reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-002 - DEFINITIONS

Current through June 17, 2024
For purposes of these regulations, definitions in the Uniform
				  Credentialing Act, the Emergency Medical Services Practice Act, 172 Nebraska
				  Administrative Code (NAC) 10, 12, and 13, and the following definitions are
				  hereby adopted.
002.01
COMMUNITY CARE PROVIDER.
Community paramedic who has a
				current license as an emergency medical technician, advanced emergency care
				technician, emergency medical technician - intermediate, or a paramedic and
				holds a license to practice as a community paramedic.
002.02
DIRECT
				SUPERVISION.
The supervisor is present with the patient visually
				monitoring, providing verbal direction, and overseeing patient care that is
				being provided by temporary licensee.
002.03
EMERGENCY MEDICAL SERVICE
				INSTRUCTOR.
An individual who has a current license to practice as
				an emergency medical service instructor.
002.04
NATIONAL CONTINUED
				COMPETENCY PROGRAM.
A program developed by the National Registry
				of Emergency Medical Technicians to ensure evidenced based continuing education
				for emergency care providers. As of the effective date this chapter, the
				National Continued Competency Program level requirements are adopted as part of
				the continuing competency requirements for renewal of emergency care provider
				licenses. A copy of the National Continued Competency Program is available on
				the Department's website or by contacting the Department at 301 Centennial Mall
				South, Lincoln, Nebraska.
002.05
NON-VISUALIZED AIRWAY MANAGEMENT.
The insertion of a
				supraglottic airway device without visualization of airway anatomical
				structures and the removal of airway adjuncts as the sole means to provide for
				a patent airway.
002.06
SUPERVISOR.
An individual who is a licensed emergency
				care provider, licensed healthcare practitioner or under the direction of a
				registered nurse, with an unencumbered license and is the same or higher level
				as the temporary licensee and is responsible for holders of temporary
				licenses.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-003 - INITIAL CREDENTIAL

Current through June 17, 2024
To obtain a license an applicant must submit a complete
				  application provided by the Department and provide documentation demonstrating
				  the applicant meets the statutory requirements, 172 NAC 10, and this
				  chapter.
003.01
LICENSURE
				EXAMINATION.
The National Registry of Emergency Medical
				Technicians Cognitive Exam is the approved licensure examination for all levels
				except critical care paramedic and community care providers. The certification
				examination for Critical Care Paramedic or the Flight Paramedic Certification
				examination provided by The International Board of Specialty Certification is
				the approved licensure examination for critical care paramedic. The community
				care provider must take a community paramedicine certification examination
				provided by The International Board of Specialty Certification is the approved
				licensure examination for a community care provider. An applicant must have
				passed the licensure exam for the level of licensure for which the applicant is
				applying. The passing of a licensure examination is determined by The Standards
				for Educational and Psychological Testing.
003.02
APPLICATION.
An applicant must be at least 18 years of age and submit documentation of
				having a current certificate for the level of license applied for or higher
				level from the National Registry of Emergency Medical Technicians as evidence
				of meeting the education and examination requirements. An applicant for a
				license as a critical care paramedic must have a license as a paramedic and
				have successfully completed the approved licensure examination for critical
				care paramedic. An applicant for a license as a community care provider must
				have a license as an emergency medical technician, advanced emergency medical
				technician, or paramedic and have successfully completed the approved licensure
				examination for a community care provider.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-004 - TEMPORARY LICENSE

Current through June 17, 2024
An applicant for a temporary license must meet all statutory
				  requirements, the requirements of 172 NAC 10, the requirements of this chapter
				  and submit a complete application and documentation to the Department that the
				  applicant meets all requirements, except for passing the required examination.
				  An applicant must have an official certificate of completion from the training
				  agency showing successful course completion with the date of completion sent
				  directly to the Department from the originating program or institution.
004.01
PRACTICE UNDER A TEMPORARY
				LICENSE.
An individual with a temporary license must be under
				direct supervision by the same or higher level of emergency care provider,
				licensed healthcare practitioner, or under the direction of a registered nurse,
				when performing practices or procedures at the level permitted by the temporary
				license.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-005 - RECIPROCITY

