reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 2 - Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100082 - Record Keeping

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each EMT
				  approving authority shall maintain a list of approved training programs within its
				  jurisdiction and provide the Authority with a copy. The Authority shall be notified
				  of any changes in the list of approved training programs as such occur.
(b) Each EMT approving authority shall maintain a
				  list of current EMT program directors, clinical coordinators and principal
				  instructors within its jurisdiction.
(c)
				  The Authority shall maintain a record of approved EMT training programs.
(d) A LEMSA may develop policies and procedures
				  which require basic life support services to make available the records of calls
				  maintained in accordance with Section
				  1100.7, Title 13 of the California Code
				  of Regulations.
1. Relocation of
					 article 6 heading, repealer of former section
					 100082 and renumbering and amendment of
					 former section 100085 to section
					 100082 filed 6-13-94; operative 7-13-94
					 (Register 94, No. 24). For prior history, see Register 87, No. 10.
2. New
					 subsections (g)-(g)(2) filed 1-11-2000; operative 2-10-2000 (Register 2000, No.
					 2).
3. Amendment of section and NOTE filed 5-18-2010; operative 6-17-2010
					 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.109,
						1797.170
						and
						1797.175,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.109,
						1797.170,
						1797.173,
						1797.200,
						1797.202,
						1797.204,
						1797.208,
						1797.211
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 2 - Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100083 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A LEMSA may establish a schedule of fees for EMT training
					 program review approval, EMT certification, EMT renewal and EMT reinstatement in an
					 amount sufficient to cover the reasonable cost of complying with the provisions of
					 this Chapter.
1. Repealer of
					 former section 100083 and renumbering and amendment of
					 former section 100086 to section
					 100083 filed 6-13-94; operative 7-13-94
					 (Register 94, No. 24). For prior history, see Register 87, No. 10.
2.
					 Amendment of section and NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010,
					 No. 21).
3. Amendment filed 5-11-2017; operative 7-1-2017 (Register 2017,
					 No. 19).
Note: Authority cited: Sections
						1797.107,
						1797.109
						and
						1797.170,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.118,
						1797.170,
						1797.212,
						1797.213
						and
						1798.217,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 2 - Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100084 - Recertification. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering
					 and amendment of former section
					 100053 to section
					 100084 filed 2-6-87; effective
					 thirtieth day thereafter (Register 87, No. 10). For prior history, see Register 82,
					 Nos. 39 and 36.
2. Relocation of article heading and renumbering of
					 former section 100084 to section
					 100081 filed 6-13-94; operative 7-13-94
					 (Register 94, No. 24).
Note: Authority cited: Sections
						1797.107,
						1797.109,
						1797.170
						and
						1797.175,
						Health and Safety Code. Reference: Sections
						1797.109,
						1797.170,
						1797.175,
						1797.210
						and
						1797.216,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 2 - Emergency Medical Technician › Article 6 - Record Keeping and Fees › Section 100086 - Fees. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New section
					 filed 2-6-87; effective thirtieth day thereafter (Register 87, No.
					 10).
2. Renumbering of former section
					 100086 to section
					 100083 filed 6-13-94; operative 7-13-94
					 (Register 94, No. 24).
Note: Authority cited: Sections
						1797.107,
						1797.109
						and
						1797.170,
						Health and Safety Code. Reference: Sections
						1797.170,
						1797.212
						and
						1797.213,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100101 - Advanced Emergency Medical Technician Approving Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced Emergency Medical Technician (Advanced EMT) Approving
					 Authority" means the local Emergency Medical Services Agency
					 (LEMSA).
1. New Chapter 3
					 (Sections 100101-100130) filed 1-3-85; effective
					 thirtieth day thereafter (Register 85, No. 1).
