Ariz. Admin. Code § R9-25-305 - Supplemental Requirements for Specific Courses (Authorized by A.R.S. Sections 36-2201, 36-2202(A)(3) and (4), and 362204(1) and (3))
A. For the purposes of this Section, "contact hour" means a 60-minute period during which a student is:
1. For didactic instruction, in a classroom situation and receiving instruction, with the lead instructor for the
course, as specified in R9-25-304(A)(4), or a designee, according to R9-25-304(A)(4)(d);
2. For practical
skills training, in a classroom situation and receiving instruction, with the lead instructor for the course, as specified in R9-25-304(A)(4), or a
designee, according to R9-25-304(A)(4)(d), present on-site; and
3. For clinical training or field
training, with the student's preceptor, according to R9-25-304(A)(5)(a), and receiving supervised, one-on-one interaction with a patient or, if
necessary, simulated patient.
B. A training program certificate holder shall ensure that, for a
course to prepare an individual to provide services as an EMR, the course:
1. Covers the knowledge, skills, and
competencies established for an emergency medical responder program, as defined in A.R.S. §
36-2201(17);
2. Has a minimum course length of 75 hours, including:
a. A minimum of 70 contact
hours of didactic instruction and practical skills training, and
b. A minimum of five contact hours of
clinical training and field training, with at least five patient or simulated patient interactions; and
3. Has no more than 24 students enrolled in each session of the course.
1. Covers knowledge, skills, and competencies comparable to the national education
standards established for a specific EMCT classification level;
2. Prepares a student for:
a. A national certification organization examination for the specific EMCT classification level, or
b. A standardized certification test under the state certification process;
3. Has no more than 24 students enrolled in each session of the course; and
4. Has a minimum course length of:
a. For an EMT certification course, 130 hours,
including:
i. A minimum of 120 contact hours of didactic instruction and practical skills training, and
ii. A minimum of 10 contact hours of clinical training and field training, with at least 10 patient or simulated
patient interactions;
b. For an AEMT certification course, 244 hours, including:
i. A minimum of 100 contact hours of didactic instruction and practical skills training, and
ii. A minimum of 144 contact hours of clinical training and field training; and
c. For a Paramedic certification course, 1000 hours, including:
i. A minimum of
500 contact hours of didactic instruction and practical skills training, and
ii. A minimum of 500 contact
hours of clinical training and field training.
1. Current certification from the Department as an EMT or higher EMCT classification level,
2. Documentation of completion of prior training in an EMT course or a course for a higher EMCT classification
level provided by a training program certified by the Department or an equivalent training program, or
3.
Documentation of current registration in a national certification organization at the EMT classification level or higher EMCT classification
level.
1. A student has current certification
from the Department as an EMT-I(99);
2. The course covers the knowledge, skills, and competencies
established according to A.R.S. §
36-2204 and available through the Department at www.azdhs.gov/ems-regulatory-references;
3.
The minimum course length is 600 hours, including:
a. A minimum of 220 contact hours of didactic instruction and
practical skills training, and
b. A minimum of 380 contact hours of clinical training and field training;
and
4. A minimum of 60 contact hours of training in anatomy and physiology are completed by the
student:
a. As a prerequisite to the course,
b. As preliminary
instruction completed at the beginning of the course session before the didactic instruction required in subsection (E)(3)(a) begins, or
c. Through integration of the anatomy and physiology material with the units of instruction required in subsection
(E)(3).
F. A training program director shall ensure that for a course to prepare a
Paramedic for an additional endorsement to provide critical care services:
1. A student has:
a. Current certification from the Department as a Paramedic, and
b.
