| (10) provide a name and contact information for the
designated infection control officer and document education for the
designated infection control officer based on U.S. Code, Title 42,
Chapter 6A, Subchapter XXIV, Part G, §300ff-136.
(i) Self-study requirements.
(1) A self-study is a self-evaluation and compilation
of documents that describes the proposed or existing program’s
overall process. It shall explain and/or document the program’s
organizational structure, resources, facilities, record keeping, personnel
and their qualifications, policies and procedures, text books, course
delivery methods used, clinical and field affiliations, student to
patient contact matrix, psychomotor competency evaluations, a copy
of all advertisements, documents provided to students and describe
what is necessary for students to complete the program.
(2) All proposed and/or existing programs must provide
a self-study at the basic (ECA and EMT) and/or advanced (AEMT and
Paramedic) level. Programs that offer paramedic education may submit
a copy of a self-study submitted to national accrediting organizations
to meet this requirement. However, they must submit supplemental documentation
to demonstrate substantial compliance with the EMS education standards
of this section.
(A) Each applicant for an EMS Program must submit a
self-study that contains the following items:
(i) an organizational chart;
(ii) a description of the ownership and sponsorship
of the proposed or existing program;
(iii) a description of financial resources;
(iv) a description of the record keeping process for
maintaining program, course, and student records;
(v) a description of the facilities;
(vi) a description of learning resources;
(vii) a description of equipment and supplies;
(viii) a description of personnel (faculty and staff)
and qualifications;
(ix) a description of the instructor /faculty credentialing,
evaluation and continuing education process.
(x) a description of the clinical and field internship
affiliations;
(xi) a description of the student to patient contact
ratio and how it will be tracked and monitored. If an existing program
at renewal, include a student patient contact ratio report;
(xii) a description of the text books and curriculum;
(xiii) a description of the psychomotor competency
evaluation process;
(xiv) a copy of any policies and procedures used for
faculty, staff and students, that address the following:
(I) attendance, tardiness, and participation;
(II) program medical director change;
(III) cheating;
(IV) clinical and field internship;
(V) complaint resolution;
(VI) conduct, safety and health;
(VII) counseling and coaching of students;
(VIII) dress and hygiene requirements;
(IX) grading;
(X) grievance and appeals;
(XI) immunizations;
(XII) policies for the prevention of sexual harassment;
(XIII) policies for the prevention of discrimination
based on race, sex, creed, national origin, sexual preference, age,
handicap or medical problems;
(XIV) psychomotor competency evaluation;
(XV) record keeping and access to records;
(XVI) student faculty relationships;
(XVII) student screening and enrollment;
(XVIII) test review and makeup; and
(XIX) tuition and/or fee reimbursement.
(XX) Provide a name and contact information for the
designated infection control officer, and document education for the
designated infection control officer based on U.S. Code, Title 42,
Chapter 6A, Subchapter XXIV, Part G, §300ff-136.
(xv) a sample of all advertisements and any documents
given to potential students, students and exiting students; and
(xvi) a description of any and all requirements for
a student to complete a course.
(j) Provisional approval. If following the department’s
review of the self-study, the applicant is found to be in substantial
compliance with established national EMS education standards, the
department shall issue a provisional approval.
(k) Lack of substantial compliance. If following the
department’s review of the self-study, the applicant is not
found in substantial compliance with EMS education standards, the
program director and sponsor shall receive a written report detailing:
(1) any deficiencies; and
(2) specific recommendations for improvement that will
be necessary before provisional approval may be granted.
(l) On-site review. After the completion of a provisionally-approved
program’s first course, an on-site review shall be conducted.
The on-site review process is the department inspector’s review
of a proposed and/or existing program’s records plan, self-study,
equipment, facilities and clinical and field internship facilities,
and student-to-patient contact ratios.
(1) If the program is found to be in substantial compliance
with established EMS education standards and all fees and expenses
associated with the self-study and on-site review have been paid,
the department shall approve the program for a period of four years
and issue an approval number. The program director and sponsor shall
receive a written report of the site-review team’s findings,
including areas of exceptional strength, areas of weakness and recommendations
for improvement.
(2) If the program is not in substantial compliance
with established EMS education standards, the program director and
sponsor shall receive a written report detailing deficiencies and
specific requirements for improvement. Depending on the nature and
severity of the identified deficiencies within the program, the program
may or may not be allowed to continue training activities. In all
cases, the department in consultation with program officials shall
devise a remedial plan for the deficiencies.
(3) Upon completion of a remedial plan a program shall
be approved for a period of four years.
(m) Exception to sponsorship requirements for advanced
programs.
(1) If an urgent need for an advanced program or an
EMS operator instructor program exists in an area and cannot be met
by an entity that meets the sponsorship requirements defined in subsection
(d) of this section, a licensed EMS provider may request the department
to grant an exception to allow the EMS provider to sponsor an advanced
program.
(2) Such request must be submitted in writing and must
include the following:
(A) documentation of the need for an advanced program
and of the urgency of the situation;
(B) documentation that the EMS provider has successfully
operated a basic program;
(C) documentation of attempts by the EMS provider to
affiliate with an entity that meets the requirements of subsection
(h)(2) of this section;
(D) a letter from the EMS provider agreeing to assume
all responsibilities of advanced program sponsorship;
(E) letters of intent from qualified providers of clinical
and field internship experience appropriate to the level of training
to be offered; and
(F) a letter of intent from a medical director who
will agree to perform the responsibilities listed in subsection (h)(6)
of this section.
(3) In determining whether the request for an exception
is to be approved or denied, the department shall consider, but not
be limited to, the following issues:
(A) the quality of the basic program previously operated
by the EMS provider;
(B) evidence that the EMS provider possesses the resources
and dedication necessary to operate an advanced program that complies
with the EMS education standards;
(C) the efforts of the EMS provider to affiliate with
an entity that meets the requirements of subsection (h)(2) of this
section;
(D) the availability of an approved advanced program
within a reasonable distance of the affected area;
(E) the availability of an approved advanced program
that will provide training to the affected area by outreach or distance
learning technology;
(F) the probable impact on existing approved advanced
programs if the exception is approved;
(G) the probable adverse consequences to the public
health or safety if the exception is not approved; and
Cont'd... |
