DAR File No. 37691
This rule was published in the July 1, 2013, issue (Vol. 2013, No. 13) of the Utah State Bulletin.
Health, Family Health and Preparedness, Emergency Medical Services
Rule R426-12
Emergency Medical Services Training and Certification Standards
Notice of Proposed Rule
(Repeal)
DAR File No.: 37691
Filed: 06/04/2013 10:43:30 AM
RULE ANALYSIS
Purpose of the rule or reason for the change:
This repeal is in response to the Governor's mandate for rule review and simplification. This rule is repealed as part of a change to the sequence of numbering for Title R426 that allows for a new set of rules that begins with Rules R426-1 through R426-9. This is part of a set of rules to update, and re-number all of the administrative rules in a more concise and logical order for implementation.
Summary of the rule or change:
This rule is repealed in its entirety.
State statutory or constitutional authorization for this rule:
- Title 26, Chapter 8a
Anticipated cost or savings to:
the state budget:
No anticipated fiscal impact to the state budget because there are no changes in the existing rule requirements that are imposed by this repeal.
local governments:
No anticipated fiscal impact to local governments because there are no changes in the existing rule requirements that are imposed by this repeal.
small businesses:
No anticipated fiscal impact to small businesses because there are no changes in the existing rule requirements that are imposed by this repeal.
persons other than small businesses, businesses, or local governmental entities:
No anticipated fiscal impact to businesses because there are no changes in the existing rule requirements that are imposed by this repeal.
Compliance costs for affected persons:
No anticipated fiscal impact for affected persons because there are no changes in the existing rule requirements that are imposed by this repeal.
Comments by the department head on the fiscal impact the rule may have on businesses:
No effect on business.
David Patton, PhD, Executive Director
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:
HealthFamily Health and Preparedness, Emergency Medical Services
3760 S HIGHLAND DR
SALT LAKE CITY, UT 84106
Direct questions regarding this rule to:
- Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected]
Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:
07/31/2013
This rule may become effective on:
08/07/2013
Authorized by:
David Patton, Executive Director
RULE TEXT
[DAR NOTE: The text of this filing is not included in the PDF edition of the Bulletin because the Director of the Division of Administrative Rules determined it was too long to print. The text is published by reference to the text on file and maintained by the Division of Administrative Rules. (Subsection 63G-3-402(1)(d))]
R426. Health, Family Health and Preparedness, Emergency Medical Services.
[R426-12. Emergency Medical Services Training and
Certification Standards.
R426-12-100. Authority and Purpose.
This rule is established under Title 26, Chapter 8a to
provide uniform minimum standards to be met by those providing
emergency medical services in the State of Utah; and for the
training, certification, and recertification of individuals who
provide emergency medical service and for those providing
instructions and training to pre-hospital emergency medical care
providers.
R426-12-101. Written and Practical Test Requirements.
(1) The Department shall:
(a) develop written and practical tests for each
certification; and
(b) establish the passing score for certification and
recertification written and practical tests.
(2) The Department may administer the tests or delegate
the administration of any test to another entity.
(3) The Department may release only to the individual who
took the test and to persons who have a signed release from the
individual who took the test:
(a) whether the individual passed or failed a written or
practical test; and
(b) the subject areas where items were missed on a
written or practical test.
R426-12-102. Emergency Medical Care During Clinical
Training.
A student enrolled in a Department-approved training
program may, under the direct supervision of the course
coordinator, an instructor in the course, or a preceptor for the
course, perform activities delineated within the training
curriculum that otherwise require certification to
perform.
R426-12-103. Certification at a Lower Level.
(1) An individual who has taken an Emergency Medical
Technician-Intermediate Advanced (EMT-IA) course, but has not
been recommended for certification, may request to become
certified at the Emergency Medical Technician-Intermediate
(EMT-I) level if:
(a) the EMT-IA course coordinator submits to the
Department a favorable letter of recommendation stating that the
individual has successfully obtained the knowledge and skills of
the EMT-I level as required by R426-12-300(2); and
(b) the individual successfully completes all
requirements of R426-12-301, except for
R426-12-301(2)(a).
(2) An individual who has taken a Paramedic course, but
has not been recommended for certification, may request to become
certified at the EMT-IA or EMT-I levels if:
(a) the paramedic course coordinator submits to the
Department a favorable letter of recommendation stating that the
individual has successfully obtained the knowledge and skills of
the EMT-I level as required by R426-12-300(2) or the EMT-IA level
as required by R426-12-400(2), as appropriate; and
(b) the individual successfully completes all
requirements of:
(i) R426-12-301, except for R426-12-301(2)(a) for EMT-I;
or
(ii) R426-12-401, except for R426-12-401(2)(a) for EMT-IA
respectively.
R426-12-104. TB Test Requirements.
All levels of certification and recertification must
submit a statement from a physician or other health care
provider, confirming the applicant's negative results of a
Tuberculin Skin Test or equivalent (TB test) examination
conducted within the prior year, or complete the following
requirements:
(1) If the test is positive, and there is no documented
history of prior Latent TB Infection (LTBI) treatment, the
applicant must see his primary care physician for a chest x-ray
(CXR) in accordance with current Center for Disease Control and
Prevention (CDC) guidelines and further evaluation. Results of
CXR and medical history must be submitted to the Bureau.
(a) If the CXR is negative, the applicant's medical
history will be reviewed by the State EMS Medical Director. For
individuals at high risk for developing active TB, treatment will
be strongly recommended.
(b) If the CXR is positive, the applicant is considered
to be suspect Active TB. Should the diagnosis be confirmed,
completion of treatment or release by an appropriate physician
will be required prior to certification. Each such case will be
reviewed by the State EMS Medical Director.
(c) In the event that an applicant who is required to get
treatment refuses the treatment, BEMS may deny
certification.
(2) A TB test should not be performed on a person who has
a documented history of either a prior positive TB test or prior
treatment for tuberculosis. The applicant must instead have a CXR
in accordance with current CDC guidelines and provide
documentation of negative CXR results to the Bureau.
(3) If the applicant has had prior treatment for active
TB or LTBI, the applicant must provide documentation of this
treatment prior to certification. Documentation of this treatment
will be maintained by the Bureau, and needs only to be provided
once. Each such case will be reviewed by the State EMS Medical
Director.
R426-12-200. Emergency Medical Technician-Basic (EMT-B)
Requirements and Scope of Practice.
(1) The Department may certify as an EMT-B an individual
who meets the initial certification requirements in
R426-12-201.
(2) The Committee adopts as the standard for EMT-Basic
training and competency in the state, the following affective,
cognitive and psychomotor objectives for patient care and
treatment from the 1994 United States Department of
Transportation's "EMT-Basic Training Program: National
Standard Curriculum" (EMT-B Curriculum), which is
incorporated by reference, with the exceptions of Module 8:
Advanced Airway and Appendices C, D, J. and K.
(3) An EMT-B may perform the skills as described in the
EMT-B Curriculum, as adopted in this section.
R426-12-201. EMT-B Initial Certification.
(1) The Department may certify an EMT-B for a four year
period.
(2) An individual who wishes to become certified as an
EMT-B must:
(a) successfully complete a Department-approved EMT-B
course as described in R426-12-200(2);
(b) be able to perform the functions listed in the
objectives of the EMT-B Curriculum adopted in R426-12-200(2) as
verified by personal attestation and successful accomplishment
during the course of all cognitive, affective, and psychomotor
skills and objectives listed in the adopted EMT-B
Curriculum;
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence during field and clinical training and successful
completion of all training requirements for EMT-B
certification;
(d) be 18 years of age or older;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(g) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency
Cardiac Care (ECC);
(h) submit to the Department a statement from a
physician, confirming the applicant's results of a TB
examination conducted within one year prior to completing the
EMT-B course;
(i) within 120 days after the official course end date
the applicant must successfully complete the Department written
and practical EMT-B examinations, or reexaminations, if
necessary.
(3) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
R426-12-202. EMT-B Certification Challenges.
(1) The Department may certify as an EMT-B, a registered
nurse licensed in Utah, a physician assistant licensed in Utah,
or a physician licensed in Utah who:
(a) is able to demonstrate knowledge, proficiency and
competency to perform all the functions listed in the EMT-B
Curriculum as verified by personal attestation and successful
demonstration to a currently certified course coordinator and an
off-line medical director of all cognitive, affective, and
psychomotor skills and objectives listed in the EMT-B
Curriculum;
(b) has a knowledge of:
(i) medical control protocols;
(ii) state and local protocols; and
(iii) the role and responsibilities of an EMT-B;
(c) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for CPR and ECC; and
(d) is 18 years of age or older.
(2) To become certified, the applicant must:
(a) submit three letters of recommendation from health
care providers attesting to the applicant's patient care
skills and abilities;
(b) submit a favorable recommendation from a currently
certified course coordinator attesting to competency of all
knowledge and skills contained within the EMT-B
Curriculum.
