Current through Register Vol. 18, September 20, 2024
(1) An individual,
corporation, partnership, or any other organization may conduct ECP training
courses. All ECP training courses or programs must include the following:
(a) current USDOT curriculum;
(b) Montana ECP Practice
Guidelines;
(c) statutes and rules
governing ECPs in Montana;
(d) a
final competency evaluation; and
(e) certificate of successful completion
which states:
(i) start and end dates of the
course;
(ii) course level; and
(iii) names of designated lead
instructor and/or medical director.
(2) A clinical component must be included and
documented in the following levels of ECP courses:
(a) EMT course participants must complete a
minimum of ten hours of clinical experience during which the student shall:
(i) observe patient care on at least 5
patients; and
(ii) perform a
patient assessment on at least 5 adult patients.
(b) AEMT course participants shall:
(i) properly administer medications at least
10 times to live patients;
(ii)
successfully access the venous circulation at least 15 times on live patients
of various age groups;
(iii)
ventilate at least 15 live patients of various age groups;
(iv) perform an advanced patient assessment
on at least 15 adult patients, 5 pediatric patients, and 10 trauma patients;
(v) perform an advanced patient
assessment, formulate and implement a treatment plan on at least 10 patients
with chest pain;
(vi) perform an
advanced patient assessment, formulate and implement a treatment plan on at
least 10 adult patients and 3 pediatric patients with dyspnea/respiratory
distress;
(vii) perform an advanced
patient assessment, formulate and implement a treatment plan on at least 10
patients with altered mental status; and
(viii) serve as the team leader for at least
20 prehospital emergency responses.
(c) Paramedic course participants shall:
(i) properly administer medications at least
15 times to live patients;
(ii)
successfully intubate at least 5 live patients;
(iii) successfully access the venous
circulation at least 25 times on live patients of various age groups;
(iv) ventilate at least 20 live
patients of various age groups;
(v) perform a comprehensive patient
assessment on at least 50 adult patients, 30 pediatric patients (including
newborns, infants, toddlers, and school age), 40 trauma patients, 30 geriatric
patients, 10 obstetric patients, and 20 psychiatric patients;
(vi) perform a comprehensive patient
assessment, formulate and implement a treatment plan on at least 30 patients
with chest pain;
(vii) perform a
comprehensive patient assessment, formulate and implement a treatment plan on
at least 20 adult patients and 8 pediatric patients (including infants,
toddlers, and school age) with dyspnea/respiratory distress;
(viii) perform a comprehensive patient
assessment, formulate and implement a treatment plan on at least 10 patients
with syncope;
(ix) perform a
comprehensive patient assessment, formulate and implement a treatment plan on
at least 20 patients with abdominal complaints;
(x) perform a comprehensive patient
assessment, formulate and implement a treatment plan on at least 20 patients
with altered mental status; and
(xi) serve as the team leader for at least 50
prehospital emergency responses.
(3) Upon written request from the medical
director of an AEMT or paramedic course, the board or its designee may approve
substitution of patient simulators for up to 50 percent of the live patient
requirements specified under (2)(b) and (c).
(4) All levels of ECP courses must designate
a lead instructor and a medical director. The lead instructor is under the
supervision of the board and medical director for these courses.
(5) The medical director of an ECP course
shall be responsible for the overall quality, consistency, and management of
the ECP course in which they agree to provide medical oversight. The medical
director may delegate duties where appropriate.
(a) Medical direction of an EMR or EMT level
course consists of review of agenda, selection of instructors, review of
evaluation tools, and review of clinical offerings and objectives.
(b) Medical direction of an AEMT or paramedic
level course consists of approval of agenda, approval and selection of
instructors, involvement in the development and implementation of evaluation
tools, participation as an instructor, approval of clinical offerings and
objectives to be met by clinical components, and verification of successful
course completion for each student.
(6) The lead instructor of an EMR course
shall:
(a) issue a certificate as provided
under (1)(e);
(b) complete the
course within six months of the date the course commences; and
(c) provide at least one instructor per six
students when practical skills are taught or evaluated.
(7) The lead instructor of an EMT course
shall:
(a) issue a certificate as provided
under (1)(e);
(b) complete the
course within six months of the date the course commences; and
(c) provide at least one instructor per six
students when practical skills are taught or evaluated; and
(d) provide the clinical experience as
specified under (2)(a).
(8) The lead instructor and medical director
of an AEMT or paramedic course shall:
(a)
issue a certificate as provided under (1)(e);
(b) provide clinical experience as specified
under (2)(b) and (c);
(c) complete
the course in the following time frames:
(i)
AEMT course within 18 months from the starting date of the course; and
(ii) paramedic course within 24
months from the starting date of the course;
(d) provide clinical experiences with no
fewer than one clinical preceptor for every two students; and
(e) provide sufficient patient accessibility
to allow students to complete all clinical experiences within the course
dates.
(9) Requests for
extension of required course completion times stated in (7)(c) must be
submitted in writing and may be granted by the board or its designee.
(10) Requests for extension of required
course completion times stated in (9)(c) must be submitted in writing and may
be granted by the board or its designee.
AUTH:
50-6-203, MCA;
IMP:
50-6-203,
MCA
