Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.331 - Application and Accreditation or Certification Requirements for Training Entities that Conduct Training for First Responders, Emergency Medical Dispatchers, Emergency Medical Technicians-Basic, Emergency Medical Technicians- Intermediate, and Emergency Medical Technicians-Paramedic

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The department is adding a new subsection
				  (2)(N) and amending the rule to allow an EMT-Basic with a United States Armed
				  Forces license from the EMS Bureau pursuant to
				  19
				  CSR 30-40.342(2)(A) and section (3)
				  to test with a training entity certified by the EMS Bureau in an EMT-Paramedic
				  or EMT-Intermediate program and complete a smaller number of clinical hours if
				  the EMT-Basic with a United States Armed Forces license from the EMS Bureau
				  successfully passes the tests.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) General Requirements for Certification of
				Emergency Medical Technician-Basic (EMT-B) Training Entities, Emergency Medical
				Technician-Paramedic (EMT-P) Training Entities, Emergency Medical
				Technician-Intermediate (EMT-I) Training Entities, EMT-B Continuing Education
				Training Entities, and EMT-P Continuing Education Training Entities.
(A) Each applicant for certification as an
				emergency medical services (EMS) training entity shall make application to the
				EMS Bureau and undergo a review by the EMS Bureau staff to determine compliance
				with these rules. An application shall include, but not be limited to, the
				following: trade name of the training entity; training entity business address;
				daytime telephone number of the training entity; type of accreditation applied
				for; name, address, telephone number, and signature of the program director;
				name, address, telephone number, and signature of the medical director; and
				certification by the applicant that the application contains no
				misrepresentations or falsifications and that the information given by them is
				true and complete to the best of their knowledge, and that the training entity
				has both the intention and the ability to comply with the regulations
				promulgated under the Comprehensive Emergency Medical Service Systems Act,
				Chapter 190, RSMo. The training entity accreditation application form, included
				herein, is available at the EMS Bureau office or by mailing a written request
				to the Missouri Department of Health and Senior Services, EMS Bureau, PO Box
				570, Jefferson City, MO 65102-0570.
(B) Only certified EMS training entities
				shall be authorized to conduct EMS training programs. Upon receipt of an
				application for EMS training entity certification, the EMS Bureau shall cause
				an inspection of the applicant to determine compliance with these rules, and
				such subsequent inspection as is necessary or desirable to ensure compliance
				with these rules. Such inspections shall occur not less than once every five
				(5) years.
1. Training entities shall be
				certified to conduct the following programs:
A. EMT-P training entities shall be certified
				to conduct initial EMT-P; EMT-P refresher to include remedial training and
				National Registry bridge programs; EMT-P continuing education; initial EMT-I
				programs; EMT-I refresher to include remedial training; EMT-I continuing
				education; initial EMT-B; EMT-B refresher to include remedial training and
				National Registry bridge programs; EMT-B continuing education; initial first
				responder; first responder refresher; and emergency medical dispatcher (EMD)
				courses;
B. EMT-P continuing
				education training entities shall be certified to conduct EMT-P continuing
				education courses, EMT-I continuing education courses, and EMT-B continuing
				education courses;
C. EMT-B
				training entities shall be certified to conduct initial EMT-B; EMT-B refresher
				to include remedial training and National Registry bridge programs; EMT-B
				continuing education; initial first responder; first responder refresher; and
				emergency medical dispatcher courses;
D. EMT-B continuing education training
				entities shall be certified to conduct EMT-B continuing education
				programs;
E. First responder
				training entities shall be certified to conduct only initial first responder
				and first responder refresher courses; and
F. EMD training entities shall be certified
				to conduct only EMD courses.
(C) Each EMS training entity shall
				demonstrate an organizational structure that ensures responsibility for the
				organization, administration, periodic review, continued development, and
				effectiveness of all educational programs conducted by the EMS training entity.
				The EMS training entity shall have an organizational chart and job descriptions
				for relevant positions within the training entity and make this available to
				the EMS Bureau personnel on request.
(D) Each EMS training entity shall
				demonstrate adequate resources for the continued operation of all educational
				programs conducted. This shall be available to the EMS Bureau personnel on
				request.
(E) Each EMS training
				entity shall have a medical director who reviews and approves the educational
				content of the program and quality of medical instruction. The medical director
				for EMS training entities shall meet the requirements set forth in 19 CSR
				30-40.303.