(c) submit the applicable fees and a completed
application, including social security number, signature, and,
proof of current Utah license as a Registered Nurse, a Physician
Assistant, or a Medical Doctor;
(d) within 120 days after submitting the challenge
application, successfully complete the Department written and
practical EMT-B examinations, or reexaminations, if
necessary;
(e) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within 120 days was due to
circumstances beyond the applicants control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
and
(g) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within one
year prior to submitting the application.
R426-12-203. EMT-B Reciprocity.
(1) The Department may certify an individual as an EMT-B
an individual certified outside of the State of Utah if the
applicant can demonstrate the applicant's out-of-state
training and experience requirements are equivalent to or greater
than what is required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for CPR and ECC;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year;
(e) successfully complete the Department written and
practical EMT-B examinations, or reexaminations, if
necessary;
(f) submit a current certification from one of the states
of the United States or its possessions, or current registration
and the name of the training institution if registered with the
National Registry of EMTs; and
(g) provide documentation of completion of 25 hours of
continuing medical education (CME) within the prior
year.
R426-12-204. EMT-B Recertification Requirements.
(1) The Department may recertify an EMT-B for a four year
period or for a shorter period as modified by the Department to
standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for CPR and ECC. CPR must be kept current during
certification;
(d) submit a statement from the applicant's EMS
provider organization or a physician, confirming the
applicant's results of a TB examination; and
(e) successfully complete the Department applicable
written and practical recertification examinations, or
reexaminations if necessary, within one year prior to
expiration;
(f) provide documentation of completion of 98 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), and (5).
(3) The EMT-B must take the following required CME hours
by subject in accordance with the National EMS Education
Standards. The hours must be completed throughout the prior four
years:
(a) Preparatory - 4 hours;
(b) Anatomy and Physiology - 2 hours;
(c) Medical Terminology - 2 hours;
(d) Pathophysiology - 4 hours;
(e) Life Span Development - 2 hours;
(f) Public Health - 1 hour;
(g) Pharmacology - 3 hours;
(h) Airway Management, Respiration and Artificial
Ventilation - 2 hours;
(i) Assessment - 12 hours;
(j) Medicine - 20 hours;
(k) Shock and Resuscitation - 2 hours;
(l) Trauma - 22 hours;
(m) Special Patient Populations - 7 hours;
(n) EMS Operations - 7 hours;
(o) CPR - 8 hours (two CPR renewal courses fulfill this
requirement. CPR refresher courses can only be counted towards
the CPR CME requirement.)
(4) An EMT-B may complete CME hours through
methodologies, but 30 of the CME hours must be practical hands-on
training. All CME must be related to the required skills and
knowledge of an EMT. Instructors need not be EMS instructors, but
must be knowledgeable in the field of instruction.
(5) The EMT-B must complete and document the psychomotor
skills listed in the current National EMS Education Standards, on
at least two separate occasions.
(6) An EMT-B who is affiliated with an EMS organization
should have the training officer from the EMS organization submit
a letter verifying the EMT-B's completion of the
recertification requirements. An EMT-B who is not affiliated with
an agency must submit verification of all recertification
requirements directly to the Department.
(7) Each EMT-B is individually responsible to complete
and submit the required recertification material to the
Department. Each EMT-B should submit all recertification
materials to the Department at one time, no later than 30 days
and no earlier than one year prior to the EMT-B's current
certification expiration date. If the Department receives
incomplete or late recertification materials, the Department may
not be able to process the recertification before the
certification expires. The Department processes recertification
material in the order received.
(8) An EMS provider or an entity that provides CME may
compile and submit recertification materials on behalf of an
EMT-B; however, the EMT-B remains responsible for a timely and
complete submission.
(9) The Department may shorten recertification periods.
An EMT-B whose recertification period is shortened must meet the
CME requirements in each of the required and elective
subdivisions on a prorated basis by the expiration of the
shortened period.
(10) The Department may not lengthen certification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expired. If this happens, the individual shall recertify in
accordance with Utah Code 39-1-64.
R426-12-205. EMT-B Lapsed Certification.
(1) An individual whose EMT-B certification has expired
for less than one year may, within one year after expiration,
complete all recertification requirements and pay a late
recertification fee to become certified. The individual's new
expiration date will be four years from the old expiration
date.
(2) An individual whose certification has expired for
more than one year must take an EMT-B course and reapply for
initial certification.
(3) An individual whose certification has lapsed, is not
authorized to provide care as an EMT until the individual
completes the recertification process.
R426-12-206. EMT-B Testing Failures.
(1) An individual who fails any part of the EMT-B
certification or recertification written or practical examination
may retake the EMT-B examination twice without further course
work.
(2) If the individual fails both re-examinations, he must
take a complete EMT-B training course to be eligible for further
examination.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written test administered after
completion of the new course.
R426-12-300. Emergency Medical Technician-Intermediate
(EMT-I) Requirements and Scope of Practice.
(1) The Department may certify as an EMT-I, an EMT-B who
meets the initial certification requirements in
R426-12-301;
(2) The Committee adopts as the standard for EMT-I
training and competency in the state the following affective,
cognitive, and psychomotor objectives for patient care and
treatment from the 1998 United States Department of
Transportation's "Emergency Medical
Technician-Intermediate Training Program: National Standard
Curriculum" (EMT-I Curriculum): 1-1, 1-3, 1-4, 2-1, 3-2,
3-3, 3-5, 4-2, 5-1, 5-2, 5-3, 5-4, 5-5, 6-3, which is
incorporated by reference, with the exception of the following
objectives : 1-1.18-24, 1-1.54, 1-3.14-15, 1-3.17, 1-4.18,
1-4.24-25, 1-4.38, 2-1.7-8, 2-1.21, 2-1.33, 2-1.82-83, 2-1.92,
2-1.94, 2-1.96, 4-2.14-16, 5-1.3-5, 5-2.6-11, 5-2.13-14,
5-2.16-18, 5-2.20, 5-2.22-33, 5-2.39, 5-2.41, 5-2.44-46,
5-3.5-16, 5-4.3-5, 5-4.8-11, 5-5.3, 5-5.8-9, and 5-5.13,
(3) In addition to the skills that an EMT-B may perform,
an EMT-I may perform the adopted skills described in section
R426-12-300(2).
R426-12-301. EMT-I Initial Certification.
(1) The Department may certify an EMT-I for a four year
period.
(2) An individual who wishes to become certified as an
EMT-I must:
(a) successfully complete a Department-approved EMT-I
course as described in R426-12-300(2);
(b) be able to perform the functions listed in the
objectives of the EMT-I Curriculum adopted in R426-12-300(2) as
verified by personal attestation and successful accomplishment
during the course of all cognitive, affective, and psychomotor
skills and objectives.
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence during field and clinical training and successful
completion of all training requirements for EMT-I
certification;
(d) be currently certified as an EMT-B prior to the start
of the Intermediate course;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(g) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
life support and maintain current status as set by the entity
sponsoring the course;
(h) submit to the Department a statement from a
physician, confirming the applicant's results of a TB
examination conducted within one year prior to completing the
EMT-I course; and
(i) within 120 days after the official course end date
the applicant must, successfully complete the Department written
and practical EMT-I examinations, or reexaminations, if
necessary.
(3) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
(4) If an individual's basic EMT certification lapses
before he has completed all course requirements for an EMT-I, the
individual must recertify as an EMT-B, including a practical test
and CME documentation, before he can certify as an EMT-I. The
individual may take the EMT-I written certification test to
satisfy the written EMT-Basic recertification and EMT-I written
certification requirements.
R426-12-302. EMT-I Reciprocity.
(1) The Department may certify as an EMT-I an individual
certified outside of the State of Utah if the applicant can
demonstrate the applicant's out-of-state training and
experience requirements are equivalent to or greater to than what
is required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
life support and maintain current status as set by the entity
sponsoring the course;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year;
(e) successfully complete the Department written and
practical examinations, or reexaminations, if necessary;
(f) submit a current certification from one of the states
of the United States or its possessions, or current registration
and the name of the training institution if registered with the
National Registry of EMTs;
(g) provide documentation of completion of 25 hours of
continuing medical education (CME) within the prior
year.
R426-12-303. EMT-I Recertification Requirements.
(1) The Department may recertify an EMT-I for a four year
period or for a shorter period as modified by the Department to
standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
life support and maintain current status as set by the entity
sponsoring the course. CPR, ACLS, and PEPP or PALS must be kept
current during certification.
