reglab/statecodes huggingface dataset:
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 100154 - Required Course Hours

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The total
				  paramedic training program shall consist of not less than one thousand and
				  ninety-four (1094) hours. These training hours shall be divided into:
(1) A minimum of four-hundred and fifty-four (454)
				  hours of didactic instruction and skills laboratories that shall include not less
				  than four (4) hours of training in tactical casualty care principles as provided in
				  Section 100155(b);
(2) The hospital clinical training shall consist
				  of no less than one-hundred and sixty (160) hours;
(3) The field internship shall consist of no less
				  than four-hundred and eighty (480) 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 100155 - Required Course Content

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The content
				  of a paramedic course shall meet the objectives contained in the January 2009 U.S.
				  Department of Transportation (DOT) National Emergency Medical Services Education
				  Standards, DOT HS 811 077E, and be consistent with the paramedic basic scope of
				  practice specified in Section
				  100146(a) of this
				  Chapter. The DOT HS 811 077 E can be accessed through the U.S. DOT National Highway
				  Traffic Safety Administration at the National Highway Traffic Safety Administration
http://www.nhtsa.gov/
.
(b) In addition to the above, the content of the
				  training course shall include a minimum of four (4) hours of tactical casualty care
				  (TCC) principles applied to violent circumstances with at least the following topics
				  and skills and shall be competency based:
(1)
				  History and Background of Tactical Casualty Care
(A) Demonstrate knowledge of tactical casualty
				  care
1. History of active shooter and domestic
				  terrorism incidents
2. Define roles and
				  responsibilities of first responders including Law Enforcement, Fire and
				  EMS
3. Review of local active shooter
				  policies
4. Scope of Practice and
				  Authorized Skills and procedures by level of training, certification, and licensure
				  zone
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 100156 - Required Testing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Approved
				  paramedic and CCP training programs shall include a minimum of two (2) formative
				  examinations and one (1) final comprehensive competency-based examinations to test
				  the knowledge and skills specified in this Chapter.
(b) Documentation of successful student clinical
				  and field internship performance shall be required prior to course
				  completion.
1. Renumbering
					 and amendment of former Section
					 100156 to Section
					 100160, and renumbering and amendment
					 of Section 100152 to Section
					 100156 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
					 100156 to section
					 100157 and renumbering of former
					 section 100155 to section
					 100156 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
3. Renumbering of former section
					 100156 to section
					 100155 and renumbering and amendment of
					 former section 100157 to section
					 100156 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
4. Renumbering of former section
					 100156 to section
					 100157 and renumbering and amendment of
					 former section 100155 to section
					 100156 filed 2-11-2013; operative
					 4-1-2013 (Register 2013, No. 7).
5. Change without regulatory effect
					 renumbering former section
					 100156 to section
					 100160 and renumbering and amending
					 former section 100161 to section
					 100156 filed 2-8-2016 pursuant to
					 section 100, title 1, California Code of
					 Regulations (Register 2016, No. 7).
6. Amendment filed 1-24-2020;
					 operative 4-1-2020 (Register 2020, No. 4).
Note: Authority cited: Sections
						1797.107,
						1797.172
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.185,
						1797.208,
						1797.210
						and
						1797.213,
						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 4 - Applications and Examinations › Section 100157 - Course Completion Record

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A tamper
				  resistant course completion record shall be issued to each person who has
				  successfully completed the paramedic training program and/or CCP training program.
				  The course completion record shall be issued no later than ten (10) working days
				  from the date the student successfully completes the paramedic and/or CCP training
				  program.
(b) The course completion
				  record shall contain the following:
(1) The name
				  of the individual.
(2) The date of
				  completion.
(3) The following statement:
(A) "The individual named on this record has
				  successfully completed an approved paramedic training program", or
(B) "The individual named on this record has
				  successfully completed an approved Critical Care Paramedic training
				  program."
(4) The name of the
				  training program approving authority.
(5) The signature of the program
				  director.
(6) The name and location of
				  the training program issuing the record.
(7) The following statement in bold print: "This
				  is not a paramedic license."
