Florida Senate - 2012 SB 450 By Senator Oelrich 14-00528-12 2012450__ 1 A bill to be entitled 2 An act relating to emergency medical services; 3 amending s. 381.0034, F.S.; deleting the requirement 4 for emergency medical technicians and paramedics to 5 complete an educational course on the modes of 6 transmission, infection control procedures, clinical 7 management, and prevention of human immunodeficiency 8 virus and acquired immune deficiency syndrome; 9 amending s. 401.23, F.S.; redefining the term “basic 10 life support” for purposes of the Raymond H. 11 Alexander, M.D., Emergency Medical Transportation 12 Services Act; amending s. 401.24, F.S.; revising the 13 period for review of the comprehensive state plan for 14 emergency medical services and programs; amending s. 15 401.27, F.S.; revising the requirements for 16 certification or recertification as an emergency 17 medical technician or paramedic; revising the 18 requirements for certification for an out-of-state 19 trained emergency medical technician or paramedic; 20 amending s. 401.2701, F.S.; revising requirements for 21 an institution that conducts an approved program for 22 the education of emergency medical technicians and 23 paramedics; revising the requirements that students 24 must meet in order to receive a certificate of 25 completion from an approved program; providing an 26 effective date. 27 28 Be It Enacted by the Legislature of the State of Florida: 29 30 Section 1. Subsection (1) of section 381.0034, Florida 31 Statutes, is amended to read: 32 381.0034 Requirement for instruction on HIV and AIDS.— 33 (1) As of July 1, 1991, the Department of Health shall 34 require each person licensed or certified underchapter 401,35 chapter 467, part IV of chapter 468, or chapter 483, as a 36 condition of biennial relicensure, to complete an educational 37 course approved by the department on the modes of transmission, 38 infection control procedures, clinical management, and 39 prevention of human immunodeficiency virus and acquired immune 40 deficiency syndrome. Such course shall include information on 41 current stateFloridalaw on acquired immune deficiency syndrome 42 and its impact on testing, confidentiality of test results, and 43 treatment of patients. Each such licensee or certificateholder 44 shall submit confirmation of having completed thesaidcourse, 45 on a form provided by the department, when submitting fees or 46 application for each biennial renewal. 47 Section 2. Subsection (7) of section 401.23, Florida 48 Statutes, is amended to read: 49 401.23 Definitions.—As used in this part, the term: 50 (7) “Basic life support” means treatment of medical 51 emergencies by a qualified person through the use of techniques 52such as patient assessment, cardiopulmonary resuscitation (CPR),53splinting, obstetrical assistance, bandaging, administration of54oxygen, application of medical antishock trousers,55administration of a subcutaneous injection using a premeasured56autoinjector of epinephrine to a person suffering an57anaphylactic reaction, and other techniquesdescribed in the 58 Emergency Medical Technician Basic Training Course Curriculum or 59 the National EMS Education Standards of the United States 60 Department of Transportation as approved by the department. The 61 term“basic life support”also includes other techniques that 62whichhave been approved and are performed under conditions 63 specified by rules of the department. 64 Section 3. Section 401.24, Florida Statutes, is amended to 65 read: 66 401.24 Emergency medical services state plan.—The 67 department is responsible, at a minimum, for the improvement and 68 regulation of basic and advanced life support programs. The 69 department shall develop, andbienniallyrevise every 5 years, a 70 comprehensive state plan for basic and advanced life support 71 services, the emergency medical services grants program, trauma 72 centers, the injury control program, and medical disaster 73 preparedness. The state plan shall include, but need not be 74 limited to: 75 (1) Emergency medical systems planning, including the 76 prehospital and hospital phases of patient care, and injury 77 control effort and unification of such services into a total 78 delivery system to include air, water, and land services. 79 (2) Requirements for the operation, coordination, and 80 ongoing development of emergency medical services, which 81 includes: basic life support or advanced life support vehicles, 82 equipment, and supplies; communications; personnel; training; 83 public education; state trauma system; injury control; and other 84 medical care components. 85 (3) The definition of areas of responsibility for 86 regulating and planning the ongoing and developing delivery 87 service requirements. 88 Section 4. Subsections (4) and (12) of section 401.27, 89 Florida Statutes, are amended to read: 90 401.27 Personnel; standards and certification.