Licensing regulations

Licensing Regulation 2006By

ENMU-Roswell Staff

General Licensure

• Six authorized classifications:– EMD– EMD-I– EMSFR– EMT-B– EMT-I– EMT-P

Scope of Practice

• Licensed EMD’s, EMSFR’s, and EMT’s shall only perform those skills, techniques, medications, and procedures found with in the New Mexico scope of practice and as authorized by the service medical director.

Scope of Practice

• New skill, technique, medication, or procedure– Must be trained prior to use– Documentation maintained by service director,

medical director, or EMS Training program

• Medical Authorization Documentation on each EMS provider on file

Special Skills

• All considered advanced life support• Skills outside the usual scope of practice for

level of licensure• Submit a written application• Authorization only with Medical Director’s

approval

Licensure Period

• 27 months• Expires on March 31st • Requirements for renewal must be completed

by December 31st that occurs prior to expiration

• CPR & ACLS exempt (must be current at time of renewal)

Licensing Exams Changes

• Initial licensure– Must attend a state test site within 9 months of

course completion– Subsequent attempts must be completed within 24

months of course completion– 4 attempts allowed

• Failing the 3rd attempt=refresher course• Failing the 4th attempt=repeat training program

Graduate License

• Practice skills within their scope of training• Under direct supervision of a licensed provider

at that level or above• Only under medical direction• In the event of an MCI…

– May only practice at their fully licensed level

• Invalid after 6 months or failure of test site

Graduate License Preceptor

• Identified by the Service Director and Medical Director

• A list of preceptors must be maintained• Must be at the level or above the graduate’s

level• Intended to be an “OJT” style experience

Out-of-State Licensure

• “Mutual Aid” across the state line• Inspired by the numerous wildland fire• Must be:

– Responding to a specific incident– Contact EMSB prior to beginning EMS operations– Provide copies of certifications/licensures– Evidence of written protocols & scope of practice– Contact local EMS system– Maximum of 30 days, renewable with approval

Initial Licensure

• EMD– 18 y.o. old– Current CPR card– EMD course completion certificate– Submit application– $25.00 fee

Initial Licensure

• EMD-I– High school grad/GED– Licensed EMD– Licensed EMT-B or higher– EMD-I course completion certificate– Application– $35.00 fee

Initial Licensure

• EMSFR– 18 y.o. old – 16 y.o. old with

• Letter of support from their service director• Notarized parental consent form

– Current CPR card– EMSFR course completion certificate– Application– $25.00 fee– As of January 1, 2006 will attend a state test site

Initial Licensure

• EMT-Basic– 18 y.o. old– 17 y.o. old with

• Letter of support for their service director• Notarized parental consent form

– Current CPR card– EMT-Basic course completion certificate– Application– $65.00 fee

Initial Licensure

• EMT-Intermediate– 18 y.o. old– Current CPR card– Fully licensed EMT-B– EMT-I course completion certificate– Application– $75.00 fee

Initial Licensure

• EMT-Paramedic– 18 y.o. old– High school diploma/GED– Fully licensed EMT-B or EMT-I– Current CPR card– Current ACLS card– EMT-P course completion certificate– Application– $85.00 fee

Licensure Renewal

• Renewal requirements must be completed by December 31st that occurs prior to the expiration.

• Exemption– ACLS– CPR– Both must be current at the time of renewal

Licensure Renewal

• EMD– 24 hours CE’s total

• 12 hours dispatch related• 12 hours medical subject• If an EMT-B or higher, may use those CE’s

– Current CPR card– Application– $20.00 fee $60.00 in March

Licensure Renewal

• EMD-I– In good standing with EMSB as an EMD-I– Copy of current EMT-B license– Current CPR card– Meets EMD CE requirements– Application– $25.00 fee $75.00 in March

Licensure Renewal

• EMSFR– 8 CE hours

• 2 must be Pediatric in nature– 16 hour EMSFR Refresher Course

OR– 16 hours of BLS CE’s (following the “blueprint”

on next page)– Current CPR card– $20.00 fee $60.00 in March

EMSFR Refresher “Blueprint”

