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PDFWAC 246-976-023

Initial EMS training course requirements and course approval.

To be approved to conduct each initial EMS training course, an EMS training program must:
(1) Meet the requirements identified in Table A of this section;
(2) Submit a completed EMS course training application on forms provided by the department, postmarked or received by the department at least three weeks prior to the course start date identified on the application;
(3) Have the approval of the training program's medical director and the recommendation for approval from the county medical program director; and
(4) Have written course approval from the department.
Table A
Initial EMS Training Course Requirements
The EMS training program must:
If conducting paramedic training courses, be accredited by a national accrediting organization approved by the department;
With the course SEI or lead instructor, ensure course applicants meet the course application requirements in WAC 246-976-041;
Supply each student with a student handbook as specified in WAC 246-976-022;
Provide each student, prior to beginning their field internship rotations, current, county specific, county medical program director field protocols and any specific information they will need while completing the internship; and
Use field internship preceptors who monitor and evaluate students in a standard and consistent manner.
EMS course SEI or lead instructor:
The EMS course instructors identified in this section, under the general supervision of the county medical program director (MPD) are responsible:
For the overall conduct of the course, quality of instruction, and administrative paperwork;
For following the course curricula or instructional guidelines for the level of training conducted;
For evaluating the students' knowledge and practical skills throughout the course;
For providing on-site instruction during each class and to supervise any other course instruction, unless arrangements have been made for another SEI or lead instructor to supervise. When using other instructors, the SEI or lead need not be physically present but must be immediately available for consultation.
Emergency medical responder (EMR) and EMT courses:
The course instructor must be a department-approved SEI. An SEI candidate may instruct under the supervision of the SEI for the purpose of demonstrating instructional proficiency to the SEI.
AEMT courses:
The course instructor for advanced EMT courses must be:
An AEMT that is recognized by the department as an SEI; or
A paramedic; or
Program instructional staff when training is provided by an accredited paramedic training program; and
Approved by the county medical program director.
Paramedic/EMT-paramedic courses:
The lead instructor for paramedic courses must have proof of clinical experience at the paramedic level or above; and
Must have the approval of the training program's medical director and the county medical program director.
EMS Evaluators:
Evaluators must be MPD and department-approved EMS evaluators;
EMS evaluators for EMR and EMT courses must be certified at the EMT level or higher;
EMS evaluators for advanced EMT courses must be certified at the AEMT or paramedic level.
Other instructors that may instruct individual course lessons when knowledgeable and skilled in the topic, approved by the MPD and under supervision of the SEI or lead instructor:
Guest instructors;
Department-approved EMS evaluators, to assist the SEI or lead instructor in the instruction of the course, who must be certified at or above the level of education provided; and
The MPD, MPD delegate or other physicians approved by the MPD.
Course curriculum or instructor guidelines:
The National Emergency Medical Services Training Standards - Instructor Guidelines published January 2009 for the level of instruction; and
Instruction in multicultural health appropriate to the level of training; and
A department-approved, four hour infectious disease training program that meets the requirements of chapter 70.24 RCW; and
Other training consistent with MPD protocols.
EMS course practical skill evaluations:
SEIs or department-approved EMS evaluators conduct psychomotor evaluations during the course and provide corrective instruction for students. For EMR and EMT courses, evaluators must be certified as an EMT or higher level.
End of course practical skill examinations:
Department-approved SEIs or department-approved EMS evaluators must conduct practical skill examinations. For EMR and EMT courses, evaluators must be certified at the EMT level or higher.
[Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. WSR 11-07-078, § 246-976-023, filed 3/22/11, effective 5/15/11.]
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