HomeMy WebLinkAbout14-Fire Department
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From:
Larry R. Pitzer, Fire Chief
Subject:
Resolution authorizing the San Bernardino City Fire
Department (SBCFD) to enter into an agreement
with Crafton Hills College (CHC) to provide field
internship for their Paramedic Program for a five
year period.
Dept:
Fire
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Date:
October I, 2002
MCtC Meeting Date:
October 21,2002
Synopsis of Previous Council Action:
RECOMMENDATION:
Contact Person: Larry Pitzer. Fire Chief
Phone: (909) 384-5286
Adopt resolution.
Supporting data attached: Staff Report. Resolution. and Agreement
Ward: Citvwide
FUNDING REQUIREMENTS:
Amount:
$0
Source:
(Acct. No)
(Acct. Description)
Finance:
Council Notes:
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Agenda Item No.
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STAFF REPORT
SUBJECT
Resolution authorizing the San Bernardino City Fire Department (SBCFD) to enter into
an agreement with Crafton Hills College (CRC) to provide field internship for their
Paramedic Program for a five year period.
BACKGROUND
The SBCFD would like to continue a long-standing relationship with CRC by entering an
agreement to provide field internship for CRC's Paramedic Program. Every 5 years,
CRC is required to renew internship agreements. Therefore, this request is for a period
of 5 years that will begin upon execution of said agreement (Attachment" A").
CRC Paramedic Program objectives are to provide their students with a positive learning
environment and the instruction necessary for entry-level workforce competency. The
program is divided into three sections: classroom, clinical, and field. Our involvement in
the program is to provide field internship (Attachment "B").
SBCFD Paramedic mentors monitor the students performance for six hundred (600)
hours (25 shifts). The mentoring of each student helps develop and fine-tune skills in the
following areas:
.:. Safety procedures
.:. Patient assessment
.:. Airway Management
.:. Medication therapy
.:. Interpret and correlate of assessment information
.:. Identify cardiac rhythms
.:. Assess patient response to therapy
.:. Function as a member of a patient care team
.:. Use all EMS equipment correctly
.:. Establish intravenous infusions with proper technique
.:. Respond to the field learning environment in such a manner as to invite
confidence of patients, supervisors, peers and other health care professionals.
Each student is able to receive hands-on experience using the philosophy, techniques, and
the standard skills that they have practiced, performed, and have shown proficiency in
during the program. Furthermore, the preceptor aids in the completion of the student's
final phase of the Paramedic program, which is a requirement under California State
Regulation Title 22, Section 100152 Paramedic Field internship. At the completion of all
required hours of the internship each student must demonstrate proficiency in all
categories listed in Attachment "C".
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FINANCIAL IMPACT
The City will have no financial obligation to the program. All expenses, if incurred, will
be borne by Crafton Hills College.
RECOMMENDATION
Adopt resolution.
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RESOLUTION NO.
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINIO AUTHORIZING THE SAN BERNARDINO CITY FIRE DEPARTMENT
(SBCFD) TO ENTER INTO AN AGREEMENT WITH CRAFTON IDLLS COLLEGE (CHC)
TO PROVIDE FIELD INTERNSIDP FOR THEIR PARAMEDIC PROGRAM FOR A FIVE
YEAR PERIOD.
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BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AS FOLLOWS:
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SECTION 1. Crafton Hills College and the San Bernardino City Fire Department wish to enter
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into an agreement to provide field internship' services.
SECTION 2. The Mayor or her designee is hereby authorized and directed to execute said
agreement, a copy of which is attached as Attachment" A".
SECTION 3. The agreement shall be for field internship for a period of five years beginning
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upon execution of said agreement.
SECTION 4. The authorization to execute the above referenced agreement is rescinded if it is
not executed within sixty (60) days of the passage of this resolution.
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RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINIO AUTHORIZING THE SAN BERNARDINO CITY FIRE DEPARTMENT
(SBCFD) TO ,ENTER INTO AN AGREEMENT WITH CRAFTON HILLS COLLEGE (CHC)
TO PROVIDE FIELD INTERNSHIP FOR THEIR PARAMEDIC PROGRAM FOR A FIVE
YEAR PERIOD.
I HEREBY CERTIFY that the foregoing resolution was duly adopted by the Mayor and Common
Council of the City of San Bernardino at a meeting thereof, held on
the day of , 2002 by the following vote, to wit:
COUNCILMEMBERS
AYES
NAYS
ABSTAIN ABSENT
ESTRADA
LIEN
MCGINNIS
DERRY
SUAREZ
ANDERSON
MCCAMMACK
Rachel Clark,
City Clerk
The foregoing resolution is hereby approved this
day of
2002.
Judith Valles, Mayor
City of San Bernardino
23 Approved as to form
24 and legal content:
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e6 JAMES F. PENMAN
Gry~
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BY: 2
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Attachment "A"
AGREEMENT
EMERGENCY MEDICAL SERVICES
FIELD INTERNSHIP FOR PARAMEDIC PROGRAM
THIS AGREEMENT is made and entered into this _ day of by and
between the San Bernardino City Fire Department hereinafter called the Agency and
the San Bernardino Community CoUeae District (Crafton Hills CoUeae) hereinafter
called the District.
PART I
BASIS AND PURPOSE OF AGREEMENT
WITNESSETH:
WHEREAS, the District and Agency acknowledge a public obligation to contribute to
Emergency Medical Services education for the benefit of students and to meet
community needs;
WHEREAS, the District provides approved programs in Emergency Medical Services
education which require clinical/field internship experience for students enrolled in these
programs;
WHEREAS, the Agency has facilities suitable for the clinicaVfield internship needs of the
District programs in Emergency Medical Services;
WHEREAS, it is to the benefit of both District and Agency that Emergency Medical
Services students have opportunities for clinical/field internship experience to enhance
their capabilities as practitioners;
NOW, THEREFORE, the District and Agency do covenant and agree as follows:
PART II
GENERAL RESPONSIBILITIES AND PRIVILEGES OF THE DISTRICT
A.
For the Program in General
1. District is committed to the achievement of equal educational
opportunity. Decisions related to admission, participation, student's
employment and financing will not be influenced by race, religion,
sex, age, disability, or national origin.
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2.
The Distri~t assumes full responsibility for offering Emergency
Medical Services education programs eligible for accreditation by
any appropriate State Board involved.
3. District faculty members may be invited by Agency to serve as
voluntary resource persons to the Agency staff by serving on
Emergency Medical Services committees, by sharing knowledge as
clinical experts, and by participation in other matters dealing with
the quality of patient care.
4. The District agrees to provide liability insurance for District
employees while participating in activities relating to the
instructional program.
5. Malpractice coverage for Emergency Medical Services students is,
and throughout the term of the Agreement will be, carried by the
individual student.
6.
District will defend, hold harmless and indemnify the Agency
against all claims, demands, suits, judgments, expenses and costs
of any and every kind on account of the injury to or death of
persons or loss of/or damage to property arising in any manner out
ofthe performance of this Agreement.
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B. For Program Planning
1. District will initiate the development of mutually acceptable
clinical/field internship instruction plans for using the Agency's
clinical/field internship areas to meet the educational goals of
Emergency Medical Services curricula. These plans will be made
available to the Agency at a mutually agreed upon time and subject
to revision in instances of conflict with hospital patient care
responsibilities or District interests.
C. For Clinical/Field Internship Instructors
1. District will provide faculty members who are both qualified and
competent teachers and licensed health care practitioners for all
academic areas.
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2.
District faculty will be responsible for learning and observing the
regulations of both District and Agency as they apply to the
circumstances of clinicaVfield internship teaching.
3. District has the privilege of regularly scheduled meetings at
mutually agreed upon times at the Agency with Agency staff,
including both selected personnel and administrative level
representatives, for the purpose of interpreting, discussing, and
evaluating the educational program involved.
D. For Emergency Medical Services
1 . District faculty shall be responsible for instructing in regard to
patient and institution confidentiality.
2. District faculty shall inform the students that they must be able to
provide a record of immunizations and physical examination, if
requested.
3.
Emergency Medical Services students shall have the status of
students and shall not be considered to be Agency employees, nor
shall they replace Agency staff. Cliriical/field internship experience
will be conducted as a laboratory learning experience.
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4. Emergency Medical Services students are subject to the authority,
policies, and regulations of the District. They are also subject,
during clinical/field internship assignment, to applicable Agency
regulations and must conform to the same standards as are set for
Agency employees and other students and learners in matters
relating to the welfare of patients and general Agency operation.
5. District will be responsible for assuring that the Emergency Medical
Services students assigned to the Agency for clinicaVfield
internship instruction comply with all applicable provisions of this
Agreement and meet both District and Agency academic and
clinicaVfield internship standards and rules and regulations of
conduct.
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PART III
GENERAL RESPONSIBILITIES AND PRIVILEGES OF THE AGENCY
A. For the Program in General
1 . Agency will maintain the standards which make it eligible for
approval as a clinical/field internship area for instruction in
Emergency Medical Services programs.
2. Agency staff may participate in the education program on request
of the District. This may be as resource persons, clinical/field
internship experts, or assistants in the planning and implementation
of aspects of clinical/field internship education. Such participation
shall be voluntary and shall not interfere with assigned Agency
duties.
3. Agency will designate a staff member who will function as
Education Coordinator for Emergency Medical Services for
education usage of the Agency facilities, including joint planning
with representatives of all involved Emergency Medical Services
programs.
4.
Agency will permit the faculty and students of the District to use its
patient service facilities for clinical/field internship education
according to the approved curricula, provided they comply with all
applicable rules and regulations of the Agency.
B. For Services and Facilities
1. Agency will permit use of the following facilities and services by
District Emergency Medical Services students and faculty at such
times and to the degrees considered feasible by the Agency:
a. Parking areas.
b. First aid treatment, provided appropriate written consent is
given.
c. Access to sources of information for educational purposes,
such as:
1.
2.
3.
Kardex files;
Procedure guides, policy manuals;
Medical dictionaries, pharmacology references; and
other references suitable to the clinical/field internship
area;
Books and periodicals in the Medical Library.
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. C.
PART IV
PART V
For Control of District Personnel
1 . Agency may without notice or hearing refuse access to its
c1inicaVfield internship areas to Emergency Medical Services
students or District faculty who do not meet its employee standards
for safety, health, cooperation, or ethical behavior or any other
applicable rules and regulations. An investigation and resolution of
any such matter by the Agency and the District shall take place
within sixty (60) days thereafter.
JOINT RESPONSIBILITIES AND PRIVILEGES
A.
For Publications
1 . Publication by District faculty or Agency staff members of any
material relative to their clinicaVfield internship experience that has
not been approved for release by the District and Agency is
prohibited.
B. Assurance of Non-Discrimination
1.
The District and the Agency, in compliance with Title VI of the Civil
Rights Act of 1964, Title IX of the Educational Amendments of
1972, and Section 505 of the Rehabilitation Act of 1973, do not
discriminate on the basis of race, color, national origin, religion,
sex, age or handicap in any policies, procedures or practices.
PERIOD OF AGREEMENT
A.
This agreement shall be effective as of the date signed and shall continue
in effect until terminated by written notice of either party not to exceed five
years. The said termination shall become effective only at the close of an
academic year, but not before three months after receipt of said notice,
except that this agreement may be terminated at any time for the
following:
1. Upon written mutual consent by the District and the Agency, or
2. In the event of any substantial default hereunder.
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IN WITNESS WHEREOF, the parties by their duly authorized representatives have
executed this agreement as of the last date written below.
APPROVED BY THE AGENCY
APPROVED BY THE DISTRICT
San Bernardino Community College District
Judith Valles, Mayor
Raymond G. Eberhard, Business Manager
Date
-Date
APPROVED AS TO FORM
AND LEGAL CONT.EN.T:.
By:
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SAN BERNARDINO COMMUNITY COLLEGE DISTRICT
Mutual Hold Harmless Agreement
Between
San Bernardino Community College District - Crafton Hills Campus
And
San Bernardino City Fire Deoartment
SAN BERNARDINO CITY FIRE DEPARTMENT hereby agrees to save and hold
harmless SAN BERNARDINO COMMUNITY COLLEGE DISTRICT and its department,
agencies, officers or employees from all sums which SAN BERNARDINO COMMUNITY
COLLEGE DISTRICT or any of its departments, agencies, officers, or employees may
be obligated to pay by reason of any liability imposed on them for damages arising out
of the performance of the services rendered by SAN BERNARDINO CITY FIRE
DEPARTMENT and cause by any error, omission or act of SAN BERNARDINO CITY
FIRE DEPARTMENT or any person employed by him or her or any others for whose
acts SAN BERNARDINO CITY FIRE DEPARTMENT is legally liable. Said sums shall
include, in the event of legal action, court costs, expenses of litigation and reasonable
attorney's fees.
AS WELL AS
SAN BERNARDINO COMMUNITY COLLEGE DISTRICT hereby agrees to save and
hold harmless SAN BERNARDINO CITY FIRE DEPARTMENT and its department,
agencies, officers or employees from all sums which SAN BERNARDINO CITY FIRE
DEPARTMENT or any of its departments, agencies, officers, or employees may be
obligated to pay by reason of any liability imposed on them for damages arising out of
the performance of the services rendered by SAN BERNARDINO COMMUNITY
COLLEGE DISTRICT and cause by any error, omission or act of SAN BERNARDINO.
COMMUNITY COLLEGE DISTRICT or any person employed by him or her or any
others for whose acts SAN BERNARDINO COMMUNITY COLLEGE DISTRICT is
legally liable. Said sums shall include, in the event of legal action, court costs,
expenses of litigation and reasonable attorney's fees.
San Bernardino City Fire Department
San Bernardino Community College District
Name: Judith Valles, Mayor
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Raymond G. Eberhard, Business Manager
Date:
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Date:
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Attachment B
C~ONHaLSCOLLEGE
EMS 157
FIELD INTERNSHIP
Name:
Class:
Preceptor:
Agency:
Attachment B
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CRAFTON HILLS COLLEGE
FIELD INTERNSHIP - EMS 157
TIME REQUIREMENTS
Interns complete a minimum of 600 HOURS and 40 ALS contacts. An
extension of 120 hours is available if necessary. A maximum of 720
hours is allowed.
CHC prefers that extension of the internship be placed as soon as the
necessity becomes apparent. Extension is a group decision made by the
preceptor, liaison, field coordinator and the medical director. Extensions
may be reduced or removed if the intern's performance meets the
standard criteria.
Each intern is provided with a zero (0) shift on order to allow the
preceptor and the intern time to become acquainted and for the
preceptors to outline their expectations. This shift is intended to be an
observation shift for the intern, however some interns do participate in
patient care during that shift. This shift may be a complete shift or a
partial shift. The time does not count toward the total 600 hours but the
e shift is mandatory.
Interns may be moved from one preceptor to another for various reasons.
CHC's basic philosophy is not to move interns. If a move occurs, the
intern will extended. If necessary, the intern will complete the protocol
final prior to starting with the new preceptor. "
SCHEDULE CHANGES
Any change in schedule, illness, overtime, change in primary preceptor,
for any number of hours, must be:
. Reported to the field coordinator prior to the occurrence
. Reported to the liaison, at a reasonable hour
. Reported to the preceptor and/or agency prior to the
occurrence
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When you need to communicate with the field coordinator:
· Use only the coordinator's office voice mail if you need to
leave a message
· Page them if you need prior approval
· Use 911 after the number when you page if the call is
urgent
FIRE SUPPRESSION
CHC's philosophy is that field interns concentrate on the internship and
their needs as an intern. If the precepting agency wishes an intern to
participate in any fire tr-;..;... or SUIlDressiOll, the intern must:
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· Have the chief at the internship agency write the field
coordinator a letter requesting the participation
· Have their chief write the field coordinator a letter stating
the intern will be covered on the employers workman's
compensation insurance
· Refrain from participation in fire related activities until
both letters are on me at the school and you have
received approval from the field coordinator .
