Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part VII - Emergency Medical Services
Subpart A - EMS System
Chapter 1023 - PERSONNEL
Subchapter B - EMS PROVIDERS AND VEHICLE OPERATORS
Section 1023.25 - Emergency medical technician
Universal Citation: 28 PA Code ยง 1023.25
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Roles and responsibilities. An EMT performs basic EMS skills involving basic interventions and equipment found on an EMS vehicle or within an EMT's scope of practice as follows:
(1) For
an EMS agency as a member of the crew of an ambulance or squad
vehicle.
(2) For an EMS agency as a
member of a QRS to stabilize and improve a patient's condition in an
out-of-hospital setting until an ambulance arrives. The EMT may then assist the
ambulance crew.
(3) As a member of
a special operations EMS service.
(4) As a first aid or safety officer, or in a
similar capacity, for or independent of an EMS agency. When serving in this
capacity independent of an EMS agency, the EMT does not function under the
direction of an EMS agency medical director or a medical command physician. The
EMT shall perform skills as prescribed by applicable Statewide and regional EMS
protocols and may not perform any skill for which the EMT is required to secure
medical command direction under those protocols.
(b) Certification.
(1) The Department will certify as an EMT an
individual who meets the following qualifications:
(i) Completes an application for EMT
certification on a form or through an electronic process, as prescribed by the
Department.
(ii) Is 16 years of age
or older.
(iii) Has successfully
completed an EMS provider educational course for EMTs.
(iv) Has a current certificate evidencing
successful completion of a CPR course acceptable to the Department.
(v) Has passed a written examination for EMT
certification prescribed by the Department.
(vi) Has passed a practical test of EMT
skills for EMT certification prescribed by the Department.
(2) The Department will also certify as an
EMT an individual who completes an application on a form or through an
electronic process, as prescribed by the Department and who applies for EMT
certification under §
1023.21(g)
(relating to general rights and responsibilities).
(c) Triennial registration.
(1) An EMT's certification is deemed
registered for 3 years. Thereafter, an EMT shall triennially register the
certification by completing a form or through an electronic process, as
prescribed by the Department. An EMT shall submit the form or complete the
electronic process at least 30 days prior to the expiration of a current
registration. Failure to do so in a timely manner may result in the EMT
certification not being registered again before the prior registration expires.
The Department will issue a new registration within 30 days after the EMT
completes the form or the electronic process if the information provided
establishes that the EMT has successfully completed one of the following:
(i) The EMT practical skills and written
knowledge triennial registration examinations prescribed by the
Department.
(ii) The continuing
education requirements for triennial registration of an EMT certification in
§
1023.31(c)
(relating to continuing education requirements).
(2) An EMT who is a member of the armed
forces who is returning from active military service and whose EMT registration
has expired or will expire within 12 months after returning from active
military service may secure an exception to the triennial registration
requirements under § 1023.21(d).
(d) Scope of practice.
(1) An EMT's scope of practice incorporates
the scope of practice of an EMR and additional skills in the following skill
areas, as published in the Pennsylvania Bulletin, if the EMT
has been educated to perform the following skills:
(i) Airway/ventilation/oxygenation.
(ii) Cardiovascular circulation.
(iii) Immobilization.
(iv) Medication
administration-routes.
(2) An EMT's scope of practice may be
expanded to include basic EMS skills in other skill areas as the Department
publishes in a notice in the Pennsylvania Bulletin. An EMT may
not perform those additional skills unless the EMT has received education to
perform those skills, and is able to document having received the education, in
one of the following:
(i) A course approved by
the Department that covers the complete curriculum for certification as an
EMT.
(ii) A course which is
determined by the Department to meet or exceed the standards of course approved
by the Department under subparagraph (i).
(iii) A course for which the EMT may receive
continuing education credit towards recertification.
(3) The Department will publish in the
Pennsylvania Bulletin, at least biennially, a list of the
skills the Department has approved as being within the scope of practice of an
EMT.
This section cited in 28 Pa. Code § 1023.31 (relating to continuing education requirements).
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