202 KAR 7:330 - [Effective until 6/21/2030] Advanced emergency medical technician
RELATES TO: KRS 12.355, 38.030, Chapter 39, 39A.050, 311A.010, 311A.020, 311A.025, 311A.050-311A.090, 311A.095, 311A.100, 311A.120, 311A.140, 311A.145, 311A.150, 311A.195, 10 U.S.C. 121, 12304
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
311A.025(2) requires the
board to promulgate administrative regulations relating to the standards for
training, education, examination, certification, practice, and recertification
of the Advanced
Section 1. Advanced
Emergency Medical Technician Student Eligibility. An individual shall be
eligible to enroll as a student in an Advanced Emergency Medical Technician
education and training program if the applicant:
(1) Is currently certified at a minimum of an
Emergency Medical Technician by the board or the NREMT ;
(2) Is not currently subject to disciplinary
action pursuant to KRS Chapter 311A that would prevent certification;
and
(3) Meets all additional
requirements established by the EMS Training and Educational Institution
(EMS-TEI ).
Section 2.
Certification Requirements.
(1) Individuals
desiring initial certification as an Advanced Emergency Medical Technician
shall:
(a) Successfully complete a board
approved education and training program that conforms to the curriculum of the
United States Department of Transportation, National Highway Traffic Safety
Administration National Emergency Medical Services Education Standards-Advanced
Emergency Medical Technician Instructional Guidelines, except that the
educational curriculum shall not be satisfied by the completion of refresher or
transition courses alone;
(b) Meet
all educational standards established in
202 KAR 7:601;
(c) Obtain certification as a NREMT -Advanced
Emergency Medical Technician;
(d)
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:
1. A Social Security
card;
2. Birth
certificate ;
3. A United States
Citizenship and Immigration Services (U.S.C.I.S.) Permanent Resident Card (form
I-551/Green Card); or
4. Other
legal authorization to live and work in the United States.
(e) Submit a completed AEMT Initial
Certification Application in KEMSIS; and
(f) Pay the fee pursuant to
202 KAR 7:030 for certification
as an Advanced Emergency Medical Technician.
(2) An applicant shall undergo a background
check pursuant to KRS 311A.050 and
311A.100. The background check
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;
and
(d) Provided by a vendor that
has been contracted through the board.
(3) An applicant shall not directly submit a
background check. The background check shall be submitted to the board by the
company that conducts the background check.
Section 3. Renewal of Certification and
Continuing Education Requirements.
(1) An
Advanced Emergency Medical Technician shall be eligible for certification
renewal if:
(a) The applicant submits a
completed AEMT 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 as required
by KRS
311A.120; and
3. Awareness of Sexual Violence Training
required by KRS
311A.120;
(c) The applicant pays the fee required for
renewal pursuant to
202 KAR 7:030; and
(2) The applicant maintains
evidence of:
(a) Current certification by the
National Registry of Emergency Medical Technicians as an Advanced Emergency
Medical Technician, except that if this option is used, the board may request,
through a continuing education audit, proof of continuing education to verify
compliance with the continuing education requirements of this section;
or
(b) Successful completion of the
NREMT Advanced Emergency Medical Technician 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.
(3) 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;
(b) The applicant has been subjected to
disciplinary action that prevents certification renewal at the time of
application; or
(c) The applicant
is delinquent on fines or fees owed to the board pursuant to
KRS
311A.055,
311A.060, or
202 KAR 7:030.
(4) A certified Advanced Emergency
Medical Technician, in good standing, who is a member of a branch of the United
States National Guard or a military reserve unit called to active duty by
presidential order pursuant to 10 U.S.C. ,§,§ 121 and 12304, shall be renewed
in accordance with KRS 12.355 upon submission of
the Military Extension Application.
(5) The board office may audit an Advanced
Emergency Medical Technician's continuing education and continuing education
records.
(6) The Advanced Emergency
Medical Technician shall submit the documentation requested within ten (10)
business days of receipt of the board's request. 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 Advanced Emergency Medical Technician
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.
(8) The Advanced Emergency Medical Technician
shall maintain documentation of all continuing education for three (3) years
from the date of completion.