Failure to comply, will result in the intern being dropped from the
program.
DRESS CODE AND PROFESSIONAL BEHAVIOR
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Interns are required to:
· Dress in the school uniform and name tag
· Wear the name tag on the outside of their attire at all
times
· Appear clean and neat
· Have a change of uniform with them at all times
· Follow all policies of the interning agency
· Follow the instructions of the preceptor
· Arrive on shift in time to complete assigned pre-shift
duties
· Arrive emotionally and physically prepared for each shift
· Communicate professionally with patients and families
, Communicate professionally with the preceptor and with
" other EMS and health care providers
· Accept feedback from the preceptor
· Take responsibility for self-improvement
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· Maintain confidentiality and respect the rights of others
at all times
· Complete all required papeIWork
· Refrain from false documentation on field papeIWork
· Perform only under the direct supervision of the approved
preceptor
· Maintain behaviors consistent with Board Policy 6060,
Student Conduct, which may be found in the school
library
· Follow all policies of the San Bernardino Community
College District
HARASSMENT
Harassment is against the regulations and policies of the San Bernardino
Community College District. Any occurrence must be reported to the
field coordinator immediately.
SCOPE OF PRACTICE
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The California Code of Regulations, Title 22, EMT-P Regulations, state
the paramedic intern must be under direct supervision during the field
internship. Direct supervision is only provided by your approved
preceptor.
In the field, the paramedic intern may perform any activity identified in
the "basic" scope of practice of the EMT-P as defined in the California
code of regulation, and the expanded scope of practice approved by the
Medical Directors for San Bernardino and Riverside County EMS
Agencies. If a preceptor is not accredited to perform skills or medications
in the expanded scope, the student may not perform those skills.
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INJURY I MEDICAL LIABILITY
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If an intern is injured or exposed to a communicable disease or other
harmful agent during the internship, they must:
. Refrain from initiating any care other than life and death
care
. Beep the program administration immediately, using 911
after the number (909-857-0296)
. Stay by the phone, a call will be made immediately
. Follow the directions for care given by the program
administrator
. See the school nurse, on campus, within 48 hours of the
injury or exposure
Failure to follow this procedure can make the intern responsible for any
incurred costs.
COLLEGE BEEPER SYSTEM
When the intern needs to speak to the field coordinator:
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. Use the beeper number, anytime day or night (909-857-
0296)
. Use 911 after the number if it is an urgent call
. The call will be returned immediately if it is a 911 call and
within 10 minutes if it is routine.
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_FIELD MEETINGS AND FIELD COORDINATOR MEETINGS
During the internship, interns will be required to:
. Attend 2 field meetings
. Meet with the field coordinator three times
. After the 7th shift and before the 10th shift
. After the 16th shift and before the 20th shift
. After the completion of the [mal shift
To schedule the meetings:
. Beep the field coordinator to schedule a time
. Have your schedule ready with available times
. Arrive for the meeting with your notebook
You may not progress to shift 10 or 20 until you have completed the
meetings.
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Failure to attend field meetings will result in a grade reduction of one
letter.
NATIONAL REGISTRY
Information regarding National Registry testing will be given to you by
the testing coordinator. You will be excused from the field on these days,
and the night before testing.
FIELD LIAISONS
Each intern is assigned to a field liaison. The field liaison will:
. Be your initial contact with the college during the
internship
. Contact you by the 5th shift (120 hours)
. Visit with you approximately every 120 hours during the
internship
. Ride out for a minimum of 8 hours during the internship
If the liaison does not contact you, or if they are not available to you,
please notify the field coordinator.
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e . GRADING CRITERIA
EVALUATION AREAS:
Major Evaluations:
Field Care Audits:
Affective Behavioral Evaluation:
(4 Preceptor and 1 by Field Coordinator)
Possible Points: 330
Possible Points: 240
Possible Points: 200
Total Points Possible:
770
To successfully complete the field internship, the student must:
. Meet the required time line for all required paperwork
. Earn an overall grade equivalent to 80%
. Earn a grade equivalent to 80 % in each of the evaluation
areas
. Complete course completion within 30 days of the last
field shift
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A = 725 - 770 points
B = 680 - 724 points
C = 620 - 679 points
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FIELD INTERNSHIP PERFORMANCE OBJECTIVES
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The field internship will offer the student the opportunity to perform
many or all of the skills explored in the didactic and clinical portions of
the program. The environment will change from the controlled to the
uncontrolled and will afford the student the environment to 'put it all
together. .
At the end of this course, the student will be able to:
1. determine safety for patient, self and team members and
ensure an adequate work environment in a timely
manner.
2. use universal precautions, wear appropriate personal
protective equipment specific for patient condition, clean
and sanitize equipment in accordance with provider policy
and procedures.
3. initiate or delegate appropriate crowd control and deal
effectively with family and bystanders.
4. recognize the need for and request additional assistance
or equipment needed in a timely manner.
5. perform an organized primary assessment within 60
seconds and intervene appropriately in a timely manner.
6. obtain a relevant and accurate patient history, chief
complaint/problem, medications and allergies in a
systematic and timely manner.
7. perform a thorough exam with appropriate inquiry and
inspection pertinent to the patient's chief complaint with
accurate fmdings.
8. interpret and correlate assessment information correctly.
9. identify breath sounds and have adequate knowledge of
chest auscultation.
10. identify cardiac rhythms in an accurate and timely
manner.
11. develop and implement an appropriate plan of action.
12. assess patient response to therapy/interventions.
13. build rapport with patient, family and bystanders.
Showing consideration and respect for others, and
instilling confidence in the patient.
14. communicate all pertinent information to team members.
15. utilize medical control appropriately, including organized
and complete radio reports.
".' l6. complete patient care reports in an accurate, thorough
, and legible manner.
17. function as a member of the patient care team.
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18. assume a leaderShip role and direct team members
appropriately.
19. participate in the evaluation of self; including accepting
feedback and suggestions and taking necesswy steps to
correct performance.
20. use all equipment correctly.
21. assure the adequate delivery oxygen to patient, including
use of appropriate airway adjunct and achieving or
maintaining patency of airway in a timely manner.
22. correctly use advanced airways in a timely manner.
23. recognize signs / symptoms of tension pneumothorax, and
decompress the chest.
24. correctly identify the indications for and perform
defibrillation and cardioversion.
25. establish an intravenous infusion with proper technique
and in a timely manner.
26. demonstrate respect for the dignity of each individual he
or she is associated with in the practice of his or her
professional duties.
27. respond to the field learning environment in such a
manner to invite confidence of patients, supervisors,
peers and other health care professionals.
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AREA ORIENTATION CHECK LIST
We have informed the students that he or she is a guest in your facility.
Social behaviors would identify that the student will initially be nervous
in a new and unfamiliar setting. The following checklist is designed to
help you orient the student to your agency's policies.
Check each item when completed:
_tour of station
_introduction to personnel
_equipment
check and restock
_agency specific policies
_documentation procedures
_who to contact if ill
_meal info
_specific phone number needed
_any necessary fmancial info
_sleep info
Primary Base Hospital
__ Other Base Hospitals in Area
Methods of Communication
Direct Phone Line to BH
Trauma Centers
Other agencies with whom there is interaction and/or response and their
level of care
Any special communication problems or transport problems due to
terrain or transport time
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CRITERIA FOR EVALUATING STUDENT PERFORIIAl'ICE
e The following criteria must be used when evaluating intern performance
and affective behaviors. It is to be used:
. by the preceptor
. by the intern
. as the measurement of the intern against the
standard for a competent paramedic
. only in the form listed for scoring, e.g. 1,2, or 3
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DAILY PERFORMANCE RECORD
When completing the Daily Performance Record:
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· use one sheet for every shift
· the intern should complete the top of each form
· list all calls, including AMA's
· every ALS call must be evaluated
· BLS calls may be evaluated at the discretion of the
preceptor
· Patient and treatment information must be completed(see
example)
· sequentially number all ALS calls (see example)
· the intern must evaluate him or herself on the lines
marked "I" prior to evaluation by the preceptor using the
performance criteria
· use only 1,2, or 3 as scores, using the comment sections
to elaborate
· the preceptor must complete the "Summary of
Performance", "Drills and Demonstrations", and "Plan for
Improvement" .
· both the preceptor and the intern must sign the form
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MAJOR EVALUATION FORM
When completing.the Major Evaluation:
· complete a form at the completion of each 120 hours
· the intern must complete the top of the form
· use only 1,2.or 3 as scores, use the comment section to
elaborate
· average the scores of the previous 120 hours to determine
the scores
· mark any area where the student has not performed in
that 120 hours "NjA"
· the preceptor must complete the "Summary of
Performance" and "Plan for Improvement"
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AFFECTIVE BEHAVIOR EVALUATION
The field coordinator and the preceptor will evaluate affective
behaviors during the internship. The results of these evaluations will be
considered in the overall field grade.
The preceptor will complete the affective behavior form on shift
5,10,15, and on the intern's last shift.
The field coordinator will complete the field coordinator affective
behavior form as a part of the fmal notebook review.
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CRAFTON HILLS COLLEGE
AFFECTIVE BEHAVIOR EVALUATION
EMS 157 - FIELD COORDINATOR
Date:
Intern :
Field Coordinator Signature:
A score of 1 meaaa you stzon&lY acree. . score of 5 m_ you stzon&lY
dJaacree.
1. Arranges and attends all field coordinator meetings.
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
2. Arrives on time for meetings. -
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
3. Advises coordinator of all schedule changes as directed.
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
4. Notebook is organized for field coordinator meetings.
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
e
5. Attends all general field meetings.
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
6. Completes field care audits according to schedule.
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
7. Has necessary notebook signatures in place prior to field coordinator
meetings
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
8. Maintains a professional and cooperative attitude during the
internship
I-strongly agree 2-agree 3-neutral 4-disagree 5-strongly disagree
Comments:
"
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TRACKING FORMS
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Each student will complete tracking forms. The forms are organized by
medication, skill, and patient type. Also, they are organized by patient
age. It is extremely important to have the forms accurately recorded,
since the documentation will be included in the determination of student
competencies.
For the purpose of filling out these forms, the following ages apply:
neonate - birth to I month
infant - 1 month to 1 year
child - 1 year - 13 years
adolescent - 14 years to 17 years
adult - 18 years to 60 years
geriatric - Over 60 years
(neo)
(inf)
(chi)
(adol)
(adult)
(geriat)
A hash mark (I) should be made in the correct columns for each patient
treated or contacted. The tracking fmma mast include BLa, ALS lUId
AMA calls.
e
These forms are to be completed at the end of each call and will be
reviewed at all meetings with the field coordinator.
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FIELD CARE AUDITS
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The field care audit is designed to help interns develop their critical
thinking skills by examining the chief complaint and the related
pathophysiology of patient illness and injury_
Each intern will:
. complete 12 field audits during the internship
. have a separate copy of the field run report form for each
audit
. complete the fOl1I1s legibly and with correct spelling
. have 3 field care audits ready to turn in at the first
meeting with the field coordinator
. have 5 field care audits ready to turn in at the second
meeting with the field coordinator
. have 4 field care audits ready to turn in at the fmal
meeting with the field coordinator
. have the preceptor review and approve prior to the field
coordinator meetings
e The field care audits are worth 20 points each:
. chief complaint - 2 point
. pathophysiology - 4 points
. main concerns - 3 points
. management of concerns - 3 points
. home medications - 1 point
. affects to care - 2 points
. protocol choice - 1 point
. protocol justification - 1 point
. change in management of patient or scene - 1 point
. new thing learned - 2 points
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NOTEBOOK CRITERIA
Each student will develop a field notebook. The notebook must be:
. a 3 inch notebook
. include a cover page containing intern name, preceptor
name, interning agency name and class number
. contain dividers with the following sections:
. field notebook
. daily performance record
. major and affective evaluations
. field care audits
. tracking forms
. liaison evaluations
. be free of any plastic sheet covers
. be organized and with in the student's possession on
each field shift
· be organized and with the student at all meetings with
the field coordinator
Behind every daJly perforJlllUlce record, place a copy of the ran
report form for every call. All patieut ideutificatiou iDformatiou is
to be blacked out.
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To prepare to complete the field internship course requirements, the
intern must:
. call the field coordinator to make an appointment for final
notebook check and exit interview
. review the entire document so the information reflects a
thorough, professional document
. submit your signed "Statement of Completion" form.
iD a sealed envelope from the preceptor
. check for all necessary signatures on paperwork
. submit your notebook and final paperwork
. cover page
. daily performance evaluations and all field
run report forms
. major evaluations
. field liaison evaluations
. field care audits
. tracking forms
e
Course completion will not take place until all required paperwork with
the necessary signatures has been submitted.
. '
Course completion requirements must be completed within 30 days of
the final field shift.
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CRAFTON HILLS COLLEGE
FIELD INTERNSHIP - EMS 157
STATEMENT OF COMPLETION
To the Medical Director of the Paramedic Program:
I have been preceptor for during his or her
field internship. The student has demonstrated the following entry level
paramedic competencies:
1. respects the dignity of each individual with whom he or
she is associated in the practice of their professional
duties. .
2. responds to the field learning environment in such a
manner to invite confidence of patients, supervisors,
peers and other health care professionals.
3. analyzes subjective and objective information to
formulate a plan of action and correctly implements the
plan.
4. assures and procures scene safety.
5. assesses and treats patients as they present during the
field internship, according to standard protocols.
6. communicates effectively verbally and in writing.
7. displays leadership abilities.
8. maintains equipment.
I recommend successful completion of their field internship from Crafton
Hills College Paramedic Program.
Preceptor Signature
Date:
Agency:
State License No.
County Accreditation No.
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CALIFORNIA PARAMEDIC FIELD INTERNSHIP -,MAJOR EVALUATION
~
INTEJIH
PAAAMEDIC PRIlGR.\M
e
INltMING AGENCY
STATION & SHIFT
TODArS DATE
PARAMEDIC PRECEPTOR (1)
PAAAMEOIC PRECEPTOR (2)
RAnNG PERIOD fROM:
TO:
IALS CAllS TO DAll;
Rating Crlt.rla: Refer to Performance Evaluation Standards in the Intemship Manual An intern must attain a -:r in each
category on the final evaluation to successfully complete field internship.
1. Frequently fails to perform procedure in a competent manner
2. Inconsistent in performing procedures in a competent manner
3. Consistently performs procedure in a competent manner
HI A Not applicable. Did not perform skill.