(8) For
				  paramedic training, a list of the approved optional scope of practice procedures
				  and/or medications taught in the course pursuant to subsection (c)(2)(A)-(D) of
				  Section 100146.
(9) For CCP training, a list of the approved
				  procedures and medications taught in the course pursuant to subsection
				  (c)(1)(S)(1-10) of Section
				  100146.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 4 - Applications and Examinations › Section 100158 - Student Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To be
				  eligible to enter a paramedic training program an individual shall meet the
				  following requirements:
(1) Possess a high school
				  diploma or general education equivalent; and
(2) possess a current basic cardiac life support
				  (CPR) card equivalent to the current American Heart Association's Guidelines for
				  Cardiopulmonary Resuscitation and Emergency Cardiovascular Care at the healthcare
				  provider level; and
(3) possess a
				  current EMT certificate or NREMT-Basic registration; or
(4) possess a current AEMT certificate in the
				  State of California; or
(5) be currently
				  registered as an Advanced-EMT with the NREMT.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 4 - Applications and Examinations › Section 100159 - Procedure for Training Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Eligible training institutions, as defined in
				  Section 100149(j), shall
				  submit a written request for training program approval to the paramedic training
				  program approving authority.
(b) The
				  paramedic training program approving authority shall receive and review the
				  following documentation prior to program approval:
(1) A statement verifying that the course content
				  meets the requirements contained in the U.S. DOT National Education Standards DOT HS
				  811 077 E January 2009.
(2) An outline
				  of course objectives.
(3) Performance
				  objectives for each skill.
(4) The names
				  and qualifications of the training program director, program medical director, and
				  principal instructors.
(5) Provisions
				  for supervised hospital clinical training including student evaluation criteria and
				  standardized forms for evaluating paramedic students; and monitoring of preceptors
				  by the training program.
(6) Provisions
				  for supervised field internship including student evaluation criteria and
				  standardized forms for evaluating paramedic students; and monitoring of preceptors
				  by the training program.
(7) The
				  location at which the courses are to be offered and their proposed dates.
(8) Written agreements between the paramedic
				  training program and a hospital(s) and other clinical setting(s), if applicable, for
				  student placement for clinical education and training.
(9) Written contracts or agreements between the
				  paramedic training program and a provider agency (ies) for student placement for
				  field internship training.
(10) A copy
				  of a CoAEMSP LoR issued to the training institution applying for approval or
				  documentation of current CAAHEP accreditation.
(11) Samples of written and skills examinations
				  administered by the training program.
(12) Samples of a final written examination(s)
				  administered by the training program.
(13) Evidence of adequate training program
				  facilities, equipment, examination securities, and student record keeping.
(14) CCP programs shall submit a statement
				  verifying the CCP training program course content complies with the requirements of
				  subsection 100155(c) of this
				  Chapter and documentation listed in subsections (b)(2)-(5) and (b)(7)-(8) of this
				  Section, if applicable.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 4 - Applications and Examinations › Section 100160 - Program Review and Reporting

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All program
				  materials specified in this Chapter shall be subject to review by the paramedic
				  training program approving authority and shall also be made available for review
				  upon request by the Authority.
(b) All
				  programs shall be subject to on-site evaluation by the paramedic approving authority
				  and may also be evaluated by the Authority.
(c) Any person or agency conducting a training
				  program shall provide written notification of changes to the paramedic training
				  program approving authority of course objectives, hours of instruction, program
				  director, program medical director, principal instructor, provisions for hospital
				  clinical experience, or field internship. Written notification shall be provided in
				  advance, when possible, and no later than thirty (30) days after a change(s) has
				  been identified.
1. Renumbering
					 and amendment of former section
					 100160 to section
					 100165 and renumbering and amendment of
					 section 100156 to section
					 100160 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Amendment of NOTE filed 11-4-91; operative 1-1-92 (Register 92, No.
					 10).
