Kansas Board of EMS Regulations

109-1-1 Definitions

109-1-2 Medical Director

109-2-1 Ambulance service operator
109-2-2 Application for ambulance service permit and ambulance vehicle license, permit renewal and license renewal
109-2-3 Revoked
109-2-4 Display of permits, licenses, and certificates
109-2-5 Ambulance service operational standards
109-2-6 Classes of ambulance services
109-2-7 Ground and Air Ambulance staffing
109-2-8 Stdards for type I, type II, type IIA, and type V ground ambulance and equipment.
109-2-9 Variances
109-2-10 Revoked
109-2-10a Air safety program and informational publication.
109-2-11 Standards for type V air ambulances and equipment
109-2-12 Standards for rotorwing ambulance aircraft and equipment
109-2-13 Standards for fixed-wing ambulance aircraft and equipment
109-2-14 Temporarily certified attendants
109-2-15 Ambulances based outside of Kansas

109-3-1 Standards for ambulance attendants and drivers
109-3-2 Outpatient medical emergencies
109-3-3  Emergency medical responder; authorized activities
109-3-4  Emergency medical technician; authorized activities
109-3-5  Advanced emergency medical technician; authorized activities

109-4-1 - 109-4-3 Revoked

109-5-1 Continuing Education
109-5-1a.  First responder and emergency medical responder (EMR) continuing education
109-5-1b.  Emergency medical technician (EMT) continuing education
109-5-1c.  Emergency medical technician-intermediate, emergency medical technician-defibrillator, emergency medical technician-intermediate who is also certified as an emergency medical technician-defibrillator, and advanced emergency medical technician; continuing education. 
109-5-1d.  Mobile intensive care technician (MICT) and paramedic continuing education
109-5-1e. Educator continuing education. 
109-5-1f.  Training officer continuing education


109-5-2 Documentation for continuing education
109-5-3 Continuing Education approval for long-term providers
109-5-4 Revoked
109-5-5 Retroactive approval of continuing education course

109-5-6 Single-program approval for providers of continuing education

109-5-7a  Emergency medical responder (EMR) transition course approval
109-5-7b  Emergency medical technician (EMT) transition course approval
109-5-7c Advanced emergency medical technician transition course approval
109-5-7d  EMR and EMT train the trainer transition course approval

109-6-1 Requirements for temporary certification for applicant with non-Kansas credentials.
109-6-2 Renewal of attendant, training officer, and instructor-coordinator certificates
109-6-3 Attendant cerfification expiration and renewal --Revoked

109-7-1 Schedule of Fees

109-8-1 Examinations
109-8-2.  Scheduling examinations for certification. 

109-9-1 Instructor-Coordinator Certification
109-9-2 - 109-9-3 Revoked
109-9-4 Requirements for acceptance into an instructor-coordinator initial course of instruction
109-9-5 Revoked

109-10-1 Curriculum approval
109-10-1a.  Approved emergency medical responder education standards
109-10-1b.  Approved emergency medical technician education standards
109-10-1d.  Approved paramedic education standards
109-10-1c.  Approved advanced emergency medical technician education standards.
109-10-1e.  Approved instructor-coordinator standards
109-10-1f.  Approved training officer I education standards
109-10-1g.  Approved training officer II education standards


109-10-2 Long-term accreditation of training programs conducting initial courses
109-10-3 Late enrollment
109-10-4 Student transfers
109-10-5 Revoked
109-10-6 Requiring training equipment and supplies
109-10-7 Distance Learning

109-11-1 First Responder course approval --Revoked
109-11-1a  Emergency medical responder course approval
109-11-2 Revoked
109-11-3 Emergency medical technician course approval --Revoked
109-11-3a  Emergency medical technician (EMT) course approval
109-11-4 Emergency medical technician-intermediate course approval --Revoked
109-11-4a  Advanced emergency medical technician (AEMT) course approval
109-11-5 Emergency medical technician-defibrillator course approval --Revoked
109-11-6 Mobile intensive care technician course approval --Revoked
109-11-6a  Paramedic course approval
109-11-7 Instructor-coordinator course approval
109-11-8 Successful completion of a course of instruction
109-11-9 Instructor qualifications
109-11-10 Emergency medical technician-basic bridge course approval

109-12-1 - 109-12-2 Revoked

109-13-1 Training Officers
109-13-2 - 109-13-3 Revoked

109-14-1 Certification of entities which distribute DNR identifiers

109-15-1 Reinstating attendant certificate after expiration
109-15-2  Recognition of non-Kansas credentials

109-16-1  Graduated Sanctions

 

 

 

 

Article 1.--DEFINITIONS

109-1-1 Definitions.  

Each of the following terms, as used in the board’s regulations, shall have the meaning specified in this regulation:
(a) ‘‘AEMT’’ means advanced emergency medical technician.
(b) ‘‘Advanced life support’’ and “ALS” mean the statutorily authorized activities and interventions that may be performed by an emergency medical technician intermediate, emergency medical technician-defibrillator, emergency medical technician-intermediate/defibrillator, advanced emergency medical technician, mobile intensive care technician, or paramedic.
(c) ‘‘Air ambulance’’ means a fixed-wing or rotor-wing aircraft that is specially designed, constructed or modified, maintained, and equipped to provide air medical transportation or emergency care of patients.
(d) ‘‘Air medical director’’ means a physician as defined by K.S.A. 65-6112, and amendments thereto, who meets the following requirements:
        (1) Is trained and experienced in care consistent with the air ambulance service’s mission statement; and
        (2) is knowledgeable in altitude physiology and the complications that can arise due to air medical transport.
(e) ‘‘Air medical personnel’’ means the attendants listed on the attendant roster, health care personnel identified on the service health care personnel roster of the air ambulance service, specialty patient care providers specific to the mission, and the pilot or pilots necessary for the operation of the aircraft.
(f) ‘‘Airway maintenance,’’ as used in K.S.A. 65-6121 and amendments thereto and as applied to the authorized activities of an emergency medical technician- intermediate, means the use of any invasive oral equipment and procedures necessary to ensure the adequacy and quality of ventilation and oxygenation.
(g) ‘‘Basic life support’’  and “BLS” mean the statutorily authorized activities and interventions that may be performed by a first responder, emergency medical responder, or emergency medical technician.
(h) ‘‘CECBEMS’’ means the national continuing education coordinating board for emergency medical services.
(i) ‘‘Certified mechanic,’’ as used in K.A.R. 109-2-2, means an individual employed or contracted by the ambulance service, city or county, qualified to perform maintenance on licensed ambulances and inspect these vehicles and validate, by signature, that the vehicles meet both mechanical and safety considerations for use.
(j) ‘‘Class,’’ as used in these regulations, means the period during which a group of students meets.
(k) ‘‘Clinical preceptor’’ means an individual who is responsible for the supervision and evaluation of students in clinical training in a health care facility.
(l) ‘‘Continuing education’’ means a formally organized learning experience that has education as its explicit principal intent and is oriented towards the enhancement of emergency medical services practice, values, skills, and knowledge.       
(m) ‘‘Contrived experience,’’ as used in K.A.R. 109-11-3a, means a simulated ambulance call and shall include dispatch communications, responding to the scene, assessment and management of the scene and patient or patients, biomedical communications with medical control, ongoing assessment, care, and transportation of the patient or patients, transference of the patient or patients to the staff of the receiving facility, completion of records, and preparation of the ambulance for return to service. 
(n) ‘‘Coordination’’ means the submission of an application for approval of initial courses of instruction or continuing education courses and the oversight responsibility of those same courses and instructors once the courses are approved.
(o) "Course of instruction" means a body of prescribed EMS studies approved by the board.
(p) "Critical care transport’’ means the transport by an ambulance of a critically ill or injured patient who receives care commensurate with the care rendered by health care personnel as defined in this regulation or either an MICT or a paramedic with specialized training as approved by service protocols and the medical director.             
(q) “Educator” means instructor-coordinator, as defined in K.S.A. 65-6112 and amendments thereto.              
(r) Emergency’’ means a serious medical or traumatic situation or occurrence that demands immediate action.              
(s) ‘‘Emergency call’’ means an immediate response by an ambulance service to a medical or trauma incident that happens unexpectedly.    
(t) ‘‘Emergency care’’ means the services provided after the onset of a medical condition of sufficient severity that the absence of immediate medical attention could reasonably be expected to cause any of the following:
         (1) Place the patient’s health in serious jeopardy;
         (2) seriously impair bodily functions; or
         (3) result in serious dysfunction of any bodily organ or part.

(u) ‘‘EMS’’ means emergency medical services.   
(v) ‘‘EMR’’ means emergency medical responder.   
(w) ‘‘EMT’’ means emergency medical technician.   
(x) ‘‘EMT-D’’ means emergency medical technician-defibrillator.   
(y) ‘‘EMT-I’’ means emergency medical technician-intermediate.   
(z) ‘‘EMT-I/D’’ means emergency medical technician- intermediate/defibrillator.             
(aa) ‘‘Field internship preceptor’’ means an individual who is responsible for the supervision and evaluation of students in field training with an ambulance service.             
(bb) ‘‘Health care personnel,’’ as used in these regulations, means a physician, physician assistant, licensed professional nurse, advanced practice registered nurse, or respiratory therapist.             
(cc) ‘‘Incompetence,’’ as applied to attendants and as used in K.S.A. 65- 6133 and amendments thereto, means a demonstrated lack of ability, knowledge, or fitness to perform patient care according to applicable medical protocols or as defined by the authorized activities of the attendant’s level of certification.             
(dd) ‘‘Incompetence,’’ as applied to instructor-coordinators and training officers and as used in K.S.A. 65-6133 and K.S.A. 65-6129c and amendments thereto, means a pattern of practice or other behavior that demonstrates a manifest incapacity, inability, or failure to coordinate or to instruct attendant training programs.              
(ee) ‘‘Incompetence,’’ as applied to an operator and as used in K.S.A. 65- 6132 and amendments thereto, means either of the following:
          (1) The operator’s inability or failure to provide the level of service required for the type of permit held; or
          (2) the failure of the operator or an agent or employee of the operator to comply with a statute or regulation pertaining to the operation of a                 licensed ambulance service.

 (ff) ‘‘Instructor-coordinator’’ and “I-C” mean any of the following individuals who are certified to instruct and coordinate attendant training programs: 
           (1) Emergency medical technician;
           (2) emergency medical technician-intermediate;
           (3) emergency medical technician-defibrillator;
           (4) mobile intensive care technician;
           (5) physician;
           (6) physician’s assistant;
           (7) advanced practice registered nurse;
           (8) licensed professional nurse;
           (9) advanced emergency medical technician; or          
         (10) paramedic.

(gg) ‘‘Interoperable’’ means that one system has the ability to communicate or work with another.                
(hh) ‘‘Lab assistant’’ means an individual who is assisting a primary instructor in the instruction and evaluation of students in classroom laboratory training sessions.                             
(ii) ‘‘Long-term provider approval’’ means that the sponsoring organization has been approved by the executive director to provide any continuing education program as prescribed in K.A.R. 109-5-3.                       
(jj) ‘‘MICT’’ means mobile intensive care technician.                 
(kk) “Mentoring educator” means an instructor-coordinator, as defined in K.S.A. 65-6112 and amendments thereto, who has obtained additional credentials prescribed by the board.                
(ll)  ‘‘Out of service,’’ as used in K.A.R. 109-2-5, means that a licensed ambulance is not immediately available for use for patient care or transport.
(mm)  ‘‘Primary instructor’’ means an instructor-coordinator or training officer who is listed by the sponsoring organization as the individual responsible for the competent delivery of cognitive, psychomotor, and affective objectives of an approved initial course of instruction or continuing education program and who is the person primarily responsible for evaluating student performance and developing student
competency.                
(nn)  ‘‘Prior-approved continuing education’’ means material submitted by a sponsoring organization, to the board, that is reviewed and subsequently approved by the executive director, in accordance with criteria established by regulations, and that isassigned a course identification number.                  
(oo)  ‘‘Public call’’ means the request for an ambulance to respond to the scene of a medical emergency or accident by an individual or agency other than any of the following:
             (1) A type I ambulance service, type II ambulance service, or type IIA ambulance service;
             (2) the Kansas highway patrol or any law enforcement officer who is at the scene of an accident or medical emergency;
             (3) a physician, as defined by K.S.A. 65-6112 and amendments thereto, who is at the scene of an accident or medical emergency; or
             (4) an attendant who has been dispatched to provide emergency first response and who is at the scene of an accident or medical                    emergency.

(pp)  ‘‘Retroactively approved continuing education’’ means credit issued to an attendant after attending a program workshop, conference, seminar, or other offeringthat is reviewed and subsequently approved by the executive director, in accordance with criteria established by the board.                 
(qq) “Roster” means a document whose purpose is to validate attendance at an educational offering and that includes the following information:
              (1) Name of the sponsoring organization;
              (2) location where the educational offering occurred;
              (3) signature, time of arrival, and time of departure of each attendee;
              (4) course identification number issued by the board;
              (5) title of the educational offering;
              (6) date of the educational offering; and
              (7) printed name and signature of the program manager.

(rr) ‘‘Service director’’ means an individual who has been appointed, employed, or designated by the operator of an ambulance service to handle daily operations and to ensure that the ambulance service is in conformance with local, state, and federal laws and ensure that quality patient care is provided by the service attendants.                 
(ss) ‘‘Service records’’ means the documents required to be maintained by state regulations and statutes pertaining to the operation and education within a licensed ambulance service.       
(tt) ‘‘Single-program provider approval’’ means that the sponsoring organization has been granted approval to offer a specific continuing education program.
(uu) ‘‘Site coordinator’’ means a person supervising, facilitating, or monitoring
students, facilities, faculty, or equipment at a training site.
(vv) ‘‘Sponsoring organization’’ means any professional association, accredited postsecondary educational institution, permitted ambulance service, fire department, other officially organized public safety agency, hospital, corporation, or emergency medical services regional council approved by the executive director to offer initial courses of instruction and continuing education programs as either a long-term provider or a single-program provider.
(ww) “Syllabus” means a summary of the content of a course of instruction that includes the following:
                (1)  A summary of the course goals and objectives;
                (2)  student prerequisites, if any, for admission into the course;
                (3)  instructional and any other materials required to be purchased by the student;
                (4)  student attendance policies;
                (5)  student requirements for successful course completion;
                (6)  a description of the clinical and field training requirements, if applicable;
                (7)  student discipline policies; and
                (8)  instructor, educator, mentoring educator, trainer, or training officer  information, which shall include the following:
                       (A)  The name of the instructor, educator, mentoring educator, trainer, or training officer;
                       (B)  the office hours of the instructor, educator, mentoring educator, trainer, or training officer or the hours during which the instructor,                               educator, mentoring educator, trainer, or training officer is available for consultation; and
                       (C)  the electronic mail address of the instructor, educator, mentoring educator, trainer, or training officer.

(xx) ‘‘Sufficient application’’ means that the information requested on the application form is provided in full, any applicable fee has been paid, all information required by statute or regulation has been submitted to the board, and no additional information is required to complete the processing of the application.               
(yy) “Teach” means instruct or coordinate training, or both.
(zz) ‘‘Training officer I’’ means a person who has been certified by the board to coordinate attendant continuing education training programs for accredited postsecondary educational institutions, permitted ambulance services, fire departments, other officially organized public safety agencies, hospitals, corporations, professional associations, or emergency medical services regional councils.              
(aaa) “Trainer” means a person who is certified by the board to function as a continuing education training program coordinator, continuing education training program instructor, or both.              
(bbb) ‘‘Training officer II’’ means a person who is certified by the board to function as a continuing education training program coordinator and as a primary instructor of first responder initial courses of instruction.              
(ccc) ‘‘Training program accreditation’’ means the approval granted by the executive director to any of the following, to conduct EMS initial courses of instruction on a long-term basis: accredited postsecondary educational institutions, permitted ambulance services, fire departments, other officially organized public safety agencies, hospitals, or corporations.                
(ddd) ‘‘Type I ambulance service’’ means a ground-based ambulance service that provides emergency response and advanced life support, as described in the authorized activities and scope of practice of EMT-I, EMT-D, EMT-I/D, AEMT,  MICT, or paramedic as specified in K.S.A. 65-6119, K.S.A. 65-6120, and K.S.A. 65-6123, and amendments thereto. The ambulance service may provide critical care transport when staffed in accordance with the applicable definitions in this regulation.             
(eee) ‘‘Type II ambulance service’’ means a ground-based ambulance service that provides emergency response and basic life support, as described in the authorized activities or scope of practice of EMT, first responder, and EMR in K.S.A. 65-6121 and K.S.A. 65-6144, and amendments thereto.              
(fff) ‘‘Type IIA ambulance service’’ means a basic life support ambulance service that may provide advanced life support when staffed with one attendant and any of the following individuals functioning under ALS protocols or guidance as authorized by the applicable licensing authority:
           (1) EMT-I;
           (2) EMT-D;
           (3) EMT-I/D;
           (4) AEMT;
           (5) MICT;
           (6) paramedic;
           (7) licensed professional nurse;
           (8) physician’s assistant;
           (9) advanced practice registered nurse;
         (10) respiratory therapist; or
         (11) physician.

(ggg) ‘‘Type V ambulance service’’ means an air or ground-based ALS ambulance service that provides critical care transport, as defined in this regulation, and is not subject to public call. This type of ambulance service uses a ‘‘type V air ambulance’’ or ‘‘type V ground ambulance,’’ or both.
(hhh) ‘‘Unprofessional conduct,’’ as applied to attendants and as used in K.S.A. 65-6133 and amendments thereto, means conduct that violates those standards of professional behavior that through professional experience have become established by the consensus of the expert opinion of the members of the emergency medical services profession as reasonably necessary for the protection of the public. This term shall include any of the following:
            (1) Failing to take appropriate action to safeguard the patient;
            (2) performing acts beyond the activities authorized for the level at which the individual is certified;
            (3) falsifying a patient’s or an ambulance service’s records;
            (4) verbally, sexually, or physically abusing a patient;
            (5) violating statutes or regulations concerning the confidentiality of medical records or patient information obtained in the course of                   professional work;
            (6) diverting drugs or any property belonging to a patient or an agency;
            (7) making a false or misleading statement on an application for certification renewal or any agency record;
            (8) engaging in any fraudulent or dishonest act that is related to the qualifications, functions, or duties of an attendant; or
            (9) failing to cooperate with the board and its agents in the investigation of complaints or possible violations of the emergency medical                   services statutes or board regulations, including failing to furnish any documents or information legally requested by the board.                   Attendants who fail to respond to requests for documents or requests for information within 30 days from the date of request shall have                   the burden of demonstrating that they have acted in a timely manner.                

(iii) ‘‘Unprofessional conduct,’’ as applied to instructor-coordinators and training officers and as used in K.S.A. 65-6133 and K.S.A. 65-6129c and amendments thereto, means any of the following:
            (1)  Engaging in behavior that demeans a student. This behavior shall include ridiculing a student in front of other students or engaging in                    any inhumane or discriminatory treatment of any student or group of students;
            (2) verbally or physically abusing a student;
            (3) failing to take appropriate action to safeguard a student;
            (4) falsifying any document relating to a student or the emergency medical service agency;
            (5) violating any statutes or regulations concerning the confidentiality of student records;
            (6) obtaining or seeking to obtain any benefit, including a sexual favor, from a student through duress, coercion, fraud, or misrepresentation,                   or creating an environment that subjects a student to unwelcome sexual advances, which shall include physical touching or verbal                   expressions;
            (7) an inability to instruct because of alcoholism, excessive use of drugs, controlled substances, or any physical or mental condition;
            (8) reproducing or duplicating a state examination for certification without board authority;
            (9) engaging in any fraudulent or dishonest act that is related to the qualifications, functions, or duties of an instructor-coordinator or training                   officer;
          (10) willfully failing to adhere to the course syllabus; or
          (11) failing to cooperate with the board and its agents in the investigation of complaints or possible violations of the board’s statutes or                   regulations, including failing to furnish any documents or information legally requested by the board. Instructor-coordinators and training                   officers who fail to respond to requests for documents or requests for information within 30 days of the request shall have the burden of                   demonstrating that they have acted in a timely manner.

(Authorized by K.S.A. 2011 Supp. 65-6110, K.S.A. 2011 Supp. 65-6111; implementing K.S.A. 2011 Supp. 65-6110,  K.S.A. 2011 Supp. 65-6111, K.S.A. 2011 Supp. 65-6121, K.S.A. 2011 Supp. 65-6129,  K.S.A. 65-6129b, K.S.A. 2011 Supp. 65-6129c, K.S.A. 2011 Supp. 65-6132, and K.S.A 2011 Supp. 65-6133; effective May 1, 1985; amended May 1, 1986; amended, T-88-12, May 18, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended March 16, 1992; amended Jan. 31, 1994; amended Jan. 30, 1995; amended Jan. 31, 1997; amended Nov. 12, 1999; amended Jan. 27, 2012; amended March 15, 2013.)

109-1-2 Medical Director.

Each air ambulance service shall have an air medical director who is responsible for advising the air ambulance service on policies and procedures that ensure that the appropriate aircraft, medical personnel, and equipment are provided during air ambulance transport. When necessary, the air medical director may designate another licensed physician to perform the air medical director’s duties.

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; implementing K.S.A. 65-6126, as amended by L. 2011, ch. 114, sec. 87; effective Jan. 31, 1997; amended Jan. 27, 2012.)

Article 2.--AMBULANCE SERVICES; PERMITS AND REGULATIONS

 

109-2-1 Ambulance service operator.

