Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart D - EDUCATION OF EMERGENCY MEDICAL TECHNICIANS, ADVANCED EMERGENCY MEDICAL TECHNICIANS, EMERGENCY MEDICAL TECHNICIANS-INTERMEDIATE, PARAMEDICS AND EMS PERSONNEL › Section 515.550 - Scope of Practice - Licensed EMT and Paramedic

Current through Register Vol. 48, No. 28, July 12, 2024
a)
Any person currently licensed as
				an EMT, EMT-I, A-EMT or Paramedic may only perform emergency and non-emergency
				medical services in accordance with his or her level of education, training and
				licensure, the standards of performance and conduct prescribed in
this
				Part,
and the requirements of the EMS System in which he or she
				practices, as contained in the approved Program Plan for that System. The
				Director may, by written order, temporarily modify individual scopes of
				practice in response to public health emergencies for periods not to exceed 180
				days
. (Section 3.55(a) of the Act)
b)
EMS
Personnel
who
				have successfully completed a Department-approved course in automated
external
defibrillator operation and who are functioning within a
				Department-approved EMS System may
use an
automated
external
defibrillator according to the standards of performance and
				conduct prescribed by the Department in
this Part
, and the
				requirements of the EMS System in which they practice, as contained in the
				approved Program Plan for that System.
(Section 3.55(a-5) of the
				Act)
c)
An EMT, EMT-I,
				A-EMT or Paramedic who has successfully completed a Department-approved course
				in the administration of epinephrine shall be required to carry epinephrine
				with him or her as part of the EMS
Personnel
medical supplies
				whenever he or she is performing official duties, as determined by the EMS
				System.
(Section 3.55 (a-7) of the Act)
d) An EMR, EMT, EMT-I, A-EMT or Paramedic
may only practice as an EMR, EMT, EMT-I, A-EMT or Paramedic or utilize
				his or her EMR, EMT, EMT-I, A-EMT or Paramedic license in pre-hospital or
				inter-hospital emergency care settings or non-emergency medical transport
				situations, under the written or verbal direction of the EMS MD. For purposes
				of this Section, a "pre-hospital emergency care setting" may include a
				location, that is not a health care facility, which utilizes EMS
Personnel
to render pre-hospital emergency care prior to the arrival of
				a transport vehicle. The location shall include communication equipment and all
				of the portable equipment and drugs appropriate for the EMT, EMT-I, A-EMT or
				Paramedic's level of care, and the protocols of the EMS Systems, and shall
				operate only with the approval and under the direction of the EMS
				MD.
e)
This
does
not prohibit an EMR, EMT, EMT-I, A-EMT or
				Paramedic from practicing within an emergency department or other health care
				setting for the purpose of receiving continuing education or training approved
				by the EMS MD. This also
does
not prohibit an EMT, EMT-I,
				A-EMT or Paramedic from seeking credentials other than his or her EMT, EMT-I,
				A-EMT or Paramedic license and utilizing such credentials to work in emergency
				departments or other health care settings under the jurisdiction of that
				employer.
(Section 3.55(b) of the Act)
f)
A student enrolled in a
				Department-approved EMS
Personnel
program, while fulfilling
				the clinical training and in-field supervised experience requirements mandated
				for licensure or approval by the System and the Department, may perform
				prescribed procedures under the direct supervision of a physician licensed to
				practice medicine in all of its branches, a qualified RN or a qualified
				EMS
Personnel
, only when authorized by the EMS MD.
(Section 3.55(d) of the Act)
g)
An EMR, EMT, EMT-I, A-EMT or Paramedic may transport a police dog
				injured in the line of duty to a veterinary clinic or similar facility if there
				are no persons requiring any medical attention or transport at that
				time.
(Section 3.55(e) of the Act) EMS Systems that choose to
				transport police dogs injured in the line of duty shall develop written
				policies or procedures for all of the following:
1) Basic level first aid and safe handling
				procedures for injured police dogs, including the use of a box muzzle,
				developed in consultation with a local veterinarian. The provision of
				Intermediate and Advanced Life Support care is not authorized and shall not be
				permitted unless the individual EMS provider is also appropriately licensed
				under the Illinois Veterinary Medicine and Surgery Practice Act [ 225 ILCS 115
				];
2) Identification of local
				veterinary facilities that will provide emergency treatment of injured police
				dogs on short notice;
3) Proper and
				complete decontamination of stretchers, the patient compartment, and all
				contaminated medical equipment, when a police dog has been transported by
				ambulance or other EMS vehicle; and
4) The sterilization of the interior of an
				ambulance, including complete sanitizing of all allergens and disinfecting to a
				standard safe for human transport before being returned to human
				service.