2. Amendment of chapter
					 heading, section heading, section and NOTE filed 5-18-2010; operative 6-17-2010
					 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.200,
						1797.208
						and
						1797.218,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100102 - Advanced EMT Certifying Entity

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced EMT Certifying Entity" means the medical director of
					 the LEMSA.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.62,
						1797.82,
						1797.118,
						1797.171,
						1797.210
						and
						1797.218,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100102.1 - Emergency Medical Services Quality Improvement Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Emergency Medical Services 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. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.103,
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.204
						and
						1797.220,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100103 - Advanced Emergency Medical Technician

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced Emergency Medical Technician" or "Advanced EMT"
					 means:
(a) a California certified EMT with
				  additional training in limited advanced life support (LALS) according to the
				  standards prescribed by this Chapter, and who has a valid Advanced EMT wallet-sized
				  certificate card issued pursuant to this Chapter, or
(b) an individual who was certified as an EMT-II
				  prior to the effective date of this chapter, whose scope of practice includes the
				  LEMSA approved Advanced EMT Scope of Practice as well as the Local Optional Scope of
				  Practice, and who was part of an EMT-II program in effect on January 1,
				  1994.
1. Amendment of
					 section heading and section filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82
						and
						1797.171,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100103.1 - Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Authority" means the Emergency Medical Services
					 Authority.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.54,
						1797.82
						and
						1797.171,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100103.2 - Limited Advanced Life Support Service Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A "limited advanced life support service" or "LALS service"
					 means a service provider approved by a LEMSA or state statute that utilizes Advanced
					 EMT and/or EMT-II personnel.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.92
						and
						1797.171,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 1 - Definitions › Section 100104 - Advanced EMT Certifying Examination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Advanced EMT Certifying Examination," as used in this Chapter,
					 means an examination, developed by the Advanced EMT Certifying Entity and selected
					 by the Authority, given to an individual applying for certification as an Advanced
					 EMT. The examination shall include both written and skills testing portions designed
					 to determine an individual's competence for certification as an Advanced EMT.
					 Effective September 12, 2012, the National Registry of Emergency Medical Technicians
					 Advanced EMT written and skills examination shall be the AEMT certifying
					 examinations for AEMT certification.
1. Amendment of
					 section heading and section filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
2. Amendment filed 8-13-2012; operative 9-12-2012 (Register 2012,
					 No. 33).
Note: Authority cited: Sections
						1797.107,
						1797.171
						and
						1797.175,
						Health and Safety Code. Reference: Sections
						1797.171,
						1797.175
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100105 - Application of Chapter; Displacement of Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Any LEMSA may approve an advanced life support
				  (ALS), meaning Paramedic or LALS, meaning Advanced EMT program which provides
				  services utilizing Advanced EMTs, or Paramedics, or any combination
				  thereof.
(b) Prior to considering and
				  initiating a reduction of existing Paramedic services, or of existing services that
				  utilize Advanced EMTs that are accredited in the local optional scope of practice,
				  within the LEMSA's jurisdiction, the LEMSA shall prepare an impact evaluation
				  report. The impact evaluation report shall indicate why the continuation of
				  Paramedic services, or of services utilizing Advanced EMTs accredited in the local
				  optional scope of practice, is not feasible or appropriate within that LEMSA's
				  jurisdiction. The impact evaluation report shall only be required when existing
				  Paramedic services, or services utilizing Advanced EMTs accredited in the local
				  optional scope of practice, are displaced by initiating new Advanced EMT services.
				  The impact evaluation report shall include, but not be limited to:
(1) An evaluation describing why the geography,
				  population density, and resources would not make the continuation of Paramedic
				  services, or of services utilizing Advanced EMTs accredited in the local optional
				  scope of practice, more appropriate or feasible.
