EMT Basic Jurisprudence Quiz
Hearing Request
(1) A request for a hearing shall be in writing and submitted to the department and postmarked no later than 30 days after the date of the notice. The hearing shall be conducted pursuant to the Administrative Procedure Act, Government Code, Chapter 2001. (2) If the candidate, applicant or licensee does not request a hearing in writing within 30 days after proper notice, the individual is deemed to have waived the opportunity for a hearing as outlined in the notice.
Recertification rules
(1) Applicant shall be re-certified for a period of four years beginning on the date of issuance.
If you're certified in another state, can you work in Texas?
(1) Apply for equal or lower level Texas certification by submitting a reciprocity application and a nonrefundable fee of $120. (A) Pass National Registry Exam. (B) Out of state AEMTS must submit written proof of proficiency on all of the AEMT skills signed by a Texas certified EMS coordinator or instructor. (C) Submit fingerprints through the state approved fingerprinting service to undergo an FBI fingerprint criminal history check. (D) Complete the state-approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies. (E) Reciprocity is not allowed for the ECA level. (F) A candidate will not be eligible for reciprocity if the out-of-state certification expires prior to the completion of all requirements for certification as listed in this section. (G) A candidate who meets the requirements of this section shall be certified for four years beginning on the date of issuance of a certificate and wallet-size certificate.
If all info submitted by EMT for certification is ok, then what happens?
(1) Department shall re-certify the applicant for four years, commencing on the day following the expiration date of the most recent certificate.
EMS Equipment, supplies, medical devices, parenteral solutions and pharmaceuticals
(1) EMS submits a list, approved and signed by the medical director and fully supportive of and consistent with the protocols, of all medical equipment, supplies, medical devices, parenteral solutions and pharmaceuticals to be carried. The list shall specify the quantities of each item to be carried and shall specify the sizes and types of each item necessary to provide appropriate care for all age ranges appropriate to the needs of their patients. The quantities listed shall be appropriate to the provider's call volume, transport times and restocking capabilities. (2) All patient care equipment, and medical devices must be operational, appropriately secured in the vehicle at the time of providing patient care and response ready, and supplies shall be clean and fully operational. All patient care powered equipment shall have manual mechanical, spare batteries or an alternative power source, if applicable. (3) All solutions and pharmaceuticals shall be up to date and shall be stored and maintained in accordance with the manufacturer's and/or U.S. Federal Drug Administration (FDA) recommendations.
Non-acceptable continuing education
(1) Education incidental to the regular professional activities of EMS personnel such as learning occurring from experience or personal research which is not published. (2) Orientation programs sponsored by employers to provide employees with information about the philosophy, goals, policies, procedures, role expectations, and physical facilities of a specific workplace. (3) Meetings and activities such as in-service programs that are required as part of employment unless the in-service training is a type of acceptable continuing education under subsection (e) of this section. (4) Organizational activity such as serving on committees, councils, or as an officer or board member in a professional organization. (5) Institutions of higher education credit courses that are audited. (6) Courses in basic cardiopulmonary resuscitation or other instructional activities designed for lay persons, including first aid courses. (7) Any experience that does not fit the types of acceptable continuing education defined under subsection (e) of this section. (8) Any identical CE repeated more than once during the accrual period.
EMS Responsibilities
(1) Make accurate, complete and/or clearly written PCRs documenting a patient's condition upon arrival and status during transport, including signs, symptoms, and responses during duration of transport as per EMS provider's approved policy; (2) reporting to the employer, appropriate legal authority or the department, of abuse or injury to a patient or the public within 24 hours or the next business day after the event; (3) following the approved medical director's protocol and policies; (4) taking precautions to prevent the misappropriation of medications, supplies, equipment, personal items, or money belonging to the patient, employer or any person or entity; (5) maintaining skill and knowledge to perform the duties or meet the responsibilities required of current level of EMS certification; and (6) notifying the department of a current and/or valid mailing address within 30 days of any changes.