(Skins not observed in the field shan be Mualed in a drill silUation prior to the completion 01 inll!mship)
COMMENTS: are requir&d in each major category
1. Safety and work environment
2. Universal precautions
3. Crowd control '
4. Additional assistance and equipment
6. Patient information
7. Physic:al examinalion
8. Assessment interpretalion
9: Chest auscultation
10. Cardiac rhythms
11. Patient management
12. Patient response to therapy
COMMUNICATION
13. Rapport with patient. family, and bys1andirs
14. Team members
15. Radio report
16. Documentation
17. Working relationship with tearn members
LEADERSHIP
18. Leadership
19. Professionalism
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20. Feedback and guidance
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EQUIPMENT
21. Inventory maintenance
22. Equipment operation
CPPO '9!l4
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TREATMENT SKILLS
i RAT1NG COMMENTS: Me fflquired in .ach m.pr c.lIIgotY
23. AirYlrl managementJOxygen therapy
24. Advanced airways
25. Ptlllral decompreslion
CIRCULATION
26. DefibrillationlCardioversion
27. Intravenous access
28. Pneumatic antishock garment
MUSCULOSKElETALSKILLS
29. Bandaging/splinting
30. Extrication/patient podioning
31. Spinal immobilization
PHARMACOLOGY
32. Drug administmion technique
33. Drug knowledge .
EXPANDED SCOPE
OTHER SKILLS
SUMMARY OF PERFORMANCE
EVALUATION FACTORS Prr-'cepror J fT '-' : prov (1,' 1 ~,C,rrIJn 'ljjTJfTldfV u! .. ~ InltJrn..) pt..'rlorrn;J(icl...' fa dJ(t'
Plan for improvement:
,
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PraDlDr SlQND.It'C I Con' p""""",, ~,..aorr. I Con'
Inllm S1QMaul: AlJ'"CY RIp ~_~:
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Attachment C
Effective 4113/99
California Code of Regulations
TITLE 22. SOCIAL SECURITY
DMSION 9. PRE-HOSPITAL EMERGENCY MEDICAL SERVICES
CHAPTER 4. EMERGENCY MEDICAL TECHNICIAN-PARAMEDIC
Article 1. Definitions
100135. Approved Testing Agency.
" Approved Testing Agency" means an agency approved by the EMS Authority to administer the licensure examination.
NOTE: Authority cited: Sections 1797.107,1797.172 and 1797.185, Health and Safety Code. Reference: Sections
1797.172 and 1797.185, Health and Safety Code.
100136. Continuous Quality Improvement
"Continuous Quality Improvement" or "CQI" means methods of evaluation that are composed of structure, process,
and outcome evaluations which focus on improvement efforts to identifY root causes of problems, intervene to reduce
or eliminate these causes, and take steps to correct the process.
Note: Authority cited: Sections 1797.107, 1797.172, 1797.185, Health and Safety Code. Reference: Sections
1797.172 and 1797.204 Health and Safety Code.
100137. Paramedic Trainlng Program Approving Authority.
"Parnmedic training program approving authority" means an agency or person authorized by this Chapter to.approve an
Emergency Medical T echnician.Paramedic training program, as follows:
(a) The approving authority for an Emergency Medical Technician.Paramedic training program conducted by a
qualified statewide public safety agency shall be the director of the EMS Authority.
(b) The approving authority for any other Emergency Medical Technician.Paramedic training program not included in
subsection (a) shall be the local EMS agency which has jurisdiction in the area in which the trainin~program is
headquartered.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172,
1797.200 and 1797.208, Health and Safety Code.
100138. Paramedic Licensing Authority.
"Paramedic Licensing Authority" means the director of the EMS Authority.
NOTE: Authority cited: Sections 1797.107, 1797.172, and 1797.194, Health and Safety Code. Reference: Sections
1797.172, 1797.194, and 1797.210. Health and Safety Code.
100139. Emergency Medical Technician-Paramedic (EMT-P).
"Emergency Medical T echnician.Paramedic" or "EMT .p" or "paramedic" or "mobile intensive care paramedic" means
an individual who is educated and trained in all elements of prehospital advanced life support; whose scope of practice
,
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Attachment c
Effective 4/13/99
to provide advanced life support is in accordance with the standards prescribed by this Chapter, and who has a valid
license issued pursuant to this Chapter.
NOTE: Authority cited: Sections 1797.107, 1797.172, and 1797.194, Health and Safety Coge' Reference: Sections
1797.84, 1797.172, and 1797.194, Health and Safety Code. ,t'
100140. Licensure Skills Examination.
"Skills or practical examination" means an examination approved by the EMS Authority to test the skills of al\.individua1
applying for licensure as a paramedic. Examination results sbaIl be valid for application pwposes for one (I) year from
the date of examination.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.175, 1797.185, and 1797.194, Health and Safety
Code. Reference: Sections 1797.172, 1797.175, 1797.185, and 1797.194, Health and Safety Code.
100141. Licensure Written Examination.'
''Licensure Written Examination" means a written examination approved by the EMS Authority to test an individual
applying for licensure as a paxamedic. Examination results shall be valid for application pwposes for one (I) year from
date of examination.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.175, 1797.185, and 1797.194, Health and Safety
Code. Reference: Sections 1797.63, 1797.172, 1797.175, 1797.185, 1797.194, and 1797.210, Health and Safety
Code.
100142. Local Accreditation.
"Local Accreditation" or "accreditation" or "accreditation to practice" means authorization by the local EMS agency to
practice as a paramedic within that jurisdiction. Such authorization indicates that the paramedic has completed the
requirements of Section 100 166 of this Chapter.
NOTE: Authority cited: Sections 1797.7, 1797.107, 1797.172, and 1797.185, Health and Safety Code. Reference:
Sections 1797.172, 1797.178, 1797.185, 1797.194, and 1797.210, Health and Safety Code.
100143. State Paramedic Application.
"State Paxamedic Application" or "state application" means an application fonn provided by the EMS Authority to be
completed by an individual applying for a license or renewal of license or applying for a duplicate license, as identified in
Section 100163.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.185, and 1797.194, Health and Safety Code.
Reference: Sections 1797.63, 1797.172, 1797.185, and 179il94, Health and Safety Code,
Article 2. General Provisions
100144. Application of Chapter.
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(a) Any local EMS agency that authorizes a par.unedic training program or an advanced life-support service that
provides services utilizing paramedic peISOnnel as part of an <>rgl'ni7ed EMS syste:m, sball be responsible for approving
paramedic training programs, paramedic service providers, paramedic base hospitals, and for jeveloping and enforcing
standards, regulations, policies and procedures in accordance with this chapter to provi~coi1tinuous quality
improvement, appropriate medical control, and coordination of paramedic peISOnnel and training program(s) within an
EMS system.
(b) No person or organization shall offer a paramedic training program, or hold themselves out as offering a-paramedic
training program, or hold themselves out as providing advanced life-support services utilizing paramedics for the delivery .
of emergency medical care unless that person or organization is authorized by the local EMS agency.
(c) A paramedic who is not licensed in California may temporarily perform his/her scope of practice in California on a
mutual aid response, on routine patient transports from out of state into California, or during a special event, when
approved by the medical director of the local EMS agency, if the following conditions are met
(I) The paramedic is licensed or certified in another state/country or under the jurisdiction of the federal government.
(2) The paramedic restricts his/her scope of practice to that for which s/he is licensed or certified.
(3) Medical control as specified in section 1798 of the Health and Safety Code is maintained in accordance with
policies and procedures established by the medical director of the local EMS agency.
NOTE: Authority cited: Sections 1797.107, 1797.172, and 1797.195, Health and Safety Code. Reference: Sections
1797.172, 1797.178, 1797.185, 1797.195, 1797.200. 1797.204, 1797.206, 1797.208, 1797.218, 1797.220, 1798
and 1798.100, Health and Safety Code.
100145. Scope of Practice of Paramedic.
(a) A paramedic may perform any activity identified in the scope of practice of an EMT -I in chapter 2 of this division,
or any activity identified in the scope of practice of an EMT-IT in chapter 3 of this division.
(b) A paramedic shall be affiliated with an approved paramedic service provider in order to perform the scope of
practice specified in this Chapter.
(c) A paramedic student or a licensed paramedic, as part of an organized EMS system, while caring for patients in a
hospital as part ofhiS'her training or continuing education under the direct supervision of a physician, registered nurse,
or physician assistant, or while at the scene of a medical emergency or during transport, or during interfacility transfer,
or while working in a small and rural hospital pursuant to section 1797.195 of the_Health and Safety Code, may
perform the following procedures or administer the following medications when such are approved by the medical
director of the local EMS agency and are included in the written policies and procedures of the local EMS agency.
(I) Basic Scope of Practice:
(A) Perform defibrillation and synchronized cardioversion.
(B) Visualize the aiIway by use of the laryngoscope and remove foreign body(-ies) with forceps.
(C) Perform pulmonaty ventilation by use of lower airway multi-lumen adjuncts, the esophageal aiIway, and adult oral
endotracheal intubation.
(D) Instirute intravenous (IV) catheters, saline locks, needles, or other cannulae (IV lines), in peripheral veins: and
monitor and administer medications through pre-existing vascular access.
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Effective 4113/99
(E) Administer intravenous glucose solutions or isotonic ba1anced salt solutions, inc1uding Ringel's Iactate solutiOll.
(F) Obtain venous blood samples.
(0) Use glucose measuring device. "
(H) Perform Va1salva maneuver. ,t (
(I) Perfonn needle cricothyroidotomy.
(1) Penonn needle thoracostomy.
(K) Monitor thoracostomy tubes.
(L) Monitor and adjUSlIV solutions containing potassium. equal to or less than 20 mEqlL.
(M) Administer approved medications by the following routes: intravenous, intramuscular, subcutaneous~inhaIation,
transcutaneous, rectal, sublingual, endotracheal, oral or topical.
(N) Administer, using prepackaged products when available, the following medications:
I. 25% and 50% dextrose;
2. activated charcoal;
3. adenosine;
4. aerosolized or nebulized beta-2 specific bronchodilators;
5. aspirin;
6. atropine sulfilte;
7. bretyliwn tosylate;
8. calciwn chloride;
9. diazepam;
10. diphenhydramine hydrochloride;
II. dopamine hydrochloride;
12. epinephrine;
13. furosemide;
14. glucagon;
15. midazolam;
16. lidocaine hydrochloride;
17. morphine sulfate;
18. naloxone hydrochloride;
19. nitroglycerin preparations, except intravenous, unless permitted under (c)(2)(A) of this section;
20. sodiwn bicarbonate; and
21. syrup of ipecac.
(2) Local Optional Scope or Practice:
(A) Perfonn or monitor other procedure(s) or administer any other medication(s) determined to be appropriate for
paramedic use, in the professional judgement or the medical director of the local EMS agency, that have been approved
by the Director of the Emergency Medical Services Authority when the paramedic has been trained and tested to
demonstrate competence in performing the additional procedures and administering the additional medications.
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(B) The medical director of the local EMS agency shall submit Form #EMSA-0391 dated 1/94 to, and obtain
approval from, the Director of the EMS Authority in accordance with section 1797.172 (b) of the Health and Safety
Code for any procedures or medications proposed for use pursuant to this subsection prior to ~Iemenllllion of these
medication(s) and or procedure(s). ,I'
(C) The EMS Authority shal~ within fOU1'\een (14) days of receiving the request, notifY the medical director of the local
EMS agency submitting request Form #EMSA-039I that the request form bas been received, and shall specify what
infonnatiOll, if any, is missing.
(0) The Director of the EMS Authority shall approve or disapprove the request for additional procedures and/or
medications and notify the local EMS agency medical director of the decision within ninety (90) days of receipt of the
completed request.
(E) The Director of the EMS Authority, in consultation with a committee of the local emergency medical services
medical directors named by the Emergency Medical Directors Association of Califomia, may suspend or revoke
approval of any previously approved additional procedure(s) or medication(s) for cause.
(d) The medical director of the local EMS agency may develop policies and procedures or establish standing.orders
allowing the paramedic to initiate any paramedic activity in the approved scope of practice without voice contact for
medical direction from a physician or mobile intensive care nurse, provided that CQI measures, as.specified in Section
100172, are in place.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.185, 1797.192, 1797.195, and 1797.214, Health and
Safety Code. Reference: Sections 1797.172 and 1797.185, Health and Safety Code.
100146. Paramedic Trial Studies.
A paramedic may perform any prehospital emergency medical care treatment procedure(s) or administer any.
medication(s) on a trial basis when approved by the medical director of the local EMS agency. and the Director of the
Emergency Medical Services Authority.
(a) The medical director of the local EMS agency shall review a trial study plan, which at a minimum shall include the
following:
(I) A description of the procedure(s) or medication(s) proposed, the medical conditions for which they can be utilized,
and the patient population that will benefit.
(2) A compendium of relevant studies and material from the medical literature.
(3) A description of the proposed study design including the scope of the study and method of evaluating the
effectiveness of the procedure(s) or medication(s), and expected outcome.
(4) Recommended policies and procedures to be instituted by the local EMS agency regarding the use and medical
control of the procedure(s) or medication(s) used in the study. .
(5) A description of the training and competency testing required to implement the study.
(b) The medical director of the local EMS agency shall appoint a local medical advisory committee to assist with the
evaluation and approval of trial studies. The membership of the committee shall be determined by the medical director
of the local EMS agency, but shall include individuals with knowledge and experience in research and the effect of the
proposed study on the EMS system.
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(c) The medical director of the local EMS agency shall submit the proposed study and send a copy ofthe-proposed
trial study plan at least forty-five (45) days prior to the proposed initiation of the study to the Director of the EMS
Authority for approval in accordance with the provisions of section 1797. I 72 of the Health & Safety Code. The EMS
"'"
Authority shall inform the Commission on EMS of studies being initiated. ". ,
(d) The EMS Authority shall notify, within fourteen (14) days of receiving the request, the medical director of the local
EMS agency submitting its request for approval of a trial study that the request has been received, and shall specify
what infonnatiOll, if any, is missing.
( e) The Director of the EMS Authority shall render the decision to approve or disapprove the trial study within forty-
five (45) days of receipt ofaIl materials specified in subsections (a) and (b) of this section.
(f) The medical director of the local EMS agency within eighteen (18) months of initiation of the procedure(s) or
medication(s), shall submit a written report to the Commission on EMS which includes at a minimum the progress of the
study, number of patients studied, beneficial effects, adverse reactions or complications, appropriate statistical
evaluation, and general conclusion.
(g) The Commission on EMS shall review the above report within two (2) meetings and advise the EMS Authority to
do one of the following:
(I) Recommend termination of the study if there are adverse effects or no benefit from the study is shown.
(2) Recommend continuation of the study for a maximum of eighteen (18) additional months if potential but inconclusive
benefit is shoWll
(3) Recommend the procedure or medication be added to the paramedic basic or local optional scope of practice,
(h) If option (g) (2) is selected, the Commission on EMS may advise continuation of the study as structured or
alteration of the study to increase the validity of the resuIts.
(i) At the end of the additional eighteen (18) month period, a fina1 report shall be submitted to the Commission on EMS
with the same format as described in (f) above,
(j) The Commission on EMS shall review the fina1 report and advise the EMS Authority to do one of the following:
(I) Recommend termination or further extension of the study.
(2) Recommend the procedure or medication be added to the paramedic basic or local optional scope of practice.
(k) The EMS Authority may require the trial study(ies) to cease after thirty-six (36) months.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.3,
1797.172 and 1797.221. Health and Safety Code.
100147. Responsibility ofthe Local EMS Agency.
The local EMS agency that authorizes an advanced life support progl3Jll shall establish policies and procedures
approved by the medical director of the local EMS agency, that shall include:
(a) Approval, denial, revocation of approval, suspension, and monitoring of training programs, base hospitals, and
paramedic service providers.
(b) Assurance of compliance with provisions of this Chapter by the paramedic progl3Jll and the EMS system.
(c) Submission to the State EMS Authority, as changes occur, of the following information on the approved paramedic
training programs:
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(I) Name of program director and/or program contact;
(2) Address, phone number, and facsimile number;
(3) Date of approval and date of expiration.
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(d) Development or approval, implementation and enforcement of policies for medical COJ,!kOI, medical accountability,
and CQI of the paramedic services, including:
(I) Treatment and triage protocols.
(2) Patient care record and reporting requirements.
(3) Medical care audit system.
(4) Role and responsibility of the base hospital and paramedic service provider.
