††††† 202 KAR 7:301. EMT.

 

††††† RELATES TO: KRS 311A.010, 311A.025, 311A.060, 311A.095, 311A.110, 311A.130, 311A.140, 311A.145, 311A.165

††††† STATUTORY AUTHORITY: KRS 311A.020, 311A.025, 311A.030, 311A.110, 311A.140, 311A.165

††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 311A.025 requires the board to promulgate administrative regulations relating to EMTs. This administrative regulation establishes requirements for EMTs.

 

††††† Section 1. EMT Student Eligibility. (1) Individuals shall be eligible to enroll as a student in an EMT education and training program if the applicant:

††††† (a) Is at least sixteen (16) years of age; and

††††† (b)1. Is currently enrolled in grades 9-12 with a minimum GPA of 2.0; or

††††† 2. Holds a high school diploma or GED.

††††† (2) The student applicant shall:

††††† (a) Understand, read, speak, and write the English language with a comprehension and performance level equal to at least the ninth grade of education, otherwise known as Level 4, verified by testing as necessary;

††††† (b) Not currently be subject to disciplinary action pursuant to KRS Chapter 311A that would prevent certification;

††††† (c) Meet all additional requirements established by the EMS-TEI; and

††††† (d) Hold a valid motor vehicle operators license or learners permit from a state or territory in the United States.

 

††††† Section 2. Certification Requirements. (1) Individuals desiring initial certification as an EMT shall:

††††† (a) Meet all of the requirements of Section 1 of this administrative regulation;

††††† (b) Be at least eighteen (18) years of age;

††††† (c) Hold a high school diploma or GED;

††††† (d) Successfully complete an education and training program that conforms to the curriculum of the United States Department of Transportation, National Highway Traffic Safety Administration, 1994 National Standard Curriculum for Emergency Medical Technician-Basic, which shall not be satisfied by the completion of refresher or transition courses alone;

††††† (e) Obtain NREMT registration as a NREMT-B;

††††† (f) Submit a completed and signed "Emergency Medical Technician Initial Certification Application;"

††††† (g) Present written evidence of completion of current HIV/AIDS training required by KRS 311A.110;

††††† (h) Pay the fee required by 202 KAR 7:030; and

††††† (i) Present written evidence of completion of current training in CPR that:

††††† 1. Shall be taught by an individual who holds instructor certification at an appropriate level from:

††††† a. The American Red Cross;

††††† b. The AHA;

††††† c. The National Safety Council;

††††† d. The ASHI; or

††††† e. Another board approved organization; and

††††† 2. Provides instruction and testing in:

††††† a. One (1) rescuer CPR;

††††† b. Two (2) rescuer CPR;

††††† c. Techniques of changing from one (1) to two (2) rescuers during the performance of CPR;

††††† d. Techniques of changing rescuers during the performance of two (2) rescuer CPR;

††††† e. Techniques for relief of obstruction of the airway;

††††† f. CPR of infants and small children;

††††† g. Barrier-to-mouth, barrier-to-nose, or barrier-to-stoma resuscitation for adults, small children, and infants;

††††† h. Use of oral and nasal airways;

††††† i. Use of bag-valve-mask or other ventilation device;

††††† j. Use of supplemental oxygen; and

††††† k. Use and operation of an AED.

††††† (2) An applicant for certification as an EMT shall successfully complete all NREMT testing and become Kentucky certified within two (2) years after the completion date of their EMT course.

 

††††† Section 3. Recertification and Continuing Education Requirements. (1) An EMT shall be eligible for recertification if:

††††† (a) The applicant submits a completed and signed "Universal Application for Recertification/Relicensure";

††††† (b) The applicant maintains written evidence of current completion of training in CPR meeting the requirements as outlined in Section 2(1)(i) of this administrative regulation;

††††† (c) The applicant maintains written evidence of completion of current HIV/AIDS training required by KRS 311A.110;

††††† (d) The applicant pays the fee established in 202 KAR 7:030; and

††††† (e) The applicant maintains evidence of either:

††††† 1. Current registration by the NREMT as an NREMT-B; or

††††† 2. Successful completion of the "EMT Basic Minimum Continuing Education Requirement" that:

††††† a. Includes twenty-four (24) structured contact hours of continuing education, of which sixteen (16) hours shall be within mandatory topic areas and eight (8) hours may be electives to include the following minimum contact hours and topics:

††††† (i) One (1) in disaster management or mass casualty incidents;

††††† (ii) Two (2) in airway management;

††††† (iii) Three (3) in patient assessment;

††††† (iv) Four (4) in medical or behavioral emergencies;

††††† (v) Four (4) in trauma; and

††††† (vi) Two (2) in obstetrics or gynecology, infants and children; and

††††† b. Shall be validated by:

††††† (i) The instructor, medical director, training officer, course coordinator, or provider of the continuing education offering; or

††††† (ii) A medical director, service director, or training officer of the EMTís ambulance service, first response agency, fire department, rescue squad or other medical employer.