(2) The LEMSA shall hold a public hearing
				  regarding the Paramedic services, or services utilizing Advanced EMTs accredited in
				  the local optional scope of practice, that may be displaced by the new Advanced EMT
				  services. The public hearing shall be for the purpose of allowing the public an
				  opportunity to provide the LEMSA with written and/or verbal input regarding the
				  displacement of Paramedic services, or of services utilizing Advanced EMTs
				  accredited in the local optional scope of practice. The LEMSA may waive the public
				  hearing if a public hearing was previously held that allowed the public an
				  opportunity to provide written and/or verbal input regarding the displacement of
				  Paramedic services, or of services utilizing Advanced EMTs accredited in the local
				  optional scope of practice.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100106 - Advanced EMT Scope of Practice

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An
				  Advanced EMT may perform any activity identified in the scope of practice of an EMT
				  in Chapter 2 of this Division.
(b) A
				  certified Advanced EMT or an Advanced EMT trainee, as part of an organized EMS
				  system,while caring for patients in a hospital as part of their training or
				  continuing education, under the direct supervision of a Physician or Registered
				  Nurse, or while at the scene of a medical emergency or during transport, or during
				  interfacility transfer is authorized to do all of the following according to the
				  policies and procedures approved by the LEMSA:
(1)
				  Perform pulmonary ventilation by use of a perilaryngeal airway adjunct.
(2) Perform tracheo-bronchial suctioning of an
				  intubated patient.
(3) Institute
				  intravenous (IV) catheters, saline locks, needle or other cannulae (IV lines), in
				  peripheral veins.
(4) Administer the
				  following intravenously:
(A) Glucose
				  solutions;
(B) Isotonic balanced salt
				  solutions (including Ringer's lactate solution);
(C) Naloxone;
(D) Intravenous administration of 50% dextrose for
				  adult patients, and 10% or 25% dextrose for pediatric patients.
(5) Establish and maintain intraosseous access in
				  a pediatric patient.
(6) Obtain venous
				  and/or capillary blood samples for laboratory analysis.
(7) Use blood glucose measuring device.
(8) Administer the following drugs in a route
				  other than intravenous:
(A) Sublingual
				  nitroglycerine preparations;
(B)
				  aspirin;
(C) glucagon;
(D) inhaled beta-2 agonists
				  (bronchodilators);
(E) activated
				  charcoal;
(F) naloxone;
(G) epinephrine.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100106.1 - Advanced EMT Local Optional Scope of Practice

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Advanced EMTs who were not certified as
				  EMT-IIs prior to the effective date of this Chapter are not eligible for
				  accreditation in the scope of practice items listed in this Section.
(b) In addition to the activities authorized by
				  Section 100106 of this Chapter, a LEMSA with an
				  EMT-II program in effect on January 1, 1994, may establish policies and procedures
				  for local accreditation of an individual previously certified, as an EMT-II, to
				  perform any or all of the following optional skills specified in this section.
(1) Administer the Following Medications:
(A) Lidocaine hydrochloride
(B) Atropine sulfate
(C) Sodium bicarbonate
(D) Furosemide
(E) Epinephrine
(F) Morphine sulfate
(G) Benzodiazepines
				  (midazolam)
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100106.2 - Advanced EMT Trial Studies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An Advanced EMT may perform any prehospital emergency medical
					 care treatment procedure(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 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100107 - Responsibility of the LEMSA

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The LEMSA, which approves a LALS service provider, shall develop
					 and maintain policies and procedures that comply with guidelines established by the
					 Authority for training and maintenance of knowledge, skills and abilities contained
					 in this Chapter which shall include, but not be limited to, the following:
(a) Development or approval, monitoring, and
				  enforcement of standards, policies, and procedures for the EMS system which relates
				  to the Advanced EMT.
(b) Approval,
				  denial, revocation of approval, and suspension of training programs, Advanced EMT
				  base and alternative base stations, and Advanced EMT service providers.
(c) Assurance of compliance of the Advanced EMT
				  training program and the EMS system with the provisions of this Chapter.
(d) Submission annually to the Authority the names
				  of approved Advanced EMT training programs.
(e) Monitoring and evaluation of the EMS system as
				  it applies to Advanced EMT personnel.
