202 KAR 7:201 - [Effective until 6/21/2030] Emergency medical responders
RELATES TO: KRS 12.355, 311A.010, 311A.025, 311A.030, 311A.050-311A.090, 311A.095, 311A.100, 311A.120, 311A.140, 311A.145, 311A.160, 10 U.S.C. 121, 12304
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
311A.020 requires the board to promulgate
administrative regulations relating to
Section 1.
Emergency Medical Responder Student Eligibility. An individual shall be
eligible to enroll as a student in an Emergency Medical Responder training
program if the applicant:
(1) Is not
currently subject to disciplinary action pursuant to KRS Chapter 311A that
would prevent certification; and
(2) Meets all additional requirements
established by the EMS Training and Educational Institution (TEI).
Section 2. Certification
Requirements. Individuals desiring initial certification as an Emergency
Medical Responder shall:
(1) Successfully
complete a board approved training program that conforms to the United States
Department of Transportation, National Highway Traffic Safety Administration,
National Emergency Medical Services Education Standards-Emergency Medical
Responder Instructional Guidelines, except that the education curriculum shall
not be satisfied by the completion of refresher or transition courses
alone;
(2) Meet all educational
standards established in
202 KAR 7:601;
(3) Obtain certification as a NREMT -Emergency
Medical Responder;
(4) Submit a
completed EMR Initial Certification Application in KEMSIS;
(5) Pay the fee required for certification
pursuant to
202 KAR 7:030;
(6) Undergo a background check pursuant to
KRS
311A.050 and
311A.100, which shall be:
(a) National in scope for an applicant not
currently certified at any level in Kentucky;
(b) Statewide in scope for an applicant with
current certification in Kentucky;
(c) Less than six (6) months old when the
applicant submits to the board all requirements for certification;
(d) Provided by a vendor that has been
contracted through the board; and
(e) Submitted to the board by the company
that conducts the background check; and
(7) Be a citizen of the United States, a
permanent resident of the United States, or otherwise lawfully present in the
United States, as evidenced by submission to the board of:
(a) A Social Security card;
(b) Birth certificate ;
(c) A United States Citizenship and
Immigration Services (U.S.C.I.S.) Permanent Resident Card (form I-551/Green
Card); or
(d) Other legal
authorization to live and work in the United States.
Section 3. Renewal of
Certification and Continuing Education Requirements.
(1) An Emergency Medical Responder shall be
eligible for certification renewal if:
(a) The
applicant submits a completed EMR Certification Renewal Application in
KEMSIS;
(b) The applicant maintains
written evidence of:
1. HIV/AIDS training
required by KRS
311A.120;
2. Pediatric Abusive Head Trauma training
required by KRS
311A.120; and
3. Awareness of Sexual Violence Training
required by KRS
311A.120;
(c) The applicant pays the fee pursuant to
202 KAR 7:030; and
(d) The applicant maintains evidence of:
1. Current certification by the NREMT as an
Emergency Medical Responder, except that if this option is used, the board may
request, though a continuing education audit, proof of continuing education to
verify compliance with the requirements of this section; or
2. Successful completion of the NREMT
Emergency Medical Responder National Component of the Continued Competency
Program for Continuing Education, which shall be validated by entities
authorized to conduct continuing education pursuant to
202 KAR 7:601.
(2) An application for
certification renewal shall be denied if:
(a)
Prior to the certification expiration date, the applicant has not met the
applicable requirements of this section; or
(b) The applicant has been subjected to
disciplinary action that prevents certification renewal at the time of
application.
(3) A
certified Emergency Medical Responder, in good standing, who is a member of a
National Guard or military reserve unit called to active duty by presidential
order pursuant to 10 U.S.C. ,§,§ 121 and 12304, shall be renewed according to
KRS
12.355 upon submission of the Military
Extension Application.
(4) The
board office may audit an Emergency Medical Responder's continuing education
and continuing education records. The Emergency Medical Responder shall submit
the documentation requested within ten (10) business days of receipt of the
board's request.
(5) The Emergency
Medical Responder shall maintain documentation of all continuing education for
three (3) years from the date of completion.
(6) If documentation of continuing education
hours consistent with this administrative regulation are not received using the
board-approved submission process within ten (10) business days of receipt of
the board's request, the Emergency Medical Responder certification for the
individual shall be summarily revoked and the individual shall reapply for
certification through Reinstatement, if eligible.