(e) System data collection and evaluation.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172,
1797.178, 1797.200, 1797.202, 1797.204, 1797.208, 1797.220, 1798 and 1798.100, Health and Safety Code.
Article 3. Program Requirements for Paramedic Training Programs
100148. Approved Training Programs.
(a) The purpose of a paramedic training program shall be to prepare individuals to render prehospital advanced life
support within an organized EMS system.
(b) By January 1,2004, all paramedic training programs approved by a paramedic training program approving
authority prior to January 1,2000 shall be accredited and maintain current accreditation by the Joint Review Committee
on Educational Programs for the EMT-Paramedic (JRCEMT-P).
(c) All paramedic training programs approved by a paramedic training program approving authority January 1~20oo or
thereafter shall apply for JRCEMT.P accreditation after one year of operation and receive and maintain)RCEMT-P
accreditation after three (3) years from application for JRCEMT -P accreditation in order to continue to operate as an
approved paramedic training program.
(d) Paramedic training programs shall submit to their respective paramedic training program approving authority,proof
of initial application for JRCEMT.P accreditation, and annually thereafter submit documentation specifYing their
JRCEMT.P accreditation status.
(e) Eligibility for program approval shall be limited to the following institutions:
(1) Accredited universities, colleges, including junior and community colleges, and private post-secondary schools as
approved by the Slate of California. Department of Consumer Affairs, Bureau of Private Postsecondary and
Vocational Education.
(2) Medical training units ofa branch of the Armed Forces or Coast Guard of the United States.
(3) Licensed general acute care hospitals which meet the following criteria:
(A) Hold a special pennitto operate a basic or comprehensive emergency medical service pursuant to the provisions
of Division 5;
(B) provide continuing education to other health care professionals; and
(C) are accredited by the Joint Conunission on the Accreditation of Healthcare Organizations.
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(4) Agencies of government.
NOTE: Authority cited: Sections 1797.107, 1797.172 and 1797.173, Health and Safety Code. Reference: Sections
1797.172, 1797.173, 1797.208 and 1797.213, Health and Safety Code. ",
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100149. Teaching StafT.
(a) Each program shall have an approved program medical director who shall be a physician currently licensed in the
State of California, who has two (2) years experience in prehospital care in the last five (5) years, and who is qualified
by education or experience in methods of instruction. Duties of the program medical director shall include, but not be
limited to:
(I) Approval of all course conten~ including training objectives for the clinical and field instruction.
(2) Approval of content of all written and skills examinations administered by the training program.
(3) Approval of provision for hospital clinical and field internship experiences.
(4) Approval of principal ins1rUCtor(s).
(b) Each program shall have an approved course director who shall be licensed in California as a physician, a
registered nurse who has a baccalaureate degree or a paramedic who has a baccalaureate degree, or shall be an
individual who holds a baccalaureate degree in a related health field or in education. The course director shall be
qualified by education and experience in methods, materials, and evaluation of instruction, and sha1l have a minimum of
one year experience in an administrative or management level position and have a minimum of three (3) years academic
or clinical experience in prehospital care education within the last five (5) years. Duties of the course director shall
include, but not be limited to:
(I) Administtation of the training program.
(2) 10 coordination with the program medical director, approve the principal instructor, teaching assistants, field and
hospital clinical preceptors, clinical and internship assignments, and coordinate the development of curriculum, including
instructional objectives, and approve all methods of evaluation.
(3) Ensure training program compliance with this chapter and other related laws.
(4) Sign all course completion records.
(c) Each program shall have a principal instructor(s), who may also be the program medical director or course director
if the qualifications in subsections (a) and (b) are met, who shall:
(I) Be a physician, registered nurse, physician assistan~ or paramedic, currently licensed in the State ofCalifomia.
(2) Have two (2) years experience in advanced life support prehospital care within the last five (5) years.
(3) Have six (6) years experience in an allied health field or related technology and an associate degree or, two (2)
years experience in an allied health field or related technology and a baccalaureate degree.
(4) Be responsible for areas including, but not limited to a, curriculum development, course coordination. and
instruction.
(d) Each training program may have a teaching assistant(s) who shall be an individual(s) qualified by training and
experience to assist with tcaching of the course. A teaching assistant shall be supervised by a principal instructor. the
course director and/or the program medical director.
(e) Each program shall have a field preceptor(s) who shall:
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(1) Be a physician, registered nurse, physician assistant, or paramedic, cum:ntly licensed in the Stale of California; and
(2) Have two (2) years field experience in prehospital care within the last five (5) years.
(3) Be under the supervision of a principal instructor, the course director and/or the progran],.llledical director.
,
(4) Have completed field preceptor training approved by the local EMS agency and/or o&riply with the field preceptor
guidelines approved by the local EMS agency. Training shall include a curriculum that wiD result in the preceptor being
competent to evaluate the paramedic student during the internship phase of the training program.
(f) Each program shaD have a hospital clinical preceptor(s) who shall:
(1) Be a physician, registered nurse or physician assistant currently licensed in the State of California
(2) Have two (2) years experience in emergency care within the last five (5) years.
(3) Be under the supervision of a principal instructor, the course director, and/or the program medical director.
(4) Receive instruction in evaluating paramedic students in the clinical setting. Means of instruction may include, but
need not be limited to, educational brochures, orientation, training programs, or training videos.
NOTE: Authority cited: Sections 1797.1 07 and 1797.172, Health and Safety Code. Reference: Sections 1797.172
and 1797.208, Health and Safety Code.
100150. Didactic and Skills Laboratory.
An approved paramedic training program shall assure that no more than six (6) students are assigned to one (1)
instructor/teaching assistant during skills practicellaboratory.
NOTE: Authority cited: 1797.1 07, 1797.172 and 1797.173, Health and Safety Code. Reference: Sections 1797.172,
1797.173 and 1797.208, Health and Safety Code.
100151. Hospital Clinical Education and Training for Paramedic.
(a) An approved paramedic training program shall provide for and monitor a supervised clinical experience at a
hospital(s) that is licensed as a general acute care hospital and holds a permit to operate a basic or comprehensive
emergency medical service. The clinical setting may be expanded to include areas commensurate with the skiDs
experience needed Such settings may include surgicenters. clinics, jails or any other areas deemed appropriate_by the
local EMS agency. The maximum number of hours in the expanded clinical setting shall not exceed forty (40) hours of
the total clinical hours specified in Section lOOI59(aX2).
(b ) Training programs in nonhospital institutions shaD enter into a written agreement( s) with a licensed general acute
care hospital(s) that holds a permit to operate a basic or comprehensive emergency medical service for the purpose of
providing this supervised clinical experience.
(c) Paramedic clinical training hospita1(s) and other expanded settings shall provide clinical experience. supervised by a
clinical preceptor(s). The clinical preceptor may assign the student to another health professional for selected clinical
experience. No more than two (2) students shall be assigned to one (I) preceptor or health professional during the
supervised clinical experience at anyone time. Clinical experience shall be monitored by the training program staff and
shall include direct patient care responsibilities, which may include the administration of any additional medications.
approved by the local EMS agency medical director and the director of EMS Authority, to result in competency.
Clinical assignments shall include. but are not limited to: emergency. cardiac. surgical. obstetric. and pediatric patients.
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NOTE: Authority cited: Sections 1797.1 07, 1797.172 and 1797.173, Health and Safety Code. Reference: Sections
1797.172, 1797.173 and 1797.208, Health and Safety Code.
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100152. Field Internship. ,I ..
(a) A field internship shall provide emergency medical care experience supervised by an authorized field preceptor to
result in the paramedic student being competent to provide the medical procedures, techniques, and medications
specified in section 100145, in the prehospital emergency setting within an OTgl"';7M EMS system.
(b) An approved paramedic training program shall enter into a written agreement with a paramedic service provider(s)
to provide for field internship, as well as for a field preceptor(s) to directly supervise, instruct, and evaluate the students.
[fthe paramedic service provider is located outside the jurisdiction of the paramedic_training program approving
authority, then the training program shall conlacl the local EMS agency where the paramedic service provider is located
and report to that local EMS agency the name of the paramedic intern in their jurisdiction.
(c) All interns shall be continuously monitored by the training program, regardless of the location of the internship, as
descnbed in written agreements between the training program and the internship provider.
(d) No more than one paramedic ttainee shall be assigned to a response vehicle at anyone time during the field
internship.
NOTE: Authority cited: Sections 1797.107, 1797.172 and 1797.173, Health and Safety Code. Reference: Sections
1797.172, 1797.173 and 1797.208, Health and Safety Code.
100153. Procedure for Program Approval.
(a) Eligible training institutions shall submit a written request for program approval to the paramedic training program
approving authority. A paramedic training program approving authority may deem a paramedic trnining program
approved that has been accredited by the JRCEMT -P, lIpon submission of proof of sllch..accreditation. without
requiring the paramedic training program to submit for review the information required in subsections (b) and (c) of this
section.
(b) The paramedic training program approving authority shall receive and review the following prior to program
approval:
(I) A statement verifying that the course content is equivalent to the U. S. Department of Transportation (DOT)
Emergency Medical Technician-Paramedic National Standard Curriculum HS 900 089.
(2) A course outline if different from the outline specified in Section 100160 of this Chapter.
(3) Performance objectives for each skill.
(4) The name and qualifications of the training program course director, program medical director, and principal
instructors.
(5) Provisions for supervised hospital clinical trnining including student evaluation criteria and standardized forms for
evaluating paramedic students; and monitoring of preceptors by the training program.
(6) Provisions for supervised field internship including student evaluation criteria and standardized forms for evaluating
paramedic students; and monitoring of preceptors by the trnining program.
(7) The location at which the courses are to be offered and their proposed dates.
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(c) The paramedic training program approving authority shall review the foDowing prior to program approval:
(1) Samples of written and skills examinations administered by the training program for periodic testing.
(2) A final written examination administered by the training program. ,
(3) Evidence !bat the program provides adequate facilities, equipment., examination sec~, and student record
keeping.
(dl The paramedic training program approving authority shall submit to the State EMS Authority an outline o(program
contents and eligibility on each paramedic training program being proposed for approval in order toJ 797.173 of the
Health and Safety Code. Upon request by the State EMS Authority, any or all materials submitted by the paramedic
training program shall be submitted to the State EMS Authority.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172,
1797.173 and 1797.208, Health and Safety Code.
100154. Paramedic Training Program Approval.
(a) The paramedic training program approving authority shall, within fifteen (15) working days of receiving a,request for
training program approval. notifY the requesting training program that the request has been received.:and shall specifY
what infonnatiOl1, if any, is missing.
(b) Paramedic training program approval or disapproval shall be made in writing by the paramedic training program
approving authority to the requesting training program after receipt of all required documentation. This time period shall
not exceed three (3) months.
(c) The paramedic training program approving authority shall establish the effective date of program approval in writing
upon satisfactory documentation of compliance with all program requirements.
(d) Paramedic training program approval shall be for four (4) years following the effective date of approval and may be
renewed every four (4) years subject to the procedure for program approval specified in. this chapter. .
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172,
1797.173 and 1797.208, Health and Safety Code; and section 15376, Government Code.
100155. Application of Regulations to Existing Paramedic Training Programs.
(a) All paramedic training programs in operation prior to the April 13, 1999 revisions to these regulations shaD submit
evidence of compliance with this Chapter to the appropriate paramedic training program approving authority within six
(6) months after the effective date of the revised regulations.
(b) Pursuant to the timelines specified in Section 100148(b) and (c) of these regulations, all approved paramedic
training programs shall submit. to their respective paramedic training program approving authority and to the_EMS
Authority, evidence of application for or accreditation from the Joint Review Committee for Educational Programs for
EMT-Paramedic.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Section 1797..172,
Health and Safety Code.
100156. Program Review and Reporting.
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(a) All program materials specified in this Chapter shall be subject to periodic review by the EMT-P Approving
Authority and may also be reviewed by the EMS Authority.
(b) All programs shall be subject to periodic on-site evaluation by the EMT -P Approving Autbyrity and may also be
evaluated by the EMS Authority. /'
(c) Any person or agency conducting a training program shall notifY the EMT -P Approving Authority in writing, in
advance when possible, and in all cases within thirty (30) days of any change in course content, hours of instruction,
course director, program medical director, principal instructor, provisions for hospital clinical experience, or field
internship.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172
and 1797.208, Health and Safety Code.
100157. Withdrawal of Program Approval.
Noncompliance with any criterion required for program approval, use of any unqualified teaching personne~ or
noncompliance with any other applicable provision of this Chapter may result in suspension or revocation of program
approval by the EMT-P Approving Authority. An approved EMT-P training program shall have no more than sixty
(60) days from date of written notice to comply with this Chapter.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sectins 1797.172,
1797.208 and 1798.202, Health and Safety Code.
100158. Student Eligibility.
(a) To be eligible to enter an EMT-P training program an individual shall meet the following requirements:
(I) Possess a high school diploma or general education equivalent; and
(2) possess a current basic cardiac life support card according to the standards of the American Heart Association or
American Red Cross or have possessed a valid card within the past twelve (12) months; and
(3) possess a current EMT-I A certificate or have possessed a valid EMT-I A cenificate within the past twelve 12
months; or
(4) possess a current EMT-Il certificate in the State ofCalifomia or have possessed a valid EMT-I1 certificate within
the past twelve (12) months.
(b) EMT-P training programs that include the twenty-four (24) hour ambulance module and required testing as
specified in Chapter 2 of this Division. within their training program, may allow an individual to enter their training
program who:
(I) Possesses a current EMT-I NA certificate in the State of California or has possessed a valid EMT-I NA cenificare
in the State of California within the past twelve (12) months; and
(2) meets the requirements of subsections (a)(!) and (a)(2) of this Section.
(c) EMT-P trnining programs that include the EMT-IA course content as specified in Chapter 2 of this Division. within
their training program and required testing, may exempt applicants from provision (a)(3) of this Section.
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(d) EMf -P training prognuns that include a basic cardiac life support course according to the standards of the
American Hear:t Association or American Red Cross, within their progr.un and required 1esting, may exempt applicants
from provision (a)(2) of this Section. "'"
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Rertrence: Sections 1797.172
and 1797.208, Health and Safety Code.
100159. Required Course Hours.
(a) The total training program shaD consist of not less than 1032 hours. These training hours shaD be divided into:
(I) A minimum of 320 hours of didactic instruction and skills laboratories;
(2) The hospital clinical training shall consist of no less than 160 hours and the field internship shall consist of no less
than 480 hours.
(b) The student shall have a minimum of forty (40) advanced life support (ALS) patient contacts during the field
internship as specified in Section 100152. An ALS patient contact shall be defined as the student perfonnance of one
or more ALS skills, except cardiac monitoring and basic cardiopuhnonary resuscitation (CPR), on a patient.
(c) The minimum hours shall not include the following:
(I) Course material designed to teach or test exclusively EMf -I knowledge or skills including CPR.
(2) Examination for student eligIbility.
(3) The teaching of any material not prescribed in section 100160 of this Chapter.
(4) Examination for paramedic licensure.
NOTE: Authority cited: Sections 1797.1 07 and 1797.172, Heal th and Safety Code. Reference: Section 1797.172,
Health and Safety Code.
100160. Required Course Content.
The content of an EMT -P course shall include adequate instruction to result in the EMT -P being competent in the
following topics and skills listed below:
(a) Division I: Prehospital Environment
(I) Section I: Roles and Responsibilities.
(2) Section 2: Emergency Medical Services Systems.
(A) Emergency Medical Services Systems.