Current through June 17, 2024
To obtain a license based on reciprocity, an applicant must
				  meet the requirements of Neb. Rev. Stat. §
									38-129.02, 172 NAC 10, and this
				  chapter.
005.01
RESIDENCY.
All applicants receiving a license pursuant
				to 172 NAC 11 must submit documentation of establishing residency in Nebraska
				as required by Neb. Rev. Stat. §
									38-129.02. Such documentation must
				be submitted within 90 days of establishment of residency and consist of a
				rental or lease agreement with the signature of the owner or landlord and the
				applicant, a deed or title to residential real property with the name of the
				applicant as an owner, or documents with the name and address of the applicant
				such as mortgage bills, home utility bills, medical or employee documents or
				similar documents that show the applicant residing in Nebraska.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-006 - RENEWAL

Current through June 17, 2024
To renew a license, an applicant must meet all statutory
				  requirements, the requirements of 172 NAC 10, and this chapter. All emergency
				  care provider licenses except emergency medical technicians issued by the
				  Department expire on March 31 of each odd-numbered year. Emergency medical
				  technicians expire on March 31 of each even-numbered year.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-007 - DOWNGRADE

Current through June 17, 2024
An applicant may change licensure level at the time of
				  renewal as set out below:
(A)
				Paramedics who do not meet the continuing competency requirements as provided
				in this chapter for their level of licensure may be licensed as an advanced
				emergency medical technician, emergency medical technician, or as an emergency
				medical responder if they meet the continuing competency requirements of the
				respective license;
(B) Emergency
				medical technician-intermediates who do not meet the continuing competency
				requirements as provided in this chapter for their level of licensure may be
				licensed as an advanced emergency medical technician, emergency medical
				technician, or an emergency medical responder if they meet the continuing
				competency requirements for the respective license;
(C) Advanced emergency medical technicians
				who do not meet the continuing competency requirements as provided in this
				chapter for their level may be licensed as an emergency medical technician, or
				an emergency medical responder if they meet the continuing competency
				requirements for the respective license; or
(D) Emergency medical technicians who do not
				meet the continuing competency requirements as provided in this chapter for
				their level of licensure may be licensed as an emergency medical responder if
				they meet the continuing competency requirements for that license.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-008 - CONTINUING COMPETENCY REQUIREMENTS

Current through June 17, 2024
On or before the license expiration date, each licensed
				  emergency care provider must complete continued competency requirements for
				  their level of licensure as follows:
(A) Emergency medical responders must:
(i) Complete 8 hours of continuing education
				that meets the standards of the national component of the National Continuing
				Competency Program's continued competency requirements for emergency medical
				responders; or
(ii) Hold a current
				Emergency Medical Responder certificate from the National Registry of Emergency
				Medical Technicians.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-009 - ACCEPTABLE CONTINUING COMPETENCY

Current through June 17, 2024
In order for an activity to be accepted for continuing
				  competency to renew a license, the activity must meet the following
				  criteria:
(A) Be a planned, formally
				organized program of learning which directly contributes to the professional
				competency of emergency care providers;
(B) Have objectives that demonstrate a
				reasonable connection to the practice of emergency medicine;
(C) Be made available on a specific date and
				time or be a distributive learning program;
(D) Have an instructor who has experience or
				training in the content area(s) of the course being taught;
(E) Have a course title consisting of content
				at least one-half hour in duration;
(F) Delineate the number of contact hours,
				excluding meals and breaks to be awarded at the completion of the activity,
				with proof of such completion being documented; and
(G) Have a mechanism that documents
				attendance and participation; and
(H) A licensee who is an instructor of an
				Emergency Medical Service Course, may receive continuing education hours for
				initial instruction of an Emergency Medical Service Course on an hour-for-hour
				basis. Credit will not be given to the licensee for subsequent instruction of
				the same Emergency Medical Service Course or continuing education
				course.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-010 - NON-ACCEPTABLE CONTINUING COMPETENCY

Current through June 17, 2024
The following activities are not acceptable for continuing
				  education to renew a license:
(A)
				Advanced National Incident Management System Training where the subject matter
				does not have an emergency medical service focus;
(B) Advanced scene management courses where
				the subject matter does not have an emergency medical service focus;
(C) Classes offered by Homeland Security
				where the subject matter does not have an emergency medical service
				focus;
(D) Courses where the
				subject matter does not demonstrate a reasonable connection to the practice of
				emergency medical care; or
(E) Fire
				training courses where the subject matter does not have an emergency medical
				service focus.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-011 - WAIVER OF CONTINUING EDUCATION