Section
4. Reinstatement of Certification.
(1) An Advanced Emergency Medical Technician
whose Kentucky certification has lapsed shall be eligible for reinstatement of
certification if the applicant submits:
(a) A
completed AEMT Reinstatement Certification Application in KEMSIS; and
(b) Evidence of:
1. Previous certification as an Advanced
Emergency Medical Technician in the Commonwealth of Kentucky;
2. Proof of current training in:
a. Pediatric Abusive Head Trauma as required
by KRS
311A.120;
b. Awareness of Sexual Violence Training
required by KRS
311A.120; and
c. HIV/AIDS training required by
KRS
311A.120.
(2) The applicant shall pay the
fee pursuant to
202 KAR 7:030.
(3) The applicant for reinstatement of
certification 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
reinstatement of certification.
(4) 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.
(5) An applicant for reinstatement of an
Advanced Emergency Medical Technician certification shall submit to the board
evidence of successful completion of the NREMT Advanced Emergency Medical
Technician National Component of the Continued Competency Program for
Continuing Education within the twelve (12) months preceding application for
reinstatement of the Advanced Emergency Medical Technician.
(6) An applicant who is ineligible for
certification pursuant to
KRS
311A.050 through
311A.090 shall be ineligible for
reinstatement.
Section
5. Advanced Emergency Medical Technician Reciprocity.
(1) An individual who is certified in another
state or by the NREMT as an Advanced Emergency Medical Technician 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 an Advanced Emergency Medical Technician or EMT and
has successfully completed a board-approved United States Armed Forces medical
training course shall be eligible for reciprocity for certification as an
Advanced Emergency Medical Technician in Kentucky if the applicant submits:
(a) A completed AEMT Reciprocity
Certification Application in KEMSIS;
(b) Proof of the applicant's current
unrestricted NREMT certification as an Advanced Emergency Medical Technician or
current Advanced Emergency Medical Technician 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 training
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 certification through reciprocity pursuant to
202 KAR 7:030.
(3) An applicant for Advanced Emergency
Medical Technician reciprocity shall undergo a national background check
provided by a vendor that has been contracted through the board. An applicant
shall not directly submit a background check. The background check shall be
submitted to the board by the company that conducts the background check.
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 Advanced
Emergency Medical Technician certified pursuant to Section 2 of this
administrative regulation shall not perform any procedures or skill on which
the Advanced Emergency Medical Technician has not been trained. An Advanced
Emergency Medical Technician who performs a skill for which the Advanced
Emergency Medical Technician does not have documented training shall have
exceeded the scope of practice and shall be in violation of
KRS
311A.050.
(7) An Advanced Emergency Medical Technician
certified pursuant to this section shall complete the Kentucky supplemental
Advanced Emergency Medical Technician curricula for the procedures listed in
202 KAR 7:701 prior to beginning
work for a licensed agency in Kentucky.
(8) Kentucky supplemental Advanced Emergency
Medical Technician 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.
(9) Verification of competency on the
supplemental curricula procedures in
202 KAR 7:701 shall be maintained
by the Advanced Emergency Medical Technician for a minimum of three (3) years.
Failure to submit the AEMT Supplemental Curriculum Training Verification Report
shall result in revocation of Advanced Emergency Medical Technician
certification.
(10) If an Advanced
Emergency Medical Technician certified pursuant to this section fails to supply
verification of competency as required by subsection (7) of this section the
Advanced Emergency Medical Technician shall be ineligible to apply for and
receive Advanced Emergency Medical Technician reciprocity certification until
the applicant has submitted the AEMT Supplemental Curriculum Training
Verification Report as required pursuant to
202 KAR 7:701, and shall reapply
for Reciprocity through the process set forth in this section.
Section 6. Scope of Practice. An
Advanced Emergency Medical Technician 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 Advanced Emergency Medical
Technician's certification lapses or expires, the Advanced Emergency Medical
Technician shall cease provision of emergency medical services.
(3) An Advanced Emergency Medical Technician
who has allowed his or her certification to lapse or expire shall be required
to reinstate certification pursuant to Section 4 of this administrative
regulation.
Section 8.
Downgrading Certification.
(1) An Advanced
Emergency Medical Technician currently certified as an Advanced Emergency
Medical Technician by the board shall be eligible for certification downgrade
if:
(a) The certification is in good standing
with no pending disciplinary action;
(b) The applicant submits a completed AEMT
Certification Downgrade Application in KEMSIS; and
(c) The applicant pays the fee established in
202 KAR 7:030.
(2) An Advanced Emergency Medical
Technician is only eligible to downgrade his or her certification to an
Emergency Medical Technician or Emergency Medical Responder
certification.