• Preparatory 1 hour• Airway & Ventilation 2 hours• Patient Assessment 2 hours• Medical Emergencies 4 hours• Trauma Emergencies 4 hours• Special Considerations 2 hours• Operations 1 hour

Licensure Renewal

• EMT-Basic– 24 hours of CE’s

• 4 hours Pediatric in nature– 24 hour EMT-B Refresher Course

OR– 24 hours of CE’s (following the “blueprint” on

next page)– Current CPR card– $30.00 fee $90.00 in March

EMT-B Refresher “Blueprint”

• Preparatory 1 hour• Airway & Ventilation 2 hours• Patient Assessment 3 hours• Medical Emergencies 6 hours• Trauma Emergencies 6 hours• Special Considerations 4 hours• Operations 2 hours

Licensure Renewal

• EMT-Intermediate– 30 hours of CE’s

• 5 hours Pediatric in nature

– 24 hour EMT-I Refresher Course

OR– 24 hours of CE’s (following the “blueprint” on next page)

Medical content must be ALS– Current CPR card– Competency Verification signed by Medical Director – $40.00 fee $120.00 in March

EMT-I Refresher “Blueprint” (same as EMT-B)

• Preparatory 1 hour• Airway & Ventilation 2 hours• Patient Assessment 3 hours• Medical Emergencies 6 hours• Trauma Emergencies 6 hours• Special Considerations 4 hours• Operations 2 hours

Licensure Renewal

• EMT-Paramedic– 24 hours of CE’s

• 6 hours Pediatric in nature– 48 hour EMT-P Refresher Course

OR– 48 hours of CE’s (following the “blueprint” on next page)

Medical content must be ALS– Additional 48 hrs of CE-can be any category– Current CPR card & ACLS Card– Competency Verification signed by Medical Director – $50.00 fee $150.00 in March

EMT-P Refresher “Blueprint”

• Preparatory 3 hour• Airway & Ventilation 4 hours• Patient Assessment 4 hours• Medical Emergencies 18 hours• Trauma Emergencies 10 hours• Special Considerations 6 hours• Operations 3 hours

CE Categories

• Preparatory– General topics, Well-Being, Medical/Legal, A&P,

IV & Medication administration, etc…

• Airway and Ventilation– Airway Management, etc…

• Patient Assessment– Hx, Communication/Documentation, Clinical

decision making, etc…

CE Categories

• Medical– Pulmonary, Cardiology, Communicable Diseases,

OB/GYN, etc…

• Trauma– Kinematics, Blunt Trauma, Penetrating Trauma,

Shock, etc…

CE Categories

• Special Considerations– Pediatrics, Geriatrics, Neonatology, etc…

• Operations– ICS, Triage, Ambulance Operations, etc…

Forms of CE’s

• Classroom Instruction• Pre-approved Courses

– National & Statewide CECBEMS approved• EMS related college courses• EMS Video Presentations• State skill evaluator course• Teaching a course• Field/Clinical preceptorship• Distributive learning (online CE course)

CE Certificate Information

• Location and date of CE program• Title of course• Number of actual contact hours (.5 hr. ok)• CE category• Name of participant• CE coordinator’s name w/ “CE Coordinator” after

name• Signature of CE Coordinator• Statement, “Reviewed and approved by the New

Mexico EMS Bureau for continuing education.”

Late Renewal

• Reinstatement– Between April 1st – May 31st – All renewal requirements before December 31st

EMD = $120.00 EMD-I = $150.00

EMSFR= $120.00 EMT-B =$180.00

EMT-I = $240.00 EMT-P =$300.00

Late Renewal

• Re-entry– After May 31st but < 3 years– Refresher course for appropriate level– Current CPR card, ACLS card if appropriate– State Test Site

EMD = $60.00 EMD-I = $75.00 EMSFR = $60.00

EMT-B = $90.00EMT-I = $120.00 EMT-P = $150.00

Late Renewal

• Re-licensure– Will be considered an initial licensure– Must repeat the course for the license desired