Title 202 | Chapter 007 | Regulation 601REG
PROPOSED
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BOARD OF EMERGENCY MEDICAL SERVICES
(Amendment)
202 KAR 7:601.Training, education, and continuing education.
Section 1.
(1)
(2)
(a)
(b)
(c)
(d)
(e)
(f)
(3)
(4)
(a)
(b)
(c)
Section 1.Section 2.
EMS-TEI Certification.(1)
Only an entity certified by the board as an EMS-TEI may conduct training and education programs in the Commonwealth(a)
In person, online, or hybrid; and(b)
Laboratory(2)
Classifications for EMS-TEIs shall include(a)
EMS-TEI 1, which includes Emergency Medical Responder (EMR)(b)
EMS-TEI 2, which includes EMR, Emergency Medical Technician (EMT)(c)
EMS-TEI 3, which includes EMR, EMT, Advanced Emergency Medical Technician (AEMT)(d)
EMS-TEI 4, which includes EMR, EMT, AEMT, Paramedic, and continuing education; or(e)
EMS-TEI CE, which includes continuing education only.Section 2.
Applying for EMS-TEI Certification.(1)
An applicant shall submit:(a)
A completed Training and Educational Institution (TEI) Application;(b)
A nonrefundable application fee as established in 202 KAR 7:030;(c)
The appropriate EMS-TEI pre-inspection worksheet (Level 1-4 or CE Only); and(d)
All required documentation listed in the applicable EMS-TEI Pre-Inspection Worksheet.(2)(3)
An applicant may seek one (1) level of certification during the two (2) year certification term. A single applicant shall not hold more than one (1) identical TEI certification simultaneously.(4)
(5)
(6)
(3)(7)
An applicant applying for an EMS-TEI certification shall meet all requirements for that level within sixty (60) days of submitting the Training and Education Institution (TEI) Application for certification. An applicant that exceeds the sixty (60) day requirement shall reapply and resubmit all required fees.(8)
(a)
1.
2.
(b)
(4)(9)
An EMS-TEI that had its certification revoked shall be eligible to apply for certification as an EMS-TEI two (2) years after the date of revocation. This shall be enforced by name of entity holding the EMS-TEI certification and name of owner or operator listed on the TEI Application and official business license or licenses filed by the entity, owner or operator with local, county and state officials.(5)(10)
An EMS-TEI may surrender its certification prior to the end of a certification period by notifying the board in writing of the intent to do so thirty (30) days prior to the intended effective date of the surrender.(a)
An EMS-TEI surrendering its certification while classes are underway shall notify the students impacted by the closure in writing at least thirty (30) days prior to the intended effective date of closure.(b)
An EMS-TEI surrendering its certification while courses are underway shall complete the courses underway before surrendering its EMS-TEI certification or fully refund all tuition and fees paid by the students in the courses underway that are impacted by the EMS-TEI closure.(6)(11)
An EMS-TEI that does not comply with subsection (5)Section 3.
Management(1)
If an applicant is required to file as a business entity with Kentucky's Secretary of State, the applicant for EMS-TEI certification shall provide proof of registration with the Kentucky Secretary of State to the board that the EMS-TEI is legally able to conduct business in the Commonwealth of Kentucky. The applicant shall provide documentation of exemption status if not registered with the Kentucky Secretary of State and proof of registration with local, county, or state officials as an individual operator or a Doing Business As (DBA).(2)
If an applicant is required to notify, obtain permission, or obtain a license from another regulatory entity in the Commonwealth of Kentucky to operate as an educational entity, it shall be the responsibility of the applicant to make the appropriate notifications, obtain permission, or obtain license to legally operate in the Commonwealth of Kentucky. An EMS-TEI that fails to comply with subsection (1) of this section or this subsection shall be subject to disciplinary action by the board pursuant to KRS Chapter 311A.(3)
(a)
Maintained and operated in compliance with the safety and health requirements pursuant to local, city, and county ordinances and federal and state laws;(b)
Sponsored or approved by a sponsoring agency;(c)
Offered with an enrollment that shall not exceed the design characteristics of the facilities;(d)
Offered in a controlled environment, including:1.
Temperature;2.
Humidity; and3.
Lighting; and(e)
Offered1.
Provide appropriate space for students to participate in classroom activities, kinematic learning, and practice activities;2.
Provide appropriate space for instructor preparation; and3.
Provide adequate and secure storage for instructional materials.(4)
An applicant shall provide the following to the board(a)
An organizational chart, which shall include, at a minimum, the(b)
The name and contact information of the EMS-TEI's administrator(c)
The name and contact information of the EMS-TEI's(d)
(d)(e)
A memorandum 1.
The memorandum of understanding or contract for the primary medical director shall include at a minimum that:a.1.
The primary medical director shall be responsible for medical oversight of the program, associate medical directors, and assistant medical directors;b.2.
The primary medical director shall review and approve the educational content of the program curriculum;c.3.
The primary medical director shall review and approve the instruments and processes used to evaluate students in didactic, laboratory, clinical, d.
The primary medical director shall certify the skills of all EMS-TEI students who are enrolled in courses leading to EMS provider certification by the National Registry of Emergency Medical Technicians (NREMT) or certification or licensure by the board;e.4.
The primary medical director shall review the progress of each student throughout the program, and assist in the determination of appropriate corrective measures, if necessary;f.5.
The primary medical director shall engage in cooperative involvement with the program administrator g.6.
The primary medical director's interaction shall be in a variety of settings, such as lecture, laboratory, clinical, field internship. Interaction may be by synchronous electronic methods;h.
The primary medical director shall ensure and attest, by signing the graduate's course completion certificate, to the competence of each graduate of the program in the cognitive, psychomotor, and affective domains;i.
The primary medical director shall meet all applicable accrediting agency standards, policies, and guidelines; andj.
The primary medical director shall ensure the effectiveness and quality of any medical director's responsibilities delegated to an associate or assistant medical director;2.
A memorandum of understanding or contract for an associate medical director shall include requirements to fulfill the delegated responsibilities of the primary medical director; and3.
A memorandum of understanding or contract for an assistant medical director shall include requirements to fulfill the delegated responsibilities of the primary medical director and the responsibility of providing medical supervision to students participating in out-of-state clinical rotations, field internship, and capstone field internship;(e)(f)
The name and contact information of the EMS-TEI's program coordinator; and(f)(g)
The names and contact information of all EMS-TEI Instructors.(5)
EMS training courses that require accreditation shall conform to the requirements of NREMT(a)
For programs that require national accreditation, an accreditation letter of review (LOR) as issued by the Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) is acceptable in the interim for newly formed EMS-TEIs that are required by the Commission on Accreditation of Allied Health Education Programs (CAAHEP)(b)
Continuous accreditation status shall be maintained by the EMS-TEI as required by this administrative regulation. If(6)
EMS-TEIs shall obtain and maintain professional liability malpractice insurance of a minimum of $1 million. The EMS-TEI shall provide proof of professional liability malpractice insurance upon initial certification, certification renewal, and upon application for certification upgrade.(7)
An EMS-TEI shall display the current certificate issued through the board:(a)
In a prominent place in the EMS-TEI's business;(b)
In the classroom if classes are being conducted away from the primary business location; and(c)
Provided electronically to the student if the classes are being conducted online.(8)
Certification of an EMS-TEI shall be valid for a period of two (2) years unless limited by disciplinary action.(9)
An EMS-TEI requesting a name change or change in ownership shall notify the board in KEMSIS no later than thirty (30) days prior to the name change or change in ownership by completing:(a)
A new Training and Educational Institution (TEI) Application electronically through the EMS-TEI KEMSIS account;(b)
Legal documentation reflecting the legal name or ownership change, or registration with the Kentucky Secretary of State Office reflecting the change which shall be uploaded with the TEI application in KEMSIS; and(c)
Payment of the nonrefundable application fee established in 202 KAR 7:030.Section 4.
