California Code of Regulations
Title 22 - Social Security
Division 9 - Prehospital Emergency Medical Services
Chapter 4 - Emergency Medical Technician-Paramedic
Article 3 - Program Requirements for Paramedic Training Programs
Section 100154 - Required Course Hours

Universal Citation: 22 CA Code of Regs 100154

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The total paramedic training program shall consist of not less than one thousand and ninety-four (1094) hours. These training hours shall be divided into:

(1) A minimum of four-hundred and fifty-four (454) hours of didactic instruction and skills laboratories that shall include not less than four (4) hours of training in tactical casualty care principles as provided in Section 100155(b);

(2) The hospital clinical training shall consist of no less than one-hundred and sixty (160) hours;

(3) The field internship shall consist of no less than four-hundred and eighty (480) hours.

(b) The student shall have a minimum of forty (40) documented ALS patient contacts during the field internship as specified in Section 100153. An ALS patient contact shall be defined as the student performance of one or more ALS skills, except cardiac monitoring and CPR, on a patient.

(1) When available, up to ten (10) of the required ALS patient contacts may be satisfied through the use of high fidelity adult simulation patient contacts as defined in Section 100141.1.

(2) Students shall document patient contacts utilizing an EHR system under supervision of the preceptor.

(c) The student shall have a minimum of twenty (20) documented experiences performing the role of team lead during the field internship. A team lead shall be defined as a student who, with minimal to no prompting by the preceptor, successfully takes charge of EMS operation in the field including, at least, the following:

(1) Lead coordination of field personnel,

(2) Formulation of field impression,

(3) Comprehensively assessing patent conditions and acuity.

(4) Directing and implementing patient treatment,

(5) Determining patient disposition, and

(6) Leading the packaging and movement of the patient.

(d) The minimum hours shall not include the following:

(1) Course material designed to teach or test exclusively EMT knowledge or skills including CPR.

(2) Examination for student eligibility.

(3) The teaching of any material not prescribed in Section 100155 of this Chapter.

(4) Examination for paramedic licensure.

(e) The total CCP training program shall consist of not less than two-hundred and two (202) hours. These training hours shall be divided into:

(1) A minimum of one-hundred and eight (108) hours of didactic and skills laboratories; and

(2) No less than ninety-four (94) hours of hospital clinical training as prescribed in Section 100152(b) of this Chapter.

(f) For at least half of the ALS patient contacts specified in Section 100154(b), the paramedic student shall be required to provide the full continuum of care of the patient beginning with the initial contact with the patient upon arrival at the scene through transfer of care to hospital personnel.

1. Renumbering and amendment of former section 100154 to section 100158, and renumbering and amendment of section 100150 to section 100154 filed 7-10-89; operative 8-9-89 (Register 89, No. 29). For prior history, see Register 84, No. 20.
2. Amendment filed 11-4-91; operative 1-1-92 (Register 92, No. 10).
3. Renumbering of former section 100154 to section 100155 and renumbering of former section 100153 to section 100154, including amendment of section heading, section and NOTE, filed 3-15-99; operative 4-14-99 (Register 99, No. 12).
4. Amendment of section heading and section filed 9-10-2004; operative 10-10-2004 (Register 2004, No. 37).
5. Renumbering of former section 100154 to section 100155 and renumbering of former section 100155 to section 100156, including amendment of section heading and section, filed 2-11-2013; operative 4-1-2013 (Register 2013, No. 7).
6. Change without regulatory effect renumbering former section 100154 to section 100159 and renumbering former section 100159 to section 100154 filed 2-8-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 7).
7. Amendment of section and NOTE filed 1-24-2020; operative 4-1-2020 (Register 2020, No. 4).

Note: Authority cited: Sections 1797.107, 1797.172 and 1797.173, Health and Safety Code. Reference: Sections 1797.172 and 1797.173, Health and Safety Code.

The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.

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