(7) The ten (10) business days for submission
shall not apply to investigations pursuant to KRS Chapter 311A.
Section 4. Reinstatement of
Certification.
(1) An Emergency Medical
Responder whose certification has lapsed may reinstate his or her certificate
by submitting to the board:
(a) A completed
EMR Reinstatement Certification Application in KEMSIS;
(b) Evidence of previous certification as an
Emergency Medical Responder in the Commonwealth of Kentucky;
(c) Proof of current training in:
1. Pediatric Abusive Head Trauma as required
by KRS
311A.120;
2. Awareness of Sexual Violence Training
required by KRS
311A.120; and
3. HIV/AIDS training required by
KRS
311A.120; and
(d) Evidence of successful completion of the
NREMT Emergency Medical Responder National Component of the Continued
Competency Program for Continuing Education within twelve (12) months preceding
his or her application for reinstatement of Emergency Medical
Responder.
(2) The
applicant shall pay the fee required for reinstatement pursuant to
202 KAR 7:030.
(3) The applicant shall undergo a national
background check provided by a vendor that has been contracted through the
board. The applicant shall not directly submit a background check to meet the
requirements of this section. The background check shall be submitted to the
board by the company that conducts the background check.
(4) Background checks that are older than six
(6) months shall not be considered current, and the applicant shall undergo
another national background check prior to approval of reinstatement of
certification.
(5) The applicant
for reinstatement of certification shall bear the burden of proof of previous
certification in Kentucky if the previous certification is in issue or
dispute.
(6) An applicant who is
ineligible for certification pursuant to
KRS
311A.050 through
311A.090 shall be ineligible for
reinstatement.
Section
5. Emergency Medical Responder Reciprocity.
(1) An individual who is certified in another
state as an Emergency Medical Responder or by the NREMT as a NREMT -Emergency
Medical Responder or any member of the United States Armed Forces, or veteran
who has transitioned within the past six (6) years from the United States Armed
Forces, and has been registered by the National Registry as a NREMT -Emergency
Medical Responder or EMT shall be eligible for reciprocity for Kentucky
certification as an Emergency Medical Responder if the applicant submits:
(a) A completed EMR Reciprocity Certification
Application in KEMSIS;
(b) Proof of
the applicant's current unrestricted certification as a NREMT -Emergency Medical
Responder or current Emergency Medical Responder certification in another
state, or proof of completing a board-approved United States Armed Forces
medical training course which included NREMT -Emergency Medical Technician
certification; and
(c) Proof of
current training in:
1. HIV/AIDS training
required by KRS
311A.120;
2. Pediatric Abusive Head Trauma as required
by KRS
311A.120; and
3. Awareness of Sexual Violence Training
required by KRS
311A.120.
(2) An applicant shall pay the fee required
for reciprocity pursuant to
202 KAR 7:030.
(3) An applicant for Emergency Medical
Responder reciprocity shall undergo a national background check provided by a
vendor that has been contracted through the board.
(a) An applicant shall not directly submit a
background check to meet the requirements of this section. The background check
shall be submitted to the board by the company that conducts the background
check.
(b) Background checks that
are older than six (6) months shall not be considered current, and the
applicant shall undergo another national background check prior to approval of
certification through reciprocity.
(4) An applicant shall not have been
convicted of offenses described in
KRS
311A.050.
(5) An applicant shall not have been
subjected to discipline that would prevent reciprocity at the time of
application.
(6) An Emergency
Medical Responder certified pursuant to this administrative regulation shall
not perform any procedures or skill on which the Emergency Medical Responder
has not been trained. An Emergency Medical Responder who performs a skill for
which the Emergency Medical Responder does not have documented training shall
have exceeded the scope of practice and shall be in violation of
KRS
311A.050.
(7) An Emergency Medical Responder certified
pursuant to this section shall complete the Kentucky supplemental Emergency
Medical Responder curricula for the procedures listed in
202 KAR 7:701 prior to beginning
work for a licensed agency in Kentucky.
(a)
Kentucky supplemental Emergency Medical Responder curricula consistent with
202 KAR 7:701 shall be provided
during employee orientation, or by entities authorized to conduct continuing
education pursuant to
202 KAR 7:601.
(b) Verification of competency on the
supplemental curricula procedures in
202 KAR 7:701 shall be maintained
by the Emergency Medical Responder for a minimum of three (3) years. Failure to
submit the EMR Supplemental Curriculum Training Verification Report upon
request shall result in revocation of the Emergency Medical Responder
certification.