Recertification of an EMS-TEI.(1)
(a)
(b)
(c)
(2)
(1)(3)
Prior to expiration of the two (2) year(2)(4)
Upon application for recertification, an applicant shall (a)
An EMS-TEI Renewal Application(b)
The appropriate EMS-TEI pre-inspection worksheet (Level 1-4 or CE Only); and(c)
All(3)(5)
An EMS-TEI seeking recertification(4)(6)
An applicant for EMS-TEI renewal shall meet all renewal requirements prior to the expiration date of the TEI certification.(a)
A TEI that does not comply with all renewal requirements prior to the certification expiration date shall expire.(b)
A TEI that allows the TEI certification to expire shall be required to apply as an initial EMS-TEISection 5.
Inspections.(1)(7)
An EMS-TEI applying for initial or certification upgrade shall undergo an inspection prior to offering classes. The type of inspection, on-site or virtual, shall be determined by the office of the board and the EMS-TEI shall be responsible for establishing the virtual connection at its (2)(8)
Each inspection shall ensure that the EMS-TEI has met all applicable requirements of this administrative regulation. If the board's inspection finds that the EMS-TEI has failed to meet a requirement, the EMS-TEI shall correct all deficiencies prior to offering a class and receiving subsequent certification as an EMS-TEI.(3)(9)
The board may conduct inspections of EMS-TEIs for initial, renewal, certification upgrade, or to monitor compliance with statutory and regulatory requirements for TEIs. Inspections may be scheduled or unscheduled.(4)(10)
The office of the board shall conduct an application review of required documentation and inspection of the EMS-TEI applicant no later than sixty (60) days following the submission of the Training and Educational Institution (TEI) Application by the EMS-TEI applicant for initial certification and upgrades.(5)(11)
Approval of notice of intent to upgrade shall not extend the two (2) year EMS-TEI certification period.(12)
(a)
(b)
(c)
Section 6.Section 5.
EMS-TEI Operating Requirements.(1)
Each EMS-TEI shall maintain files for a period of three (3) years beyond the end date of each EMS Course program that contains the following documentation:(a)
For courses requiring accreditation, all documents necessary for the EMS-TEI to have met the accrediting agency's standards, policies, and guidelines;(b)
A copy of the last accreditation self-study and letter of accreditation;(c)
The student attendance sign-in sheets for each course taught, including:1.
Lectures;2.
Practical skills lessons; and3.
Clinical and field rotations;(d)
A master copy of each set of examinations administered and answer keys for the exams;(e)
A master copy of practical skills examination forms;(f)
A master copy of each course syllabus that contains the following required syllabus components:1.
Course description, to include KBEMS course number;2.
Course meeting location and times;3.
Instructor and medical director contact information;4.
Course prerequisites or co-requisites;5.
Learning objectives and course outcomes;6.
Required course resources;7.
Method of evaluation;8.
Grading policy and scale;9.
Description of assignments;10.
Class schedule to include week, date, topic, and hours;11.
Required clinical rotations, field experience, or capstone field internships; and12.
Course policies, which shall include policies regarding:a.
Attendance;b.
Americans with Disabilities Act (ADA) statement and special accommodations;c.
Academic honesty statement;d.
The use of electronic devices, tobacco, and electronic cigarettes;e.
Disruptive behavior;f.
Required immunizations, insurance coverage, drug screening, and background check;g.
Course emergency procedures;h.
Professional behavior and conduct; andi.
Amendments to course syllabus;(g)
Current, written affiliation agreements executed between hospitals or EMS agencies and the EMS-TEI;(h)
Health records for students as may be required by the EMS-TEI or as expressly required in written affiliation agreements and determined necessary for students to complete clinical assignments, field-internships, or summative field evaluations;(i)
Records of all disciplinary actions taken against a student, if applicable. Records shall include notification to students of the complaint; responses, if applicable, made by or on behalf of the student; and actions taken as a result of a complaint or other documented incident, grievance, or deficiency;(j)
For students requiring remediation, documentation of specific activities or procedures requiring remediation and actions taken in response to deficiencies, including how the specific remediation was accomplished and the success or failure of remediation;(k)
A master file of the objectives and competencies to be achieved by students during each educational program; and(l)
Documentation of other requirements that the EMS-TEI has established as part of the offered courses.(2)
Failure of an EMS-TEI to maintain records required by the board may(3)
The board shall require an EMS-TEI to submit a copy of the EMS-TEI's annual accreditation report electronically through the EMS-TEI's KEMSIS account if accreditation is necessary for licensure or certification of the students taking the EMS-TEI's offered course.(4)
EMS-TEIs shall conduct an annual review and revision of all courses and programs to ensure the EMS-TEI has complied with necessary updates to courses, programs, and accepted educational standards. The elements of the annual review shall include:(a)
Curriculums;(b)
Instructor and course program evaluations;(c)
Medical oversight;(d)
Clinical and field internship evaluations, if applicable;(e)
Student evaluations of educators;(f)
Course pass rates;(g)
Attrition rates; and(h)
Resource assessment.(5)
The participants involved with the annual review shall include:(a)
The program administrator(b)
Course coordinator;(c)
The primary medical(d)
An instructor or a faculty member that was actively involved in teaching courses during the preceding twelve (12) months of the annual review; and(e)
A student that successfully completed a course offered through the EMS-TEI during the preceding twelve (12) months of the annual review.(6)(5)
An EMS-TEI shall document in writing the required annual review and updates resulting from the annual assessment.(7)(6)
Documentation of the annual review shall be in writing, signed by the program administrator (8)(7)
An EMS-TEI shall ensure (a)
Available at each class session where skills are taught or practiced;(b)
Adequate in number to allow for practice by students enrolled; and(c)
In good working order and well-maintained.(9)
Primary textbooks utilized shall be published, peer-reviewed, and research-based.(10)(8)
An EMS-TEI shall maintain and protect the privacy of all records pertaining to the health and safety of patients, students, and faculty members that are obtained or developed through or as a result of participation in training and educational activities with the EMS-TEIs.(11)(9)
The EMS-TEI shall be responsible for knowing and following all federal and state laws relevant to safeguarding privacy of records, including educational and health records.(12)(10)
The EMS-TEI shall develop and make available to all prospective students a clearly defined admissions policy.(13)(11)
An EMS-TEI's admission policy shall include specific requirements for students to gain admission, maintain enrollment, and all academic requirements necessary to successfully complete the offered course or program. The admission policy shall be provided to the student at the start of the course and a verified receipt by signature shall be kept in the student's file including any changes to the admission policy while the student is enrolled in the course. Admissions policies shall include at a minimum:(a)
Tuition rates and fees associated with the training and education program;(b)
Fees and other costs associated with remediation;(c)
The availability of any bridge programs or advanced placement;(d)
Any credit for previous educational, experimental learning, certifications, or transfer hours;(e)
A descriptive synopsis of the curriculum for each type of course taught;(f)
Course educational objectives;(g)
Classroom lecture and skills practice schedules;(h)
Clinical or field rotation locations with beginning and ending dates;(i)
Participation requirements for each clinical or field rotation site;(j)
Continued course competency and course completion requirements; and(k)
Citations to and language of prohibited actions pursuant to KRS 311A.050 that provide grounds for sanctions against or denial of individuals making application for certification or licensure by the board.(14)(12)
In addition to the policies required by subsection (1)(f)12. of this section, EMS-TEIs shall establish written policies that provide for:(a)
The creation and use of course or program advertising that accurately portrays the course or program content as offered by the EMS-TEI;(b)
A uniform process for filing, investigating, and resolving complaints or grievances by applicants, students, preceptor sites, patients, members of the general public, or faculty members;(c)
A written remediation policy that ensures students are provided with acceptable due process protections that include, at a minimum:1.
Notification of allegations or academic issues;2.
A right for the student to be heard about the allegations or academic issues;3.
A right for the student to appeal the decision of the EMS-TEI to the EMS-TEI administrator and primary medical director about the allegations or academic issues; and4.
The notification to the student shall be in writing and signed and dated by the:a.
