WSR 08-01-134

PROPOSED RULES

DEPARTMENT OF HEALTH


[ Filed December 19, 2007, 10:03 a.m. ]

Original Notice.

Exempt from preproposal statement of inquiry under RCW 34.05.310(4).

Title of Rule and Other Identifying Information: WAC 246-976-021 Emergency medical services (EMS) training course requirements. This section establishes responsibilities for approved emergency medical services training agencies and programs to provide department-required EMS training courses. This section also establishes the department's responsibility to identify training course requirements for all EMS training agencies and programs that train EMS personnel who are credentialed by the department.

Hearing Location(s): Department of Health, Point Plaza Building, Rooms 152 and 153, 310 Israel Road S.E., Tumwater, WA 98501, on January 22, 2008, at 10:00 a.m.

Date of Intended Adoption: January 23, 2008.

Submit Written Comments to: Maura Craig, Department of Health, P.O. Box 47850, Olympia, WA 98504-7850, web site http://www3.doh.wa.gov/policyreview/, fax (360) 236-2830, by January 22, 2008.

Assistance for Persons with Disabilities: Contact Maura Craig by January 18, 2008, TTY (800) 833-6388 or 711.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: ESB 6194, passed in 2006 and codified as RCW 43.70.615, requires that each education program with a curriculum to train persons for a health profession credentialed under chapter 18.130 RCW must integrate multicultural health education into its training by July 1, 2008. The proposed rule requires EMS training programs to include a multicultural health education component in order to comply with the law.

Reasons Supporting Proposal: The proposed rule requires EMS training agencies to incorporate multicultural health education into all initial EMS training by July 1, 2008, for all levels of EMS personnel credentialed by the department. The purpose of the multicultural health training is to raise awareness and educate health care personnel to care for diverse populations in a culturally sensitive and appropriate manner. The goal is to increase access to health care and achieve positive health outcomes for all populations regardless of gender, race, or ethnicity.

Statutory Authority for Adoption: RCW 18.71.205, 18.73.081, 43.70.615.

Statute Being Implemented: RCW 43.70.615.

Rule is not necessitated by federal law, federal or state court decision.

Name of Proponent: Department of health, office of emergency medical services and trauma system, governmental.

Name of Agency Personnel Responsible for Drafting: Maura Craig, 310 Israel Road S.E., Tumwater, WA 98501, (360) 236-4987; Implementation and Enforcement: Michael Lopez, 243 Israel Road S.E., Tumwater, WA 98501, (360) 236-2841.

No small business economic impact statement has been prepared under chapter 19.85 RCW. A small business economic impact statement is not required because this rule proposal is exempt under RCW 19.85.025 and 34.05.310(4). The proposed rule adopts language from state law, RCW 43.70.615, without material change.

A cost-benefit analysis is not required under RCW 34.05.328. This rule proposal is exempt under RCW 34.05.328 (5)(b)(iii). The proposed rule adopts language from a state law, RCW 43.70.615, without material change.

December 19, 2007

Mary C. Selecky

Secretary

OTS-1197.1


AMENDATORY SECTION(Amending WSR 03-20-107, filed 10/1/03, effective 11/1/03)

WAC 246-976-021   Training course requirements.   (1) Department responsibilities: The department will publish procedures for agencies to conduct EMS training courses, including:

(a) The registration process;

(b) Requirements, functions, and responsibilities of course instructional and administrative personnel;

(c) Necessary information and administrative forms to conduct the course;

(2) Training agency responsibilities:

(a) General. Agencies providing initial training of certified EMS personnel at all levels (except advanced first aid) must:

(i) Have MPD approval for the course content;

(ii) Have MPD approval for all instructional personnel, who must be experienced and qualified in the area of training;

(iii) Have local EMS/TC council recommendation for each course;

(iv) Have written approval from the department to conduct each course;

(v) Approve or deny applicants for training consistent with the prerequisites for applicants in WAC 246-976-041 and 246-976-141.

(b) Basic life support (first responder, EMT). Agencies providing initial training of basic life support personnel must identify a senior EMS instructor to be responsible for the quality of instruction and the conduct of the course.

(c) Intermediate life support (IV, airway and ILS technicians). Agencies providing initial training of intermediate life support personnel must:

(i) Have a written agreement with the clinical facility, if it is separate from the academic facility;

(ii) Ensure that clinical facilities provide departments or sections, personnel, and policies, including:

(A) Written program approval from the administrator and chief of staff;

(B) A written agreement to participate in continuing education;

(C) Supervised clinical experience for students during the clinical portion of the program;

(D) An orientation program.

(d) Paramedics. Agencies training paramedics must be accredited by a national accrediting organization approved by the department.

(3) Course curriculum. The department recognizes the following National Standard EMS training courses published by the United States Department of Transportation as amended by the department:

(a) First responder: The first responder training course published 1996, amended by the department March 1998;

(b) EMT: The emergency medical technician -- Basic training course published 1994, amended by the department September 1996;

(c) IV technician: Those sections and lessons identified in the emergency medical technician -- Intermediate course published 1999, amended by the department April 2000;

(d) Airway technician: Those sections and lessons identified in the emergency medical technician -- Intermediate course published 1999, amended by the department April 2000;

(e) ILS technician: Those sections and lessons identified in the emergency medical technician--Intermediate course published 1999, amended by the department April 2000 which includes the following medications:

(i) Epinephrine for anaphylaxis administered by a commercially preloaded measured-dose device;

(ii) Albuterol administered by inhalation;

(iii) Dextrose 50% and 25%;

(iv) Nitroglycerine, sublingual and/or spray;

(v) Naloxone;

(vi) Aspirin PO (oral), for suspected myocardial infarction;

(f) Paramedic: The emergency medical technician -- Paramedic training course published 1999, as amended by the department January 2000.

(4) Initial training for first responders and EMTs must also include approved infectious disease training that meets the requirements of chapter 70.24 RCW.

(5) By July 1, 2008, a multicultural health education and awareness instructional component or curriculum shall be included in each initial preparation training course for all EMS personnel. All multicultural health education and awareness trainings, instruction, and curricula shall meet the requirements set forth in RCW 43.70.615.

(6) Specialized training. The department, in conjunction with the advice and assistance of the L&C committee, may approve specialized training for certified EMS personnel to use skills, techniques, or equipment that is not included in standard course curricula. Agencies providing specialized training must have MPD and department approval of:

(a) Course curriculum;

(b) Lesson plans;

(c) Course instructional personnel, who must be experienced and qualified in the area of training;

(d) Student selection criteria;

(e) Criteria for satisfactory completion of the course, including student evaluations and/or examinations;

(f) Prehospital patient care protocols that address the specialized skills.

(((6))) (7) Local government agencies: The department recognizes county agencies established by ordinance and approved by the MPD to coordinate EMS training. These agencies must comply with the requirements of this section.

[Statutory Authority: RCW 18.71.205, 18.73.081, and 70.168.060. 03-20-107, 246-976-021, filed 10/1/03, effective 11/1/03. Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. 00-08-102, 246-976-021, filed 4/5/00, effective 5/6/00.]

Washington State Code Reviser's Office