3. Renumbering of former section
					 100160 to section
					 100161 and renumbering of former
					 section 100159 to section
					 100160 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
4. Renumbering of former section
					 100160 to section
					 100159 and renumbering of former
					 section 100161 to section
					 100160 filed 9-10-2004; operative
					 10-10-2004
5. Renumbering of former section
					 100160 to section
					 100161 and renumbering and amendment of
					 former section 100159 to section
					 100160 filed 2-11-2013; operative
					 4-1-2013 (Register 2013, No. 7).
6. Change without regulatory effect
					 renumbering former section
					 100160 to section
					 100155 and renumbering former section
					 100155 to section
					 100160 filed 2-8-2016 pursuant to
					 section 100, title 1, California Code of
					 Regulations (Register 2016, No. 7).
7. Amendment of section and NOTE
					 filed 1-24-2020; operative 4-1-2020 (Register 2020, No.
					 4).
Note: Authority cited: Sections
						1797.107
						and
						1797.172,
						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 4 - Applications and Examinations › Section 100161 - Paramedic Training Program Approval. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering
					 and amendment of former section
					 100161 to section
					 100166, and renumbering and amendment
					 of section 100157 to section
					 100161 filed 7-10-89; operative 8-9-89
					 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2.
					 Repealer of subsection (c) 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 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).
6. Renumbering of former section
					 100161 to section
					 100162 and renumbering of former
					 section 100160 to section
					 100161, including amendment of section
					 and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
7.
					 Renumbering of former section
					 100161 to section
					 100160 and renumbering and amendment of
					 former section 100162 to section
					 100161 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
8. Renumbering of former section
					 100161 to section
					 100162 and renumbering and amendment of
					 former section 100160 to section
					 100161 filed 2-11-2013; operative
					 4-1-2013 (Register 2013, No. 7).
9. Change without regulatory effect
					 renumbering former section
					 100155 to section
					 100161 filed 2-8-2016 pursuant to
					 section 100, title 1, California Code of
					 Regulations (Register 2016, No. 7).
10. Repealer filed 1-24-2020;
					 operative 4-1-2020 (Register 2020, No. 4).
Note: Authority cited: Sections
						1797.107
						and
						1797.172,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.173
						and
						1797.208,
						Health and Safety Code; and Section
						15376,
						Government Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 4 - Applications and Examinations › Section 100161.1 - Additional Documentation. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 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.
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 and filed 10-24-94
					 (Register 94, No. 43).
6. Repealer filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.107
						and
						1797.172,
						Health and Safety Code. Reference: Section
						1797.172,
						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 4 - Applications and Examinations › Section 100162 - Withdrawal of Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Failure to comply with the provisions of this Chapter may result in denial,
				  probation, suspension or revocation of program approval by the paramedic training
				  program approving authority.
(b) The
				  requirements for training program noncompliance notification and actions are as
				  follows:
(1) A paramedic training program
				  approving authority shall provide written notification of noncompliance with this
				  Chapter to the paramedic training program provider found in violation. The
				  notification shall be in writing and sent by certified mail to the paramedic
				  training program director.
(2) Within
				  fifteen (15) days from receipt of the noncompliance notification, the approved
				  training program shall submit in writing, by certified mail, to the paramedic
				  training program approving authority one of the following:
(A) Evidence of compliance with the provisions of
				  this Chapter, or
(B) A plan to comply
				  with the provisions of this Chapter within sixty (60) days from the day of receipt
				  of the notification of noncompliance.
(3) Within fifteen (15) days from receipt of the
				  approved training program's response, or within thirty (30) days from the mailing
				  date of the noncompliance notification, if no response is received from the approved
				  paramedic training program, the paramedic training program approving authority shall
				  issue a decision letter by certified mail to the Authority and the approved
				  paramedic training program. The letter shall identify the paramedic training program
				  approving authority's decision to take one or more of the following actions:
(A) Accept the evidence of compliance
				  provided.
(B) Accept the plan for
				  meeting compliance provided.
(C) Place
				  the training program on probation.
(D)
				  Suspend or revoke the training program approval.