Current through June 17, 2024
In addition to the waivers allowed by 172 NAC 10, the
				  Department may waive continuing competency requirements, in whole or in part,
				  upon submission by a credential holder of documentation that circumstances
				  beyond their control have prevented completion of these requirements. These
				  circumstances may include suffering from a serious or disabling illness or
				  physical disability, which prevented completion of the continuing competency
				  requirements during the 24 months immediately preceding the license renewal
				  date. Waiver of continuing education may not be used for consecutive renewal
				  periods.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-012 - PRACTICE WITH NON AFFILIATED SERVICES

Current through June 17, 2024
An emergency care provider may perform any practice or
				  procedure which they are authorized to perform with an emergency medical
				  service other than the service with which they are affiliated when requested by
				  the other service when the patient for whom they are to render services is in
				  danger of loss of life.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-013 - EMERGENCY CARE PROVIDER UNPROFESSIONAL CONDUCT

Current through June 17, 2024
Unprofessional conduct includes but is not limited to the
				  acts set out in Neb. Rev. Stat. §
									38-179 and the following:
(A) Providing or attempting to provide a
				service for which such provider is not trained or authorized by the physician
				medical director;
(B) Failure of a
				provider to be accountable, responsible and answerable for decisions and action
				or inaction of self or others, and for the resultant patient outcomes related
				to decisions and actions or inactions;
(C) Failure for a provider to exhibit a state
				or quality of being competent or capable as a result of having the required
				knowledge, skills, and ability;
(D)
				Committing any act which endangers patient safety or welfare;
(E) Encouraging or promoting emergency
				medical care by untrained or unqualified persons;
(F) Failure to comply with emergency vehicle
				operating requirements pursuant to Neb. Rev. Stat. §
									60-6,114;
(G) Failure to comply or follow the physician
				medical director's directives;
(H)
				Committing any of the following acts or behavior that do not safeguard the
				welfare of patients and maintain professional relationships with patients:
(i) Failure to be aware of the intimacy and
				responsibilities inherent in the care of a patient and failure to avoid actions
				that seek to meet their personal needs at the expense of clients. Providers
				must avoid exploiting the trust of a patient and make every effort to avoid
				conditions that could impair professional judgment or increase the risk of
				exploitation of another person for one's own advantage;
(ii) Failure to decline to carry out
				emergency medical care services that have been requested when the services are
				known to be contraindicated or unjustified;
(iii) Failure to decline to carry out
				procedures that have been requested when the services are known to be outside
				of the emergency care provider's scope of practice;
(iv) Verbally or physically abusing
				patients;
(v) Falsification,
				unauthorized destruction, or failure to document patient care
				records;
(vi) Attempting to provide
				diagnostic or treatment information to patient(s) that are beyond the emergency
				care provider's level of training and expertise; or
(vii) Assigning to other personnel those
				patient related services when the clinical skills and expertise of an emergency
				care provider is required or is beyond the individual's scope of
				practice;
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-014 - INITIAL EMERGENCY MEDICAL SERVICE INSTRUCTOR LICENSURE

Current through June 17, 2024
Any person who wishes to represent themselves as an emergency
				  medical service instructor must be licensed as such. To obtain a license, an
				  applicant must submit a complete application provided by the Department and
				  provide documentation demonstrating the applicant meets the statutory
				  requirements, 172 NAC 10, and this chapter.
014.01
QUALIFICATIONS.
An applicant who wishes to be licensed
				as an emergency medical service instructor must meet the requirements described
				below:
(A) Be at least 18 years of age and of
				good character;
(B) Hold a current
				license as an emergency care provider at or above the level being taught or
				hold a current license as a registered nurse, advanced practice registered
				nurse, physician assistant, doctor of medicine, or doctor of
				osteopathy;
(C) Have successfully
				completed:
(i) The 1986, 1995, or 2002 U.S.
				Department of Transportation, National Highway Traffic Administration Emergency
				Medical Service Instructor Course;
(ii) A college or university program where
				the applicant received a bachelor's degree or above in education;
(iii) The National Fire Protection Agency
				1041 Instructor 2 Course; or
(iv)
				An equivalent course as approved by the Board; and
(D) All applicants for an initial emergency
				medical services instructor must hold a current National Registry of Emergency
				Medical Technician certification at or above the level being instructed. An
				applicant currently licensed as a registered nurse, advanced practice
				registered nurse, physician assistant, doctor of medicine, or doctor of
				osteopathy is deemed to have met this requirement and must submit a copy of
				their current and unrestricted license.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-015 - EMERGENCY MEDICAL SERVICES INSTRUCTOR CONTINUING COMPETENCY REQUIREMENTS