(a) Each operator of an ambulance service shall perform the following:
              (1) Notify the board of any change in the service director within seven days of the change; and
              (2) designate a person as the ambulance service director to serve as an agent of the operator.
(b) The ambulance service director shall meet the following requirements:
              (1) Be responsible for the operation of the ambulance service;
              (2) be available to the board regarding permit, regulatory, and emergency matters;
              (3) be responsible for maintaining a current list of the ambulance service’s attendants;
              (4) be responsible for maintaining a current copy of each attendant’s Kansas certification or renewal card;
              (5) notify the board of each addition or removal of an attendant from the attendant roster within 90 days of the addition or removal;
              (6) notify the board of any known resignation, termination, incapacity, or death of a medical adviser once known and the plans for securing                     a new medical director; and
              (7) submit written notification of each change in the medical director within 30 days of the change.

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6111, and K.S.A. 65-6132, as amended by L. 2011, ch. 114, sec. 89; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6112 (v), as amended by L. 2011, ch. 114, sec. 82, and K.S.A. 65-6130; effective May 1, 1985; amended July 17, 1989; amended Jan. 31, 1997; amended  Jan. 27, 2012.)

 

109-2-2 Application for ambulance service permit and ambulance vehicle license; permit renewal and license renewal.

(a)
               (1) An applicant may apply for only one ambulance service permit for each ambulance service that the applicant seeks to operate. Each                      applicant shall indicate the class of service for the permit requested as type I ambulance service, type II ambulance service, type IIA                      ambulance service, or type V ambulance service.
               (2) An applicant may apply for only one ambulance license for each ambulance that the applicant seeks to operate. Each applicant shall                      indicate the class of ambulance for each license requested.
(b) All ambulance service permit and ambulance license application and renewal forms shall be submitted in a format required by the executive director.
(c) Each initial and each renewal applicant for a ground ambulance service permit and ambulance license shall obtain a mechanical and safety inspection from a person doing business as or employed by a vehicle maintenance service or a city, county, or township or from a certified mechanic as defined in K.A.R. 109-1-1, for each ambulance within 180 days before the date of ambulance service application renewal. In order for an ambulance license to be renewed, the mechanical safety inspection forms shall not contain any deficiencies identified that would compromise the safe transport of patients.
(d) Each initial and each renewal application for an air ambulance shall include a valid standard airworthiness certificate for each aircraft, evidence of an air safety training program, and an informational publication.
(e)
                (1) Each new ground ambulance shall be required to have a mechanical or safety inspection submitted on forms required by the board or                       shall require documentation from the manufacturer indicating that the vehicle has undergone a predelivery inspection without                       deficiencies.
               (2) Each used or retrofitted ground ambulance shall be required to have a mechanical and safety inspection.
(f) Each ambulance service permit and ambulance license shall expire on April 30 of each year and may be renewed annually in accordance with this regulation. If the board receives a complete application for renewal of an ambulance service permit or an ambulance license on or before April 30, the existing permit or license shall not expire until the board has taken final action upon the renewal application or, if the board’s action is unfavorable, until the last day for seeking judicial review.
(g) If the board receives an insufficient initial application or renewal application for an ambulance service permit or ambulance license, the applicant or operator shall be notified by the board of any errors or omissions. If the applicant or operator fails to correct the deficiencies and submit a sufficient application within 30 days from the date of written notification, the application may be considered by the board as withdrawn.
(h) An application for ambulance service permit or permit renewal shall be deemed sufficient if all of the following conditions are met:
                (1) The applicant or operator either completes all forms provided with the application for ambulance service permit or permit renewal or                       provides all requested information online. No additional information is required by the board to complete the processing of the                       application.
                (2) Each operator submits the list of supplies and equipment carried on each ambulance validated by the signature of the ambulance                       service’s medical director to the board each year with the operator’s application for an ambulance service permit.
                (3) The applicant or operator submits payment of the fee in the correct amount for the ambulance service permit or permit renewal and                       ambulance license fees.
                (4) Each operator provides the inspection results to the board on forms provided by the executive director with the application for renewal.
(i) Each publicly subsidized operator shall provide the following statistical information to the board with the application for renewal of a permit:
                (1) The number of emergency and nonemergency ambulance responses and the number of patients transported for the previous                       calendar year;
                (2) the operating budget and, if any, the tax subsidy;
                (3) the charge for emergency and nonemergency patient transports, including mileage fees; and
                (4) the number of full-time, part-time, and volunteer staff.
(j) Each private operator shall provide the following statistical information to the board with the application for renewal of a permit:
                (1) The number of emergency and nonemergency ambulance responses and the number of patients transported for the previous                       calendar year;
                (2) the charge for emergency and nonemergency patient transports, including mileage fees; and
                (3) the number of full-time, part-time, and volunteer staff.
(k) As a condition of issuance of an initial ambulance service permit, each ambulance service operator shall provide with the application the ambulance service’s operational policies and approved medical protocols pursuant to K.A.R. 109-2-5.
(l) The operator of each type I, type II, type IIA, and type V ground ambulance service shall develop a list of supplies and equipment that is carried on each ambulance. This list shall include the supplies and equipment required by the board for the license type and any additional supplies or equipment necessary to carry out the patient care activities as indicated in the services medical protocols in accordance with K.S.A. 65-6112 and amendments thereto.

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, and K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, 65-6127, and 65-6128; effective May 1, 1985; amended July 17, 1989; amended Jan. 31, 1997; amended Dec. 29, 2000; amended Jan. 27, 2012.)

 

  

109-2-3 (Authorized by and implementing K.S.A. 1984 Supp. 65-4318; effective May 1, 1985; revoked Jan. 31, 1997.)

 

109-2-4 Display of permits, licenses, and certificates.

(Authorized by and implementing K.S.A. 1995 Supp. 65-6110, 65-6111, K.S.A. 65-6127 and 65-6128; effective May 1, 1985; amended July 17, 1989; amended Jan. 31, 1997; revoked Jan. 27, 2012.)

 

109-2-5 Ambulance service operational standards.

(a) Each ground ambulance shall have a two-way, interoperable communications systems to allow contact with the ambulance service’s primary communication center and with the medical facility, as defined by K.S.A. 65-411 and amendments thereto, to which the ambulance service most commonly transports patients.

(b) Smoking shall be prohibited in the patient and driver compartments of each ambulance at all times.

(c) Each operator shall ensure that the interior and exterior of the ambulance are maintained in a clean manner and that all medications, medical supplies, and equipment within the ambulance are maintained in good working order and according to applicable expiration dates.

(d) Each operator shall ensure that freshly laundered linen or disposable linen is on cots and pillows and ensure that the linen is changed after each patient is transported.

(e) When an ambulance has been utilized to transport a patient known or suspected to have an infectious disease, the operator shall ensure that the interior of the ambulance, any equipment used, and all contact surfaces are disinfected according to the ambulance service’s infectious disease control policies and procedures. The operator shall place the ambulance out of service until a thorough disinfection according to the ambulance service’s infection control policies and procedures has been completed.

(f) Each operator shall ensure that all items and equipment in the patient compartment are placed in cabinets or properly secured.

(g) Each operator shall park all ground ambulances in a completely enclosed building with a solid concrete floor. Each operator shall maintain the interior heat of the enclosed building at no less than 50 degrees Fahrenheit. Each operator shall ensure that the interior of the building is kept clean and has adequate lighting. Each operator shall store all supplies and equipment in a clean and safe manner.

(h) Each licensed ambulance shall meet all regulatory requirements for the ambulance license type, except when the ambulance is out of service.

(i) If an operator is unable to provide service for more than 24 hours, the operator or agent shall notify the executive director and submit an alternative plan, in writing and within 72 hours, for providing ambulance service for the operator’s primary territory of coverage. The alternative plan shall be subject to approval by the executive director and shall remain in effect no more than 30 days from the date of approval. Approval by the executive director shall be based on whether the alternate plan will provide sufficient coverage to transport and provide emergency care for persons within the operator’s primary territory. A written request for one or more extensions of the alternative plan for no more than 30 days each may be approved by the executive director if the operator has made a good faith effort but, due to circumstances beyond the operator’s control, has been unable to completely remedy the problem.

(j) Each operator subject to public call shall have a telephone with an advertised emergency number that is answered by an attendant or other person designated by the operator 24 hours a day. Answering machines shall not be permitted.

(k) Each operator shall produce the ambulance service permit and service records upon request of the board.

(l) Each operator shall maintain service records for three years.

(m) Each operator shall ensure that documentation is completed for each request for service and for each patient receiving patient assessment, care, or transportation. Each operator shall furnish a completed copy or copies of each patient care report form upon request of the board.

(n) Each operator shall maintain a daily record of each request for ambulance response. This record shall include the date, time of call, scene location, vehicle number, trip number, caller, nature of call, and disposition of each patient.

(o) Each operator shall maintain a copy of the patient care documentation for at least three years.

(p) Each operator shall ensure that a copy of the patient care documentation for initial transport of emergency patients is made available to the receiving medical facility, within 24 hours of the patient’s arrival.

(q) Each operator shall maintain a current duty roster that demonstrates compliance withK.S.A. 65-6135, and amendments thereto. The duty roster shall reflect appropriate staffing for the service and ambulance type as specified in K.A.R. 109-2-6 and 109-2-7.

(r) Each operator shall provide a quality improvement or assurance program that establishes medical review procedures for monitoring patient care activities. This program shall include policies and procedures for reviewing patient care documentation. Each operator shall review patient care activities at least once each quarter of each calendar year to determine whether the ambulance service’s attendants are providing patient care commensurate with the attendant’s scope of practice and local protocols.
        (1) Review of patient care activities shall include quarterly participation by the ambulance service’s medical director in a manner that ensures that the medical director is meeting the requirements of K.S.A. 65-6126, and amendments thereto.
        (2) Each operator shall, upon request, provide documentation to the executive director demonstrating that the operator is performing patient care reviews and that the medical director is reviewing, monitoring, and verifying the activities of the attendants pursuant to K.S.A. 65-6126, and amendments thereto, as indicated by the medical director’s electronic or handwritten signature.
        (3) Each operator shall ensure that documentation of all medical reviews of patient care activities is maintained for at least three years.

        (4) Within 60 days after completion of the internal review processes of an incident, each operator shall report to the board on forms approved by the board any incident indicating that an attendant or other health care provider functioning for the operator met either of the following conditions:
              (A) Acted below the applicable standard of care and, because of this action, had a reasonable probability of causing injury to a patient; or
              (B) acted in a manner that could be grounds for disciplinary action by the board or other applicable licensing agency.

(s) Each ambulance service operator shall develop and implement operational policies or guidelines, or both, that have a table of contents and address policies and procedures for each of the following topics:
        (1) Radio and telephone communications;
        (2) interfacility transfers;
        (3) emergency driving and vehicle operations;
        (4) do not resuscitate (DNR) orders, durable powers of attorney for health care decisions, and living wills;
        (5) multiple-victim and mass-casualty incidents;
        (6) hazardous material incidents;
        (7) infectious disease control;
        (8) crime scene management;
        (9) documentation of patient reports;
        (10) consent and refusal of treatment;
        (11) management of firearms and other weapons;
        (12) mutual aid, which means a plan for requesting assistance from another resource;
        (13) patient confidentiality;
        (14) extrication of persons from entrapment; and
        (15) any other procedures deemed necessary by the operator for the efficient operation of the ambulance service.
(t) Each ambulance service operator shall provide the operational policies to the executive

director, upon request.
(u) Each ambulance service operator shall adopt and implement medical protocols developed and approved in accordance with K.S.A. 65-6112, and amendments thereto. The medical protocols shall be approved annually.
(v) Each operator’s medical protocols shall include a table of contents and treatment procedures at a minimum for the following medical and trauma-related conditions for pediatric and adult patients:
        (1) Diabetic emergencies;
        (2) shock;
        (3) environmental emergencies;
        (4) chest pain;
        (5) abdominal pain;
        (6) respiratory distress;
        (7) obstetrical emergencies and care of the newborn;
        (8) poisoning and overdoses;
        (9) seizures;
        (10) cardiac arrest;
        (11) burns;
        (12) stroke or cerebral-vascular accident;
        (13) chest injuries;
        (14) abdominal injuries;
        (15) head injuries;
        (16) spinal injuries;
        (17) multiple-systems trauma;
        (18) orthopedic injuries;
        (19) drowning; and
        (20) anaphylaxis.

(w) Each operator shall make available a current copy of the ambulance service’s operational policies or guidelines and medical protocols to any person listed as an attendant and any other health care provider on the ambulance service’s attendant roster.

(Authorized by K.S.A. 2011 Supp. 65-6110 and K.S.A. 2011 Supp. 65-6111; implementing K.S.A 2011 Supp. 65-6110, K.S.A. 2011 Supp. 65-6112, K.S.A. 2011 Supp. 65-6126, K.S.A. 65-6130, and K.S.A. 2011 Supp. 65-6135; effective May 1, 1985; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended Aug. 27, 1990; amended Aug. 16, 1993; amended Jan. 31, 1997; amended Jan. 27, 2012; amended July 5, 2013.)

 

 

109-2-6 Classes of ambulance services.

(a) Permits shall be issued for four classes of ambulance service.
These classes shall be known as type I ambulance service, type IIA ambulance service, type II ambulance service, and type V ambulance service.
(b) Each type I ambulance service shall meet the following requirements:
             (1) Provide advanced life support as defined in K.A.R. 109-1-1;
             (2) have at least one ALS licensed ambulance that meets all requirements of K.A.R. 109-2-8. Each type I ambulance service may also                    operate BLS licensed ambulances and may provide critical care transport if staffed by an MICT or paramedic with specialized training;
             (3) maintain a staff of currently certified attendants and health care personnel as defined in K.A.R. 109-1-1 that is adequate to meet all                    applicable requirements of K.A.R. 109-2-7; and
             (4) have a method of receiving calls and dispatching ambulances that ensures that an ambulance leaves the station within an annual                    average of five minutes from the time an emergency call is received by the ambulance service.
(c) Each type II ambulance service shall meet the following requirements:
             (1) Provide basic life support as defined in K.A.R. 109-1-1;
             (2) have at least one licensed ambulance that meets all requirements of K.A.R. 109-2-8;
             (3) maintain a staff of currently certified attendants and health care personnel that is adequate to meet all requirements of K.A.R. 109-2-7;                    and
             (4) have a method of receiving calls and dispatching ambulances that ensures that an ambulance leaves the station within an annual                    average of five minutes from the time an emergency call is received by the ambulance service.
(d)
             (1) Any type IIA ambulance service operator may provide advanced life support as defined in K.A.R. 109-1-1 and described in
                   K.S.A. 65- 6123, 65-6120, and 65-6119, and amendments thereto, when appropriate personnel are on board according to
                   K.A.R. 109-2-7 and are adequately equipped and when the treatment is approved by medical protocols or the attendants are in direct                    voice contact with a physician, physician assistant, advanced practice registered nurse, or a licensed professional nurse
                   who is authorized by a physician.
             (2) Each operator of a type IIA ambulance service shall meet the following requirements:
                   (A) Provide basic life support or advanced life support, as defined in K.A.R. 109-1-1;
                   (B) have at least one licensed ambulance that meets all requirements of K.A.R. 109-2-8;
                   (C) maintain a staff of currently certified attendants and health care personnel adequate to meet all requirements of K.A.R. 109-2-7; and
                   (D) have a method of receiving calls and dispatching ambulances that ensures that an ambulance leaves the station within an annual                          average of five minutes from the time an emergency call is received by the ambulance service.
(e) Each type V ambulance service shall meet the following requirements:
             (1) Provide critical care transport as defined in K.A.R. 109-1-1;
             (2) not be subject to public call as defined in K.A.R. 109-1-1;
             (3) have a ground or air ambulance that meets all requirements of K.A.R. 109-2-8, K.A.R. 109-2-11, K.A.R. 109-2-12,  or K.A.R. 109-2-13, as                    applicable;
             (4) license only type V ambulances;
             (5) license rotor-wing aircraft, fixed-wing aircraft, or ground-based vehicles as ambulances;
             (6) have a staff that is adequate to provide the level of care described in paragraph (e)(1) and as described in K.A.R. 109-2-7; and
             (7) have a method of receiving and relaying calls that ensures that any request for emergency response is immediately and properly relayed to the nearest type I ambulance service, type II ambulance service, or type IIA ambulance service.

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 65-6128, and K.S.A. 2010 Supp. 65-6135, as amended by L. 2011, ch. 114, sec. 66; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Jan. 31, 1997; amended Jan. 27, 2012.)

 

 

109-2-7 Ground and air ambulance staffing. Licenses shall be issued for three types of ambulance vehicles and aircraft.  These ambulances shall be known as type I, type II, and type V.  Each ambulance shall be staffed in accordance with these regulations.

 (a) Each type I service operator shall staff each type I ambulance with at least two attendants during patient transport.
               (1) At least one attendant shall be one of the following medical personnel:
                     (A) a mobile intensive care technician;
                     (B) a physician;
                      (C) a registered physician's assistant; or
                      (D) a licensed professional nurse.
                (2) The second attendant may be any of the following:
                      (A) an emergency medical technician;
                     (B) an emergency medical technician intermediate;
                     (C) an emergency medical technician defibrillator;
                     (D) a mobile intensive care technician;
                     (E) a physician;
                     (F) a registered physician's assistant; or
                     (G) a licensed professional nurse.

(b) Each type I and type II service operator shall staff each type II ambulance with at least two attendants during patient transport. 
               (1) At least one attendant shall be an emergency medical technician.
              (2) One of the following shall be in the patient compartment during patient transport:
                    (A) an emergency medical technician;
                    (B) an emergency medical technician intermediate;
                     (C) an emergency medical technician defibrillator;
                    (D) a mobile intensive care technician;
                    (E) a physician;
                     (F) a registered physician’s assistant; or
                    (G) a licensed professional nurse.

(c) Each type V service operator shall staff each type V ambulance with a driver or pilot and at least two medically trained persons, one of whom shall be a physician or a licensed professional nurse.  Additional staffing shall be commensurate with the patient’s care needs as determined by the service’s medical advisor or as described in the service’s medical protocols.  The medical personnel shall remain in the patient compartment during patient transport.

 (d) At least one of the medical personnel on each type V ambulance shall have completed and be current in “Advanced Cardiac Life support (ACLS)” as in effect on January 1, 1997, which is adopted herein by reference, or the equivalent, as approved by the board.

 (e) When performing neonatal or pediatric missions, at least one of the medical personnel on each type V ambulance shall have completed and be current in “Pediatric Advanced Life Support (PALS)” as in effect on January 1, 1996, which is adopted herein by reference, or the equivalent as approved by the board.

 (f) When responding to the scene of an accident or medical emergency, not including transports between medical facilities, at least one of the medical personnel on each type V ambulance shall have completed and be current in one of the following programs as in effect on January 1, 1996, which are adopted herein by reference:

                (1) “Advanced Trauma Life Support (ATLS)”
               (2) “Flight Nurse Advanced Trauma Course (FNATC)”
               (3) “Trauma Nurse Core Course (TNCC)”
                (4) “Pre-Hospital Trauma Life Support (PHTLS)” or
                (5) an equivalent course as approved by the board.  

(Authorized by K.S.A. 1995 Supp. 65-6110; implementing K.S.A. 1995 Supp. 65-6110 and K.S.A. 65-6135; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Jan. 31, 1997.)

 

109-2-8 Standards for type I, type II, type IIA, and type V ground ambulances and equipment.

