Feed for /code/admin_code/dhs/110/110 PDF
DHS 110.04(79) (79) "Wisconsin Standards and Procedures of Practical Skills" means the document published and approved by the department that outlines the appropriate ways to perform certain skills used by all EMS professionals.
DHS 110.04(80) (80) "WTCS" means the Wisconsin technical college system.
DHS 110.04 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; correction in (19), (33) made under s. 13.92 (4) (b) 7., Stats., Register December 2010 No. 660.
subch. II of ch. DHS 110 Subchapter II — Emergency Medical Professionals; Licensing; Certification; Training; Credential; Fees
DHS 110.05 DHS 110.05 License or certificate and credential required.
DHS 110.05(1)(1) Before an individual may perform emergency medical care or advertise for the provision of emergency medical care as an EMS professional, the individual shall be certified as a first responder or licensed as an EMT by the department and shall be credentialed by each emergency medical service provider with which the individual serves, except under the following conditions:
DHS 110.05(1)(a) (a) The individual provides emergency medical care as a volunteer practitioner under s. 257.03, Stats.
DHS 110.05(1)(b) (b) The individual provides emergency medical care as a trainee under s. DHS 110.15, while under supervision of a preceptor.
DHS 110.05(2) (2) Except when acting under sub. (1) (a) or (b), a person acting or advertising as an EMT or first responder without a license or certificate issued by the department or without appropriate credentialing may be subject to department action under subch. V or s. 256.15 (11) (c), (d), or (f), Stats., as applicable.
DHS 110.05 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.06 DHS 110.06 Application for initial license or certificate; initial training requirements; endorsements.
DHS 110.06(1)(1) Eligibility. To apply for an initial license as an EMT or certificate as a first responder, the applicant shall meet all of the following requirements:
DHS 110.06(1)(a) (a) The individual is 18 years of age or older.
DHS 110.06(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.
DHS 110.06(1)(c) (c) The individual satisfies one of the following training requirements:
DHS 110.06(1)(c)1. 1. If trained in Wisconsin, the individual has successfully completed training in the applicable Wisconsin curriculum within the 24 months immediately preceding submission of the application to the department for an initial license or certificate.
DHS 110.06(1)(c)2. 2. If trained in another state, the applicant presents documentation of a current license or certificate issued by another state at or above the level being applied for and presents a completed verification of education form documenting completion of an initial course equivalent to the training required for an initial license or certificate under subd. 1., as determined by the department. If initial training was completed prior to the current licensing period, the applicant also presents documentation of completion of an approved refresher course, as determined by the department
DHS 110.06(1)(d) (d) The individual has current registration with the NREMT at or above the practice level for which the application is made. If the individual does not hold certification with the NREMT, he or she must complete a written and practical assessment exam through the NREMT which must be authorized by the department.
DHS 110.06 Note Note: Verification of education forms may be obtained electronically through the department's E-Licensing system available at www.dhs.wisconsin.gov/ems. The form must be printed out and sent to the training institution, which will complete and return the form directly to the department. For further information or to request an assessment exam contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.06(1)(e) (e) The individual is certified in CPR at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the EMT-intermediate or EMT-paramedic level, the applicant is also certified by an organization specified under s. DHS 110.17 (1) in all of the following:
DHS 110.06(1)(e)1. 1. Advanced cardiac life support.
DHS 110.06(1)(e)2. 2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent approved by the department.
DHS 110.06(1)(f) (f) Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of a first responder or EMT, as determined by the department.
DHS 110.06(1)(g) (g) If the application is for the critical care paramedic endorsement, the applicant shall be licensed as an EMT-paramedic and have completed training based on the Wisconsin critical care paramedic curriculum or be certified by a department-approved critical care program or an equivalent program as approved by the department. Training completed through an ambulance service provider that meets the content of the Wisconsin critical care paramedic curriculum and was completed prior to December 31, 2011, may meet the educational requirements if approved by the department.
DHS 110.06(1)(h) (h) If the application is for the tactical EMS endorsement, the applicant shall be licensed as an EMT and affiliated with a department-recognized tactical team. The applicant shall present documentation of an affiliation with a department recognized tactical team.
DHS 110.06 Note Note: The Wisconsin curricula for training, training requirements, Wisconsin Scopes of Practice, and information on organizations approved for CPR training may be found on the department's website at www.dhs.wisconsin.gov/ems. Organizations approved for CPR training may also be found in s. DHS 110.17 (1).
DHS 110.06(2) (2)Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The applicant shall submit the application and documentation to the department in the manner or method specified by the department.
DHS 110.06 Note Note: Application for an initial license or certification is submitted by the applicant to the department electronically through the department's E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.06 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.07 DHS 110.07 Application for renewal license or certificate; refresher training requirements.
DHS 110.07(1) (1) Eligibility. To apply for renewal of an EMT license or first responder certificate, the applicant shall meet all of the following eligibility and training requirements:
DHS 110.07(1)(a) (a) The individual is 18 years of age or older.
DHS 110.07(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.