Current through June 17, 2024
Each emergency medical service instructor holding an active
				  credential must, on or before the date of expiration of the credential,
				  continue to meet the requirements for an initial license and comply with the
				  continuing competency requirements for the instructor as set out in this
				  chapter. Each licensee is responsible for maintaining certificates or records
				  of continuing competency activities and:
015.01
CONTINUING
				EDUCATION.
An emergency medical services instructor must complete
				a total of 8 hours of continuing education, within the 24 months preceding the
				license expiration date, in educational subject matter that at a minimum must
				include the following subjects:
(A) Emergency
				medical service course curriculum updates;
(B) Emergency medical service legislation and
				regulations;
(C) Emergency medical
				service evaluation methods; and
(D)
				Fundamentals of teaching adults.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-016 - EMERGENCY MEDICAL SERVICE INSTRUCTOR RENEWAL

Current through June 17, 2024
To renew an emergency medical service instructor credential,
				  an applicant must maintain a current emergency care provider license and meet
				  all statutory requirements, the requirements of 172 NAC 10, and this chapter.
				  All emergency medical services instructor credentials issued by the Department
				  will expire on March 31 of each odd-numbered year.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-017 - GROUNDS FOR DISCIPLINARY ACTION AGAINST A CREDENTIAL

Current through June 17, 2024
A credential to practice as an emergency medical service
				  instructor may have disciplinary actions taken against it on any of the
				  following grounds:
017.01
EMERGENCY MEDICAL SERVICE INSTRUCTOR UNPROFESSIONAL
				CONDUCT.
Unprofessional conduct includes but is not limited to the
				acts set out in Neb. Rev. Stat. §
									38-179 and the following:
(A) Use of inappropriate language during the
				course of instruction, such as obscenities, vulgarisms, or other offensive
				language;
(B) Assigning duties to
				unqualified personnel for which the emergency medical service instructor is
				responsible;
(C) Engaging in
				conduct involving dishonesty, fraud, deceit, or misrepresentation in the
				performance of duties involving instruction;
(D) Engaging in harassment or sexual
				harassment. Sexual harassment includes making unwelcome sexual advances,
				requesting sexual favors, and engaging in other verbal or physical conduct of a
				sexual nature for the purpose or effect of creating an intimidating, hostile,
				or offensive learning environment. Harassment includes but is not limited to
				creating an intimidating, hostile, or offensive learning environment;
(E) Teaching outside the scope of practice
				identified by the definition of emergency medical service courses as outlined
				in this chapter; or
(F) Failure of
				a licensee or applicant, who is the subject of a disciplinary investigation, to
				furnish the Department, Board, or its investigator with requested information
				or requested documents.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 11 - LICENSURE OF EMERGENCY CARE PROVIDERS › Section 172-11-018 - REINSTATEMENT

Current through June 17, 2024
This section applies to individuals previously licensed in
				  Nebraska who seek the authority to return to practice in Nebraska with a valid
				  Nebraska license. In addition to the requirements outlined in 172 NAC 10, the
				  applicant must submit documentation of meeting the following applicable
				  requirements for the level applied for:
(A) If an emergency medical responder license
				has been expired for less than five years and the applicant did not meet the
				renewal requirements by the renewal expiration date, the applicant must submit
				the following:
(i) A copy of the applicant's
				current National Registry of Emergency Medical Technicians Certificate for the
				level applied for; or
(ii)
				Documentation of successful completion, within the two years preceding a
				renewal application, of a refresher course that meets the National Registry of
				Emergency Medical Technicians National Continuing Competency requirements for
				the level applied for as set out in this chapter.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations govern the licensure of emergency medical
				  services under the Emergency Medical Services Practice Act Nebraska Revised
				  Statute (Neb. Rev. Stat.) §§
									38-3801 to
				  38-3837 and the Uniform
				  Credentialing Act Neb. Rev. Stat. §§
									38-101 to
				  38-1,146.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-002 - DEFINITIONS