I. Recognition and access.
2. Initiation of the emergency medical services response.
3. Management of the scene.
a. Medical control.
b. Scene control.
c. When to call for backup.
4. Transportation of emergency personnel, equipment, and the patient.
a California Highway Patrol equipment mandate (requirements).
b. Determination of destination.
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5. Overview of hospital categorization and designation.
a. Base hospital.
b. Critical care centers (e.g., Trawna Centers, Pediatric Centers). ,
c. Emergency facility - - comprehensive, basic, standby. ,I'
d. Receiving hospital.
6. Communications overview.
a. Radio.
b. Telemetxy.
c. Telephone.
7. Recordkeeping and evaluation including data collection.
8. Multicasualty incidents and disasters.
9. Role and responsibility of the Stale and local EMS system management
(3) Section 3: MedicaI/Legal Considerations. .
(A) Laws governing the EMT-P.
\. Abandonment.
2. Child abuse, elder abuse, and other laws that require reporting.
3. Consent - - implied and informed.
4. Good Samaritan Laws.
5. Legal detention (Welfare and Institutions Code, Section 5150 and 5170).
6. Local policies and procedures, to include pronouncing/determining death.
7. Medical control.
8. Medical practice acts affecting the EMT-Ps.
9. Negligence.
10. Overview ofEMT-I, EMT-ll, and EMT-P in California.
II. Special procedures utilized for victims of suspected criminal acts, including preservation of evidence.
12. The health professional at the scene.
I3. W rillen medical records.
(B) Overview of issues concerning the health professional.
\. Death and dying.
2. Malpractice protection.
3. Medical ethics and patient confidentiality.
4. Safeguards against communicable diseases.
(4) Section 4: Emergency Medical Services Communications.
(A) Emergency medical services communication system.
I. Radio communication.
2. System components.
3. Telephone communication.
(B) Communication regulations and procedures.
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1. Communication policies and procedures.
2. Radio troubleshooting.
3. Radio use.
4. Role of Federal Communications Conunission (FCC).
(C) Skills Protocols.
I. Radio mechanics (operational skill).
(5) Section 5: Extrication and Rescue.
(A) Extrication and rescue.
(6) Section 6: Major Incident Response.
(A) Multicasua1ty disaster management, including Incident Command System.
I. Local policies and protocols.
2. Medical management.
3. Triage, including START.
(B) Hazardous materials. Principles of hazardous materials management, to include tear gas and radiation exposure
and precautions.
(7) Section 7: Stress Management.
(b) Division 2: Preparatory Knowledge and Skills.
(I) Section I: Medical Tenninology.
(A) Medical teIminology, including anatomical terms.
m Section 2: General Patient Assessment and Initial Management.
(A) Human systems.
Basics of anatomy and physiology to include:
1. B!>dy cavities.
2. Cardiovascular (circulatory) system.
3. Digestive system.
4. Endocrine system.
5. Genitourinary system. 6. Homeostasis.
7. Integumentary system.
8. Muscular system.
9. Nervous system.
10. Respiratory system.
11. Skeletal system.
12. Surface anatomy.
13. The cell - - basic structure and function.
14. Tissues.
(B) Patient assessment.
1. Pertinent patient history.
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2. Physical examination.
3. Prioritization of assessment and management.
4. Scene assessment J"
(C) Reporting funnat for presenting patient infonnation. )I /
(0) Skills Protocols.
I. Diagnostic signs.
2. Patient assessment
3. Reporting patient information.
(3) Section 3: Airway and Ventilation.
(A) Airway management.
Assessment and prehospital management of the patient in respiIatory distress emphasizing techniques listed under Skills
Protocols.
(8) Skills protocols.
I. Basic airway adjuncts.
a Baglvalve systems.
b. Demand valves.
c. Nasopharyngeal airways.
d Oropharyngeal airways.
e. Oxygen administration devices.
f. Suctioning and portable suction equipment.
2. Chest auscultation.
3. Direct 1aryngoscopy and use of Magill forceps for removal offoreign body.
4. Endotracheal intubation (En. to include drug administration and suctioning, and intubation of the chronic stoma.
5. Esophageal airway, including esophageal gastric tube airway (EGTA).
(4) Section 4: Pathophysiology of Shock.
(A) Fluids and electrolytes.
I. Acid-base balance.
2. Blood and its composition.
3. Body fluids and distnbution.
4. Electrolytes.
5. Intravenous solutions.
6. Osmosis and diffusion.
(B) Assessment and management.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of shock to
include:
I. Cardiogenic shock.
2. Distributive shock.
3. Hypovolemic shock.
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4. Obstructive shock.
(C) Skills Protocols.
I. IV techniques: /"
a. Peripheral IV insenioll, to include sterile techniques and prepamtion of equipmenl (IV "bing, bottle, and bag).
b. Withdrawal of blood samples by venipuncture.
2. Pneumatic antishock trousers, 10 include indications, conlIaindications, associated complications, and
application/deflation procedure.
(5) Section 5: General Pharmacology.
(A) Introduction 10 pharmacology.
I. Classifications.
2. Factors which affecl actioll, onset of action and duration.
3. General drug actions.
4. Home medications.
5. Routes of administration.
6. Tenninology.
(8) Drug dosages.
I. Computing dosages.
2. Weights and measures, including review of the metric system.
(C) Autonomic nerves.
I. Parasympathetic.
2. Sympathetic, 10 include aIphaibeta.
(D) Specific drugs.
Actions, classificatioll, indications, contraindications, dosages, how supplied, interactions, side effects, complications,
and preferred rOUles of administration of the drugs specified in Section IOOI44(b)(12) and <bXI3).
(E) Drug preparation and administration skills.
I. Addition of drugs 10 IV bott1e, bag or volutrol and regulation rate of infusion.
2. Administration of drugs directly inlo a vein.
3. Administration of drugs through an endotrachea1tube (as part ofET skill).
4. Administration of drugs through an IV tubing medication port.
5. InhaIatiOll
6. Intramuscular injections.
7. Oral.
8. Subcutaneous injections.
9. Sublingual (nol for injection).
10. Sublingual injections.
II. Administration of drugs inlo pre-existing vascular access devices.
(c) Division 3: Trauma.
(I) Section I: Soft lissue Illjuries.
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(A) Anatomy and physiology.
(8) Soft-tissue injuries.
Pathophysiology, specific patient assessment, mechanism of injUl)', associated complicatioDS,JIIld the pn:hospital
,
management of soft tissue injuries to include: . ,I .
1. Eye injuries.
2. Head and neck injuries.
3. Wounds - - open and closed.
(C) SkiUs Protocols.
1. Bandaging.
2. Control of external hemonilage.
3. Eye irrigation.
4. Immobilizing and removal of impaled objects.
5. Pnewnatic antishock trousers.
(2) Section 2: Musculoskeletal Injuries.
(A) Anatomy and physiology.
(8) Musculoskeletal injuries.
Pathophysiology, specific patient assessment, mechanism of injUl)', associated complications, and the prehospital
management of musculoskeletal injuries to include:
I. Fractures.
2. Dislocations.
3. Sprains and strains.
(C) Skills and protocols.
I. Pnewnatic antishock trousers.
2. Rigid splint
3. Sling and swathe.
4. Traction splint
(3) Section 3: Chest Trauma.
(A) Pathophysiology, specific patient assessment, mechanism of injury, associated complications, and the prehospital
management of chest trauma to include:
I. Hemothorax.
2. Impaled objects.
3. Myocardial and great vessel trauma.
4. Pnewnothora;( and tension pneumothorax.
5. Rib fractures and flail chest
(B) Skills Protocols.
(4) Section 4: Abdominal T rawna.
Pathophysiology. specific patient assessment, mechanism of injury, associated complications, and the prehospital
management of abdominal trauma. to include pelvic and genitourinaIy trawna.
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(5) Section 5: Head and Spinal Cord Trauma.
(A) Pathophysiology, specified patient assessment, mechanism of injury, associated complications, and the prehospilal
management of head and spinal cord trawna. "
r
(B) Skills Protocols. ,I .
1. Cervical irmnobili2ation.
2. Helmet removal.
3. Spinal irmnobili2ation.
(6) Section 6: Multisystem Injuries.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of the
multisystem injured patient
(7) Section 7: Bums
(A) Anatomy and physiology.
(B) Assessment and treatment
(d) Division 4: Medical Emergencies.
(1) Section I: Respiratory System.
(A) Anatomy and physiology of the respiratory system to include:
I. Composition of gases in the environment
2. Exchange of gases in the lung.
3. Regulation of respiration.
4. Respiration patterns.
(B) Respiratory distress.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of respiratory
distress, to include:
I. Asthma and chronic obstructive pulmonary disease.
2. Cerebral and brain stem dysfunction.
3. Dysfunction of spinal cord, nerves or respiratory muscles.
4. Hyperventilation syndrome.
5. Pneumonia
6. Pulmonary embolism.
7. Spontaneous pneumothorax.
8. Upper airway obstruction.
(C) Acute pulmonary edema. .
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of acute
pulmonary edema - - cardiac and noncardiac.
(0) Near drowning.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of near
drowning.
(E) Toxic inha1ations.
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Pathophysiology. specific patient assessment, associated complications, and the prehospital management of lDxic
inhalations.
(2) Section 2: Cardiovascular System.
(A) Anatomy and physiology.
Anatomy and physiology of the cardiovascular system to include:
1. Cardiac conduction system.
2. Cardiac cycle.
3. Cardiac output and blood pressure.
4. Electromechanical system of the heart.
5. Nervous control.
(B) Introduction of electrocardiogram intCIpretation.
I. Components of the electrocardiogram record.
2. Electrophysiology.
3. Identitying nonnaI sinus mythm.
(C) Dysrllythmia recognition, to include prehospitaI management of the following:
1. Artifuct
2. Artificial pacemaker mythms.
3. Atrial fibril1ation.
4. Atrial flutter.
5. Cardiac standstill (asystole).
6. Electromechanical dissociation.
7. First degree atrioventricular block.
8. Idioventricular mythm.
9. Junctional mythm.
10. Premature atrial contractions.
II. Premature junctional contractions.
12. Premature ventricular contractions.
13. Second degree atrioventricular block.
14. Sinus arrllytlunia
15. Sinus bradycardia (with hypotension).
16. Sinus tachycardia.
17. Supraventricular tachycardia.
18. Third degree atrioventricular block.
19. Ventricular fibrillation.
20. Ventricular tachycardia.
(D) Cardiovascular disorders.
Pathophysiology, specific patient assessment, associated complications, and the prehospitaI management of
cardiovascular disorders to include:
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1. Aortic aneurysm.
2. Cardiogenic shock.
3. Congestive heart failwe. ""
4. Coromuy artery disease, angina, and acute myocardial infarction. ,! f
5. Hypertensive emergencies.
(E) Skills Protocols.
1. Advanced cardiac life support (ACLS) megacode modified for field situation.
2. Basic cardiac life support (BCLS).
3. Cardiac monitoring.
4. Defibrillation and synchronized cardioversion.
5. Dysrhythmia recognition of the rhythms listed in subsection (2Xc).
6. Vagal maneuvers, specifically, va1salva maneuvers.
(3) Section 3: Endocrine Emergencies.
Pathophysiology, specific patient assessment. associated complications, and the prehospital management of endocrine
emergencies not included in other sections to include diabetic emergencies, including diabetic ketoacidosis and
hypoglycemic reactions.
(4) Section 4: Nervous System.
(A) Anatomy and physiology of the nervous system to include:
I. Autonomic nerves.
2. Brain and spinal cord.
3. Peripheral nerves.
(B) Nervous system disorders.
Pathophysiology, specific patient assessment. associated complications, and the prehospital management of
nontraumatic altered levels of consciousness and other central nervous system (CNS) disorders to include:
I. Coma.
2. Seizures.
3. Stroke.
4. Syncope.
5. Other causes.
(5) Section 5: Acute Abdomen, Genitourimuy, and Reproductive Systems. Nontraumatic acute abdomen.
Pathophysiology, specific patient assessment. associated complications, and the prehospital management of the
nontraumatic acute abdomen, to include gastrointestinal bleeding, and emergencies of the genitourinary and reproductive
systems.
(6) Section 6: Anaphylaxis.
Pathophysiology, specific patient assessment. associated complications, and the prehospital management of allergic
reactions to anaphylaxis.
(7) Section 7: Toxicology, Alcoholism, and Drug Abuse.
(A) Toxicology, and poisoning.
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(B) Alcoholism and drug abuse.
(8) Section 8: Infectious Diseases.
Communicable diseases. Understanding of communicable diseases to include transmission an~ pn:caulions.
,
(9) Section 9: Environmental Injuries. . / .
(A) Environmental emergencies.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of
environmental emergencies to include:
1. Atmospheric pressure related emergencies to include:
a. Compressed air diving injuries and iUnesses.
b. MOWltain sickness and other high altitude syndromes.
2. Lightning and other electrical injuries.
3. Poisonous and nonpoisonous bites and stings.
4. The atmospheric and thermal environment and the physiology of temperature regulations.
a. Cold elCpOsure.
b. Heat exposure.
5. Thermal injuries and iUnesses.
(B) Skills Protocols.
1. Application of constricting bands.
2. Snake bite kit.
(10) Section 10: Pediatrics
(A) Special considerations in relationship to iUness and injury to include:
1. Approach to parents.
2. Approach to pediatric patient.
3. Growth and development.
(B) Pediatric emergencies.
Specific patient assessment. and the prehospitaI management of emergencies especially related to the pediatric age
group to include:
I. Cardiopulmonary arrest, to include advanced cardiac life support protocols.
2. Child abuse/neglect, including preservation of evidence.
3. Medical emergencies to include:
a. Altered level of consciousness, including coma.
b. Common communicable diseases (childhood illnesses).
c. Meningitis.
d. Seizures.
4. Near drowning.
5. Poisoning.
6. Respiratory distress.
a. Allergic reactions/anaphylaxis.
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b. AstbmaIbronchitis.
c. Epiglottitis.
d Foreign body aspiration.
e. Pnewnonia.
[ Tracheobronchitis (croup).
7. Sudden infant death syndrome as mandated by Chapter 11 II, Statutes of1989.
8. Trawna, including shock.
(C) Skills Protocols.
1. Airway adjuncts utilized for neonates, infants, and children.
2. Child resuscitation.
3. Cooling measures.
4. Infant resuscitation.
5. Intravenous techniques utilized for neonates, infants, and children.
(e) Division 5: Obstetrica~ Gynecologi~ Neonatal Emergencies.
(I) Anatomy and physiology of the female reproductive system.
(2) Normal childbirth. The stages of labor and normal delivery, including assessment and mangement.
(3) Obstetrical emergencies.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of obstetric
emergencies to include:
(A) Abnormal fetal presentation.
(B) Abortion.
(C) Abruptio placenta.
(D) Breech birth.
(E) Failure to progress.
(F) Multiple birth.
(G) Placenta previa.
(H) Post partum hemorrhage.
(\) Premature birth.
(l) Prolapsed cord.
(K) Ruptured ectopic pregnancy.
(L) Supine hypotension syndrome.
(M) Toxemia of pregnancy.
(4) Gynecological emergencies.
Pathophysiology, specific patient assessment, associated complications, and the prehospital management of gynecologic
emergencies to include:
(A) Pelvic inflammatory disease.
(B) Ruptured ovarian cyst.
(C) VaginaJ bleeding.
"'"
If
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(5) The neonate.
Specific patient assessment, and the prehospital management of the neonate to include:
(A) APGAR scoring.
(B) Resuscitation.
(C) Temperature regulation.
(6) Skills Protocols.
(A) Assisting with breech delivery.
