| (a) Course curricula. (1) The minimum curricula for the Emergency Medical Technician-Intermediate (EMT-I) training course shall be the Department of Transportation (DOT) EMT-I training curriculum, 1985, adopted by reference. (A) Copies of the DOT curriculum may be reviewed during normal working hours in the library of the Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756. (B) 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 Health Care Provider 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 Health Care
Provider 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 Health Care Provider 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. (2) The curriculum shall include objectives pertaining to endotracheal intubation. (3) Objectives related to manual defibrillation shall be optional and may be included only at the discretion of the course medical director. (4) The automated external defibrillator (AED) curriculum described in §157.31 of this title (relating to Automated External Defibrillator Training Course) may be included as an optional skill at the discretion of the course medical director. (5) If the course
medical director includes optional skills in paragraph(s) (3) and/or (4) of this subsection, the instruction shall be in addition to the 60 hours in paragraph (6) of this subsection. (6) The course shall include a minimum of 60 hours of didactic instruction on the approved curriculum. (7) In addition to the 60 hours of instruction in paragraph (6) of this subsection, the student shall be required to complete a minimum of 50 hours of clinical, in-hospital training. A minimum of 24 hours shall be required in the emergency department. (8) The student shall be required to complete a minimum of 50 hours of supervised experience with a licensed EMS provider operating as at least an advanced life support vehicle. The bureau chief may authorize ambulance runs to be completed on federally owned vehicles which are not licensed if evidence is presented that the quality of the experience would be compatible with training criteria and
standards. (9) At least three runs shall be completed during which the patient receives ALS care. The supervision of this experience shall be provided by an individual certified as at least an EMT-I or an appropriately qualified program instructor as determined by the course coordinator. (10) During the clinical and/or EMS field internship the student shall be required to successfully demonstrate proficiency in endotracheal intubation and peripheral intravenous needle or catheter insertion to the satisfaction of the course medical director and course coordinator. (11) A student shall successfully complete all course requirements as defined by the course coordinator including at a minimum course written examinations, skills proficiency verification, clinical training, and EMS field internship 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) Enrollment. (1) Students enrolling in an EMT-I training course shall be currently certified as an EMT, or may be enrolled in an EMT training course and shall have completed the classroom portion of the course. (2) The student shall successfully complete the EMT training course and be certified at the EMT level before certification at the EMT-I level. (3) An EMT whose certification expires while enrolled in an EMT-I course is not certified at any level until: (A) successfully completing the recertification requirements for EMT certification; or (B) successfully completing the certification requirements for EMT-I certification. (4) An EMT who is enrolled in an EMT-I course and
whose certification expires before the end of the course shall continue to be certified for a period not to exceed 90 days past the expiration date if, before the expiration date of the EMT certificate: (A) a letter of intent to apply for the higher level certification, and evidence of course enrollment is submitted; or (B) an application and nonrefundable fee for EMT recertification is received. (c) Application procedures. Procedures are outlined in the EMS Education and Training Manual, 1993, 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. (d) Course coordinator qualifications. The course coordinator shall have the following qualifications in order to submit an EMT-I course application: (1) be currently certified as at least an active status EMT-I;
(2) have successfully coordinated at least two basic courses, if applying for EMT-I course for the first time. Exceptions to the basic courses may be granted to new coordinators in a college setting who have demonstrated teaching ability; (3) have successfully completed a self study/site visit evaluation for an EMT-I course; and (4) have experience teaching advanced classes. (e) 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 (c) of this section. (2) Approval of an EMT-I training course application shall be dependent upon: (A) submitting a nonrefundable $50 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)-(c) of this section; (C) a letter of agreement with a course medical director; (D) meeting all the requirements in the EMS Education and Training Manual relating to emergency medical technician-intermediate training courses; and (E) maintaining a minimum of one instructor to ten students for the 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. (f) 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 (c) 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) fails to meet standards for clinical training as defined in the EMS Education and Training Manual based on a site evaluation; (G) fails to meet standards for EMS field internship as defined in the EMS Education and Training Manual based on a site evaluation; and/or (H) submits names of instructors 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/or (I) starts the 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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