(a) Each ambulance shall meet the vehicle and equipment standards that are applicable to that class of ambulance.
(b) Each ambulance shall have the ambulance license prominently displayed in the patient compartment.
(c) The patient compartment size shall meet or exceed the following specifications:
                (1) Headroom: 60 inches; and
                (2) length: 116 inches.
(d) Each ambulance shall have a heating and cooling system that is controlled separately for the patient and the driver compartments. The air conditioners for each compartment shall have separate evaporators.
(e) Each ambulance shall have separate ventilation systems for the driver and patient compartments. These systems shall be separately controlled within each compartment. Fresh air intakes shall be located in the most practical, contaminant-free air space on the ambulance. The patient compartment shall be ventilated through the heating and cooling systems.
(f) The patient compartment in each ambulance shall have adequate lighting so that patient care can be given and the patient’s status monitored without the need for portable or hand-held lighting. A reduced lighting level shall also be provided. A patient compartment light and step-well light shall be automatically activated by opening the entrance doors. Interior light fixtures shall be recessed
and shall not protrude more than 1 1⁄2 inches.
(g) Each ambulance shall have an electrical system to meet maximum demand of the electrical specifications of the vehicle. All conversion equipment shall have individual fusing that is separate from the chassis fuse system.
(h) Each ambulance shall have lights and sirens as required by K.S.A. 8-1720 and K.S.A. 8-1738, and amendments thereto.
(i) Each ambulance shall have an exterior patient loading light over the rear door, which shall be activated both manually by an inside switch and automatically when the door is opened.
(j) The operator shall mark each ambulance licensed by the board as follows:
                 (1) The name of the ambulance service shall be in block letters, not less than four inches in height, and in a color that contrasts with the                        background color. The service name shall be located on both sides of the ambulance and shall be placed in such a manner that it is                        readily identifiable to other motor vehicle operators.
                 (2) Any operator may use a decal or logo that identifies the ambulance service in place of lettering. The decal or logo shall be at least 10                        inches in height and shall be in a color that contrasts with the background color. The decal or logo shall be located on both sides of                        the ambulance and shall be placed in such a manner that the decal or logo is readily identifiable to other motor vehicle operators.
                 (3) Each ambulance initially licensed by the board before January 1, 1995 that is identified either by letters or a logo on both sides of the                        ambulance shall be exempt from the minimum size requirements in paragraphs (1) and (2) of this subsection.
(k) Each type I, type II, type llA, and type V ambulance shall have a communications system that is readily accessible to both the attendant and the driver and is in compliance with K.A.R 109-2-5(a).
(l) An operator shall equip each ambulance as follows:
                 (1) At least two annually inspected ABC fire extinguishers or comparable fire extinguishers with at least
                       five pounds of dry chemical, which shall be secured. One fire extinguisher shall be easily accessible by the driver, and the other shall                        be easily accessible by the attendant;
                 (2) either two portable, functional flashlights or one flashlight and one spotlight;
                 (3) one four-wheeled or six-wheeled, all-purpose, multilevel cot with an elevating head and at least two safety straps with locking                         mechanisms;
                 (4) one urinal;
                 (5) one bedpan;
                 (6) one emesis basin or convenience bag;
                 (7) one complete change of linen;
                 (8) two blankets;
                 (9) one waterproof cot cover;
               (10) one pillow; and
              (11) a ‘‘no-smoking’’ sign posted in the patient compartment and the driver compartment.
(m) The operator shall equip each ground ambulance with the following internal medical systems:
                (1) An oxygen system with at least two outlets located within the patient compartment and at least 2,000 liters of storage capacity, with a                       minimum oxygen level of 200 psi. The cylinder shall be in a compartment that is vented to the outside. The pressure gauge and                       regulator control valve shall be readily accessible to the attendant from inside the patient compartment; and
                (2) a functioning, on-board, electrically powered suction aspirator system with a vacuum of at least 300 millimeters of mercury at the                       catheter tip. The unit shall be easily accessible with large-bore, nonkinking suction tubing and a large-bore, semirigid, nonmetalic                       oropharyngeal suction tip.
(n) The operator shall equip each ground ambulance with the following medical equipment:
                (1) A portable oxygen unit of at least 300-liter storage capacity, complete with pressure gauge and flowmeter and with a minimum oxygen                       level of 200 psi. The unit shall be readily accessible from inside the patient compartment;
                (2) a functioning, portable, self-contained battery or manual suction aspirator with a vacuum of at least 300 millimeters of mercury at the                       catheter tip and a transparent or translucent collection bottle or bag. The unit shall be fitted with large-bore, nonkinking suction tubing                       and a large-bore, semirigid, nonmetallic oropharyngeal suction tip, unless the unit is self-contained;
                (3) a hand-operated, adult bag-mask ventilation unit, which shall be capable of use with the oxygen supply;
                (4) a hand-operated, pediatric bag-mask ventilation unit, which shall be capable of use with oxygen supply;
                (5) oxygen masks in adult and pediatric sizes;
                (6) nasal cannulas in adult and pediatric sizes;
                (7) oropharyngeal airways in adult, pediatric, and infant sizes;
                (8) a blood pressure manometer with extra-large, adult, and pediatric cuffs and a stethoscope;
                (9) an obstetric kit with contents as described in the ambulance service’s medical protocol;
               (10) sterile burn sheets;
               (11) sterile large trauma dressings;
               (12) assorted sterile gauze pads;
               (13) occlusive gauze pads;
               (14) rolled, self-adhering bandages;
               (15) adhesive tape at least one inch wide;
               (16) bandage shears;
               (17) one liter of sterile water, currently dated or one liter of sterile saline, currently dated; and
               (18) currently dated medications, as authorized by the scope of practice and protocols.
(o) The operator shall equip each ground ambulance with the following patient-handling and splinting equipment:
                 (1) A long spinal-immobilization device, complete with accessories to immobilize a patient;
                 (2) a short spinal immobilization device, complete with accessories to immobilize a patient;
                 (3) a set of extremity splints including one arm and one leg splint, in adult and pediatric sizes;
                 (4) a set of rigid cervical collars in assorted adult and pediatric sizes;
                 (5) foam wedges or other devices that serve to stabilize the head, neck, and back as one unit; and
                 (6) patient disaster tags.
(p) The operator shall equip each type I, type IIA, type II, and type V ground ambulance with the following blood-borne and body fluid pathogen protection equipment in a quantity sufficient for crew members:
                (1) Surgical or medical protective gloves;
                (2) protective goggles, glasses or chin-length clear face shields;
                (3) filtering masks that cover the mouth and nose;
                (4) nonpermeable, full-length, long-sleeve protective gowns;
                (5) a leakproof, rigid container clearly marked as ‘‘contaminated products’’ for the disposal of sharp objects; and
                (6) a leakproof, closeable container for soiled linen and supplies.
(q) The operator shall equip each type I ambulance, type IIA ambulance, and type V ambulance with the following:
                (1) A monitor-defibrillator;
                (2) a drug supply as listed in the ambulance service’s medical protocols;
                (3) intravenous administration sets according to medical protocol;
                (4) intravenous solutions in plastic bags or plastic bottles as listed in the ambulance service’s medical protocols;
                (5) assorted syringes and needles necessary to meet the requirements of the medical protocols; and
                (6) if authorized by protocols, endotracheal tubes and laryngoscope blades in adult, child, and infant sizes.
(r) If an operator’s medical protocols or equipment list is amended, a copy of these changes shall be submitted to the board by the ambulance service operator within 15 days of implementation of the change. Equipment and supplies obtained on a trial basis or for temporary use by the operator shall not be required to be reported to the board by an operator.

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6112, as amended by L. 2011, ch. 114, sec. 82, and K.S.A. 65-6128; effective May 1, 1985; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Aug. 16, 1993; amended Jan. 31, 1997; amended Jan. 27, 2012.)

 

 

109-2-9 Variances.

(a) A temporary variance from any or all portions of an identified regulation may be granted by the board to an applicant for no more than 30 days. For good cause shown, one extension of a variance
may be granted by the board for no more than an additional 30 days.
(b) Each applicant for a variance shall submit a written request, no later than 30 calendar days before a regularly scheduled board meeting, that contains the following information:
             (1) The name, address, and certificate level or license type of the applicant;
             (2) a statement of the reason for the variance request;
             (3) the specific portion or portions of an identified regulation from which a variance is requested;
             (4) the period of time for which a variance is requested;
             (5) the number of units or persons involved;
             (6) an explanation of how adherence to each portion or portions of the regulation from which the variance is requested would result in a                    serious hardship to the applicant; and
             (7) an explanation and, if applicable, supportive documents indicating how a variance would not result in an unreasonable risk to the public                     interest, safety, or welfare.
(c) In addition to meeting the requirements in subsection (b), each instructor-coordinator or training officer who requests a variance shall describe how granting a variance will not jeopardize the quality of instruction.
(d) Periodic evaluations of the variance after it is granted may be conducted by the board.
(e) Conditions may be imposed by the board on any variance granted as necessary to protect the public interest, safety, or welfare, including conditions to safeguard the quality of the instruction provided by an instructorcoordinator or training officer.

(Authorized by and implementing K.S.A. 2008 Supp. 65-6111; effective May 1, 1985; amended July 17, 1989; amended Jan. 31, 1997;
amended July 10, 2009.)

109-2-10 (Authorized by and implementing K.S.A. 1988 Supp. 65-6110; effective May 1, 1987; revoked July 17, 1989.)

109-2-10a. Air safety program and informational publication.

(a) Each operator of an air ambulance service shall have an air safety training program for all air medical personnel. The program shall include the following:
               (1) Air medical and altitude physiology;
               (2) aircraft orientation, including specific capabilities, limitations, and safety measures for each aircraft used;
               (3) depressurization procedures for fixed-wing aircraft;
               (4) safety in and around the aircraft for all air medical personnel, patients, and lay individuals;
               (5) rescue and survival techniques appropriate to the terrain and the conditions under which the air ambulance service operates;
               (6) hazardous scene recognition and response for rotorwing aircraft;
               (7) aircraft evacuation procedures, including the rapid loading and unloading of patients;
               (8) refueling procedures for normal and emergency situations; and
               (9) in-flight emergencies and emergency landing procedures.
(b) Each operator of an air ambulance service shall maintain documentation demonstrating the initial completion and annual review of the air safety training program for all air medical personnel and shall provide this documentation to the board on request.
(c) Each operator of an air ambulance service shall provide an informational publication that promotes the proper use of air medical transport, upon request, to all ground-based ambulance services, law enforcement agencies, and hospitals that use the air ambulance service. Each publication shall address the following topics:
              (1) Availability, accessibility, and scope of care of the air ambulance service;
              (2) capabilities of air medical personnel and patient care modalities afforded by the air ambulance service;
              (3) patient preparation before air medical transport;
              (4) landing zone designation and preparation;
              (5) communication and coordination between air and ground medical personnel; and
(6) safe approach and conduct around the aircraft.

(Authorized by and implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, and K.S.A. 2010 Supp. 65-6111; effective Jan. 27, 2012.)



109-2-11 Standards for type V air ambulances and equipment.

(a) The operator shall ensure that the patient compartment is configured in such a way that air medical personnel have adequate access to the patient in order to begin and maintain care commensurate with the patient’s needs. The operator shall ensure that the air ambulance has adequate access and necessary space to maintain the patient’s airway and to provide adequate ventilator support by an attendant from the secured, seat-belted position within the air ambulance.
(b) Each air ambulance operator shall have a policy that addresses climate control of the aircraft for the comfort and safety of both the patient and air medical personnel. The air medical crew shall take precautions to prevent temperature extremes that could adversely affect patient care.
(c) The operator shall equip each type V air ambulance with the following:
              (1) Either two portable functioning flashlights or a flashlight and one spotlight;
              (2) a cot with an elevating head and at least three safety straps with locking mechanisms or an isolette;
              (3) one emesis basin or convenience bag;
              (4) one complete change of linen;
              (5) one blanket;
              (6) one waterproof cot cover; and
              (7) a ‘‘no smoking’’ sign posted in the aircraft.
(d) Each fixed-wing air ambulance shall have a twoway communications system that is readily accessible to both the medical personnel and the pilot and that meets the following requirements:
              (1) Allows communication between the aircraft and air traffic control systems; and
              (2) allows air medical personnel to communicate at all times with medical control, exclusive of the air traffic control system.
(e) The pilot or pilots shall be sufficiently isolated from the patient care area to minimize in-flight distractions and interference.
(f) The operator shall equip each type V air ambulance with an internal medical system that includes the following:
              (1) An internal oxygen system with at least one outlet per patient located inside the patient compartment and with at least 2,500 liters of                     storage capacity with a minimum of 200 psi. The pressure gauge, regulator control valve, and humidifying accessories shall be readily                     accessible to attendants and medical personnel from inside the patient compartment during in-flight operations;
              (2) an electrically powered suction aspirator system with an airflow of at least 30 liters per minute and a vacuum of at least 300 millimeters                     of mercury. The unit shall be equipped with large-bore, nonkinking suction tubing and a semirigid, nonmetallic oropharyngeal suction                     tip; and
              (3) oxygen flowmeters and outlets that are padded, flush-mounted, or located to prevent injury to air medical personnel, unless helmets                     are worn by all crew members during all phases of flight operations.
(g) The operator shall equip each type V air ambulance with the following:
              (1) A portable oxygen unit of at least 300-liter storage capacity complete with pressure gauge and flowmeter with a minimum of 200 psi.                     The unit shall be readily accessible from inside the patient compartment;
               (2) a portable, self-contained battery or manual suction aspirator with an airflow of at least 28 liters per minute and a vacuum of at least                      300 millimeters of mercury. The unit shall be fitted with large-bore, nonkinking suction tubing and semirigid, nonmetallic,                      oropharyngeal suction tip;
               (3) medical supplies and equipment that include the following:
                    (A) Airway management equipment, including tracheal intubation equipment, adult, pediatric, and infant bag-valve masks, and                           ventilatory support equipment;
                    (B) a cardiac monitor capable of defibrillating and an extra battery or power source;
                    (C) cardiac advanced life support drugs and therapeutic modalities, as indicated by the ambulance service’s medical protocols;
                    (D) neonate specialty equipment and supplies for neonatal missions and as indicated by the ambulance service’s medical protocols;
                    (E) trauma advanced life support supplies and treatment modalities, as indicated in the ambulance service’s medical protocols; and
                    (F) a pulse oximeter and an intravenous infusion pump; and
              (4) blood-borne and body fluid pathogen protection equipment as described in K.A.R. 109-2-8.
(h) If an operator’s medical protocols are amended, the operator shall submit these changes to the board with a letter of approval pursuant to K.S.A. 65-6112 (r), and amendments thereto, within 15 days of implementation of the change.
(i) Equipment and supplies obtained on a trial basis or for temporary use by the operator shall not be required to be reported to the board by the operator. If the operator’s medical equipment list is amended, the operator shall submit these changes to the board within 15 days with a letter of approval from the ambulance service’s medical director.
(j) Each air ambulance operator shall ensure that each air ambulance has on board, at all times, appropriate survival equipment for the mission and terrain of the ambulance service’s geographic area of operations.
(k) Each air ambulance operator shall ensure that the aircraft has an adequate interior lighting system so that patient care can be provided and the patient’s status can be monitored without interfering with the pilot’s vision. The air ambulance operator shall ensure that the aircraft cockpit is capable of being shielded from light in the patient care area during night operations or that red lighting
or a reduced lighting level is also provided for the pilot and air ambulance personnel.
(l) Each aircraft shall have at least one stretcher that meets the following requirements:
                (1) Accommodates a patient who is up to six feet tall and weighs 212 pounds;
                (2) is capable of elevating the patient’s head at least 30 degrees for patient care and comfort;
                (3) has three securing straps for adult patients; and
                (4) has a specifically designed mechanism for securing pediatric patients.
(m) Each air ambulance operator shall ensure that all equipment, stretchers, and seating are so arranged as not to block rapid egress by air medical personnel or patients from the aircraft. The operator shall ensure that all equipment on board the aircraft is affixed or secured in either approved racks or compartments or by strap restraint while the aircraft is in operation.
(n) The aircraft shall have an electric inverter or appropriate power source that is sufficient to power patient specific medical equipment without compromising the operation of any electrical aircraft equipment.
(o) When an isolette is used during patient transport, the operator shall ensure that the isolette is able to be opened from its secured in-flight position in order to provide full access to the infant.
(p) Each air ambulance operator shall ensure that all medical equipment is maintained according to the manufacturer’s recommendations and does not interfere with the aircraft’s navigation or on-board systems.

(Authorized by and implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; effective May 1, 1987; amended July 17, 1989; amended Jan. 31, 1997; amended Jan. 27, 2012.)



109-2-12 Standards for rotorwing ambulance aircraft and equipment.

(a) Each operator of an air ambulance service shall comply with the requirements in K.A.R. 109-2-11.
(b) The aircraft configuration shall not compromise patient stability during any part of flight operations. The aircraft shall have an entry that allows loading and unloading of the patient without maneuvering the patient more than 45 degrees about the lateral axis and 30 degrees about the longitudinal axis and does not compromise the functioning of monitoring systems, intravenous lines, or manual or mechanical ventilation.
(c) The aircraft shall have an external search light, which shall meet the following requirements:
                (1) Provide at least 400,000-candlepower illumination at 200 feet;
                (2) be separate from the aircraft landing lights;
                (3) be moveable 90 degrees longitudinally and 180 degrees laterally; and
                (4) be capable of being controlled from inside the aircraft.
(d) Each rotor-wing aircraft shall have a two-way interoperable communications system that is readily accessible to both the attendants and the pilot and meets the following requirements:
                (1) Allows communications between the aircraft and a hospital for medical control, exclusive of the air traffic control system; and
                (2) allows communications between the aircraft and ground-based ambulance services, exclusive of the air traffic control system.

(Authorized by and implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; effective May 1, 1987; amended July 17, 1989; amended Jan. 31, 1997; amended Jan. 27, 2012.)



109-2-13 Standards for fixed-wing ambulance aircraft and equipment.

(a) Each operator shall ensure
that each fixed-wing air ambulance is pressurized during patient transports according to the ambulance service’s medical protocols and operational policies.
(b) The pilot or pilots shall be sufficiently isolated from the patient care area to minimize in-flight distractions and interference.
(c) Each fixed-wing air ambulance shall have a twoway, interoperable communications system that is readily accessible to both the attendants and the pilot and that meets the following requirements:
                  (1) Allows communications between the aircraft and a hospital; and
                  (2) allows an attendant to communicate at all times with medical control, exclusive of the air traffic control system.
(d) Fixed-wing ambulance aircraft shall have on board patient comfort equipment including the following:
                  (1) One urinal; and
                  (2) one bedpan.
(e)
                  (1) Each operator of a type V ambulance service shall staff each type V air ambulance with a pilot and one of the following groups of                         individuals, who shall remain in the patient compartment during patient transport:
                          (A) At least two of the following: physician, physician assistant, advanced practice registered nurse, or professional nurse; or
                          (B) one of the individuals listed in paragraph (e)(1)(A) and one of the following:
                                    (i) An MICT or paramedic; or
                                    (ii) an optional staff member commensurate with the patient’s care needs, as determined by the ambulance service’s medical                                           director or as described in the ambulance service’s medical protocols, who shall be a health care provider as defined in                                           K.A.R. 109-1-1 (cc). The medical personnel shall remain in the patient compartment during patient transport.
                  (2) Each of the individuals specified in paragraphs (e)(1)(A) and (B) shall meet the following requirements:
                          (A) Have current certification in advanced cardiac life support (ACLS), as adopted by reference in K.A.R. 109-2-7 (e), or in an                                 equivalent area approved by the board; and
                          (B) have current certification in either pediatric advanced life support, as adopted by reference in K.A.R. 109-2-7 (f), or an equivalent                                 area approved by the board and in one of the following:
                                     (i) International trauma life support-advanced (ITLSA);
                                     (ii) transport nurse advanced trauma course (TNATC);
                                     (iii) trauma nurse core course (TNCC);
                                     (iv) certified flight registered nurse (CFRN);
                                      (v) certified transport registered nurse (CTRN);
                                     (vi) pre-hospital trauma life support (PHTLS);
                                     (vii) critical care emergency medical technician paramedic(CCEMTP); or
                                     (viii) flight paramedic-certification (FP-C).

(Authorized by and implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81; effective Jan. 31, 1997; amended Jan. 27, 2012.)



109-2-14 Temporarily certified attendants.  

No operator shall be allowed more than one temporarily certified attendant for every 10 currently certified attendants who are listed on the service roster.  

(Authorized by and implementing K.S.A. 65-6129; effective Jan. 31, 1997.)

109-2-15 Ambulances based outside of Kansas .  

(a) Any ambulance licensed by a state other than Kansas may respond to an emergency request for care and transportation of a patient within Kansas when this care and transportation is being provided at the request of an operator as defined in K.S.A. 65-6112, and amendments thereto, or the operator’s designee.

 (b) Each operator shall report to the board, on a monthly basis, all emergency requests for care and transportation from any ambulance not licensed in Kansas .  Each operator shall report each month’s requests within fifteen days of the end of that month.

 (c) Each operator shall report the following information concerning each emergency request for care and transportation from any ambulance not licensed in Kansas , on a form approved by the administrator:
                     (1) the date and time of the request;
                    (2) the name of the ambulance service requested;
                    (3) the nature of the accident or medical emergency;
                     (4) the reason for the request; and
                     (5) a copy of any quality improvement reports as described by K.A.R. 109-2-5.  

(Authorized by K.S.A. 65-6136; implementing K.S.A. 65-6136; effective Jan. 9, 1998.)

 

 

Article 3.--STANDARDS FOR AMBULANCE ATTENDANTS, FIRST RESPONDERS, AND DRIVERS


109-3-1 Standards for ambulance attendants.  

Each attendant shall be at least 17 years of age.

(Authorized by and implementing K.S.A. 65-6110; effective July 17, 1989; amended Jan. 31, 1997; amended July 10, 2009.)

109-3-2 Outpatient medical emergencies.
(a) If the requirements specified in subsections (b) and (c) are met, any emergency medical technician may manage an outpatient medical emergency by providing the following patient care:
                       (1) Adminstering aspirin for chest pain;
                       (2) monitoring the saturation level of arterial oxygen in the blood by using a pulse oximeter;
                       (3) adminstering a bronchodilator by nebulization; and
                       (4) monitoring blood glucose levels.
(b) Each emergency medical technician shall successfully complete a course of instruction on outpatient medical emergencies approved by the board.
(c) When providing any of the services listed in subsection (a), each emergency medical technician shall act pursuant to medical protocols.

(Authorized by K.S.A. 65-6110 and 65-6111; implementing K.S.A. 65-6110 and 65-6121; effective March 5, 2004.)

 

109-3-3.  Emergency medical responder; authorized activities. 