Student;b.
EMS-TEI administrator;c.
Primary medical director; andd.
Course coordinator;(d)(c)
A procedure for a student to withdraw from a course and a clear statement of refund policies and the steps necessary for a student to obtain a refund of tuition or fees already paid;(e)(d)
Faculty to acquire or develop examinations for each course offered;(f)(e)
The establishment of and adherence to examination procedures and policies;(g)(f)
The requirements for a student to take and pass examinations in courses the EMS-TEI offers including requirements that shall be met during the course for the student to be eligible to take the National Registry of EMTs certification exam; and(h)(g)
Public disclosure1.
All provider levels tested;2.
Date range for which the report was calculated;3.
EMS-TEI name, number, and physical address;4.
Number of students that took the exam; and5.
Cumulative pass rate calculated by percentage.(15)(13)
An EMS-TEI shall ensure (a)
Nameplate;(b)
A uniform; or(c)
Other publicly apparent means.(16)(14)
A student or a faculty member shall maintain proper personal and professional conduct during classroom, clinical, and field internship activities.(17)(15)
EMS-TEIs shall have a program administrator(a)
All aspects of the program, including administration, organization, and supervision of the educational program;(b)
Assuring the quality and credentials of the program coordinator, EMS educators, EMS educator adjuncts, lab and skill evaluators, and students accepted into the EMS-TEI's programs or courses;(c)
Assuring the security of examination results and materials;(d)
Monitoring the activities of the EMS-TEI's faculty and students;(e)
Maintaining records and documents and submitting(f)
Continuously reviewing the quality and improvement of the educational program;(g)
Long range planning and ongoing development of the program;(h)
The orientation, training, and supervision of clinical and field internship preceptors; and(i)
The effectiveness and quality of fulfillment of responsibilities delegated to another qualified individual.(18)(16)
EMS-TEIs shall include faculty and instructional staff who shall be responsible for:(a)
Didactic, clinical instruction, or supervised practice in each location where students are assigned; and(b)
Coordination, supervision, and frequent assessment of the students' progress in achieving acceptable program requirements.(19)(17)
A certified EMS-TEI shall maintain an ongoing level of competence, evidenced by a minimum pass rate for each level of instruction of seventy (70)(a)
The minimum pass rate shall be calculated, and compliance determined by, the office of the board.(b)
An EMS-TEI that fails to maintain a seventy (70)(20)(18)
If an EMS-TEI fails to meet an ongoing level of competence determined according to this administrative regulation and demonstrated by compliance with KRS Chapter 311A and 202 KAR Chapter 7, the EMS-TEI (21)(19)
All EMS-TEIs offering initial certification or licensure courses (a)
(b)
(c)
(d)
(e)
(f)
(g)
(22)(20)
The EMS-TEI administrator (a)
The EMS-TEI demographics;(b)
The EMS-TEI personnel roster; and(c)
The EMS-TEI policy and procedures required by this administrative regulation.(23)(21)
(a)
The program administrator(b)
The EMS education program name, director name, address, and contact information listed with NREMT shall match the EMS-TEI program information listed in KEMSIS.Section 7.Section 6.
Disciplinary Action.(1)
As certified entities under the board's jurisdiction, all EMS-TEIs shall be subject to the disciplinary procedures and sanctions established in KRS Chapter 311A.(2)
Discipline of an EMS-TEI as a certified entity shall not prevent the board from taking disciplinary action against a certified or licensed individual associated with the EMS-TEI at any level of certification or licensure applicable.Section 8.Section 7.
Reporting Requirements for EMS-TEI.(1)
An EMS-TEI shall submit electronically to the board the documents as required by this section for all EMS courses or psychomotor skill verification that lead to certification by The National Registry of EMTs or certification or licensure by the board.(2)
An EMS-TEI shall submit the following documents to the board office:(a)
Course Notification Application submitted no less than fourteen (14) days prior to the course start date of any initial certification course. This applies to all initial courses conducted on or off the campus of the EMS-TEI to include satellite and alternate site courses;1.
An EMS-TEI shall notify the board within fourteen (14) days of any changes to a board-approved2.
All EMR courses shall utilize the board-approved EMR Student Minimum Competency3.
All EMT courses shall utilize the board-approved EMT Student Minimum Competency4.
All AEMT courses shall utilize the board-approved AEMT Student Minimum Competency Form for evaluation of psychomotor skills in the initial courses.5.
All paramedic courses shall meet paramedic student minimum competencies in accordance with nationally accepted accreditation standards and EMS-TEI requirements to verify paramedic course competency.(b)
An Initial Educational Course Roster within fourteen (14) days of the course start date listed on the Course Notification Application; and(c)(b)
A Final Educational Course Roster within fourteen (14)(3)
Upon successful submission and board staff approval of all documents required by this section for courses that lead to certification by The National Registry of EMTs and licensure or certification by the board, the EMS-TEI(4)
An EMS-TEI that fails to provide documents as required may(5)
A course shall not commence until the EMS-TEI has obtained a board-approved course number(a)
The office of the board shall review and approve off-campus, satellite, on-line, and alternate site initial courses for compliance before issuing an approved course number.(b)
For initial courses requiring accreditation, proof of approval by the accrediting agency for satellite and alternate site courses shall be required before an approved course number is issued by the office of the board.(6)
A course that does not meet all requirements of this administrative regulation may not lead to certification or licensure for(7)
An EMS-TEI shall notify the board within seven (7) days of any changes to the course as previously submitted on the Course Notification Application(8)
(a)
An EMS-TEI shall notify the board within seven (7) days of cancellation (9)(b)
An EMS-TEI that cancels an initial certification or licensure course that is underway or planned shall fully refund all tuition and fees paid by the students in the course that are impacted by the course cancellation.(10)
An EMS-TEI that is closing shall transfer, in a digital format, all course records required by this administrative regulation to the board for the previous three (3) years from the closing date.Section 9.Section 8.
Requirements for All Training and Education Courses.(1)
All EMS educational programs in Kentucky that lead to EMS Provider certification by The National Registry of Emergency Medical Technicians (NREMT) and certification or licensure by the board shall:(a)
Comply with this administrative regulation;(b)
Not begin until the EMS-TEI has filed all documents required pursuant to Section 8(c)
Not begin until the EMS-TEI has paid all fees required pursuant to 202 KAR 7:030;(d)
Use the National Emergency Medical Services Education Standards that are appropriate for the level of EMS provider course being offered;(e)
Teach students the Kentucky and National EMS Scope of Practice Models;(f)
Meet the course administrative and faculty requirements in this administrative regulation, if applicable, as established by the NREMT approved accrediting agency; and(g)
Use educators certified by the board as EMS educators who are minimally certified or licensed at the level of the offered course.(2)(h)
1.
An EMS-TEI shall ensure that all student course work including lectures, practical skills lessons, and clinical or field rotations for courses that lead to certification by the National Registry of EMTs and certification and licensure by the board be completed within ninety (90)(a)2.
The board shall not accept any changes made to course completion documents listed in Section 8(b)3.
In exceptional circumstances, as determined by the board in instances such as if there is an emergent medical condition or a death in the immediate family, the EMS-TEI may submit a Final Educational Course Roster of students approved by the EMS-TEI program administrator(3)(i)
The EMS-TEI administrator(4)(2)
The EMS-TEI may use an assistant instructor who is not a board-certified educator to instruct no more than twenty (20)(5)(3)
The EMS-TEI shall maintain an instructor to student ratio of no more than 1:20 for classroom sessions where skills are practiced. These sessions shall not proceed without the presence of:(a)
An educator certified by the board pursuant to 202 KAR 7:812(b)
An additional certified educator or adjunct faculty for each one (1) to twenty (20) additional students. Additional adjunct faculty used shall:1.
Not be required to be certified as an EMS educator, but shall be certified by the board as an EMS provider at or above the level for the course being taught; or2.