(f) Development or approval, implementation and
				  enforcement of policies for medical control and medical accountability for the
				  Advanced EMT including:
(1) General treatment and
				  triage protocols.
(2) Patient care
				  record and reporting requirements.
(3)
				  Field medical care protocols.
(4)
				  Medical care audit system.
(5) Role and
				  responsibility of the Advanced EMT base and alternative base stations and Advanced
				  EMT service provider.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 2 - General Provisions › Section 100107.1 - Advanced EMT Quality Improvement Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The LEMSA shall establish a system-wide
				  quality improvement program (EMSQIP) as defined in Section
				  100102.1 of this Chapter.
(b) Each Advanced EMT service provider, as defined
				  in Section 100126 and each Advanced EMT base
				  hospital as defined in Section
				  100127, of this Chapter, shall have an
				  EMSQIP approved by the LEMSA.
(c) If,
				  through the EMSQIP, the employer or medical director of the LEMSA determines that an
				  Advanced EMT 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 Advanced EMT related to medical and patient care. If
				  there is disagreement between the employer and the medical director, the decision of
				  the medical director shall prevail.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.178,
						1797.200,
						1797.202,
						1797.204,
						1797.206,
						1797.208,
						1797.210,
						1797.220,
						1798 and
						1798.100,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100108 - Advanced EMT Approved Training Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The purpose of an Advanced EMT training
				  program shall be to prepare eligible EMTs to render prehospital LALS within an
				  organized EMS system.
(b) Advanced EMT
				  training shall be offered only by approved training programs. Eligibility for
				  training program approval shall be limited to the following institutions:
(1) Accredited universities and colleges,
				  including junior and community colleges, and private post-secondary schools as
				  approved by the State of California, Department of Consumer Affairs, Bureau for
				  Private Postsecondary Education.
(2)
				  Medical training units of a branch of the Armed Forces or Coast Guard of the United
				  States.
(3) Licensed general acute care
				  hospitals which meet the following criteria:
(A)
				  Hold a special permit to operate a Basic or Comprehensive Emergency Medical Service
				  pursuant to the provisions of Division 5; and
(B) Provide continuing education to other health
				  care professionals.
(4)
				  Agencies of government.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100109 - Advanced EMT Training Program Teaching Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each program shall have an approved program
				  medical director who shall be a physician currently licensed in the State of
				  California, who has two (2) years academic or clinical experience in emergency
				  medicine in the last five (5) years, and who is qualified by education or experience
				  in methods of instruction. Duties of the program medical director shall include, but
				  not be limited to:
(1) Approval of all course
				  content.
(2) Approval of content of all
				  written and skills examinations.
(3)
				  Approval of provision for hospital clinical and field internship
				  experiences.
(4) Approval of principal
				  instructor(s) qualifications.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100110 - Advanced EMT Training Program Didactic and Skills Laboratory

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An approved Advanced EMT training program shall assure that no
					 more than six (6) trainees are assigned to one (1) instructor/teaching assistant
					 during the skills practice/laboratory sessions.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.171
						and
						1797.173,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.173
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100111 - Advanced EMT Training Program Hospital Clinical Training

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved Advanced EMT training program
				  shall provide for and monitor a supervised clinical experience at a hospital(s)
				  which is licensed as a general acute care hospital. 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.
(b) Training
				  programs in nonhospital institutions shall enter into a written agreement(s) with a
				  licensed general acute care hospital(s) which holds a permit to operate a Basic or
				  Comprehensive Emergency Medical Service for the purpose of providing this supervised
				  clinical experience as well as a clinical preceptor(s) to instruct and evaluate the
				  student.
