Section 100166 - [Operative until 1/1/2025] Accreditation to Practice(a) In order to be accredited an individual shall: (1) Possess a current California paramedic license.(2) Apply to the LEMSA for accreditation.(3) Successfully complete an orientation of the local EMS system as prescribed by the LEMSA which shall include policies and procedures, treatment protocols, radio communications, hospital/facility destination policies, and other unique system features. The orientation shall not exceed eight (8) classroom hours, except when additional hours are needed to accomplish subsection (a)(4) of this section, and shall not include any further testing of the paramedic basic scope of practice. Testing shall be limited to local policies and treatment protocols provided in the orientation.(4) Successfully complete training in any basic and/or local optional scope of practice for which the paramedic has not been trained and tested.(5) Pay the established local fee pursuant to Section 100172.(6) In order for an individual to be eligible for accreditation, in the LEMSA's CCP scope of practice, the individual must obtain and maintain CCP certification from the BCCTPC by July 1, 2015.(b) If the LEMSA requires a supervised field evaluation as part of the local accreditation process, the field evaluation shall consist of no more than ten (10) ALS patient contacts. The field evaluation shall only be used to determine if the paramedic is knowledgeable to begin functioning under the local policies and procedures. (1) The paramedic accreditation applicant may practice in the basic scope of practice as a second paramedic until s/he is accredited.(2) The paramedic accreditation applicant may only perform the local optional scope of practice while in the presence of the field evaluator who is ultimately responsible for patient care.(c) The LEMSA medical director shall evaluate any candidate who fails to successfully complete the field evaluation and may recommend further evaluation or training as required to ensure the paramedic is competent. If, after several failed remediation attempts, the medical director has reason to believe that the paramedic's competency to practice is questionable, then the medical director shall notify the Authority.(d) If the paramedic accreditation applicant does not complete accreditation requirements within thirty (30) calendar days, then the applicant may be required to complete a new application and pay a new fee to begin another thirty (30) day period.(e) A LEMSA may limit the number of times that a paramedic applies for initial accreditation to no more than three (3) times per year.(f) The LEMSA shall notify the individual applying for accreditation of the decision whether or not to grant accreditation within thirty (30) calendar days of submission of a complete application.(g) Accreditation to practice shall be continuous as long as licensure is maintained and the paramedic continues to meet local requirements for updates in local policy, procedure, protocol and local optional scope of practice, and continues to meet requirements of the system-wide EMSQIP pursuant to Section 100168.(h) An application and fee may only be required once for ongoing accreditation. An application and fee can only be required to renew accreditation when an accreditation has lapsed.(i) The medical director of the LEMSA may suspend or revoke accreditation if the paramedic does not maintain current licensure or meet local accreditation requirements and the following requirements are met: (1) The paramedic has been granted due process in accordance with local policies and procedures.(2) The local policies and procedures provide a process for appeal or reconsideration.(j) The LEMSA shall submit to the Authority the names and dates of accreditation for those individuals it accredits within twenty (20) working days of accreditation.(k) During an interfacility transfer, a paramedic may utilize the scope of practice for which s/he is trained and accredited.(l) During a mutual aid response into another jurisdiction, a paramedic may utilize the scope of practice for which s/he is trained and accredited according to the policies and procedures established by his/her accrediting LEMSA.Cal. Code Regs. Tit. 22, § 100166
1. Renumbering and amendment of former section 100165 to section 100166 filed 11-29-93 as an emergency; operative 12/1/93 (Register 93, No. 49). A Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of law on the following day. For prior history, see Register 92, No. 10.
2. Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94; disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94 (Register 94, No. 19).
3. 11-29-93 order including amendment of section refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of HISTORY 3 (Register 94, No. 21).
5. Certificate of Compliance as to 5-12-94 order transmitted to OAL 9-9-94 with amendment of subsections (a)(4) and (c)-(e) filed 10-24-94 (Register 94, No. 43).
6. Renumbering of former section 100166 to section 100171 and renumbering of former section 100164 to section 100166, including amendment of section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
7. Renumbering of former section 100166 to section 100165, relocation and renumbering of former article 7 to article 6, and renumbering and amendment of former section 100171 to section 100166 filed 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
8. New subsections (f)-(f)(3)(A) and amendment of NOTE filed 5-19-2010; operative 6-18-2010 (Register 2010, No. 21).
9. Relocation of article 6 heading to precede section 100167, renumbering of former section 100166 to section 100167 and renumbering and amendment of former section 100165 to section 100166 filed 2-11-2013; operative 4-1-2013 (Register 2013, No. 7). Note: Authority cited: Sections 1797.7, 1797.107, 1797.172, 1797.185 and 1797.192, Health and Safety Code. Reference: Sections 1797.7, 1797.172, 1797.185 and 1797.214, Health and Safety Code.
1. Renumbering and amendment of former section 100165 to section 100166 filed 11-29-93 as an emergency; operative 12/1/93 (Register 93, No. 49). A Certificate of Compliance must be transmitted to OAL by 3-30-94 or emergency language will be repealed by operation of law on the following day. For prior history, see Register 92, No. 10.
2. Certificate of Compliance as to 11-29-93 order transmitted to OAL 3-30-94; disapproved by OAL and order of repeal as to 11-29-93 order filed on 5-11-94 (Register 94, No. 19).
3. 11-29-93 order including amendment of section refiled 5-12-94 as an emergency; operative 5-12-94 (Register 94, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-9-94 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of History 3 (Register 94, No. 21).
5. Certificate of Compliance as to 5-12-94 order transmitted to OAL 9-9-94 with amendment of subsections (a)(4) and (c)-(e) filed 10-24-94 (Register 94, No. 43).
6. Renumbering of former section 100166 to section 100171 and renumbering of former section 100164 to section 100166, including amendment of section and N ote, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
7. Renumbering of former section 100166 to section 100165, relocation and renumbering of former article 7 to article 6, and renumbering and amendment of former section 100171 to section 100166 filed 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
8. New subsections (f)-(f)(3)(A) and amendment of Note filed 5-19-2010; operative 6-18-2010 (Register 2010, No. 21).
9. Relocation of article 6 heading to precede section 100167, renumbering of former section 100166 to section 100167 and renumbering and amendment of former section 100165 to section 100166 filed 2-11-2013; operative 4-1-2013 (Register 2013, No. 7).The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.