Worked for at least two years as a Paramedic;
2. The course:
a. Covers the knowledge, skills, and competencies established according to A.R.S. §
36-2204 and available
through the Department at www.azdhs.gov/ems-regulatory-references;
b. Prepares a student for a national certification organization examination in critical care paramedicine;
and
c. Has no more than 24 students enrolled in each session of the course; and
3. The minimum course length is 200 hours, including:
a. A minimum of 135 contact
hours of didactic instruction and practical skills training in:
i. Critical care transport;
ii. Patient assessment and safety;
iii. Advanced
pharmacology;
iv. Advanced hemodynamics;
v. Neurologic,
obstetric, and medical emergencies;
vi. Mechanical ventilation and airway management;
vii. Flight physiology, safety, and transport;
viii. Interpretation of
laboratory values; and
ix. Sepsis; and
b. A minimum
of 40 contact hours of clinical training and 25 contact hours of field training, which may include the use of high-fidelity patient simulators,
life-like manikins that mimic human body functions and provide physiologically accurate reactions to procedures.
1. A student has one of the following:
a. Current certification
from the Department as an EMT or higher EMCT classification level,
b. Documentation of completion of
prior training in an EMT course or a course for a higher EMCT classification level provided by a training program certified by the Department or an
equivalent training program,
c. Documentation of current registration in a national certification
organization at the EMT classification level or higher EMCT classification level, or
d. Documentation
from a national certification organization requiring the student to complete the EMT refresher course to be eligible to apply for registration in the
national certification organization;
2. A student has documentation of current certification in
adult, pediatric, and infant cardiopulmonary resuscitation through instruction consistent with American Heart Association recommendations for
emergency cardiovascular care by EMCTs;
3. The EMT refresher course covers the knowledge, skills, and
competencies in the national education standards established at the EMT classification level;
4. No more
than 32 students are enrolled in each session of the course; and
5. The minimum course length is 24
contact hours.
1. A student has one of the following:
a. Current
certification from the Department as an AEMT, an EMT-I(99), or a Paramedic;
b. Documentation of
completion of a prior training course, at the AEMT classification level or higher, provided by a training program certified by the Department or an
equivalent training program;
c. Documentation of current registration in a national certification
organization at the AEMT or Paramedic classification level; or
d. Documentation from a national
certification organization requiring the student to complete the ALS refresher course to be eligible to apply for registration in the national
certification organization;
2. A student has documentation of current certification, completed
before beginning the ALS refresher course, in:
a. Adult, pediatric, and infant cardiopulmonary resuscitation through
instruction consistent with American Heart Association recommendations for emergency cardiovascular care by EMCTs; and
b. For a student who has current certification as an EMT-I(99) or higher level of EMCT classification, advanced
emergency cardiac life support;
3. The ALS refresher course covers:
a. For a student who has current certification as an AEMT or documentation of completion of prior training at an
AEMT clas sification level, the knowledge, skills, and competencies in the national education standards established for an AEMT;
b. For a student who has current certification as an EMT-I(99), the knowledge, skills, and competencies established
according to A.R.S. §
36-2204 for an EMT-I(99) and available through the Department at
www.azdhs.gov/ems-regulatory-references; and
c. For a student who has current certification as a Paramedic or documentation of completion of prior training at a
Paramedic classification level, the knowledge, skills, and competencies in the national education standards established for a Paramedic;
4. No more than 32 students are enrolled in each session of the course; and
5. The minimum course length is 48 contact hours.
K. A training program director shall ensure that for a refresher course for a Paramedic
with an additional endorsement to provide critical care services:
1. A student has current certification from the
Department as a Paramedic with an additional endorsement to provide critical care services;
2. A student
has documentation of current certification, completed before beginning the refresher course, in:
a. Adult,
pediatric, and infant cardiopulmonary resuscitation through instruction consistent with American Heart Association recommendations for emergency
cardiovascular care by EMCTs; and
b. Advanced emergency cardiac life support;
3. The refresher course covers the knowledge, skills, and competencies established according to A.R.S. §
36-2204 for a Paramedic with an additional endorsement to provide critical care services and available through the Department at
www.azdhs.gov/ems-regulatory-references;
4.
No more than 32 students are enrolled in each session of the course; and
5. The minimum course length is
60 contact hours and includes at least 8 contact hours on topics pertinent to providing critical care services.
L. A training program authorized to provide a refresher course for a Paramedic with an additional endorsement to
provide critical care services may administer a refresher challenge examination covering materials included in the refresher course to an individual
eligible for admission into the refresher course.
Notes
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