| (a) Course curricula. (1) The minimum curricula shall be the Department of Transportation (DOT) Emergency Medical Services (EMS) First Responder Training Course and the current Federal Emergency Management Agency document entitled "Recognizing and Identifying Hazardous Materials," 1993 which are adopted by reference. Copies may be reviewed during normal working hours in the library of the Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756. (2) In addition to the minimum curricula in paragraph (1) of this subsection, the course shall include curricula on the following subjects: (A) "Aids to Resuscitation"; (B) blood pressure by palpation and auscultation in the unit containing "Diagnostic Signs and Patient Examination" and the unit containing "Shock, Bleeding, and Primary Patient Survey"; (C) oral suctioning in the unit containing "Aids to
Resuscitation"; (D) spinal immobilization; (E) patient assessment; and (F) adult, child, and infant cardiopulmonary resuscitation. At the option of the coordinator, cardiopulmonary resuscitation (CPR) curriculum requirements may be met by: (i) including the American Heart Association (AHA) Basic Life Support for Health Care Providers course or its equivalent in the training course and testing each student for CPR proficiency using AHA or American Red Cross (ARC) guidelines; (ii) requiring each student to show CPR proficiency as evidenced by AHA or ARC proof of completion of an AHA Basic Life Support for Health Care Providers course or its equivalent within 12 months of the course application; and/or (iii) requiring each student to show CPR proficiency as evidenced by AHA or ARC proof of completion of an AHA Basic Life Support for Health Care Providers course or its
equivalent within 24 months of the course application and testing the student for CPR proficiency using AHA or ARC guidelines sometime prior to course completion. (3) The course shall include a minimum of 40 hours of didactic instruction on the approved curricula. (4) The automated external defibrillator curriculum as adopted by reference in §157.31 of this title (relating to Automated External Defibrillator Training Course) shall be optional. This curriculum shall be taught only with the approval of an EMS medical director or course medical director and shall be in addition to the 40 hours of instruction in paragraph (3) of this subsection. (5) A student shall successfully complete all course requirements as defined by the course coordinator including at a minimum course written examinations and skills proficiency verification before receiving a course completion certificate and becoming eligible to take the state
certification examination. The skills verification process shall be supervised by a state certified course coordinator and shall be administered by state certified examiners using state approved skills criteria. (b) Application procedures. The application procedures are outlined in the EMS Education and Training Manual which is adopted by reference. The manual is available for review during normal working hours in the library of the Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756. (c) Course approval criteria. (1) Criteria for course approval shall be outlined in the EMS Education and Training Manual which is adopted by reference in subsection (b) of this section. (2) Approval of an emergency care attendant training course application shall be dependent upon: (A) submitting a nonrefundable $25 processing fee. A coordinator who receives no remuneration for providing
the course shall be exempt from the fee; (B) meeting the requirements in subsections (a) and (b) of this section; (C) meeting all the requirements in the EMS Education and Training Manual relating to ECA training courses; and (D) maintaining a minimum of one instructor to ten students for skills instruction. (3) If the application meets the criteria in this section, the training program shall receive a letter of approval from the department with an assigned course number. (d) Criteria for course denial. (1) A course may be denied for, but not limited to, the following reasons. If the applicant: (A) submits an incomplete application; (B) fails to submit an application in accordance with requirement in subsection (b) of this section; (C) has a history of a 20% or higher failure rate on certification examinations
by students from previous courses; (D) has a history of consistently negative course evaluations from students in previous courses; (E) fails to meet standards for training facilities as defined in the EMS Education and Training Manual based on a site evaluation; (F) submits names of instructors and/or examiners who are not certified to the appropriate level for the training course as required in §157.62 of this title (relating to Program Instructor Certification) and §157.63 of this title (relating to Examiner Certification) and who are not listed as guest lecturers; and/or (G) starts course without prior approval from the department. (2) If an application is denied, a letter will be forwarded to the applicant detailing specific reasons for the denial.
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