(d) submit a statement from the EMS provider organization
or a physician, confirming the applicant's results of a TB
examination
(e) successfully complete the Department applicable
written and practical recertification examinations, or
reexaminations if necessary, within one year prior to
expiration;
(f) submit a letter from a certified off-line medical
director recommending the individual for recertification and
verifying the individual's demonstrated proficiency in the
following EMT-I skills:
(i) initiating and terminating intravenous
infusion;
(ii) completion of pediatric vascular access skills
station;
(iii) insertion and removal of intraosseous
needle;
(iv) insertion and removal of endotracheal tube;
(v) administration of medications via intramuscular,
subcutaneous, and intravenous routes; and
(vi) EKG rhythm recognition; and
(g) provide documentation of completion of 100 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), and (5).
(3) The EMT-I must take the following required CME hours
by subject in accordance with the National EMS Education
Standards. The hours must be completed throughout the prior four
years.
(a) Preparatory - 5 hours;
(b) Anatomy and Physiology - 2 hours;
(c) Medical Terminology - 1 hours;
(d) Pathophysiology - 3 hours;
(e) Life Span Development - 1 hours;
(f) Public Health - 1 hour;
(g) Pharmacology - 2 hours;
(h) Airway Management, Respiration and Artificial
Ventilation - 2 hours;
(i) Assessment - 10 hours;
(j) Medicine - 12 hours;
(k) Shock and Resuscitation - 2 hours;
(l) Trauma - 17 hours;
(m) Special Patient Populations - 3 hours;
(n) EMS Operations - 7 hours;
(o) Pediatric Advanced Life Support (PALS) or Pediatric
Emergency Preparedness Program (PEPP) Course - 16 hours;
(p) Advanced Cardiac Life Support Course - 16
hours;
(q) CPR - 8 hours (two CPR renewal courses fulfill this
requirement. CPR refresher courses can only be counted towards
the CPR CME requirement.)
(4) An EMT-I may complete CME hours through different
methodologies, but 35 of the CME hours must be practical hands-on
training. All CME must be approved by the Department or CECBEMS.
All CME must be related to the required skills and knowledge of
an EMT. Instructors need not be EMS instructors, but must be
knowledgeable in the field of instruction.
(5) The EMT-I must complete and document the psychomotor
skills listed in the current National EMS Education Standards on
at least two separate occasions.
(6) An EMT-I who is affiliated with an EMS organization
should have the training officer from the EMS organization submit
a letter verifying the EMT-I's completion of the
recertification requirements. An EMT-I who is not affiliated with
an agency must submit verification of all recertification
requirements directly to the Department.
(7) Each EMT-I is individually responsible to complete
and submit the required recertification material to the
Department. Each EMT-I should submit all recertification
materials to the Department at one time, no later than 30 days
and no earlier than one year prior to the EMT-I's current
certification expiration date. If the Department receives
incomplete or late recertification materials, the Department may
not be able to process the recertification before the
certification expires. The Department processes recertification
material in the order received.
(8) An EMS provider or an entity that provides CME may
compile and submit recertification materials on behalf of an
EMT-I; however, the EMT-I remains responsible for a timely and
complete submission.
(9) The Department may shorten recertification periods.
An EMT-I whose recertification period is shortened must meet the
CME requirements in each of the required and elective
subdivisions on a prorated basis by the expiration of the
shortened period.
(10) The Department may not lengthen recertification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expires. If this happens, the individual shall recertify
following Utah Code 39-1-64.
R426-12-304. EMT-I Lapsed Certification.
(1) An individual whose EMT-I certification has expired
for less than one year, may, within one year after expiration,
complete all recertification requirements and pay a late
recertification fee to become certified. The individual's new
expiration date will be four years from the individual's old
expiration date.
(2) An individual whose certification has expired for
more than one year must take the EMT-B and EMT-I courses and
reapply for initial certification.
(3) An individual whose certification has lapsed, is not
authorized to provide care as an EMT-I until the individual
completes the recertification process.
R426-12-305. EMT-I Testing Failures.
(1) An individual who fails any part of the EMT-I
certification or recertification written or practical examination
may retake the EMT-I examination twice without further course
work.
(2) If the individual fails both re-examinations, he must
take a complete EMT-I training course to be eligible for further
examination.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written test administered after
completion of the new course.
(4) If an EMT-I fails the recertification written test
three times or the practical tests three times, he may request in
writing, within 30 days of the date of the third failure
notification letter, that he be allowed to apply for EMT-Basic
recertification. The failed EMT-I cannot retake the EMT-I course
until the failed EMT-I recertifies as an EMT-B. If he applies for
EMT-Basic recertification in this circumstance, he has three
opportunities to test to that level. The failed EMT-I must
complete all recertification requirements at the EMT-B level
within one year of the lapse of the EMT-I certification. If the
requirements for the EMT-B certification are not completed within
one year of the lapse of the EMT-I certification, the applicant
must retake a complete EMT-Basic course.
R426-12-400. Emergency Medical Technician-Intermediate
Advanced (EMT-IA) Requirements and Scope of Practice.
(1) The Department may certify as an EMT-IA, an EMT-B or
an EMT-I who meets the initial certification requirements in
R426-12-401;
(2) The Committee adopts as the standard for EMT-IA
training and competency in the state the following affective,
cognitive, and psychomotor objectives for patient care and
treatment from the 1998 United States Department of
Transportation's "Emergency Medical
Technician-Intermediate Training Program: National Standard
Curriculum" (EMT-I Curriculum) which is incorporated by
reference, with the exception of the following objectives:
1-1.18-24,1-1.54,2-1.8, 2-1.31(f), 2-1.33, 2-1.75(c), (e), and
(f), 6-3.1, 6-3.102-106.
(3) In addition to the skills that an EMT-B and an EMT-I
may perform, an EMT-IA may perform the adopted skills described
in section R426-12-400(2).
R426-12-401. EMT-IA Initial Certification.
(1) The Department may certify an EMT-IA for a four-year
period.
(2) An individual who wishes to become certified as an
EMT-IA must:
(a) successfully complete a Department-approved EMT-IA
course as described in R426-12-400(2);
(b) be able to perform the functions listed in the
objectives of the EMT-I Curriculum adopted in R426-12-400(2) as
verified by personal attestation and successful accomplishment
during the course of all cognitive, affective, and psychomotor
skills and objectives;
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence during field and clinical training and successful
completion of all training requirements for EMT-IA
certification;
(d) be currently certified as an EMT-B or EMT-I prior to
the start of the course;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(g) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
cardiac life support and maintain current status as set by the
entity sponsoring the course;
(h) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year; and
(i) within 120 days after the official course end, the
applicant must, successfully complete the Department written and
practical EMT-IA examinations, or reexaminations, if
necessary;
(3) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
(4) If an individual's basic EMT or intermediate EMT
certification lapses before he has completed all course
requirements for an EMT-IA, the individual must recertify at his
current certification level, including a practical test and CME
documentation, before he can certify as an EMT-IA. The individual
may take the EMT-IA written certification test to satisfy the
written EMT-Basic or EMT-Intermediate recertification and EMT-IA
written certification requirements.
R426-12-402. EMT-IA Reciprocity.
(1) The Department may certify as an EMT-IA an individual
certified outside of the State of Utah if the applicant can
demonstrate the applicant's out-of-state training and
experience requirements are equivalent to or greater than what is
required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
cardiac life support and maintain current status as set by the
entity sponsoring the course;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year;
(e) successfully complete the Department written and
practical EMT-IA examinations, or reexaminations, if
necessary;
(f) submit a current certification from one of the states
of the United States or its possessions, or current registration
and the name of the training institution if registered with the
National Registry of EMTs; and
(g) provide documentation of completion of 25 hours of
continuing medical education (CME) within the prior
year.
R426-12-403. EMT-IA Recertification Requirements.
(1) The Department may recertify an EMT-IA for a four
year period or for a shorter period as modified by the Department
to standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
cardiac life support and maintain current status as set by the
entity sponsoring the course; CPR, ACLS, and PALS/PEPP must be
current during certification.
(d) submit a statement from the applicant's EMS
provider organization or a physician, confirming the
applicant's results of a TB examination;
(e) successfully complete the Department applicable
written and practical EMT-IA recertification examinations, or
reexaminations, if necessary within one year prior to
expiration;
(f) submit a letter from a certified off-line medical
director recommending the individual for recertification and
verifying the individual's demonstrated proficiency in the
following EMT-IA skills:
(i) initiating and terminating intravenous
infusion;
(ii) completion of pediatric vascular access skills
station;
(iii) insertion and removal of intraosseous
needle;
(iv) insertion and removal of endotracheal tube;
(v) administration of medications via intramuscular,
subcutaneous, and intravenous routes; and
(vi) EKG rhythm recognition; and
(g) provide documentation of completion of 108 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), and (5).
(3) The EMT-IA must take the following required CME hours
by subject in accordance with the National EMS Education
Standards. The hours must be completed throughout the prior four
years.