— 91 (4) An applicant for certification or recertification as an 92 emergency medical technician or paramedic must: 93 (a) Have completed an appropriate training course as 94 follows: 95 1. For an emergency medical technician, an emergency 96 medical technician training course equivalent to the most recent 97 National EMS Education Standardsemergency medical technician98basic training courseof the United States Department of 99 Transportation as approved by the department; 100 2. For a paramedic, a paramedic training program equivalent 101 to the most recent national standard curriculum or National EMS 102 Education Standardsparamedic courseof the United States 103 Department of Transportation as approved by the department; 104 (b) Certify under oath that he or she is not addicted to 105 alcohol or any controlled substance; 106 (c) Certify under oath that he or she is free from any 107 physical or mental defect or disease that might impair the 108 applicant’s ability to perform his or her duties; 109 (d) Within 2 years1 yearafter course completion have 110 passed an examination developed or required by the department; 111 (e)1. For an emergency medical technician, holdeithera 112 current American Heart Association cardiopulmonary resuscitation 113 course card or an American Red Cross cardiopulmonary 114 resuscitation course card or its equivalent as defined by 115 department rule; 116 2. For a paramedic, hold a certificate of successful course 117 completion in advanced cardiac life support from the American 118 Heart Association or its equivalent as defined by department 119 rule; 120 (f) Submit the certification fee and the nonrefundable 121 examination fee prescribed in s. 401.34, which examination fee 122 will be required for each examination administered to an 123 applicant; and 124 (g) Submit a completed application to the department, which 125 application documents compliance with paragraphs (a), (b), (c), 126 (e), (f), (g), and, if applicable, (d). The application must be 127 submitted so as to be received by the department at least 30 128 calendar days before the next regularly scheduled examination 129 for which the applicant desires to be scheduled. 130 (12) An applicant for certification who is an out-of-state 131 trained emergency medical technician or paramedic must provide 132 proof of current emergency medical technician or paramedic 133 certification or registration based upon successful completion 134 of the United States Department of Transportation emergency 135 medical technician or paramedic training curriculum or the 136 National EMS Education Standards as approved by the department 137 and hold a current certificate of successful course completion 138 in cardiopulmonary resuscitation (CPR) or advanced cardiac life 139 support for emergency medical technicians or paramedics, 140 respectively, to be eligible for the certification examination. 141 The applicant must successfully complete the certification 142 examination within 1 year after the date of the receipt of his 143 or her application by the department. After 1 year, the 144 applicant must submit a new application, meet all eligibility 145 requirements, and submit all fees to reestablish eligibility to 146 take the certification examination. 147 Section 5. Paragraph (a) of subsection (1) and subsection 148 (5) of section 401.2701, Florida Statutes, are amended to read: 149 401.2701 Emergency medical services training programs.— 150 (1) Any private or public institution in Florida desiring 151 to conduct an approved program for the education of emergency 152 medical technicians and paramedics shall: 153 (a) Submit a completed application on a form provided by 154 the department, which must include: 155 1. Evidence that the institution is in compliance with all 156 applicable requirements of the Department of Education. 157 2. Evidence of an affiliation agreement with a hospital 158 that has an emergency department staffed by at least one 159 physician and one registered nurse. 160 3. Evidence of an affiliation agreement with a current 161Florida-licensedemergency medical services provider that is 162 licensed in this state. Such agreement shall include, at a 163 minimum, a commitment by the provider to conduct the field 164 experience portion of the education program. 165 4. Documentation verifying faculty, including: 166 a. A medical director who is a licensed physician meeting 167 the applicable requirements for emergency medical services 168 medical directors as outlined in this chapter and rules of the 169 department. The medical director shall have the duty and 170 responsibility of certifying that graduates have successfully 171 completed all phases of the education program and are proficient 172 in basic or advanced life support techniques, as applicable. 173 b. A program director responsible for the operation, 174 organization, periodic review, administration, development, and 175 approval of the program. 176 5. Documentation verifying that the curriculum: 177 a. Meets thecourse guides and instructor’s lesson plans in178themost recent Emergency Medical Technician-Basic National 179 Standard Curricula or the National EMS Education Standards for 180 emergency medical technician programs and paramedicEmergency181Medical Technician-Paramedic National Standard Curricula for182paramedicprograms as approved by the department. 183 b. Includes 2 hours of instruction on the trauma scorecard 184 methodologies for assessment of adult trauma patients and 185 pediatric trauma patients as specified by the department by 186 rule. 187c. Includes 4 hours of instruction on HIV/AIDS training188consistent with the requirements of chapter 381.189 6. Evidence of sufficient medical and educational equipment 190 to meet emergency medical services training program needs. 191 (5) Each approved program must notify the department within 192 30 days afterofany change in the professional or employment 193 status of faculty. Each approved program must require its 194 students to pass a comprehensive final written and practical 195 examination evaluating the skills described in the current 196 United States Department of Transportation EMT-Basic or EMT 197 Paramedic, National Standard Curriculum or the National EMS 198 Education Standards as approved by the department. Each approved 199 program must issue a certificate of completion to program 200 graduates within 14 days afterofcompletion. 201 Section 6. This act shall take effect July 1, 2012.