Each emergency medical responder shall be authorized to perform any intervention specified in K.S.A. 65-6144, and amendments thereto, and as further specified in this regulation:
(a)  Emergency vehicle operations:
                       (1) Operating each ambulance in a safe manner in nonemergency and emergency situations. “Emergency vehicle” shall mean                              ambulance, as defined in K.S.A. 65-6112 and amendments thereto; and
                       (2) stocking an ambulance with supplies in accordance with regulations adopted by the board and the ambulance service’s approved                              equipment list to support local medical protocols;
(b) initial scene management:
                       (1) Assessing the scene, determining the need for additional resources, and requesting these resources;
                       (2) identifying a multiple-casualty incident and implementing the local multiple-casualty incident management system;
                       (3) recognizing and preserving a crime scene;
                       (4) triaging patients, utilizing local triage protocols;
                       (5) providing safety for self, each patient, other emergency personnel, and bystanders;
                       (6) utilizing methods to reduce stress for each patient, other emergency personnel, and bystanders;
                       (7) communicating with public safety dispatchers and medical control facilities;
                       (8) providing a verbal report to receiving personnel;
                       (9) providing a written report to receiving personnel;
                     (10) completing a prehospital care report;
                     (11) setting up and providing patient and equipment decontamination;
                     (12) using personal protection equipment;
                     (13) practicing infection control precautions;
                     (14) moving patients without a carrying device; and
                     (15) moving patients with a carrying device;
(c) patient assessment and stabilization:
                       (1) Obtaining consent for providing care;
                       (2) communicating with bystanders, other health care providers, and patient family members while providing patient care;
                       (3) communicating with each patient while providing care; and
                       (4) assessing the following: blood pressure manually by auscultation or palpation or automatically by  noninvasive methods; heart                              rate; level of consciousness; temperature; pupil size and responsiveness to light; absence or presence of respirations;                              respiration rate; and skin color, temperature, and condition;
(d) cardiopulmonary resuscitation and airway management:
                      (1) Applying cardiac monitoring electrodes;
                      (2) performing any of the following:
                            (A) Manual cardiopulmonary resuscitation for an adult, child, or infant, using one or two attendants;
                            (B) cardiopulmonary resuscitation using a mechanical device;
                            (C) postresuscitative care to a cardiac arrest patient;
                            (D) cricoid pressure by utilizing the sellick maneuver;
                            (E) head-tilt maneuver or chin-lift maneuver, or both;
                            (F) jaw thrust maneuver;
                            (G) modified jaw thrust maneuver for injured patients;
                            (H) modified chin-lift maneuver;
                             (I) mouth-to-barrier ventilation;
                            (J) mouth-to-mask ventilation;
                            (K) mouth-to-mouth ventilation;
                             (L) mouth-to-nose ventilation;
                             (M) mouth-to-stoma ventilation;
                             (N) manual airway maneuvers; or
                             (O) manual upper-airway obstruction maneuvers, including patient positioning, finger sweeps, chest thrusts, and abdominal                                     thrusts; and
                     (3) suctioning the oral and nasal cavities with a soft or rigid device;
(e) control of bleeding, by means of any of the following:
                     (1) Elevating the extremity;
                     (2) applying direct pressure;
                     (3) utilizing a pressure point;
                     (4) applying a tourniquet;
                     (5) utilizing the trendelenberg position; or
                     (6) applying a pressure bandage;
(f) extremity splinting, by means of any of the following:
                     (1) Soft splints;
                     (2) anatomical extremity splinting without return to position of function;
                     (3) manual support and stabilization; or
                     (4) vacuum splints;
(g) spinal immobilization, by means of any of the following:
                    (1) Cervical collar;
                    (2) full-body immobilization device;
                    (3) manual stabilization;
                    (4) assisting an EMT, AEMT, or paramedic with application of an upper-body spinal immobilization device;
                    (5) helmet removal; or
                    (6) rapid extrication;
(h)  oxygen therapy by means of any of the following:
                    (1) Humidifier;
                    (2) nasal cannula;
                    (3) non-rebreather mask;
                    (4) partial rebreather mask;
                    (5) regulators;
                    (6) simple face mask;
                    (7) blow-by;
                    (8) using a bag-valve-mask with or without supplemental oxygen; or
                    (9) ventilating an inserted supraglottic or subglottic airway;
(i) administration of patient-assisted and non-patient-assisted medications according to the board’s “emergency medical responder medication list,” dated April 1, 2011, which is hereby adopted by reference;
(j) recognizing and complying with advanced directives by making decisions based upon a do-not-resuscitate order, living will, or durable power of attorney for health care decisions; and
(k) providing the following techniques for preliminary care:
                    (1) Cutting of the umbilical cord;
                    (2) irrigating the eyes of foreign or caustic materials;
                    (3) bandaging the eyes;
                    (4) positioning the patient based on situational need;
                    (5) securing the patient on transport devices;
                    (6) restraining a violent patient, if technician or patient safety is threatened;
                    (7) disinfecting the equipment and ambulance;
                    (8) disposing of contaminated equipment, including sharps and personal protective equipment, and material;
                    (9) decontaminating self, equipment, material, and ambulance;
                  (10) following medical protocols for declared or potential organ retrieval;
                   (11) participating in the quality improvement process;
                   (12) providing EMS education to the public; and
                    (13) providing education on injury prevention to the public. 

(Authorized by K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 2010 Supp. 65-6144, as amended by L. 2011, ch. 114, sec. 91; effective March 9, 2012.)

 

109-3-4.  Emergency medical technician; authorized activities.  Each emergency medical technician shall be authorized to perform any intervention specified in the following:
(a) K.S.A. 65-6144, and amendments thereto, and as further specified in K.A.R. 109-3-3; and
(b) K.S.A. 65-6121, and amendments thereto, and as further specified in the following paragraphs:
                     (1) Airway maintenance by means of any of the following:
                            (A) Blind insertion of a supraglottic airway, with the exception of the laryngeal mask airway;
                            (B) oxygen venturi mask;
                            (C) gastric decompression by orogastric or nasogastric tube with any authorized airway device providing that capability;
                            (D) auscultating the quality of breath sounds;
                            (E) pulse oximetry;
                            (F) automatic transport ventilator;
                            (G) manually triggered ventilator;
                            (H) oxygen-demand valve;
                             (I) flow-restricted oxygen-powered ventilation device;
                            (J) bag valve mask with in-line small-volume nebulizer;
                            (K) carbon dioxide colormetric detection;
                             (L) capnometry; or
                             (M) suctioning a stoma;
                    (2) application of a pneumatic antishock garment only for use as a pelvic splint; and
                    (3) administration of patient-assisted and non-patient-assisted medications according to the board’s “emergency medical technician                           medication list,” dated April 1, 2011, which is hereby adopted by reference. 

(Authorized by K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 2010 Supp. 65-6121, as amended by L. 2011, ch. 114, sec. 84; effective March 9, 2012.)

 

109-3-5.  Advanced emergency medical technician; authorized activities.  

Each advanced emergency medical technician shall be authorized to perform any intervention specified in the following:
(a) K.S.A. 65-6144, and amendments thereto, and as further specified in K.A.R. 109-3-3;
(b) K.S.A. 65-6121, and amendments thereto, and as further specified in K.A.R. 109-3-4; and
(c) K.S.A. 65-6120, and amendments thereto, and as further specified in the following paragraphs:                   
                   (1) Advanced airway management, except for endotracheal intubation; and
                   (2) administration of patient-assisted and non-patient-assisted medications according to the board’s “advanced EMT medication list,”                          dated May 1, 2012, which is hereby adopted by reference. 

(Authorized by K.S.A. 2011 Supp. 65-6111; implementing K.S.A. 2011 Supp. 65-6120; effective March 9, 2012; amended November 2, 2012.)

 

Article 4.--AIR AMBULANCE SERVICE

109-4-1 (Authorized by and implementing K.S.A. 1988 Supp. 65-6110; effective May 1, 1986; amended July 17, 1989; revoked Jan. 31, 1997.)

109-4-2 (Authorized by and implementing K.S.A. 1988 Supp. 65-6110; effective May 1, 1986; amended July 17, 1989; revoked Jan. 31, 1997.)

109-4-3 (Authorized by and implementing K.S.A. 1988 Supp. 65-6110; effective May 1, 1986; amended, T-87-7, May 1, 1986; amended May 1, 1987; amended July 17, 1989; revoked Jan. 31, 1997.)

 

Article 5.--CONTINUING EDUCATION

109-5-1 Continuing education.  

(a) One clock-hour of continuing education credit shall mean at least 50 minutes of instruction.
(b)  One academic credit hour shall be equivalent to 15 clock-hours for the purpose of continuing education credit.  Credit for auditing an academic course shall be for actual clock-hours attended during which instruction was given and shall not exceed the academic credit allowed.
(c)  Acceptable forms of prior approved continuing education programs shall include the following:
                 (1)  Academic medical courses, whether taken for credit or audited;
                 (2)  seminars, workshops, or minicourses oriented to the enhancement of EMS practice, values, skills, and knowledge;
                 (3)  programs presented by a provider of continuing education as defined in K.A.R. 109-1-1;
                 (4)  medical or nursing continuing education programs approved by the appropriate licensing agency of this or another jurisdiction;
                 (5)  programs approved by the CECBEMS;
                 (6)  clinical training that meets the requirements of subsection  (d);
                 (7)  distance learning courses that meet the criteria established in paragraph  (e)(2) and K.A.R. 109-10-7; and
                 (8)  for instructor-coordinators and training officers, an educator conference approved by the board.
(d)  All clinical training submitted for approval shall be in the form of prescheduled clinical training sessions.  The training coordinator shall provide, to the student and the clinical training faculty, the clinical training objectives to be met during the training session.  The clinical training faculty shall complete a clinical training evaluation form for each student.
(e)
                 (1)  Any student may be awarded one clock-hour of continuing education credit for each clock-hour of distance learning as verified by the                         certificate of completion, which shall not exceed the amount of credit awarded by CECBEMS or the provider of distance learning.  The                         number of clock-hours received for continuing education credit during one calendar day shall not exceed 12.
                 (2)  Each distance learning course shall include an examination over the material presented.  The provider of the distance learning                         course shall provide each student with the results of the examination and a certificate of completion.(3)  Each student using one or                         more distance learning courses for the purpose of certification renewal shall keep a copy of the certificate of completion for at least                         three years.
(f)  Any attendant may apply for retroactive approval of continuing education programs that did not receive prior approval by the board.  The request shall include an application approved by the  executive director and the other documentation specified in K.A.R. 109-5-5.  The request shall be received in the board office within 90 days following the end of the program. 

(Authorized by K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8, K.S.A. 65-6129b, and K.S.A. 65-6129c, as amended by L. 2010, ch. 119, sec. 9; effective, T-88-122, May 18, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Feb. 3, 1992; amended Aug. 16, 1993; amended Dec. 19, 1994; amended Nov. 1, 1996; amended Nov. 12, 1999; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13, 2000; amended Aug. 30, 2002; amended Sept. 10, 2010; amended, T-109-2-7, Feb. 7, 2011; amended June 3, 2011.)

 

109-5-1a.  First responder and emergency medical responder (EMR) continuing education. 

(a)  Each applicant for certification renewal as a first responder who is scheduled for renewal on or before December 31, 2012 shall have completed the board-approved transition course to transition to the emergency medical responder (EMR) certification as specified in K.S.A. 65-6144, and amendments thereto.
(b)  Each applicant for certification renewal as an EMR shall have earned at least 16 clock-hours of documented and approved continuing education during the initial certification period and during each biennial period thereafter. 

(Authorized by K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8; effective,
T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)


109-5-1b.  Emergency medical technician (EMT) continuing education. 

(a)  Each applicant for certification renewal as an EMT who is scheduled for renewal on or before  December 31, 2012 shall have completed the board-approved transition course to transition to the EMT level of certification as specified in K.S.A. 65-6121, and amendments thereto.
(b)  After January 1, 2013, each applicant for EMT shall have earned at least 28 clock-hours of documented and approved continuing education during the initial certification period and during each biennial period thereafter. 

(Authorized by K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A.  2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8; effective,
T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

109-5-1c.  Emergency medical technician-intermediate, emergency medical technician-defibrillator, emergency medical technician-intermediate who is also certified as an emergency medical technician-defibrillator, and advanced emergency medical technician; continuing education. 

(a)
                  (1)  Each applicant for certification renewal as an EMT-I who is scheduled for renewal before January 1, 2014 shall have earned at least                          36 clock-hours of documented and approved continuing education during the preceding biennial period.
                  (2)  Each applicant for certification renewal as an EMT-I who is scheduled for renewal on or before December 31, 2014 or December 31,                          2015 shall have completed the board-approved transition course to transition to the AEMT level of certification, as specified in
                         K.S.A. 65-6120 and amendments thereto.
(b)
                  (1)  Each applicant for certification renewal as an EMT-D who is scheduled for renewal before January 1, 2014 shall have earned at least                          36 clock-hours of documented and approved continuing education during the preceding biennial period. 
                  (2)  Each applicant for certification renewal as an EMT-D who is scheduled for renewal on or before December 31, 2014 or December                          31, 2015 shall have completed the board-approved transition course to transition to the AEMT level of certification, as specified in                           K.S.A. 65-6123 and amendments thereto, and an initial emergency medical technician-intermediate course.             
(c)
                  (1)  Each applicant for certification renewal who is certified both as an EMT-I and as an EMT-D and is scheduled for renewal before                         January 1, 2014 shall have earned at least 44 clock-hours of documented and approved continuing education during the  preceding                          biennial period.
                  (2)  Each applicant for certification renewal who is certified both as an EMT-I and as an EMT-D and is scheduled for renewal on or before                          December 31, 2014 or December 31, 2015 shall have completed the board-approved transition course to transition to the AEMT                          level of certification, as specified in K.S.A. 65-6120 and K.S.A. 65-6123 and amendments thereto.
(d)   Each applicant for renewal as an AEMT shall have earned at least 36 clock-hours of documented and approved continuing education during the initial certification period and during each biennial period thereafter. 

(Authorized by K.S.A. 2011 Supp.  65-6111, K.S.A. 2011 Supp. 65-6120, and K.S.A. 2011 Supp. 65-6123; implementing K.S.A. 2011 Supp. 65-6120, K.S.A. 2011 Supp. 65-6123, and K.S.A. 2011 Supp. 65-6129; effective March 9, 2012.)


109-5-1d.  Mobile intensive care technician (MICT) and paramedic continuing education.  (a)  Each applicant for certification renewal as an MICT shall have earned at least 60 clock-hours of documented and approved continuing education during the
preceding biennial period  to transition to paramedic.
(b)  Each applicant for certification renewal as a paramedic shall have earned at least 60 clock-hours of documented and approved continuing education during the initial
certification period and during each biennial period thereafter. 

(Authorized by K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1, and K.S.A. 65-6119, as amended by L. 2010, ch. 119, sec. 3; implementing K.S.A.  2009 Supp. 65-6119, as amended by L. 2010, ch. 119, sec. 3, and K.S.A. 65-6129, as amended by L. 2010, ch. 119, sec. 8; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)


109-5-1e.  Instructor-coordinator (I-C) continuing education. 

Each applicant for certification renewal as an I-C shall provide documentation of both of the following:
(a) The applicant is certified as an attendant at or above the level of EMT or is licensed as a physician or professional nurse, as defined by K.S.A. 65-1113 and amendments thereto.
(b) The applicant attended, during the biennial period immediately preceding the date of application for renewal, an educator conference approved by the board.

(Authorized by K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6129b; effective, T-109-2-7-11, Feb. 7, 2011; effective June 3, 2011.)


109-5-1f.  Training officer continuing education.  Each applicant for certification renewal as a training officer shall provide documentation of the following:
(a)  The applicant is certified as an attendant at or above the level of EMT or is licensed as a physician, physician’s assistant, advance registered nurse practitioner, or professional nurse as defined by K.S.A. 65-1113, and amendments thereto.
(b)  The applicant attended, during the biennial period immediately preceding the date of application for renewal, an educator conference approved by the board.

(Authorized by K.S.A. 2009 Supp.  65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6129c, as amended by L. 2010, ch. 119, sec. 9; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)



109-5-2 Documentation for continuing education.  

(a) Each attendant, training officer, and instructor-coordinator shall keep documentation of completion of approved continuing education for at least three years and shall provide this documentation to the board upon request by the executive director.
(b) Any of the following forms of documentation shall be accepted as proof of completion of continuing education:
               (1) A transcript from a postsecondary educational institution with a course grade indicating pass, satisfactory completion, or a letter grade                      of C or higher for a course completed during the recertification period as specified in K.A.R. 109-5-1;
               (2) a signed certificate of attendance from a provider of an approved EMS initial course of instruction that indicates the number of
                     clock-hours attended for auditing the course;
               (3) a signed certificate of attendance from a provider of an approved continuing education program;
               (4) a signed certificate of attendance from the examination or site coordinator that the attendant participated as a lab assistant at an                      examination site;
               (5) a signed statement and completed evaluation from a clinical training faculty member that the attendant completed clinical training at a                     medical facility;
               (6) a signed certificate of attendance of a distance learning course approved by CECBEMS or the board; or
               (7) a signed certificate of attendance of a continuing education course approved by CECBEMS.
(c) An acceptable certificate of attendance shall include the following:
               (1) The name of the provider of the continuing education course;
               (2) the name of the attendant being issued the certificate;
               (3) the title of the course;
               (4) the date or dates on which the course was conducted;
               (5) the location where the course was conducted;
               (6) the amount of approved continuing education credit issued to the attendant for attending the course;
               (7) the course identification number issued by the board or by CECBEMS; and
               (8) the printed name and signature of the person authorized by the provider to issue the certificate.

(Authorized by K.S.A. 65-6111, as amended by L. 2008, ch. 47, sec.1; implementing K.S.A. 65-6129, as amended by L. 2008, ch. 78, sec. 2, K.S.A. 65-6129b, and K.S.A. 65-6129c; effective, T-88-12, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Nov. 12, 1999; amended May 15, 2009.)


109-5-3 Continuing education approval for long-term providers.  

(a) Any sponsoring organization may submit an application to the board requesting approval as a long-term provider of continuing education.
(b) Each sponsoring organization desiring long-term provider approval for continuing education courses shall meet the following requirements:
                (1) Submit a complete application packet to the executive director at least 30 calendar days before the first initial course to be offered as                       part of the long-term provider of continuing education training program. A complete application packet shall include the following:
                          (A) A complete application form provided by the executive director that includes the signatures of the training program manager and                                 the medical director; and
                          (B) a long-term continuing education training program management plan that describes how the applicant shall meet the                                  requirements of subsection (b);
                (2) appoint a training program manager who will serve as the liaison to the board concerning continuing education training. The term                       “training program manager,” as used in this regulation, shall mean one of the following:
                          (A) For permitted ambulance services, fire departments, other officially organized public safety agencies, corporations, and                                 professional associations, an instructor-coordinator, educator, mentoring educator, trainer, or training officer, or
                          (B) for postsecondary educational institutions and hospitals, a healthcare provider whose experience in coordinating educational                                  offerings has been documented by the sponsoring organization;
                 (3) appoint a physician who will serve as the medical director for the training program;
                 (4) provide a sufficient number of lab instructors to maintain a student-to-instructor ratio of 6:1 during laboratory training sessions;
                 (5) provide a sufficient quantity of EMS training equipment to maintain a student-to-equipment ratio of 6:1 during laboratory training                        sessions;
                 (6) provide to each student, upon request, the following:
                           (A) A course schedule that includes the following:
                                  (i)  The date and time of each class lesson;
                                  (ii) the title of each lesson; and
                                  (iii) the name of the instructor-coordinator, educator, mentoring educator, trainer, or training officer and that individual’s                                          qualifications to teach each lesson; and
                           (B) a certificate of attendance that includes the following:
                                  (i) The name of the training program;
                                  (ii) a statement that the training program has been approved by the board as a long-term provider of continuing education                                         training;
                                  (iii) the title of the continuing education offering;
                                  (iv) the date and location of the continuing education offering;
                                   (v) the amount of continuing education credit awarded to each participant for the offering;
                                   (vi) the course identification number issued by the board; and
                                   (vii) the printed name and signature of the program manager;
                  (7) maintain training program records and continuing education course records for at least three years. The following records  shall be                         maintained:
                            (A) A copy of the application form and all documents required to be submitted with the application for training program approval;
                            (B) student attendance rosters;
                            (C) course educational objectives; and
                            (D) master copies and completed copies of each student’s evaluations of the educational offerings;
                  (8) establish a continuing education program quality management plan that includes the following:
                            (A) A description of the training needs assessment used to determine the continuing education courses to be conducted;
                            (B) a description of the training program evaluations to be conducted and a description of how a review and analysis of the                                    completed evaluations by the training program’s medical director and the training program manager shall be conducted;
                            (C) equipment use, maintenance, and cleaning policies; and
                            (D) training program infection-control policies; and
                  (9) submit quarterly reports to the executive director that include the following:
                            (A) The date, title, and location of each EMS continuing education course offered;
                            (B) the amount of EMS continuing education credit issued for each EMS course offered; and
                            (C) the printed name and signature of the training program manager; and
                (10) a description of how the program will ensure that all education offered under the auspices of the long-term provider approval meets                          the definition of continuing education as specified in K.A.R. 109-1-1.                                        
(c) Each approved long-term provider desiring to offer continuing education in a distance learning format shall incorporate the following items into the provider’s long-term continuing education training program management plan:
                  (1) A definition of the process by which students can access the instructor-coordinator, educator, mentoring educator, trainer, or training                         officer during any distance learning offerings;
                  (2) a definition of the procedures used to ensure student participation in course offerings; and
                  (3) specification of each learning management system that will be used and how each system is to be used in the course.
(d) Each long-term provider of continuing education courses shall submit any change of program manager or medical director and any change to the long-term continuing education program management plan to the  board office no later than 30 calendar days after the change has occurred.  Failure to submit any of these changes may result in suspension of approval as a long-term provider of continuing education.
(e) Each approved long-term provider of continuing education training shall provide the executive director with a copy of all training program records and continuing education course records upon the executive director’s request.

(Authorized by and implementing K.S.A. 2011 Supp. 65-6111; effective, T-88-12, May 18, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Nov. 12, 1999; amended May 15, 2009; amended Sept. 10, 2010; amended March 15, 2013.)




 109-5-4. Renewing expired certification.