Current through June 17, 2024
For purposes of these regulations, definitions in the Uniform
				  Credentialing Act, the Emergency Medical Services Practice Act, 172 Nebraska
				  Administrative Code (NAC) 9, 11, and 13, and the following definitions are
				  hereby adopted.
002.01
ADVANCED LIFE SUPPORT SERVICE.
An emergency medical
				service that utilizes personnel trained and licensed as advanced emergency
				medical technicians, emergency medical technician-intermediates, or paramedics
				and has equipment available commensurate with that level of training.
002.02
BASIC LIFE SUPPORT
				SERVICE.
An emergency medical service that utilizes personnel
				trained and licensed, at a minimum, as emergency medical technicians and has
				equipment available commensurate with that level of training.
002.03
DRY RUN.
Travel to a scene where there could be a medical emergency but no one was found
				to be injured or ill at that location.
002.04
EMERGENCY
				CALL.
A call for an ambulance in which the reporting party
				utilizes a dedicated activation number or system intended for rapid
				notification of emergency services and the reporting party indicates
				endangerment to a person's life or limb.
002.05
INCIDENT.
An
				occurrence, natural or manmade, requiring a response to a perceived individual
				need for medical care in order to prevent loss of life or aggravation of
				physiological or psychological illness or injury. For the purpose of these
				regulations "run", "response", or "call" are equivalent terms.
002.06
PATIENT
				ASSESSMENT.
The act of determining the type and degree of injury,
				illness, or other medical disability.
002.07
PROTOCOL.
A
				set of written policies, procedures, and directions from a physician medical
				director to an emergency care provider concerning the medical procedures to be
				performed in specific situations.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-003 - EMERGENCY MEDICAL SERVICE LICENSE

Current through June 17, 2024
To receive a license, an applicant must submit a complete
				  application, meet the requirements for a license set out in statute, 172 NAC 9,
				  this chapter, and submit documentation of the following:
(A) Meets the standards for transporting
				patients or has a written agreement with a licensed emergency medical service
				that meets such standards;
(B) Has
				a physician medical director;
(C)
				Employs or has at least one member that is an emergency care provider, except
				for an emergency medical responder;
(D) Has an advanced emergency medical
				technician, emergency medical technician -intermediate, paramedic, registered
				nurse, advanced practice registered nurse, physician assistant, doctor of
				medicine, or doctor of osteopathy as a member or employee of the service, if
				applying for an advanced life support service license;
(E) Has protocols approved by the physician
				medical director of the service; and
(F) Has passed an inspection by the
				Department.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-004 - DOWNGRADE

Current through June 17, 2024
An applicant may change licensure level if the applicant is
				  unable to meet the requirements of an Advanced Life Support
				  Service.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-005 - STANDARDS FOR PROVIDING COMMUNITY PARAMEDIC SERVICES

Current through June 17, 2024
Any Nebraska licensed basic or advanced emergency medical
				  service providing community paramedic services must:
(A) Implement a written plan which includes:
(i) Area and populations being
				served;
(ii) Conclusions or
				recommendations of a healthcare gap assessment in the area and
				population;
(iii) Healthcare goals
				and objectives; and
(iv) Benchmarks
				and performance measures that will be utilized to measure the efficacy of the
				program to include clinical and financial data;
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-006 - STANDARDS FOR EMERGENCY MEDICAL SERVICES

