| (a) Course curricula. (1) The minimum curricula for the Emergency Medical Technician (EMT) training course shall be the 1984 Department of Transportation (DOT) Basic Training program for EMT-Ambulance, except that for courses starting after September 1, 1996, the minimum curricula shall be the 1994 Department of Transportation (DOT) EMT-Basic National Standard Curriculum as modified by the Texas Department of Health (department) to include the administration of limited medication including aspirin, and the current Federal Emergency Management Agency document titled "Recognizing and Identifying Hazardous Materials" (HazMat), 1993 which are adopted by reference. (A) Copies of the DOT curriculum and the HazMat document 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) Objectives pertaining to the use of the pneumatic antishock garment
(PASG) shall be optional until September 1, 1996, when they will become part of the mandatory curriculum for courses starting after that date. (3) The automated external defibrillator (AED) curriculum as adopted by reference in §157.31 of this title (relating to Automated External Defibrillator Training Course) is optional until September 1, 1996, when it shall become a mandatory part of the EMT curriculum for courses starting after that date, and shall be taught only with the approval of an emergency medical services (EMS) medical director or course medical director and shall be in addition to the didactic hours of instruction in paragraph (4) of this subsection and in addition to the clinical and field internship requirements in paragraphs (5) and (6) of this subsection. (4) The course shall include a minimum of 100 hours of didactic instruction on the approved curricula. For courses starting after September 1, 1996, the hours will increase
to 120. (5) In addition to the hours of didactic instruction in paragraph (4) of this subsection, the student shall be required to complete a minimum of 20 hours of clinical, in-hospital training. A minimum of eight hours are required in the emergency department. The remaining hours may be completed in other clinical areas of the hospital. (6) Twelve hours of clinical in-hospital training may be completed in a primary care facility which is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the Accreditation Association of Ambulatory Health Care (AAAHC), such as a minor emergency health care facility, if an exception to paragraph (5) of this subsection is requested from and approved by the department. (7) The student shall be required to complete a minimum of three supervised ambulance runs with a licensed provider. 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. The supervision of ambulance runs shall be provided by an individual certified as at least an EMT or by an appropriately qualified program instructor as determined by the course coordinator. An ambulance run is one in which a patient is transported from the scene to a primary care facility because the patient's condition requires care or one in which the student observes or assists with care at the scene, but the patient is transported by a helicopter, advanced life support (ALS), or mobile intensive care unit (MICU) vehicle. The approval of any other run will be left to the course coordinator who will weigh the educational merits. (8) 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) Application procedures. 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 EMT 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 basic emergency medical technician training courses; and (D) maintaining a minimum of one instructor to ten students for skills instruction. (E) having a medical director for all courses starting after September 1, 1996. (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 school 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) 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; (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. (e) EMT completion course. (1) Eligibility for the EMT Completion Training Course shall be current certification as an emergency care attendant (ECA). (2) The minimum curriculum for the EMT Completion Training Course shall be the Texas Department of Health EMT Completion Training Course, 1991, until September 1, 1996, when it shall be the 1994 version which are adopted by reference. Copies of this curriculum may be reviewed during normal working hours in the library of the Texas Department of Health, 1100 West 49th Street,
Austin, Texas 78756. (3) Objectives pertaining to the use of the PASG shall be optional except in courses starting after September 1, 1996, when they will become part of the mandatory curriculum. (4) The AED curriculum as adopted by reference in §157.31 of this title is optional except in courses starting after September 1, 1996, when they will become a mandatory part of the EMT curriculum, and shall be taught only with the approval of an EMS medical director or course medical director and shall be in addition to the 60 hours of instruction in paragraph (5) of this subsection and in addition to the clinical and field internship requirements in paragraphs (6) and (7) of this subsection. (5) The course shall include a minimum of 60 hours of didactic instruction on the approved curriculum except for courses starting after September 1, 1996, when the hours will increase to 80. Cont'd... |
