Wyo. Code R. 048-0023-6
Effective Date: 06/08/1998 to 01/26/2004
Rule Type: Superceded Rules & Regulations
Reference Number: 048.0023.6.06081998
Section 1. Required. All ambulance services must establish training and continuing education programs. Training programs for emergency medical personnel shall address not only adults but shall include emergency medical services for children (EMS-C).
Section 2. Review by Agencies. All advanced training programs shall be reviewed and approved by the Division, the Task Force on Medical Education, and the Board.
Section 3. Program Committee. Any person desiring to establish a training program for EMT-I (Intermediate) or Paramedic personnel shall form a Program Committee. The Program Committee shall consist of ambulance service representatives in the geographic area who will employ or utilize the attendants.
(a) Program Committees for EMT-I (Intermediate) personnel shall consist of:
(i) A physician licensed to practice medicine in this state who agrees to act as program director; and
(ii) A representative from the sponsoring hospital.
(b) Program Committees for Paramedic personnel shall include:
(i) A physician licensed to practice medicine in this state who agrees to act as program director; and
(ii) Personnel from the sponsoring hospital who represent nursing, administration, the emergency department, and the intensive care unit.
Section 4. Application. The Program Committee shall submit an application for an advanced training program to the Division. The application must include:
(a) A summary, with appropriate documentation, explaining the medical need for the program;
(b) A description of the proposed training program consisting of:
(i) Content;
(ii) Time schedule;
(iii) Instructors by name and subject;
(iv) Materials and physical facilities;
(v) Number of students; (vi) Clinical and field internship requirements, and (vii) Record keeping methods;
(c) The local criteria for students acceptance and graduation, if more restrictive than Division criteria; and
(d) Provisions for commitment of sponsor hospital as required by Chapter 7 of these rules. (See Chapter 7, Section 3).
Section 5. Decision. The Division shall notify the Program Committee of its decision concerning the applicant's application for an advanced training program within ten (10) days of its decision. If the Division denies an applicant's application, the applicant may reapply.
Section 6. Supervision. Following approval, the program shall be supervised by the program director, who shall be a licensed physician. The program director shall ensure that each instructor is thoroughly knowledgeable in his subject and understands his responsibility and will maintain the standards of quality instruction as provided in the curriculum.
Section 7. Admission Requirements.
(a) Students shall be admitted to an EMT-I (Intermediate) training program only if they:
(i) Are currently certified by the Division as an EMT attendant;
(ii) Show evidence of having completed twelve (12) months of active affiliation with a Wyoming licensed ambulance service as an attendant. The Division, at its sole discretion, may waive this after review by the Division on a case-by-case basis;
(iii) Are recommended by at least one (1) licensed physician;
(iv) Are approved by the program's physician medical director and the ambulance administrator;
(v) Are free of any physical or mental disabilities which would, in the judgment of the student's physician medical director, render them incapable of performing as an EMT-I (Intermediate) attendant;
(vi) Complete the practical performance review with the physician medical director using the state proficiency checklist; and
(vii) Successfully complete the precourse written exam no more than thirty (30) days prior to the program's starting date.
(b) Students shall be admitted to a Paramedic training program only if they:
(i) Are currently certified by the Division as an EMT attendant or EMT-I (Intermediate) attendant;
(ii) Have at least one (1) year of regular patient care while serving as an EMT attendant or EMT-I (Intermediate) attendant;
(iii) Are recommended by one (1) licensed physician;
(iv) Are accepted by the Program Committee; and
(v) Are free of any physical or mental disabilities which would, in the judgment of the student's physician medical director, render them incapable of performing as a Paramedic attendant.
Section 8. Instructors. Instructors for an EMT-I (Intermediate) or Paramedic program shall be:
(a) Physicians;
(b) Registered nurses licensed in this state;
(c) Paramedics; or
(d) Individuals acceptable to the Division. Physicians currently certified in advanced cardiac life support by the American Heart Association, in accordance with current national standards, shall serve as the instructor for the advanced life support/emergency cardiac care sections of the training program.
Section 9. Curriculum. Curriculum requirements shall be established by the Division. To be acceptable, a curriculum must adhere to the current National Emergency Medical Services Educational and Practical Blueprint outline.
Section 10. Educational Records. The program coordinator shall maintain accurate records of each student's involvement in the training curriculum. These records must be submitted at the time of certification and recertification. Such records shall include, but not necessarily be limited to, attendance at lectures, demonstrations, subject matters covered, completion of the prescribed clinical requirements, time spent at each clinical area, special experience containing a clinical training component, and verification of practical skill competency.
Section 11. Task Force on Prehospital Care.
(a) Composition of the Task Force. The Division will appoint a Task Force on Prehospital Care selected from currently practicing Wyoming licensed physicians. The Task Force shall consist of seven (7) members selected from the following specialties:
(i) Anesthesiology;
(ii) Cardiology;
(iii) Emergency room medicine; (iv) Family/general practice; (v) General surgery and/or other surgical specialty; (vi) Internal medicine; or (vii) Pediatrics.
(b) Operation of the Task Force. The Task Force may meet quarterly, or as needed, for the purpose of advising the Division and Board by:
(i) Reviewing applications and making recommendations on EMT-I (Intermediate) or Paramedic training program requests; (ii) Reviewing the appointment of hospitals as sponsor hospitals for the EMT-I (Intermediate) or Paramedic program; (iii) Making recommendations for the selection of EMT-I (Intermediate) or Paramedic trainees; (iv) Reviewing EMT-I (Intermediate) and Paramedic training curriculum; (v) Recommending the EMT-I (Intermediate) and Paramedic certification reciprocity policy; (vi) Making recommendations concerning other technical medical areas as requested by the Division or the Board; and (vii) Reviewing requests from physician medical directors and make recommendations to the Board on requests for new/additional BEC, basic EMT, EMT-I (Intermediate), or Paramedic medication and/or skill authorizations.
Intentionally Left Blank