Treatment and Transport Protocols
(1) The applicant will submit written delegated standing orders for patient treatment and transport protocols and policies (approved and signed by the provider's medical director.) (2) The protocols will have an effective date (3) The protocols will address the use of non-EMS certified or licensed medical personnel who, in addition to the EMS staff, may provide patient care on behalf of the provider (4) The protocols will address the use of all required, additional, and/or specialized medical equipment, supplies, and pharmaceuticals carried on each EMS vehicle in the provider's fleet. (5) The protocols will identify delegated procedures for each EMS Certification or license level utilized by the provider. (6) The protocols will indicate specific applications, including geographical area and duty status of personnel.
Recertification Options
(1) Written exam recertification -3 attempts to pass the National Registry exam -If they fail 3 times, retake the recertification class -Resubmit completion certificate and take National Registry exam again -After more than 6 attempts, you can't try anymore (2) Continuing Education recertification -You've taken jurisprudence and have done enough continuing education (approved by department) (3) National Registry Recertification -You have National Registry certification at time of re-application and passed jurisprudence exam (4) Formal Course Recertification -Take certification course again while your certification is still up to date (5) Comprehensive Clinical Management Plan (CCMP) certification
Requirements for EMT certification
(1) be at least 18 years of age; (2)have a high school diploma or GED certificate: -education in another country must have their transcript evaluated by a foreign credentials -home school diploma is acceptable; -an emergency care attendant (ECA) is exempt from paragraph (2) of this subsection. (3) have successfully completed an EMT prep course (4) Has completed a state approved jurisprudence examination to determine the knowledge on state EMS laws, rules, and policies. (5) Submit an application, meeting the requirements in §157.3 of this title (relating to Processing EMS Provider Licenses and Applications for EMS (6) Pay fees and show NREMT exam certification (7) Submit fingerprints and undergo a background check
EMS license can be denied for the following reasons
(1) failing to meet the licensing requirements outlined in §157.11 of this title; (2) one of the owners having a history of a misdemeanor or felony which the department has determined may put the safety of any person; at risk; (3) previous conduct while holding an EMS provider license which could put any person at risk; (4) the EMS provider has received disciplinary action in another state or by a federal agency; (5) falsifying or misrepresenting any fact or requirement on or for an application or related document for a provider license or EMS personnel license/certificate; and/or (6) issuing a check for application for a provider license which is returned to the department unpaid.
Reasons for denial of EMS certification
(1) previous conduct of the applicant during the performance of duties that are similar to those required of EMS personnel, but which such previous conduct that was committed is contrary to accepted standards of conduct as described or required in this section or Health and Safety Code, Chapter 773; (2) having been convicted or placed on deferred adjudication community supervision, or deferred disposition for a criminal offense that directly relates to the duties and responsibilities of EMS personnel (3) receiving disciplinary action relating to a certificate or license issued to the applicant in Texas, in another state, or in a U.S. territory, or in another nation, or by the National Registry of Emergency Medical Technicians' (NREMT), or any other organization that provides national recognized for EMS certification; (4) falsifying documents, information, etc.
EMS Vehicle rule 2
(2) EMS vehicles must allow the proper and safe storage and use of all required equipment, supplies and medications and must allow all required procedures to be carried out in a safe and effective manner.
EMS Vehicle rule 3
(3) As approved by the department, EMS vehicles must meet a practical efficient minimum national ambulance vehicle body type, dimension and safety criteria standards.
EMS Vehicle rule 4
(4) All vehicles shall have an environmental system capable of heating or cooling the patient(s) and staff, in accordance with the manufacturer specifications, within the patient compartment at all times when in service and which allows for protection of medication, according to manufacturer specifications, from extreme temperatures if it becomes environmentally necessary. The provider shall provide evidence of an operational policy which shall list the parenteral pharmaceuticals authorized by the medical director and which shall define the storage and/or FDA recommendations. Compliance with the policy shall be incorporated into the provider's Quality Assurance process and shall be documented on unit readiness reports.
EMS Vehicle rule 5
(5) EMS vehicles shall have operational two-way communication capable of contacting appropriate medical resources and as outlined in the current Texas interoperability plan unless the vehicle is designated as being out of service using the form provided by the department.