(4) The decision letter shall also include, but
				  need not be limited to, the following information:
(A) Date of the program training approval
				  authority's decision;
(B) Specific
				  provisions found noncompliant by the training approval authority, if
				  applicable;
(C) The probation or
				  suspension effective and ending date, if applicable;
(D) The terms and conditions of the probation or
				  suspension, if applicable;
(E) The
				  revocation effective date, if applicable;
(5) The paramedic training program approving
				  authority shall establish the probation, suspension, or revocation effective dates
				  no sooner than sixty (60) days after the date of the decision letter, as described
				  in subsection (3) of this Section.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 4 - Applications and Examinations › Section 100162.1 - Written and Skills Examination. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 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.
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 of
					 subsection (d)(2) and filed 10-24-94 (Register 94, No. 43).
6.
					 Renumbering of former section
					 100162.1 to section
					 100164 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.7,
						1797.107,
						1797.172,
						1797.174
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.7,
						1797.172,
						1797.185,
						1797.214
						and
						1798.207,
						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 4 - Applications and Examinations › Section 100164 - Date and Filing of Applications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Authority
				  shall notify the applicant within forty-five (45) calendar days of receipt of the
				  state application that the application was received and shall specify what
				  information, if any, is missing. The types of applications, which the applicant may
				  be required to submit to the Authority, are as follows:
(1) Initial In-State Paramedic License
				  Application, (California Graduate), Form #L-01, revised 01/2024 herein incorporated
				  by reference, for California paramedic program graduates.
(2) Initial Out-of-State Paramedic License
				  Application Form #L-01A revised 01/2024, herein incorporated by reference, for
				  Out-of-State applicants who are registered with the National Registry of Emergency
				  Medical Technicians as a paramedic.
(3)
				  Initial Challenge Paramedic License Application, Form #CL-01A revised 01/2024,
				  herein incorporated by reference.
(4)
				  Renewal Paramedic License Form #RL-01, revised 01/2024, herein incorporated by
				  reference.
(5) Audit Renewal Paramedic
				  License Application, Form #AR-01, revised 03/2024, herein incorporated by
				  reference.
(6) Reinstatement Paramedic
				  License Applications(s):
(A) Reinstatement
				  Paramedic License Application Lapsed Less than One Year, Form #RLL-01A, revised
				  01/2024, herein incorporated by reference.
(B) Reinstatement Paramedic License Application
				  Lapsed One Year or More, Form #RLL-01B, revised 01/2024, herein incorporated by
				  reference.
(7) Applicant
				  fingerprint card, FD-258 dated 5/11/99 or a Request for Live Scan Service Form, BCII
				  8016 (Rev 05/2018), submitted to the California Department of Justice (DOJ), for a
				  state and federal criminal history report provided by the Department of Justice in
				  accordance with the provisions of section 11105 et seq. of the Penal Code.
(8) Request for Licensure/Certification
				  Verification, Form #VL-01, revised 01/2024.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 5 - Licensure › Section 100165 - Licensure

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to
				  be eligible for initial paramedic licensure an applicant shall meet at least one of
				  the following requirements:
(1) Provide
				  documentation of a California paramedic training program course completion record as
				  specified in Section
				  100157 of this Chapter or other
				  documented proof of successful completion of a California approved paramedic
				  training program and shall meet the following requirements:
(A) Complete and submit the appropriate Initial
				  In-State Paramedic License application form as specified in Section
				  100164.
(B) Provide documentation of successful completion
				  of the paramedic licensure cognitive written and psychomotor skills examinations
				  within the previous two (2) years as specified in sections
				  100140 and
				  100141, or possess a current NREMT
				  paramedic registration.
(C) Submit to
				  the California DOJ, an applicant fingerprint card, FD-258 dated 5/11/99 or a Request
				  for Live Scan Service Form, BCII 8016 (Revised 05/2018), for a state criminal
				  history record provided by the DOJ in accordance with the provisions of Section
				  11105 et seq. of the Penal
				  Code.
(D) Pay the established fees
				  pursuant to Section
				  100172.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 5 - Licensure › Section 100165.1 - EMT-P Continuing Education (CE) Records. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 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.
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 and filed 10-24-94
					 (Register 94, No. 43).
