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The Oregon Administrative Rules contain OARs filed through August 15, 2014
 
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OREGON HEALTH AUTHORITY,
PUBLIC HEALTH DIVISION

 

DIVISION 265

EMERGENCY MEDICAL SERVICES PROVIDERS

333-265-0000

Definitions

(1) "Advanced Emergency Medical Technician (AEMT or Advanced EMT)" means a person who is licensed by the Authority as an Advanced Emergency Medical Technician.

(2) "Ambulance Service" means any person, governmental unit, corporation, partnership, sole proprietorship, or other entity that operates ambulances and holds itself out as providing prehospital care or medical transportation to sick, injured or disabled persons.

(3) "Authority" means the Emergency Medical Services and Trauma Systems Program, within the Oregon Health Authority.

(4) “Business day” means Monday through Friday when the Authority is open for business, excluding holidays.

(5) “Candidate” means an applicant that has completed training in an emergency medical services provider course and has not yet been licensed by the Authority.

(6) "Clinical Experience (Clinical)" means those hours of the curriculum that synthesize cognitive and psychomotor skills and are performed under a preceptor.

(7) "Continuing Education" means education required as a condition of licensure under ORS chapter 682 to maintain the skills necessary for the provision of competent prehospital care. Continuing education does not include attending EMS related business meetings, EMS exhibits or trade shows.

(8) "Didactic Instruction" means the delivery of primarily cognitive material through lecture, video, discussion, and simulation by program faculty.

(9) “Direct Medical Oversight” means real-time direct communication by a physician who is providing direction to an emergency medical services provider during a patient encounter.

(10) "Direct Visual Supervision" means that a person qualified to supervise is at the patient's side to monitor the emergency medical services provider in training.

(11) "Emergency Care" means the performance of acts or procedures under emergency conditions in the observation, care and counsel of the ill, injured or disabled; in the administration of care or medications as prescribed by a licensed physician, insofar as any of these acts is based upon knowledge and application of the principles of biological, physical and social science as required by a completed course utilizing an approved curriculum in prehospital emergency care. However, "emergency care" does not include acts of medical diagnosis or prescription of therapeutic or corrective measures.

(12) “EMS” means Emergency Medical Services.

(13) “EMS Medical Director” has the same meaning as “Supervising Physician” in ORS 682.025.

(14) “Emergency Medical Responder (EMR)” means a person who is licensed by the Authority as an Emergency Medical Responder.

(15) "Emergency Medical Services (EMS) Agency" means any person, partnership, corporation, governmental agency or unit, sole proprietorship or other entity that utilizes emergency medical services providers to provide prehospital emergency or non-emergency care. An emergency medical services agency may be either an ambulance service or a nontransporting service.

(16) "Emergency Medical Services Provider (EMS Provider)" means a person who has received formal training in prehospital and emergency care and is state-licensed to attend to any ill, injured or disabled person. Police officers, fire fighters, funeral home employees and other personnel serving in a dual capacity, one of which meets the definition of "emergency medical services provider" are "emergency medical services providers" within the meaning of ORS chapter 682.

(17) "Emergency Medical Technician (EMT)" means a person who is licensed by the Authority as an Emergency Medical Technician.

(18) “EMT-Basic” has the same meaning as Emergency Medical Technician.

(19) "EMT-Intermediate" means a person who is licensed by the Authority as an EMT-Intermediate.

(20) "EMT-Paramedic" has the same meaning as Paramedic.

(21) “Exam Evaluator” is a person who attends an EMS provider practical examination and who objectively observes and records each student’s performance consistent with the standards of the National Registry of EMTs.

(22) “First Responder” has the same meaning as Emergency Medical Responder.

(23) "In Good Standing" means a person who is currently licensed in Oregon, who does not have any restrictions placed on his or her license, or who is not on probation with the licensing agency for any reason.

(24) "Key party" means immediate family members and others who would be reasonably expected to play a significant role in the health care decisions of the patient or client and includes, but is not limited to, the spouse, domestic partner, sibling, parent, child, guardian and person authorized to make health care decisions of the patient or client.

(25) “Licensing Officer” is a person who is responsible for conducting an Emergency Medical Technician (EMT) or EMT-Intermediate practical examination in a manner consistent with the standards of the National Registry for EMTs and the Authority.

(26) "Non-Emergency Care" means the performance of acts or procedures on a patient who is not expected to die, become permanently disabled or suffer permanent harm within the next 24-hours, including but not limited to observation, care and counsel of a patient and the administration of medications prescribed by a physician licensed under ORS chapter 677, insofar as any of those acts are based upon knowledge and application of the principles of biological, physical and social science and are performed in accordance with scope of practice rules adopted by the Oregon Medical Board in the course of providing prehospital care as defined by this rule.

(27) “Paramedic" means a person who is licensed by the Authority as a Paramedic.

(28) "Patient" means a person who is ill or injured or who has a disability and who is transported in an ambulance.

(29) "Person" means any individual, corporation, association, firm, partnership, joint stock company, group of individuals acting together for a common purpose, or organization of any kind and includes any receiver, trustee, assignee, or other similar representatives thereof.

(30) "Prehospital Care" means that care rendered by an EMS provider as an incident of the operation of an ambulance as defined by ORS chapter 682 and that care rendered by an EMS provider as an incident of other public or private safety duties, and includes, but is not limited to "emergency care" as defined by ORS chapter 682.

(31) "Preceptor" means a person approved by an accredited teaching institution and appointed by the EMS agency, who supervises and evaluates the performance of an EMS provider student during the clinical and field internship phases of an EMS provider course. A preceptor must be a physician, physician assistant, registered nurse, or EMS provider with at least two years field experience in good standing at or above the level for which the student is in training.

(32) “Protocols” has the same meaning as standing orders.

(33) "Reciprocity" means the manner in which a person may obtain Oregon EMS provider licensure when that person is licensed in another state and certified with the National Registry.

(34) "Scope of Practice" means the maximum level of emergency or non-emergency care that an EMS provider may provide that is set forth by the rules adopted by the Oregon Medical Board.

(35) "Skills Lab" means those hours of the curriculum that provides the student with the opportunity to develop the skills for the level of training obtained.

(36) “Standing Orders” means the written protocols that an EMS provider follows to treat patients when direct contact with a physician is not maintained.

(37) “Successful completion” means having attended 85 percent of the didactic and skills instruction hours (or makeup sessions) and 100 percent of the clinical and field internship hours, and completing all required clinical and internship skills and procedures and meeting or exceeding the academic standards for those skills and procedures.

(38) "Teaching Institution" means a two-year community college or four-year degree granting college or a licensed vocational school that is accredited by the Office of Career and Technical Education, or the Department of Community Colleges and Workforce Development/Oregon Department of Education.

(39) "Unprofessional Conduct" has the meaning given that term in ORS 682.025.

(40) “Volunteer” means a person who is not compensated for their time to staff an ambulance or rescue service, but who may receive reimbursement for personal expenses incurred.

Stat. Auth.: ORS 682.025 & 682.215
Stats. Implemented: ORS 682.017 - 682.991
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008. f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0010

Application for Approval of EMT, AEMT, EMT-Intermediate, and Paramedic Courses

(1) The Authority is responsible for approving EMT, AEMT, and Paramedic courses.

(2) EMT, AEMT, and Paramedic courses must be offered by a teaching institution accredited by the Oregon Department of Education or the Oregon State Board of Higher Education and must meet the standards established by the Oregon Department of Education in OAR chapter 581, division 49.

(3) Notwithstanding section (2) of this rule, the Authority may allow a hospital to conduct an EMT course if there is no training available at a teaching institution in a rural part of the state. A hospital that wishes to conduct an EMT course in a rural area must send a request to the Authority in writing explaining why there is a need and why there is no training available in its area. The Authority will inform the hospital in writing whether it has permission to conduct the EMT course.

(4) EMT, AEMT, and Paramedic courses must meet the requirements prescribed by the Authority in OAR 333-265-0014.

(5) EMT, AEMT, and Paramedic courses must be taught by instructors that meet the requirements of OAR 333-265-0020.

(6) A teaching institution described in section (2) of this rule or a hospital approved by the Authority under section (3) of this rule must submit an application to the Authority on a form prescribed by the Authority that includes all the information necessary to determine whether the course meets the Authority’s standards. The form must be received by the Authority at least 30 business days prior to the first day of class.

(7) The Authority will return an application that is incomplete to the applicant.

(8) The Authority will inform an applicant in writing whether the application has been denied or approved.

(9) No teaching institution shall conduct an EMT, AEMT, or Paramedic course until the Authority has approved the course.