Recertification fees
(A) $60 for Emergency Care Attendant (ECA) or Emergency Medical Technician (EMT); (B) $90 for Advanced EMT (AEMT), EMT-Intermediate (EMT-I), or EMT-Paramedic (EMT-P); and (C) EMS volunteer--no fee. However, if such an individual receives compensation during the certification period, the exemption ceases and the individual shall pay a prorated fee to the department based on the number of years remaining in the certification period when employment begins. The non-refundable fee for ECA or EMT certification shall be $15 per each year remaining in the certification. The non-refundable fee for AEMT or EMT-P shall be $22.50 per each year remaining in the certification. Any portion of a year will count as a full year.
All MICU ambulances shall be able to perform treatment and transport patients receiving the following skills...
(i) airway/ventilation/oxygenation; (ii) cardiovascular circulation; (iii) immobilization (iv) medication administration -routes (v) intravenous (IV) initiation/maintenance fluids (vi) transmitting 12-lead capability cardiac monitor/defibrillator by January 1, 2020
Late recertification
-If your certificate expires, you're no longer certified -If it expired 90> days ago, submitting an application accompanied by a nonrefundable renewal fee that is equal to 1-1/2 times the normally required application renewal fee for that level as listed in subsection -A candidate whose certificate has been expired for more than 90 days but less than one year may renew the certificate by submitting an application accompanied by a non-refundable renewal fee that is equal to two times the normally required application renewal fee as listed in subsection (a)(4) of this section.
EMS Provider Responsibilities
-Make sure ambulance is good to go, valid license, proper equipment/staff, etc. -Implement a performance improvement program
EMS license can be revoked for the following reasons (part 2)
-failing to give the department true and complete information when asked, regarding any alleged or actual violation of the Health and Safety Code, Chapter 773; -failing to pay an administrative penalty in full within established time frames; -failing to staff each vehicle deemed to be in service or response ready with appropriately and currently certified personnel; -operating, directing, or allowing staff to operate vehicle warning devices unnecessarily or inappropriately; -operating, directing, or allowing any person to operate any vehicle on EMS business while under the influence of any substance that inhibits the mental or physical capacities of that person; -having been found to have operated, directed, or allowed staff to operate any vehicle while on EMS business in a reckless or unsafe manner and/or in a manner that is dangerous to the health or safety of any person; -operating, directing, or allowing staff to operate any vehicle that is not mechanically safe, clean and in good operating condition; and/or -having been found in violation of any local, state, or national code or regulation pertaining to EMS operations or business practices; and/or violating any rule or standard that could jeopardize the health or safety of any person.
EMS license can be revoked for the following reasons (Part 1)
-obtaining or attempting to obtain or assisting another to obtain a provider license or personnel certification by fraud, forgery, deception, or misrepresentation; -providing false or misleading advertising and/or making false or misleading claims to clients or the public about the service; -failing to operate a subscription service/membership program according to provisions in §157.11 of this title -failing to maintain patient confidentiality according to standards and department regulations; -discriminating in the provision of services based on national origin, race, color, creed, religion, gender, sexual orientation, age, physical or mental disability; -falsifying a patient care record or any other document or record resulting from or pertaining to EMS Provider responsibilities; -obtaining any fee or benefit by fraud, coercion, theft, deception, or misrepresentation;
Upon a change of medical director, the department must be notified within what time period?
1 business day
EMS Vehicle rule 1
1) All EMS vehicles must be adequately constructed, equipped, maintained and operated to render patient care, comfort and transportation of adult, pediatric, and neonatal patients safely and efficiently. A pediatric and neonatal equipment list should be based on endorsed pediatric equipment national standards within the approved equipment list required by the medical director.
Applicants who have submitted all required documents and who have met all the criteria for licensure will be issued a provider license to be effective for a period of how many years?
2 years from the date of issuance
How longer after EMT prep course completion do we have to complete all certification requirements?
2 years; Need to re-take the course after that.
Upon an audit, how long do you have to turn in paperwork showing certifications and CE?
30 days
How long does EMT certification last?
4 years
How long do you have to keep CE hours documentation for?
5 years
Contact hour
50 consecutive minutes of participation in a learning activity
A licensed EMS provider shall maintain adequate medical reports of a patient for a minimum of _____________ from the anniversary date of the date of last treatment by the EMS responder.