6. Renumbering of former section
					 100165.1 to section
					 100168 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.107,
						1797.175
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.7,
						1797.172,
						1797.175,
						1797.185
						and
						1797.214,
						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 5 - Licensure › Section 100165.2 - Approval of EMT-P Continuing Education (CE) Providers. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 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.
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 of section
					 heading filed 10-24-94 (Register 94, No. 43).
6. Renumbering of former
					 section 100165.2 to section
					 100169 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.107,
						1797.175
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.7,
						1797.172,
						1797.175,
						1797.185
						and
						1797.214,
						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 5 - Licensure › Section 100165.3 - EMT-P Continuing Education (CE) Providers. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 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.
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. 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. Renumbering of former section
					 100165.3 to section
					 100170 filed 3-15-99; operative 4-14-99
					 (Register 99, No. 12).
Note: Authority cited: Sections
						1797.107,
						1797.175
						and
						1797.185,
						Health and Safety Code. Reference: Sections
						1797.7,
						1797.172,
						1797.175,
						1797.185
						and
						1797.214,
						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 5 - Licensure › Section 100166 - Accreditation to Practice

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to
				  be accredited an individual shall:
(1) Possess a
				  current California paramedic license.
(2) Apply to the LEMSA for
				  accreditation.
(3) Successfully complete
				  an orientation of the local EMS system as prescribed by the LEMSA which shall
				  include policies and procedures, treatment protocols, radio communications,
				  hospital/facility destination policies, and other unique system features. The
				  orientation shall not exceed eight (8) classroom hours, except when additional hours
				  are needed to accomplish subsection (a)(4) of this section, and shall not include
				  any further testing of the paramedic basic scope of practice. Testing shall be
				  limited to local policies and treatment protocols provided in the
				  orientation.
(4) Successfully complete
				  training in any basic and/or local optional scope of practice for which the
				  paramedic has not been trained and tested.
(5) Pay the established local fee pursuant to
				  Section 100172.
(6) In order for an individual to be eligible for
				  accreditation, in the LEMSA's CCP scope of practice, the individual must obtain and
				  maintain CCP certification from the BCCTPC by July 1, 2015.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 6 - License Renewals, License Audit Renewals and License Reinstatements › Section 100167 - License Renewal, License Audit Renewal, and License Reinstatement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to
				  be eligible for renewal of a non-lapsed paramedic license, an individual shall
				  comply with the requirements in subdivisions (1) through (5) below:
(1) Possess a current paramedic license issued in
				  California.
(2) Complete forty-eight
				  (48) hours of CE pursuant to the provisions of Chapter 11 of this
				  Division.
(3) Complete and submit the
				  Renewal Paramedic License Application, Form #RL-01, 01/2024.
(4) If applicant is selected for audit, submit to
				  the Authority a signed and completed Audit Renewal Paramedic License Application,
				  Form #AR-01, revised 03/2024.
(A) Applicants
				  selected for audit shall submit documentation of forty-eight (48) hours of CE
				  completion, as specified in (a)(2) of this section.
(5) Pay the appropriate fees as specified on the
				  application in accordance with Section
				  100172 of this Chapter.
(6) EMSA will send a renewal reminder notification
				  by mail to the paramedic, approximately five (5) months prior to their paramedic
				  license expiration date.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 7 - System Requirements › Section 100168 - Paramedic Service Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A LEMSA with
				  an ALS system shall establish policies and procedures for the approval, designation,
				  and evaluation through its EMSQIP, of all paramedic service provider(s).
(b) An approved paramedic 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) Utilize and maintain telecommunications as
				  specified by the LEMSA.
(3) Maintain a
				  drug and solution inventory as specified by the LEMSA of equipment and supplies
				  commensurate with the basic and local optional scope of practice of the paramedic.
(A) Ensure that security mechanisms and procedures
				  are established for controlled substances, including, but not limited to:
1. controlled substance ordering and order
				  tracking;
2. controlled substance
				  receipt and accountability;
3.
				  controlled substance master supply storage, security and documentation;
4. controlled substance labeling and
				  tracking;
5. vehicle storage and
				  security;
6. usage procedures and
				  documentation;
7. reverse
				  distribution;
8. disposal;
9. re-stocking procedures.