††††† (2) An application for renewal of certification shall be denied if:

††††† (a) Prior to the certification expiration date, the EMT applicant has not met the applicable requirements of this section; or

††††† (b) The applicant has been subjected to disciplinary action that prevents recertification at the time of application.

††††† (3) A certified EMT, in good standing, who is a member of a National Guard or a military reserve unit and is called to active duty by presidential order pursuant to 10 U.S.C. 121 and 673b may be given a one (1) year extension following release from active duty to meet the applicable requirements for recertification listed in this administrative regulation. The EMT shall submit a written request for this extension within sixty (60) days of release from active duty.

††††† (4) The KBEMS office may audit an EMTís continuing education and continuing education records.

††††† (5) The EMT shall maintain documentation of all continuing education for four years from the date of completion.

 

††††† Section 4. EMT Reciprocity. (1) A person certified in another state or territory of the United States or member of the United States military who is registered by the NREMT as an NREMT-B shall be eligible for direct reciprocity for initial Kentucky certification as an EMT if the individual:

††††† (a) Is at least eighteen (18) years of age;

††††† (b) Holds current unrestricted registration as a NREMT-B;

††††† (c) Completes a training program that conforms to the curriculum of the United States Department of Transportation, National Highway Traffic Safety Administration, 1994 National Standard Curriculum for Emergency Medical Technician-Basic, which shall not be satisfied by the completion of refresher or transition courses alone;

††††† (d) Holds a high school diploma or GED; and

††††† (e) Holds a valid motor vehicle operators license from a state or territory in the United States.

††††† (2) The individual shall:

††††† (a) Understand, read, speak, and write the English language with a comprehension and performance level equal to at least the ninth grade of education, otherwise known as Level 4, verified by testing as necessary;

††††† (b) Submit a completed and signed "Emergency Medical Technician Initial Certification Application";

††††† (c) Present written evidence of completion of current HIV/AIDS training required by KRS 311A.110;

††††† (d) Present written evidence of completion of current training in CPR that meets the requirements of Section 2(1)(i) of this administrative regulation;

††††† (e) Pay the fee required by 202 KAR 7:030;

††††† (f) Not have been convicted of, entered a guilty plea or Alford plea to a felony offense, or have completed a diversion program for a felony offense;

††††† (g) Not have been subjected to discipline that would prevent reciprocity at the time of application; and

††††† (h) Have successfully completed a training program, which utilized the United States Department of Transportation, National Highway Traffic Safety Administration, 1994 National Standard Curriculum, Emergency Medical Technician-Basic as the curriculum for education if any individual initially certified after January 1, 1986. An earlier edition of the National Standard Curriculum which has been supplemented by the completion of the EMT-Basic transition course shall be considered to meet this requirement.

 

††††† Section 5. Exemptions from EMT Administrative Regulations. Certification requirements for an EMT shall not apply to:

††††† (1) United States military personnel or state National Guard or employees of the United States government while providing services on a United States government owned or operated facility, while engaged in the performance of their official duties under federal law or while providing assistance in mass casualty or disaster type situation; or

††††† (2) An EMT certified in another state or territory of the United States who:

††††† (a) Comes into Kentucky to transport a patient from another state into Kentucky; or

††††† (b) Is transporting a patient through the state of Kentucky to an out-of-Kentucky location.