Be a Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), Physician (DO or MD), or Physician Assistant (PA).(6)(4)
The EMS-TEI program administrator(5)
(a)
(b)
(c)
(d)
(e)
(f)
(7)(6)
An EMS-TEI shall maintain a written contractual affiliation agreement or memorandum of understanding with each clinical rotation site that outlines, at a minimum, the responsibilities of each entity and reporting requirements for students involved in clinical and field training and education.(8)(7)
An EMS-TEI shall provide faculty from the EMS-TEI training and education program, clinical coordinators, or designees under contract with the EMS-TEI to oversee student activity while in the clinical or field internship setting.(9)(8)
The EMS-TEI shall provide clinical or field preceptor training to all clinical or field preceptors overseeing students during clinical or field internship rotations.Section 10.Section 9.
Emergency Medical Responder Training and Education Course Requirements.(1)
Each Emergency Medical Responder (EMR) training and education course shall:(a)
Include all training and education requirements established in KRS Chapter 311A, 202 KAR 7:201, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Emergency Medical Responder(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process; and(d)(2)
Ensure students (2)(3)
EMR candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:201.Section 11.Section 10.
Emergency Medical Technician Training and Education Course Requirements.(1)
Each Emergency Medical Technician (EMT) training and education course shall:(a)
Include all training and education requirements established in KRS Chapter 311A, 202 KAR 7:301, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Emergency Medical Technician(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process; and(d)(2)
Ensure students(2)(3)
Each student shall complete clinical and field rotation that meets the requirements for EMT education as determined by this administrative regulation, including the National and Kentucky EMS Scope of Practice for an EMT student as approved by the applicable accrediting agency's minimum requirements. Each student shall complete a patient history and assessment on a care report form for each of the patients in the student minimum competency.(3)(4)
Clinical or field rotations for EMTs shall be conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator (4)(5)
If a student fails to achieve the goals established by the EMS-TEI for the EMT education program, the EMS-TEI administrator (6)
(a)
(b)
(c)
(d)
1.
2.
3.
4.
(5)(7)
EMT candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:301.(6)(8)
EMT students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 12.Section 11.
Advanced-Emergency Medical Technician Training and Education Programs.(1)
(a)
Include all training and education pursuant to KRS Chapter 311A, 202 KAR 7:330, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Advanced Emergency Medical Technician(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process;(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for an AEMT; and(e)(2)
Ensure students(2)(3)
Clinicals or field rotations for AEMTs shall be conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator(3)(4)
If a student fails to achieve the goals established by the EMS-TEI for the AEMT education program, the EMS-TEI administrator(5)
(a)
(b)
(c)
(d)
1.
2.
3.
4.
(4)(6)
AEMT candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:330.(5)(7)
AEMT students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 13.Section 12.
Paramedic Training and Education Programs.(1)
Each Paramedic training and education course shall:(a)
Include all training and education as required by this administrative regulation, KRS Chapter 311A, 202 KAR 7:401, 202 KAR 7:701, and any other Kentucky statutes or administrative regulations that place mandates upon paramedic students;(b)
Use the National Emergency Medical Services Education Standards – Paramedic(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process;(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for a Paramedic; and(e)(2)
Ensure students(2)(3)
The minimum requirements of clinical or field rotations for paramedics shall include:(a)
Clinicals or field rotations conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator(b)
Each student shall complete a patient history and assessment on a care report form for each of the patients in the student minimum competency.(3)(4)
If a student fails to achieve the goals established by the EMS-TEI for the EMS education program, the EMS-TEI administrator (5)
(a)
(b)
(c)
(d)
1.
2.
3.
4.
(4)(6)
Paramedic candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:401.(5)(7)
Paramedic students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 14.Section 13.
Continuing Education.(1)
Training and education courses provided to individuals that fulfill the continuing education requirements necessary to receive a certification or licensure from the board shall be provided by:(a)
An entity certified by the board as an EMS-TEI;(b)
An agency or department having contractual agreements with a board-certified(c)
A board-approved symposium(d)
A board-approved(e)
One (1) or more of the approved continuing education entities listed below:1.
The Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE);2.
Kentucky Board of Nursing;3.
Kentucky Board of Medical Licensure;4.
Kentucky Board of Respiratory Care;5.
Department of Homeland Security and all department components;6.
U.S. Fire Administration and all department components;7.
Kentucky Department of Criminal Justice Training (DOCJT);8.
Kentucky Cabinet for Health and Family Services;9.
Courses approved by any State EMS Office that are offered or10.
Kentucky Law Enforcement Council (KLEC); or11.
International Board of Specialty Certification (IBSC).(2)
Continuing education courses shall:(a)
Contain material relevant to the job specifications and professional development of EMS personnel; and(b)
Be conducted at an EMS level appropriate for the discipline of the participants.(3)
EMS-TEIs that provide initial(a)
Official name of the EMS-TEI as listed in the EMS-TEI KEMSIS account and certification number of the EMS-TEI issued by the board;(b)
Name of primary instructor and state EMS office EMS provider number;(c)
Name of course and board-issued course number if applicable;(d)
Breakdown of completed hours and subject categories instructed that meet the continuing education requirements established by 202 KAR 7:201, 202 KAR 7:301, 202 KAR 7:330,(e)
Signature of one (1) of the following EMS-TEI representatives:1.
EMS-TEI administrator2.
Course coordinator; or3.
Course lead instructor.(4)
EMS-TEIs that provide continuing education courses shall provide a course completion verification for each participant who successfully completes a continuing education course by either:(a)
Issuing a course completion certificate, in hard copy or electronic format, to all participants who are not employees of the agency providing the course. The course completion certificate shall contain, at a minimum, the items listed in subsection (3)(a) through (e) of this section; or(b)
For EMS-TEIs that provide continuing education courses for their aligned licensed agency, course completion verification may be completed by entering student completion in an agency's employee training file system using sign-in rosters. The training file sign-in rosters shall contain, at a minimum, the items listed in subsection (3)(a) through (e) of this section.(5)
All training documents within an employee's training file system shall be made available to an employee or previous employee within seven (7) days of separation from the licensed agency.Section 15.Section 14.
(1)
The following persons shall be qualified to conduct continuing education courses for persons certified or licensed by the board:(a)
An EMS provider licensed or certified by the board that holds a CE, EMR, EMT, AEMT, APP, or Paramedic Educator credential;(b)
A physician (DO or MD) or Physician Assistant (PA) licensed in Kentucky or another state, who has specific expertise in an area of a prehospital discipline;(c)
A registered nurse (RN) or Advanced Practice Registered Nurse (APRN) licensed in Kentucky or another state, who has specific expertise in an area of a prehospital discipline; or(d)
An individual who is at least one (1) of the following and who shall be limited to teaching the specific subject approved by the EMS-TEI administrator1.
Certified by a state or federal agency to teach or perform subject matter relevant to the National Emergency Medical Services Education Standards and National and Kentucky EMS Scope of Practice for a prehospital discipline;2.
Certified by a nationally recognized entity to provide EMS related training and education; or3.
A presenter at a National or State Symposium accredited by an agency or other board approved entity.4.
(2)
The EMS-TEI or other approved contractual department or agency providing continuing education shall be required to:(a)
Maintain a roster, objectives, and outline for every continuing education course taught on file for a period of three (3) years beyond the end date of each EMS course;(b)
Maintain all documentation to have met the applicable accreditation agency standards, policies, and guidelines established in this administrative regulation; and(c)
Meet the requirements of this administrative regulation.(3)
If requested by the board, the EMS-TEI shall submit to the board the required documents for EMS initial and continuing education courses taught within the preceding three (3) years that lead to re-certification or re-licensure by the board, including:(a)
Contractual agreements;(b)
The continuing education instructor curriculum vitae or resume that includes at a minimum the educator's name, address, phone number, email address, education history, and employment history documenting the qualifications listed in subsection (1) of this section have been met;(c)
A completed Continuing Education Course Student Roster. The course roster shall include the participant's(d)
Objectives, syllabi, outline, and a list of instructor resources used for each continuing education course.Section 16.Section 15.
