Chapter 03. Basic Life Support Education Programs

Admission;

Frequent evaluation of each student during the course of study including evaluation of competency in providing patient care;

Student requirements for:

Student access to program information including:

Selection of:

Nondiscrimination and fair practices with regard to students, faculty, and program personnel; and

Review and improvement of the effectiveness of student evaluation techniques.

Student's name;

Student's status; and

BLS education program.

Students;

Faculty;

Courses including:

Written agreements with facilities and agencies providing clinical and field experience which include:

Didactic instruction which shall impart fundamental knowledge, skills, and attitudes which contribute to the delivery of state-of-the-art prehospital emergency medical care including:

Supervised field internship which includes practice of skills while functioning in a prehospital BLS environment.

Demonstrates the methods of distance education utilized are educationally and technically appropriate for the content and audience; and

Ensures the quality of the distance education method including:

Medical director;

Program coordinator; and

BLS instructors.

Is a physician licensed to practice medicine in Maryland;

Has current working knowledge and experience in emergency medical care of acutely ill or injured patients;

Has working knowledge of the Maryland EMS system; and

Has working knowledge of the Maryland Medical Protocols for Emergency Medical Services Providers.

At least 2 years experience instructing and evaluating EMT-B students;

Experience with administration of educational programs;

A BLS certification or equivalent; and

Knowledge of the Maryland Medical Protocols for Emergency Medical Services Providers.

Have overall responsibility for the success of the emergency medical technician education program, including continuous quality review and improvement of the education program;

Serve as the education program student/faculty liaison; and

Identify sites where students can fulfill field internship requirements.

Is currently certified as an MICRB Level II emergency services instructor who has successfully:

Has at least 3 consecutive years of experience as an emergency medical technician or higher;

Maintains a Maryland EMS certification or license as an emergency medical technician or higher; and

Has current knowledge of the Maryland Medical Protocols for Emergency Medical Services Providers.

The course instruction; and

Any interim or additional emergency medical technician instructors assisting with the course.

Completing requirements as an MICRB instructor and:

Maintaining a valid Maryland EMS certification of emergency medical technician or higher; and

Attending mandatory protocol updates.

A former emergency medical technician instructor whose approval has lapsed may apply to the sponsoring agency for reinstatement within 3 years of expiration. The emergency medical technician instructor reinstatement candidate shall:

An emergency medical technician instructor whose approval status has been expired for more than 3 years shall meet initial emergency medical technician instructor requirements.

Each BLS education program shall have access to emergency medical technician field training coaches who shall supervise and evaluate each student's internship performance in an approved prehospital setting or MIEMSS-approved equivalent.

An emergency medical technician field training coach shall possess appropriate:

The ratio of students to emergency medical technician field training coach shall be one to one to ensure effective learning and supervision.

Each emergency medical technician field training coach shall complete emergency medical technician field training coach orientation, and be approved by the local EMS operational program.

Has a current EMS certification at least equivalent to the level of education being taught; and

Is experienced with the administration of education programs.

Administration;

Program planning;

Effectiveness;

Evaluation;

Supervision;

Quality of the:

Organization;

The competency of each graduate at the time of course completion; and

Continuous quality review and improvement of the EMR education program.

EMR instructors;

Interim EMR instructors under the supervision of an EMR instructor; or

Emergency medical technician instructors.

Successfully complete a MIEMSS-approved instructor training course;

Successfully complete a MIEMSS EMR instructor course and a MIEMSS-approved EMR written examination, with a minimum score as approved by MIEMSS;

Successfully complete 2 hours of supervised practice teaching consisting of 1 hour didactic and 1 hour practical skills, and receive a satisfactory evaluation from a MIEMSS-approved EMR instructor evaluator or an emergency medical technician instructor who is also an approved MICRB evaluator;

Teach 40 hours as an interim instructor and receive two consecutive satisfactory evaluations from a MIEMSS-approved EMR instructor evaluator, or an emergency medical technician instructor who is also an approved MICRB evaluator; and

Submit to MIEMSS at the end of the interim teaching:

Satisfy all of the following:

Maintain current MIEMSS approval as an emergency medical technician instructor and attend EMR instructor workshops as necessary.

A former EMR instructor whose approval has expired may apply to MIEMSS for reinstatement within 3 years of expiration. The EMR instructor reinstatement candidate shall:

Approval as an EMR instructor shall be for 3 years or concurrent with the EMR, the emergency medical technician, or the MICRB certification period.

An EMR instructor whose lapsed approval status is in excess of 3 years is required to meet initial EMR instructor requirements.

Patient assessments;

EMS orientation; and

Additional components as approved by MIEMSS.

Comply with the laws of the state where the field internships are located; and

Notify the appropriate EMS officials in the state where the field internships are located of the presence of program students in those internships.

Instruction;

Resources;

Responsiveness to recommendations for change;

Instructors; and

Students' ability to function as entry-level providers upon successful completion of the course.

Update program information; and

Identify any major changes in the program during the year.

Written examinations;

Oral examinations; and

Practical examinations.

Complies with COMAR 30.04.02; and

Remains an accredited program in good standing with the Commission.

After a completed application is accepted by MIEMSS, a site visit shall be scheduled at a mutually convenient time.

The site review team shall be selected by MIEMSS and consist of:

If an applicant can demonstrate a reasonable basis for concern, MIEMSS shall consider allegations that conflicts of interest exist between a site reviewer and an applicant.

The site review team shall send a written report to MIEMSS after the site visit.

The site review team shall send a written report to MIEMSS within 30 days after the site visit.

The site review team and MIEMSS shall finalize the site visit and report and MIEMSS shall submit a recommendation to the EMS Board.

Five-Year Approval. If the EMS Board determines that the applicant is in compliance with this chapter, the EMS Board shall grant the applicant a 5-year approval as a BLS education program.

To maintain approval the BLS education program shall:

Provisional Approval.

Denial or Revocation of Approval. The EMS Board may deny or revoke program approval if a BLS education program is not in compliance with this chapter. The program shall be notified by mail of the EMS Board's decision. If the decision is other than a 5-year approval, the notice shall:

MIEMSS may approve out-of-State BLS education programs that meet the standards set by the EMS Board to allow out-of-State BLS students enrolled in these programs to participate in Maryland internship and ride along programs in the course of their training under Education Article, §13-516(b)(1)(ii), Annotated Code of Maryland.

MIEMSS personnel may attend course sessions for quality assurance.

Be sent to MIEMSS in an approved format; and

Be signed by the program director.

Approved ALS education programs may offer BLS courses.

The ALS education program shall request MIEMSS approval of BLS courses and request a course number at least 20 days before the first class.

Sections of the course application that parallel the ALS education program approval process may be waived if the ALS education program complies with COMAR 30.04.03.

ALS education program requests for BLS course approval and a course number shall be sent to MIEMSS in an approved format and signed by the program director.