(a) Preparatory - 5 hours;
(b) Anatomy and Physiology - 2 hours;
(c) Medical Terminology - 1 hours;
(d) Pathophysiology - 3 hours;
(e) Life Span Development - 1 hours;
(f) Public Health - 1 hour;
(g) Pharmacology - 2 hours;
(h) Airway Management, Respiration and Artificial
Ventilation - 2 hours;
(i) Assessment - 10 hours;
(j) Medicine - 12 hours;
(k) Shock and Resuscitation - 2 hours;
(l) Trauma - 17 hours;
(m) Special Patient Populations - 3 hours;
(n) EMS Operations - 7 hours;
(o) Pediatric Advanced Life Support (PALS) or Pediatric
Emergency Preparedness Program (PEPP) Course - 16 hours;
(p) Advanced Cardiac Life Support Course - 16
hours;
(q) CPR - 8 hours (two CPR renewal courses fulfill this
requirement. CPR refresher courses can only be counted towards
the CPR CME requirement.)
(4) An EMT-IA may complete CME hours through different
methodologies, but 35 of the CME hours must be practical hands-on
training. All CME must be approved by the Department or CECBEMS.
All CME must be related to the required skills and knowledge of
an EMT-IA. Instructors need not be EMS instructors, but must be
knowledgeable in the field of instruction.
(5) The EMT-IA must complete and document the psychomotor
skills listed in the current National EMS Education Standards on
at least two separate occasions.
(6) An EMT-IA who is affiliated with an EMS organization
should have the training officer from the EMS organization submit
a letter verifying the EMT-IA's completion of the
recertification requirements. An EMT-I who is not affiliated with
an agency must submit verification of all recertification
requirements directly to the Department.
(7) Each EMT-IA is individually responsible to complete
and submit the required recertification material to the
Department. Each EMT-IA should submit all recertification
materials to the Department at one time, no later than 30 days
and no earlier than one year prior to the EMT-IA's current
certification expiration date. If the Department receives
incomplete or late recertification materials, the Department may
not be able to process the recertification before the
certification expires. The Department processes recertification
material in the order received.
(8) An EMS provider or an entity that provides CME may
compile and submit recertification materials on behalf of an
EMT-IA; however, the EMT-IA remains responsible for a timely and
complete submission.
(9) The Department may shorten recertification periods.
An EMT-IA whose recertification period is shortened must meet the
CME requirements in each of the required and elective
subdivisions on a prorated basis by the expiration of the
shortened period.
(10) The Department may not lengthen recertification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expires. If this happens, the individual shall recertify
following Utah Code 39-1-64.
R426-12-404. EMT-IA Lapsed Certification.
(1) An individual whose EMT-IA certification has lapsed
for less than one year, and who wishes to become recertified as
an EMT-IA must complete all recertification requirements and pay
a recertification late fee to become certified. The
individual's new expiration date will be four years from the
old expiration date.
(2) An individual whose EMT-IA certification has expired
for more than one year, and who wishes to become recertified as a
EMT-IA must:
(a) submit a completed application, including social
security number and signature to the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) submit to the Department evidence of having completed
100 hours of Department-approved continuing medical education
within the prior four years following R426-12-403 EMT-IA
Recertification Requirements;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination;
(e) submit verification of current completion of a
Department-approved course in CPR, adult and pediatric advanced
life support and maintain current status as set by the entity
sponsoring the course;
(f) submit a letter of recommendation including results
of an oral examination, from a certified off-line medical
director, verifying proficiency in EMT-IA skills;
(g) successfully complete the applicable Department
written and practical examinations; and
(h) pay all applicable fees.
(3) The individual's new expiration date will be four
years from the completion of all recertification
materials.
(4) An Individual whose certification has lapsed is not
authorized to provide care as an EMT-IA until the individual
completes the recertification process.
R426-12-405. EMT-IA Testing Failures.
(1) An individual who fails any part of the EMT-IA
written or practical certification or recertification examination
may retake the EMT-IA examination twice without further course
work.
(2) If the individual fails on both re-examinations, he
must take a complete EMT-IA training course to be eligible for
further examination at the EMT-IA level.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written tests administered after
completion of the new course.
(4) If an EMT-IA fails the recertification written test
three times or the practical test three times, he may request in
writing, within 30 days of the date of the third failure
notification letter, that he be allowed to apply for EMT-I or
EMT-B recertification. The failed EMT-IA cannot retake the EMT-IA
course until the failed EMT-IA recertifies as an EMT-I or EMT-B.
If he applies for EMT-Basic recertification in this circumstance,
he has three opportunities to test to that level. The failed
EMT-IA must complete all recertification requirements at the
EMT-B or EMT-I level within one year of the lapse of the EMT-IA
certification. If the requirements for the EMT-Basic or
EMT-Intermediate recertification are not completed within one
year of the lapse of the EMT-IA certification, the applicant must
retake a complete EMT-Basic course.
R426-12-500. Paramedic Requirements and Scope of
Practice.
(1) The Department may certify as a paramedic, an EMT-B,
an EMT-I or an EMT-IA who meets the initial certification
requirements in R426-12-501;
(2) The Committee adopts as the standard for paramedic
training and competency in the state the following affective,
cognitive and psychomotor objectives for patient care and
treatment from the 1998 United States Department of
Transportation's "EMT-Paramedic Training Program:
National Standard Curriculum" (Paramedic Curriculum) which
is incorporated by reference.
(3) In addition to the skills that an EMT-B, an EMT-I and
an EMT-IA may perform, a Paramedic may perform the adopted skills
described in section R426-12-500(2).
R426-12-501. Paramedic Initial Certification.
(1) The Department may certify a paramedic for a four
year period.
(2) An individual who wishes to become certified
must:
(a) successfully complete a Department-approved Paramedic
course as described in R426-12-500(2);
(b) be able to perform the functions listed in the
objectives of the Paramedic Curriculum adopted in R426-12-500(2)
as verified by personal attestation and successful accomplishment
during the course of all cognitive, affective, and psychomotor
skills and objectives;
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence during field and clinical training and successful
completion of all training requirements for paramedic
certification;
(d) be currently certified as an EMT-B, EMT-I, or EMT-IA
prior to the start of the course;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(g) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
cardiac life support and maintain current status as set by the
entity sponsoring the course;
(h) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year; and
(i) within 120 days after the official end date, the
applicant must, successfully complete the Department-approved
written and practical paramedic examinations, or reexaminations,
if necessary.
(3) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
(4) If an individuals EMT-B, EMT-I, or EMT-IA
certification lapses before he has completed all course
requirements for a paramedic, the individual must recertify at
his current certification level, including a practical test and
CME documentation, before he can be certified as a paramedic. The
individual may take the paramedic written test to satisfy the
written EMT-Basic, EMT-Intermediate, or EMT-Intermediate Advanced
recertification and paramedic written certification
requirements.
R426-12-502. Paramedic Reciprocity.
(1) The Department may certify as a Paramedic an
individual certified outside of the State of Utah if the
applicant can demonstrate the applicant's out-of-state
training and experience requirements are equivalent to or greater
than what is required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in CPR, adult and pediatric advanced
cardiac life support and maintain current status as set by the
entity sponsoring the course and maintain current status as set
by the entity sponsoring the course;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year;
(e) successfully complete the Department written and
practical Paramedic examinations, or reexaminations, if
necessary;
(f) submit a current certification from one of the states
of the United States or its possessions, or current registration
and the name of the training institution if registered with the
National Registry of EMTs; and
(g) provide documentation of completion of 25 hours of
continuing medical education (CME) within the prior
year.
(3) A candidate for paramedic reciprocity who fails the
written or practical tests three times can request further
consideration of reciprocity after five years if the candidate
has worked for an out of state EMS provider and can verify steady
employment as a paramedic for at least three of the five
years.
R426-12-503. Paramedic Recertification Requirements.
(1) The Department may recertify a paramedic for a four
year period or for a shorter period as modified by the Department
to standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit verification of completion of a
Department-approved course in Adult and Pediatric Advanced
Cardiac Life Support;
(d) submit a statement from the applicant's EMS
provider organization or a physician, confirming the
applicant's results of a TB examination;
(e) successfully complete the applicable Department
paramedic recertification examinations, or reexaminations if
necessary, within one year prior to expiration;
(f) submit a letter from a certified off-line medical
director recommending the individual for recertification and
verifying the individual's demonstrated proficiency in the
following paramedic skills:
(i) initiating and terminating intravenous
infusion;
(ii) completion of pediatric vascular access skills
station;
(iii) insertion and removal of intraosseous
needle;
(iv) insertion and removal of endotracheal tube;
(v) administration of medications via intramuscular,
subcutaneous, and intravenous routes; and
(vi) EKG rhythm recognition; and
(g) provide documentation of completion of 128 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), and (5).
(3) The Paramedic must take the following required CME
hours by subject in accordance with the National EMS Education
Standards. The hours must be completed throughout the prior four
years.
