New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 11 - SUPPLEMENTAL LICENSING PROVISIONS › Section 7.27.11.10 - SPECIAL SKILLS APPLICATION AND REPORTING PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Purpose:
Special skills are
				those skills, procedures, and medications that are requested by an EMS service
				to enhance emergency treatment capabilities beyond the normal scope of
				practice, as defined in the Emergency Medical Services Act. Use the enclosed
				procedures for application, reporting and renewal for special skills.
				Applications are reviewed and approved or disapproved by the medical direction
				committee, and once approved, become a legally recognized addition to the
				service capabilities.
B.
General:
All levels of EMS personnel, including licensed EMS first
				responders and all levels of licensed EMTs are eligible for special skills
				consideration for any procedure, skill or medication.
C.
Application procedure:
The
				EMS service medical director, or his designee, shall coordinate with the EMS
				service director, and shall apply for special skills to the EMS medical
				direction committee.
D.
Application document:
The application document for a special skill
				must be tailored to the level of the request. While the degree of detail in
				each section may vary to match the nature of the skill requested, all
				applications should include the following elements, in order:
(1) application cover page: titled to state
				the requested special skill, date of application, name of service, service
				director name and medical director name;
(2) contact information page: must include
				address and contact information for the service, service director and medical
				director;
(3) letters of support:
				must include individual letters of support from the service director and
				medical director; additional letters of support from the local medical
				community or evidence of notification of the local medical community may be
				required; the need for letters of notification and support from the local
				medical community and who provides the letters must be adjusted to match the
				nature of the special skill requested;
(4) service description: provide a concise
				description of the EMS service; this includes such items as basic call
				demographics relevant to the applicant, level of licensure of providers and
				names and locations of the primary receiving medical facilities;
(5) description of the special skill: provide
				a description of the procedure, medication or requested skill; include
				information on risks, benefits, indications and contraindications;
(6) justification and statement of need:
				provide a statement explaining why the special skill is needed; this should
				include a description of the current medical intervention or alternative
				practice to the special skill and a risk or benefit analysis that supports the
				special skill requested; the estimated number of potential interventions per
				year, other relevant statistical data and a statement indicating the level of
				current scientific information/studies to support the requested special skill;
				the level of scientific justification can be adjusted to match the level of the
				special skill requested;
(7)
				protocol: provide a copy of the treatment protocol; include other operational
				protocols relevant to the special skill, if applicable;
(8) training: provide a training syllabus;
				this must include learning objectives and the training hours for initial and
				continuing education; this section should also include a description of the
				instructors, how training will be completed, and a description of the method
				used to initially evaluate the skill; once initial training is completed, a
				list of trained and approved personnel shall be provided to the medical
				direction committee; these special skill authorized licensed EMS personnel must
				appear on the service's personnel list on the
New Mexico EMS tracking
				and reporting system database
.
(9) QA/QI program: provide a description of
				the QA/QI process for the special skill, including frequency of evaluation,
				names and qualifications of the personnel involved in the process; include a
				copy of the evaluation tool or forms that will be used, if applicable;
				and
(10) the application and all
				supporting documentation shall be submitted to the EMS bureau, attn: EMS
				program manager.