(10) The Authority may deny or revoke the approval to conduct an EMT, AEMT, or Paramedic course in accordance with ORS 183.310 through 183.550 for failure to comply with OAR chapter 333, division 265.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0630; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 8-1993, f. 6-22-93, cert. ef. 7-1-93; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0030; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008. f. & cert. ef. 6-16-08; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0011

Applications for Approval of EMT-Intermediate Courses

(1) The Authority is responsible for approving EMT-Intermediate courses.

(2) EMT-Intermediate courses must be offered by an accredited teaching institution or an EMS agency.

(3) Notwithstanding section (2) of this rule, the Authority may allow a hospital to conduct an EMT-Intermediate course if there is no training available at a teaching institution or EMS agency in a rural part of the state. A hospital that wishes to conduct an EMT-Intermediate course in a rural area must send a request to the Authority in writing explaining why there is a need and why there is no training available in its area. The Authority will inform the hospital in writing whether it has permission to conduct the EMT-Intermediate course.

(4) EMT-Intermediate courses must meet the requirements prescribed by the Authority in OAR 333-265-0014.

(5) EMT-Intermediate courses must be taught by instructors that meet the requirements of OAR 333-265-0020.

(6) A teaching institution or EMS agency described in section (2) of this rule or a hospital approved by the Authority under section (3) of this rule must submit an application to the Authority on a form prescribed by the Authority that includes all the information necessary to determine whether the course meets the Authority’s standards. The form must be received by the Authority at least 30 business days prior to the first day of class.

(7) The Authority will return an application that is incomplete to the applicant.

(8) The Authority will inform an applicant in writing whether the application has been denied or approved.

(9) No teaching institution, EMS agency, or approved hospital shall conduct an EMT-Intermediate course until the Authority has approved the course.

(10) The Authority may deny or revoke the approval to conduct an EMT-Intermediate course in accordance with ORS 183.310 through 183.550 for failure to comply with OAR chapter 333, division 265.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 1-2013, f. & cert. ef. 1-25-13

333-265-0012

Requirements for Conducting Emergency Medical Responder Courses

(1) An ambulance service or any other entity in Oregon may conduct EMR courses that meet the requirements of OAR 333-265-0014.

(2) An entity that wants to conduct an EMR course must submit an application to the Authority on a form prescribed by the Authority that includes all the information necessary to determine whether the course meets the Authority’s standards and whether the course director meets the requirements in OAR 333-265-0018. The form must be received by the Authority at least 30 business days prior to the first day of class.

(3) The Authority shall return an application that is incomplete to the applicant.

(4) No entity shall conduct an EMR course until the Authority has approved the course.

(5) The Authority may deny or revoke the approval to conduct an EMR course in accordance with ORS 183.310 through 183.550 for failure to comply with OAR chapter 333, division 265.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0014

EMS Provider Course Requirements

(1) All EMS provider courses must have a medical director. The EMS medical director must meet the qualifications of a supervising physician as defined in OAR 847-035-0020.

(2) All EMS provider courses must have a course director as defined in OAR 333-265-0020.

(3) An Oregon teaching institution conducting EMT, advanced EMT, or Paramedic courses must have program faculty consisting of a designated program director, course medical director, course directors, and may have guest instructors. The number of persons carrying out the responsibilities of conducting an EMT, AEMT, or Paramedic course may vary from program to program. One person, if qualified, may serve in multiple roles.

(4) An Oregon teaching institution, EMS agency, or approved hospital conducting EMT- Intermediate courses must have program faculty consisting of a designated program director, course medical director, course directors, and may have guest instructors. The number of persons carrying out the responsibilities of conducting an EMT-Intermediate course may vary from program to program. One person, if qualified, may serve in multiple roles.

(5) An EMR course must include:

(a) A curriculum that meets or exceeds the National Emergency Medical Services Education Standards published by the National Highway Traffic Safety Administration, January 2009 (DOT HS 811 077B);

(b) Didactic and skills instruction; and

(c) A practical and cognitive examination.

(6) An EMT course must include:

(a) A curriculum that meets or exceeds the National Emergency Medical Services Education Standards published by the National Highway Traffic Safety Administration, January 2009 (DOT HS 811 077B);

(b) Didactic and skills instruction;

(c) Clinical education of at least eight hours in a hospital or acute care department or other appropriate clinical or acute care medical facility where the skills within an EMT scope of practice are performed under the supervision of a preceptor; and

(d) Prehospital experience of at least eight hours under the supervision of an EMT or above where the skills within an EMT scope of practice are performed.

(7) An advanced EMT course must include:

(a) A curriculum that meets or exceeds the National Emergency Medical Services Education Standards published by the National Highway Traffic Safety Administration, January 2009 (DOT HS 811 077B);

(b) Didactic and skills instruction; and

(c) A field internship that is described in OAR 333-265-0015.

(8) An EMT-Intermediate course must include:

(a) The EMT-Intermediate curriculum as prescribed by the Authority;; and

(b) Didactic and skills instruction.

(9) A Paramedic course must include:

(a) Paramedic curriculum that meets or exceeds the National Emergency Medical Services Education Standards published by the National Highway Traffic Safety Administration, January 2009 (DOT HS 811 077B);

(b) Didactic and skills instruction;

(c) Clinical experience in hospital clinical areas where the skills within a Paramedic scope of practice are performed under the supervision of a preceptor; and

(d) A field internship that is described in OAR 333-265-0016.

(10) All EMS provider courses must include instructions on Oregon statutes and rules governing the EMS system, medical-legal issues, roles and responsibilities of EMS providers, and EMS professional ethics.

(11) The Authority may deny or revoke course approval in accordance with the provisions of ORS 183.310 through 185.550 for failure to comply with the requirements of this rule.

(12) A person must have a current Oregon EMT license or higher at the time of enrollment in an advanced EMT or Paramedic course.

(13) A person must have a current Oregon advanced EMT license at the time of enrollment in an Oregon EMT-Intermediate course.

(14) A person must maintain a current Oregon EMT license or higher throughout the interval of the advanced EMT or Paramedic cognitive and practical exams.

(15) A person must maintain a current Oregon advanced EMT license throughout the interval of the EMT-Intermediate cognitive and practical exams.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0015

Advanced Emergency Medical Technician Field Internships

(1) A field internship is required as part of an advanced EMT course and shall include:

(a) Clinical experience performed under the supervision of a preceptor of at least eight hours and 20 patient contacts in a hospital emergency department or medical clinic where the skills within an AEMT scope of practice are performed under the supervision of a preceptor; and

(b) Prehospital experience of at least eight hours under the supervision of an AEMT or above where the skills within the scope of practice of an AEMT are performed.

(2) A field internship must provide a student the opportunity to demonstrate the integration of didactic, psychomotor skills, and clinical education necessary to perform the duties of an entry-level AEMT.

(3) The student must successfully demonstrate a skill in the classroom lab or hospital clinical setting before that skill is performed and evaluated in a field internship.

(4) During a field internship a student must participate in providing care. All EMS calls shall be under the direct visual supervision of a preceptor. In order for a call to be accepted, the preceptor must document and verify satisfactory student performance, including application of specific assessment and treatment skills required of a licensed advanced EMT.

(5) For purposes of this section, “EMS call” means a prehospital emergency medical services response requiring patient care at the advanced life support level and “ambulance call” means an advanced life support prehospital emergency medical services response, which includes dispatch, scene response, patient care while riding in the patient compartment of an ambulance, and participating in specific assessment and treatment skills required of a licensed advanced EMT.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0016

Paramedic Field Internships

(1) A field internship is required as part of a Paramedic course.

(2) A field internship must provide a student the opportunity to demonstrate the integration of didactic, psychomotor skills, and clinical education necessary to perform the duties of an entry-level paramedic.

(3) The student must successfully demonstrate a skill in the classroom lab or hospital clinical setting before that skill is performed and evaluated in a field internship.

(4) During a field internship a student must participate in providing care in at least 40 EMS calls with no less than eight each in cardiac, respiratory, general medical, and trauma emergencies, and with at least 30 of the calls being advanced life support ambulance calls. All EMS calls shall be under the direct visual supervision of a preceptor. In order for a call to be accepted, the preceptor must document and verify satisfactory student performance, including application of specific assessment and treatment skills required of a licensed Paramedic.

(5) The intern must not be one of the minimum staff required for an ambulance as described in OAR chapter 333, division 250.