7 years
Inactive Certification
A certified EMT, AEMT, or EMT-P may make application to the department for inactive certification at any time during the certification period or within one year after the certificate expiration date.
Designated infection control officer
A designated officer who serves as a liaison between the employer's employees who have been or believe they have been exposed to a potentially life-threatening infectious disease, through a person who was treated and/or transported, by the EMS provider.
Major trauma facility
A hospital designated by the department as having met the criteria for a Level II trauma facility as described in §157.125 of this title. Major trauma facilities provide similar services to the Level I trauma facility although research and some medical specialty areas are not required for Level II facilities, provide ongoing educational opportunities in trauma related topics for health care professionals and the public, and implement targeted injury prevention programs.
General trauma facility
A hospital designated by the department as having met the criteria for a Level III and Level IV trauma facility as described in §157.125 of this title. General trauma facilities provide resuscitation, stabilization, and assessment of injury victims and either provide treatment or arrange for appropriate transfer to a higher level trauma facility, provide ongoing educational opportunities in trauma related topics for health care professionals and the public, and implement targeted injury prevention programs.
Trauma facility
A hospital that has successfully completed the designation process, is capable of stabilization and/or definitive treatment of critically injured persons and actively participates in a regional EMS/trauma system.
BLS Units must be staffed with...?
A minimum with two emergency care attendants (ECAs).
Recertification of military personnel
A person certified by the department who is deployed in support of military, security, or other action by the United Nations Security Council, a national emergency declared by the President of the United States, or a declaration of war by the United States Congress is eligible for recertification under timely recertification requirements from the person's date of demobilization until one calendar year after the date of demobilization but will not be certified during that period.
Diversion
A procedure put into effect by a trauma facility to ensure appropriate patient care when that facility is unable to provide the level of care demanded by a trauma patient's injuries or when the facility has temporarily exhausted its resources.
Expiration of a license during suspension
A provider whose license expires during a suspension period shall not reapply for licensure until the end of the suspension period.
Appeal Hearing Request
A request for an appeal hearing shall be in writing and submitted to the department and postmarked within 30 days after the date of the notice. The appeal hearing and any appeal from that hearing shall be conducted pursuant to the Administrative Procedure Act, Government Code, Chapter 2001.
Voluntary downgrade
An individual who holds a current Texas EMS certification or paramedic license may be certified at a lower level voluntarily for the remainder of the certification period by submitting an application for the lower level certification and the applicable nonrefundable fee as required in subsection (a)(4) of this section.
Advanced Emergency Medical Technician (AEMT)
An individual who is certified by the department and is minimally proficient in performing the basic life support skills required to provide emergency prehospital or inter-facility care and initiating and maintaining under medical supervision certain advanced life support procedures, including intravenous therapy and endotracheal or esophageal intubation.
Trauma Service Area
An organized geographical area of at least three counties administered by a regional advisory council for the purpose of providing prompt and efficient transportation and/or treatment of sick and injured patients.
BLS with MICU must be staffed with...?
At least a certified or licensed paramedic and at least an EMT.
Inter-facility care
Care provided while transporting a patient between medical facilities
Keep all patient information _______? According to __________ laws?
Confidential; Federal and state
Acceptable continuing education examples
Contact hours earned by... 1) A continuing education provider, approved under subsection (g) of this section 2) A hospital or other health-care facility accredited by the Joint Commission on Accreditation of Health Care Organizations 3) A person, agency, entity, or organization approved by the department as an EMS continuing education provider 4) A person, agency, entity, or organization recognized by a national association or organization representing members of the emergency medical services profession that has been approved by the department 5) A state or national organization in a related field such as medicine, nursing, respiratory care, and similar fields of health care practice that has been approved by the department
Credit hour
Continuing education credit unit awarded for successful completion of a unit of learning activity as defined in §157.32 of this title (relating to EMS Education Program and Course Approval).
Continuing Education
Educational activities that are related to the content areas noted in subsection (c) of this section and are designed to promote and enrich knowledge, improve skills, and develop attitudes for the enhancement of professional practice, thus improving the quality of emergency medical services provided to the public.
True or False: A candidate whose certificate has been expired for one year or more may renew the certificate.