(c) Advanced EMT clinical
				  training hospital(s) shall provide clinical experience, supervised by a clinical
				  preceptor(s) approved by the training program medical director. Hospitals providing
				  clinical training and experience shall be approved by the program medical director,
				  and shall provide for continuous assessment of student performance. No more than two
				  (2) trainees will be assigned to one (1) preceptor during the supervised hospital
				  clinical experience at any one time. The clinical preceptor may assign the trainee
				  to another health professional for selected clinical experience. Clinical experience
				  shall be monitored by the training program staff and shall include direct patient
				  care responsibilities including the administration of additional drugs which are
				  designed to result in the competencies specified in this Chapter. Clinical
				  assignments shall include, but not be limited to: emergency, surgical, cardiac,
				  obstetric, and pediatric patients.
(d)
				  The Advanced EMT training program shall establish criteria to be used by clinical
				  preceptors to evaluate trainees. Verification of successful performance in the
				  prehospital setting shall be required prior to course completion or
				  certification.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.171
						and
						1797.173,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.173
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100112 - Advanced EMT Training Program Field Internship

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved Advanced EMT training program
				  shall provide for and monitor a field internship with a designated Advanced EMT or
				  Paramedic service provider(s) approved by the training program medical
				  director.
(b) After obtaining the
				  approval of the LEMSA, the Advanced EMT training program shall enter into a written
				  agreement with an Advanced EMT or Paramedic service provider(s) to provide for this
				  field internship, as well as for a field preceptor(s) to directly supervise,
				  instruct and evaluate students. The field internship shall include direct patient
				  care responsibilities which, when combined with the other parts of the training
				  program, shall result in the Advanced EMT competencies specified in this
				  Chapter.
(c) The field internship shall
				  be medically supervised and monitored in accordance with the policies of the
				  LEMSA.
(d) No more than one (1) Advanced
				  EMT trainee shall be assigned to an Advanced EMT response vehicle during the field
				  internship.
(e) The Advanced EMT
				  training program shall establish evaluation criteria to be used by field preceptors
				  to evaluate trainees.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.171
						and
						1797.173,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.173
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100113 - Advanced EMT Training Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Eligible training programs as defined in
				  Section 100108 of this Chapter, shall submit a
				  written request for Advanced EMT program approval to the Advanced EMT Approving
				  Authority.
(b) The Advanced EMT
				  Approving Authority shall receive and review the following prior to program
				  approval:
(1) A statement verifying that the course
				  content is equivalent to the U.S. Department of Transportation (DOT) National EMS
				  Education Standards (DOT HS 811 077A, January 2009).
(2) A course outline.
(3) Performance objectives for each
				  skill.
(4) The name and qualifications
				  of the training program course director, program medical director, and principal
				  instructors.
(5) Provisions for
				  supervised hospital clinical training, including standardized forms for evaluating
				  Advanced EMT trainees.
(6) Provisions
				  for supervised field internship, including standardized forms for evaluating
				  Advanced EMT trainees.
(7) The location
				  at which the course(s) are to be offered and their proposed dates.
(8) Provisions for course completion by challenge,
				  including a challenge examination (if different from the final
				  examination).
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100114 - Advanced EMT Training Program Approval Notification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Program approval or disapproval shall be made
				  in writing by the Advanced EMT Approving Authority to the requesting training
				  program within a reasonable period of time after receipt of all required
				  documentation. This time period shall not exceed three (3) months.
(b) The Advanced EMT Approving Authority shall
				  establish the effective date of program approval in writing upon the satisfactory
				  documentation of compliance with all program requirements.
(c) Program approval shall be for four (4) years
				  following the effective date of program approval and may be renewed every four (4)
				  years subject to the procedure for program approval specified in this
				  Chapter.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171,
						1797.173
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100115 - Application of Regulations to Existing Aemt Training Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All AEMT training programs in operation prior to the effective
					 date of these regulations shall submit evidence of compliance with this Chapter to
					 the Advanced EMT Approving Authority for the county in which they are located within
					 six (6) months after the effective date of these regulations. AEMT training programs
					 that do not submit the information, as required by this section, shall not be
					 approved as an Advanced EMT Training Program.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
2. Amendment of section heading and section filed
					 8-13-2012; operative 9-12-2012 (Register 2012, No.