(a) Preparatory - 5 hours;
(b) Anatomy and Physiology - 3 hours;
(c) Medical Terminology - 2 hours;
(d) Pathophysiology - 3 hours;
(e) Life Span Development - 1 hours;
(f) Public Health - 1 hour;
(g) Pharmacology - 2 hours;
(h) Airway Management, Respiration and Artificial
Ventilation - 2 hours;
(i) Assessment - 10 hours;
(j) Medicine - 23 hours;
(k) Shock and Resuscitation - 3 hours;
(l) Trauma - 23 hours;
(m) Special Patient Populations - 3 hours;
(n) EMS Operations - 7 hours;
(o) Pediatric Advanced Life Support (PALS) or Pediatric
Emergency Preparedness Program (PEPP) Course - 16 hours;
(p) Advanced Cardiac Life Support Course - 16
hours;
(q) CPR - 8 hours (two CPR renewal courses fulfill this
requirement. CPR refresher courses can only be counted towards
the CPR CME requirement.)
(4) A Paramedic may complete CME hours through different
methodologies, but 42 of the CME hours must be practical hands-on
training. All CME must be approved by the Department or CECBEMS.
All CME must be related to the required skills and knowledge of a
paramedic. Instructors need not be EMS instructors, but must be
knowledgeable in the field of instruction.
(5) The paramedic must complete and document the
psychomotor skills listed in the current National EMS Education
Standards on at least two separate occasions.
(6) A Paramedic who is affiliated with an EMS
organization should have the training officer from the EMS
organization submit a letter verifying the Paramedic's
completion of the recertification requirements. A Paramedic who
is not affiliated with an agency must submit verification of all
recertification requirements directly to the Department.
(7) Each Paramedic is individually responsible to
complete and submit the required recertification material to the
Department. Each Paramedic should submit all recertification
materials to the Department at one time, no later than 30 days
and no earlier than one year prior to the Paramedic's current
certification expiration date. If the Department receives
incomplete or late recertification materials, the Department may
not be able to process the recertification before the
certification expires. The Department processes recertification
material in the order received.
(8) An EMS provider or an entity that provides CME may
compile and submit recertification materials on behalf of a
Paramedic; however, the Paramedic remains responsible for a
timely and complete submission.
(9) The Department may shorten recertification periods. A
paramedic whose recertification period is shortened must meet the
CME requirements in each of the required and elective
subdivisions on a prorated basis by the expiration of the
shortened period.
(10) The Department may not lengthen recertification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expires. If this happens, the individual shall recertify
following Utah Code 39-1-64.
R426-12-504. Paramedic Lapsed Certification.
(1) An individual whose paramedic certification has
lapsed for less than one year, and who wishes to become
recertified as a paramedic must complete all recertification
requirements and pay a recertification late fee.
(2) An individual whose paramedic certification has
expired for more than one year, and who wishes to become
recertified as a paramedic must:
(a) submit a completed application, including social
security number and signature to the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) submit to the Department evidence of having completed
128 hours of Department-approved continuing medical education
within the prior four years, following R426-12-503 Paramedic
Recertification Requirements;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination;
(e) submit verification of current completion of a
Department-approved course in CPR, adult and pediatric advanced
life support;
(f) submit a letter of recommendation including results
of an oral examination, from a certified off-line medical
director, verifying proficiency in paramedic skills;
(g) successfully complete the applicable Department
written and practical examinations; and
(h) pay all applicable fees.
(3) The individuals new expiration date will be four
years from the completion of all recertification
materials.
(4) An individual whose certification has lapsed is not
authorized to provide care as a paramedic until the individual
completes the recertification process.
R426-12-505. Paramedic Testing Failures.
(1) An individual who fails any part of the paramedic
certification or recertification written or practical examination
may retake the Paramedic examination twice without further course
work.
(2) If the individual fails both re-examinations, he must
take a complete Paramedic course to be eligible for further
examination at the paramedic level.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written test administered after
completion of the new course.
(4) If a paramedic fails the recertification written or
practical tests three times, he may request in writing, within 30
days of the date of the third failure notification letter, that
he be allowed to apply for EMT-IA, EMT-I, or EMT-B certification.
He has 120 days to complete recertification requirements at a
lower level.
R426-12-600. Emergency Medical Dispatcher (EMD) Requirements
and Scope of Practice.
(1) The Department may certify as an EMD an individual
who meets the initial certification requirements in
R426-12-601.
(2) The Committee adopts the 1995 United States
Department of Transportation's "EMD Training Program:
National Standard Curriculum" (EMD Curriculum) as the
standard for EMD training and competency in the state, which is
incorporated by reference.
(3) An EMD may perform the job functions as described in
the EMD curriculum, as adopted in this section.
R426-12-601. EMD Initial Certification.
(1) The Department may certify an EMD for a four year
period.
(2) An individual who wishes to become certified as an
EMD must:
(a) successfully complete a Department-approved EMD
course as described in R426-12-600(2);
(b) be able to perform the functions listed in the
objectives of the EMD Curriculum adopted in R426-12-600(2)as
verified by personal attestation and successful accomplishment
during the course of all cognitive, affective and psychomotor
skills and objectives listed in the EMD Curriculum;
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence and successful completion of all training requirements
for EMD certification;
(d) be 18 years of age or older;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
and;
(g) maintain and submit documentation of having completed
a CPR course that is consistent with the most current version of
the American Heart Association Guidelines for CPR and ECC;
and
(h) within 120 days after the official course end date,
the applicant must successfully complete the Department written
and practical EMD examinations, or reexaminations, if
necessary.
(3) The Department may extend the time limit in
Subsection (2)(h) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
R426-12-602. EMD Reciprocity.
(1) The Department may certify as an EMD an individual
certified outside of the State of Utah if the applicant can
demonstrate the applicant's out-of-state training and
experience requirements are equivalent to or greater than what is
required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for CPR and ECC;
(d) successfully complete the Department written and
practical EMD examination, or re-examinations, if
necessary;
(e) submit a current certification from one of the states
of the United States or its possessions; and
(f) provide documentation of completion of 12 hours of
continuing medical education within the prior year.
(3) The Department may certify as an EMD an individual
certified by the National Academy of Emergency Medical Dispatch
(NAEMD). An individual seeking reciprocity for certification in
Utah based on NAEMD certification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within one year
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
within the prior two years:
(i) a CPR course that is consistent with the most current
version of the American Heart Association Guidelines for CPR and
ECC; and
(ii) a minimum of a two-hour course in critical incident
stress management (CISM);
(d) submit documentation of current NAEMD
certification.
R426-12-603. EMD Recertification.
(1) The Department may recertify an EMD for a four year
period or for a shorter period as modified by the Department to
standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR course within the prior two years that is consistent with
the most current version of the American Heart Association
Guidelines for CPR and ECC. CPR must be current during
certification;
(d) successfully complete the applicable Department
recertification examinations, or reexaminations if necessary,
within one year prior to expiration of the certification to be
renewed; and
(e) provide documentation of completion of 48 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), and (5).
(3) The EMD must take the following CME hours by subject
throughout each of the prior four years:
(a) Roles and Responsibilities - 5 hours;
(b) Obtaining Information from callers - 7
hours;
(c) Resource allocation - 4 hours;
(d) Providing emergency care instruction - 2
hours;
(e) Legal and Liability Issues - 5 hours;
(f) Critical Incident Stress Management - 5
hours;
(g) Basic Emergency Medical Concepts - 5 hours;
and
(h) Chief complaint types - 7 hours.
(i) CPR - 8 hours. Two CPR courses fulfill this
requirement. CPR refresher courses can only be counted towards
CPR CME requirements.
(4) An EMD may complete CME hours through different
methodologies, but 16 hours of the CME must be practical hands-on
training. All CME must be approved by the Department or CECBEMS.
All CME must be related to the required skills and knowledge of
an EMD. Instructors need not be EMS instructors, but must be
knowledgeable in the field of instruction.
(5) Notwithstanding the provisions of subsections (2),
(3), and (4), an EMD who has been certified or recertified by the
National Academy of Emergency Medical Dispatch (NAEMD) may be
recertified by the Department upon the following
conditions:
(a) the EMD must, as part of meeting the EMD's
continuing medical education requirements, take a minimum of a
two-hour course in critical incident stress management
(CISM);
(b) an individual who takes a NAEMD course offered in
Utah must successfully pass a class that follows the CISM section
of the Department-established EMD curriculum; and
(c) the individual must:
(i) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(ii) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(iii) maintain and submit documentation of having
completed a CPR course within the prior two years that is
consistent with the most current version of the American Heart
Association Guidelines for CPR and ECC; and
(iv) submit documentation of current NAEMD
certification.
(6) An EMD who is affiliated with an EMS organization
should have the training officer from the EMS organization submit
a letter verifying the EMD's completion of the
recertification requirements. An EMD who is not affiliated with
an EMS agency must submit verification of all recertification
requirements directly to the Department.