(B) Assisting with nonnal deliveries, to include care ofthc newborn.
(C) Management of the prolapsed cord.
(D) Neonatal resuscitation.
(I) Division 6: Special Patient Problems.
(I) Section I: Prehospital Care of Patients Experiencing Behavioral Emergencies.
(A) Behavioral responses. Behavioral responses to illness, injwy, death, and dying by:
I. Bystanders.
2. EMT-Ps
3. Family.
4. Friends.
5. Otherresponders.
6. Patients.
(B) Behavioral emergencies.
Specific patient assessment, associated complications, and the prehospital management of behavioral emergencies to
include:
1. Emotional crisis.
2. Substance abuse.
3. Victims of assault, to include sexual assault.
(C) Use of commWlity resources.
(D) Skills Protocols.
I. Application of restraints.
2. Management of difficult patient situations.
(2) Section 2: Assault Victims.
Special considerations for the victims of assault to include sexual assault.
(3) Section 3: Geriatric Patients.
Special considerations for the geriatric patient.
(4) Section 4: Disabled Patients.
Special considerations for the disabled patient.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Sections 1797.172,
1797.173,1797.185 and 1797.213, Health and Safety Code.
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100161. Required Testing.
(a) An approved paramedic ttaining program shall include periodic examinations and final comprehensive
compelency-based examinations to test the knowledge and skills specified in this Chapter. ../
(b) Successful perfonnance in the clinical and field setting shall be required prior to course etmpletion.
NOTE: Authority cited: Sections 1797.1 07, 1797.172 and 1797.185, Health and Safety Code. Reference: Sections
1797.172, 1797.185, 1797.208, 1797.210 and 1797.213, Health and Safety Code.
100162. Course Completion Record.
(a) An approved paramedic training program shall issue a course completion record to each person who has
successfully completed the training program.
(b) The course completion record shaH contain the foHowing:
(I) The name of the individual.
(2) The date of completion.
(3) The following statement: "The individual named on this record has successfully completed an approved paramedic
training program."
(4) The name of the paramedic training program approving authority.
(5) The signature of the course director.
(6) The name and location of the training program issuing the record.
(7) The following statement in bold print: 'This is not a paramedic license."
(8) A list of optional procedures approved pursuant to subsection (c) (2)(A)-(D) of Section 100145 and taught in the
course.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Section 1797.172,
Health and Safety Code.
Article 4. Applications and Examinations
100163. Date and Filing of Applications.
(a) The EMS Authority shall notify the applicant within thirty (30) days of receipt of the state application that the
application was received and shall specifY what information, if any, is missing. The types of applications which may be
required to be submitted by the applicant are as follows:
(I) Application for Initial License. Form L-Ol, dated 4/99.
(2) Application for License Renewal, Form RL-OI, dated 4/99.
(3) Application for License of Out of State Candidates who are registered with the National Registry of Emergency
Medical Technicians, Form L-OIA. dated 4/99.
(4) Applicant fingerprint card, BID-7 dated 5/90, for a state sununary criminal history provided by the Department of
Justi<;& in accordance with the provisions of section 11105 et seq. of the Penal Code.
(5) Application for Duplicate License. Form 0-01, dated 12/93.
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(b) Applications for renewal of license shall be received by the EMS Authority at least thirty (30) calendar days prior to
expiration of currenllicense.
(c) Eligible out-of-state applicants defined in section lOOI65(b) and eligtble applicants definel!,in section lOOI65(c) of
,
this Chapter who have applied to cha1Ienge the par.unedic licensure process shall be notifie4'by the EMS Authority
within forty-five (45) working days of receiving the application. Notification shall advise the_applicant that the
application has been received, and shall specifY what infonnation, if any, is missing.
(d) An application shall be denied without prejudice when an applicant does not complete the application, furnish
additional infonnation or documents requested by the EMS Authority or fails to pay any required fees. An applicant
shall be deemed to have abandoned an application if the applicant does not complete the requirements for licensure
within one year from the date on which the application was filed. An application submitted subsequent to an
abandoned application shall be treated as a new application.
(e) A complete state application is a signed application that provides the requested information and is accompanied by
the appropriate application fee(s). All statements submitted by or on behalf of an applicant shall be made under penalty
of peIjury.
NOTE: Authority cited: Sections 1797.107 and 1797.172, Health and Safety Code. Reference: Section 1797.172,
Health and Safety Code.
100164. Written and Skills Examination.
(a) The written examination as defined in section 100141 shall test the applicants knowledge and competency in the
subject areas comprising the basic scope of practice as specified in section 100145.
(b) The skills examination as defmed in section 100140 shall test the applicants' competency in the ability to perfonn
those skills specified in section 100145.
(c) Candidates shall comply with the procedures for examination established by the EMS Authority
and shall not violate or breach the security of the examination. Candidates found to have violated the security of the
examination or examination process as specified in section 1798.207 of the Health and Safety Code, shall be subject to
the penalties specified therein.
(3) Application for License of Out of State Candidates who are
NOTE: Authority cited: Sections 1797.7, 1797.107, 1797.172, 1797.174 and 1797.185, Health and Safety Code.
Reference: Sections 1797.7, 1797.172, 1797.185, 1797.214 and 1798.207, Health and Safety Code.
Article 5. Licensure
100165. Licensure.
(a) In order to be eligible for licensure an individual shall meet the following requirements.
(1) Have a paramedic course completion record or other documented proof of successful completion of an approved
paramedic training program.
(2) Complete and submitthe appropriate state application tonns as specitied in section IOOI63(a)( I) or (a)(3 kand
(a)(4).
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(3) Provide docwnentation of successful completion of the parnmedic licensure written and skills examinations
specified in section 100164.
(4) Pay the established fee pursuant to section 100177. /
(b) An individual who possesses a cum:nt parnmedic certificate issued by the National R~~ of Emergency Medical
Technicians, shaD be eligible for licensure when that individual fulfills the requirements of subsection (a)(2) and (4) of
this section and successfully completes a field intemship as defined in section 100152.
(c) A physician, registered muse or physician assistant currently licensed shall be eligible for parnmedic licensure upon:
(I) providing docwnenmtion of instruction in topics and skills equivalent to those listed in section 100160;
(2) successfully completing a field internship as defined in sections 100152 (a) and looI59(b); and,
(3) fulfiUing the requirements of subsection (a)(2) through (a)(4) of this section.
(d) AU docwnentation submitted in a language other than English shaD be accompanied by a translation into English
certified by a translator who is in the business of providing certified translations and who shaD attest to the accuracy of
such translation under penalty of peljury.
(e) The Authority shall issue within forty-five (45) calendar days of receipt of complete application as specified in
section looI63(e) a wallet-sized license to eligible individuals who apply for a license and successfully complete the
licensure requirements.
(f) The effective date of the initial license shall be the day the license is issued. The license shall be valid for two (2)
years from the last day of the month in which it was issued
(g) The parnmedic shall be responsible for notifYing the EMS Authority of herthis proper and cwrenl mailing address
and shaD notify the EMS Authority in writing within thirty (30) calendar days of any and aU changes of the mailing
address, giving both the old and the new address, and paramedic license number.
(b) A paramedic may request a duplicate license if the individual submits an Application for Duplicate License, as
specified in section 100163 (a) (5) certifying to the loss or destruction of the origina1license, or the individual has
changed his/her name. The duplicate license shall bear the same number and date of expiration as the-replaced license.
(i) An individual currently licensed as a paramedic by the provision of this section is deemed to be certified as an
EMT-I and an EMT -II with no further testing required If certificates are issued, the expiration date of the EMT -lor
EMT-II certification shall be the same expiration date as the paramedic license, unless the individual follows the EMT-I,
or EMT-II certification/recertification process as specified in Chapters 2 and 3 of this Division.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.175, 1797.185 and 1797.194, Health and Safety
Code. Reference: Sections 1797.63,1797.172, 1797.175, 1797.177, 1797.185, and 1797.194, Health and Safety
Code and section 15376, Government Code.
100166. Accreditation to Practice.
(a) In order to be accredited an individual shall:
(I) Possess a current Califomia paramedic license.
(2) Apply to the local EMS agency for accreditation.
(3) Successfully complete an orientation of the local E:VIS system as prescribed by the local E:V1S agency which_shall
include policies and procedures. treatment protocols, radio communications, hospitallfacility destination policies, and
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other unique system features. The orientation shall not exceed eight (8) classroom hours and sbaII not include any
further testing of the paramedic basic scope of practice. Testing shall be limited to local policies and trealment
protocols provided in the orientation. .<'"
(4) Successfully complete training in any local optional scope of practice for which the panlinedic has not been trained
and tested.
(5) Pay the established local fee pursuant to section 100177.
(b) If the local EMS agency requires a supervised field evaluation as part of the local accreditation process, the_field
evaluation shall consist of no more than ten ( 101 ALS patient contacts. The field evaluation shall only be_used to
detennine if the paramedic is knowledgeable to begin functioning under the local policies and procedures.
(1) The paramedic accreditation applicant may practice in the basic scope of practice as a second paramedic until s/he
is accredited.
(2) The pmamedic accreditation applicant may only perfonn the local optional scope of practice while in the presence
of the field evaluator who is ultimately responsible for patient care.
(c) The local EMS agency medical director shall evaluate any candidate who fails to successfully complete the field
evaluation and may recommend further evaluation or training as required to ensure the paramedic is_competent. It: after
several failed remediation attempts, the medical director has reason to believe that the paramedic's competency to
practice is questionable, then the medical director shall notify the EMS Authority.
(d) If the paramedic accreditation applicant does not complete accreditation requirements within thirty (30) calendar
days, then the applicant may be required to complete a new application and pay a new fee to begin another thirty (30)
day period.
(e) A local EMS agency may limit the number of times that a pmamedic applies for initial accreditation to no more than
three (3) times per year.
(I) The local EMS agency shall notify the individual applying for accreditation of the decision whether or not to grant
accreditation within thirty (30) calendar days of submission of a complete application.
(gl Accreditation to practice shall be continuous as long as licensure is maintained and the paramedic continue5Jo meet
local requirements for updates in local policy, procedure, protocol and local optional scope of practice, and continues
to meet requirements of the system-wide CQl program pursuant to section 100 172.
(h) An application and fee may only be required once for ongoing accreditation. An application and fee can only be
required to renew accreditation when an accreditation has lapsed.
(i) The medical director of the local EMS agency may suspend or revoke accreditation if the paramedic does not
maintain current licensure or meet local accreditation requirements and the following requirements are met:
(I) The paramedic has been granted due process in accordance with local policies and procedures.
(2) The local policies and procedures provide a process for appeal or reconsideration.
(j) The local EMS agency shall submit to the EMS Authority the names and dates of accreditation for those individuals
it accredits within twenty (20) working days of accreditation.
(k) During an i11le11acility transti:r. a paramedic may utilize the scope of practice lor "hich s.he is tt-:Jined andjn
accredited.
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(I) During a mutual aid response into another jurisdiction, a paramedic may utilize the scope of practice for which sIhe
is trained and accredited according to the policies and procedures established by hiSlher accrediting local EMS agency.
NOTE: Authority cited: Sections 1797.7, 1797.107, 1797.172, 1797.185 and 1797.192, ijeaJth and Safety Code.
Reference: Sections 1797.7, 1797.172,1797.185 and 1797.214, Health and Safety Cole.
Article 6. Continuing Education
100167. Continuing Education.
(a) [n order to maintain a valid license. a paramedic shall obtain at least torty-eight (48) hours of continuin~education
(CE) every two (2) years from an approved CE provider.
(b) Only courses, classes, or experiences that are directly or indirectly related to patient care and are structured with
leaming objectives and an evaluation component are allowed for credit toward license renewal. This may include, but
may not be limited to:
(I) Periodic training sessions or structured c1inica[ experience in knowledge and skills to include advanced airway
management and cardiac resuscitation;
(2) Organized field care audits of patient care records;
(3) Courses in physical, social or behavioral sciences (e.g. anatomy, pathophysiology, sociology, psychology);
(4) Courses or training relating to direct prehospital emergency medical care, including medical treatment andlor
management of specific patients (e. g. bum care, assessment, Advanced Cardiac Life Support, Basic T raurt!a Life
Support, orientation programs with patient care contact);
(5) Structured clinical experience, with instructional objectives, to review or expand the clinical expertise of the
individual, not to exceed eight (8) hours in a licensure cycle.
(6) Courses or training relating to indirect patient care or medical operations (e. g. continuous 'qualiryjmprovement.
cultwal diversity, griefsupport, critical incident stress debriefing, medical management of hazardous materials,
emergency vehicle operations, dispatch or rescue techniques), not to exceed eight (8) hours in a licensure cycle:
(7) Advanced topics in subject matter outside the scope of practice of the paramedic but directly relevant to
emergency medical care (e. g. surgical airway procedures), not to exceed eight (8) hours in a licensure cycle;
(8) Media based andlor serial productions (e.g. ftlms, videos, audiotape programs, magazine article offered for CE
credit, home study. computer simulations or interactive computer modules), not to exceed eight (8) hours in a licensure
cycle.
(9) Precepting paramedic students, not to exceed eight (8) hours in a licensure cycle.
(clTo satisfY the CE requirements. an individual may receive credit tor taking the same CE course no more than)wo
times during a single licensure cycle.
(d) During a single licensure cycle, a maximum of eight (8) hours shall be credited to an individual for service as an
instructor for an approved CE course or an approved EMT course.
(e) Local EMS agencies may not require additional continuing education hours for accreditation.
NOTE: Authority cited: Sections 1797.107, [797.[ 75 and 1797.185. Health and Safety Code. Reference: Sections
1797.7,1797.[72,1797.175, 1797.185. and 1797.214, Health and Safety Code.
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100168. Paramedic Continuing Education (CE) Records.
(a) In Older for CE to satisfY the requirements for license renewal, CE shall be completed durinj.the current Iicensun:
cycle and shall be submitted to the EMS Authority on the Paramedic Statement ofContinuiflg Education, Form CE-OI
dated 4/99, with the application for license renewal.
(b) A paramedic shall maintain CE certificates issued by a CE provider for four (4) years.
(c) CE certificates may be audited for cause by the EMS Authority or as part of the Authority's continuing education
verification process.
(d) In the case of a lapsed license, only CE completed within the last twenty-four (24) months prior to application for
lapsed license renewal shaD be allowed for credit toward license renewal.
NOTE: Authority cited: Sections 1797.107, 1797.175 and 1797.185, Health and Safety Code. Reference: Sections
1797.7, 1797.172, 1797.175, 1797.185, and 1797.214, Health and Safety Code.
100169. ApprovallDisapproval of Continuing Education (CE) Providers for Prebospital Personnel.
(a) The local EMS agency shaD be the agency for approving paramedic CE providers whose headquarters are within
the geographical jurisdiction of that local EMS agency and may also serve as a CE provider.
(b) The EMS Authority shall be the approving agency for CE providers whose headquarters are out-of-state and for
statewide public safety agencies. CE courses approved for EMS personnel by EMS offices of other states or by the
Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) are deemed approved
courses for meeting CE requirements without any further approval by the EMS Authority or local EMS agencies.
(c) In order to be an approved CE provider, an organization or individual shall submit an application packet for
approval to the appropriate approving agency. along with the fees specified by that agency. The fee for the EMS
Authority is specified in section 100 177(b X8). The application packet shall include, but may not be limited to,
(I) Name and address of the applicant:
(2) Name of the program director, program clinical director, and contact person, if other than the program director or
clinical director;
(3) The type of entity or organilation requesting approval; and,
(4) The resumes of the program director and the clinical director.