					 33).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82
						and
						1797.171,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100116 - Advanced EMT Training 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 periodic review by the Advanced EMT Approving
				  Authority.
(b) All programs shall be
				  subject to periodic on-site evaluation by the Advanced EMT Approving
				  Authority.
(c) Any person or agency
				  conducting a training program shall notify the Advanced EMT Approving Authority in
				  writing, in advance when possible, and in all cases within thirty (30) calendar days
				  of any change in course content, hours of instruction, course director, program
				  medical director, principal instructor(s), course locations and proposed dates,
				  provisions for hospital clinical experience, or field internship.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171
						and
						1797.208,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100117 - Advanced EMT Denial or Withdrawal of Training Program Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Noncompliance with any criterion required for
				  program approval, use of any unqualified teaching personnel, or noncompliance with
				  any other applicable provision of this Chapter may result in denial, probation,
				  suspension or revocation of program approval by the Advanced EMT Approving
				  Authority. Notification of noncompliance and action to place on probation, suspend
				  or revoke shall be done as follows:
(1) An
				  Advanced EMT Approving Authority shall notify the approved Advanced EMT training
				  program course director in writing, by registered mail, of the provisions of this
				  Chapter with which the Advanced EMT training program is not in compliance.
(2) Within fifteen (15) working days of receipt of
				  the notification of noncompliance, the approved Advanced EMT training program shall
				  submit in writing, by registered mail, to the Advanced EMT Approving Authority one
				  of the following:
(A) Evidence of compliance with
				  the provisions of this Chapter, or
(B) A
				  plan for meeting compliance with the provisions of this Chapter within sixty (60)
				  calendar days from the day of receipt of the notification of
				  noncompliance.
(3) Within
				  fifteen (15) working days of receipt of the response from the approved Advanced EMT
				  training program, or within thirty (30) calendar days from the mailing date of the
				  noncompliance notification if no response is received from the approved Advanced EMT
				  training program, the Advanced EMT Approving Authority shall notify the Authority
				  and the approved Advanced EMT training program in writing, by registered mail, of
				  the decision to accept the evidence of compliance, accept the plan for meeting
				  compliance, place on probation, suspend or revoke the Advanced EMT training program
				  approval.
(4) If the Advanced EMT
				  Approving Authority decides to suspend or revoke the Advanced EMT training program
				  approval or place the Advanced EMT training program on probation, the notification
				  specified in subsection (a)(3) of this section shall include the beginning and
				  ending dates of the probation or suspension and the terms and conditions for lifting
				  of the probation or suspension or the effective date of the revocation, which may
				  not be less than sixty (60) calendar days from the date of the Advanced EMT
				  Approving Authority's letter of decision to the Authority and the Advanced EMT
				  training program.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100118 - Advanced EMT Student Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To be
				  eligible to enter an Advanced EMT training program, an individual shall meet the
				  following requirements:
(1) Possess a high school
				  diploma or general education equivalent; and
(2) Possess a current EMT certificate in the State
				  of California; and
(3) Possess a current
				  Basic Life Support (CPR) card according to the American Heart Association 2005
				  Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care at
				  the healthcare provider level.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100119 - Advanced EMT Training Program Required Course Hours

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Advanced EMT training program shall
				  consist of not less than one-hundred and sixty (160) hours. These training hours
				  shall be divided into:
(1) A minimum of eighty (80)
				  hours of didactic instruction and skills laboratory;
(2) The hospital clinical training shall consist
				  of no less than forty (40) hours and field internship shall consist of no less than
				  forty (40) hours.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100120 - Advanced EMT Training Program Required Course Content

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The content of an Advanced EMT course shall meet the objectives
					 contained in the U.S. Department of Transportation (DOT) National EMS Education
					 Standards (DOT HS 811 077A, January 2009), incorporated herein by reference, to
					 result in the Advanced EMT being competent in the Advanced EMT basic scope of
					 practice specified in section
					 100106 of this Chapter. The U.S.