109-5-4. (Authorized by K.S.A. 65-6110, 65-6111,and 65-6129; implementing K.S.A. 65-6129, 65-6129b, and
65-6129c; effective Feb.3, 1992; amended Nov. 12, 1999; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13,
2000; amended Oct. 31, 2003; revoked Feb. 12, 2010.)


109-5-5.  Retroactive approval of continuing education course.

(a) Any attendant may submit a request to the board for retroactive approval of a continuing education course that was completed not more than 90 days before the request is received in the board office.
(b) Each request shall be submitted on a form provided by the board.
(c) In order for retroactive approval of a continuing education course to be granted, the attendant shall provide the following, in addition to the request form:
                      (1)
                                (A) A certificate of attendance that includes the name of the attendant, the title of the course, the date and  location of  the course,                                        the printed name and signature of the provider of the training, and the amount of continuing education credit awarded by the                                        presenter or presenting organization; or
                               (B) an official college transcript;
                      (2) documentation of the course objectives; and
                       (3) one of the following:
                                (A) The signature of the emergency medical services medical director for the ambulance service serving the emergency medical                                        service response area in which the attendant lives or the emergency medical services medical director for the ambulance                                        service, educational institution, or advisory board for which the attendant is currently employed or a member, on the form                                        provided by the board; or
                                (B) verification that the objectives of the course meet or exceed the objectives of the national standard curriculum of the federal                                       department of transportation as adopted by reference in K.A.R. 109-10-1 or the Kansas education guidelines for EMR as                                       adopted by reference in K.A.R. 109-10-1a, the Kansas education guidelines for the EMT as adopted by reference in K.A.R.                                       109-10-1b, the Kansas education guidelines for the AEMT as adopted by reference in K.A.R. 109-10-1c, or the Kansas                                        education guidelines for paramedic as adopted by reference in K.A.R. 109-10-1d, whichever is applicable for the level of                                        certification that the attendant is renewing.
(d) The applicant shall be notified in writing by the board of any errors or omissions in the request for approval.  Failure to correct any deficiency cited in the written notice of error or omission within 15 calendar days shall constitute withdrawal of the request. 

(Authorized by K.S.A. 2011 Supp. 65-6111; implementing K.S.A. 2011 Supp. 65-6129; effective Oct. 31, 2008; amended Sept. 2, 2011; amended March 15, 2013.)

 

109-5-6. Single-program approval for providers of continuing education.

(a) Any entity specified in K.A.R. 109-1-1(bb) may submit an application to the executive director to conduct single-program continuing education.
(b) Each provider of single-program continuing education shall meet the following requirements:
                       (1) Submit a complete application for single-program approval to the executive director at least 30 days before the requested offering.                               A complete application shall include the following:
                                 (A) The signatures of the program manager and the program medical advisor; and
                                 (B) a course schedule that includes the date and time of each continuing education program, the title of each
                                        continuing education topic in the program, and the instructor;
                       (2) provide each student with a certificate of attendance that includes the following:
                                (A) The name of the continuing education program;
                                (B) a statement that the continuing education program has been approved by the board;
                               (C) the title of the continuing education program;
                               (D) the date and location of the continuing education program;
                               (E) the amount of continuing education credit completed by the attendant for the continuing education program;
                               (F) the board-assigned course identification number; and
                               (G) the printed name and signature of the program coordinator; and
                       (3) maintain the following records for at least three years:
                               (A) A copy of all documents required to be submitted with the application for single-program approval;
                               (B) a copy of the curriculum vitae or other documentation of the credentials for each instructor and lab instructor;
                               (C) student attendance records;
                               (D) course educational objectives; and
                               (E) completed copies of student evaluations of the educational offering.
(c) Upon request by the executive director, each provider of single-program continuing education shall provide a copy of all continuing education program records and continuing education course records.

(Authorized by and implementing K.S.A. 65-6111, as amended by L. 2008, ch. 47, sec. 1; effective May 15, 2009.)

 

109-5-7a.  Emergency medical responder (EMR) transition course approval. 

(a)  The transition course curriculum for the emergency medical responder shall be the document titled “EMR lesson plan” in the “emergency medical responder transition course,” dated July 11, 2010, which is hereby adopted by reference.
(b)  The train the trainer course curriculum for the EMR and EMT train the trainer courses shall be the “EMR/EMT train the trainer course,” dated August 6, 2010, which is hereby adopted by reference.
(c)  Each sponsoring organization shall submit a single-program continuing education application to the executive director to conduct, through teaching, coordinating, or both, a transition module or an entire transition course.
(d)  Each sponsoring organization shall meet the following requirements:
                       (1)  Ensure that the curriculum adheres to the requirements specified in subsection (a);
                        (2)  submit a complete application for single-program approval to the executive director at least 30 days before the requested                                transition course.  A complete application shall include the following:
                                  (A)  The signature of the instructor-coordinator or training officer who meets the requirements of K.A.R. 109-5-7d and is                                           responsible for the coordination of the transition course;
                                  (B) the signature of the identified sponsoring organization’s medical advisor;
                                  (C)  a course schedule that includes the date and time of each transition course module or session, the title of each transition                                           course topic, and the instructor for each transition course module or session; and
                                   (D) assurance of use of the cognitive examination and psychomotor skills competency evaluation tools provided as part of the                                           instructor manual for the transition course at the level of course to be taught;
                        (3)  provide each student with a certificate of completion that includes the following:
                                   (A)  The name of the sponsoring organization;
                                   (B)  a statement that the transition course has been approved by the board;
                                   (C)  the title of the transition course module or entire transition course;
                                   (D)  the date and location of the transition course module or session;
                                   (E)  the amount of continuing education credit completed by the attendant for the transition course module or entire transition                                           course;
                                   (F)  the board-assigned course identification number;  
                                   (G)  the printed name and signature of the instructor-coordinator or training officer who meets the requirements specified in                                            subsection (b) and is responsible for the coordination of the transition course; and
                                   (H)  the names of the primary instructor-coordinator (I-C), training officer (TO), and any person who provides teaching                                            assistance including subject matter experts, lab assistants, clinical or field preceptors, and guest lecturers;
                        (4)  provide a copy of all transition course rosters to the board office; and
                        (5)  maintain the following records for at least five years:
                                   (A)  A copy of all documents required to be submitted with the application for single-program approval;
                                   (B)  a list of all persons used in the teaching of the course.  The list shall include the name and credentials of the primary I-C,                                            training officer, and any person who provides teaching assistance including subject matter experts, lab assistants,                                            preceptors, and guest lecturers;
                                   (C)  student attendance records; and
                                   (D)  completed copies of student evaluations for each of the transition course modules or entire transition course.
(e)  A subject matter expert may apply content taught by the subject matter expert during a transition course as content needed to complete the subject matter expert’s transition course.
(f)  Upon request by the executive director, each sponsoring organization shall provide a copy of all transition course records. 

(Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1, and K.S.A. 65-6144, as amended by L. 2010, ch. 119, sec. 11; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-5-7b.  Emergency medical technician (EMT) transition course approval. 

(a)  The transition course curriculum for the emergency medical technician shall be the document titled “EMT lesson plan” in the “emergency medical technician transition course,” dated July 11, 2010, which is hereby adopted by reference.
(b)  The train the trainer course curriculum for EMR and EMT train the trainer courses shall be the “EMR/EMT train the trainer course” adopted by reference in K.A.R. 109-5-7a.
(c)  Each sponsoring organization shall submit a single-program continuing education application to the executive director to conduct, through teaching, coordinating, or both, a transition module or an entire transition course.
(d)  Each sponsoring organization shall meet the following requirements:
                            (1)  Ensure that the curriculum meets the requirements specified in subsection (a);
                            (2)  submit a complete application for single-program approval to the executive director at least 30 days before the requested                                     transition course.  A complete application shall include the following:
                                    (A)  The signature of the instructor-coordinator or training officer who meets the requirements of K.A.R. 109-5-7d and is                                            responsible for the coordination of the transition course;
                                    (B) the signature of the identified sponsoring organization’s medical advisor;
                                    (C)  a course schedule that includes the date and time of each transition course module or session, the title of each transition                                             course topic, and the instructor for each transition course module or session; and
                                    (D) assurance of use of the cognitive examination and psychomotor skills competency evaluation tools provided as part of the                                            instructor manual for the transition course at the level of course to be taught;
                             (3)  provide each student with a certificate of completion that includes the following:
                                    (A)  The name of the sponsoring organization;
                                    (B)  a statement that the transition course has been approved by the board;
                                    (C)  the title of the transition course module or entire transition course;
                                    (D)  the date and location of the transition course module or session;
                                    (E)  the amount of continuing education credit completed by the attendant for the transition course module or entire transition                                             course;
                                    (F)  the board-assigned course identification number;  
                                    (G)  the printed name and signature of the instructor-coordinator or training officer who meets the requirements specified in                                             subsection (b) and is responsible for the coordination of the transition course; and
                                    (H)  the names of the primary instructor-coordinator (I-C), training officer (TO), and any person who provides teaching                                             assistance including subject matter experts, lab assistants, clinical or field preceptors, and guest lecturers;
                             (4)  provide a copy of all transition course rosters to the board office; and
                             (5)  maintain the following records for at least five years:
                                    (A)  A copy of all documents required to be submitted with the application for single-program approval;
                                    (B)  a list of all persons used in the teaching of the course.  The list shall include the names and credentials of the primary I-C,                                             training officer, and any person who provides teaching assistance including subject matter experts, lab assistants,                                             preceptors, and guest lecturers;
                                    (C)  student attendance records; and
                                    (D)  completed copies of student evaluations for each of the transition course modules or entire transition course.
(e)  A subject matter expert may apply content taught by the subject matter expert during a transition course as content needed to complete the subject matter expert’s transition course.
(f)  Upon request by the executive director, each sponsoring organization shall provide a copy of all transition course records. 

(Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-5-7c.  Advanced emergency medical technician transition course approval.      

(a)  The transition course curriculum for the advanced emergency medical technician shall be pages 5 through 173 of the document titled “AEMT lesson plan,” dated May 28, 2011, in the “AEMT instructor manual,” published by the Kansas board of emergency medical services, excluding the “note” and the section titled “suggested student readings and reference material” on page 5 and any citations to these reference materials.  The specified portion of the “AEMT lesson plan” is hereby adopted by reference.
(b)  Each instructor-coordinator or training officer desiring to teach AEMT transition courses must have completed the following:
                             (1)  The “EMR/EMT train the trainer course” as adopted by reference in K.A.R. 109-5-7a; and
                             (2)  the “AEMT train the trainer course,” dated August 6, 2010 and developed by the Friesen group of North Newton, Kansas, which                                     is hereby adopted by reference.
(c)  Each sponsoring organization shall submit to the executive director for approval a single-program continuing education application to conduct, through teaching or coordinating, or both, a transition module or an entire transition course.
(d)  Each sponsoring organization shall meet the following requirements:
                             (1)  Ensure that the curriculum meets the requirements specified in subsection (a);
                             (2)  submit a complete application for single-program approval to the executive director at least 30 days before the requested                                     transition course.  A complete application shall include the following:
                                      (A)  The signature of the instructor-coordinator or training officer who meets the requirements of subsection (b) and is                                               responsible for the coordination of the transition course;
                                      (B) the signature of the identified sponsoring organization’s medical  advisor;
                                      (C)  a course schedule that includes the date and time of each transition course module or session, the title of each transition                                               course topic, and the instructor for each transition course module or session; and
                                      (D) assurance of use of the cognitive examination and psychomotor skills competency evaluation tools provided as part of the                                              instructor manual for the transition course at the level of course to be taught;
                            (3)  provide each student with a certificate of completion that includes the following:
                                      (A)  The name of the sponsoring organization;
                                      (B)  a statement that the transition course has been approved by the board;
                                      (C)  the title of the transition course module or entire transition course;
                                      (D)  the date and location of the transition course module or session;
                                      (E)  the amount of continuing education credit completed by the attendant for the transition course module or entire transition                                              course;
                                      (F)  the board-assigned course identification number;  
                                      (G)  the printed name and signature of the instructor-coordinator or training officer who meets the requirements specified in                                              subsection (b) and is responsible for the coordination of the transition course; and
                                      (H)  the names of the primary instructor-coordinator (I-C), training officer (TO), and any person who provides teaching                                               assistance including subject matter experts, lab assistants, clinical or field preceptors, and guest lecturers;
                             (4)  provide a copy of all transition course rosters to the board office; and
                             (5)  maintain the following records for at least five years:
                                      (A)  A copy of all documents required to be submitted with the application for single-program approval;
                                      (B)  a list of all persons used in the teaching of the course.  The list shall include the name and credentials of the primary I-C,                                              training officer, and any person who provides teaching assistance including subject matter experts, lab assistants,                                              preceptors, and guest lecturers;
                                     (C)  student attendance records; and
                                     (D)  completed copies of student evaluations for each of the transition course modules or entire transition course.
(e)  A subject matter expert may apply content taught by the subject matter expert during a transition course as content needed to complete the subject matter expert’s transition course.  For the purpose of this regulation, “subject matter expert” shall mean an individual who understands, articulates, and implements the best practices of emergency medical services.
(f)  Upon request by the executive director, each sponsoring organization shall provide a copy of all transition course records. 

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, and K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6111, and K.S.A. 2010 Supp. 65-6120, as amended by L. 2011, ch. 114, sec. 83; effective, T-109-2-10-12, February 10, 2012; effective May 4, 2012.)

 

109-5-7d.  EMR and EMT train the trainer transition course approval. 

(a)  The transition course curriculum for the EMR and EMT train the trainer shall be the “EMR/EMT train the trainer course” adopted by reference in K.A.R. 109-5-7a.
(b)  Training officers and instructor-coordinators may coordinate transition courses after completion of the emergency medical responder and emergency medical technician transition train the trainer course.
(c)  Upon request by the executive director, a training officer or instructor-coordinator shall provide a copy of all transition course records. 

(Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

Article 6.--TEMPORARY CERTIFICATION

109-6-1.  Requirements for temporary certification for applicant with non-Kansas credentials.

(a) An applicant for temporary certification who is certified or licensed as an attendant in another jurisdiction but whose coursework is not substantially equivalent to that required in Kansas may be granted one-year temporary certification by meeting the following requirements:
                               (1) Providing verification of current attendant certification or licensure issued by that jurisdiction that is comparable to the                                      certification level sought in Kansas; and
                               (2) providing either the name, address, and telephone number of or a signed statement from the physician, physician assistant,                                      professional nurse, or attendant who is certified at the same or higher level as that of the applicant and who will directly                                      supervise the applicant during the year of temporary certification.
(b) Within one year from the date on which the temporary certificate is issued, if the applicant provides verification
of successful completion of the required coursework, attendant’s certification shall be granted. If the applicant does not provide this verification within one year from the date on which the temporary certificate is issued, the temporary certificate shall expire and the application for an attendant’s certificate shall be denied.

(Authorized by K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6129; effective, T-88-24, July 15,
1987; amended May 1, 1988; amended Jan. 22, 1990; amended Nov. 1, 1996; amended Feb. 12, 2010.)



109-6-2.  Renewal of attendant, training officer, and instructor-coordinator certificates.
(a) Each attendant certificate shall expire on December 31 of the second complete calendar year following the date of issuance.
(b) An attendant, an instructor-coordinator who is also an attendant, and a training officer who is also an attendant may renew that person’s certificate for each biennial period in accordance with this regulation and with K.A.R. 109-5-1.
(c) Each application for certification renewal shall be submitted on a form provided by the executive director or through the online renewal process. Copies, facsimiles, and other reproductions of the certification renewal form shall not be accepted.
(d) Each application for renewal shall be deemed sufficient when the following conditions are met:
                          (1) The applicant provides in full the information requested on the form, and no additional information is required by the board to                                  complete the processing of the application.
                           (2) The applicant submits a renewal fee in the applicable amount specified in K.A.R. 109-7-1.
(e) The date of receipt of a document shall mean the date stamped on the document when the document is received in the board office.

(Authorized by K.S.A. 65- 6111; implementing K.S.A. 2008 Supp. 65-6129, K.S.A. 65-6129b, and K.S.A. 65-129c; effective Nov. 1, 1996; amended Oct. 31, 1997; amended Nov. 12, 1999; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13, 2000; amended Feb. 12, 2010.)



109-6-3 Attendant certification expiration and renewal.  

(Authorized by K.S.A. 2001 Supp. 65-6110, 65-6111; implementing K.S.A. 2001 Supp. 65-6129; effective, T-109-8-8-00, Aug. 8, 2000; effective Nov. 13, 2000; amended Aug. 30, 2002; revoked May 15, 2009.)

Article 7.—FEES

 

109-7-1.  Schedule of fees.  (a) Attendant, I-C, training officer, and ambulance service application fees shall be nonrefundable.
(b)  First responder and emergency medical responder fees:
       (1)   Application for certification fee…….…………………..................................………..............................................................…$15.00
       (2)  certification renewal application fee for a renewal that expires on a biennial basis if received before certificate                expiration………………………………………….....................................................................................................................…$20.00
        (3)  certification renewal application fee if received within 31 calendar days after certificate expiration      ................……$40.00
(4)  certification renewal application fee if received on or after the 32nd calendar day after certificate expiration  ...................$80.00
(c)   Paramedic fees:
        (1)   Application for certification fee………………………......................................................................................…...........….......$65.00
        (2)  certification renewal application fee if received before certificate expiration………….................….............................…$50.00
        (3)  certification renewal application fee if received within 31 calendar days after certificate expiration      ......................$100.00
        (4)  certification renewal application fee if received on or after the 32nd calendar day after certificate                 expiration………………………………………………...............................................................................................................$200.00    
(d)   EMT, EMT-I, EMT-D,  EMT-I who is also certified as an EMT-D, and AEMT fees:

        (1)   Application for certification fee……………….............……………………….……...................................….............................$50.00
        (2)  certification renewal application fee if received before certificate expiration………………................................................$30.00
        (3)  certification renewal application fee if received within 31 calendar days after certificate expiration      ..........................$60.00
        (4)  certification renewal application fee if received on or after the 32nd calendar day after certificate                expiration……………………………………………………..................................……................................................................$120.00
(e)   Instructor-coordinator and training officer fees:
        (1)   Application for certification fee…………………………………………………………..............................................................$65.00
        (2)  certification renewal application fee if received before certificate expiration…………………………............................…$30.00
        (3)  certification renewal application fee if received within 31 calendar days after certificate expiration      ..........................$60.00
        (4)  certification renewal application fee if received on or after the 32nd calendar day after certificate                expiration………….…………………………………..................................…..............................................................................$120.00
(f)  Type I, II, II-A, and V ambulance service fees:
        (1)  Service permit application fee……………………………………...........................…..............................................................$100.00
        (2)  service permit renewal fee if received on or before permit expiration….............................................................................$100.00
        (3)  service permit renewal fee if received after permit expiration…………...............................................................................$200.00
        (4)  vehicle license application fee………………………………………...........................…...........................................................$40.00
(g)  Each application for certification  shall include payment of the prescribed  application for certification fee to the board . 
(h)  Payment of fees may be made by either of the following:
        (1)  An individual using a personal, certified, or cashier’s check, a money order, a credit card, or a debit card; or
        (2) an ambulance service, fire department, or municipality using warrants, payment vouchers,  purchase orders , credit cards, or debit cards.
(i)  Payment submitted to the board for  application for certification fee or renewal fee for more than one attendant, training officer, or I-C shall not be accepted, unless the fee amount is correct. 

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6111, K.S.A. 65-6127, K.S.A. 2010 Supp. 65-6129, as amended by L. 2011, ch. 114, sec. 88, K.S.A. 65-6129b, and K.S.A. 2010 Supp. 65-6129c, as amended by L. 2011, ch. 114, sec. 65; implementing K.S.A. 2010 Supp. 65-6111, K.S.A. 65-6127, K.S.A. 65-6128, K.S.A. 2010 Supp. 65-6129, as amended by L. 2011, ch. 114, sec. 88, K.S.A. 65-6129b, and K.S.A. 2010 Supp. 65-6129c, as amended by L. 2011, ch. 114, sec. 65; effective July 1, 1990; amended Feb. 3, 1992; amended Nov. 1, 1996; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13, 2000; amended Oct. 31, 2003; amended March 9, 2012.)

 

 

Article 8.—EXAMINATIONS

 

109-8-1 Examinations.  