False; The candidate may become certified by complying with the requirements of §157.33(a) or (j) of this title.
Abandonment
Leaving a patient without appropriate medical care once patient contact has been established, unless emergency medical services personnel are following medical director's protocols, a physician directive or the patient signs a release; turning the care of a patient over to an individual of lesser education when advanced treatment modalities have been initiated.
Administrative Penalty
May be assessed when an EMS provider is in violation of the Health and Safety Code, Chapter 773, 25 Texas Administrative Code, Chapter 157, or the reasons outlined in subsections (c) and (d) of this section (accountability and non-emergency suspension/revocation)
Can you hold both an active and inactive certification at one time?
No
Is National Registry first responder certification eligible for reciprocity at the ECA level?
No
EMS Volunteers pay what fee for certification?
None; If they get compensation they have to pay a prorated fee for the year; Non-refundable fee for EMT is $15 while for AEMT/EMT-P it's $22.50
CE documentation includes what information?
Successful completion proof, CE provider name, title, description, date, location, description of content area, number of hours awarded, and organization granting approval.
Emergency Suspension
The TDSHS (department), may issue an emergency suspension order to any licensed emergency medical services (EMS) provider if the department has reasonable cause to believe that the conduct of any licensed provider creates an imminent danger to public health or safety
Department
The Texas Department of State Health Services
Medical oversight
The assistance and management given to health care providers and/or entities involved in regional EMS/trauma systems planning by a physician or group of physicians designated to provide technical assistance.
Surveys/Inspections and Investigations.
The department may conduct scheduled or unannounced on-site inspection or investigation of a provider's vehicles, office(s), headquarter(s) and/or station(s) (hereinafter operations), at any reasonable time, including while services are being provided, to ensure compliance with Health and Safety Code, Chapter 773 and this chapter.
Probation
The department may probate any penalty assessed under this section and may specify terms and conditions of any probation issued
The administrator of record's initial education course must be approved by...?
The department regarding state and federal laws and rules that affect EMS in the following areas: (I) Health and Safety Code, Chapter 773 and 25 Texas Administrative Code, Chapter 157; (II) EMS dispatch processes; (III) EMS billing processes; (IV) Medical control accountability (V) Quality improvement processes for EMS operations
Medical Director
The licensed physician who provides medical supervision to the EMS personnel of a licensed EMS provider or a recognized First Responder Organization under the terms of the Medical Practices Act (Occupations code, Chapters 151-165) and rules promulgated by the Texas Medical Board. Also may be referred to as off-line medical control.
Recertification
The procedure for renewal of emergency medical services certification
Medical Control
The supervision of prehospital emergency medical service providers by a licensed physician. This encompasses on-line (direct voice contact) and off-line (written protocol and procedural review).
(True or False) A continuing education activity successfully attended and completed or undertaken in a jurisdiction outside Texas may be accepted for continuing education if all criteria are met and if it is approved by the department.
True
True or False: If you're a certified Texas EMT, moved to another state, and are currently certified or licensed and have been in practice in the other state for two years preceding the date of application may become certified without reexamination.
True
Re-application
Two years after denial or revocation of a license, or the voluntary surrender of a license while disciplinary action is pending, an individual may petition the department in writing for re-application for licensure. Expiration of a certificate or license during the suspension period shall not affect the two-year waiting period required before a petition can be submitted.
Reapplication
Two years after denial, revocation of a license, or the voluntary surrender of a certificate or license while disciplinary action is pending, an individual may petition the department in writing for reapplication for certification or licensure. Expiration of a certificate or license during the suspension period shall not affect the two-year waiting period required before a petition can be submitted.
EMS personnel must receive continuing education on the provider's ________________ protocols. The provider shall maintain education and training records to include ___________, ________, and ___________ of such education or training for all its EMS personnel
anaphylaxis treatment; date, time and location
Whenever operationally feasible, the PCR shall be provided to the ____________ at the time the patient is delivered or a full written or computer generated report shall be delivered to the facility within ______________ of the delivery of the patient
receiving facility; 24 hours
Falsifying CE documentation can be punished by what...?
reprimand, probation, suspension, or revocation of a certificate or license