(6) For purposes of this section, “EMS call” means a pre-hospital emergency medical services response requiring patient care at the advanced life support level and “ambulance call” means an advanced life support pre-hospital emergency medical services response, which includes dispatch, scene response, patient care while riding in the patient compartment of an ambulance, and participating in specific assessment and treatment skills required of a licensed Paramedic.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0018

Course Director Qualifications for EMR Courses

(1) An ambulance service or entity that has contracted with the Authority to conduct an EMR course must have a qualified Course Director.

(2) An EMR Course Director must:

(a) Have appropriate training and experience to fulfill the role and have the credentials that demonstrate such training and experience;

(b) Be currently licensed in Oregon as an EMT or higher with three years of pre-hospital care experience and in good standing with the Authority, or an EMS medical director;

(c) Have a current healthcare provider CPR instructor card or certificate of course completion that meets or exceeds the 2010 American Heart Association ECC guidelines or equivalent standards approved by the Authority;

(d) Have successfully completed one of the following:

(A) The National Association of EMS Educator Course, developed by the U.S. Department of Transportation, 2002;

(B) The National Fire Protection Association (NFPA) Fire Instructor I or Fire Service Instructor I and II programs developed by the Department of Public Safety Standards and Training (DPSST);

(C) Have at least 40 hours of the Instructor Development Program offered by the DPSST; or

(D) A minimum of three college credits in adult educational theory and practice or vocational educational theory and practice from an accredited institution of higher learning.

(e) Have participated in a course director program offered by the Authority; and

(f) Agree to participate in the course director program updates offered by the Authority.

(3) An EMR Course Director:

(a) Is responsible for course planning and organizing, including scheduling lectures, coordinating, arranging, and conducting the written and practical course completion and licensure examination;

(b) Is the primary instructor, who conducts at least 50 percent of the didactic sessions, unless this requirement is waived by the Authority in advance;

(c) Must ensure, if guest instructors are used, that the guest instructor is qualified to teach the subject matter, meets requirements set forth in OAR 333-265-0020, and presents lessons that address all objectives identified in the course curriculum for the topic being presented. A guest instructor must:

(A) Be qualified and have the expertise in the specific course subject; and

(B) Follow the course curriculum and meet the course objectives for that specific subject.

(d) Must ensure that after completion of the course and successfully passing the written and practical examinations each student completes an application form prescribed by the Authority and that the completed application forms are collected and submitted to the Authority within 30 calendar days of the completion of the course.

(e) Must have written documentation showing whether a student has successfully completed the course as defined in OAR 333-265-0014.

Stat. Auth.: ORS 682.017, 682.208
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0020

Approved EMT, AEMT, EMT-Intermediate, and Paramedic Course Director

(1) A course director for a specific course must:

(a) Be an EMS Medical Director; or

(b) Hold at least the level of Oregon licensure as the course being taught and be in good standing with the Authority, and have at least three years of experience at that licensure level or higher, and:

(A) Have a current healthcare provider CPR instructor card or certificate of course completion that meets or exceeds the 2010 American Heart Association ECC guidelines or equivalent standards approved by the Authority;

(B) Have successfully completed one of the following:

(i) The National Association of EMS Educator Course, developed by the U.S. Department of Transportation, 2002;

(ii) The National Fire Protection Association (NFPA) Fire Instructor I or Fire Service Instructor I and II programs developed by the Department of Public Safety Standards and Training (DPSST);

(iii) At least 40 hours of the Instructor Development Program offered by the DPSST; or

(iv) A minimum of three college credits in adult educational theory and practice or vocational educational theory and practice from an accredited institution of higher learning;

(C) Participated in the Course Director Program offered by the Authority; and

(D) Participated in the Course Director Program updates offered by the Authority.

(2) In addition to the Course Director requirements in section (1) of this rule, a Paramedic Course Director must:

(a) Be an EMS Medical Director and hold a current:

(A) American Board of Emergency Medicine Certificate; or

(B) Advance Cardiac Life Support (ACLS) Instructor certificate and Advance Trauma Life Support certificate or equivalent as approved by the Authority; or

(b) Be a licensed Paramedic in good standing with the Authority with at least three years of experience at the licensure level and:

(A) Possess at least an associate’s degree from an accredited institution of higher learning;

(B) Hold an Advance Cardiac Life Support (ACLS) Instructor certificate from the American Heart Association or equivalent that has been approved by the Authority; and

(C) Hold a Basic Trauma Life Support (BTLS) Instructor certificate or equivalent that has been approved by the Authority, or a Pre-hospital Trauma Life Support (PHTLS) Instructor certificate or equivalent that has been approved by the Authority.

(3) A guest instructor must:

(a) Be qualified and have the expertise in the specific course subject; and

(b) Follow the course curriculum and meet the course objectives for that specific subject.

Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017
Hist.: HD 8-1993, f. 6-22-93, cert. ef. 7-1-93; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0032; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0022

Program Administrator and Faculty Responsibilities

(1) A Program Administrator is responsible for course planning, the organizing and administration of courses, periodic review of courses, program evaluation, and continued development and effectiveness of courses.

(2) A course EMS Medical Director shall:

(a) Provide medical direction for the didactic, clinical and field internship portions of an EMS Provider course; and

(b) Act as the ultimate medical authority regarding course content, procedures and protocols.

(3) A Course Director for a specific course:

(a) Is responsible for course planning and organizing, including scheduling lectures, coordinating and arranging clinical rotations, and field internships;

(b) Is the primary instructor, who conducts at least 50 percent of the didactic sessions, unless this requirement is waived by the Authority in advance;

(c) Must ensure, if guest instructors are used, that the guest instructor is qualified to teach the subject matter, meets requirement set forth in OAR 333-265-0020, and presents lessons that address all objectives identified in the course curriculum for the topic being presented;

(d) Must ensure that:

(A) On the first day of class each student completes a registration form prescribed by the Authority;

(B) Each student is informed that failure to complete a registration form will make them ineligible to take the licensure exam; and

(C) The completed registration forms are collected and submitted to the Authority within 21 calendar days of the first day of class.

(e) Must have written documentation showing whether a student has successfully completed the course as defined in OAR 333-265-0014.

Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0023

EMS Provider Examinations

(1) In order to be an EMR, a candidate must take and pass a cognitive and practical licensure examination.

(2) The EMR cognitive and practical examinations must be administered by an entity approved by the Authority to conduct EMR courses. An approved entity must use an Authority-approved cognitive and practical exam. The National Registry of Emergency Medical Technicians cognitive examination for EMRs may also be used.

(3) EMT, advanced emergency medical technician and Paramedic candidates must complete the cognitive examination designated by the National Registry of EMTs. The fee for this exam must be paid directly to the National Registry of EMTs.

(4) The EMT examination for licensure will be administered by a licensing officer and hosted by a teaching institution that offers EMT courses.

(5) An advanced EMT and Paramedic practical examination is a National Registry of EMTs examination offered at various times during the year by the Authority. An advanced EMT or Paramedic candidate may also take the appropriate practical examination in any state.

(6) The Authority or the National Registry of EMTs shall establish the passing scores of all cognitive and practical licensure examinations.

(7) An EMT candidate who fails:

(a) Not more than two skill stations of the EMT practical examination may retest those skill stations failed on the same day with no additional charge by the Authority.

(b) An EMT skill station a second time must submit a re-examination fee to the Authority and be scheduled through his or her teaching institution to retest any skill station failed.

(c) More than two skill stations of the EMT practical examination must schedule a retest for a separate day through his or her teaching institution, and submit a re-examination fee to the Authority.

(8) If a candidate fails either the cognitive or practical examination three times, the candidate must successfully complete an Authority-approved refresher course for that specific license level to become eligible to re-enter the licensure process. Following successful completion of a refresher course, a candidate must re-take and pass the examination.

(9) The passing results of the cognitive and practical licensure examinations for each level of licensure will remain valid for a 12-month period from the date the examination was successfully completed.

(10) A candidate must pass both the cognitive and practical examinations within 24 months after the completion of the required courses.

(11) A candidate who fails the cognitive or practical examination six times or does not complete the examination process within 24 months of the completion date of the initial required courses, must successfully complete the entire EMT, AEMT, or Paramedic course for that license level and reapply for licensure.

(12) The entity providing a cognitive examination must have a policy for the accommodation of a person with a documented learning disability.

(13) No accommodation shall be provided for a practical licensure examination.

(14) EMT practical examinations must be attended by an Authority-approved licensing officer who:

(a) Is licensed in Oregon at least at the level of examination they are administering with at least two years field experience at that level or above and is in good standing with the Authority; and

(b) Has completed training offered by the Authority explaining the role and responsibilities of a licensing officer.