Pilot Programs.(1)
A board-certified(2)
A pilot program shall involve specialized training and education, as well as associated procedures not otherwise provided for in 202 KAR Chapter 7.(3)
Educational Pilot Programs shall be subject to the provisions of 202 KAR 7:565.Section 16.
(1)
(a)
(b)
(c)
(d)
(e)
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(b)
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(c)
(d)
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(e)
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2.
3.
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5.
(f)
(g)
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b.
c.
d.
2.
(3)
(4)
Section 17.
(1)
(a)
(b)
(c)
(d)
(e)
(2)
(3)
Section 18.
(1)
(a)
(b)
(c)
(d)
(e)
(2)
(3)
(4)
(a)
1.
2.
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4.
(b)
Section 19.
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Section 20.
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(b)
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Section 21.
Section 17.Section 22.
Incorporation by reference.(1)
The following material is incorporated by reference:(a)
"Training and Educational Institution (TEI) Application in KEMSIS", July 2019(b)
"Course Notification Application in KEMSIS", July 2019;(c)
"Initial Educational Course Roster", September 2012;(d)
"National Emergency Medical Services Education Standards", National Highway Traffic Safety Administration, 2021;1.
"National Emergency Medical Services Education Standards-Emergency Medical Responder", National Highway Traffic Safety Administration, 2021;2.
"National Emergency Medical Services Education Standards-Emergency Medical Technician", National Highway Traffic Safety Administration, 2021;3.
"National Emergency Medical Services Education Standards-Advanced Emergency Medical Technician", National Highway Traffic Safety Administration, 2021;4.
"National Emergency Medical Services Education Standards-Paramedic", National Highway Traffic Safety Administration, 2021;(d)
1.
2.
3.
4.
(e)
(e)(f)
"National EMS Scope of Practice Model 2019", National Highway Traffic Safety Administration, DOT HS 812 666, February 2019;(g)
(f)
"CoAEMSP Interpretations of the CAAHEP 2023 Standards and Guidelines for the Accreditation of Educational Programs in the EMS Professions", May 2025;(h)
(g)
"EMS-TEI Pre-Inspection Worksheet (CE Only)", August 2023;(h)
"EMS-TEI Pre-Inspection Worksheet (Levels 1 thru 4)", August 2023;(i)
"EMS-TEI Renewal Application", March 2026;(j)(i)
"Final Educational Course Roster", September 2012;(k)(j)
"Continuing Education Course Student Roster", September 2012;(l)(k)
"Course Change Notification Application" in KEMSIS, July 2019;(l)
(m)
(m)
"EMR Student Minimum Competency", 2026;(n)
"EMT Student Minimum Competency", 2026; and(o)
"AEMT Student Minimum Competency", 2026.(n)
(o)
(p)
(q)
(r)
(s)
(t)
(u)
(v)
(w)
(x)
(y)
(z)
(aa)
(bb)
(cc)
(dd)
(ee)
(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Office for the Kentucky Board of Emergency Medical Services, 500 Mero Street, 5th Floor 5SE32, Frankfort, Kentucky 40601, by appointment, Monday through Friday, 8:00 a.m. to 4:30 p.m.(3)
This material is also available on the board's Web site at: kbems.ky.govAPPROVED BY THE BOARD ON: August 13, 2026
JOHN R. HOLDER, Chair
APPROVED BY AGENCY: October 13, 2026
FILED WITH LRC: October 13, 2026 at 3:30 p.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on December 21, 2026, at 1:00 PM ET at the Kentucky Board of Emergency Medical Services, 500 Mero Street, 5th Floor 5SE32, Frankfort, Kentucky 40601. Individuals interested in being heard at this hearing shall notify this agency in writing by five (5) workdays prior to the hearing of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be canceled. This hearing is open to the public. Any person who wishes to be heard will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through December 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: John K. Wood, counsel for the Kentucky Board of Emergency Medical Services, 163 East Main Street, Suite 200, Lexington, Kentucky 40507, Phone: (859) 225-4714, Fax: (859) 225-1493, Email: administrativeregulations@wgmfirm.com.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
John K. Wood, Phone: (859) 225-4714, Email: administrativeregulations@wgmfirm.com
Subject Headings:
Emergency Medical Services, Licensing, Education: Career and Technical
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation establishes requirements for an organization to be certified by the board as an Emergency Medical Service Training and Education Institute (EMS-TEI).
(b) The necessity of this administrative regulation:
KRS 311A.030 and 311A.125 require the board to promulgate administrative regulations establishing standards related to the training and education of emergency medical services personnel. KRS 311A.130 requires proper in-service and in-house in-service training and education. KRS 311A.025 requires the board to establish levels of certification. This administrative regulation is necessary to establish requirements for an organization to be certified by the board as an Emergency Medical Service Training and Education Institute (EMS-TEI).
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311A.025, 311A.030, 311A.125, and 311A.130 by establishing certification requirements for EMS-TEIs.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This administrative regulation currently assists and will assist in the effective administration of the above-referenced statutes by establishing the certification requirements for EMS-TEIs.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
This amendment: Updates terminology regarding EMS-TEI administrators and medical directors. Requires an EMS-TEI’s primary medical director to meet the qualifications established in 202 KAR 7:801. Requires a memorandum of understanding or contract with the primary medical director outlining the relationship, duties, and requirements of the primary medical director and any associate or assistant medical director affiliated with the EMS-TEI. Updates course and policy requirements. Increases the minimum NREMT cumulative pass rate an EMS-TEI must maintain from sixty (60) to seventy (70) percent. Updates reporting requirements for graduate data. Updates course notification and roster requirements. Extends the window for course-completion documentation from sixty (60) to ninety (90) days, and extends the NREMT-testing approval window from seven (7) to fourteen (14) days. Lowers the percentage of classroom instruction an assistant instructor may teach from forty (40) to twenty (20) percent. Deletes EMS Educator certification provisions, which are now included in a separate new administrative regulation filed contemporaneously herewith. Deletes the Education Committee provisions. (The Education Committee remains established pursuant to 202 KAR 7:020, Section 2.) Requires an EMS-TEI that is closing to transfer its course records to the Board. Updates materials incorporated by reference.
(b) The necessity of the amendment to this administrative regulation:
This amendment is necessary to update EMS-TEI certification, management, and operating requirements, update EMS-TEI medical director requirements, and ensure consistent terminology use across regulations.
(c) How the amendment conforms to the content of the authorizing statutes:
This amendment conforms to the content of KRS 311A.025, 311A.030, 311A.125, and 311A.130 by updating the certification, management, and training standards applicable to EMS-TEIs.
(d) How the amendment will assist in the effective administration of the statutes:
This amendment will assist in the effective administration of the above-referenced statutes by updating and clarifying the certification, management, and training standards applicable to EMS-TEIs.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
Yes. Section 8(10) of this amendment implements the protection against the loss of educational records included in the amendment to KRS 311A.030 in House Bill 236 (2026 Regular Session), 2026 Ky. Acts ch. 105, sec. 5.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
EMS-TEIs and their administrators, medical directors, and students.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
EMS-TEIs will need to ensure that their primary medical director meets the requirements established in 202 KAR 7:801, have a memorandum of understanding or contract with their primary medical director with the contents required by this amendment, ensure that courses and policies comply with the requirements of this amendment, meet the minimum pass rate, and ensure timely reporting of required records and data.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
No additional costs are anticipated as a result of this amendment, other than administrative costs.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
EMS-TEIs and their students will benefit from a clearer medical oversight structure, updated syllabus and course standards, updated policy requirements, and updated materials that reflect current standards.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
Other than administrative costs, there will be no costs to the Board in implementing this administrative regulation.
(b) On a continuing basis:
Other than administrative costs, there will be no costs to the Board in implementing this administrative regulation.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The Kentucky Board of Emergency Medical Services is a state agency that receives its annual budget from the state government.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase in fees or funding will be necessary to implement this administrative regulation.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
This administrative regulation does not establish any fees or directly or indirectly increase any fees.