(7) Each EMD is individually responsible to complete and
submit the required recertification material to the Department.
Each EMD should submit all recertification materials to the
Department at one time and no later than 30 days and no earlier
than one year prior to the EMD's current certification
expiration date. If the Department receives incomplete or late
recertification materials, the Department may not be able to
process the recertification before the certification expires. The
Department processes recertification material in the order
received.
(8) An EMS provider or an entity that provides CME may
compile and submit recertification materials on behalf of an EMD;
however, the EMD remains responsible for a timely and complete
submission.
(9) The Department may shorten recertification periods.
An EMD whose recertification period is shortened must meet the
CME requirements in each of the required and elective
subdivisions on a prorated basis by the expiration of the
shortened period.
(10) The Department may not lengthen recertification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expired. If this happens, the individual shall recertify in
accordance with Utah Code 39-1-64.
R426-12-604. EMD Lapsed Certification.
(1) An individual whose EMD certification has expired for
less than one year may, within one year after expiration,
complete all recertification requirements and pay a late
recertification fee to become recertified.
(2) An individual whose certification has expired for
more than one year must take an EMD course and reapply for
initial certification.
(3) The individuals new expiration date will be four
years from the old expiration date.
(4) An individual whose certification has lapsed, is not
authorized to provide dispatch services until he has completed
the recertification process.
R426-12-605. EMD Testing Failures.
(1) An individual who fails any part of the EMD
certification or recertification written or practical examination
may retake the EMD examination twice without further course
work.
(2) If the individual fails both re-examinations, he must
take a complete EMD training course to be eligible for further
examination at the EMD level.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written tests administered after
completion of the new course.
R426-12-700. Emergency Medical Responder (EMR) Requirements
and Scope of Practice.
(1) The Department may certify as an EMR an individual
who meets the initial certification requirements in
R426-12-701.
(2) The Committee adopts as the standard for EMR training
and competency in the state, the following affective, cognitive
and psychomotor objectives for patient care and treatment from
the current National Highway Traffic Safety Administration's
National EMS Education Standards for EMR's, which is
incorporated by reference.
(3) An EMR may perform the skills as described in the EMR
Educational Standards, as adopted in this section.
R426-12-701. EMR Initial Certification.
(1) The Department may certify an EMR for a four year
period.
(2) An individual who wishes to become certified as an
EMR must:
(a) successfully complete a Department-approved EMR
course as described in R426-12-700(2);
(b) be able to perform the functions listed in the
objectives of the EMR Educational Standards adopted in
R426-12-700(2) as verified by personal attestation and successful
accomplishment during the course of all cognitive, affective, and
psychomotor skills and objectives listed in the current National
Highway Traffic Safety Administration's National EMS
Education Standards for EMR's.
(c) achieve a favorable recommendation from the course
coordinator and course medical director stating technical
competence during field and clinical training and successful
completion of all training requirements for EMR
certification;
(d) be 16 years of age or older;
(e) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(f) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(g) maintain and submit documentation of having completed
a CPR provider course within the prior two years that is
consistent with the most current version of the American Heart
Association guidelines for CPR and Emergency Cardiac
Care;
(h) submit to the Department a statement from a
physician, confirming the applicant's results of a TB
examination conducted within one year prior to completing the EMR
course;
(i) within 120 days after the official course end date
the applicant must successfully complete the Department written
and practical EMR examinations, or reexaminations, if
necessary.
(3) The Department may extend the time limit in
Subsection (2)(i) for an individual who demonstrates that the
inability to meet the requirements within the 120 days was due to
circumstances beyond the applicant's control, such as for
documented medical circumstances that prevent completion of
testing, military deployment out of the state, extreme illness in
the immediate family, or the like.
R426-12-702. EMR Reciprocity.
(1) The Department may certify an individual as an EMR an
individual certified outside of the State of Utah if the
applicant can demonstrate the applicant's out-of-state
training and experience requirements are equivalent to or greater
than what is required in Utah.
(2) An individual seeking reciprocity for certification
in Utah based on out-of-state training and experience
must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department and complete all of the following within 120 days
of submitting the application;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR provider course within the prior two years that is
consistent with the most current version of the American Heart
Association Guidelines for CPR and Emergency Cardiac
Care;
(d) submit a statement from a physician, confirming the
applicant's results of a TB examination conducted within the
prior year;
(e) successfully complete the Department written and
practical EMR examinations, or reexaminations, if
necessary;
(f) submit a current certification from one of the states
of the United States or its possessions, or current registration
and the name of the training institution if registered with the
National Registry of EMTs; and
(g) provide documentation of completion of 15 hours of
continuing medical education (CME) within the prior
year.
R426-12-703. EMR Recertification Requirements.
(1) The Department may recertify an EMR for a four year
period or for a shorter period as modified by the Department to
standardize recertification cycles.
(2) An individual seeking recertification must:
(a) submit the applicable fees and a completed
application, including social security number and signature, to
the Department;
(b) submit to and pass a background investigation,
including an FBI background investigation if the applicant has
not resided in Utah for the past consecutive five years;
(c) maintain and submit documentation of having completed
a CPR provider course within the prior two years that is
consistent with the most current version of the American Heart
Association Guidelines for CPR and ECC (Emergency Cardiac Care).
CPR must be current during certification.
(d) submit a statement from the applicant's EMS
provider organization or a physician, confirming the
applicant's results of a TB examination; and
(e) successfully complete the Department applicable
recertification examinations, or reexaminations if necessary,
within one year prior to expiration;
(f) provide documentation of completion of 58 hours of
Department-approved CME meeting the requirements of subsections
(3), (4), (5), and (6).
(3) The EMR must take at least the following required CME
hours by subject in accordance with the National EMS Education
Standards. The hours must be throughout the prior four
years.
(a) Preparatory - 3 hours;
(b) Anatomy and Physiology - 1 hour;
(c) Medical Terminology - 1 hour;
(d) Pathophysiology - 2 hours;
(e) Life Span Development - 1 hour;
(f) Public Health - 30 minutes;
(g) Pharmacology - 2 hours;
(h) Airway Management, Respiration and Artificial
Ventilation - 2 hours 30 minutes;
(i) Assessment - 4 hours 30 minutes;
(j) Medicine - 8 hours;
(k) Shock and Resuscitation - 1 hour;
(l) Trauma - 13 hours;
(m) Special Patient Populations - 4 hours;
(n) EMS Operations - 6 hours 30 minutes.
(4) An EMR may complete CME hours through different
methodologies, but 17of the CME hours must be practical hands-on
training. All CME must be approved by the Department or the
Continuing Education Coordinating Board for EMS (CECBEMS). All
CME must be related to the required skills and knowledge of an
EMR. Instructors need not be EMS instructors, but must be
knowledgeable in the field of instruction.
(5) The EMR must complete and document the psychomotor
skills listed in the current National EMS Education Standards at
least two times as part of the CME training.
(6) An EMR who is affiliated with a Department-recognized
organization should have a certified training officer from the
organization submit a letter verifying the EMR's completion
of the recertification requirements. An EMR who is not affiliated
with a Department recognized agency must submit verification of
all recertification requirements directly to the
Department.
(7) Each EMR is individually responsible to complete and
submit the required recertification material to the Department.
Each EMR should submit all recertification materials to the
Department at one time, no later than 30 days and no earlier than
one year prior to the EMR's current certification expiration
date. If the Department receives incomplete or late
recertification materials, the Department may not be able to
process the recertification before the certification expires. The
Department processes recertification material in the order
received.
(8) A Department-recognized organization or an entity
that provides CME may compile and submit recertification
materials on behalf of an EMR; however, the EMR remains
responsible for a timely and complete submission.
(9) The Department may shorten recertification periods.
An EMR whose recertification period is shortened must meet the
CME requirements in each of the required subdivisions on a
prorated basis by the expiration of the shortened
period.
(10) The Department may not lengthen certification
periods more than the four year certification, unless the
individual is a member of the National Guard or reserve component
of the armed forces and is on active duty when certification
expired. If this happens, the individual shall recertify in
accordance with Utah Code 39-1-64.
R426-12-704. EMR Lapsed Certification.
(1) An individual whose EMR certification has expired for
less than one year may, within one year after expiration,
complete all recertification requirements and pay a late
recertification fee to become certified. The individual's new
expiration date will be four years from the old expiration
date.
(2) An individual whose certification has expired for
more than one year must take an EMR course and reapply for
initial certification.
(3) An individual whose certification has lapsed, is not
authorized to provide care as an EMR until the individual has
current certification.
R426-12-705. EMR Testing Failures.
(1) An individual who fails any part of the EMR
certification or recertification written or practical examination
may retake the EMR examination twice without further course
work.
(2) If the individual fails both re-examinations, he must
take a complete EMR training course to be eligible for further
examination.