(a)
                          (1)  The  cognitive certification examination for first  responders, emergency medical responders, emergency medical technicians                                  trained under the 1994 national standard curriculum modified and adopted by the board,  emergency medical technicians trained                                  under the “2010 Kansas emergency medical services education standards: emergency medical technician,” advanced                                  emergency medical technicians, mobile intensive care technicians, and paramedics shall be the national registry examination.
                         (2)   Any applicant for certification who fails the national registry cognitive examination may retake the examination the maximum                                  allowable number of times pursuant to national registry policy. 
(b) The cognitive certification examination for  emergency medical technician-intermediate shall be the examination approved by the board on October 4, 1991.  
(c)   The cognitive certification examination for instructor-coordinator shall be the final cognitive examination developed by the sponsoring organization and approved by the board.      
(d) The cognitive certification examinations for training officer I and training officer II approval shall be the final cognitive examinations developed by the sponsoring organization and approved by the board. 
(e)   Any emergency medical technician-intermediate, instructor-coordinator, training officer I, or training officer II who fails the examination may retake it a maximum of three times.  An applicant who has failed the examination three times shall not submit a new application for examination until documentation of successful completion of additional board-approved education has been received from the applicant’s instructor and reviewed by the executive director.       
(f)   Each emergency medical technician-intermediate applicant shall be required to obtain a  score of at least 70 percent on each  cognitive examination and shall be required to demonstrate competency in  psychomotor skills as evaluated by the executive director, using criteria approved by the board.
(g)  Each first responder, emergency medical responder, or emergency medical technician applicant shall be required to successfully complete the national registry of emergency medical technicians’ cognitive examination and shall be required to demonstrate competency in psychomotor skills as evaluated by the vendor contracted by the board, using criteria approved by the board.
(h)  Each advanced emergency medical technician, mobile intensive care technician, or paramedic applicant shall successfully complete the national registry of emergency medical technicians’ cognitive examination and psychomotor skills evaluation.
(i)  Any  first responder, emergency medical responder, or emergency medical technician applicant who is tested in such  psychomotor skills and who fails any psychomotor skill station may retest each failed station a maximum of three times .
(j)   Any advanced emergency medical technician, mobile intensive care technician, or paramedic applicant who is tested on such psychomotor skills in accordance with national registry criteria and who fails any psychomotor skill station may retest each failed portion the maximum allowable times under national registry policies. 
(k)  Any examination for certification may be modified by the board as a pilot project to evaluate proposed changes to the  psychomotor skills examination.  (Authorized by  K.S.A. 65-6110  and  K.S.A. 65-6111, as amended L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6111, as amended L. 2010, ch. 119, sec. 1, K.S.A. 2009 Supp. 65-6129, as amended L. 2010, ch. 119, sec. 8, K.S.A. 65-6129b, and K.S.A. 65-6129c, as amended L. 2010, ch. 119, sec. 9; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Dec. 19, 1994; amended Jan. 5, 1996; amended Nov. 8, 1996; amended May 16, 1997; effective, T-109-2-7, Feb. 7, 2011; amended June 3, 2011.)

 

109-8-2.  Scheduling examinations for certification. 

(a)  Each provider of initial courses of instruction for attendants shall ensure the provision of certification examinations for those students successfully completing the course.    
(b)  The following scheduling requirements shall apply to the cognitive knowledge examination:
                           (1)  Emergency medical technician-intermediates, sponsoring organizations, and candidates shall schedule with the                                   state-contracted vendor for these examinations.
                           (2)  For first responder, emergency medical responder, emergency medical technician, advanced emergency medical technican,                                   mobile intensive care technician, and paramedic, the following requirements shall apply:
                                  (A)  Each candidate shall register with the national registry of emergency medical technicians.
                                  (B)  Each candidate shall schedule examinations with the computer-adaptive testing vendor specified by the national registry of                                          emergency medical technicians.
                          (3)  Each sponsoring organization shall validate each candidate’s successful course completion.
(c)  The following scheduling requirements shall apply to the psychomotor skills examination:
                          (1)  Each sponsoring organization or candidate shall schedule the examination for first responder, emergency medical responder,                                  emergency medical technician, and emergency medical technician-intermediate with the state-contracted vendor at least 30                                  days in advance of the desired examination date.
                          (2)  Each sponsoring organization or candidate shall schedule the examination for advanced emergency medical technician, mobile                                  intensive care technician, and paramedic with the national registry of emergency medical technicians by performing the                                  following:
                                   (A)  Negotiating a contractual agreement with a national registry representative to serve as facilitator;
                                   (B)  completing the examination host approval process and submitting the request for new examination with the national                                            registry of emergency medical technicians;
                                  (C) negotiating contractual agreements with examiners, as prescribed by the national registry representative, who have attained                                          board approval following a review to ensure current certification, have no disciplinary actions taken or pending against their                                          Kansas emergency medical services certification or certifications, and have held the current certification level for at least two                                          years;
                                 (D) negotiating contractual agreements with currently certified attendant assistants in numbers prescribed by the national                                         registry representative; 
                                 (E)  ensuring availability of a sufficient number of rooms to be used for examination stations, national registry representative                                         room, candidate waiting area, and other facilities as prescribed by the national registry representative; and
                                 (F)  providing sufficient quantities of equipment and supplies as prescribed by the national registry representative.
(d)  Each candidate not successfully completing the examination process during the initial examination shall schedule reexamination as follows:
                        (1)  Cognitive knowledge examination reexaminations.
                                (A)  For emergency medical technician-intermediate, the candidate shall schedule the examination with the state-contracted                                        vendor.
                                (B)  For first responder, emergency medical responder, emergency medical technician, advanced emergency medical technician,                                        mobile intensive care technician, and paramedic, the candidate shall schedule the examination with the national registry of                                        emergency medical technicians.            
                        (2)  Psychomotor skills examination reexaminations.
                               (A)  For first responder, emergency medical responder, emergency medical technician, and emergency medical                                                         technician-intermediate, the candidate shall schedule the examination with the state-contracted vendor according to                                       guidelines available at the board’s web site.
                               (B)  For the psychomotor skills examination for advanced emergency medical technician, mobile intensive care technician, or                                       paramedic, the candidate shall schedule the examination with the national registry of emergency medical technicians. 

(Authorized by and implementing K.S.A. 2010 Supp. 65-6111; effective March 2, 2012.)

 

 

Article 9.--INSTRUCTOR-COORDINATOR

109-9-1 Instructor-coordinator certification.  

(a)  Each applicant for certification as an I-C shall apply to the executive director using forms approved by the board and shall meet the following requirements:
                     (1)  Validate current certification as an attendant or licensure as a physician or professional nurse;
                     (2)   complete an approved I-C initial course of instruction, except as specified in subsection (b);
                     (3)   attain a score of 70% or higher on  the final cognitive examination developed by the educational program and approved by the                              board; and
                     (4)   complete, with a satisfactory evaluation, an assistant teaching experience in one  EMT initial course of instruction  applied for,                              approved, and taught in its entirety within one year after the completion of the instructor-coordinator course.  The assistant teaching                              experience shall include evaluation of the candidate’s ability to organize, schedule, implement, and evaluate educational                              experiences in the classroom, laboratory, clinical, and field environments and shall have been directly supervised by a certified I-C                              approved by either the executive director or any person so authorized by any state or United States territory and shall be verified on                              forms approved by the board. 
(b)   An applicant shall not be required to  complete the department of transportation national highway traffic safety administration “emergency medical services instructor training program: national standard curriculum” or modules 2 through 23 of the national guidelines for educating EMS instructors, as specified in K.A.R. 109-10-1e, if the applicant  establishes one of the following:
                    (1)  Successful completion of a United States department of transportation EMS instructor training program national standard curriculum                            or a program that included the content from module 2 through 23 of the national guidelines for educating EMS instructors, as                            specified in K.A.R. 109-10-1;
                    (2)  successful completion of a fire service instructor course approved by the national board on fire service professional qualifications or                            the international fire service accreditation;
                    (3)  successful completion of any United States military instructor trainer course that is substantially equivalent to the United States                            department of transportation national highway traffic safety administration “emergency medical services instructor training program:                            national standard curriculum,” or modules 2 through 23 of the national guidelines for educating EMS instructors as  specified in                            K.A.R. 109-10-1; or
                   (4)  attainment of a bachelor’s, master’s, or doctoral degree that focuses on the philosophy, scope, and nature of educating adults.  This                           degree shall have been conferred by an accredited postsecondary education institution.         

(c)  If within two years  following the date of expiration of an I-C’s certificate, this person applies for renewal of the certificate, the certificate may be granted by the board if the applicant completes 40 contact hours in  education theory and methodology approved by the board and successfully completes an  educator conference approved by the board. 

(Authorized by K.S.A.  65-6110, K.S.A. 2010 Supp. 65-6111 ; implementing K.S.A. 65-6129b; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Nov. 12, 1999; amended Nov. 9, 2001; amended Sept. 2, 2011.)   



109-9-2  (Authorized by and implementing K.S.A. 1988 Supp. 65-6110; effective, T-109-1-19-

89, Jan. 19, 1989 ; effective July 17, 1989 ; revoked Nov. 12, 1999 .)

 

109-9-3 Reserved.

 

109-9-4 Requirements for acceptance into an instructor-coordinator initial course of instruction.  

(a)  Each applicant for initial training as an I-C shall apply to the executive director using forms approved by the board. Only a complete application shall be accepted. A complete application shall include the following documentation:  
                        (1)  Proof that the applicant is currently certified or licensed and the applicant has been certified or licensed for at least  two years as                                any of the following:
                                (A)  An  attendant;
                                (B)  a physician; or
                                (C)  a professional nurse;
                        (2)  proof that the applicant has at least one year of  field experience with an ambulance service;
                        (3)  a letter from a certified I-C verifying the I-C's commitment to evaluate the applicant on the competencies of the assistant teaching                                experience defined in K.A.R. 109-9-1; and
                        (4)  proof that the applicant has met the following requirements:
                                (A)  Has current approval as a cardiopulmonary resuscitation instructor at the professional rescuer level. This approval shall be                                        by the American heart association, the American red cross, or the national safety council;
                                (B)  has instructed at least 15 hours of material; and
                                (C)  possesses a current teaching certificate granted by the Kansas state board of education or is currently certified as a training                                         officer II
(b)  If an applicant does not meet the requirement of paragraph (a)(4)(C), the applicant may satisfy the requirement  by establishing that the applicant possesses both of the following:
                        (1)  Authorization by any state or territory of the United States to be a primary instructor of  EMS initial  course of instruction at or above                              the level of EMT; and
                        (2) (A)   A baccalaureate, master's, or doctorate in  education  conferred by an accredited postsecondary education institution;
                              (B)  certification as a  fire service instructor  by the national board on fire service professional qualifications or the international fire                                      service accreditation from the national fire academy; or
                              (C)  certification by any United States military organization verifying successful completion of any United States military instructor                                       trainer course that is substantially equivalent to the United States department of transportation national highway traffic safety                                       administration “emergency medical services instructor training program: national standard curriculum,'' as identified in
                                      K.A.R. 109-10-1.
(c)  Each applicant who meets the requirements in subsection (a) and, if applicable, subsection (b) shall successfully complete an evaluation of knowledge and skills as follows:
                       (1) A written medical knowledge examination at the EMT level; and
                       (2)  a practical skills examination at the EMT level.
(d) An applicant meeting the requirements in subsection (a) and, if applicable, subsection (b) may be approved by the executive director for training based upon the following criteria:
                      (1) A score of at least 80% on the written medical knowledge examination described in paragraph (c)(1); and
                      (2) a passing score for each practical skill station described in paragraph (c)(2).

(Authorized by K.S.A. 65-6110, K.S.A. 2010 Supp. 65-6111 ; implementing K.S.A. 65-6110, K.S.A. 2010 Supp. 65-6111, and K.S.A. 65-6129b; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Feb. 3, 1992; amended Jan. 31, 1994; amended Nov. 12, 1999; amended Nov. 9, 2001; amended Sept. 2, 2011.)

 

109-9-5  (Authorized by and implementing K.S.A. 65-6110 as amended by L. 1993, Chap. 71, Sec. 1; effective March 16, 1992; amended Jan. 31, 1994; revoked Nov. 12, 1999.)

 

 

Article 10.--CURRICULA

 

109-10-1 Curriculum approval. 

(a) The following documents identified in this subsection as national standard curricula are hereby adopted by reference.

(1) The approved curriculum for first responder initial courses of instruction shall be the United States department of transportation national highway traffic safety administration “first responder national standard curriculum,” HS 808 291, August 1995, as modified by the board as follows:

(A) Module 3, “patient assessment,” shall be replaced by the United States department of transportation national highway traffic safety administration “emergency medical technician: basic national standard curriculum,” HS 808 149, August 1994; module 3, “patient assessment.”

(B) Each instructor shall teach the bag-valve-mask resuscitator techniques and oxygen administration techniques from the United States department of transportation national highway traffic safety administration “emergency medical technician: basic national standard curriculum,” HS 808 149, August 1994; module 2, “airway.”

(C) Each instructor shall teach automated external defibrillation from the United States department of transportation national highway traffic safety administration “emergency medical technician: basic national standard curriculum,” HS 808 149, August 1994; module 4, lesson 4-3, “cardiovascular emergencies.”

(D) Each instructor shall teach vehicle extrication from the United States department of transportation national highway traffic safety administration “emergency medical technician: basic national standard curriculum,” HS 808 149, August 1994; module 5, lesson 5-4, “injuries to the head and spine,” and module 7, lesson 7-2, “gaining access.”

(2) The approved curriculum for EMT initial courses of instruction shall be the United States department of transportation national highway traffic safety administration “emergency medical technician: basic national standard curriculum,” HS 808 149, August 1994, as modified by the board as follows.

(A) Each instructor shall teach basic life support cardiopulmonary resuscitation and foreign body airway obstruction techniques for the adult, child, and infant in accordance with the “guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care” published by the American heart association as the “supplement to circulation,” volume 102, number 8, dated August 22, 2000.

(B) Each instructor shall teach the esophageal obturator airway techniques in accordance with the United States department of transportation national highway traffic safety administration “emergency medical technician-intermediate: national standard curriculum,” HS 900 091, August 1986; section 7, “airway management and ventilation.”

 

(C) Each instructor shall teach the multi-lumen airways techniques in accordance with the manufacturer’s recommendations.

(D) Each instructor shall teach the monitoring of intravenous fluid administration in accordance with the United States department of transportation national highway traffic safety administration “emergency medical technician-paramedic: national standard curriculum,” HS 900 089, August 1986; division 2, section 4, “pathophysiology of shock.”

 

(3) The approved curriculum for first responder to bridge to EMT-basic training shall be the curriculum approved by the board.

(4) The approved curriculum for EMT-I initial courses of instruction shall be the United States department of transportation national highway traffic safety administration “emergency medical technician-intermediate: national standard curriculum,” HS 900 091, August 1986 with the addition of the EMT-I Kansas enrichment module approved by the board on June 4, 1999, except as identified as follows:

(A) The cognitive, psychomotor, and affective objectives of the EMT-I Kansas enrichment module, lession 1.2 concerning endotracheal intubation, tracheobronchial suctioning, and use of magill forceps shall be optional.

(B) The psychomotor skills of the EMT-I Kansas enrichment module, lesson 4 concerning endotracheal intubation shall be optional.

(5) The approved curriculum for MICT initial courses of instruction shall be the United States department of transportation national highway traffic safety administration “emergency medical technician-paramedic: national standard curriculum,” HS 900 089, August 1986. Effective on and after January 1, 2003, the approved curriculum for MICT initial courses of instruction shall be the United States department of transportation national highway traffic safety administration “EMT-paramedic national standard curriculum,” DOT HS 808 862, March 1999. Effective on and after January 1, 2001, MICT initial courses of instruction may teach the United States department of transportation national highway traffic safety administration “EMT-paramedic national standard curriculum,” DOT HS 808 862, March 1999.

(6) The approved curriculum for I-C initial courses of instruction for a first responder and emergency medical technician endorsement shall be the United States department of transportation national highway traffic safety administration “emergency medical services instructor training program: national standard curriculum,” HS 808 376, March 1996, as modified by the board as follows.

(A) Each approved I-C initial course of instruction shall teach and have the students practice EMS practical skills at the basic life support level in accordance with the curriculum described in paragraph (a) (2) of this regulation.

(B) Each approved I-C initial course of instruction shall teach the course approval process curriculum, as approved by the board.

(C) Each approved I-C initial course of instruction shall teach the state examination process curriculum as approved by the board.

(D) Each approved I-C initial course of instruction shall teach the “quality assurance of training programs” curriculum, as approved by the board.

(E) Each approved I-C initial course of instruction shall teach the “risk management concerns for training programs” curriculum, as approved by the board.

(F) Each approved I-C initial course of instruction shall teach the “planning and implementing training programs” curriculum, as approved by the board.

(G) Each approved I-C initial course of instruction shall teach the “teaching and evaluating the affective domain” curriculum, as approved by the board.

(H) Each approved I-C initial course of instruction shall teach the “ethics in the educational process” curriculum, as approved by the board.

(I) Each approved I-C initial course of instruction shall assure the provision of effectively evaluated assistant teaching experiences as described in K.A.R. 109-11-7 for each student.

(b) The approved curriculum for EMT-D initial courses of instruction shall be the emergency medical training program approved by the board.

(c) The approved curriculum for I-C initial courses of instruction for EMT-I, EMT-D, and MICT endorsements shall be the curriculum approved by the board.

(d) The approved curriculum for training officer I initial courses of instruction shall be the curriculum approved by the board.

(e) The approved curriculum for training officer II initial courses of instruction shall be the curriculum approved by the board.

(f) The approved curriculum for the certified I-C and approved training officer initial course of instruction for interactive television endorsement shall be the curriculum approved by the board.

(g) In the event of proposed curricula or proposed curricula revisions, a maximum of three initial courses of instruction to field-test the proposed curricula or curricula revisions for the purpose of considering permanent adoption of the proposed curricula or proposed curricula revisions may be approved by the board. Students of each approved field-test course shall, upon successful completion of an approved field-test course, be eligible to take the board examination for certification at the attendant level for which the approved field-test curriculum is intended. All examination regulations shall be applicable to students successfully completing an approved field-test curriculum.

(Authorized by and implementing K.S.A. 1999 Supp. 65-6110 and 65-6111; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Aug. 27, 1990; amended April 10, 1995; amended Sept. 22, 1995; amended Nov. 1, 1996; amended Nov. 12, 1999; amended Nov. 13, 2000; amended Nov. 9, 2001.)

 

 

109-10-1a.  Approved emergency medical responder education standards. 

(a)  The document titled “Kansas emergency medical services education standards: emergency medical responder (EMR),” dated July 2010, is hereby adopted by reference to implement the new scope of practice pursuant to K.S.A. 65-6144, and amendments thereto, for emergency medical responder initial courses of instruction.          
(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6144, as amended by L. 2010, ch. 119, sec. 11; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.) 

 

109-10-1b.  Approved emergency medical technician education standards. 

(a)  The document titled “Kansas emergency medical services education standards: emergency medical technician (EMT),” dated July 2010, is hereby adopted by reference to implement the new scope of practice pursuant to K.S.A. 65-6121, and amendments thereto, for emergency medical technician initial courses of instruction under the new emergency medical technician scope of practice.    
(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6121, as amended by L. 2010, ch. 119, sec. 5; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-10-1c.  Approved advanced emergency medical technician education standards. 

(a)  The document titled “Kansas emergency medical services education standards: advanced emergency medical technician,” dated July 2010, is hereby adopted by reference to implement the new scope of practice pursuant to K.S.A. 65-6120, and amendments thereto, for advanced emergency medical technician initial courses of instruction.
(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, and K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 2010 Supp. 65-6111; effective March 2, 2012.)

 

109-10-1d.  Approved paramedic education standards. 

(a)  The document titled “Kansas emergency medical services education standards: paramedic,” dated July 2010, is hereby adopted by reference to implement the new scope of practice pursuant to K.S.A. 65-6119, and amendments thereto, for paramedic initial courses of instruction.

(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 2009 Supp. 65-6119, as amended by L. 2010, ch. 119, sec. 3; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-10-1e.  Approved instructor-coordinator standards. 

(a)  Modules 2 through 23 in the “national guidelines for educating EMS instructors,” dated August 2002 and published by the United States department of transportation, national highway traffic safety administration, are hereby adopted by reference for instructor-coordinator (IC) initial courses of instruction.  These courses shall include an evaluated assistant teaching experience for each student as specified in K.A.R. 109-9-1.         
(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6129b; effective, T- 109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-10-1f.  Approved training officer I education standards. 

(a)  The document titled “Kansas board of EMS training officer I: initial course standards,” dated January 3, 2011, is hereby adopted by reference for training officer I initial courses of instruction.          

(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6129c, as amended by L. 2010, ch. 119, sec. 9; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-10-1g.  Approved training officer II education standards. 

(a)  The document titled “Kansas board of EMS training officer II: initial course standards,” dated August 2010, is hereby adopted by reference for training officer II initial courses of instruction.         
(b)  Proposed curricula or proposed curricular revisions may be approved by the board to be taught as a pilot project, for a maximum of three initial courses of instruction, so that the board can evaluate the proposed curricula or proposed curricular revisions and consider permanent adoption of the proposed curricula or proposed curricular revisions.  Students of each approved pilot project course shall, upon successful completion of the approved pilot project course, be eligible to take the board-approved examination for certification at the attendant level for the approved pilot project course.  All examination regulations shall be applicable to students successfully completing an approved pilot project course. 

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6129c, as amended by L. 2010, ch. 119, sec. 9; effective, T-109-2-7, Feb. 7, 2011, effective June 3, 2011.)

 

 

109-10-2 Long-term accreditation of training programs conducting initial courses of instruction.  

(a) Long-term training program accreditation may be approved by the administrator or the administrator’s designee for EMS initial courses of instruction to be conducted only by providers of training as defined at K.S.A. 65-6112 and amendments thereto.

(b) The initial approval of long-term training program accreditation for EMS initial courses of instruction shall be for 24 months and may be renewed for a period of 60 months for each complete renewal application. The accreditation shall expire on the last day of the applicable month.

(c) Training program accreditation may be withdrawn, suspended, or modified by the administrator subject to review by the board if the training program coordinator submits a written request for board review within 10 calendar days after receipt of a letter advising the training program that withdrawal, suspension, or modification action has been taken.