(10) TIERING: Is tiering applied?
Tiering is not applied to this administrative regulation because this administrative regulation applies to all EMS-TEIs.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311A.025, 311A.030, 311A.125, and 311A.130. KRS 311A.030 and 311A.125 require the board to promulgate administrative regulations establishing standards related to the training and education of emergency medical services personnel. KRS 311A.130 requires proper in-service and in-house in-service training and education. KRS 311A.025 requires the board to establish levels of certification.
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
This administrative regulation is expressly authorized by KRS 311A.025(1)(n) and (2). KRS 311A.025 was last amended by 2026 Ky. Acts ch. 105, sec. 8.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
This administrative regulation is promulgated by the Kentucky Board of Emergency Medical Services.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
Local entities are not directly affected by this administrative regulation.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
EMS-TEIs and their administrators, medical directors, and students.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The Board does not anticipate this administrative regulation will have any fiscal impact.
(b) Methodology and resources used to reach this conclusion:
This administrative regulation does not establish or increase any fees, and the board does not anticipate any compliance costs other than administrative costs.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
This administrative regulation will not have a major economic impact.
(b) The methodology and resources used to reach this conclusion:
This administrative regulation does not establish or increase any fees, and the board does not anticipate any compliance costs other than administrative costs.
BOARD OF EMERGENCY MEDICAL SERVICES
(Amendment)
202 KAR 7:601.Training, education, and continuing education.
Section 1.
EMS-TEI Certification.(1)
Only an entity certified by the board as an EMS-TEI may conduct training and education programs in the Commonwealth that lead to certification or licensure by the board. Training programs shall include:(a)
In person, online, or hybrid; and(b)
Laboratory.(2)
Classifications for EMS-TEIs shall include:(a)
EMS-TEI 1, which includes Emergency Medical Responder (EMR) and continuing education;(b)
EMS-TEI 2, which includes EMR, Emergency Medical Technician (EMT), and continuing education;(c)
EMS-TEI 3, which includes EMR, EMT, Advanced Emergency Medical Technician (AEMT), and continuing education;(d)
EMS-TEI 4, which includes EMR, EMT, AEMT, Paramedic, and continuing education; or(e)
EMS-TEI CE, which includes continuing education only.Section 2.
Applying for EMS-TEI Certification.(1)
An applicant shall submit:(a)
A completed Training and Educational Institution (TEI) Application;(b)
A nonrefundable application fee as established in 202 KAR 7:030;(c)
The appropriate EMS-TEI pre-inspection worksheet (Level 1-4 or CE Only); and(d)
All required documentation listed in the applicable EMS-TEI Pre-Inspection Worksheet.(2)
An applicant may seek one (1) level of certification during the two (2) year certification term. A single applicant shall not hold more than one (1) identical TEI certification simultaneously.(3)
An applicant applying for an EMS-TEI certification shall meet all requirements for that level within sixty (60) days of submitting the Training and Education Institution (TEI) Application for certification. An applicant that exceeds the sixty (60) day requirement shall reapply and resubmit all required fees.(4)
An EMS-TEI that had its certification revoked shall be eligible to apply for certification as an EMS-TEI two (2) years after the date of revocation. This shall be enforced by name of entity holding the EMS-TEI certification and name of owner or operator listed on the TEI Application and official business license or licenses filed by the entity, owner or operator with local, county and state officials.(5)
An EMS-TEI may surrender its certification prior to the end of a certification period by notifying the board in writing of the intent to do so thirty (30) days prior to the intended effective date of the surrender.(a)
An EMS-TEI surrendering its certification while classes are underway shall notify the students impacted by the closure in writing at least thirty (30) days prior to the intended effective date of closure.(b)
An EMS-TEI surrendering its certification while courses are underway shall complete the courses underway before surrendering its EMS-TEI certification or fully refund all tuition and fees paid by the students in the courses underway that are impacted by the EMS-TEI closure.(6)
An EMS-TEI that does not comply with subsection (5) of this section shall not be eligible to reapply for EMS-TEI certification for a period of five (5) years from the date of closure. This administrative regulation shall not preclude civil action against the TEI Owner, Director, or business.Section 3.
Management Requirements for EMS-TEIs.(1)
If an applicant is required to file as a business entity with Kentucky's Secretary of State, the applicant for EMS-TEI certification shall provide proof of registration with the Kentucky Secretary of State to the board that the EMS-TEI is legally able to conduct business in the Commonwealth of Kentucky. The applicant shall provide documentation of exemption status if not registered with the Kentucky Secretary of State and proof of registration with local, county, or state officials as an individual operator or a Doing Business As (DBA).(2)
If an applicant is required to notify, obtain permission, or obtain a license from another regulatory entity in the Commonwealth of Kentucky to operate as an educational entity, it shall be the responsibility of the applicant to make the appropriate notifications, obtain permission, or obtain license to legally operate in the Commonwealth of Kentucky. An EMS-TEI that fails to comply with subsection (1) of this section or this subsection shall be subject to disciplinary action by the board pursuant to KRS Chapter 311A.(3)
Facilities where EMS-TEI courses are conducted shall be:(a)
Maintained and operated in compliance with the safety and health requirements pursuant to local, city, and county ordinances and federal and state laws;(b)
Sponsored or approved by a sponsoring agency;(c)
Offered with an enrollment that shall not exceed the design characteristics of the facilities;(d)
Offered in a controlled environment, including:1.
Temperature;2.
Humidity; and3.
Lighting; and(e)
Offered in classrooms and laboratories that shall:1.
Provide appropriate space for students to participate in classroom activities, kinematic learning, and practice activities;2.
Provide appropriate space for instructor preparation; and3.
Provide adequate and secure storage for instructional materials.(4)
An applicant shall provide the following to the board:(a)
An organizational chart, which shall include, at a minimum, the names, contact information, and addresses of the owner, operator, chief administrative officer, and other personnel necessary for operation of the entity as an EMS-TEI;(b)
The name and contact information of the EMS-TEI's administrator;(c)
The name and contact information of the EMS-TEI's primary medical director who meets the requirements established in 202 KAR 7:801;(d)
A memorandum of understanding or contract executed between the owner of the EMS-TEI and the primary medical director outlining the relationship, duties, and requirements of the primary medical director, associate medical director, and assistant medical director affiliated with an EMS-TEI.1.
The memorandum of understanding or contract for the primary medical director shall include at a minimum that:a.
The primary medical director shall be responsible for medical oversight of the program, associate medical directors, and assistant medical directors;b.
The primary medical director shall review and approve the educational content of the program curriculum;c.
The primary medical director shall review and approve the instruments and processes used to evaluate students in didactic, laboratory, clinical, field experience , and capstone field internship;d.
The primary medical director shall certify the skills of all EMS-TEI students who are enrolled in courses leading to EMS provider certification by the National Registry of Emergency Medical Technicians (NREMT) or certification or licensure by the board;e.
The primary medical director shall review the progress of each student throughout the program, and assist in the determination of appropriate corrective measures, if necessary;f.
The primary medical director shall engage in cooperative involvement with the program administrator ;g.
The primary medical director's interaction shall be in a variety of settings, such as lecture, laboratory, clinical, field internship. Interaction may be by synchronous electronic methods;h.
The primary medical director shall ensure and attest, by signing the graduate's course completion certificate, to the competence of each graduate of the program in the cognitive, psychomotor, and affective domains;i.
The primary medical director shall meet all applicable accrediting agency standards, policies, and guidelines; andj.
The primary medical director shall ensure the effectiveness and quality of any medical director's responsibilities delegated to an associate or assistant medical director;2.
A memorandum of understanding or contract for an associate medical director shall include requirements to fulfill the delegated responsibilities of the primary medical director; and3.
