641—131. 4 (147A) Emergency medical care providers—certification, renewal standards, procedures, continuing education, and fees

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131.4(5) Continuing education renewal standards. The following standards apply to renewal through continuing education:

a. An applicant shall sign and submit an Affirmative Renewal of Certification Application provided by the department and submit the applicable fee within 90 days prior to the certificate’s expiration date.

b. An applicant shall complete the continuing education requirements, including current course completion in CPR, during the certification period for the following emergency medical care provider levels:

(1) EMR, FR, FR-D—12 hours of approved continuing education.

(2) EMT, EMT-A, EMT-B, EMT-D—24 hours of approved continuing education.

(3) AEMT, EMT-I—36 hours of approved continuing education.

(4) EMT-P—48 hours of approved continuing education.

(5) PS, paramedic—60 hours of approved continuing education.

(6) EMS-I—Attend at least one EMS-I workshop sponsored by the department.

(7) CCP—8 hours of approved CCP core curriculum topics.

c. At least 50 percent of the required hours for renewal shall be formal continuing education including, but not limited to, refresher programs, seminars, lecture programs, scenario-based programs, conferences, and Internet-delivered courses approved by CECBEMS and shall meet the criteria established in 131.4(6)“d.”

d. Up to 50 percent of the required continuing education hours may be made up of any of the following:

(1) Nationally recognized EMS-related courses.

(2) EMS self-study courses.

(3) Medical director or designee case reviews.

(4) Clinical rounds with medical team (grand rounds).

(5) Working with students as an EMS field preceptor.

(6) Hospital or nursing home clinical performance.

(7) Skills workshops/maintenance.

(8) Community public information education projects.

(9) Emergency driver training.

(10) EMS course audits.

(11) Injury prevention or wellness initiatives.

(12) EMS service operations, e.g., management programs, continuous quality improvement.

(13) EMS system development meetings that occur at the county, regional or state level.

(14) Disaster preparedness.

(15) Emergency runs/responses as a volunteer member of an authorized EMS service program (primary attendant).

(16) EMS-Instructor development.

e. Additional hours may be allowed for any of the following (maximum):

(1) CPR—2 hours.

(2) Disaster drill—4 hours.

(3) Rescue—4 hours.

(4) Hazardous materials—8 hours.

(5) Practical examination evaluator—4 hours.

(6) Topics outside the provider’s core curriculum—8 hours.

f. With training program approval, a person who is not enrolled in an emergency medical care provider course may audit the course for CEHs.

g. The certificate holder must notify the department within 30 days of a change in address.

h. The certificate holder shall maintain a file containing documentation of CEHs accrued during each certification period for four years from the end of each certification period.

i. A group of individual certificate holders will be audited for each certification period. Certificate holders to be audited will be chosen in a random manner or at the discretion of the bureau of EMS. Falsifying reports or failure to comply with the audit request may result in formal disciplinary action. Certificate holders who are audited will be required to submit an Audit Report Form provided by the department within 45 days of the request. If audited, the certificate holders must provide the following information:

(1) Date of program.

(2) Program sponsor number.

(3) Title of program.

(4) Number of approved hours.

(5) Appropriate supervisor signatures if clinical or practical evaluator hours are claimed.

j. An EMS instructor who teaches EMS initial or continuing education courses may use those courses for renewal as approved under subrule 131.4(6).

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