(3) The individual may retake the course as many times as
he desires, but may only take the examinations three times for
each completed course. If an individual retakes the course
because of failure to pass the examinations, the individual must
pass both the practical and written test administered after
completion of the new course.
R426-12-800. Emergency Medical Services Instructor
Requirements.
(1) The Department may certify as an EMS Instructor an
individual who:
(a) meets the initial certification requirements in
R426-12-801; and
(b) is currently certified in Utah as an EMR, EMT-B,
EMT-I, EMT-IA, Paramedic, or Dispatcher.
(2) The Committee adopts the 1995 United States
Department of Transportation's "EMS Instructor Training
Program: National Standard Curriculum" (EMS Instructor
Curriculum) as the standard for EMS Instructor training and
competency in the state, which is adopted and incorporated by
reference.
(3) An EMS instructor may only teach up to the
certification level to which the instructor is certified. An EMS
instructor who is only certified as an EMD may only teach EMD
courses.
(4) An EMS instructor must abide by the terms of the
"EMS Instructor Contract," teach according to the
contract, and comply with the teaching standards and procedures
in the EMS Instructor Manual or EMD Instructor Manual as
incorporated into the respective "EMS Instructor
Contract" or "EMD Instructor Contract."
(5) An EMS instructor must maintain the EMS certification
for the level that the instructor is certified to teach. If an
individual's EMS certification lapses, the instructor
certification is invalid until EMS certification is
renewed.
(6) The Department may waive a particular instructor
certification requirement if the applicant can demonstrate that
the applicant's training and experience requirements are
equivalent or greater to what are required in Utah.
R426-12-801. EMS Instructor Certification.
(1) The Department may certify an individual who is an
EMR, EMT-B, EMT-I, EMT-IA, Paramedic, or EMD as an EMS Instructor
for a two year period.
(2) An individual who wishes to become certified as an
EMS Instructor must:
(a) submit an application and pay all applicable
fees;
(b) submit three letters of recommendation regarding EMS
skills and teaching abilities;
(c) submit documentation of 15 hours of teaching
experience;
(d) successfully complete all required
examinations;
(e) submit biennially a completed and signed "EMS
Instructor Contract" to the Department agreeing to abide by
the standards and procedures in the current EMS Instructor Manual
or EMD Instructor Manual; and
(f) successfully complete the Department-sponsored
initial EMS instructor training course.
(3) An individual who wishes to become certified as an
EMS Instructor to teach EMR, EMT-B, EMT-I, EMT-IA, or paramedic
courses must also:
(a) provide documentation of 30 hours of patient care
within the prior year; and
(b) submit verification that the individual is recognized
as a CPR instructor by the National Safety Council, the American
Red Cross, or the American Heart Association; and
(4) An individual who wishes to become certified as an
EMS Instructor to teach EMD courses must also successfully
complete the Department-sponsored initial EMS instructor training
course.
(5) The Department may waive portions of the initial EMS
instructor training courses for previously completed
Department-approved instructor programs.
R426-12-802. EMS Instructor Recertification.
An EMS instructor who wishes to recertify as an
instructor must:
(1) maintain current EMS certification;
(2) attend the required Department-approved
recertification training;
(3) submit verification of 30 hours of EMS teaching
experience in the prior two years;
(4) submit verification that the instructor is currently
recognized as a CPR instructor by the National Safety Council,
the American Red Cross, or the American Heart Association, if
teaching an EMR, EMT-B, EMT-I, EMT-IA, or Paramedic
course;
(5) submit an application and pay all applicable
fees;
(6) successfully complete any Department-required
examination; and
(7) submit biennially a completed and signed "EMS
Instructor Contract" to the Department agreeing to abide by
the standards and procedures in the current EMS Instructor
Manual.
R426-12-803. EMS Instructor Lapsed Certification.
(1) An EMS instructor whose instructor certification has
expired for less than two years may again become certified by
completing the recertification requirements in
R426-12-702.
(2) An EMS instructor whose instructor certification has
expired for more than two years must complete all initial
instructor certification requirements and reapply as if there
were no prior certification.
R426-12-900. Emergency Medical Services Training Officer
Requirements.
(1) The Department may certify as an EMS Training Officer
an individual who:
(a) meets the initial certification requirements in
R426-12-901; and
(b) is currently certified in Utah and has been certified
as an EMR, EMT-B, EMT-I, EMT-IA, Paramedic, or Dispatcher for 12
months.
(2) An EMS training officer must abide by the terms of
the Training Officer Contract, and comply with the standards and
procedures in the Training Officer Manual as incorporated into
the respective Training Officer Contract.
R426-12-901. EMS Training Officer Certification.
(1) The Department may certify an individual who is
certified as an EMR, EMT-B, EMT-I, EMT-IA, Paramedic, or EMD as a
training officer for a two year period.
(2) An individual who wishes to become certified as an
EMS Training officer must:
(a) be currently certified as an EMS instructor;
(b) successfully complete the Department's course for
new training officers;
(c) successfully complete any Department
examinations;
(d) submit an application and pay all applicable fees;
and
(e) submit biennually a completed and signed
"Training Officer Contract" to the Department agreeing
to abide by the standards and procedures in the then current
Training Officer Manual.
(3) A training officer must maintain EMS instructor
certification to retain training officer certification.
R426-12-902. EMS Training Officer Recertification.
A training officer who wishes to recertify as a training
officer must:
(1) attend a training officer seminar every two
years;
(2) maintain current EMS instructor and EMR, EMT-B,
EMT-I, EMT-IA, Paramedic, or EMD certification;
(3) submit an application and pay all applicable
fees;
(4) successfully complete any Department-examination
requirements; and
(5) submit biennially a completed and signed new
"Training Officer Contract" to the Department agreeing
to abide by the standards and procedures in the current training
officer manual.
R426-12-903. EMS Training Officer Lapsed Certification.
(1) An individual whose training officer certification
has expired for less than one year may again become certified by
completing the recertification requirements in R426-12-902. The
individuals new expiration date will be two years from the old
expiration date.
(2) An individual whose training officer certification
has expired for more than one year must complete all initial
training officer certification requirements and reapply as if
there were no prior certification.
R426-12-1000. Course Coordinator Certification.
(1) The Department may certify as a course coordinator an
individual who:
(a) meets the initial certification requirements in
R426-12-1001; and
(b) is certified in Utah as an EMS Instructor and as an
EMR, EMT-B, EMT-I, EMT-IA, Paramedic or Dispatcher.
(2) A Course Coordinator may only coordinate courses up
to the certification level to which the course coordinator is
certified. A course coordinator who is only certified as an EMD,
may only coordinate EMD courses.
(3) A course coordinator must abide by the terms of the
"Course Coordinator Contract" and comply with the
standards and procedures in the Course Coordinator Manual as
incorporated into the "Course Coordinator
Contract."
(4) A Course Coordinator must maintain an EMS Instructor
certification and the EMS certification for the level that the
course coordinator is certified to coordinate. If an individuals
EMS certification lapses, the Course Coordinator certification is
invalid until EMS certification is renewed.
R426-12-1001. Course Coordinator Certification.
The Department may certify an individual who is an EMR,
EMT-B, EMT-I, EMT-IA, Paramedic, or EMD as a course coordinator
for a two year period. An individual who wishes to certify as a
course coordinator must:
(1) be certified as an EMS instructor for one
year;
(2) be an instructor of record for at least one
Department-approved course;
(3) have taught a minimum of 15 hours in a
Department-approved course;
(4) have co-coordinated one Department-approved course
with a certified course coordinator;
(5) submit a written evaluation and recommendation from
the course coordinator in the co-coordinated course;
(6) complete certification requirements prior to
application to the Department's course for new course
coordinators;
(7) submit an application and pay all applicable
fees;
(8) complete the Department's course for new course
coordinators;
(9) successfully complete all examination
requirements;
(10) sign and submit annually the "Course
Coordinator Contract" to the Department agreeing to abide to
the standards and procedures in the then current Course
Coordinator Manual; and
(11) maintain EMS instructor certification.
R426-12-1002. Course Coordinator Recertification.
A course coordinator who wishes to recertify as a course
coordinator must:
(1) maintain current EMS instructor and EMR, EMT-B,
EMT-I, EMT-IA, Paramedic, or EMD certification;
(2) coordinate or co-coordinate at least one
Department-approved course every two years;
(3) attend a course coordinator seminar every two
years;
(4) submit an application and pay all applicable
fees;
(5) successfully complete all examination requirements;
and
(6) sign and submit biennually a Course Coordinator
Contract to the Department agreeing to abide by the policies and
procedures in the then current Course Coordinator
Manual.
R426-12-1003. Emergency Medical Services Course Coordinator
Lapsed Certification.
(1) An individual whose course coordinator certification
has expired for less than one year may again become certified by
completing the recertification requirements in R426-12-1002. The
individuals new expiration date will be two years from the old
expiration date.