(F) Each EMS training
				entity shall demonstrate a methodology to evaluate the need for training and to
				ensure availability of effective training programs. The tools used to develop
				the methodology shall be made available for review by the EMS Bureau.
(G) Faculty Requirements.
1. Each EMS training entity shall have a
				qualified faculty. Credentials of faculty shall be available for review by the
				EMS Bureau.
A. Primary faculty (those who
				teach twenty percent (20%) or more of classroom sessions) shall meet the EMS
				Bureau requirements for EMS instructors.
B. The training entity shall describe
				qualifications and training for laboratory instructors, where lab instructors
				are used.
C. The training entity
				shall describe qualifications and training for clinical instructors and field
				preceptors, where clinical instructors and field preceptors are used.
2. Qualifications for any adjunct
				instructors such as physicians, registered nurses, paramedics, clinical
				specialists, or expert lecturers shall be documented and available for review
				by the EMS Bureau.
(H)
				Physical Facilities.
1. Classrooms and
				laboratories shall have sufficient space to accommodate the maximum planned
				number of students and shall be environmentally conducive to providing a
				quality learning environment. The EMS Bureau may inspect classroom and
				laboratory facilities to determine compliance.
2. Equipment and supplies used in the
				provision of instruction shall be available and consistent with the
				requirements of the curriculum and adequate for the volume of students
				enrolled.
A. The EMS Bureau may periodically
				inspect such equipment and supplies to determine compliance with this
				requirement.
B. The EMS training
				entity shall describe how they will meet this requirement to the EMS
				Bureau.
C. The EMS training entity
				shall ensure that the equipment used in its training programs is in proper
				working order and appropriately cleaned.
3. Training entities that conduct initial
				courses of instruction shall make available to all students clearly defined and
				published policies and procedures. Such policies and procedures shall include
				the following:
A. Admission
				criteria;
B. Student withdrawal and
				refund of tuition and/or fees policies;
C. Attendance policy;
D. Grading and academic criteria;
E. Class cancellation policy;
F. Appeal and grievance procedures;
G. Examination policies;
H. Health and safety procedures;
I. Certification requirements of the National
				Registry of Emergency Medical Technicians and licensing requirements for the
				state of Missouri; and
J. Recent
				statutes and regulations of the state of Missouri that pertain to EMS which can
				be obtained from the EMS Bureau. This can either be in an electronic or paper
				format.
(I)
				Program Self-Evaluation.
1. Each EMS training
				entity shall demonstrate that the programs conducted under its authority
				conduct program self-evaluation. Such evaluation shall include:
A. Evaluation of students shall be conducted
				and documented on a recurring basis and with sufficient frequency to provide
				both the student and program faculty with valid and timely indicators of each
				student's progress toward and achievement of the competencies and objectives
				stated in the curriculum;
B. Test
				instruments and evaluation methods shall undergo periodic reviews by
				appropriate training entity staff and medical director; and
C. Evaluation of the program by the students
				shall be documented and reviewed by the appropriate training entity staff and
				medical director.
(J) Record Keeping and Reporting.
1. Records shall be maintained for each
				student that demonstrate all attendance, clinical, practical, and written
				examination records.
2. Records
				shall be maintained for each class session that document name of instructor,
				title of session, beginning and ending time of each session, and attendance at
				the session.
3. Records shall be
				maintained for each initial course of instruction that document location of
				course, primary instructor, beginning enrollment, drop-out rate, course fail
				rate, and number of students successfully completing the course.
4. Lesson plans shall be maintained for each
				course offered.
5. All records
				shall be available for review by the EMS Bureau and kept on file for at least
				five (5) years.
6. Each EMS
				training entity shall submit to the EMS Bureau an annual report indicating the
				number, type, and location of courses offered, the pass/fail rate for each
				course, and the numbers of students completing training. Each annual report
				shall contain an affidavit that the principal officers and medical director of
				the training entity remain the same as the original application, or shall
				indicate any change.
7.
				Certificates of completion shall be issued by the training entity to students,
				at the request of the student, after successful completion of the appropriate
				criteria.
(K) EMS
				training entities may cooperate and develop satellite programs under their
				approval. In these cases, the EMS training entity remains responsible for
				ensuring quality EMS education and compliance with the EMS Bureau
				rules.
(L) Upon EMS training entity
				approval by the EMS Bureau, the EMS Bureau shall assign an accreditation number
				to each EMS training entity. The EMS training entity shall reference this
				accreditation number on each course completion letter or certificate issued by
				the EMS training entity.