 

††††† Section 6. Reinstatement of Certification. (1) An EMT whose certification has lapsed for a period not exceeding five (5) years, may reinstate their certificate by submitting:

††††† (a) A completed and signed "Emergency Medical Technician Certification Reinstatement Application";

††††† (b) Written evidence of current completion of training in CPR meeting the requirements as outlined in Section 2(1)(i) of this administrative regulation;

††††† (c) Written evidence of completion of current HIV/AIDS training required by KRS 311A.110;

††††† (d) Payment of the fee established in 202 KAR 7:030;

††††† (e) Evidence of previous certification as an EMT in Kentucky;

††††† (f) Evidence of additional successful completion within twelve (12) months preceding their application for reinstatement of the "EMT Basic Minimum Continuing Education Requirement" that includes twenty-four (24) structured contact hours of continuing education, of which sixteen (16) hours shall be within mandatory topic areas and eight (8) hours may be electives to include the following minimum contact hours and topics:

††††† 1. One (1) in disaster management or mass casualty incidents;

††††† 2. Two (2) in airway management;

††††† 3. Three (3) in patient assessment;

††††† 4. Four (4) in medical or behavioral emergencies;

††††† 5. Four (4) in trauma; and

††††† 6. Two (2) in obstetrics or gynecology, infants and children;

††††† (g) Evidence of successful completion of the National Standard Curriculum for Emergency Medical Technician Refresher Course or continuing education hours that meet the requirements of the Curriculum; and

††††† (h) Evidence of validation of skills maintenance by completing the "EMT Recertification Report".

††††† (2) An EMT, whose certification has lapsed for a period that exceeds five (5) years, may reinstate their certificate by complying with Sections 1 and 2 of this administrative regulation.

††††† (3) An application for reinstatement of certification shall not be considered if:

††††† (a) The applicant is subject to disciplinary action pursuant to KRS Chapter 311A;

††††† (b) The applicant is an individual who has been convicted of, entered a guilty plea or Alford plea to a felony offense, or has completed a diversion program for a felony offense; or

††††† (c) The applicant has been subjected to discipline that would prevent reinstatement at the time of application.

 

††††† Section 7. Public Notice of Negative Action. The KBEMS office shall cause to be published, in the KBEMS News or similar publication of the board, or otherwise disseminate the name of an EMT that is fined, is placed on probationary status, is placed on a restricted status, is suspended, or has had their certification revoked.

 

††††† Section 8: Temporary Certificate. (1) KBEMS staff may issue a temporary certificate to an individual who:

††††† (a) Submits a completed "Application for Temporary Certificate";

††††† (b) Is at least eighteen (18) years of age;

††††† (c) Understands, reads, speaks, and writes the English language with a comprehension and performance level equal to at least the 9th grade of education, otherwise known as Level 4, verified by testing as necessary;

††††† (d) Provides proof of being currently certified or licensed in another state or territory of the United States or is currently registered by the NREMT;

††††† (e) Presents written evidence of completion of current HIV/AIDS training required by KRS 311A.110;

††††† (f) Presents written evidence of completion of current training in CPR that meets the requirements of Section 2 of this administrative regulation;

††††† (g) Pays the fee required by 202 KAR 7:030;

††††† (h) Provides the board with a copy of a statewide criminal background check from their state of residence;

††††† (i) Is not an individual who has been convicted of, entered a guilty plea or Alford plea to a felony offense, or has completed a diversion program for a felony offense; and

††††† (j) Has not been disciplined by or has action pending against or had a certificate or license in the field of health care denied, limited, suspended, or probated by a certifying or licensing entity in Kentucky or other state or territory under the jurisdiction of the United States.

††††† (2) A temporary certificate may be issued for a period which shall not exceed six (6) months and shall not be reissued or renewed.

 

††††† Section 9. Incorporation by Reference. (1) The following material is incorporated by reference:

††††† (a) The United States Department of Transportation, National Highway Traffic Safety Administration, "1994 National Standard Curriculum, Emergency Medical Technician" (1994 Edition);

††††† (b) The "Emergency Medical Technician Initial Certification Application" (June 2003);

††††† (c) The "Universal Application Recertification/Relicensure" (June 2003);

††††† (d) "The Kentucky Board of Emergency Medical Services Emergency Medical Technician Minimum Continuing Education Requirements. Total Contact Hours" (June 2003); and

††††† (e) The "Emergency Medical Technician Reinstatement Application" (June 2003).

††††† (2) This material may be inspected, obtained, or copied, subject to applicable copyright law, at the Office of the Kentucky Board of Emergency Medical Services, 2545 Lawrenceburg Road, Frankfort, Kentucky 40601, Monday through Friday, 8 a.m. to 4:30 p.m. (30 Ky.R. 149; Am. 917; 1216; 1478; eff. 11-19-2003.)