(2) An individual whose course coordinator certification
has expired for more than one year must complete all initial
course coordinator certification requirements and reapply as if
there were no prior certification.
R426-12-1100. Paramedic Training Institutions Standards
Compliance.
(1) A person must be authorized by the Department to
provide training leading to the certification of a
paramedic.
(2) To become authorized and maintain authorization to
provide paramedic training, a person must:
(a) enter into the Department's standard paramedic
training contract; and
(b) adhere to the terms of the contract, including the
requirement to provide training in compliance with the Course
Coordinator Manual and the Utah Paramedic Training Program
Accreditation Standards Manual.
R426-12-1200. Course Approvals.
A course coordinator offering EMS training to individuals
who wish to become certified as an EMR, EMT-B, EMT-I, EMT-IA,
Paramedic, or EMD, must obtain Department approval prior to
initiating an EMS training course. The Department shall approve a
course if:
(1) the applicant submits the course application and fees
no earlier than 90 days and no later than 30 days prior to
commencing the course;
(2) the applicant has sufficient equipment available for
the training or if the equipment is available for rental from the
Department;
(3) the Department finds that the course meets all the
Department rules and contracts governing training;
(4) the course coordinators and instructors hold current
respective course coordinator and EMS instructor certifications;
and
(5) the Department has the capacity to offer the
applicable examinations in a timely manner after the conclusion
of the course.
R426-12-1300. Off-line Medical Director Requirements.
(1) The Department may certify an off-line medical
director for a four year period.
(2) An off-line medical director must be:
(a) a physician actively engaged in the provision of
emergency medical care;
(b) familiar with the Utah EMS Systems Act, Title 26,
Chapter 8a, and applicable state rules; and
(c) familiar with medical equipment and medications
required under "R426 Equipment, Drugs and Supplies
List."
R426-12-1301. Off-line Medical Director Certification.
(1) An individual who wishes to certify as an off-line
medical director must:
(a) have completed an American College of Emergency
Physicians or National Association of Emergency Medical Services
Physicians medical director training course or the
Department's medical director training course within twelve
months of becoming a medical director;
(b) submit an application and;
(c) pay all applicable fees.
(2) An individual who wishes to recertify as an off-line
medical director must:
(a) retake the medical director training course every
four years;
(b) submit an application; and
(c) pay all applicable fees.
R426-12-1400. Refusal, Suspension or Revocation of
Certification.
(1) The Department shall exclude from EMS certification
an individual who may pose an unacceptable risk to public health
and safety, as indicated by his criminal history. The Department
shall conduct a background check on each individual who seeks to
certify or recertify as an EMS personnel, including an FBI
background investigation if not a Utah resident for the past
consecutive five years;
(a) An individual convicted of certain crimes presents an
unreasonable risk and the Department shall deny all applications
for certification or recertification from individuals convicted
of any of the following crimes:
(i) sexual misconduct if the victim's failure to
affirmatively consent is an element of the crime, such as
forcible rape;
(ii) sexual or physical abuse of children, the elderly or
infirm, such as sexual misconduct with a child, making or
distributing child pornography or using a child in a sexual
display, incest involving a child, assault on an elderly or
infirm person;
(iii) abuse, neglect, theft from, or financial
exploitation of a person entrusted to the care or protection of
the applicant, if the victim is an out-of-hospital patient or a
patient or resident of a health care facility; and
(iv) crimes of violence against persons, such as
aggravated assault, murder or attempted murder, manslaughter
except involuntary manslaughter, kidnapping, robbery of any
degree; or arson; or attempts to commit such crimes;
(b) Except in extraordinary circumstances, established by
clear and convincing evidence that certification or
recertification will not jeopardize public health and safety, the
Department shall deny applicants for certification or
recertification in the following categories:
(i) persons who are convicted of any crime not listed in
(a) and who are currently incarcerated, on work release, on
probation or on parole;
(ii) conviction of crimes in the following categories,
unless at least three years have passed since the conviction or
at least three years have passed since release from custodial
confinement, whichever occurs later:
(A) crimes of violence against persons, such as
assault;
(B) crimes defined as domestic violence under Section
77-36-1;
(C) crimes involving controlled substances or synthetics,
or counterfeit drugs, including unlawful possession or
distribution, or intent to distribute unlawfully, Schedule I
through V drugs as defined by the Uniform Controlled Dangerous
Substances Act; and
(D) crimes against property, such as grand larceny,
burglary, embezzlement or insurance fraud.
(c) The Department may deny certification or
recertification to individuals convicted of crimes, including
DUIs, but not including minor traffic violations chargeable as
infractions after consideration of the following
factors:
(i) the seriousness of the crime;
(ii) whether the crime relates directly to the skills of
pre-hospital care service and the delivery of patient
care;
(iii) the amount of time that has elapsed since the crime
was committed;
(iv) whether the crime involved violence to or abuse of
another person;
(v) whether the crime involved a minor or a person of
diminished capacity as a victim;
(vi) whether the applicant's actions and conduct
since the crime occurred are consistent with the holding of a
position of public trust;
(vii) the total number of arrests and convictions;
and
(viii) whether the applicant was truthful regarding the
crime on his or her application.
(2) Certified EMS personnel must notify the Department of
any arrest, charge, or conviction within seven days of the
arrest, charge or conviction. If the person works for a licensed
or designated EMS agency, the agency is also responsible to
inform the Bureau of the arrest, charge or conviction.
(3) An official EMS agency representative verified by the
Supervisor of the agency, may receive information pertaining to
Department actions about an employee or a potential employee of
the agency if a Criminal History Non-Disclosure Agreement is
signed by the EMS agency representative.
(4) The Department may require EMS personnel to submit to
a background examination or a drug test upon Department
request.
(5) The Department may refuse to issue a certification or
recertification, or suspend or revoke a certification, or place a
certification on probation, for any of the following
causes:
(a) any of the reasons for exclusion listed in Subsection
(1);
(b) a violation of Subsection (2);
(c) a refusal to submit to a background examination
pursuant to Subsection (3);
(d) habitual or excessive use or addiction to narcotics
or dangerous drugs;
(e) refusal to submit to a drug test administered by the
individual's EMS provider organization or the
Department;
(f) habitual abuse of alcoholic beverages or being under
the influence of alcoholic beverages while on call or on duty as
an EMS personnel or while driving any Department-permitted
vehicle;
(g) failure to comply with the training, certification,
or recertification requirements for the certification;
(h) failure to comply with a contractual agreement as an
EMS instructor, a training officer, or a course
coordinator;
(i) fraud or deceit in applying for or obtaining a
certification;
(j) fraud, deceit, incompetence, patient abuse, theft, or
dishonesty in the performance of duties and practice as a
certified individual;
(k) unauthorized use or removal of narcotics, drugs,
supplies or equipment from any emergency vehicle or health care
facility;
(l) performing procedures or skills beyond the level of
certification or agency licensure;
(m) violation of laws pertaining to medical practice,
drugs, or controlled substances;
(n) conviction of a felony, misdemeanor, or a crime
involving moral turpitude, excluding minor traffic violations
chargeable as infractions;
(o) mental incompetence as determined by a court of
competent jurisdiction;
(p) demonstrated inability and failure to perform
adequate patient care;
(q) inability to provide emergency medical services with
reasonable skill and safety because of illness, drunkenness, use
of drugs, narcotics, chemicals, or any other type of material, or
as a result of any other mental or physical condition, when the
individual's condition demonstrates a clear and unjustifiable
threat or potential threat to oneself, coworkers, or the public
health, safety, or welfare that cannot be reasonably mitigated;
and
(r) misrepresentation of an individual's level of
certification;
(s) failure to display a state-approved emblem with level
of certification during an EMS response, and
(t) other or good cause, including conduct which is
unethical, immoral, or dishonorable to the extent that the
conduct reflects negatively on the EMS profession or might cause
the public to lose confidence in the EMS system.
(6)(a) The Department may suspend an individual for a
felony or misdemeanor arrest or charge pending the resolution of
the charge if the nature of the charge is one that, if true, the
Department could revoke the certification under subsection (1);
and
(b) The Department may order EMS personnel not to
practice when an active criminal or administrative investigation
is being conducted.
R426-12-1500. Penalties.
As required by Subsection 63G-3-201(5): Any person that
violates any provision of this rule may be assessed a civil money
penalty as provided in Section 26-23-6.
KEY: emergency medical services
Date of Enactment or Last Substantive Amendment: March 15,
2010
Notice of Continuation: July 29, 2009
Authorizing, and Implemented or Interpreted Law:
26-8a-302]
Additional Information
The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull-pdf/2013/b20130701.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.
Text to be deleted is struck through and surrounded by brackets (e.g., [example]). Text to be added is underlined (e.g., example). Older browsers may not depict some or any of these attributes on the screen or when the document is printed.
For questions regarding the content or application of this rule, please contact Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected].