Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart G - LICENSURE OF SPECIALIZED EMERGENCY MEDICAL SERVICES VEHICLE (SEMSV) PROGRAMS
Section 515.940 - Aeromedical Crew Member Education Requirements
Universal Citation: 77 IL Admin Code ยง 515.940
Current through Register Vol. 48, No. 12, March 22, 2024
a) Except as provided for by subsection (b), each aeromedical crew member assigned to a helicopter or fixed-wing aircraft shall be approved by the SEMSV MD and shall meet the following requirements:
1) Be a Paramedic, RN or a
physician.
2) Each crew member
shall be current in, or obtain within six months of hire:
A) Advanced Cardiac Life Support
(ACLS);
B) Pre-Hospital Trauma Life
Support (PHTLS) or International Trauma Life Support (ITLS);
C) Pediatric Advanced Life Support (PALS) or
Emergency Nursing Pediatric Course (ENPC) or Pediatric Education for
Prehospital Professionals (PEPP) Advanced;
D) TNS or Trauma Nurse Core Course
(TNCC);
E) Neonatal Resuscitation
Program (NRP) or an equivalent as approved by the EMS MD.
3) Initial education program requirements for
full-time and part-time critical care and ALS providers. Each critical care and
ALS provider shall successfully complete a comprehensive education program or
show proof of recent experience, education and competency in the categories
listed in subsections (a)(3)(A) and (B) prior to assuming independent
responsibility.
A) Didactic Component - Shall
be specified and appropriate for the mission statement and scope of the medical
transport service:
i) Advanced airway
management;
ii) Altitude
physiology/stressors of flight if involved in rotor wing or fixed wing
operations;
iii) Anatomy,
physiology and assessment for adult, pediatric and neonatal patients;
iv) Aviation - aircraft orientation/safety
and in-flight procedures/general aircraft safety, including depressurization
procedures for fixed wing (as appropriate). Ambulance orientation/safety and
procedures as appropriate;
v)
Cardiac emergencies and advanced cardiac critical care;
vi) Hemodynamic monitoring, pacemakers,
implantable cardiac defibrillator (ICD), intra-aortic balloon pump, and central
lines, pulmonary artery and arterial catheters;
vii) Multiple patient incidents;
viii) EMS radio communications;
ix) Environmental emergencies;
x) Hazardous materials recognition and
response (all hazards recognition and response);
xi) High risk obstetric emergencies
(bleeding, medical, and trauma);
xii) Infectious disease prevention,
mitigation and treatment;
xiii)
Metabolic/endocrine emergencies;
xiv) Multi-trauma (chest, abdomen,
facial);
xv) Neonatal emergencies
(respiratory distress, surgical, cardiac);
xvi) Oxygen therapy in the medical transport
environment - mechanical ventilation and respiratory physiology for adult,
pediatric and neonatal patients as appropriate to the mission statement and
scope of care of the medical transport service;
xvii) Pediatric medical
emergencies;
xviii) Pediatric
trauma;
xix)
Pharmacology;
xx) Quality
Management - didactic education that supports the medical transport service
mission statement and scope of care (e.g., adult, pediatric,
neonatal);
xxi) Respiratory
emergencies;
xxii) Scene
management/rescue/extrication (rotor wing and ground ambulance);
xxiii) Stress recognition and
management;
xxiv) Survival
education;
xxv) Record
keeping;
xxvi) Thermal, chemical,
inhalation, radiation and electrical burns;
xxvii) Legal aspects; and
xxviii) Toxicology.
B) Clinical Component - clinical experiences
shall include, but not be limited to, the following (experiences shall be
specific and appropriate for the mission statement and scope of care of the
medical transport service):
i) Critical
care;
ii) Emergency care;
iii) Invasive procedures or simulations
equivalent for practicing invasive procedures;
iv) Neonatal intensive care;
v) Obstetrics - five deliveries;
vi) Pediatric critical care;
vii) Pre-hospital care, for rotor wing
programs only; and
viii) Tracheal
intubations - 10 performed on live patients either in the field or in the
hospital setting when in the presence of and under the direct supervision of a
licensed physician or Certified Registered Nurse Anesthetist (CRNA); or
performed on cadavers or a human patient simulator (HPS) while under direct
supervision; or when in the presence of and under the direct and immediate
supervision of the EMS MD or SEMSV MD or designee.
4) CE /staff development shall be
provided and documented for all full-time and part-time critical care and ALS
providers. These shall be specific and appropriate for the mission statement
and scope of care of the medical transport service.
A) Didactic CE shall include:
i) Aviation - safety issues (if involved in
rotor wing or fixed wing operations);
ii) Requirements of this Part regarding
ground and air transport;
iii)
Altitude physiology/stressors of flight (if involved in both rotor wing and
fixed wing operations);
iv)
Critical care courses;
v)
Emergency care courses;
vi)
Hazardous materials recognition and response;
vii) Infection control;
viii) Stress recognition and
management;
ix) Survival education;
and
x) Equipment reviews consistent
with program scope and mission.
B) Clinical and laboratory CE shall include:
i) Emergency/trauma care;
ii) Critical care (adult, pediatric,
neonatal);
iii) Invasive procedure
labs;
iv) Labor and delivery;
v) Pre-hospital experience, for
rotor wing programs only;
vi)
Skills maintenance program documented to comply with number of skills required
in a set period of time according to policy of the medical transport service
(i.e., endotracheal intubations, chest tubes);
vii) No fewer than five successful
intubations per year are required for each Critical Care or ALS provider. These
intubations may be on live patients, either in the field or in the hospital
setting, when in the presence of and under the direct supervision of a licensed
physician or CRNA; or cadavers or HPS while under direct supervision; or when
in the presence of and under the direct and immediate supervision of the EMS MD
or SEMSV MD. Success rates for all live intubations are documented and
monitored through the quality management process; and
viii) Live, HPS or cadaver intubation
experience within the following age ranges if served by the air medical/ground
inter-facility service: birth to 28 days; 28 days to 12 months; 12 months to 2
years; 2 years to 8 years; and 8 years and older.
5) Yearly completion of the CE
requirements as described in Section
515.930(d).
b) In addition to at least one aeromedical crew member for BLS who has met the requirements of subsection (a), and two aeromedical crew members, one of whom must be an RN or licensed physician, for ALS or CCT missions who have met the requirements of subsection (a), the EMS MD or SEMSV MD may approve and assign additional crew members to a helicopter or fixed-wing aircraft. The additional crew members shall meet the following requirements:
1)
Provide documentation of completion of education that includes, but is not
limited to, the following:
A) General patient
care in-flight;
B) Aircraft
emergencies;
C) Flight
safety;
D) EMS System and SEMSV
Program communications;
E) Use of
all patient care equipment and
F)
Rescue and survival techniques.
2) Yearly completion of the CE requirements
as described in Section
515.930(d).
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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