(d) The CE approving agency shall, within fourteen (14) working days of receiving a request for approval, notifY the
CE provider that the request has been received. and shaD specifY what information, if any, is missing.
(e) The CE approving agency shall approve or disapprove the CE request within sixty (60) calendar days of receipt of
the completed request.
(I) The CE approving agency shall issue a paramedic CE provider number according to the standardized_sequence
developed by the EMS Authority.
(g) The CE approving agency may approve CE providers for up to four (4) years, and may monitor the compliance of
CE providers to the standards established by the CE approving agency.
(h) The CE approving agency may. for cause, disapprove an application for approval, revoke the approval, or. place
the CE provider on probation, if the approving agency determines:
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(1) that the applicant/CE provider violated or attempted to violate the provisions of this Article; or
(2) that the applicant/CE provider filiIed to correct identified deficiencies, specified by the approving agency, within a
reasonable 1ength of time after m:eiving written warning notice. /.
(i) The approving agency may take action specified above in (h) when a written notice, ~ifying the reason for
disapproval, revocation or probation has been sent to the applicant/CE provider.
(1) If a CE provider is placed on probation, a corrective action plan shall be developed by the approving agency and
shall be agreed to by the CE provider.
(2) If CE provider status is revoked, approval for CE credit shall be withdrawn for all CE programs scheduled after
the date of action.
(j) The CE approving agency shall notify the EMS Authority of each CE provider approved, disapproved or revoked
within its jurisdiction within thirty (30) calendar days of action.
(k) The EMS Authority shall maintain a list of all approved, disapproved, or revoked CE providers and shall make the
listing available to local EMS agencies on a quarterly basis.
NOTE: Authority cited: Sections 1797.107, 1797.175 and 1797.185, Health and Safety Code. Reference: Sections
1797.7,1797.172,1797.175,1797.185, and 1797.214, Health and Safety Code; and section 15376, Government
Code.
100170. Continuing Education (CE) Providers for Prebospital Personnel.
In order to be approved as a provider of continuing education, the provisions in this section shall be met.
(a) The applicant shall submit an application packet as specified in section IOOI69(c) and any required fees to the
approving agency at least sixty.(60) calendar days prior to the date of the first educational activity.
(b) An approved CE provider shall ensure that;
(I) The content of all CE is relevant. designed to enhance the practice of prehospital emergency medical care, and
related to the knowledge base or technical skills required for the practice of emergency medical care.
(2) Records shall be maintained for four (4) years and shall contain the following:
(A) Complete outlines for each course given, including a brief overview. instructional objectives, comprehensive topical
outline, method of evaluation and a reconl of participant performance;
(B) Record of time, place, date each course is given and the number of CE hours granted;
(C) A curriculum vitae or resume for each instructor.
(D) A roster signed by course participants to include name and license number of the paramedic taking any approved
course and a reconl of any certificates issued.
(c) The CE approving agency shall be notified within thirty (30) calendar days of any change in name, address,
telephone number, program director, clinical director or contact person, if the contact person is not the program
director or clinical coordinator.
(d) All records shall be made available to the CE approving agency upon request. A CE provider shall be subject to
scheduled site visits by the approving agency.
(e) Individual classes/courses shall be open for scheduled or unscheduled visits by the CE approving agency and/or the
local EMS agency in whose jurisdiction the course is given.
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(t) Each CE provider shall provide for the functions of administrative direction, medical quality coordination and actual
progIllI11 instruction through the designation of a program director, a clinical director and instructors. Nothing in this
section precludes the same individual fiom being responsible for more than one of these fimcti9J1S.
(g) Each CE provider shall have an approved program director who is qualified by educab6n and experience in
methods, materials and evaluation of insIruction. Program director qualifications shall be documented by one of the
following:
(I) California State Fire Marshal (CSFM) "Fire Instructor IA and I B" or the National Fire Academy (NF A) "Fire
Service Instructional Methodology" course or equivalent; or
(2) Sixty (60) hours in ''Techniques of Teaching" courses or four (4) semester units of upper division credit in
educational materials, methods and curriculum development or equivalent fiom a college or university.
(3) Individuals with equivalent experience may be provisionally approved for up to two years by the approving agency
pending completion of the above specified requirements. Individuals with equivalent experience who teach in
geographic areas where training resources are limited and who do not meet the above program director requirements
may be approved upon review of experience and demonstration of capabilities.
(h) The duties of the program director shall include, but not be limited to:
(1) Administering the CE program and ensuring adherence to stale regu1ations and established local policies.
(2) Approving course content including instructional objectives and assigning course hours to any CE program which
the CE provider sponsors; approving aU methods of evaluation, coordinating aU clinical and field activities approved for
CE credit; approving the instructor( s) and signing all course completion records and maintaining those records in a
manner consistent with these guidelines. The responsibility for signing course completion records may be delegated to
the course instructor.
(i) Each CE provider shall have an approved clinical director who is currently licensed as a physician, registered nurse,
physician assistant, or paramedic. In addition, the clinical director shall have had two years of academic, administrative
or clinical experience in emergency medicine or prehospital care within the last five (5) years. The duties of the clinical
director shall include, but not be limited to, monitoring aU clinical and field activities approved for CE credit, approving
the instructor( s), and monitoring the overall quality of the prehospital content of the program.
Ol Each CE provider instructor shall be approved by the program director and clinical director as qualified to teach the
topics assigned, or have evidence of specialized training which may include, but is not limited to, a certificate of training
or an advanced degree in a given subject area, or have at least one (I) year of experience within the last two (2) years
in the specialized area in which they are teaching, or be knowledgeable, skillful and current in the subject mailer of the
course or activity.
(Ie) Continuing education credit shall be assigned on the following basis:
(I) Onc continuing education hour (CEH) is awarded for every fifty (50) minutes of approved
content.
(2) Courses or activities less than one (1) CEH in duration will not be approved.
(3) For courses greater than one (1) CEH, credit may be granted in no less than half hour
increments. .
(4) Each hour of structured clinical experience shall be accepted as one (I) CEH.
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(5) One academic quarter unit shall equal ten (10) CEHs.
(6) One academic semester unit shaIi equal fifteen (15) CEHs.
(I) Each CE provider shall maintain for four (4) years: .,
(I) Records on each cowse including, but not limited to, cowse title, cowse objectives, couist' outlines, qualification of
instructors, dates of instIUction, location, participant sign-in rosters, sample cowse tests or other methods of evaluation,
and records of cowse completions issued.
(2) Summaries of test results, cowse evaluations or other methods of evaluation. The type of evaluation used may vary
according to the instructor, content of program, number of participants and method of presentation.
(m) Providers shall issue to the participant a tamper resistant document or certificate
of proof of successful completion of a cowse within thiny (30) calendar days. The certificate or documentation of
successful completion must contain the name of participant, license number,
cowse title, CE provider name and address, date of cowse, and signature of program director or
cowse instructor. In addition, the following statements shall be printed on the certificate of
completion with the appropriate information filled in:
"This cowse has been approved for (number) Hours of Continuing Education by an approved
California EMS CE Provider".
"This documentation must be retained for a period of four (4) years"
"California EMS CE Provider # "
(n) Information disseminated by CE providers publicizing CE must include at a minimum the following:
(1) provider's policy on refimds in cases of nonaltendance by the registrant or cancellation by provider, if applicable;
(2) a clear, concise description of the course content, objectives and the intended target audience (e.g. paramedic,
EMT -IT, EMT -I, First Responder or all);
(3) provider name, as officially on file with the approving agency; and
(4) specification of the number ofCE hours to be granted. Copies ofall advertisements disseminated to the public shall
be sent to the approving agency and the local EMS agency in whose jurisdiction the course is.,presented prior to the
beginning of the course/class. However, the approving agency or the local EMS agency may request that copies of the
advertisements not be sent to them.
(0) When two or more CE providers co-sponsor a cowse, only one approved provider number will be used for that
course, and that CE provider assumes the responsibility for all applicable provisions.
(P) An approved CE provider may sponsor an organization or individual that wishes to provide a single activity or
course. The CE provider shall be responsible for ensuring the course meets all requirements and shall serve as the CE
provider of record. The CE provider shall review the request to ensure that the course/activity complies with the
minimum requirements. .
(q) It is the responsibility of the CE provider to submit an application for renewal at least sixty (60) calendar days
before the expiration date in order to maintain continuous approval.
(rl All CE provider requirements must be met and maintained for renewal.
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NOTE: Authority cited: Sections 1797.107, 1797.175, 1797.185 and 1797.194, Health and Safety Code.
Reference: Sections 1797.7, 1797.172, 1797.175, 1797.185, 1797.194 and 1797.214, Health and Safety Code.
Article 7. License Renewal
"'"
)!/
100171. License Renewal
(a) In order to be eligible for renewal of a paramedic license, an individual shall comply with the following
requirements:
(I) Possess a cunent paramedic license issued in California.
(2) Complete all continuing education requirements pursuant to section 100167.
(3) Complete and submit state application for license renewal, Form RL-OI, dated 4/99 and Paramedic Statement of
Continuing Education, Form CE-OI, dated 4/99, which are sent by the EMS Authority to the applicant for license
renewal approlcimately four (4) months prior to the expiration date of the license.
(b) In order for an individual whose license has lapsed to be eligible for license renewal, the following requirements
shaII apply:
(1) For a lapse ofless than six (6) months, the individual shall comply with (a) (2) and (3) of this section.
(2) For a lapse of six (6) months or more, but less than twelve (12) months, the individual shall comply with (a) (2) and
(3) of this section, and complete an additional twelve (12) hours ofCE, for a total of sixty (60) hours.
(3) For a lapse of twelve months or more, but less than twenty-four (24) months, the individual shall pass the licensure
examination specified in Section 1ooI65(a)(3), comply with (a) (2) and (3) of this section, submit 8Il.applicant
fingeIprint card, BID-7 dated 5/90, for a state summary criminal history provided by lI\e Department o(Justice in
accordance with the provisions of Section 11105 et seq. of the Penal Code, and complete an additional twenty-four
(24) hours of CE, for a total of seventy-two (72) hours.
(4) For a lapse of twenty-four (24) months or more, the individual shall comply with (a)(2) and (3) and (b)(3) o(this
section and submit an applicant fingerprint card, BID-7 dated 5/90, for a state summary criminal history provided by
the Department of Justice in accordance with the provisions of Section 11105 et seq. of the Penal Code.
Documentation of the seventy-two (72) hours of CE shall include completion of the following courses, or their
equivalent
(A) Advanced Cardiac Life Support,
(B) Pediatric Advanced Life Support,
(C) Prehospital Trauma Life Support or Basic Trauma Life Support,
(D) cardiopuhnonary resuscitation.
(c) Renewal ofa license shall be for two (2) years. If the renewai requirements are met within six (6) months prior to
the expiration date of the current license, the effective date oflicensure shall be the first day after the expiration of the
cunent license. This applies only to individuals who have not had a lapse in licensure.
(d) For individuals whose license has lapsed, the licensure cycle shall be for two (2) years from the last day of the
month in which all licensure requirements are completed and the license was issued.
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(e) The EMS Authority shall notify the applicant for license renewal within fifteen (15) wolking days of receiving the
information, that the information has been received and shall specifY what infotmatiOll, if any. is missing
NOTE: Authoritycited: Sections 1797.107, 1797.172, 1797.175, 1797.185 and 1797.1~HealthandSafety
Code. Reference: Sections 1797.63, 1797.172, 1797.175, 1797.185, 1797.194 and 1-197.210, Health and Safety
Code.
Article 8. System Requirements
100172. Continuous Quality Improvement Program.
(a) The local EMS agency shall establish a system-wide continuous quality improvement program as defined in Section
100136 of this Chapter.
(b) Each paramedic service provider, as defined in Section 100 173, and each paramedic base hospita1, as defined in
Section 100174, of this Chapter, shall have a CQI program approved by the local EMS agency.
(c) If, through the CQI program, the employer or medical director of the local EMS agency determines that a
paramedic needs additional training, observation or testing, the. employer and the medical director may create a specific
and targeted program of remediation based upon the identified need of the paramedic. If there is disagreement
between the employer and the medical director, the decision of the medical director shall prevail.
NOTE: Authority cited: Sections 1797.107, 1797.172, 1797.174, 1797.176, 1797.185 and 1798, Health and Safety
Code. Reference: Sections 1797.107, 1797.172, 1797.176, 1797.185, 1797.200, 1797.202, 1797.204, 1797.206,
1797.208 and 1797.220, Health and Safety Code.
100173. Paramedic Service Provider.
(a) A local EMS agency with an advanced life support system shall establish policies and procedures for the approval,
designation, and evaluation through its continuous quality improvement program, of all paramedic service provider( s).
(b) An approved service provider shall:
(I) Provide emergency medical service response on a continuous twenty-four (24) hours per day basis, unless
otherwise specified by the local EMS agency, in which case there shall be adequate justification for the exemption (e.g.,
lifeguards, ski patrol personnel, etc.).
(2) Utilize and maintain telecommunications as specified by the local EMS agency.
(3) Maintain a drug and solution inventory as specified by the local EMS agency of equipment and supplies
commensurate with the basic and local optional scope of pmctice of the paramedic.
(4) Have a written agreement with the local EMS agency to participate in the EMS system and to comply with all
applicable State regulations and local policies and procedures, i,ncIuding participation in the local EMS agency's
continuous quality improvement program as specified in section 100172.
(5) Be responsible for assessing the current knowledge of their pammedics in local policies. procedures and.protocols
and for assessing their paramedics' skills competency. .
(c) No paramedic service provider shall advertise ilselfas providing pammedic services unless it does, in fact, routinely
provide these services on a continuous twenty-four (24) hours per day basis and meets the requirements of subsection
(b) of this section.
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(d) No responding unit sbaI1 advertise itself as providing paramedic services unless it does, in fiIct, provide these
services and meets the requirements of subsection (b) of this section.
(e) The local EMS agency may deny, suspend, or revoke the approval of a paramedic serviet; .provider for fiIi.1ure to
comply with applicable policies, procedures, and regulations.' .!
NOTE: Authority cited: Sections 1797.107, 1797.172, and 1798, Health and Safety COde. Reference: Sections
1797.172,1797.178,1797.180,1797.204 and 1797.218, Health and Safety Code.
100174. Paramedic Base Hospital.
(a) A local EMS agency with an advanced life support system shall designate a paramedic base hospital(s) or
alternative base station to provide medical direction and supervision of paramedic personnel.
(b) A designated paramedic base hospital shall:
(1) Be licensed by the State Department of Health Services as a general acute care hospital, or, for an out of state
general acute care hospital, meet the relevant requirements for that license and the requirements of this section where
applicable, as detennined by the local EMS agency which is utilizing the hospital in the local EMS system.
(2) Be accredited by the Joint Commission on Accreditation of Healthcare Organizations.
(3) Have a special permit for basic or comprehensive emergency medical service pursuant to the provisions of Division
5, or have been granted approval by the Authority for utilization as a base hospital pursuant to the provisions of Section
1798.1 0 I of the Health and Safety Code.
(4) Have and agree to utilize and maintain two-way telecommunications equipment, as specified by the local EMS
agency, capable of direct two-way voice communication with the paramedic field units assigned to the hospital.
(5) Have a written agreement with the local EMS agency indicating the concurrence of hospital administration, medical .
staff, and emergency department staff to meet the requirements for program participation as specified in this Chapter
and by the local EMS agency's policies and procedures.
(6) Have a physician licensed in the State of California, experienced in emergency medical care, assigned to the
emergency department, available at all times to provide inunediate medical direction to the mobile intensive care nurse
or paramedic personnel. This physician shall have experience'in and knowledge of base hospital radio operations and
local EMS agency policies, procedures, and protocols.
