CCP by the International Board of Specialty Certification
					 (IBSC), Board for Critical Care Transport Paramedic Certification (BCCTPC), who has
					 a valid license issued pursuant to this Chapter, and is accredited by a LEMSA in
					 which their paramedic service provider is based.
1. Renumbering
					 and amendment of former section
					 100144 to section
					 100148, and renumbering and amendment
					 of section 100141 to section
					 100144 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Editorial correction of printing error in subsections (b), (b)(3) and (b)(13)(Q)
					 (Register 91, No. 32).
3. Amendment filed 11-4-91; operative 1-1-92
					 (Register 92, No. 10).
4. Renumbering of former section
					 100144 to section
					 100145 and renumbering of former
					 section 100143 to section
					 100144, including amendment of section
					 and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
5.
					 Amendment of subsection (a) filed 9-10-2004; operative 10-10-2004 (Register 2004,
					 No. 37).
6. Relocation of article 2 heading to precede section
					 100145, renumbering of former section
					 100144 to section
					 100145 and new section
					 100144 filed 2-11-2013; operative
					 4-1-2013 (Register 2013, No. 7).
7. Amendment filed 1-24-2020; operative
					 4-1-2020 (Register 2020, No. 4).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.84,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 1 - Definitions › Section 100144.1 - Flight Paramedic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A "Flight Paramedic" (FP) is an individual who is educated and
					 trained in critical care transport, whose scope of practice is in accordance with
					 the standards prescribed by this Chapter, has completed a training program as
					 specified in Section
					 100155(c), holds a
					 current certification as a FP by the International Board of Specialty Certification
					 (IBSC), Board for Critical Care Transport Paramedic Certification (BCCTPC), has a
					 valid license issued pursuant to this Chapter, and is accredited by a LEMSA in which
					 their paramedic service provider is based.
1. New section
					 filed 1-24-2020; operative 4-1-2020 (Register 2020, No.
					 4).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.194,
						Health and Safety Code. Reference: Sections
						1797.84,
						1797.172,
						1797.185
						and
						1797.194,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 2 - General Provisions › Section 100145 - Application of Chapter

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any LEMSA
				  that authorizes a paramedic training program or an ALS service that provides
				  services utilizing paramedic personnel as part of an organized EMS system, shall be
				  responsible for approving paramedic training programs, paramedic service providers,
				  paramedic base hospitals, and for developing and enforcing standards, regulations,
				  policies and procedures in accordance with this chapter to provide an EMS system
				  quality improvement program, appropriate medical control, and coordination of
				  paramedic personnel and training program(s) within an EMS system.
(b) No person or organization shall offer a
				  paramedic training program, or hold themselves out as offering a paramedic training
				  program, or hold themselves out as providing ALS services utilizing paramedics for
				  the delivery of emergency medical care unless that person or organization is
				  authorized by the LEMSA.
(c) A paramedic
				  who is not licensed in California may temporarily perform his/her scope of practice
				  in California on a mutual aid response, on routine patient transports from out of
				  state into California, or during a special event, when approved by the medical
				  director of the LEMSA, if the following conditions are met:
(1) The paramedic is licensed or certified in
				  another state/country or under the jurisdiction of the federal government.
(2) The paramedic restricts his/her scope of
				  practice to that for which s/he is licensed or certified.
(3) Medical control as specified in Section
				  1798 of
				  the Health and Safety Code is maintained in accordance with policies and procedures
				  established by the medical director of the LEMSA.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 2 - General Provisions › Section 100147 - Paramedic Trial Studies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A paramedic may perform any prehospital emergency medical care
					 treatment procedures(s) or administer any medication(s) on a trial basis when
					 approved by the medical director of the LEMSA and the Director of the
					 Authority.
(a) The medical director of the
				  LEMSA shall review a trial study plan, which at a minimum shall include the
				  following:
(1) A description of the procedure(s) or
				  medication(s) proposed, the medical conditions for which they can be utilized, and
				  the patient population that will benefit.
(2) A compendium of relevant studies and material
				  from the medical literature.
(3) A
				  description of the proposed study design including the scope of the study and method
				  of evaluating the effectiveness of the procedure(s) or medication(s), and expected
				  outcome.
(4) Recommended policies and
				  procedures to be instituted by the LEMSA regarding the use and medical control of
				  the procedure(s) or medication(s) used in the study.
(5) A description of the training and competency
				  testing required to implement the study.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 2 - General Provisions › Section 100148 - Responsibility of the LEMSA