Stat. Auth.: ORS 682.017, 682.208 & 682.216
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0024

EMT-Intermediate Provider Examination

(1) The EMT-Intermediate examinations for licensure will be administered by a licensing officer and hosted by a teaching institution, EMS agency, or approved hospital that offers EMT-Intermediate courses.

(2) An EMT-Intermediate candidate who fails:

(a) Three or fewer skill stations of the EMT-Intermediate practical examination may retest those skill stations failed on the same day with no additional charge by the Authority.

(b) One or more skill stations a second time must submit a re-examination fee and be scheduled through the Authority to retest any skill station failed.

(c) More than three skill stations of the EMT-Intermediate practical examination must schedule a retest for a separate day, and submit a re-examination fee to the Authority.

(3) If a candidate fails the practical examination three times, the candidate must submit official documentation of remedial education before becoming eligible to re-enter the licensure examination process. Following successful completion of remedial education, a candidate must re-take and pass the practical examination within three additional attempts.

(4) A candidate must pass the practical examination within 24 months after the completion of the required courses.

(5) A candidate who fails the practical examination six times or does not complete the examination process within 24 months of the completion date of the initial required courses, must successfully complete the entire EMT-Intermediate course and reapply for licensure.

(6) No accommodation shall be provided for a practical licensure examination.

(7) An EMT-Intermediate practical examination must be attended by an Authority-approved licensing officer who:

(a) Is licensed in Oregon at least at an EMT-Intermediate level with at least two years field experience at that level or above and is in good standing with the Authority; and

(b) Has completed training offered by the Authority explaining the role and responsibilities of a licensing officer.

Stat. Auth.: ORS 682.017, 682.208, 682.216
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: PH 1-2013, f. & cert. ef. 1-25-13

333-265-0025

Application Process to Obtain an EMS Provider License

(1) For any person to act as an EMS provider a license must be obtained from the Authority.

(2) An applicant for EMR must:

(a) Be at least 16 years of age;

(b) Submit proof of successfully completing an approved course, including completion of all clinical and internship requirements, if applicable;

(c) Submit proof of passing the required cognitive and practical examinations;

(d) Submit a completed application on a form prescribed by the Authority along with the applicable fee;

(e) Consent to a criminal background check through the Law Enforcement Data System (LEDS), including a nationwide criminal record check by fingerprint identification under the authority of ORS 181.534 and 181.537 if required:

(A) The Authority may use information obtained through FBI criminal history records to determine suitability for licensure.

(B) If the Authority determines the information contained in the criminal history record may result in denial of the application or imposed sanctions on the license the applicant will be afforded reasonable time to complete, challenge, or correct the accuracy of the record before a final disposition or sanction is imposed.

(C) Procedures for obtaining a change, correction, or updating of an FBI identification record are set forth in Title 28, C.F.R., 16.34. Procedures for obtaining a change, correction, or updating of an Oregon criminal history record are set forth in OAR 257-010-0035.

(f) Provide authorization for the release of information, as necessary, from any persons or entities, including but not limited to educational institutions, employers, hospitals, treatment facilities, institutions, organization, governmental or law enforcement agencies.

(3) An individual who wishes to become licensed as an EMT, advanced EMT, EMT-Intermediate, or Paramedic shall:

(a) Be at least 18 years of age;

(b) Submit a completed application on a form prescribed by the Authority along with the applicable fee;

(c) Submit proof of successfully completing an approved course, including all clinical and internship requirements if applicable;

(d) Submit proof of passing the required cognitive and practical examinations;

(e) For an EMT, advanced EMT or EMT-Intermediate applicant, submit proof that the applicant received a high school diploma or equivalent or a degree from an accredited institution of higher learning;

(f) For a Paramedic applicant submit proof that the applicant has received an associate’s degree or higher from an accredited institution of higher learning;

(g) Consent to a criminal background check through the Law Enforcement Data System (LEDS), including a nationwide criminal record check by fingerprint identification under the authority of ORS 181.534 and 181.537 if required:

(A) The Authority may use information obtained through FBI criminal history records to determine suitability for licensure.

(B) If the Authority determines the information contained in the criminal history record may result in denial of the application or imposed sanctions on the license the applicant will be afforded reasonable time to complete, challenge, or correct the accuracy of the record before a final disposition or sanction is imposed.

(C) Procedures for obtaining a change, correction, or updating of an FBI identification record are set forth in Title 28, C.F.R., 16.34. Procedures for obtaining a change, correction, or updating of an Oregon criminal history record are set forth in OAR 257-010-0035.

(h) Provide an authorization for the release of information, as necessary, from any persons or entities, including but not limited to educational institutions, employers, hospitals, treatment facilities, institutions, organizations, governmental or law enforcement agencies in order for the Authority to complete the review of the application; and

(4) EMT and EMT-Intermediate applications for licensure must be received by the Authority three weeks prior to the date of the licensing practical examination.

(5) Advanced EMT and Paramedic applications for licensure must be received by the Authority four weeks prior to the date of the practical examinations.

(6) Any fee for a criminal background check through LEDS or a nationwide criminal background check shall be the responsibility of the applicant.

(7) An applicant for an initial license as an EMS provider, who completed training in a program outside Oregon and has never been licensed in another state, must:

(a) Meet all requirements for that level as established in OAR 333-265-0000 through 333-265-0023;

(b) Demonstrate proof of current National Registry certification; and

(c) Make application within 24 months from the date that their training program was completed, unless an applicant has been on active duty in the military within the last four years and in that case, the application may be submitted more than 24 months from the date the training program was completed.

(8) An initial license must not exceed 30 months.

(9) If an applicant has been on active duty in the military within the past four years and the applicant can demonstrate proof of current National Registry certification for the level of license desired, current licensure in another state is not mandatory.

(10) The Authority may return any application that is incomplete or is not accompanied by the appropriate fee.

Stat. Auth.: ORS 682.017, 682.028 & 682.208
Stats. Implemented: ORS 682.017, 682.028 & 682.208
Hist.: OHD 9-2001, f. & cert. ef. 4-24-01; Hist.: PH 10-2008, f. & cert. ef. 6-16-08; PH 11-2008(Temp), f. 6-19-08, cert. ef. 6-20-08 thru 12-12-08; Administrative correction 12-22-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0030

Fees for Licensure and License Renewal of an EMS Provider

(1) Beginning on July 1, 2011 through June 30, 2013 the following fees apply:

(a) Initial application for EMR — $40;

(b) The initial application and same-day practical examination fees for EMTs:

(A) EMT — $100;

(B) Advanced EMT — $110

(C) EMT-Intermediate — $110; and

(D) Paramedic — $275.

(c) Cognitive re-examination fees for EMT-Intermediate — $60.

(d) Practical re-examination fees:

(A) EMT — $50;

(B) Advanced EMT — $75

(C) EMT-Intermediate — $75; and

(D) Paramedic — $95.

(e) Reciprocity licensure fees:

(A) EMR — $40;

(B) EMT — $125;

(C) Advanced EMT — $150

(D) EMT-Intermediate — $150; and

(E) Paramedic — $300.

(f) Provisional licensure fee is an additional $50.

(g) License renewal fees:

(A) EMR — $20;

(B) EMT — $50;

(C) Advanced EMT — $80

(D) EMT-Intermediate — $80; and

(E) Paramedic — $140.

(2) Beginning on July 1, 2013 the following fees apply:

(a) Initial application for EMR — $45;

(b) The initial application and same-day practical examination fees for EMTs:

(A) EMT — $110;

(B) Advanced EMT — $125

(C) EMT-Intermediate — $125; and

(D) Paramedic — $290.

(c) Cognitive re-examination fees for EMT-Intermediate — $60.

(d) Practical re-examination fees:

(A) EMT — $55;

(B) Advanced EMT — $85

(C) EMT-Intermediate — $85; and

(D) Paramedic — $100.

(e) Reciprocity licensure fees:

(A) EMR — $50;

(B) EMT — $140;

(C) Advanced EMT — $165

(D) EMT-Intermediate — $165; and

(E) Paramedic — $300.

(f) Provisional licensure fee is an additional $50.

(g) License renewal fees:

(A) Licensed EMR — $23;

(B) EMT — $55;

(C) Advanced EMT — $85

(D) EMT-Intermediate — $85; and

(E) Paramedic — $150.

(3) As authorized by ORS 682.216, a license renewal application submitted or postmarked after May 1 of the license renewal year must include a $40 late fee in addition to the license renewal fee.