Current through June 17, 2024
All applicants and licensees who own or lease an ambulance
				  must meet the standards as set forth below:
006.01
AMBULANCE
				STANDARDS.
Ambulance standards are available on the Department's
				website or may be requested from the Department at 301 Centennial Mall South,
				Lincoln, NE 68509. Licensees must have documentation of the date an ambulance
				was acquired. Ambulances and aircraft must:
(A) After the effective date of the
				regulations, meet the National Fire Protection Association (NFPA) 1917 Standard
				for Automotive Ambulances that is current on the effective date of these
				regulations or the Commission on Accreditation of Ambulance Services (CAAS)
				Ground Vehicle Standard for Ambulances that is current on the effective date of
				these regulations;
(B) After the
				effective date of the regulations, remounted ambulances must meet the
				requirements of 172 NAC
				12-005.01(A);
(C) Aircraft used for the transportation of
				patients must comply with Federal Aviation Administration Regulations
				14 CFR
				135 that is current on the effective date of
				these regulations and related bulletins and supplements; or
(D) Ambulances, including remounted
				ambulances, that are owned by a licensed emergency medical service on the
				effective date of these regulations may continue to be used as ambulances.
(i) If the ownership of an ambulance meets
				the requirements of 172 NAC
				12-005.01(D) is
				transferred to another emergency medical service after the effective date of
				these regulations, then the ambulance cannot be used as an ambulance. unless
				the ambulance:
(1) Meets the requirements of
				172 NAC
				12-005.01(A) or
				(B); or
(2) The ambulance is fifteen years of age or
				less; and,
(3) Meets or exceeds the
				Federal Specifications for Ambulances, KKK-A-1822C.
(ii) Section
				005.01(D)(i) (2) and
				(3) terminate ten years after effective date
				of these regulations.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-007 - RENEWAL OF AN EMERGENCY MEDICAL SERVICES

Current through June 17, 2024
All emergency medical service's licenses issued by the
				  Department expire on March 31 of each odd-numbered year. On or before the
				  license expiration date, each emergency medical service must submit a complete
				  application, meet all statutory requirements, meet the requirements of 172 NAC
				  9, this chapter, and:
(A) Submit
				documentation of meeting 172 NAC
				12-003(A) through
				(G); or
(B) Submit proof of current accreditation
				from the Commission on Accreditation of Medical Transportation Systems or
				Commission on Accreditation of Ambulance Services.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-008 - PATIENT CARE AND TREATMENT

Current through June 17, 2024
Each licensee must provide the necessary care and treatment
				  within its ability to meet the needs of patients. Care and treatment provided
				  must meet prevailing professional standards and scope of practice requirements.
				  Each licensee is to implement written policies and procedures that encompass
				  care and treatment provided to patients.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-009 - PATIENT CARE RECORDS

Current through June 17, 2024
A licensee must ensure a patient care record for each
				  incident, dry run, refused transportation, critical care run, community
				  paramedic response, and stand-by service is completed by responding personnel.
				  Patient care records must contain all data points as defined in the Nebraska
				  Emergency Medical Services Data Dictionary.
009.01
MAINTENANCE OF PATIENT
				CARE RECORDS.
All patient care records for each incident, dry run,
				refused transportation, stand-by, critical care run, community paramedic
				response, and reporting of no incidents for a month must be:
(A) Maintained and preserved, in electronic
				form, for a period of at least five years or in the case of minors, the records
				must be kept until three years after the age of majority has been
				attained;
(B) Compliant with the
				highest standard as certified by the National Emergency Medical Services
				Information System, or successor organizations;
(C) Sent to the Department as a complete
				record within 72 hours upon completion of an incident and when a unit is back
				in service to be used for inspection, data collection and research;
(D) Submitted electronically to the
				Department. This requirement does not supersede any medical or legal
				requirements for maintenance of patient records; and
(E) Compliant with the current version of the
				Nebraska Emergency Medical Services Data Dictionary.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-010 - BACKUP RESPONSE PLAN

Current through June 17, 2024
A licensee must have a written back-up response plan in the
				  event of their inability to respond to requests for their services except for
				  interfacility transport and flight transport. The back-up response plan
				  must:
(A) List how many times the
				service is dispatched and the time period between each dispatch if there is no
				response;
(B) List the back-up
				service that must be called no more than ten minutes after the original call
				activation; and
(C) Be sent to the
				dispatching agency with acknowledgement of receipt from the dispatching
				agency.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-011 - DEEMED COMPLIANCE

