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 G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS › Section 515.940 - Aeromedical Crew Member Education Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Except as provided for by subsection (b),
				each aeromedical crew member assigned to a helicopter or fixed-wing aircraft
				shall be approved by the SEMSV MD and shall meet the following requirements:
1) Be a Paramedic, RN or a
				physician.
2) Each crew member
				shall be current in, or obtain within six months of hire:
A) Advanced Cardiac Life Support
				(ACLS);
B) Pre-Hospital Trauma Life
				Support (PHTLS) or International Trauma Life Support (ITLS);
C) Pediatric Advanced Life Support (PALS) or
				Emergency Nursing Pediatric Course (ENPC) or Pediatric Education for
				Prehospital Professionals (PEPP) Advanced;
D) TNS or Trauma Nurse Core Course
				(TNCC);
E) Neonatal Resuscitation
				Program (NRP) or an equivalent as approved by the EMS MD.
3) Initial education program requirements for
				full-time and part-time critical care and ALS providers. Each critical care and
				ALS provider shall successfully complete a comprehensive education program or
				show proof of recent experience, education and competency in the categories
				listed in subsections (a)(3)(A) and (B) prior to assuming independent
				responsibility.
A) Didactic Component - Shall
				be specified and appropriate for the mission statement and scope of the medical
				transport service:
i) Advanced airway
				management;
ii) Altitude
				physiology/stressors of flight if involved in rotor wing or fixed wing
				operations;
iii) Anatomy,
				physiology and assessment for adult, pediatric and neonatal patients;
iv) Aviation - aircraft orientation/safety
				and in-flight procedures/general aircraft safety, including depressurization
				procedures for fixed wing (as appropriate). Ambulance orientation/safety and
				procedures as appropriate;
v)
				Cardiac emergencies and advanced cardiac critical care;
vi) Hemodynamic monitoring, pacemakers,
				implantable cardiac defibrillator (ICD), intra-aortic balloon pump, and central
				lines, pulmonary artery and arterial catheters;
vii) Multiple patient incidents;
viii) EMS radio communications;
ix) Environmental emergencies;
x) Hazardous materials recognition and
				response (all hazards recognition and response);
xi) High risk obstetric emergencies
				(bleeding, medical, and trauma);
xii) Infectious disease prevention,
				mitigation and treatment;
xiii)
				Metabolic/endocrine emergencies;
xiv) Multi-trauma (chest, abdomen,
				facial);
xv) Neonatal emergencies
				(respiratory distress, surgical, cardiac);
xvi) Oxygen therapy in the medical transport
				environment - mechanical ventilation and respiratory physiology for adult,
				pediatric and neonatal patients as appropriate to the mission statement and
				scope of care of the medical transport service;
xvii) Pediatric medical
				emergencies;
xviii) Pediatric
				trauma;
xix)
				Pharmacology;
xx) Quality
				Management - didactic education that supports the medical transport service
				mission statement and scope of care (e.g., adult, pediatric,
				neonatal);
xxi) Respiratory
				emergencies;
xxii) Scene
				management/rescue/extrication (rotor wing and ground ambulance);
xxiii) Stress recognition and
				management;
xxiv) Survival
				education;
xxv) Record
				keeping;
xxvi) Thermal, chemical,
				inhalation, radiation and electrical burns;
xxvii) Legal aspects; and
xxviii) Toxicology.
B) Clinical Component - clinical experiences
				shall include, but not be limited to, the following (experiences shall be
				specific and appropriate for the mission statement and scope of care of the
				medical transport service):
i) Critical
				care;
ii) Emergency care;
iii) Invasive procedures or simulations
				equivalent for practicing invasive procedures;
iv) Neonatal intensive care;
v) Obstetrics - five deliveries;
vi) Pediatric critical care;
vii) Pre-hospital care, for rotor wing
				programs only; and
viii) Tracheal
				intubations - 10 performed on live patients either in the field or in the
				hospital setting when in the presence of and under the direct supervision of a
				licensed physician or Certified Registered Nurse Anesthetist (CRNA); or
				performed on cadavers or a human patient simulator (HPS) while under direct
				supervision; or when in the presence of and under the direct and immediate
				supervision of the EMS MD or SEMSV MD or designee.
4) CE /staff development shall be
				provided and documented for all full-time and part-time critical care and ALS
				providers. These shall be specific and appropriate for the mission statement
				and scope of care of the medical transport service.
A) Didactic CE shall include:
i) Aviation - safety issues (if involved in
				rotor wing or fixed wing operations);
ii) Requirements of this Part regarding
				ground and air transport;
iii)
				Altitude physiology/stressors of flight (if involved in both rotor wing and
				fixed wing operations);
iv)
				Critical care courses;
v)
				Emergency care courses;
vi)
				Hazardous materials recognition and response;
vii) Infection control;
viii) Stress recognition and
				management;
ix) Survival education;
				and
x) Equipment reviews consistent
				with program scope and mission.
B) Clinical and laboratory CE shall include:
i) Emergency/trauma care;
ii) Critical care (adult, pediatric,
				neonatal);
iii) Invasive procedure
				labs;
iv) Labor and delivery;
v) Pre-hospital experience, for
				rotor wing programs only;
vi)
				Skills maintenance program documented to comply with number of skills required
				in a set period of time according to policy of the medical transport service
				(i.e., endotracheal intubations, chest tubes);
vii) No fewer than five successful
				intubations per year are required for each Critical Care or ALS provider. These
				intubations may be on live patients, either in the field or in the hospital
				setting, when in the presence of and under the direct supervision of a licensed
				physician or CRNA; or cadavers or HPS while under direct supervision; or when
				in the presence of and under the direct and immediate supervision of the EMS MD
				or SEMSV MD. Success rates for all live intubations are documented and
				monitored through the quality management process; and
viii) Live, HPS or cadaver intubation
				experience within the following age ranges if served by the air medical/ground
				inter-facility service: birth to 28 days; 28 days to 12 months; 12 months to 2
				years; 2 years to 8 years; and 8 years and older.
5) Yearly completion of the CE
				requirements as described in Section
				515.930(d).