(4) If an EMS Provider has been on active military duty for more than six months of a license renewal period which prevented them from accessing continuing education, the Authority may approve an extension of the current license to permit obtaining the required educational hours.

(5) An ambulance service or rescue service which utilizes volunteers to provide a majority of its services may request that the Authority waive the EMS Provider license renewal fee for its volunteers by applying for a waiver on forms prescribed by the Authority that includes:

(a) A statement certifying that the ambulance or rescue service is unable to maintain an adequate number of volunteer EMS Providers due to the required EMS Provider license renewal fees; and

(b) A copy of a signed agreement between the volunteer service and the volunteer EMS Provider attached to the EMS Provider’s application for license renewal specifying that the EMS Provider:

(A) Is not employed as an EMS Provider elsewhere;

(B) Will be affiliated with the volunteer service for the entire upcoming licensure period;

(C) Will be scheduled monthly to staff the ambulance or rescue service; and

(D) Will immediately pay the Authority the required current EMS Provider license renewal fee if the EMS Provider is not scheduled monthly or is no longer affiliated with a volunteer ambulance or rescue service and wants to remain licensed as an EMS Provider.

(6) An Oregon-licensed EMS Provider wishing to obtain a duplicate EMS Provider license must submit a written request to the Authority in the form required by the Authority and pay a fee in the amount of $25.

(7) All fees established in this section are nonrefundable except that the Authority may waive a subsequent examination fee for a person who fails to appear for an examination due to circumstances that are beyond the control of the candidate.

(8) The fees established in sections (1) and (2) of this rule apply to any application submitted on or after the effective date of these rules.

Stat. Auth.: ORS 682.017, 682.212, 682.216
Stats. Implemented: ORS 682.017, 682.212, 682.216
Hist.: HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0017; HD 8-1995, f. & cert. ef. 11-6-95; OHD 2-1999, f. & cert. ef. 2-4-99; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0040

Licensure as an EMS Provider

(1) The Authority will review an application for licensure as an EMS Provider and will conduct a criminal background check.

(2) If there are no issues that arise during the review of the application and the applicant meets all the requirements of ORS chapter 682 and these rules, the Authority will grant the applicant a license.

3) If the applicant does not meet the standards for licensure or there are criminal history or personal history issues that call into question the ability of the applicant to perform the duties of a licensed EMS Provider in accordance with ORS Chapter 682 or these rules, the Authority may deny the applicant on the basis of the information provided in the application, or conduct an additional investigation in accordance with OAR 333-265-0085.

(4) Following an investigation the Authority may:

(a) Deny the application;

(b) Grant the application but place the applicant on probation;

(c) Grant the application but place practice restrictions on the applicant; or

(d) Grant the application if the criminal or personal history issues were resolved through the investigation to the Authority’s satisfaction.

(5) Final actions taken by the Authority in denying an applicant, placing an applicant on probation, or by placing restrictions on the applicant’s practice shall be done in accordance with ORS Chapter 183.

(6) Nothing in this rule precludes the Authority from taking an action authorized in ORS Chapter 682.

(7) The licenses of EMRs expire on June 30 of even-numbered years.

(8) The licenses of EMTs, Advanced EMTs, EMT-Intermediates and Paramedics expire on June 30 of odd-numbered years.

Stat. Auth.: ORS 682.017, 682.208, 682.216
Stats. Implemented: ORS 682.017, 682.208, 682.216
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0615; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0015; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 11-2008(Temp), f. 6-19-08, cert. ef. 6-20-08 thru 12-12-08; Administrative correction 12-22-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0050

EMS Provider Licensure by Reciprocity

(1) A person registered with the National Registry of EMTs as an EMR, first responder, EMT, EMT-Basic, advanced EMT, EMT-Intermediate I-99, EMT-Intermediate I-85, Paramedic, or EMT-Paramedic may apply to the Authority for licensure by reciprocity until January 1, 2015 at which time only National Registry EMR, EMT, advanced EMT, and Paramedic will be accepted for reciprocity.

(a) A National Registry EMT-Intermediate I-99 may apply for an Oregon EMT-Intermediate licensure by reciprocity until January 1, 2015 at which time National Registry EMT-Intermediate I-99 will no longer be accepted for reciprocity.

(b) A National Registry EMT-Intermediate I-85 may apply for an EMT licensure by reciprocity until January 1, 2015 at which time National Registry EMT-Intermediate I-85 will no longer be accepted for reciprocity.

(2) A person applying for Oregon EMS provider licensure by reciprocity shall:

(a) Submit a completed application on a form prescribed by the Authority along with the applicable nonrefundable fee;

(b) Submit documentation of the EMS provider training which meets or exceeds the requirements for Oregon EMS provider licensure at the level of licensure for which the person is applying;

(c) If applying for Paramedic licensure by reciprocity, submit proof of having received an associate’s degree or higher from an accredited institution of higher learning or submit proof of having worked for at least three years out of the last five years as a Paramedic in either another state or in the United States military at the National Registry Paramedic level.

(d) Be in good standing with the applicant’s current licensing agency and with the National Registry of EMTs; and

(e) Consent to a criminal background check in accordance with OAR 333-265-0025(3).

(3) The Authority shall review an application for licensure by reciprocity and shall conduct a criminal background check.

(4) If there are no issues that arise during the review of the application and the applicant meets all the applicable requirements of ORS chapter 682 and these rules, the Authority shall grant the applicant a license by reciprocity.

(5) If the applicant does not meet the standards for licensure, or there are criminal history or personal history issues that call into question the ability of the applicant to perform the duties of a licensed EMS provider, in accordance with ORS chapter 682 or these rules, the Authority may deny the application on the basis of the information provided, or conduct an additional investigation in accordance with OAR 333-265-0085. Following such an investigation the Authority may take any action as specified in OAR 333-265-0040(4).

(6) The Authority shall be the sole agency authorized to determine equivalency of EMS provider course work presented from an out-of-state accredited institution of higher learning.

(7) The Authority shall be the sole agency authorized to determine equivalency of work experience in lieu of the associate degree requirement for Paramedics.

(8) The Authority shall return any application that is incomplete, or cannot be verified.

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0620; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 18-1990(Temp), f. & cert. ef. 6-19-90; HD 19-1991, f. & cert. ef. 10-18-91; HD 8-1993, f. 6-22-93, cert. ef. 7-1-93; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0020; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 1-2011, f. & cert. ef. 1-6-11; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0060

Paramedic Provisional Licensure

(1) As authorized by ORS 682.216, the Authority may issue a provisional Paramedic license to an out-of-state licensed Paramedic who meets the requirements in OAR 333-265-0050, except for the educational requirements in OAR 333-265-0050(3)(a) and is in the process of obtaining an associate’s degree or higher from an accredited institution for higher learning.

(2) A provisional license shall only be provided in the event that the associate’s degree or higher is obtainable within two years.

(3) An applicant shall comply with the application requirements in OAR 333-265-0050 and shall submit:

(a) A letter of recommendation from the applicant’s most recent medical director;

(b) A letter from an Oregon EMS agency specifying that the person shall be immediately employed or has a conditional offer of employment, whether in a paid or volunteer capacity; and

(c) A letter from the applicant’s prospective EMS medical director stating that the EMS medical director will serve as his or her EMS medical director while being provisionally licensed.

(4) The Authority may return any application that is incomplete, cannot be verified, or is not accompanied by the appropriate fee.

(5) A Paramedic with a provisional license issued under these rules shall enter into an agreement with the Authority and shall submit quarterly reports to the Authority describing the license holder’s progress in obtaining an associate’s degree or higher from an accredited institution for higher learning.

(6) A Paramedic provisional license shall be revoked if the person:

(a) Ceases active involvement in emergency medical services;

(b) Fails to meet the conditions set forth in the agreement;

(c) Fails to cooperate or actively participate in a request from the Authority in order to obtain more information or required materials;

(d) Has his or her EMS provider scope of practice revoked or restricted by his or her EMS medical director; or

(e) Does not submit written documentation of the successful completion of any of the educational requirements set out in this rule

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0070

Licensure as an EMS Provider of Any Person in Another State

(1) Any person who provides pre-hospital emergency or non-emergency care in Oregon must be licensed as an Oregon EMS Provider and function under an Authority-approved EMS Medical Director.

(2) Oregon EMS Provider licensure is not required when:

(a) Specifically exempted by ORS 682.035;

(b) An out-of-state licensed EMS Provider is transporting a patient through the state;

(c) An out-of-state licensed EMS Provider is caring for and transporting a patient from an Oregon medical facility to an out-of-state medical facility or other out-of-state location;

(d) An out-of-state licensed EMS Provider is caring for and transporting a patient originating from outside of Oregon to a medical facility or other location in Oregon; or

(e) A disaster or public health emergency has been declared under ORS Chapter 401 or 433 and licensing provisions have been waived by the Governor.