(c) If an Emergency
Medical Responder certified pursuant to this section fails to supply
verification of competency as required by subsection (7) of this section, the
Emergency Medical Responder shall be ineligible to apply for and receive
Emergency Medical Responder reciprocity certification until the applicant has
submitted the EMR Supplemental Curriculum Training Verification Report as
required by
202 KAR 7:701, and shall reapply
for Reciprocity through the process listed in this section.
Section 6. Scope of
Practice. An Emergency Medical Responder shall provide emergency medical
services consistent with the skills and procedures in the National EMS Scope of
Practice Model and
202 KAR 7:701.
Section 7. Expiration of Certification.
(1) Certification periods and expiration
dates shall be pursuant to
KRS
311A.095.
(2) If an Emergency Medical Responder's
certification lapses or expires, the Emergency Medical Responder shall cease
provision of emergency medical services.
(3) An Emergency Medical Responder who has
allowed his or her certification to lapse or expire shall reinstate
certification pursuant to Section 4 of this administrative
regulation.
Section 8.
Surrender of Certification.
(1) An Emergency
Medical Responder surrendering certification shall:
(a) Submit a completed Voluntary Surrender of
EMR Certification Application in KEMSIS; and
(b) Pay the fee pursuant to
202 KAR 7:030.
(2) The applicant shall notify the
board's licensed service director with whom the applicant is affiliated
immediately upon surrendering his or her certification.
Section 9. Reporting Requirements.
(1) An Emergency Medical Responder shall
maintain current demographic information in KEMSIS including:
(a) Legal name;
1. Any changes to an Emergency Medical
Responder's legal name shall be submitted using the Name Change Application in
KEMSIS; and
2. One (1) of the
following documents as verification of name change:
a. Social Security card;
b. Driver's license; or
c. Passport;
(b) Mailing address;
(c) Email address; and
(d) Phone number.
(2) An Emergency Medical Responder who does
not comply with this section shall be subject to disciplinary action pursuant
to KRS Chapter 311A.
Section
10. Exemptions from Emergency Medical Responder Administrative
Regulations. Certification requirements for an Emergency Medical Responder
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, or while engaged in the performance of their official duties under
federal law, or while providing assistance in a mass casualty or disaster type
situation; or
(2) An Emergency
Medical Responder 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 11. Public Notice of
Negative Action. The board office shall cause to be published on the board
website the name of an Emergency Medical Responder who:
(1) Is fined;
(2) Is placed on probationary
status;
(3) Is placed on restricted
status;
(4) Is suspended;
or
(5) Has had his or her
certification revoked.
Section
12. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) "National Emergency Medical
Services Education Standards-Emergency Medical Responder Instructional
Guidelines", The United States Department of Transportation, National Highway
Traffic Safety Administration, DOT HS 811 077B, January 2009;
(b) "EMR Initial Certification Application"
in KEMSIS, July 2019;
(c) "EMR
Certification Renewal Application" in KEMSIS, July 2019;
(d) "EMR Reciprocity Certification
Application" in KEMSIS, July 2019;
(e) "EMR Reinstatement Certification
Application" in KEMSIS, July 2019;
(f) "National EMS Scope of Practice Model",
National Highway Traffic Safety Administration, DOT HS 810 657, February
2007;
(g) "National EMS Scope of
Practice Model", National Highway Traffic Safety Administration, DOT HS 812
666, February 2019;
(h) "EMR
Supplemental Curriculum Training Verification Report", July 2019;
(i) "Voluntary Surrender of EMR Certification
Application" in KEMSIS, July 2019;
(j) "National Registry of Emergency Medical
Technicians National Continued Competency Program EMR", October 2016;
(k) "Name Change Application" in KEMSIS, July
2019;
(l) "Military Extension
Application" in KEMSIS, July 2019; and
(m) "United States Citizenship and
Immigration Services (U.S.C.I.S.) Permanent Resident Card (form I-551/Green
Card)", July 2019.
(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, 500 Mero Street, 5th Floor 5SE32, Frankfort, Kentucky 40601, by
appointment, Monday through Friday, 8 a.m. to 4:30 p.m.
(3) This material is also available on the
board's Web site at: kyems.com.
Notes
STATUTORY AUTHORITY: KRS 311A.020, 311A.025, 311A.160
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