172 Neb. Admin. Code, ch. 13, § 004

Current through September 17, 2024

Section 172-13-004 - TRAINING AGENCY STANDARDS AND COURSES

Training agencies must:

(A) Provide official verification to individuals who have successfully completed any of the emergency medical service courses. The official verification must include the following:

(i) Training agency name and location of central or headquarters office;

(ii) Signature and title or position of a training agency individual attesting to the official verification;

(iii) Date student successfully completed the emergency medical service course;

(iv) Student full name including first and last name;

(v) Name of course that was successfully completed; and

(vi) Total number of hours the emergency medical service course provided. Advanced emergency medical technician and paramedic courses must include the number of didactic hours, clinical hours, and field internship hours;

(B) Maintain, for a minimum of five years, the following records for each emergency medical service course taught including:

(i) All student records must include:

(1) Name and address for each student enrolled in emergency medical service courses;

(2) Grades for each cognitive examination;

(3) Documentation of successful completion of each student's psychomotor skill, patient contacts, and scenario evaluations;

(4) Documentation of the Advanced Emergency Medical Technician intravenous starts and non-visualized airway placement; and

(5) A copy of each student's documentation of meeting entrance requirements to each course;

(ii) All instructor and course records must include:

(1) Names and qualifications of the primary instructors;

(2) Names and qualifications of other emergency medical service course instructors;

(3) Instructor evaluation records completed by students and training agency personnel;

(4) Names and qualifications of the psychomotor skills evaluators for the emergency medical service courses;

(5) Names and qualifications of the person providing direct supervision for field experience; and

(6) Agreements with other entities for use of equipment needed to conduct an emergency medical service course if the equipment is not provided by the training agency;

(C) Conduct at least one emergency medical service course each calendar year;

(D) Submit the following information to the Department for each course taught within 30 days of the completion of each course:

(i) Course location;

(ii) Name of training agency;

(iii) Name of instructor(s) of each course;

(iv) Name of course;

(v) Number of students enrolled;

(vi) Number of students that left prior to course completion; and

(vii) Number of students who:

(1) Completed the course;

(2) Total number of didactic hours; and

(3) For advanced emergency medical technician and paramedic courses, the total number of clinical and field internship hours;

(E) Obtain at least a 75% aggregate pass rate for each emergency medical service course for a period of two consecutive years on all attempts of the licensure examination as set forth in 172 NAC 11;

(F) Implement a written quality assurance program for instruction. The quality assurance program must:

(i) Include the implementation of written policies and procedures for periodic observation of all instructors including the feedback for strengths and opportunities for improvement;

(ii) Include the completion of student evaluations during and after each emergency medical service course taught;

(iii) Include the implementation of remediation plan(s) for instructor deficiencies. Documentation of such remediation must be maintained for five years; and

(iv) Conduct semi-annual meetings with each emergency medical service course instructor for the purpose of discussing training issues and identifying any instruction needs. Documentation of such meetings must be maintained for five years.

004.01EMERGENCY MEDICAL SERVICE COURSE. Each emergency medical service course listed below must meet the requirements of the Uniform Credentialing Act, Emergency Medical Services Practice Act, United States Department of Transportation guidelines for Emergency Medical Service Instructors, and the current United States Department of Transportation and National Highway Traffic Safety Administration National Emergency Medical Services Educational Standards, on the date of the adoption of this chapter. The standards are available on the Department's website or may be requested from the Department at 301 Centennial Mall South, Lincoln, NE 68509. Each training agency must:

(A) Use primary instructors for the administration, coordination, and teaching of each emergency medical service course;

(i) Primary instructors may utilize subject matter experts to assist in the teaching of emergency medical service course.

(B) Conduct, at the end of the course, the psychomotor skill component in accordance with the Department approved licensure examination for the emergency medical responder, emergency medical technician, emergency medical responder to emergency medical technician bridge, and pre-hospital emergency medical technician for nurses courses.

(C) Adhere to all components of the Department approved Emergency Medical Services Basic Life Support psychomotor examination handbook. The components are available on the Department's website or may be requested from the Department at 301 Centennial Mall South, Lincoln, NE 68509.

(D) Ensure each student in an Advance Emergency Medical Technician Course completes at least 25 patient contacts, at least 24 intravenous starts, and placement of at least 12 non-visualized airways during a minimum of 150 hours of field experience. These requirements may also be completed in a hospital emergency department, clinic, or physician's office. If the student cannot meet the required patient contacts during the field experience because of a low number of emergency or medical requests, these patient contacts may be obtained in a simulated patient encounter laboratory setting. Documentation of each of these must be maintained.

(E) An Emergency Medical Technician to Advanced Emergency Medical Technician bridge course must meet the requirements in this chapter for an advanced emergency medical technician course specific to the educational material and psychomotor skills not taught in the emergency medical technician course.

(F) Ensure each student in an Emergency Medical Technician Course completes a minimum of five patient contacts during field experience. If the student cannot meet the five patient contacts during the field experience because of a low number of emergency or medical requests, these contacts may be obtained in a hospital emergency department, clinic, physicians' office, or in a simulated patient encounter laboratory setting. Each student must successfully complete simulated adult and, when applicable, pediatric patient encounters in a laboratory setting that must include a minimum of cardiac, trauma, pediatrics, geriatric, stroke, obstetric, difficulty breathing, altered mental status, and toxicology. Documentation of each of these must be maintained.

(G) An Emergency Medical Responder Course must meet the requirements in this chapter.

(H) An Emergency Medical Responder to Emergency Medical Technician Bridge Course must meet the requirements in this chapter for an emergency medical technician course specific to the educational material and psychomotor skills not taught in the Emergency Medical Responder Course.

(I) Pre-Hospital Emergency Medical Technician for Nurses Course is a course of instruction for licensed registered nurses and licensed practical nurses to become emergency medical technicians that must meet the requirements in this chapter for an emergency medical technician course specific to the educational material and psychomotor skills not taught in a nursing course.

(J) A Paramedic Course must meet the requirements in this chapter.

(K) An Advanced Emergency Medical Technician to Paramedic Bridge Course must meet the requirements in this chapter for a paramedic course specific to the educational material and psychomotor skills not taught in the Advanced Emergency Medical Technician Course.

(L) Pre-Hospital Paramedic for Nurses Course is a course of instruction for licensed registered nurses to become a paramedic that must meet the requirements in this chapter for a paramedic specific to the educational material and psychomotor skills not taught in a nursing course.

(M) A Nebraska Emergency Medical Service Instructor Course must meet the requirements set out in this chapter.

(N) Emergency medical service refresher courses must meet the National Continued Competency Program requirements set out as defined in 172 NAC 11.

172 Neb. Admin. Code, ch. 13, § 004

Amended effective 7/20/2020

Amended effective 7/15/2023