(3) Certification
periods and expiration dates shall be pursuant to
KRS
311A.095.
(4) An applicant shall undergo a background
check pursuant to KRS 311A.050 and
311A.100. The background check
shall be:
(a) Statewide in scope for an
applicant with current certification in Kentucky;
(b) Less than six (6) months old when the
applicant submits to the board all requirements for certification;
and
(c) Provided by a vendor that
has been contracted through the board.
(5) Downgrade shall be denied if the
applicant has not met the requirements of this section or has been subject to
disciplinary action that prevents certification at the time of
application.
(6) The applicant
shall be responsible for meeting the renewal requirements of the downgraded
certification level issued prior to expiration of that certification.
(7) To reinstate the certification or license
that was previously held, the applicant shall meet the regulatory requirements
for that level of certification or licensure.
(8) The applicant shall notify the board's
licensed service director with whom the applicant is affiliated immediately
upon downgrading his or her certification.
(9) Once the applicant has downgraded his or
her certification or license, the applicant is no longer permitted to provide
emergency medical services at the previous certification or license level
held.
(10) An applicant applying
for downgrade who does not comply with this section shall be subject to
disciplinary action pursuant to KRS Chapter 311A.
(11) All endorsements, certifications, or
licenses held at the previous certification or license level shall be void at
the completion of the downgrade.
Section 9. Surrender of Certification.
(1) An Advanced Emergency Medical Technician
surrendering certification shall:
(a) Submit a
completed AEMT Certification Surrender Application in KEMSIS; and
(b) Pay the fee established in
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 10. Reporting Requirements.
(1) An Advanced Emergency Medical Technician
shall maintain current demographic information in KEMSIS including:
(a) Legal name;
1. Any changes to an AMET'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 Advanced Emergency Medical
Technician who does not comply with this section shall be subject to
disciplinary action pursuant to KRS Chapter 311A.
Section 11. Exemptions from Advanced
Emergency Medical Technician Administrative Regulations. Certification
requirements for an Advanced Emergency Medical Technician shall not apply to:
(1) United States military members, state
National Guard personnel, or employees of the United States government if the
individual provides emergency medical services:
(a) On land owned by the United States
government;
(b) In facilities owned
by the United States government;
(c) In the performance of official duties
under federal law; or
(d) As part
of assistance for a mass casualty or disaster incident pursuant to federal law
or official state assistance request; or
(2) An Advanced Emergency Medical Technician
certified in another state or territory of the United States who:
(a) Enters Kentucky with a patient being
transported to a medical facility or other final destination in Kentucky;
or
(b) Travels through Kentucky
during the course of a patient transport from an out-of-state location to a
destination outside of Kentucky.
Section 12. Public Notice of Negative Action.
The board office shall cause to be published on the board Web site the name of
an Advanced Emergency Medical Technician 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
13. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) "National Emergency Medical
Services Education Standards-Advanced Emergency Medical Technician
Instructional Guidelines", The United States Department of Transportation,
National Highway Traffic Safety Administration, DOT HS 811 077D, January
2009;
(b) "AEMT Initial
Certification Application" in KEMSIS, July 2019;
(c) "AEMT Certification Renewal Application"
in KEMSIS, July 2019;
(d) "AEMT
Reciprocity Certification Application" in KEMSIS, July 2019;
(e) "AEMT Reinstatement Certification
Application" in KEMSIS, July 2019;
(f) "AEMT Supplemental Curriculum Training
Verification Report", July 2019;
(g) "National EMS Scope of Practice Model",
National Highway Traffic Safety Administration, DOT HS 810 657, February
2007;
(h) "National EMS Scope of
Practice Model", National Highway Traffic Safety Administration, DOT HS 812
666, February 2019;
(i) "AEMT
Certification Downgrade Application" in KEMSIS, July 2019;
(j) "AEMT Certification Surrender
Application" in KEMSIS, July 2019;
(k) "National Registry of Emergency Medical
Technicians National Continued Competency Program AEMT", October
2016;
(l) "Name Change Application"
in KEMSIS, July 2019;
(m) "Military
Extension Application" in KEMSIS, July 2019; and
(n) "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, copied, or obtained, 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.030
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