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 1023.26 - Advanced emergency medical technician
Universal Citation: 28 PA Code ยง 1023.26
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Roles and responsibilities. An AEMT performs basic and advanced EMS skills which include interventions and administration of medications and vaccines with basic and advanced equipment found on an EMS vehicle or within an AEMT'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 AEMT 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, an AEMT does not
function under the direction of an EMS agency medical director or a medical
command physician. The AEMT shall perform skills as prescribed by applicable
Statewide and regional EMS protocols and may not perform the following:
(i) Skills other than those permitted at the
EMT level of care.
(ii) A skill for
which the EMT is required to secure medical command direction under those
protocols.
(b) Certification.
(1) The
Department will certify as an AEMT an individual who meets the following
qualifications:
(i) Completes an application
for AEMT certification on a form or through an electronic process, as
prescribed by the Department.
(ii)
Is 18 years of age or older.
(iii)
Has successfully completed one of the following:
(A) An EMS provider educational course for
AEMTs.
(B) An EMS provider
educational course for EMTs and education, through continuing education
courses, in skills required in the scope of practice of an AEMT for which the
applicant did not receive education in the EMT course.
(iv) Has a current certificate evidencing
successful completion of a CPR course acceptable to the Department.
(v) Has passed a written examination for AEMT
certification prescribed by the Department.
(vi) Has passed a practical test of AEMT
skills for AEMT certification prescribed by the Department.
(2) The Department will also
certify as an AEMT an individual who completes an application on a form or
through an electronic process, as prescribed by the Department and who applies
for AEMT certification under §
1023.21(g)
(relating to general rights and responsibilities).
(c) Biennial registration.
(1) When an AEMT certification is issued it
is deemed registered through December 31 of that year if it is issued in an
odd-numbered year, or through December 31 of the next odd-numbered year if it
is issued in an even-numbered year. Thereafter, an AEMT shall biennially
register the certification by completing a form or through an electronic
process, as prescribed by the Department. An AEMT 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
AEMT certification not being registered again before the prior registration
expires. The Department will issue a new registration within 30 days after the
AEMT completes the form or the electronic process if the information provided
establishes that the AEMT has successfully completed one of the following:
(i) The AEMT practical skills and written
knowledge biennial registration examinations prescribed by the
Department.
(ii) The continuing
education requirements for biennial registration of an AEMT certification in
§
1023.31(d)
(relating to continuing education requirements).
(2) An AEMT who is a member of the armed
forces who is returning from active military service and whose AEMT
registration has expired or will expire within 12 months after returning from
active military service may secure an exception to the biennial registration
requirements under § 1023.21(d).
(d) Scope of practice.
(1) An AEMT's scope of practice incorporates
the scope of practice of an EMT and additional skills in the following skill
areas, as published in the Pennsylvania Bulletin, if the AEMT
has been educated to perform the following skills:
(i) Airway/ventilation/oxygenation.
(ii) Cardiovascular circulation.
(iii) Immobilization.
(iv) Medication
administration-routes.
(v) IV
initiation/maintenance fluids.
(2) An AEMT's scope of practice may be
expanded to include ALS skills in other skill areas as the Department publishes
in a notice in the Pennsylvania Bulletin. An AEMT may not
perform those additional skills unless the AEMT 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 an AEMT.
(ii) A course which is determined by the
Department to meet or exceed the standards of a course approved by the
Department under subparagraph (i).
(iii) A course for which an AEMT may receive
continuing education credit towards biennial registration of the AEMT
certification.
(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 AEMT.
This section cited in 28 Pa. Code § 1023.31 (relating to continuing education requirements).
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