(7) Assure that nurses giving medical direction to paramedic personnel are trained and authorized as mobile intensive
care nurses by the medical director of the local EMS agency.
(8) Designate a paramedic base hospital medical director who shall be a physician on the hospital staff, licensed in the
State of California who is certified or prepared for certification by the American Board of Emergency Medicine. The
requirement of board certification or prepared for certification may be waived by the medical director of the local EMS
agency when the medical director determines that an individual with these qualifications is not available. This physician
shall be regularly assigned to the emergency department, have experience in and knowledge of base hospital radio
operations and local EMS agency policies and procedures, and shall be responsible for functions of the base hospital
including quality improvement as designated by the medical director of the local EMS agency.
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(9) Identify a mobile intensive care nurse, if utilized by the local EMS system, with experience in and knowledge of
base hospital radio operations and local EMS agency policies and procedures as a prehospitalliaison to assist the base
hospital medical director in the medical direction and supervision of the paramedics. /
,
(10) Ensure that a mechanism exists for Ieplacing medical supplies and equipment used by"paramedics during treatment
of patients, according to policies and procedures established by the local EMS agency. .
(11) Ensure that a mechanism exists for the initial supply and Iep1acement of narcotics and other controlled substances
used by paIllllledics during treatment of patients according to the policies and procedures of the local EMS agency.
(12) Provide for continuing education in accordance with the policies and procedures of the local EMS agency.
(13) Agree to participate in the local EMS agency's continuous quality improvement program which may include
making available all relevant records for program monitoring and evaluation.
(c) If no qualified base hospital is available to provide medical direction, the medical director of the local EMS agency
may approve an alternative base station pursuant to Hcalth and Safety Code Section 1798.105.
(d) The local EMS agency may deny, suspend, or revoke the approval of a base hospital or alternative base_station for
failure to comply with any applicable policies, procedures, and regulations.
NOTE: Authority cited: Sections 1797.1 07 and 1797.172, Health and Safety Code. Reference: Sections 1797.56,
1797.58,1797.59,1797.172,1797.178,1798,1798.2,1798.100,1798.101, 1798.102 and 1798.104,Healthand
Safety Code.
100175. Medical Control.
The medical director of the local EMS agency shaJJ establish and maintain medical control in the following manner:
(a) Prospectively, by assuring the development of written medical policies and procedures, to include at a minimum:
(I) Treatment protocols that encompass the paramedic scope of practice.
(2) Local medical control policies and procedures as they pertain to the paramedic base hospitals, alternative_base
stations, paIllllledic service providers, paIllllledic pelSOnnel, patient destination, and the local EMS agency.
(3) Criteria for initiating specified emergency treatments on standing orders or for use in the event of communication
failure that are consistent with this Chapter.
(4) Criteria for initiating specified emergency treatments, prior to voice contact, that are consistent with this Chapter.
(5) Requirements to be followed when it is determined that the patient will not require transport to the hospital by
ambulance or when the patient refuses transport.
(6) Requirements for the initiation, completion, review, evaluation. and retention of a patient care record as specified in
this Chapter. These requirements shall address but not be limited to:
(A) Initiation of a record for every patient response.
(B) Responsibilities for record completion.
(C) Record distribution to include local EMS agency, receiving hospital. paramedic base hospital, alternative base
station. and paramedic service provider.
(0) Responsibilities for record review and evaluation.
(E) Responsibilities for record retention.
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(b) Establish policies which provide for direct voice communication between a paramedic and a base hospital physician
or mobile intensive care nurse, as needed.
(c) Retrospectively, by providing for Orgilni7..n evaluation and continuing education for paramedic persomel. This shall
,
include, but not be limited to: ,I . .
(I) Review by a base hospital physician or mobile intensive care nurse of the appropriateness and adequacy of
paramedic procedures initiated and decisions regarding transport.
(2) Maintenance of records of communications between the service provider(s) and the base hospital through tape
recordings and through emergency depanment communication logs sufficient to allow for medical control and continuing
education of the paramedic.
(3) Organized field care audit( s).
(4) Organized opportunities for continuing education including maintenance and proficiency of skills as specified in this
Chapter.
(d) In circumstances where use of a base hospital as defined in Section 100174 is precluded, alternative arrangements
for complying with the requirements of this Section may be instituted by the medical director of the local EMS agency if
approved by the EMS Authority.
NOTE: Authority cited: Sections 1797.107, 1797.172 and 1797.176, Health and Safety Code. Reference: Sections
1797.90,1797.172,1797.202,1797.220,1798,1798.2,1798.3 and 1798.105, Health and Safety Code.
Article 9. Record Keeping and Fees.
100176. Record Keeping.
(a) Each paramedic approving authority shall maintain a record of approved training programs within its jurisdiction and
annually provide the State EMS Authority with the name, address, and course director of each approved program.
The State EMS Authority shall be notified of any changes in the list of approved training programs.
(b) Each paramedic approving authority shall maintain a list of current paramedic program medical directors, course
directors, and principal instructors within its jurisdiction.
(c) The Slate EMS Authority shall rnaintain a record of approved training programs.
(d) Each local EMS agency shall, at a minimum. maintain a list of all paramedics accredited by them in the preceding
five (5) years.
(e) The paramedic is responsible for accurately completing the patient care record referenced in subsection 100175
(aX6) which shall contain, but not be limited to, the following information when such information is available to the
paramedic:
(I) The date and estimated time of incident
(2) The time of receipt of the call (available through dispatch records).
(3) The time of dispatch to the scene.
(4) The time of arrival at the scene.
(5) The location of the incident.
(6) The patient's:
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(A) Name;
(B) Age;
(C) Gender; J"
(0) Weight, if necessary for treatment; ,! f
(E) Address;
(F) Chief complaint; and
(G) Vital signs.
(7) Appropriate physical assessment
(8) The emergency care rendered and the patient's response to such treatment
(9) Patient disposition.
(10) The time of departure from scene.
(II) The time of arrival at receiving hospital (if transported).
(12) The name of receiving facility (if transported).
(13) The name(s) and unique identifiernumber(s) of the paramedics.
(14) Signature(s) of the paramedic(s).
(f) A local EMS agency utilizing computer or other electronic means of collecting and storing the information specified
in subsection (e) of this section shall in consultation with EMS providers establish policies for the collection, utilization
and storage of such data.
NOTE: Authority cited: Sections 1797.107, 1797.172 and 1797.185, Health and Safety Code. Reference: Sections
1791.172, 1797.173, 1797.185, 1797.200, 1797.204 and 1797.208, Health and Safety Code.
100177. Fees.
(a) A local EMS agency may establish a schedule of fees for paramedic training program review and approval, CE
provider approval and paramedic accreditation in an amount sufficient to cover the reasonable cost of complying with
the provisions of this Chapter.
(b) The following are the licensing fees established by the EMS Authority:
(I) The fee for initial application for paramedic licensure for individuals who have completed training in California
through an approved paramedic training program shall be $50.00.
(2) The fee for initial application for paramedic licensure for individuals who have completed out-of.state paramedic
lIllining, as specified in Section 100165 (b), or for individuals specified in Section 100165 (c), shall be $100.00.
(3) The fee for application for license or license renewal as a paramedic shall be $125.00.
(4) The fee for verification of additional CE for an individual wh~ license has lapsed, as specified in Section 100171
(b) (2), (3) and (4) shall be $50.00.
(6) The fee for state summary crimina1 history shall be in accordance with the schedule of fees established by the
California Department of Justice.
(7) The fee for replacement of a license shall be $10.00.
(8) The fee for approval of an out-of.state CE provider shall be $200.00.
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(9) The fee for administration of the provisions of Section 11350.6 of the Welfilre and Institutions Code shall be
S5.00.
NOTE: Authority cited: Sections 1797.107, 1797.112, 1797.172, 1797.185, and 1797.2~, Health and Safety
r
Code. Reference: Sections 1797.172, 1797.185, and 1797.212, Health and Safety Cod'e; and Section 11105, Penal
Code.
Article 10. Discipline and Reinstatement of License
100178. Proceedings.
(a) Any proceedings by the EMS Authority to deny, suspend or revoke the license of a paramedic or place any
paramedic license holder on probation pursuant to Section 1798.200 of the Health and Safety Code shall be conducted
in accordance with this article and pursuant to the provisions of the Administrative Procedure Act, Government Code,
Section 11500 et seq.
(b) Before any disciplinary proceedings are undertaken, the EMS Authority shall evaluate all information submitted to
or discovered by the EMS Authority including but not limited to a recommendation for suspension or revocation from a
medical director of a local EMS agency, for evidence of a threat to public health and safety pursuant to Section
1798.200 of the Health and Safety Code.
NOTE: Authority cited: Sections 1797.107, 1797.176, 1798.200 and 1798.204, Health and Safety Code.
Reference: Sections 1797.172, 1797.174, 1797.176, 1797.185, 1798.200, and 1798.204, Health and Safety-Code.
100179. Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or
Revocation of a License.
(a) For the purposes of denia~ placement on probation, suspension, or revocation, of a license, pursuant to Section
1798.200 of the Health and Safety Code, a crime or act shall be substantially related to the qualifications, functions
and/or duties of a person holding a paramedic license under Division 2.5 of the Health and Safety Code. A crime or
act shall be considered to be substantially related to the qualifications, functions, or duties of a paramedic if to a
substantial degree it evidences present or potential unfitness of a paramedic to perform the functions authorized by
herlhis license in a manner consistent with the public health and safety.
(b) For the purposes of a crime. the record of conviction or a certified copy of the record shall be conclusive evidence
of such conviction. "Conviction" means the final judgement on a verdict or finding of guilty. a plea o(guilty, or a plea of
nolo contendere.
NOTE: Authority cited: Sections 1797.107, 1797.176, 1798.200 and 1798.204, Health and Safety Code.
Reference: Sections 1797.172, 1797.174. 1797.176. 1797.185. 1798.200 and 1798.204, Health and Safety Code.
100180. Rehabilitation Criteria for Denial, Placement on Probation, Suspension, Revocations, and
Reinstatement of License.
(a) At the discretion of the Authority, the Authority may issue a license subject to specific provisional terms, conditions,
and review. When considering the denial. placement on probation, suspension. or revocation of a license pursuant to
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Section 1798.200 of the Health and Safety Code, or a petition for reins1atement or reduction of penalty under Section
11522 of the Government Code, the EMS Authority in evaluating the rehabilitation of the applicant and present
eligibility for a license, sbaII consider the following criteria: "'"
,
(1) The nature and severity of the ad(s) orcrime(s). /
(2) Evidence of any ad(s) conunitted subsequent to the ad( s) or crime(s) under consideration as grounds for denial,
placement on probation, suspension, or revocation which also could be considered grounds for denial, placement on
probation, suspension, or revocation under Section 1798.200 of the Health and Safety Code.
(3) The time that bas elapsed since conunissionofthe act(s) or crime(s) refem:d to in subsection (I) or (2) oflbis
section.
(4) The extent to which the person has complied with any tenns of parole, probation, restitution, or any other sanctions
lawfully imposed against the person.
(5) If applicable, evidence of expungement proceedings pursuant to Section 1203.4 of the Penal Code.
(6) Evidence, ifany, of rehabilitation submitted by the person.
NOTE: Authority cited: Sections 1797.107, 1797.176, 1798200 and 1798.204, Health and Safety Code.
Reference: Sections 1797.172, 1797.174, 1797.176, 1797.185, 1798.200 and 1798.204, Health and Safety Code.
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OFFICE OF THE CITY CLERK
RAcHEL G. CLARK, CM.C. . CITY CLERK
300 North "0" Street. San Bernardino' CA 92418-0001
909.384.5002' Fax: 909.384.5158
www.ci.san-bernardino.ca.us
'"
October 29, 2002
Mr. Raymond G. Eberhard
Business Manager
San Bernardino Community College District
114 S. Del Rosa Drive
San Bernardino, CA 92408
Dear Mr. Eberhard,
At the Mayor and Common Council meeting of October 21, 2002, the City of San Bernardino
adopted Resolution 2002-331 - Resolution authorizing the Fire Department to enter into an
agreement with Crafton Hills College (CHC) to provide field internship for their paramedic
program for a five-year period.
Enclosed is one (1) agreement. Please sign in the appropriate location and return the original
agreement to the City Clerk's Office, Attn: Michelle Taylor, P.O. Box 1318, San Bernardino,
CA 92402, as soon as possible.
Please be advised that the resolution and agreement will be null and void if not execnted
and returned to the City Clerk's Office by December 20, 2002,
If you have any questions, please do not hesitate to contact me at (909)384-5002.
Sincerely,
(f/CtCL1;Z< .J;9----
Michelle Taylor
Senior Secretary
Enclosure
CITY OF SAN BERNARDINO
ADOPTED SHARED VALVES: Integrity' Accountability' Respect for Human Dignity' Honesty
CITY OF SAN BERNARDINO
Interoffice Memorandum
CITY CLERK'S OFFICE
Records and Information Management (RIM) Program
DATE:
November 5, 2002
TO:
Larry R. Pitzer, Fire Chief
FROM:
Michelle Taylor, Senior Secretary
RE:
Resolution 2002-331 - Agreement with San Bernardino Community College
District (Crafton Hills College)
CC:
Norma Camarena, Sue Murphy
Attached is a fully executed copy of the agreement with Crafton Hills College (CHC) to provide
field internship for the paramedic program for a five-year period. The original agreement is on
file in the City Clerk's Office.
If you have any questions, please call me at ext. 3206.
,.
** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT **
RESOLUTION AGENDA ITEM TRACKING FORM
Meeting Date (Date Adopted): 1 b-- Z \~o2..
Vote: A'\ ,>_r. N
yes ( ~ ~ ays
Change to motion to amend original documents: -
Item #
1L\
Resolution #
kr
Abstain
.D-
'2002.-331
Absent 'J-
Reso. # On Attachments: ~ Contract term: -
Note on Resolution of Attachment stored separately: =-
Direct City Clerk to (circle I): PUBLISH, POST, RECORD W/COUNTY
NulVVoid After: bc1 O~ S, I 12-Z6-02..-
I
By: -
Date Sent to Mayor: \Cl-7. 3"'0 '2....
Date of Mayor's Signature: lQ -Z:~- 62
Date of ClerklCDC Signature: 10 - 24-02.
Reso. Log Updated:
Seal Impressed:
,/'
J
Date Memo/Letter Sent for Signature:
60 Day Reminder Letter Sent on 30th day:
90 Day Reminder Letter Sent on 45th day:
10 -d~-()?-
See Attached: ./" Date Returned: 11-0--0..:>-
See Attached:
See Attached:
Request for Council Action & Staff Report Attached: Yes~ No By
Updated Prior Resolutions (Other Than Below): Yes NoL By
Updated CITY Personnel Folders (6413, 6429, 6433,10584,10585,12634): Yes No ~ By
Updated CDC Personnel Folders (5557): Yes No ,/ By
Updated Traffic Folders (3985, 8234, 655, 92-389): Yes NO! By
Copies Distributed to:
City Attorney /
Parks & Rec.
Code Compliance
Dev. Services
EDA
Finance
flU (z..)
MIS
Police Public Services
Water Others:
Notes:
BEFORE FILING, REVIEW FORM TO ENSURE ANY NOTATIONS MADE HERE ARE TRANSFERRED TO THE
YEARLY RESOLUTION CHRONOLOGICAL LOG FOR FUTURE REFERENCE (Contract Term, etc.)
Ready to File()'11'"
Date: /1- S'O.:r
Revised 01/12/0 I