A memorandum of understanding or contract for an assistant medical director shall include requirements to fulfill the delegated responsibilities of the primary medical director and the responsibility of providing medical supervision to students participating in out-of-state clinical rotations, field internship, and capstone field internship;(e)
The name and contact information of the EMS-TEI's program coordinator; and(f)
The names and contact information of all EMS-TEI Instructors.(5)
EMS training courses that require accreditation shall conform to the requirements of NREMT. An EMS-TEI shall submit accreditation documentation to the board upon request.(a)
For programs that require national accreditation, an accreditation letter of review (LOR) as issued by the Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) is acceptable in the interim for newly formed EMS-TEIs that are required by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) to obtain accreditation.(b)
Continuous accreditation status shall be maintained by the EMS-TEI as required by this administrative regulation. If continuous accreditation status is not maintained by the EMS-TEI, the EMS-TEI certification shall be deemed to have lapsed and the EMS-TEI shall be required to reapply as an initial EMS-TEI, if eligible.(6)
EMS-TEIs shall obtain and maintain professional liability malpractice insurance of a minimum of $1 million. The EMS-TEI shall provide proof of professional liability malpractice insurance upon initial certification, certification renewal, and upon application for certification upgrade.(7)
An EMS-TEI shall display the current certificate issued through the board:(a)
In a prominent place in the EMS-TEI's business;(b)
In the classroom if classes are being conducted away from the primary business location; and(c)
Provided electronically to the student if the classes are being conducted online.(8)
Certification of an EMS-TEI shall be valid for a period of two (2) years unless limited by disciplinary action.(9)
An EMS-TEI requesting a name change or change in ownership shall notify the board in KEMSIS no later than thirty (30) days prior to the name change or change in ownership by completing:(a)
A new Training and Educational Institution (TEI) Application electronically through the EMS-TEI KEMSIS account;(b)
Legal documentation reflecting the legal name or ownership change, or registration with the Kentucky Secretary of State Office reflecting the change which shall be uploaded with the TEI application in KEMSIS; and(c)
Payment of the nonrefundable application fee established in 202 KAR 7:030.Section 4.
Recertification of an EMS-TEI.(1)
Prior to expiration of the two (2) year certification period, an EMS-TEI may apply for recertification for a subsequent two (2) year period.(2)
Upon application for recertification, an applicant shall submit the following:(a)
An EMS-TEI Renewal Application;(b)
The appropriate EMS-TEI pre-inspection worksheet (Level 1-4 or CE Only); and(c)
All required documentation listed in the EMS-TEI pre-inspection worksheet (Level 1-4 or CE Only).(3)
An EMS-TEI seeking recertification shall pay all applicable nonrefundable fees as established in 202 KAR 7:030 upon application. Failure to pay fees or subsequent rejection of a payment method shall result in denial of the Training and Educational Institution (TEI) Application.(4)
An applicant for EMS-TEI renewal shall meet all renewal requirements prior to the expiration date of the TEI certification.(a)
A TEI that does not comply with all renewal requirements prior to the certification expiration date shall expire.(b)
A TEI that allows the TEI certification to expire shall be required to apply as an initial EMS-TEI .Section 5.
Inspections.(1)
An EMS-TEI applying for initial or certification upgrade shall undergo an inspection prior to offering classes. The type of inspection, on-site or virtual, shall be determined by the office of the board and the EMS-TEI shall be responsible for establishing the virtual connection at its facility if necessary.(2)
Each inspection shall ensure that the EMS-TEI has met all applicable requirements of this administrative regulation. If the board's inspection finds that the EMS-TEI has failed to meet a requirement, the EMS-TEI shall correct all deficiencies prior to offering a class and receiving subsequent certification as an EMS-TEI.(3)
The board may conduct inspections of EMS-TEIs for initial, renewal, certification upgrade, or to monitor compliance with statutory and regulatory requirements for TEIs. Inspections may be scheduled or unscheduled.(4)
The office of the board shall conduct an application review of required documentation and inspection of the EMS-TEI applicant no later than sixty (60) days following the submission of the Training and Educational Institution (TEI) Application by the EMS-TEI applicant for initial certification and upgrades.(5)
Approval of notice of intent to upgrade shall not extend the two (2) year EMS-TEI certification period.Section 6.
EMS-TEI Operating Requirements.(1)
Each EMS-TEI shall maintain files for a period of three (3) years beyond the end date of each EMS Course program that contains the following documentation:(a)
For courses requiring accreditation, all documents necessary for the EMS-TEI to have met the accrediting agency's standards, policies, and guidelines;(b)
A copy of the last accreditation self-study and letter of accreditation;(c)
The student attendance sign-in sheets for each course taught, including:1.
Lectures;2.
Practical skills lessons; and3.
Clinical and field rotations;(d)
A master copy of each set of examinations administered and answer keys for the exams;(e)
A master copy of practical skills examination forms;(f)
A master copy of each course syllabus that contains the following required syllabus components:1.
Course description, to include KBEMS course number;2.
Course meeting location and times;3.
Instructor and medical director contact information;4.
Course prerequisites or co-requisites;5.
Learning objectives and course outcomes;6.
Required course resources;7.
Method of evaluation;8.
Grading policy and scale;9.
Description of assignments;10.
Class schedule to include week, date, topic, and hours;11.
Required clinical rotations, field experience, or capstone field internships; and12.
Course policies, which shall include policies regarding:a.
Attendance;b.
Americans with Disabilities Act (ADA) statement and special accommodations;c.
Academic honesty statement;d.
The use of electronic devices, tobacco, and electronic cigarettes;e.
Disruptive behavior;f.
Required immunizations, insurance coverage, drug screening, and background check;g.
Course emergency procedures;h.
Professional behavior and conduct; andi.