Current through June 17, 2024
A licensee may be deemed in compliance with this set of
				  regulations based on its accreditation. The service may still be selected for
				  inspection in accordance with this set of regulations.
011.01
ACCREDITATION.
A licensee may be deemed in compliance
				with this chapter on its accreditation by:
(A)
				Commission on Accreditation of Medical Transport Systems; or
(B) Commission on Accreditation of Ambulance
				Services.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-012 - COMPLIANCE INSPECTIONS

Current through June 17, 2024
Each licensee has the responsibility to be in compliance, and
				  to remain in compliance, with the statutes and this chapter. To determine
				  compliance with the statutes and regulations, the Department may conduct
				  announced or unannounced inspections of emergency medical
				  services.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-013 - REQUIREMENTS FOR CHANGING PHYSICIAN MEDICAL DIRECTOR

Current through June 17, 2024
Prior to a change in a physician medical director, the
				  licensee must submit a change in medical director form provided by the
				  Department. A licensee may not operate without a physician medical
				  director.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-014 - REQUIREMENTS FOR CLOSING A LICENSED EMERGENCY MEDICAL SERVICE

Current through June 17, 2024
The following procedures must be followed by a licensee that
				  wishes to close:
(A) Notify the
				Department in advance of closing, when possible. All requirements for operation
				must be maintained until the emergency medical service is officially
				closed;
(B) All patient care
				records that have not met the record retention timeline, must be stored or
				relinquished to the patient or the patient's authorized representative. The
				Department must be notified as to where the records are stored if the records
				were relinquished to patients, or destroyed. If records are stored, the
				Department must be notified of the storage address, name, and telephone number
				of the person who has access to the records; and
(C) The owner of the emergency medical
				service is responsible for the retention and preservation of the appropriate
				records upon termination of license.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 12 - LICENSURE OF EMERGENCY MEDICAL SERVICES › Section 172-12-015 - UNPROFESSIONAL CONDUCT

Current through June 17, 2024
Unprofessional conduct includes but is not limited to the
				  acts set out in Neb. Rev. Stat. §§
									38-179, §
									38-182 and the following:
(A) Competence: A licensee must not provide
				services for which the service has not been licensed or individuals licensed or
				authorized by the physician medical director. Unprofessional conduct while
				providing services as an Emergency Medical Service will include but is not
				limited to:
(i) Encouraging or promoting
				emergency medical care by untrained or unqualified persons;
(ii) Failure to comply with emergency vehicle
				operating requirements in accordance with Neb. Rev. Stat. §
										60-6,114; and
(iii) Failure to comply with the lawful
				directions of the physician medical director;
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations govern the credentialing of emergency
				  medical services training agencies under the Emergency Medical Services
				  Practice Act Nebraska Revised Statute (Neb. Rev. Stat.) §§
									38-3801 to
				  38-3837 and the Uniform
				  Credentialing Act Neb. Rev. Stat. §§
									38-101 to
				  38-1,146.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-002 - DEFINITIONS

Current through June 17, 2024
Definitions in the Uniform Credentialing Act, the Emergency
				  Medical Services Practice Act, 172 Nebraska Administrative Code (NAC) 9, 11,
				  and 12, and the following definitions apply to this chapter.
002.01
ACCREDITED.
An accrediting body recognized by the United States Department of
				Education.
002.02
APPROVED TRAINING AGENCY.
A person which is approved
				to conduct Emergency Medical Service course training by the Department upon
				recommendation of the Board.
002.03
CLINICAL TRAINING.
The instruction or training in a
				supervised practice of emergency medical skills in hospital settings such as
				critical care units, emergency departments, obstetrical units, or operating
				rooms or in other medical settings such as a clinic or office of an individual
				licensed to practice medicine and surgery.
002.04
DIRECT
				SUPERVISION.
The visual monitoring, providing of verbal direction,
				and overseeing patient care that is being provided by a student.
002.05
FIELD
				EXPERIENCE.
Time in an emergency medical service course when a
				student is directly supervised while operating with an emergency medical
				service, hospital, health clinic, or physician's office that provides care to a
				perceived individual need for medical care and proceeds from observation to
				providing care commensurate with the student's training.
002.06
PRIMARY
				INSTRUCTOR.
A licensed emergency medical service instructor who
				must attend a majority of the class sessions to assure course continuity and
				who is responsible for identifying students have the cognitive, affective, and
				psychomotor skills necessary to function at the level being taught.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-004 - TRAINING AGENCY STANDARDS AND COURSES