(B) Ensure that mechanisms for investigation and
				  mitigation of suspected tampering or diversion are established, including, but not
				  limited to,;
10. controlled substance
				  testing;
11. discrepancy
				  reporting;
12. tampering, theft and
				  diversion prevention and detection;
13.
				  usage audits.
(4)
				  Have a written agreement with the LEMSA to participate in the EMS system and to
				  comply with all applicable State regulations and local policies and procedures,
				  including participation in the LEMSA's EMSQIP as specified in Chapter 12 of this
				  Division.
(5) Be responsible for
				  assessing the current knowledge of their paramedics in local policies, procedures
				  and protocols and for assessing their paramedics' skills competency.
(6) If, through the EMSQIP the employer or medical
				  director of the LEMSA determines that a paramedic needs additional training,
				  observation or testing, the employer and the medical director may create a specific
				  and targeted program of remediation based upon the identified need of the paramedic.
				  If there is disagreement between the employer and the medical director, the decision
				  of the medical director shall prevail.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 7 - System Requirements › Section 100170 - Medical Control

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The medical director of the 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
				  paramedic scope of practice.
(2) Local
				  medical control policies and procedures as they pertain to the paramedic base
				  hospitals, alternative base stations, paramedic service providers, paramedic
				  personnel, patient destination, and the LEMSA.
(3) Criteria for initiating specified emergency
				  treatments on standing orders or for use in the event of communication failure that
				  is consistent with this Chapter.
(4)
				  Criteria for initiating specified emergency treatments, prior to voice contact, that
				  are consistent with this Chapter.
(5)
				  Requirements to be followed when it is determined that the patient will not require
				  transport to the hospital by ambulance, is treated on scene without transport, or
				  when the patient refuses care or transport.
(6) Requirements for the initiation, completion,
				  review, evaluation, and retention of an electronic health record (EHR) as specified
				  in this Chapter. These requirements shall address but not be limited to:
(A) Initiation of an electronic health record for
				  every patient response.
(B)
				  Responsibilities for record completion.
(C) Record distribution to include LEMSA,
				  receiving hospital, paramedic base hospital, alternative base station, and paramedic
				  service provider.
(D) Responsibilities
				  for record review and evaluation.
(E)
				  Responsibilities for record retention.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 8 - Record Keeping and Fees › Section 100171 - Record Keeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
				  paramedic approving authority shall maintain a record of approved training programs
				  within its jurisdiction and annually provide the Authority with the name, address,
				  and program director of each approved program. The Authority shall be notified of
				  any changes in the list of approved training programs.
(b) Each paramedic approving authority shall
				  maintain a list of current paramedic program medical directors, program directors,
				  and principal instructors within its jurisdiction.
(c) The Authority shall maintain a record of
				  approved training programs.
(d) Each
				  LEMSA shall, at a minimum, maintain a list of all paramedics accredited by them in
				  the preceding five (5) years.
(e) The
				  paramedic is responsible for accurately completing, in a timely manner, the
				  electronic health record referenced in Section
				  100170(a)(6) compliant
				  with the current versions of the National EMS Information System and the California
				  EMS Information System, which shall contain, but not be limited to, the following
				  information when such information is available to the paramedic:
(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) The time of arrival at the scene.
(5) The location of the incident.
(6) The patient's:
(A) Name;
(B) Age or date of birth;
(C) Gender;
(D) Weight, if necessary for treatment;
(E) Address;
(F) Chief complaint; and
(G) Vital signs.
(7) Appropriate physical assessment.
(8) Primary Provider Impression.
(9) The emergency care rendered and the patient's
				  response to such treatment.
(10) Patient
				  disposition.
(11) The time of departure
				  from scene.
(12) The time of arrival at
				  receiving facility (if transported).
(13) Time patient care was transferred to
				  receiving facility.
(14) The name of
				  receiving facility (if transported).
(15) The name(s) and unique identifier number(s)
				  of the paramedics.