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The LEMSA
				  that authorizes an ALS program shall establish policies and procedures approved by
				  the medical director of the LEMSA that shall include:
(1) Approval, denial, revocation of approval,
				  suspension, and monitoring of the ALS components of the EMS System such as training
				  programs, base hospitals or alternative base stations, and paramedic service
				  providers.
(2) Assurance of compliance
				  with provisions of this Chapter.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 3 - Program Requirements for Paramedic Training Programs › Section 100149 - Approved Training Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved
				  paramedic training program or an institution eligible for paramedic training program
				  approval, as defined in Section
				  100149(j) of this
				  Chapter, may provide CCP training upon approval by the paramedic training program
				  approving authority. The purpose of a paramedic training program shall be:
(1) to prepare individuals to render prehospital
				  ALS within an organized EMS system; and
(2) to prepare individuals to render critical care
				  transport within an organized EMS system
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 3 - Program Requirements for Paramedic Training Programs › Section 100150 - Teaching Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each training
				  program shall have a program medical director who is a physician currently licensed
				  in the State of California, has experience in emergency medicine and has education
				  or experience in methods of instruction. Duties of the program medical director
				  shall include, but not be limited to the following:
(1) Review and approve educational content of the
				  program curriculum, including training objectives for the clinical and field
				  instruction, to certify its ongoing appropriateness and medical accuracy.
(2) Review and approve the quality of medical
				  instruction, supervision, and evaluation of the students in all areas of the
				  program.
(3) Approval of hospital
				  clinical and field internship experience provisions.
(4) Approval of principal
				  instructor(s).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 3 - Program Requirements for Paramedic Training Programs › Section 100151 - Didactic and Skills Laboratory

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An approved paramedic training program and/or CCP training
					 program shall assure that no more than six (6) students are assigned to one
					 instructor/teaching assistant during skills practice/laboratory.
1. Renumbering
					 and amendment of former Section
					 100151 to Section
					 100155, and renumbering and amendment
					 of Section 100147 to Section
					 100151 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Renumbering of former section
					 100151 to section
					 100152 and renumbering of former
					 section 100150 to section
					 100151, including amendment of section
					 heading and section, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
3. Amendment of subsection (a), new subsection (b), subsection
					 relettering and amendment of newly designated subsection (d) filed 9-10-2004;
					 operative 10-10-2004 (Register 2004, No. 37).
4. Renumbering of former
					 section 100151 to section
					 100152 and renumbering and amendment of
					 former section 100150 to section
					 100151 filed 2-11-2013; operative
					 4-1-2013 (Register 2013, No. 7).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.173,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.173
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 3 - Program Requirements for Paramedic Training Programs › Section 100152 - Hospital Clinical Education and Training for Paramedic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved paramedic training program shall
				  provide for and monitor a supervised clinical experience at a hospital(s) that is
				  licensed as a general acute care hospital and holds a permit to operate a basic or
				  comprehensive emergency medical service. The clinical setting may be expanded to
				  include areas commensurate with the skills experience needed. Such settings may
				  include surgicenters, clinics, jails or any other areas deemed appropriate by the
				  LEMSA. The maximum number of hours in the expanded clinical setting shall not exceed
				  forty (40) hours of the total clinical hours specified in Section
				  100154(a)(2).
(b) Hospital clinical training, for an approved
				  CCP training program, should consist of no less than ninety-four hours (94) in the
				  following areas:
(1) Labor & Delivery (8
				  hours),
(2) Neonatal Intensive Care (16
				  hours),
(3) Pediatric Intensive Care (16
				  hours),
(4) Adult Cardiac Care (16
				  hours),
(5) Adult Intensive Care (24
				  hours),
(6) Adult Respiratory Care (6
				  hours), and
(7) Emergency/ Trauma Care
				  (8 hours).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 3 - Program Requirements for Paramedic Training Programs › Section 100153 - Field Internship

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A field
				  internship shall provide emergency medical care training and experience to paramedic
				  students under continuous supervision, instruction, and evaluation by an authorized
				  preceptor and shall promote student competency in medical procedures, techniques,
				  and the administration of medications as specified in Section
				  100146, in the prehospital emergency
				  setting within an organized EMS system.
(b) An approved paramedic training program shall
				  enter into a written agreement with a paramedic service provider(s) that provide
				  field internship services to students. This agreement shall include provisions to
				  ensure compliance with this Chapter.
(c)
				  The medical director of the LEMSA where the internship is located shall have medical
				  control over the paramedic intern.
(d)
				  The assignment of a student to a field preceptor shall be a collaborative effort
				  between the training program and the provider agency.
(1) The assignment of a student to a field
				  preceptor shall be limited to duties associated with the student's training or the
				  student training program.