Stat. Auth.: ORS 682.017, 682.204
Stats. Implemented: ORS 682.017, 682.204
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0625; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0025; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0080

Reportable Events; Investigations and Discipline of License Holders

(1) In accordance with ORS 676.150 and using a form prescribed by the Authority, EMS Providers must notify the Authority of the actions or events listed in section (3) of this rule. Failure to comply with the reporting requirements of this rule may result in disciplinary action against the EMS Provider.

(2) An EMS Provider who has reasonable cause to believe another EMS Provider has engaged in prohibited, dishonorable or unprofessional conduct as defined in ORS 676.150, 682.025 and 682.220 shall report that conduct to the Authority without undue delay, within 10 days, after the EMS Provider learns of the conduct unless state or federal laws relating to confidentiality or the protection of health information prohibit such a disclosure.

(3) Within 10 calendar days an EMS Provider shall report to the Authority the following:

(a) Conviction of a misdemeanor or felony;

(b) A felony arrest;

(c) A disciplinary restriction placed on a scope of practice of the license holder by the EMS Medical Director;

(d) A legal action being filed against the license holder alleging medical malpractice or misconduct;

(e) A physical disability that affects the ability of the license holder to meet the Functional Job Analysis, Appendix A of the EMT, National Standard Curriculum, incorporated by reference, and the license holder continues to respond to calls and is providing patient care; or

(f) A change in mental health which may affect a license holder’s ability to perform as a licensed EMS Provider.

(4) State or federal laws relating to confidentiality or the protection of health information that might prohibit an EMS Provider from reporting prohibited or unprofessional conduct include but are not limited to:

(a) Public Law 104-191, 42 CFR Parts 160, 162, and 164 (The Health Insurance Portability and Accountability Act, HIPAA);

(b) 42 CFR Part 2 (federal law protecting drug and alcohol treatment information);

(c) ORS 192.518 through 192.529 (state law protecting health information); and

(d) ORS 179.505 (written accounts by health care providers).

Stat. Auth.: ORS 682.017, 682.220, 682.224
Stats. Implemented: ORS 682.017, 682.220, 682.224
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0635; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0035; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0083

Conduct or Practice Contrary to Recognized Standards of Ethics

The following list includes, but is not limited to, conduct or practice by an EMS Provider that the Authority considers to be contrary to the recognized standards of ethics of the medical profession:

(1) Knowing or willful violation of patient privacy or confidentiality by releasing information to persons not directly involved in the care or treatment of the patient;

(2) Illegal drug use on or off duty;

(3) Alcohol use within eight hours of going on duty or while on duty or in an on-call status;

(4) Violation of direct verbal orders from a physician who is responsible for the care of a patient;

(5) Violation of orders given by an online medical resource physician, whether delivered by radio or telephone;

(6) Violation of standing orders without cause and documentation;

(7) Use of invasive medical procedures in violation of generally accepted standards of the medical community;

(8) Any action that constitutes a violation of any statute, municipal code, or administrative rule that endangers the public, other public safety officials, other EMS Provider, patients, or the general public (including improper operation of an emergency medical vehicle);

(9) Instructing, causing or contributing to another individual violating a statute or administrative rule, including EMS Provider acting in a supervisory capacity;

(10) Participation in the issuance of false continuing education documents or collaboration therein, including issuing continuing education verification to one who did not legitimately attend an educational event;

(11) Signing-in to an educational event for a person not actually present;

(12) Knowingly assisting or permitting another EMS Provider to exceed his or her lawful scope of practice;

(13) Unlawful use of emergency vehicle lights and sirens;

(14) Providing false or misleading information to the Authority, to the State EMS Committee, to the Subcommittee on EMT Licensure and Discipline, to an EMS teaching institution or clinical/field internship agency;

(15) Responding to scenes in which the EMS Provider is not properly dispatched ("call-jumping"), whether in a private auto, ambulance, or other vehicle, in contravention of local protocols, procedures, or ordinances, or interfering with the safe and effective operation of an EMS system;

(16) Cheating on any examination used to measure EMS related knowledge or skills;

(17) Assisting another person in obtaining an unfair advantage on an EMS Provider examination;

(18) Defrauding the Authority;

(19) Knowingly providing emergency medical care aboard an unlicensed ambulance;

(20) Violation of the terms of a written agreement with the Authority or an order issued by the Authority;

(21) Sexual misconduct that includes but is not limited to:

(a) Sexual harassment; and

(b) Engaging or attempting to engage in a sexual relationship, whether or not the sexual relationship is consensual, with a patient, client, or key party;

(c) Using the EMT-patient, EMT-client, or EMT-key party relationship to exploit the patient, client or key party by gaining sexual favors from the patient, client or key party.

(22) Arriving for duty impaired or in a condition whereby the EMS Provider is likely to become impaired through fatigue, illness, or any other cause, as to make it unsafe for the employee to begin to operate an ambulance or provide patient care;

(23) Failure to cooperate with the Authority in an investigation, including failure to comply with a request for records, or a psychological, physical, psychiatric, alcohol or chemical dependency assessment; and

(24) Any violation of these rules or any law, administrative rule, or regulation governing ambulances, EMS Providers, or emergency medical service systems.

Stat. Auth.: ORS 682.017
Stats. Implemented: ORS 682.017, 682.220, 682.224
Hist.: PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0085

Investigations

(1) The Authority may conduct an investigation of an EMS provider if:

(a) The Authority receives a complaint concerning an EMS provider;

(b) Personal or criminal history questions arise during a review of an application that raise questions about the EMS provider's ability to safely perform the duties of an EMS provider;

(c) A reportable action is received pursuant to OAR 333-265-0080; or

(d) The Authority receives information in any manner that indicates an EMS provider has violated ORS chapter 682 or these rules, may be medically incompetent, guilty of prohibited, unprofessional or dishonorable conduct or mentally or physically unable to safely function as an EMS provider.

(2) The Authority may investigate the off-duty conduct of an EMS provider to the extent that such conduct may reasonably raise questions about the ability of the EMS provider to perform the duties of an EMS provider in accordance with the standards established by this division.

(3) Upon receipt of a complaint about an EMS provider or applicant, the Authority may conduct an investigation as described under ORS 676.165 and 682.220. Investigations shall be conducted in accordance with ORS 676.175.

(4) The fact that an investigation is conducted by the Authority does not imply that disciplinary action will be taken.

(5) During an investigation the Authority may do any of the following:

(a) Request additional information from the EMS provider;

(b) Conduct a phone or in-person interview; or

(c) Request or order that the EMS provider undergo a psychological, physical, psychiatric, alcohol or chemical dependency assessment.

Stat. Auth.: ORS 676.165, 676.175
Stats. Implemented: ORS 682.017, 682.220, 682.224
Hist.: PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0087

Discipline

(1) Upon completion of an investigation the Authority may do any of the following:

(a) Close the investigation and take no action;

(b) Issue a letter of reprimand or instruction;

(c) Place the EMS Provider on probation;

(d) Place a practice restriction on the EMS Provider;

(e) Suspend the EMS Provider;

(f) Revoke the license of the EMS Provider;

(g) Enter into a stipulated agreement with the EMS Provider to impose discipline; or

(h) Take such other disciplinary action as the Authority, in its discretion, finds proper, including assessment of a civil penalty not to exceed $5,000.

(2) Any disciplinary action taken by the Authority will be done in accordance with ORS Chapter 183.

(3) The Authority may assess the costs of a disciplinary proceeding against an EMS Provider. Costs may include, but are not limited to:

(a) Costs incurred by the Authority in conducting the investigation;

(b) Costs of any evaluation or assessment requested by the Authority; and

(c) Attorney fees.

(4) Voluntary Surrender:

(a) An EMS Provider may voluntarily surrender his or her license if the EMS Provider submits a written request to the Authority specifying the reason for the surrender and the Authority agrees to accept the voluntary surrender.

(b) The Authority may accept a voluntary surrender of the EMS Provider on the condition that the EMS Provider does not reapply for licensure, or agrees not to reapply for a specified period of time.

(5) If an EMS Provider who voluntarily surrendered his or her EMS Provider license applies for reinstatement, the Authority may deny that person's application if the Authority finds that the person has committed an act that would have resulted in discipline being imposed while they were previously licensed.

(6) If an EMS Provider’s license is revoked he or she may not reapply for licensure for at least two years from the date of the final order revoking the license.