DHS 110.07(1)(c) (c) The individual has received refresher training as follows:
DHS 110.07(1)(c)1. 1. `First responder.' The individual has completed an 18-hour first responder refresher course from the Wisconsin first responder curriculum during the biennium for which the current certification expires.
DHS 110.07(1)(c)2. 2. `Emergency medical technician–basic.' The individual has completed a 30-hour EMT-basic refresher course based on the Wisconsin EMT-basic curriculum or other training, approved by the department, during the biennium for which the current license expires. Recertification through examination by the NREMT or the completion of a department-approved initial EMT-basic course, initial EMT-intermediate technician course, or the didactic portion of the initial EMT-intermediate or initial EMT-paramedic course during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)3. 3. `Emergency medical technician-intermediate technician.' The individual has completed a 30-hour EMT-basic refresher course based on the Wisconsin EMT-basic curriculum or other training approved by the department, and either a 12-hour EMT-IT refresher course or 12 hours of continuing education that is based on the Wisconsin EMT-IT curriculum and approved by the medical director of an emergency medical service provider with which the individual is credentialed. The training shall be obtained during the biennium for which the current license expires.
DHS 110.07(1)(c)4. 4. `Emergency medical technician — intermediate.' The individual has completed a 48 hour EMT-I refresher course based on the Wisconsin curriculum for the EMT-I or 48 hours of continuing education that is based on the Wisconsin EMT-I curriculum and covers the subject areas identified by the department. The training shall be obtained during the biennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)5. 5. `Emergency medical technician-paramedic.' The individual has completed a 48-hour EMT-paramedic refresher course based on the Wisconsin curriculum for the EMT-paramedic or 48 hours of continuing education that is based on the Wisconsin EMT-paramedic curriculum and covers the subject areas identified by the department. The training shall be obtained during the biennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.
DHS 110.07(1)(c)6. 6. `Critical care endorsement.' The individual is licensed as an EMT-paramedic with a critical care endorsement, has completed a 48-hour paramedic refresher course based on the Wisconsin EMT-paramedic curriculum and an additional 24 hours of training specified by the department for the critical care paramedic during the biennium for which the current license expires.
DHS 110.07(1)(c)7. 7. `First responders and EMTs.' Successful completion of an initial training course above the current license level of the individual may be used to fulfill the refresher requirements of this paragraph. If the course is an initial EMT-intermediate or initial EMT-paramedic course, completion of the didactic portion fulfills this requirement.
DHS 110.07(1)(d) (d) The individual is certified in CPR at the professional level by an organization specified under s. DHS 110.17 (1).
DHS 110.07(1)(e) (e) Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of an EMS professional, as determined by the department.
DHS 110.07(2) (2)Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The application and documentation shall be submitted to the department in the manner or method specified by the department.
DHS 110.07 Note Note: Application for license or certificate renewal is submitted by the applicant to the department electronically through the department's E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.
DHS 110.07 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; (1) (c) 7. (title) created under s. 13.92 (4) (b) 2., Stats., Register December 2010 No. 660.
DHS 110.08 DHS 110.08 Practice level upgrades; downgrades.
DHS 110.08(1)(1) Upgrading emt practice levels. To upgrade an EMT practice level, the EMT shall complete the application requirements under s. DHS 110.06 for the desired EMT practice level.
DHS 110.08(2) (2)Downgrading emt practice levels. To downgrade an EMT practice level, the EMT shall complete the application requirements under s. DHS 110.06 for the practice level to which the EMT wishes to downgrade. When the downgrade occurs at renewal, the individual shall submit proof of refresher training at the downgraded level or the previous license level.
DHS 110.08(3) (3)Upgrading to the emt practice level. To upgrade from first responder certification to EMT-basic licensure, the first responder shall complete the application requirements under s. DHS 110.06 for the EMT-basic license level.
DHS 110.08 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.09 DHS 110.09 Expiration date; expired license or certification; late renewal; reinstatement. Licenses and certificates expire on June 30 of the even numbered year of the biennium. If a license or certificate expires, the following as applicable, applies:
DHS 110.09(1) (1)Late renewal. An individual may renew a license or certificate that has been expired for less than 6 months by applying to the department for license or certificate renewal as specified under s. DHS 110.07 and submitting the late renewal fee specified under s. DHS 110.16 (1). Upon the department's renewal of the applicant's license or certificate, the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care as an EMT or first responder.
DHS 110.09(2) (2)Reinstatement of license or certificate.
DHS 110.09(2)(a)(a) A license or certificate that has been expired for over 6 months but less than 2 years has lapsed. To reinstate a lapsed license or certificate, the applicant shall do all of the following:
DHS 110.09(2)(a)1. 1. Apply to the department for reinstatement of licensure or certification in the manner specified under s. DHS 110.06 (2).
DHS 110.09(2)(a)2. 2. Receive permission from the department to take the NREMT written and practical examination.
DHS 110.09(2)(a)3. 3. Successfully complete the NREMT written and practical examination.
DHS 110.09(2)(a)4. 4. Submit the reinstatement fee specified under s. DHS 110.16 (1) (b).