(d) Each organization desiring long-term training program accreditation for EMS initial courses of instruction shall meet the following requirements:

(1) Make application for approval to the administrator for long-term training program accreditation. This application shall be complete and shall be received in the board’s office at least 90 calendar days before the commencement of an initial course of instruction. A complete application shall include the following:

(A) A completed application form provided by the administrator;

(B) a training program management plan describing how the applicant will meet the requirements of this subsection;

(C) a list of EMS training equipment that will be used in each course; and

(D) a statement of assurances and certifications signed by the training program coordinator and the training program medical advisor that is on a form provided by the administrator;

(2) appoint a training program coordinator who will serve as the liaison to the board concerning program issues. The training program coordinator for permitted ambulance services, fire departments, other officially organized public safety agencies, and corporations shall be a certified I-C. The training program coordinator for postsecondary educational institutions and hospitals shall verify, within the application, that the coordinator has training and experience in coordinating educational offerings. The training program coordinator shall sign and date the application for long-term training program accreditation, each notice of intent to conduct training, and each assurances and certifications form;

(3) appoint a physician who will serve as the medical advisor for the training program. The training program medical advisor shall sign  and date each application for long-term training program accreditation and each assurances and certifications form;

(4) appoint a primary instructor for each course that, at a minimum, meets the requirements of the course approval regulations applicable to the level of course to be conducted. The primary instructor of each course shall sign and date the notice of intent to conduct training on a form provided by the administrator;

(5) provide a sufficient number of lab assistants to maintain a student-to-instructor ratio not to exceed six students for each instructor during laboratory training sessions;

(6) enter into written agreements with a hospital to provide clinical training and with a Kansas-permitted ambulance service to                 provide field internship training, if applicable, at the level of EMS initial courses of instruction to be conducted;

(7) provide clinical preceptors for courses requiring clinical training;

(8) provide field internship preceptors for courses requiring field internship training;

(9) provide a sufficient quantity of EMS training equipment to maintain a student-to-equipment ratio of 6:1 during laboratory training sessions;

(10) establish an infection-control policy;

(11) establish an equipment maintenance and cleaning policy;

(12) conduct analyses of outcome assessments utilized in the training program that, at a minimum, address the following outcome                  assessments:

(A) Each student’s ability to perform competencies in a field-contextual situation;

(B) each student’s ability to integrate cognitive and motor skills to appropriately care for sick and injured patients;

(C) each student’s competency in all motor skills included in the curriculum;

(D) the manner in which test items measure attainment of educational objectives;

(E) the manner in which the training program is evaluated by the organization and the students and communities of interest,  and the manner in which this information is utilized to modify the program, if necessary;

(F) laboratory training sessions that include distributed practice;

(G) the degree to which students gain knowledge during the course;

(H) each student’s receipt of sufficient laboratory, clinical, and field experience to become competent clinicians;

(I) evidence that cognitive material is periodically reviewed and tested at higher levels of taxonomy and that labs include  distributed practice and learning to autonomic level and simulation mastery;

(J) the qualifications, commitment, and support of the lead faculty conducting the course;

(K) The validity and reliability of instruments being used to establish the competence of graduates;

(L) clinical and field training that includes sufficient documented patient contact with a variety of medical and trauma patients in order to establish, in the preceptor’s and medical advisor’s professional judgment, that the student has attained competence; and

(M) field training in which providers are utilizing quality assurance systems and sound medical control, and are providing  students with medical feedback on patients they have seen;

(13) provide each student with a course syllabus for each course that describes, at a minimum, the following information:

(A) A summary of the course goals and objectives;

(B) student prerequisites, if any, for admission into the course;

(C) instructional and other materials required to be purchased by the student;

(D) student fees;

(E) student attendance policies;

(F) student evaluation policies;

(G) student requirements for successful course completion;

(H) a description of the clinical and field training requirements, if applicable;

(I) student and participant safety policies;

(J) Kansas requirements for certification;

(K) student dress and hygiene requirements, if applicable;

(L) student progress conferences;

(M) student discipline policies; and

(N) student policies concerning equipment use;

(14) provide each student with a course schedule;

(15) maintain training program records and course records for a minimum of three years. The records that shall be maintained are as  follows:

(A) A copy of all documents required to be submitted with the application for long-term training program accreditation;

(B) a copy of all documents required to be submitted with the notice of intent to conduct training;

(C) student attendance;

(D) student grades;

(E) student conferences;

(F) course curricula;

(G) lesson plans for all lessons delivered;

(H) clinical training objectives, if applicable;

(I) field training objectives, if applicable;

(J) completed clinical and field internship preceptors’ evaluations of each student;

(K) master copies and completed copies of the outcome assessment and outcome analyses tools used;

(L) completed copies of the students’ evaluations of each course and all instructors; and

(M) a copy of each course syllabus;

(16) establish a budget dedicated to the support of the training program;

(17) establish position descriptions for the program coordinator, the program medical advisor, the primary instructor, and lab                 assistants;

(18) establish a committee that will serve in an advisory capacity to the training program concerning issues of program planning, implementation, evaluation, and continuing quality improvement. The purpose of the committee shall be clearly stated in the training program’s management plan. Committee membership shall, at a minimum, be representative of the training program’s communities of interest, former graduates of the training program, program faculty, the training program medical advisor, and general public; and

(19) when applicable, submit a sufficient notice of intent to conduct training on a form provided by the administrator for each course  conducted. Each notice of intent to conduct training shall meet the following requirements:

(A) Be received in the board office at least 15 calendar days before the date of the first class session;

(B) meet the requirements of the Kansas administrative regulations applicable to each level of course that the training                  program will conduct; and

(C) include a course schedule that includes the following information:

(i) The date and time each class session is to meet;

(ii) the title of each lesson that corresponds to the title of the lesson as stated in the applicable United States                 department of transportation national standard curriculum being taught;

(iii) the instructor of each lesson and the instructor’s qualifications; and

(iv) the lesson number of each lesson that corresponds to the lesson number of the applicable United States                 department of transportation national standard curriculum being taught; and

(D) include a list of all faculty to be used in the delivery of the course. The list shall include the name and credentials of the  primary instructor, lab assistants, and guest faculty.

(e) Upon request by the administrator, each long-term accredited training program shall provide the administrator with copies of all training program and course records.

(f) Effective January 1, 2001 , training programs approved to conduct MICT initial courses of instruction shall meet the following requirements:

(1) Require that, on or before completion of the program, all students be conferred, at a minimum, an associate degree in applied science by the college;

(2) verify, with the submission of notice of intent to conduct training for the first course to begin on or after January 1, 2001, that the training program coordinator has applied for accreditation to the committee on accreditation of allied health education programs joint review committee for emergency medical technician-paramedic; and

(3) provide proof of accreditation from the committee on accreditation of allied health education programs joint review committee for emergency medical technician-paramedic. This proof shall be submitted to the board before the commencement of the third course that begins after January 1, 2001 .

(g) Effective January 1, 2001, long-term accredited MICT training programs applying for renewal of board accreditation that have current accreditation by the committee on allied health education programs joint review committee for emergency medical technician-paramedic shall be considered as having submitted sufficient application by submitting a completed application form provided by the administrator and written verification of current joint review committee accreditation.

(Authorized by and implementing K.S.A. 1998 Supp. 65-6110 and 65-6111; effective Aug. 30, 1993; amended Nov. 12, 1999.)

 

 

109-10-3 Late enrollment.  

(a) Instructor-coordinators and training officers II may allow students to enroll late in an initial course of instruction if the first 10 percent of the didactic and laboratory training sessions in the course as described in the course syllabus has not yet been completed. Once the first 10 percent of the didactic and laboratory training sessions of the course as described in the course syllabus has been completed, an individual shall not be allowed to enroll for the purpose of obtaining state certification.
(b) Instructor-coordinators and training officers II who admit late enrollees into initial courses of instruction shall submit to the executive director, within 20 days of the student’s enrollment, a make-up schedule for each late enrollee. The make-up schedule shall include all classes that the late enrollee missed. (c) The instructor-coordinator or training officer II shall also submit to the executive director, within  20 days after enrollment,  an application for certification and an application fee for each late enrollee.

(Authorized by and implementing  K.S.A. 2010 Supp. 65-6111; effective Jan. 31, 1994; amended Sept. 2, 2011.)

 

109-10-4 Student transfers.  

(a) To transfer from one initial course of instruction to another initial course of instruction of the same certification level, the student shall provide the instructor-coordinator of the course of instruction into which the student desires to transfer with:

(1) A signed and dated document which outlines reasons why the student was unable to complete the original course of instruction in which the student was enrolled; and

(2) a summary of the portion of the original course of instruction which the student successfully completed, signed by the instructor-coordinator of the original course of instruction in which the student was enrolled.

(b) For a student to transfer into an initial course of instruction from another initial course of instruction the instructor-coordinator shall submit to the board:

(1) Documentation from the instructor-coordinator of the original course of instruction in which the student was enrolled, summarizing the portion of the original course of instruction in which the student was enrolled;

(2) a statement from the instructor-coordinator of the course into which the student desires to transfer, certifying that the instructor-coordinator will provide the remaining required material to the student and the student will be given a final evaluation of competencies of the required material of the total course; and

(3) a student form adding the student to the course.

(c) A student may transfer from one course of instruction to another if the student has been enrolled in the original course of instruction within the past 1 year and the instructor-coordinator agrees to accept this student and the requirements of subsections (a) and (b) of this regulation are met.

(Authorized by and implementing K.S.A. 65-6110, as amended by L. 1993, Chap. 71, Sec. 1; effective Jan. 31, 1994.)

 

 

109-10-5 Inter-active television.

(Authorized by K.S.A. 1993 Supp. 65-6110; implementing K.S.A. 65-6129; effective Dec. 19, 1994. Revoked Sep. 2, 2011. )

 

109-10-6 Required training equipment and supplies.  

Each sponsoring organization approved to conduct initial courses of instruction shall ensure that EMS training equipment and supplies necessary to facilitate the teaching of all psychomotor skills for the level of course being provided are available for use with that course.  The training equipment and supplies provided shall be functional, clean, serviceable, and in sufficient quantity to maintain a ratio of no more than six students practicing together on one piece of equipment.  The pharmaceuticals necessary for training shall be either simulation models or actual empty pharmaceutical packages or containers, or both.  Training equipment and supplies that are for the purpose of protecting the student from exposure to bloodborne and airborne pathogens shall be functional and clean and shall be provided in sufficient quantity to ensure that students have their own.                     
(Authorized by and implementing K.S.A.  65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; effective Nov. 12, 1999; amended, T-109-2-7, Feb. 7, 2011; amended June 3, 2011.)

   

109-10-7. Distance learning.

(a) Any EMS educational program accredited by the committee on accreditation of emergency medical services-paramedic or offered by an accredited postsecondary institution may be granted approval to provide an initial course of instruction or continuing education programs in a distance learning format.

(b) Any instructor-coordinator, training officer I, or training officer II not affiliated with a program accredited by the committee on accreditation of emergency medical services-paramedic or with an accredited postsecondary institution may be granted approval to offer an initial course of instruction or continuing education programs in a distance learning format if the course or program meets the requirements of this regulation.

(c) Each instructor-coordinator, training officer I, or training officer II not affiliated with a program specified in subsection (a) shall submit a request for initial course approval or an application for single-program provider to the executive director or the executive director’s designee. The request or application shall include the following, in addition to meeting the requirements of K.A.R.109-5-3, 109-5-6, 109-10-2, 109-10-6, 109-11-1, 109-11-3, 109-11-4, 109-11-5, 109-11-6, 109-11-7, or 109-11-10:

(1) The procedures to be used for conducting progress counseling sessions for all students, including at those sites where distance learning is provided;

(2) the process by which students can access the instructor for an initial course of instruction or continuing education program;

(3) the procedures to be used for ensuring timely delivery of and feedback on written materials at all sites;

(4) the procedures to be followed for ensuring that students are participating in the course;

(5) the procedures to be used to ensure the competency of those completing didactic and psychomotor skills training;

(6) identification of the learning management system to be used during the course; and

(7) identification of each program’s quality assurance plan that at a minimum shall include the following:

(A) An advisory committee that includes the program coordinator, program medical adviser, and representatives of the                 following:

(i) Current students;

(ii) former students;

(iii) graduates;

(iv) employees;

(v) faculty;

(vi) all communities of interest; and

(vii) local ambulance service;

(B) an advisory committee meeting schedule; and

(C) a copy of the evaluation tools to be completed by the students, employees, staff, faculty, medical adviser, and program coordinator.

(d) Any approved class may be monitored by the executive director or the executive director’s designee.

 (Authorized by K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6111 and 65-6129 and K.S.A. 65-6129b; effective Feb. 12, 2010.)


 

Article 11.--COURSE APPROVALS

 

109-11-1 First responder course approval.  

(Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, K.S.A. 2009 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Jan. 31, 1994; amended Nov. 12, 1999; amended Sept. 10, 2010; revoked March 15, 2013.)

 

  

109-11-1a.  Emergency medical responder course approval. 

(a) Emergency medical responder initial courses of instruction pursuant to K.S.A. 65-6144, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct initial courses of instruction shall submit a complete application packet to the executive director, including all required signatures, and the following documents:

(1) A course syllabus that includes at least the following information:

(A) A summary of the course goals and objectives;

(B) student prerequisites, if any, for admission into the course;

(C) instructional and any other materials required to be purchased by the student;

(D) student attendance policies;

(E) student requirements for successful course completion;

(F) a description of the clinical and field training requirements, if applicable;

(G) student discipline policies; and

(H) instructor information, which shall include the following:

(i) Instructor name;

(ii) office hours or hours available for consultation; and

(iii) instructor electronic mail address;

(2) course policies that include at least the following information:

(A) Student evaluation of program policies;

(B) student and participant safety policies;

(C) Kansas requirements for certification;

(D) student dress and hygiene policies;

(E) student progress conferences;

(F) equipment use policies; and

(G) a statement that the course provides a sufficient number of lab instructors to maintain a 6:1 student-to-instructor ratio during lab sessions;

(3) a course schedule that identifies the following:

(A) The date and time of each class session, unless stated in the syllabus;

(B) the title of the subject matter of each class session;

(C) the instructor of each class session; and

(D) the number of psychomotor skills laboratory hours for each session; and

(4) letters from the initial course of instruction medical advisor, the ambulance service director of the ambulance service that will provide field training to the students, if applicable, and the administrator of the medical facility in which the clinical rotation is provided, if applicable, indicating their commitment to provide the support as defined in the curriculum.

(c) Each application shall be received in the board office not later than 30 calendar days before the first scheduled course session.

(d) Each approved initial course shall meet the following conditions:

(1) Meet or exceed the course requirements described in the regulations of the Kansas board of EMS; and

(2) maintain course records for at least three years. The following records shall be maintained:

(A) A copy of all documents required to be submitted with the application for course approval;

(B) student attendance;

(C) student grades;

(D) student conferences;

(E) course curriculum;

(F) lesson plans for all lessons;

(G) clinical training objectives, if applicable;

(H) field training objectives, if applicable;

(I) completed clinical and field training preceptor evaluations for each student;

(J) master copies and completed copies of the outcome assessment and outcome analyses tools used for the course that address at least the following:

(i) Each student’s ability to perform competently in a simulated or actual field situation, or both; and

(ii) each student’s ability to integrate cognitive and psychomotor skills to appropriately care for sick and injured patients;

(K) a copy of each student’s psychomotor skills evaluations as specified in the course syllabus;

(L) completed copies of each student’s evaluations of each course, all instructors for the course, and all lab instructors for the course; and

(M) a copy of the course syllabus.

(e) Each primary instructor shall provide the executive director with an application for certification form from each student within 20 days of the date of the first class session.

(f) Each sponsoring organization shall ensure that the sponsoring organization’s instructor-coordinators and training officers provide any course documentation requested by the executive director.

(g) Any approved course may be monitored by the executive director.

(h) Program approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations. 

(Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1, K.S.A. 2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8, and K.S.A. 2009 Supp. 65-6144, as amended by L. 2010, ch. 119, sec. 8; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

.)

 109-11-2  (Authorized by K.S.A. 1990 Supp. 65-6110; implementing K.S.A. 1990 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Feb. 3, 1992; revoked Nov. 12, 1999.)

 

109-11-3 Emergency medical technician course approval.  

(Authorized by K.S.A. 65-6110, K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6111, K.S.A. 2008 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Nov. 12, 1999; amended Sept. 10, 2010; revoked March 15, 2013.)

 

109-11-3a.  Emergency medical technician (EMT) course approval. 

a) Emergency medical technician (EMT) initial courses of instruction pursuant to K.S.A. 65-6121, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct initial courses of instruction shall meet the following requirements:

(1) Meet the course requirements specified in K.A.R. 109-11-1(b)-(f); and

(2) in each initial course of instruction, include hospital clinical training and ambulance field training that provide the following:

(A) An orientation to the hospital and to the ambulance service; and

(B) supervised participation in patient care and assessment, including the performance of a complete patient assessment on at least one patient in compliance with K.S.A. 65-6129a and amendments thereto. In the absence of participatory clinical or field training, contrived experiences may be substituted.

(c) Each sponsoring organization shall ensure that the sponsoring organization’s instructor-coordinators and training officers provide any course documentation requested by the executive director.

(d) Any approved course may be monitored by the executive director.

(e) Program approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations.

 (Authorized by K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1, K.S.A. 65-6121, as amended by L. 2010, ch. 119, sec. 5, K.S.A. 2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8, and K.S.A. 65-6129a; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

 

109-11-4 Emergency medical technician-intermediate course approval.  

(Authorized by K.S.A. 65-6110, K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6111, K.S.A. 2008 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Aug. 16, 1993; amended Nov. 12, 1999; amended Sept. 10, 2010; revoked March 15, 2013.)

 

 

109-11-4a.  Advanced emergency medical technician (AEMT) course approval. 

(a) AEMT initial courses of instruction pursuant to K.S.A. 65-6120, and amendments thereto, may be approved by the executive director
to be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct AEMT initial courses of instruction shall meet the course requirements
in K.A.R. 109-11-1(b)-(f).

(c) Each approved AEMT course shall ensure, and shall establish in writing, how each student is provided with experiences, which shall
include at a minimum the following: 

(1) Successfully perform 20 venipunctures, of which 10 shall be for the purpose of initiating intravenous infusions;

(2) administer one nebulized breathing treatment during clinical training;

(3) successfully perform five intraosseous infusions;

(4) perform a complete patient assessment on each of 15 patients, of which at least 10 shall be accomplished during field internship training;

(5) while directly supervised by an AEMT, a paramedic, a physician, a physician assistant, an advanced practice registered nurse,
or a professional nurse, respond to 10 ambulance calls;

(6) perform 10 intramuscular or subcutaneous injection procedures;

(7) complete 10 patient charts or patient care reports, or both; and

(8) perform the application and interpretation of the electrocardiogram on eight patients during clinical training and field internship training.

(d) Any approved course may be monitored by the executive director.

(e) Each sponsoring organization shall insure that the instructor-coordinators and training officers provide any course documentation requested
by the executive director.

(f) Program approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that
governs sponsoring organizations. 

 

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, K.S.A. 2010 Supp. 65-6111, K.S.A. 2010 Supp. 65-6129, as amended by L. 2011, ch. 114, sec. 88, and K.S.A. 65-6129a; effective March 2, 2012.)

 

 

109-11-5 Emergency medical technician-defibrillator course approval.  

(Authorized by K.S.A. 1998 Supp. 65-6110 and 65-6111; implementing K.S.A. 1998 Supp. 65-6111; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Nov. 12, 1999; revoked March 15, 2013.)

 

 

109-11-6 Mobile intensive care technician course approval.

(Authorized by K.S.A. 65-6110 and K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6111 and K.S.A. 2008 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Feb. 3, 1992; amended Nov. 12, 1999; amended Nov. 13, 2000; amended Sept. 10, 2010; revoked March 15, 2013.)

 

 

109-11-6a.  Paramedic course approval.

(a) Paramedic initial courses of instruction pursuant to K.S.A. 65-6119, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations that are accredited postsecondary educational institutions.

(b) Each sponsoring organization requesting approval to conduct paramedic initial courses of instruction shall meet the following requirements:

(1) Meet the requirements in K.A.R. 109-11-1(b)-(f);

(2) provide letters from the director of each ambulance service that will provide field training to the students and the administrator or the administrator’s designee of each hospital in which the clinical training is provided, indicating their commitment to provide the support as defined in the curriculum;

(3) require that, on or before completion of the required paramedic course, each student provide confirmation of eligibility to be  conferred, at a minimum, an associate degree in applied science by the postsecondary institution; and

(4)          (A) Provide verification that the sponsoring organization has applied for accreditation to the committee on accreditation of allied health education programs’ joint review committee for emergency medical technician-paramedic; or

(B) provide evidence of accreditation from the committee on accreditation of allied health education programs’ joint review committee for emergency medical technician-paramedic before the commencement of the third course.

 

(c) Each application shall be received in the board office not later than 30 calendar days before the first scheduled class. Only a complete application packet shall be processed. 

(d) Each approved paramedic course shall meet the following requirements:

(1) Meet or exceed the curriculum requirements in K.A.R. 109-10-1;

(2) consist of at least 1,200 hours of training, including at least the following:

(A) 400 hours of didactic and psychomotor skills laboratory instruction by qualified instructors;

(B) 232 hours of clinical training at a hospital by qualified instructors; and

(C) 400 hours of field internship training with a type I ambulance service by qualified instructors; and

(3) ensure, and establish in writing, how each student is provided with experiences, which shall include at least the following:

(A) The performance of 20 successful venipunctures, of which at least 10 shall be for the purpose of initiating intravenous infusions;

(B) successful performance of three endotracheal intubations on live patients, with written verification by a physician or certified registered nurse anesthetist competent in the procedure that the student is competent in performing the procedure; 

(C) successful performance of five intraosseous infusions;

(D) administration of one nebulized breathing treatment during clinical training;

(E) performance of a complete patient assessment on 50 patients, of which at least 25 shall be accomplished during field internship training;

(F) participation in, as an observer or as an assistant, three vaginal-delivered childbirths during clinical training;

(G) in increasing positions of responsibility, being a part of a type I service crew responding to 30 ambulance calls;

(H) performance of 10 intramuscular or subcutaneous injections;

(I) completion of 30 patient charts or patient care reports, or both; and

(J) performance of monitoring and interpreting the electrocardiogram on 30 patients during clinical training and field                 internship training.