					 Department of Transportation (DOT) National EMS Education Standards (DOT HS 811
					 077A, January 2009) can be accessed through the U.S. DOT National Highway Traffic
					 Safety Administration at the following website address:
					 http://ems.gov/pdf/811077a.pdf
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
2. Amendment filed 8-13-2012; operative 9-12-2012
					 (Register 2012, No. 33).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.82,
						1797.171
						and
						1797.173,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100121 - Advanced EMT Training Program Required Testing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved
				  Advanced EMT training program shall include periodic examinations and final
				  comprehensive competency-based examinations to test the knowledge and skills
				  specified in this Chapter.
(b)
				  Successful performance in the clinical and field setting shall be required prior to
				  course completion.
1. Amendment of
					 section heading, section and NOTE filed 5-18-2010; operative 6-17-2010 (Register
					 2010, No. 21).
2. Repealer and new section filed 8-13-2012; operative
					 9-12-2012 (Register 2012, No. 33).
Note: Authority cited: Sections
						1797.107
						and
						1797.171,
						Health and Safety Code. Reference: Sections
						1797.63,
						1797.82,
						1797.171,
						1797.208
						and
						1797.210,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 3 - Program Requirements for Advanced EMT Training Programs › Section 100122 - Advanced EMT Training Program Course Completion Record

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An approved Advanced EMT training program
				  shall issue a course completion record to each person who has successfully completed
				  the Advanced EMT training program.
(b)
				  The course completion record shall contain the following:
(1) The name of the individual.
(2) The date of course completion.
(3) The type of course completed (i.e., Advanced
				  EMT) and the number of hours completed.
(4) The following statement from an approved
				  Advanced EMT training program: "The individual named on this record has successfully
				  completed an approved Advanced EMT course", to indicate the appropriate type of
				  course completed.
(5) The name of the
				  Advanced EMT Approving Authority.
(6)
				  The signature of the course director.
(7) The name and location of the training program
				  issuing the record.
(8) The following
				  statement in bold print: "
This is not an Advanced EMT
				  certificate.
"
(9) The following
				  statement: "This course completion record is valid to apply for certification for a
				  maximum of two (2) years from the course completion date and shall be recognized
				  statewide."
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 3 - Advanced Emergency Medical Technician › Article 4 - Certification › Section 100123 - Advanced EMT Initial Certification Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In order to be eligible for initial
				  certification an individual shall:
(1) Possess a
				  current EMT certificate issued in the State of California.
(2) Have an Advanced EMT course completion record
				  or other documented proof of successful completion of the topics contained in an
				  approved Advanced EMT training program.
(3) Pass, by preestablished standards a competency
				  based written and skills Advanced EMT certifying examination pursuant to Section
				  100104 of this Chapter.
(4) Beginning July 1, 2010, complete the criminal
				  history background check requirements as specified in Article 4, Chapter 10 of this
				  Division.
(5) Comply with other
				  reasonable requirements, as may be established by the local Advanced EMT Certifying
				  Entity, such as:
(A) Pay the established
				  fee.
(B) Furnish a photograph for
				  identification purposes.
(6)
				  Complete an application 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."
(7) Disclose any
				  certification or licensure action:
(A) Against any
				  EMT-related certification or license in California, and/or entity per statutes
				  and/or regulations of that state or other issuing entity, including active
				  investigations, or
(B) Against an EMT
				  certificate, Advanced EMT certificate or a Paramedic license, or health related
				  license, or
(C) Any denial of
				  certification by a LEMSA or in the case of paramedic licensure a denial by the
				  Authority.
(8) Complete a
				  precertification field evaluation.
(9)
				  Complete the additional training specified in Section
				  100106.1 if applicable, of this
				  Chapter.