Current through June 17, 2024
Training agencies must:
(A) Provide official verification to
				individuals who have successfully completed any of the emergency medical
				service courses. The official verification must include the following:
(i) Training agency name and location of
				central or headquarters office;
(ii) Signature and title or position of a
				training agency individual attesting to the official verification;
(iii) Date student successfully completed the
				emergency medical service course;
(iv) Student full name including first and
				last name;
(v) Name of course that
				was successfully completed; and
(vi) Total number of hours the emergency
				medical service course provided. Advanced emergency medical technician and
				paramedic courses must include the number of didactic hours, clinical hours,
				and field internship hours;
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-005 - RESPONSIBILITIES AND QUALIFICATIONS OF APPROVED TRAINING AGENCY MEDICAL DIRECTORS

Current through June 17, 2024
The emergency medical service training agency medical
				  director must be responsible for the medical oversight of the program and the
				  following:
(A) Responsible for the
				medical supervision of the curriculum of an approved training agency and
				verification of entry level competency of the students;
(B) Review and approve education course
				content, procedures, and protocols related to medical care for appropriateness,
				accuracy and evidence-based care;
(C) Review and approve minimum number of
				required patient contacts and procedures not addressed in this chapter of
				regulation;
(D) Review and approve
				any evaluation tools and processes used to evaluate student's didactic,
				laboratory, and field experience;
(E) Review the progress of each student to
				assist in determining appropriate corrective action;
(F) Ensure the cognitive, psychomotor, and
				affective domains for students; and
(G) Ensure the effectiveness and quality of
				any training agency medical director responsibility that is delegated to
				another qualified physician.
005.01
MEDICAL DIRECTOR QUALIFICATIONS.
A medical director
				must:
(A) Have a current license in Nebraska
				to practice medicine and surgery;
(B) Have experience providing emergency care
				to acutely ill and injured patients;
(C) Have training or experience in the
				delivery of the practice of emergency medical care, including the proper care
				and transport of patients, medical direction, and quality improvement in the
				practice of emergency medical care;
(D) Be active in the medical community and
				participate in activities related to the practice of emergency medical care;
				and
(E) Be knowledgeable about
				emergency medical service education including professional, legislative, and
				regulatory issues regarding emergency medical services education.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-006 - CHANGE IN MEDICAL DIRECTOR

Current through June 17, 2024
Prior to a change in the training agency medical director,
				  the licensee must submit a change in medical director form provided by the
				  Department. A licensee may operate no more than 30 days without a physician
				  medical director and must notify the Department immediately if a medical
				  director resigns with no notice or due to unforeseen
				  circumstances.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-007 - CLOSURE OF A TRAINING AGENCY

Current through June 17, 2024
A training agency must notify the Department, in writing, a
				  minimum of six months prior to a planned closure of the training agency. The
				  notification must include a plan for completion of the training or transfer of
				  students currently enrolled in the approved training agency and the disposition
				  and storage of the records of the approved training agency. All requirements
				  for operation must be maintained until the approved training agency is
				  officially closed.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-008 - DEEMED COMPLIANCE

Current through June 17, 2024
An approved training agency may be deemed in compliance with
				  this chapter based on accreditation or certification by the Commission on
				  Accreditation of Allied Health Education Programs. The approved training agency
				  may still be selected for inspection.
008.01
REQUIREMENTS FOR APPROVED
				TRAINING AGENCY TO BECOME DEEMED.
An approved training agency may
				request the Department to recognize the accreditation. The request must be:
(A) Made in writing to the
				Department;
(B) Submitted within 30
				days of receipt of a report granting accreditation or certification;
				and
(C) Accompanied by a copy of
				the accreditation report and certificate.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE › Chapter 13 - EMERGENCY MEDICAL SERVICES TRAINING AGENCY › Section 172-13-009 - COMPLIANCE INSPECTIONS

Current through June 17, 2024
Each approved training agency has the responsibility to be in
				  compliance and to remain in compliance with all requirements. To determine
				  compliance with the statutes and regulations, the Department may conduct
				  announced or unannounced inspections of the approved training
				  agency.