Stat. Auth.: ORS 682.017, 682.220, 682.224
Stats. Implemented: ORS 682.017, 682.220, 682.224
Hist.: PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0090

Reverting to a Lower Level of EMT Certification

(1) An EMT, Advanced EMT, EMT-Intermediate, or Paramedic may revert to a lower level of licensure at any time during a license period if the EMT, Advanced EMT, EMT-Intermediate, or Paramedic:

(a) Submits a written request to the Authority specifying the reason for the change in the licensure level;

(b) Submits an application for license renewal for the lower level of licensure sought with the appropriate fee;

(c) Surrenders his or her current EMT, Advanced EMT, EMT-Intermediate, or Paramedic license to the Authority;

(d) Is in good standing with the Authority;

(e) Adequately documents appropriate continuing education hours and courses for the licensure level the individual would revert to; and

(f) Receives written approval from the Authority for a change in licensure level.

(2) If an EMT, Advanced EMT, EMT-Intermediate, or Paramedic requests reinstatement of the higher level of licensure within one year of reverting to a lower level of licensure the EMT, Advanced EMT, EMT-Intermediate, or Paramedic must complete the requirements specified in OAR 333-265-0100(3) and 333-265-0105.

(3) If an EMT, Advanced EMT, EMT-Intermediate, or Paramedic requests reinstatement of the higher level of licensure after one year, but less than two years the EMT, Advanced EMT, EMT-Intermediate, or Paramedic must complete the requirements specified in OAR 333-265-0105.

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0037; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 16-2010(Temp), f. & cert. ef. 7-16-10 thru 1-1-11; PH 1-2011, f. & cert. ef. 1-6-11; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0100

Expiration and Renewal of EMS Provider License

(1) The licenses of EMRs expire on June 30 of even-numbered years.

(2) The licenses of EMTs, Advanced EMTs, EMT-Intermediates and Paramedics expire on June 30 of odd-numbered years.

(3) An applicant for license renewal must:

(a) Complete and sign an application form prescribed by the Authority certifying that the information in the application is correct and truthful;

(b) Meet the requirements of ORS Chapter 682 and these rules;

(c) Consent to a criminal background check in accordance with OAR 333-265-0025(3);

(d) Provide an authorization for the release of information to the Authority, as necessary, from any persons or entities, including but not limited to employers, educational institutions, hospitals, treatment facilities, institutions, organizations, governmental or law enforcement agencies in order for the Authority to make a complete review of the application.

(e) Complete the continuing education requirements in OAR 333-265-0110; and

(f) Submit a fee set out in OAR 333-265-0030.

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0640; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0040; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0105

Reinstatement of an EMS Provider License

(1) To reinstate an expired Oregon EMR, EMT, advanced EMT, EMT-Intermediate, or Paramedic license that has been expired for less than one year, an applicant must:

(a) Submit a completed application for license renewal;

(b) Submit the appropriate license renewal fee plus a late fee; and

(c) Provide evidence of completion of continuing education requirements as specified in Appendices 1 through 3, incorporated by reference, and courses completed from the license holder’s last successful application through the date of the present application for license renewal, as specified in this rule:

(A) EMR before July 1, 2012 or on or after July 1, 2014 refer to Appendix 1;

(B) EMR on or after July 1, 2012 but before July 1, 2014 refer to Appendix 2;

(C) EMT, AEMT, EMT-Intermediate, and Paramedic before July 1, 2013 or on or after July 1, 2015 refer to Appendix 1;

(D) EMT, AEMT, EMT-Intermediate, and Paramedic on or after July 1, 2013 but before July 1, 2015 refer to Appendix 3;

(2) Reinstatement of an EMR license that has been expired for more than one year will require retaking and passing the course and examinations.

(3) Reinstatement of an EMT-Intermediate license that has been expired for more than one year will require retaking and passing the course and examinations.

(4) To reinstate an Oregon EMT or EMT-Paramedic license that has been expired for more than one year, but less than two years, a license holder must submit a completed application for licensure with the appropriate fee and successfully complete an Authority-approved reinstatement program described in these rules.

(5) Reinstatement program for an EMT:

(a) Obtain an American Heart Association "Health Care Provider," or American Red Cross "Basic Life Support for the Professional Rescuer," or other Authority-approved equivalent CPR course completion document;

(b) Complete the EMT Authority-approved Refresher Training Program;

(c) Pass the EMT cognitive and practical examinations within three attempts, including a same-day re-examination; and

(d) Complete the above listed program requirements within 730 calendar days from expiration date.

(6) Reinstatement program for an advanced EMT:

(a) Obtain an American Heart Association "Health Care Provider," or American Red Cross "Basic Life Support for the Professional Rescuer," or other Authority-approved equivalent CPR course completion document;

(b) Complete a Basic Trauma Life Support (BTLS) course, or Pre-Hospital Trauma Life Support (PHTLS) course, provider or instructor course; and

(c) Complete the above listed program requirements within 730 calendar days from expiration date.

(7) Reinstatement program for a Paramedic:

(a) Complete an Advanced Cardiac Life Support (ACLS) course, provider or instructor course;

(b) Complete a Basic Trauma Life Support (BTLS) course, or Pre-Hospital Trauma Life Support (PHTLS) course, provider or instructor course;

(c) Complete an Advanced Pediatric Life Support (APLS), Pediatric Advanced Life Support (PALS), Pediatric Education for Pre-hospital Professionals (PEPP), or Neonatal Advance Life Support (NALS) course, provider or instructor course;

(d) Complete the U.S. Department of Transportation, National Highway Traffic Safety Administration 2001 Paramedic: National Standard Curriculum Refresher Training Program, incorporated by reference;

(e) Pass the Paramedic cognitive and practical examinations within three attempts, including the same-day re-examination;

(f) Complete the above listed program requirements within two years of applying for reinstatement; and

(g) Document completion of a DOT Paramedic Training Program taken after January 1, 1977.

(h) If the requirements described in OAR 333-265-0105(6) cannot be met prior to 730 calendar days from expiration date an applicant must follow the National Registry’s re-entry requirements to obtain a new National Registry certification before applying for a new license as outlined in OAR 333-265-0025.

[ED. NOTE: Appendices referenced are not included in rule text. Click here for PDF copy of appendices.]

Stat. Auth.: ORS 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 16-2010(Temp), f. & cert. ef. 7-16-10 thru 1-1-11; PH 1-2011, f. & cert. ef. 1-6-11; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0110

Licensed EMS Provider Continuing Education Requirements for License Renewal

(1) An EMR is required to:

(a) Complete 12 hours of continuing education as specified in Appendix 1, incorporated by reference;

(b) On or after July 1, 2012 but before July 1, 2014 an EMR must complete 12 hours of continuing education as specified in Appendix 2, incorporated by reference during which period a current National Registry of Emergency Medical Technicians certification will not be accepted in lieu of requirements listed in Appendix 2

(c) On or after July 1, 2014 an EMR must complete 12 hours of continuing education as specified in Appendix 1, incorporated by reference; or

(d) Complete all requirements of the National Registry of Emergency Medical Technicians for EMR re-registration.

(2) An EMT is required to:

(a) Complete 24 hours of continuing education as specified in Appendix 1, incorporated by reference;

(b) On or after July 1, 2013 but before July 1, 2015 an EMT must complete 24 hours of continuing education as specified in Appendix 3, incorporated by reference during which period a current National Registry of Emergency Medical Technicians certification will not be accepted in lieu of requirements listed in Appendix 3;

(c) On or after July 1, 2015 an EMT must complete 24 hours of continuing education as specified in Appendix 1, incorporated by reference; or

(d) Complete all requirements of the National Registry of EMT or Emergency Medical Technician re-registration.

(3) An advanced EMT is required to:

(a) Complete 36 hours of continuing education as specified in Appendix 1, incorporated by reference;

(b) On or after July 1, 2013 but before July 1, 2015 an advanced EMT must complete 36 hours of continuing education as specified in Appendix 3, incorporated by reference during which period a current National Registry of Emergency Medical Technicians certification will not be accepted in lieu of requirements listed in Appendix 3;

(c) On or after July 1, 2015 an advanced EMT must complete 36 hours of continuing education as specified in Appendix 1, incorporated by reference; or

(d) Complete all requirements of the National Registry of EMTs re-registration.

