Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter IV - Emergency Medical Service Provider Licensing and Operation › Section DHS 110.50 - EMS provider staffing requirements

Current through June 24, 2024
(1) An emergency
				  medical service provider shall satisfy the staffing requirements appropriate to
				  the level of service for which it is licensed. All individuals constituting the
				  minimum staffing shall be credentialed with the emergency medical service
				  provider under s.
				  DHS
				  110.53. Except as provided in sub. (2) or (3), an
				  emergency medical service provider shall comply with the following requirements
				  that are applicable to the provider's level of service:
(a)
EMT ambulance.
An EMT
				  ambulance shall be staffed with at least two individuals, credentialed with
				  that emergency medical service provider under s.
				  DHS
				  110.53, who are licensed at the EMT level or one
				  licensed EMT and one with an EMT training permit. When staffed with a person
				  that holds an EMT training permit the licensed EMT must be in the patient
				  compartment during transport.
(b)
AEMT ambulance.
An AEMT ambulance shall be staffed with at
				  least two individuals credentialed with that emergency medical service provider
				  under s.
				  DHS
				  110.53. One individual shall be licensed at the AEMT
				  level and one individual licensed at or above the EMT level. If a patient
				  requires AEMT skills, medications or equipment, the AEMT shall remain with the
				  patient at all times during care and transport of the patient.
(c)
EMT-intermediate
				  ambulance.
An EMT-intermediate ambulance shall be staffed with at
				  least two individuals credentialed with that emergency medical service provider
				  under s.
				  DHS
				  110.53. One individual shall be licensed at the
				  EMT-intermediate level and one individual licensed at or above the EMT level.
				  If a patient requires EMT-intermediate skills, medications or equipment, the
				  EMT-intermediate shall remain with the patient at all times during care and
				  transport of the patient.
(d)
Paramedic ambulance
.
1. For
				  an ambulance service provider licensed before January 1, 2000, the ambulance
				  shall be staffed with two paramedics credentialed with that emergency medical
				  service provider under s.
				  DHS
				  110.53 except if any of the following apply:
a. The ambulance is responding in a
				  municipality with a population of less than 10,000.
b. The ambulance is performing an
				  interfacility transport.
c. All
				  regularly staffed two-paramedic ambulances are committed to emergency events.
				  In that case, additional ambulances may be staffed with one paramedic and
				  individual licensed at or above the EMT level.
2. Except as provided in subd. 3., for an
				  ambulance service provider licensed after January 1, 2000, the ambulance shall
				  be staffed with at least two individuals credentialed with that emergency
				  medical service provider under s.
				  DHS
				  110.53. One individual shall be licensed at the
				  paramedic level and one individual licensed at or above the EMT level. If a
				  patient requires patient care at the paramedic level, the paramedic shall
				  remain with the patient at all times during care and transport of the
				  patient.
3. For an ambulance service
				  provider licensed at the paramedic level in the same primary service area in
				  which paramedic service was or is provided by two paramedics, the ambulance
				  shall be staffed with two paramedics except if any of the following apply:
a. The ambulance is responding in a
				  municipality with a population of less than 10,000.
b. The ambulance is performing an
				  interfacility transport.
c. All
				  regularly staffed two-paramedic ambulances are committed to emergency events.
				  In that case, additional ambulances may be staffed with one paramedic and
				  individual licensed at or above the EMT level.
4. A provider that uses a two paramedic
				  system, in which paramedics respond separately from different locations, shall
				  dispatch both paramedics immediately and simultaneously for all emergency
				  response requests. A single paramedic performing in this staffing configuration
				  may perform all the skills allowed in the scope of practice of the paramedic
				  prior to the arrival of a second paramedic, as long as the arrival of the
				  second paramedic is expected within a reasonable and prudent time based on the
				  patient's condition. If 2 paramedics respond, after the patient has been
				  assessed and stabilized, one paramedic may be released by patient care protocol
				  or verbal order from a medical control physician. An ambulance service provider
				  that responds with paramedics from two different locations, or that releases
				  one paramedic after assessment, shall identify in its operational plan what
				  time frame is considered to be a timely response based on its resources and
				  primary service area logistics.
(e)
Critical care ambulance.
A critical care level interfacility transport shall be staffed with at least
				  two individuals credentialed with that emergency medical service provider under
				  s.
				  DHS
				  110.53. One individual shall be licensed and
				  credentialed at the critical care paramedic level and one individual shall be
				  licensed and credentialed as an emergency medical services practitioner at any
				  level. If a patient requires critical care paramedic skills or medications, the
				  critical care paramedic shall remain with the patient at all times during care
				  and transport of the patient.
(f)
Non-transporting emergency medical service provider.
A
				  non-transporting emergency medical service provider shall respond to a request
				  for service with at least one licensed emergency medical services practitioner
				  at the level for which the service provider is licensed.
(g)
Emergency medical responder
				  service provider.
When an emergency medical responder service provider
				  responds to a request for service at least one certified emergency medical
				  responder shall respond.
(h)
Interfacility transfers
. Staffing for interfacility transfers
				  shall be based on the needs of the patient as identified by the sending
				  physician. A service may staff to any of the configurations in this subsection
				  but may not exceed the level at which the service is licensed.