(16) Signature(s) of
				  the paramedic(s).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 8 - Record Keeping and Fees › Section 100172 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A LEMSA may
				  establish a schedule of fees for paramedic training program review and approval, CE
				  provider approval, and paramedic accreditation in an amount sufficient to cover the
				  reasonable cost of complying with the provisions of this Chapter.
(b) The following are the nonrefundable licensing
				  fees established by the Authority:
(1) The Initial
				  In-State Paramedic License application fee shall be two hundred fifty ($250)
				  dollars.
(A) Effective July 1, 2020 through June
				  30, 2021, the Initial In-State Paramedic License application fee shall be two
				  hundred seventy-five ($275) dollars.
(B)
				  Effective July 1, 2021 and thereafter the Initial In-State Paramedic License
				  application fee shall be three hundred ($300) dollars.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100174 - Denial/Revocation Standards

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  Authority shall deny/revoke a paramedic license if any of the following apply to the
				  applicant:
(1) Has committed any sexually related
				  offense specified under Section
				  290 of the Penal
				  Code.
(2) Has been convicted of murder,
				  attempted murder, or murder for hire.
(3) Has been convicted of two (2) or more
				  felonies.
(4) Is on parole or probation
				  for any felony.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100176 - Rehabilitation Criteria for Denial, Placement on Probation, Suspension, Revocations, and Reinstatement of License

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) At the discretion of the Authority, the
				  Authority may issue a license subject to specific provisional terms, conditions, and
				  review. When considering the denial, placement on probation, suspension, or
				  revocation of a license pursuant to Section
				  1798.200
				  of the Health and Safety Code, or a petition for reinstatement or reduction of
				  penalty under Section
				  11522 of the
				  Government Code, the Authority in evaluating the rehabilitation of the applicant and
				  present eligibility for a license, shall consider the following criteria:
(1) The nature and severity of the act(s) or
				  crime(s).
(2) Evidence of any act(s)
				  committed subsequent to the act(s) or crime(s) under consideration as grounds for
				  denial, placement on probation, suspension, or revocation which also could be
				  considered grounds for denial, placement on probation, suspension, or revocation
				  under Section
				  1798.200
				  of the Health and Safety Code.
(3) The
				  time that has elapsed since commission of the act(s) or crime(s) referred to in
				  subsection (1) or (2) of this section.
(4) The extent to which the person has complied
				  with any terms of parole, probation, restitution, or any other sanctions lawfully
				  imposed against the person.
(5) If
				  applicable, evidence of expungement proceedings pursuant to Section
				  1203.4 of the Penal
				  Code.
(6) Evidence, if any, of
				  rehabilitation submitted by the person.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100177 - Fees. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering of
					 former section 100172 to section
					 100177, including amendment of section,
					 filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
2. Amendment of
					 subsection (b)(4) and renumbering of subsequent subsections filed 2-20-2003;
					 operative 2-20-2003 pursuant to Government Code section
					 11343.4
					 (Register 2003, No. 8).
3. Renumbering of former section
					 100177 to section
					 100171 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
Note: Authority cited: Sections
						1797.107,
						1797.112,
						1797.172,
						1797.185
						and
						1797.212,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.185
						and
						1797.212,
						Health and Safety Code; and Section
						11105, Penal
						Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100178 - Proceedings. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering
					 and amendment of former article 8 to article 10, renumbering of former section
					 100173 to section
					 100178, including amendment of section,
					 filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
2. New
					 subsections (c) and (d) filed 6-10-2002; operative 7-10-2002 (Register 2002, No.
					 24).
3. Renumbering of former article 10 to article 9, relocation of
					 newly designated article 9 heading to precede section
					 100172 and renumbering of former
					 section 100178 to section
					 100172 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1798.200
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.174,
						1797.176,
						1797.185,
						1798.200
						and
						1798.204,
						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 9 - Discipline and Reinstatement of License › Section 100178.1 - Denial/Revocation Standards. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 6-10-2002; operative 7-10-2002 (Register 2002, No. 24).
2.
					 Renumbering of former section
					 100178.1 to section
					 100173 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1798.200
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.174,
						1797.176,
						1797.185,
						1798.200
						and
						1798.204,
						Health and Safety Code.