(4) An EMT-Intermediate is required to:

(a) Complete a course with published standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care in which the EMT has demonstrated knowledge and skills in the performance of subcutaneous (SQ) injections, automated external defibrillator (AED) operation, one and two person rescuer cardiopulmonary resuscitation (adult, child, and infant) and relief of foreign body airway obstruction; and

(b) Obtain at least 36 hours of continuing education as specified in Appendix 1, incorporated by reference; or

(c) On or after July 1, 2013 but before July 1, 2015 an EMT-Intermediate must complete 36 hours of continuing education as specified in Appendix 3, incorporated by reference during which period a current National Registry of Emergency Medical Technicians certification will not be accepted in lieu of requirements listed in Appendix 3; or

(d) On or after July 1, 2015 an EMT-Intermediate must complete 36 hours of continuing education as specified in Appendix 1, incorporated by reference.

(5) A Paramedic is required to:

(a) Complete all requirements of the National Registry of EMTs re-registration; or

(b) Obtain at least 48 hours of continuing education as specified in Appendix 1, incorporated by reference; or

(c) On or after July 1, 2013 but before July 1, 2015 a Paramedic must complete 48 hours of continuing education as specified in Appendix 3, incorporated by reference during which period a current National Registry of Emergency Medical Technicians certification will not be accepted in lieu of requirements listed in Appendix 3; or

(d) On or after July 1, 2015 a Paramedic must complete 48 hours of continuing education as specified in Appendix 1, incorporated by reference.

(6) All continuing education credits specified in sections (1) through (5) of this rule shall be completed between the date of the license holder’s last successful application to the date of the license holder’s current license renewal application.

(7) Continuing education credit shall be granted hour-for-hour for:

(a) Attending training seminars, educational conferences, and continuing education classes within the license holder’s scope of practice;

(b) Attending live, webinar, or interactive online courses for the same or higher level of licensure;

(c) Online continuing education that provides a certificate of completion and is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS);

(d) Related accredited college courses will count one hour per credit hour received; and

(e) Authority-approved license renewal courses.

(8) Up to 50 percent of the hours of continuing education credits for each subject listed in section 1 of the appropriate appendix as incorporated by reference may be obtained by:

(a) Watching a video, CD-ROM, or other visual media;

(b) Being an EMT practical licensure exam evaluator, if the license holder is qualified as such;

(c) Reading EMS journals or articles; and

(d) Teaching any of the topics listed in the appendices as incorporated by reference, if the license holder is qualified to teach the subject.

(9) In addition to the hours of continuing education required in this rule, any affiliated EMS provider license holder must, as specified in section 2 of the appendices, incorporated by reference, demonstrate skills proficiency through a hands-on competency examination supervised by the EMS medical director or his or her designee. An EMS medical director may require successful performance in a minimum number of clinical skills in these areas on either human subjects or mannequins (e.g. venipunctures, endotracheal intubations, etc.).

(10) An EMS medical director may require additional continuing education requirements and skill competency.

(11) When a license holder obtains an initial license and there is:

(a) Less than six months until license renewal, no continuing education credits are required to obtain license renewal;

(b) More than six months but less than one year until license renewal, the license holder must complete 50 percent of the continuing education credits in each category; or

(c) More than one year until license renewal, the license holder must complete all continuing education credits.

(12) Continuing education credits are granted on an hour-for-hour basis.

(13) It shall be the responsibility of each license holder to ensure the hours obtained meet the Authority’s license renewal requirements.

(14) A license holder must submit proof, in a manner prescribed in OAR 333-265-0140 that the continuing education requirements have been met.

(15) Education programs, journals and articles used towards continuing education must be approved by the EMS medical director or the Authority.

[ED. NOTE: Appendices referenced are not included in rule text. Click here for PDF copy of appendicies.]

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; HD 63, f. 6-6-74, ef. 6-25-74; HD 1-1981, f. & ef. 1-14-81; Renumbered from 333-023-0645; HD 19-1984, f. & ef. 9-10-84; HD 16-1986, f. & ef. 9-9-86; HD 19-1991, f. & cert. ef. 10-18-91; HD 18-1994, f. 6-30-94, cert. ef. 7-1-94, Renumbered from 333-028-0045; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 1-2011, f. & cert. ef. 1-6-11; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0140

Maintaining Licensed EMS Provider Continuing Education Records

(1) A license holder is responsible for retaining records that show successful completion of all required continuing education for the two previous licensure periods.

(2) The Authority will accept as proof of successful completion:

(a) A class roster that contains:

(A) The name of the teaching institution or EMS agency;

(B) The date of the class;

(C) The class topic;

(D) The length of the class;

(E) The full name of the license holder attending the class; and

(F) The full name of the instructor.

(b) A computer-generated printout history of the license holder’s continuing education record that contains:

(A) The full name of the license holder;

(B) The name of the teaching institution or EMS agency conducting the classes;

(C) The dates of the classes;

(D) The class topics;

(E) The length of each class; and

(F) The full name of each instructor.

(c) A certificate of course completion for one or more topics that contains:

(A) The name of the teaching institution or EMS agency conducting the course;

(B) The date(s) of the course;

(C) The course topic(s);

(D) The length of the course; and

(E) The full name of the license holder attending the course.

(d) If the certificate does not list each course topic, then a copy of the program listing each course topic and length of each presentation must be attached to the certificate.

Stat. Auth.: ORS 682.017, 682.216
Stats. Implemented: ORS 682.017, 682.216
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; OHD 9-2001, f. & cert. ef. 4-24-01; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0150

Licensed EMS Provider Continuing Education Records Audit

(1) The Authority may conduct an audit of a license holder’s continuing education records:

(a) The Authority shall notify the license holder by certified mail that he or she is being audited and provide him or her with the necessary audit forms and the date the completed forms are to be returned to the Authority; and

(b) Upon the return of the completed audit forms to the Authority, the Authority shall begin the process of verifying the continuing education records.

(2) If, in the course of an audit of continuing education records, the Authority learns that, contrary to the sworn statement in the application for license renewal or in the official audit form, the license holder has not completed all necessary continuing education requirements, the Authority may:

(a) Discipline the license holder as set out in OAR 333-265-0080;

(b) Assess a monetary penalty in the amount of $10 per each hour of deficient continuing education; or

(c) Require the license holder to demonstrate his or her knowledge and psychomotor skills by taking and passing a cognitive and practical examination conducted by the Authority.

(3) The actions taken by the Authority in section (2) of this rule will be done in accordance with ORS Chapter 183.

Stat. Auth.: ORS 682.017, 682.216, 682.220, 682.224
Stats. Implemented: ORS 682.017, 682.208, 682.220, 682.224
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

333-265-0160

License Holder’s Responsibility to Notify the Authority of Changes

(1) A license holder must keep the Authority apprised of and report the following changes within 30 calendar days of a change in:

(a) EMS medical director, unless the license holder is affiliated with an ambulance service that is on file with the Authority;

(b) Legal name;

(c) Mailing address;

(d) Electronic mail address;

(e) Main contact phone number; or

(f) EMS affiliation.

(2) When reporting a new affiliation an EMS provider must supply the Authority with verification of completion of skills competency as referenced in Appendix 1 and it must be signed by his/her medical director or designee unless verification was completed during the most recent license renewal period.

[ED. NOTE: Appendices referenced are not included in rule text. Click here for PDF copy of appendicies.]

Stat. Auth.: ORS 682.017, 682.208, 682.220, 682.224
Stats. Implemented: ORS 682.017, 682.208, 682.220, 682.224
Hist.: HD 18-1994, 6-30-94, cert. ef. 7-1-94; HD 8-1995, f. & cert. ef. 11-6-95; OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 13-2010, f. 6-30-10, cert. ef. 7-1-10; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12; PH 1-2013, f. & cert. ef. 1-25-13

333-265-0170

Displaying EMS Provider Licensure Level

(1) A licensed EMS Provider providing patient care must display his or her level of licensure on the outmost garment of his or her usual work uniform.

(2) A licensed EMS Provider-licensure level need not be displayed on emergency work apparel not normally worn during the provision of pre-hospital patient care, such as haz-mat suits, anti-contamination or radiation suits, firefighting apparel, etc.

(3) A licensed EMS Provider responding from home or other off-duty locations shall make a reasonable effort to display his or her licensure level. Baseball-type hats, T-shirts, safety vests, etc. are accepted for this purpose.

Stat. Auth.: ORS 682.017, 682.204, 682.220, 682.265
Stats. Implemented: ORS 682.017, 682.204, 682.220, 682.225
Hist.: OHD 9-2001, f. & cert. ef. 4-24-01; PH 10-2008, f. & cert. ef. 6-16-08; PH 15-2011, f. 12-28-11, cert. ef. 1-1-12

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