DHS 110.09(2)(b) (b) A license or certificate that has been expired for 2 years or more may be reinstated only if the applicant has successfully completed the training and examination requirements for the initial license or certificate within the 24 months immediately preceding submission of the application for reinstatement.
DHS 110.09(2)(c) (c) Upon reinstatement of licensure or certification by the department under par. (a) or (b), the EMS professional shall be credentialed under s. DHS 110.52 before performing emergency medical care.
DHS 110.09 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.10 DHS 110.10 Department decision on applications.
DHS 110.10(1)(1) Complete application. The department shall review and make a determination on an application that has been completed in accordance with all of the department's instructions for completion within 60 business days of receiving the application. If the department approves the application, the department will notify the applicant and issue a license, certificate or permit. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.
DHS 110.10(2) (2)Incomplete application. When an incomplete application is received, the department will notify the applicant of any deficiencies within 60 business days. If the applicant fails to respond to the notice and fails to complete the application within 6 months from the date of initial submission to the department, the application is void. The department will not take any further action on the incomplete application. To be considered further by the department, the applicant shall meet the eligibility requirements and submit a new application as required under s. DHS 110.06.
DHS 110.10 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.11 DHS 110.11 Credential requirement.
DHS 110.11(1) (1) Credential agreement. Before an EMS professional may provide emergency medical care, the EMS professional shall be credentialed under s. DHS 110.52. To be credentialed, the EMS professional shall submit to the department a credential agreement for each emergency medical service provider with which the EMS professional serves, in the manner specified by the department.
DHS 110.11 Note Note: A credential agreement is obtained from and submitted to the department electronically through the department's E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed agreements are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St, P.O. Box 2659, Madison, WI, 53701-2659.
DHS 110.11(2) (2)Credential period. A credential is valid until the individual voluntarily surrenders the credential, the service medical director withdraws the credential under s. DHS 110.52 (7) or the department suspends or revokes the EMS professional's license, certificate or endorsement under s. DHS 110.57 or 110.58.
DHS 110.11 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.12 DHS 110.12 Authorized actions; scope of practice. An EMT or first responder may only perform the skills, use the equipment, and administer the medications that are specified by the department in the Wisconsin scope of practice for the level to which the individual is licensed, certified, or credentialed.
DHS 110.12 Note Note: The Wisconsin scope of practice for each practice level may be found on the department's website at www.dhs.wisconsin.gov/ems. The Wisconsin scope of practice for each practice level is reviewed annually in consultation with the Wisconsin EMS Advisory Board and the Physician Advisory Committee and published and posted on the department website by January 31 of each year.
DHS 110.12 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.13 DHS 110.13 Professional responsibilities.
DHS 110.13(1) (1) An EMS professional shall maintain a current credential with each emergency medical service provider with which the EMS professional serves. An EMS professional may not provide emergency medical care if the EMS professional does not have a current credential.
DHS 110.13(2) (2) An EMS professional may only perform emergency medical care that is within the Wisconsin scope of practice for the practice level at which the EMS professional is licensed or certified.
DHS 110.13(3) (3) An EMS professional shall follow the patient care protocols of the emergency medical service provider with which the EMS professional is serving while performing patient care, regardless whether the EMS professional is licensed at a practice level higher than that of the provider.
DHS 110.13(4) (4) An EMS professional shall notify the department of any change in his or her name, address, or other information kept by the department within 30 days of the change, using the department's electronic licensing system or, at the department's request, submitting updated information to the department in paper form.
DHS 110.13(5) (5) An EMT-intermediate or EMT-paramedic shall maintain current certification in advanced cardiac life support throughout the biennial license period.
DHS 110.13 Note Note: The Wisconsin scope of practice for each practice level may be found on the department's website at www.dhs.wisconsin.gov/ems. The Wisconsin scope of practice for each practice level is reviewed annually in consultation with the Wisconsin EMS Advisory Board and the Physician Advisory Committee and is published and posted on the department website by January 31 of each year.
DHS 110.13 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.14 DHS 110.14 Written and practical examinations retakes.
DHS 110.14(1)(1) An individual who fails a state approved written or practical examination required for first responder certification after 3 attempts shall successfully take an 18 hour first responder refresher course before being eligible to retake the examination.
DHS 110.14(2) (2) An individual who fails a state approved written or practical examination required for any EMT level after 3 attempts shall take a refresher course for the level he or she failed. After completion of the refresher course the individual may attempt the examination 3 more times. After six failed attempts the individual shall retake the entire initial training course before being eligible to retake the examination.
DHS 110.14(3) (3) An individual who has successfully completed training from the Wisconsin curriculum for EMT-paramedic and who fails the state approved examination for the EMT-paramedic practice level after 3 attempts may take the state approved EMT-IT examination for licensure at the EMT-IT level. Successful completion of both the written and practical parts of the state approved EMT-IT examination is required.
DHS 110.14 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.
DHS 110.15 DHS 110.15 EMT training permit application; authorized actions and limitations.
DHS 110.15(1) (1) Application. To apply for a training permit, the applicant shall submit to the department, in the manner specified by the department, an application with documentation acceptable to the department showing that the applicant meets all of the following eligibility requirements:
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