(e) The primary instructor shall provide the executive director with an application for certification form from each student within 20 days after the first class session.

(f) Any approved class may be monitored by the executive director.

(g) Each sponsoring organization shall ensure that the sponsoring organization’s instructor-coordinators and training officers provide any program documentation requested by the executive director.

(h) Program approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations.

(Authorized by K.S.A. 65-6110 and K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1; implementing K.S.A. 65-6110, K.S.A. 2009 Supp. 65-6111, as amended by L. 2010, ch. 119, sec. 1, and K.S.A. 2009 Supp. 65-6129, as amended by L. 2010, ch. 119, sec. 8; effective, T-109-2-7, Feb. 7, 2011; effective June 3, 2011.)

 

109-11-7 Instructor-coordinator course approval.  

(a) Each instructor-coordinator course shall be provided by the board or by an agency with which the board contracts.

 (b) Each approved instructor-coordinator course shall:

              (1) Meet or exceed the curriculum described in K.A.R. 109-10-1 (g);

              (2) consist of a minimum of 90 hours of training; and

              (3) use a text or texts approved by the board.  

(Authorized by K.S.A. 1988 Supp. 65-6110; implementing K.S.A. 1988 Supp. 65-6110 and 65-6111; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989.)

 

109-11-8 Successful completion of a course of instruction.  

(a) To successfully complete a course of instruction as an attendant or instructor-coordinator, each student shall:

                (1) Attend at least 90% of the class sessions as described in the course syllabus;

                (2) maintain an average grade of at least 70% for all examinations given during the program; and

                (3) demonstrate all practical skills to the satisfaction of the course coordinator.

 (b) The course coordinator shall provide written approval, within 15 days of the final class, that the requirements of subsection (a) of this regulation have been met.  Evidence of a grade of C or better on a course of instruction given by an accredited post-secondary school shall substitute for written approval.  

(Authorized by K.S.A. 65-6110, as amended by L. 1993, Chap. 71, Sec. 1; implementing K.S.A. 65-6111, as amended by L. 1993, Chap. 71, Sec. 2, K.S.A. 65-6129, as amended by L. 1993, Chap. 71, Sec. 5, and K.S.A. 65-6142; effective, T-109-1-19-89, Jan. 19, 1989 ; effective July 17, 1989 , amended Jan. 31, 1994 .)

 

109-11-9 Instructor qualifications.  

(a) Each instructor-coordinator, training officer, and approved-program providers shall select qualified instructors as determined by training and subject matter as follows:

(1) The minimum qualifications for each didactic instructor shall be as stated in the DOT curricula course guide and instructor lesson plans of the level of training provided. In the absence of available instructors with qualifications as stated in the DOT curricula course guide and instructor lesson plans of the level of training provided, the instructor shall be approved by the administrator.

(2) Each medical skills laboratory instructor and assistant instructor shall be:

(A) a physician, registered nurse, or allied health personnel who possesses certification, registration, or licensure in the subject matter being taught; or

(B) an attendant certified at the level authorized to engage in activities associated with the skill being taught.

(3) Each skills laboratory instructor and assistant instructor for non-medical skills shall have technical training in and shall possess knowledge and expertise in the skill being taught.

(4) Each instructor of clinical training being conducted in a clinical health care facility shall be a licensed physician or a licensed professional nurse.

(5) Each instructor of field internship training being conducted with a pre-hospital emergency medical service shall be an attendant certified at or above the level of training being conducted.

(b) Each instructor-coordinator, training officer, and approved-program provider shall maintain records of all instructors and lab assistants used to provide training. These records shall include:

(1) the individual’s name and qualifications;

(2) the subject matter the individual taught, assisted in teaching or evaluated;

(3) the dates the individual instructed, assisted, or evaluated; and

(4) the students’ evaluations of the instructors.

(Authorized by and implementing K.S.A. 1990 Supp. 65-6110; effective Feb. 3, 1992.)

 

 

109-11-10 Emergency medical technician-basic bridge course approval.

(a) Initial courses of instruction to bridge from first responder to EMT-basic training may be approved by the administrator or the administrator’s designee to be conducted only by providers of training as defined in K.S.A. 65-6112 and amendments thereto.

(b) Each provider requesting approval to conduct initial courses of instruction to bridge from first responder to EMT-basic shall submit an application to the administrator that includes the following information:

(1) The name, address, and telephone number of the training program coordinator;

(2) the location of the course;

(3) the name of the certified I-C who will be the primary instructor of the course;

(4) the names and credentials of all lab assistants;

(5) the name, address, and telephone number of the training program's medical advisor;

(6) the dates on which the course will begin and end;

(7) the times and duration of scheduled classes;

(8) the number of students anticipated;

(9) a course syllabus as described in K.A.R. 109-10-2;

(10) a description of the clinical and field training rotation;

(11) a course agenda schedule that identifies the following:

(A) The date of each class session;

(B) the times each class session is to start and end;

(C) the title of the subject matter of each class session as described in K.A.R. 109-10-2; and

(D) the instructor of each class session;

(12) letters from the training program medical advisor, the director of the ambulance service providing ambulance service to the community in which the course is taught, the director of the ambulance service that will provide field training to the students, if applicable, and the administrator, or the administrator's designee, of the hospital in which the clinical rotation is provided, indicating their commitment to provide the support as defined in the curriculum; and

(13) a complete application form approved by the administrator and signed by the training program coordinator, the training program medical advisor, and the course primary instructor.

(c) Each application shall be received in the board office not later than 15 calendar days before the first scheduled class. Only a complete application shall be accepted.

(d) Each approved initial course of instruction to bridge from first responder to EMT-basic training shall meet the following conditions:

(1) Meet or exceed the first responder to EMT-basic training bridge course curriculum as described in K.A.R. 109-10-1;

(2) require that each student perform at least one randomly selected, competently performed, objectively graded medical emergency simulation and at least one randomly selected, competently performed, objectively graded trauma emergency simulation as part of the requirements to successfully complete the course;

(3) participation in hospital clinical training and ambulance field training that provide the following:

(A) An orientation to the hospital and ambulance service; and

(B) supervised participation in patient care and assessment, including the performance of a complete patient assessment on at least one patient. In the absence of participatory clinical or field training, contrived experiences may be substituted;

(4) meet or exceed the requirements outlined in the curriculum; and

(5) meet or exceed the required training equipment and supplies necessary to conduct an EMT-basic initial course of instruction as described in K.A.R. 109-10-6.

(e) The primary instructor shall provide the administrator with a complete list of all students enrolled in the course and an enrollment form from each student within 10 days of the first class session.

(f) Each provider shall provide any program documentation requested by the administrator and shall maintain, for a period of not less than three years, the course records specified in K.A.R. 109-10-2(d)(15)(C)-(J), (L), and (M).

(g) Any approved class may be monitored by the administrator or the administrator’s designee.

(h) Course approval may be withdrawn by the board if the provider violates any regulation or if a quality course is not maintained.

 

(Authorized by K.S.A. 2000 Supp. 65-6110, 65-6111; implementing K.S.A. 2000 Supp. 65-6111; effective Nov. 9, 2001.)

 

 

Article 12.--AUTOMATED DEFIBRILLATOR TRAINING PROGRAM

 

109-12-1 (Authorized by and implementing K.S.A. 1989 Supp. 65-6149; effective July 17, 1989; amended Aug. 27, 1990; revoked Nov. 12, 1999.)

 

109-12-2 (Authorized by and implementing K.S.A. 1988 Supp. 65-6149; effective July 17, 1989; revoked Nov. 12, 1999.)

 

 

Article 13.--TRAINING OFFICERS

 

109-13-1 Training officers.  

(a) A training officer I may coordinate and teach continuing education for attendants. A training officer II may coordinate and teach continuing education for attendants and be the primary instructor and coordinate first responder and emergency medical    responder initial courses of instruction.

(b) Each initial applicant for training officer I certification shall apply to the board using forms provided by the executive director and shall meet the following requirements:

(1) Validate certification at or above the level of EMT or licensure as a physician, physician assistant, advanced practice registered nurse, or professional nurse;

(2) validate appointment by one of the following persons:

(A) The chief executive officer of an ambulance service, a hospital, a fire department, or a municipal rescue squad; or

(B) the administrator for an educational institution or corporation that conducts EMS training programs; and

(3) provide evidence of successful completion of a board-approved training officer initial course of instruction at the appropriate training officer level.

(c) In addition to meeting the requirements listed in subsection (b), an initial applicant for training officer II certification shall establish current board approval as a training officer I.

(d) Training officer certification may be renewed upon meeting all of the following conditions:

(1) Submitting an application using forms approved by the board;

(2) providing verification of current certification at or above the level of EMT or licensure as a physician, physician assistant, advanced practice registered nurse, or professional nurse;

(3) providing verification of appointment by one of the following persons:

(A) The chief executive officer of an ambulance service, a hospital, a fire department, or a municipal rescue squad; or

(B) the administrator for an educational institution or organization that conducts EMS training programs; and 

(4) providing proof of attendance at an educator conference approved by the board and proof of having instructed 20 hours of training applicable to EMS values, skills, knowledge, and practice during the biennial period immediately preceding renewal.

(e) Each training officer shall maintain, for at least three years, copies of the attendance rosters for courses that the training officer conducted or coordinated and shall submit these records to the board upon request. 

(Authorized by K.S.A. 65-6110, as amended by L. 2011, ch. 114, sec. 81, and K.S.A. 2010 Supp. 65-6111; implementing K.S.A. 2010 Supp. 65-6129c, as amended by L. 2011, ch. 114, sec. 65; effective Jan. 31, 1994; amended Nov. 12, 1999; amended Nov. 13, 2000; amended March 9, 2012.)

 

 

109-13-2  Revoked

 

109-13-3  (Authorized by and implementing K.S.A. 65-6111, as amended by L. 1993, Chap. 71, Sec. 2; effective Jan. 31, 1994; revoked Nov. 12, 1999.)

 

Article 14.--DO NOT RESUSCITATE IDENTIFIERS

 

109-14-1 Certification of entities which distribute DNR identifiers.  

a) An organization that distributes “Do Not Resuscitate” identifiers, as defined by K.S.A. 65-4941 and amendments, may be certified by the board if the organization:

(1) applies to the board for certification upon a form approved by the administrator;

(2) has been in operation for at least five years as a distributor of DNR identifiers;

(3) establishes exclusive title to the design or logo of the DNR identifier;

(4) maintains a 24-hour, toll-free, staffed telephone line to verify the identity of a patient in possession of a DNR identifier;

(5) agrees to distribute DNR identifiers that are inscribed with the letters “DNR” or “Do Not Resuscitate” the patient’s name, a patient identification number, and the toll-free telephone number of the organization issuing the DNR identifier; and

(6) provides documentation of successful completion of a cardiopulmonary resuscitation course for healthcare providers.

(Authorized by K.S.A. 2011 Supp. 65-6111; implementing K.S.A. 2011 Supp. 65-6129; effective May 15, 2009; amended Sept. 2, 2011; amended March 15, 2013.)

 

 

 

  109-15-1. Reinstating attendant certificate after expiration.

(a) The certificate of a person who applies for attendant certification within 31 calendar days after the person’s certificate has expired may be reinstated by the board if the person meets the following requirements:

(1) Submits a completed application to the board on forms provided by the executive director;

(2) pays the applicable fee specified in K.A.R. 109-7-1;

(3) provides documentation of board-approved continuing education, transition training courses, or a combination of continuing education and transition training courses obtained during the biennial period immediately preceding the expiration of certification;

(4) for MICT and paramedic, has met the continuing education requirements for the certification level held during the previous certification period;

(5) for first responder and EMT, has completed the transition training program approved by the board for emergency medical responder or EMT certification, whichever is applicable and has met the continuing education requirements for the certification level held during the previous certification period;

(6) for EMT-I and EMT-I/D, meets one of the following requirements:

(A) Before January 1, 2014, has met the continuing education requirements for the certification level held during the previous certification period; or

(B) after December 31, 2013, has completed the transition training program approved by the board for AEMT certification; and

(7) for EMT-D, has completed an EMT-I initial course of instruction and the transition training program approved by the board for AEMT and has met the continuing education requirements for the certification level held during the previous certification period.

(b) The certificate of a person who applies for reinstatement of attendant certification more than 31 days but less than two years after the person’s certificate has expired may be reinstated by the board if the applicant meets the following requirements:

(1) Submits a completed application to the board on forms provided by the executive director;

(2) pays the applicable fee specified in K.A.R. 109-7-1; and

(3)          (A) For each MICT or paramedic, has completed at least 120 hours of documented and board-approved continuing education;

(B) before January 1, 2015, meets one of the following requirements:

(i) For each first responder, completes at least 16 clock-hours of continuing education and the transition course approved by the board to transition to EMR;

(ii) for each EMT, completes at least 28 clock-hours of continuing education and the transition course approved by the board to transition to the new EMT scope of practice;

(iii) for each EMT-I, completes at least 36 clock-hours of continuing education and the transition course approved by the board to transition to AEMT;

(iv) for each EMT-D, completes at least 36 clock-hours of continuing education and the transition course approved by the board to transition to the AEMT and an initial EMT-I course of instruction;

(v) for each EMT-I who is also certified as an EMT-D, completes at least 44 clock-hours of continuing education and the transition course approved by the board to transition to the AEMT;

(C) for each emergency medical responder, completes at least 32 clock-hours of continuing education;

(D) for each EMT who has completed the transition, completes at least 56 clock-hours of continuing education; and

(E) for each AEMT, completes at least 72 clock-hours of continuing education.

(c) Only board-approved and documented continuing education obtained during the biennial period immediately preceding the expiration of certification and continuing education or transition training courses obtained during the biennial period immediately after expiration of certification shall be accepted for the requirements of subsection (b).

(d) Each person who applies for reinstatement of first responder, EMT, EMT-I, EMT-D, or EMT-I/D certification two or more years after the person’s certificate expires shall take an entire initial course of instruction for EMR, the new EMT scope of practice, or AEMT.

(e) The certificate of a person who applies for reinstatement of attendant certification two or more years after the person’s certificate expires may be reinstated by the board if the applicant meets the following requirements:

(1) Applies to the board on board-approved forms;

(2) pays the applicable fee specified in K.A.R. 109-7-1; and

(3) has completed continuing education applicable to the attendant level previously held according to the following time frames:

(A) For applications submitted two or more years but less than four years after certificate expiration, the following amounts of continuing education:

(i) For each emergency medical responder, at least 64 clock-hours;

(ii) for each EMT who has completed the new scope of practice transition, at least 112 clock-hours;

(iii) for each AEMT, at least 144 clock-hours; and

(iv) for each MICT or paramedic, at least 240 clock-hours;

(B) for applications submitted four or more years but less than six years after certificate expiration, the following amounts of continuing education:

(i) For each emergency medical responder, at least 128 clock-hours;

(ii) for each EMT who has completed the new scope of practice transition, at least 224 clock-hours;

(iii) for each AEMT, at least 288 clock-hours; and

(iv) for each MICT or paramedic, at least 480 clock-hours;

(C) for applications submitted six or more years but less than eight years after certificate expiration, the following amounts of continuing education:

(i) For each emergency medical responder, at least 256 clock-hours;

(ii) for each EMT who has completed the new scope of practice transition, at least 448 clock-hours;

(iii) for each AEMT, at least 576 clock-hours; and

(iv) for each MICT or paramedic, at least 960 clock-hours; and

(D) for applications submitted eight or more years after certificate expiration, the following amounts of continuing education:

(i) For each emergency medical responder, at least 512 clock-hours;

(ii) for each EMT who has completed the new scope of practice transition, at least 896 clock-hours;

(iii) for each AEMT, at least 1,152 clock-hours; and

(iv) for each MICT or paramedic, at least 1,920 clock-hours;

(4) has completed continuing education applicable to the attendant level sought during the two years immediately preceding or immediately following application for reinstatement;

(5) provides documentation of successful completion of a United States department of transportation refresher training course that includes both cognitive and psychomotor examinations approved by the executive director at the level for which the individual is requesting reinstatement; and

(6) provides documentation of successful completion of a cardiopulmonary resuscitation course for healthcare providers.

(Authorized by K.S.A. 2011 Supp. 65-6111; implementing K.S.A. 2011 Supp. 65-6129; effective May 15, 2009; amended Sept. 2, 2011; amended March 15, 2013.)

 

 

 

109-15-2. Recognition of non-Kansas credentials.

(a) Any individual who is currently licensed or certified as an attendant in another jurisdiction may apply for Kansas certification through recognition of non-Kansas credentials by submitting the following:

          (1) A completed application for recognition of non-Kansas credentials on a form provided by the board;

          (2) application for certification fee for the level of certification sought, as specified in K.A.R. 109-7-1;

         (3) documentation from another state or jurisdiction verifying that the applicant is currently licensed or certified for the level of certification sought and is in good standing;

          (4) documentation from another state or jurisdiction verifying that the applicant has successfully completed coursework that is substantially equivalent to the curriculum prescribed by the board for the level of certification sought, in accordance with subsection (b); and

          (5) documentation from another state or jurisdiction verifying that the applicant has successfully completed an examination prescribed by the board for the level of certification sought, in accordance with subsection (b).

(b) Any applicant may validate successful completion of coursework in another state or jurisdiction that is substantially equivalent to the curriculum prescribed by the board for the level of certification sought by submitting one of the following:

          (1) Documentation that the applicant is registered with the national registry of emergency medical technicians at the level for which certification is sought; or

         (2) documentation that the applicant has successfully completed the following:

                (A) The national registry of emergency medical technicians’ cognitive assessment examination and the psychomotor skills examination prescribed by the national registry of emergency medical technicians or by the board; and

                (B) (i) For emergency medical responder, coursework that included the United States department of transportation national highway traffic safety administration “emergency medical responder instructional guidelines,” DOT HS 811 077B, dated January 2009, which is hereby adopted by reference;

                      (ii) for emergency medical technician, coursework that included the United States department of transportation national highway traffic safety administration “emergency medical technician instructional guidelines,” DOT HS 811 077C, dated January 2009, which is hereby adopted by reference;

                     (iii) for advanced emergency medical technician, coursework that included the United States department of transportation national highway traffic safety administration “advanced emergency medical technician instructional guidelines,” DOT HS 811 077D, dated January 2009, which is hereby adopted by reference; or

                    (iv) for paramedics, either coursework completed after December 31, 2008 that included the United States department of transportation national highway traffic safety administration “paramedic instructional guidelines,” DOT HS 811 077E, dated January 2009, which is hereby adopted by reference, or coursework completed before January 1, 2009 that included the United States department of transportation national highway traffic safety administration “EMT-paramedic national standard curriculum,” DOT HS 808 862, dated March 1999, which is hereby adopted by reference.

(Authorized by K.S.A. 2012 Supp. 65-6111; implementing K.S.A. 2012 Supp. 65-6129, as amended by L. 2013, ch. 95, sec. 4; effective May 15, 2009; amended Sept. 2, 2011; amended Jan. 17, 2014.)

 

 

109-16-1. Graduated sanctions.

(a) The following documents of the Kansas board of emergency medical services, dated April 10, 2013, are hereby adopted by reference:
                                (1) "Graduated sanctions for attendants";
                                (2) "graduated sanctions for I-Cs and T.O.s"; and
                                (3) "graduated sanctions for operators."  
(b) For purposes of applying the tables of graduated sanctions for attendants, instructor-coordinators, training officers, and operators, the following sanction levels shall apply:
                                (1) "Sanction level 1" means that the local action taken by the operator of the ambulance service, or its designee, is approved and accepted by the board’s investigations committee.
                                (2) "Sanction level 2" means the modification of a certificate or permit by the imposition of conditions.
                                (3) "Sanction level 3" means the limitation of a certificate or permit.
                                (4) "Sanction level 4" means the suspension of a certificate or permit for less than three months.
                                (5) "Sanction level 5" means the suspension of a certificate or permit for three months or more.
                                (6) "Sanction level 6" means the revocation of a certificate or permit.
(c) When the investigations committee is determining the appropriate sanction level, the following mitigating and aggravating circumstances, if applicable, shall be taken into consideration:
                                (1) The number of violations involved in the current situation;
                                (2) the degree of harm inflicted or the potential harm that could have been inflicted;
                                (3) any previous violations or the absence of previous violations;
                                (4) the degree of cooperation with the board's investigation;
                                (5) evidence that the violation was a minor or technical violation, or a serious or substantive violation;
                               (6) evidence that the conduct was intentional, knowing, or purposeful or was inadvertent or accidental;
                               (7) evidence that the conduct was the result of a dishonest, selfish, or criminal motive;
                               (8) evidence that the attendant, instructor-coordinator, training officer, or operator refused to acknowledge or was willing to acknowledge the wrongful nature of that person’s conduct;
                              (9) the length of experience as an attendant, instructor-coordinator, training officer, or operator; and
                            (10) evidence that any personal or emotional problems contributed to the conduct. 
(Authorized by K.S.A. 2012 Supp. 65-6110, 65-6111, and 65-6129, as amended by L. 2013, ch. 95, sec. 4; implementing K.S.A. 2012 Supp. 65-6129, as amended by L. 2013, ch. 95, sec. 4; effective Jan. 17, 2014.)