Amendments to course syllabus;(g)
Current, written affiliation agreements executed between hospitals or EMS agencies and the EMS-TEI;(h)
Health records for students as may be required by the EMS-TEI or as expressly required in written affiliation agreements and determined necessary for students to complete clinical assignments, field-internships, or summative field evaluations;(i)
Records of all disciplinary actions taken against a student, if applicable. Records shall include notification to students of the complaint; responses, if applicable, made by or on behalf of the student; and actions taken as a result of a complaint or other documented incident, grievance, or deficiency;(j)
For students requiring remediation, documentation of specific activities or procedures requiring remediation and actions taken in response to deficiencies, including how the specific remediation was accomplished and the success or failure of remediation;(k)
A master file of the objectives and competencies to be achieved by students during each educational program; and(l)
Documentation of other requirements that the EMS-TEI has established as part of the offered courses.(2)
Failure of an EMS-TEI to maintain records required by the board may result in disciplinary action against an EMS-TEI pursuant to KRS Chapter 311A.(3)
The board shall require an EMS-TEI to submit a copy of the EMS-TEI's annual accreditation report electronically through the EMS-TEI's KEMSIS account if accreditation is necessary for licensure or certification of the students taking the EMS-TEI's offered course.(4)
EMS-TEIs shall conduct an annual review and revision of all courses and programs to ensure the EMS-TEI has complied with necessary updates to courses, programs, and accepted educational standards. The elements of the annual review shall include:(a)
Curriculums;(b)
Instructor and course program evaluations;(c)
Medical oversight;(d)
Clinical and field internship evaluations, if applicable;(e)
Student evaluations of educators;(f)
Course pass rates;(g)
Attrition rates; and(h)
Resource assessment.(5)
The participants involved with the annual review shall include:(a)
The program administrator ;(b)
Course coordinator;(c)
The primary medical director or his or her designee;(d)
An instructor or a faculty member that was actively involved in teaching courses during the preceding twelve (12) months of the annual review; and(e)
A student that successfully completed a course offered through the EMS-TEI during the preceding twelve (12) months of the annual review.(6)
An EMS-TEI shall document in writing the required annual review and updates resulting from the annual assessment.(7)
Documentation of the annual review shall be in writing, signed by the program administrator , program coordinator, and the primary medical director. The annual review shall be maintained in the course or TEI program files and submitted to the board electronically with the EMS-TEI Renewal Application . If an EMS-TEI fails to document the annual review as required by this administrative regulation, the EMS-TEI may be subject to discipline pursuant to KRS Chapter 311A.(8)
An EMS-TEI shall ensure that all physical resources required by the curriculum, including classrooms, skill practice areas, notices of where to purchase or access textbooks, instructional aids, equipment, and supplies are :(a)
Available at each class session where skills are taught or practiced;(b)
Adequate in number to allow for practice by students enrolled; and(c)
In good working order and well-maintained.(9)
Primary textbooks utilized shall be published, peer-reviewed, and research-based.(10)
An EMS-TEI shall maintain and protect the privacy of all records pertaining to the health and safety of patients, students, and faculty members that are obtained or developed through or as a result of participation in training and educational activities with the EMS-TEIs.(11)
The EMS-TEI shall be responsible for knowing and following all federal and state laws relevant to safeguarding privacy of records, including educational and health records.(12)
The EMS-TEI shall develop and make available to all prospective students a clearly defined admissions policy.(13)
An EMS-TEI's admission policy shall include specific requirements for students to gain admission, maintain enrollment, and all academic requirements necessary to successfully complete the offered course or program. The admission policy shall be provided to the student at the start of the course and a verified receipt by signature shall be kept in the student's file including any changes to the admission policy while the student is enrolled in the course. Admissions policies shall include at a minimum:(a)
Tuition rates and fees associated with the training and education program;(b)
Fees and other costs associated with remediation;(c)
The availability of any bridge programs or advanced placement;(d)
Any credit for previous educational, experimental learning, certifications, or transfer hours;(e)
A descriptive synopsis of the curriculum for each type of course taught;(f)
Course educational objectives;(g)
Classroom lecture and skills practice schedules;(h)
Clinical or field rotation locations with beginning and ending dates;(i)
Participation requirements for each clinical or field rotation site;(j)
Continued course competency and course completion requirements; and(k)
Citations to and language of prohibited actions pursuant to KRS 311A.050 that provide grounds for sanctions against or denial of individuals making application for certification or licensure by the board.(14)
In addition to the policies required by subsection (1)(f)12. of this section, EMS-TEIs shall establish written policies that provide for:(a)
The creation and use of course or program advertising that accurately portrays the course or program content as offered by the EMS-TEI;(b)
A uniform process for filing, investigating, and resolving complaints or grievances by applicants, students, preceptor sites, patients, members of the general public, or faculty members;(c)
A written remediation policy that ensures students are provided with acceptable due process protections that include, at a minimum:1.
Notification of allegations or academic issues;2.
A right for the student to be heard about the allegations or academic issues;3.
A right for the student to appeal the decision of the EMS-TEI to the EMS-TEI administrator and primary medical director about the allegations or academic issues; and4.
The notification to the student shall be in writing and signed and dated by the:a.
Student;b.
EMS-TEI administrator;c.
Primary medical director; andd.
Course coordinator;(d)
A procedure for a student to withdraw from a course and a clear statement of refund policies and the steps necessary for a student to obtain a refund of tuition or fees already paid;(e)
Faculty to acquire or develop examinations for each course offered;(f)
The establishment of and adherence to examination procedures and policies;(g)
The requirements for a student to take and pass examinations in courses the EMS-TEI offers including requirements that shall be met during the course for the student to be eligible to take the National Registry of EMTs certification exam; and(h)
Public disclosure concerning the EMS-TEI student cumulative pass rate on the NREMT certification exam for the calendar year. The disclosure shall be updated by January 31 of each year and shall include at a minimum:1.
All provider levels tested;2.
Date range for which the report was calculated;3.
EMS-TEI name, number, and physical address;4.
Number of students that took the exam; and5.
Cumulative pass rate calculated by percentage.(15)
An EMS-TEI shall ensure that each student, while participating in a clinical or field rotation, is clearly identified as a student. Identification shall be accomplished by use of:(a)
Nameplate;(b)
A uniform; or(c)
Other publicly apparent means.(16)
A student or a faculty member shall maintain proper personal and professional conduct during classroom, clinical, and field internship activities.(17)
EMS-TEIs shall have a program administrator who shall be responsible for:(a)
All aspects of the program, including administration, organization, and supervision of the educational program;(b)
Assuring the quality and credentials of the program coordinator, EMS educators, EMS educator adjuncts, lab and skill evaluators, and students accepted into the EMS-TEI's programs or courses;(c)
Assuring the security of examination results and materials;(d)
Monitoring the activities of the EMS-TEI's faculty and students;(e)
Maintaining records and documents and submitting reports;(f)
Continuously reviewing the quality and improvement of the educational program;(g)
Long range planning and ongoing development of the program;(h)
The orientation, training, and supervision of clinical and field internship preceptors; and(i)
The effectiveness and quality of fulfillment of responsibilities delegated to another qualified individual.(18)
EMS-TEIs shall include faculty and instructional staff who shall be responsible for:(a)
Didactic, clinical instruction, or supervised practice in each location where students are assigned; and(b)
Coordination, supervision, and frequent assessment of the students' progress in achieving acceptable program requirements.(19)
A certified EMS-TEI shall maintain an ongoing level of competence, evidenced by a minimum pass rate for each level of instruction of seventy (70) percent calculated upon a cumulative pass rate of students who have taken the National Registry of EMTs and other board-approved exam(s) within the twenty-four (24) months immediately preceding the EMS-TEI's renewal date.(a)
The minimum pass rate shall be calculated, and compliance determined by, the office of the board.(b)
An EMS-TEI that fails to maintain a seventy (70) percent pass rate for each level of instruction as required by this subsection shall notify all students enrolled in courses offered by the EMS-TEI that the EMS-TEI is not in compliance with testing standards.(20)
If an EMS-TEI fails to meet an ongoing level of competence determined according to this administrative regulation and demonstrated by compliance with KRS Chapter 311A and 202 KAR Chapter 7, the EMS-TEI may be subject to discipline pursuant to KRS Chapter 311A.(21)
All EMS-TEIs offering initial certification or licensure courses shall submit graduate data to the Kentucky Center for Statistics.(22)
The EMS-TEI administrator shall keep the EMS-TEI KEMSIS account information updated, including:(a)
The EMS-TEI demographics;(b)
The EMS-TEI personnel roster; and(c)
The EMS-TEI policy and procedures required by this administrative regulation.(23)
(a)
The program administrator of EMS-TEIs offering initial certification courses shall create and maintain, with current information, a National Registry of EMTs educational program account.(b)
The EMS education program name, director name, address, and contact information listed with NREMT shall match the EMS-TEI program information listed in KEMSIS.Section 7.
Disciplinary Action.(1)
As certified entities under the board's jurisdiction, all EMS-TEIs shall be subject to the disciplinary procedures and sanctions established in KRS Chapter 311A.(2)
Discipline of an EMS-TEI as a certified entity shall not prevent the board from taking disciplinary action against a certified or licensed individual associated with the EMS-TEI at any level of certification or licensure applicable.Section 8.
Reporting Requirements for EMS-TEI.(1)
An EMS-TEI shall submit electronically to the board the documents as required by this section for all EMS courses or psychomotor skill verification that lead to certification by The National Registry of EMTs or certification or licensure by the board.(2)
An EMS-TEI shall submit the following documents to the board office:(a)
Course Notification Application submitted no less than fourteen (14) days prior to the course start date of any initial certification course. This applies to all initial courses conducted on or off the campus of the EMS-TEI to include satellite and alternate site courses;1.
An EMS-TEI shall notify the board within fourteen (14) days of any changes to a board-approved class start and end date using the Course Change Notification Application.2.
All EMR courses shall utilize the board-approved EMR Student Minimum Competency Form for evaluation of psychomotor skills in the initial courses.3.
All EMT courses shall utilize the board-approved EMT Student Minimum Competency Form for evaluation of psychomotor skills in the initial courses.4.
All AEMT courses shall utilize the board-approved AEMT Student Minimum Competency Form for evaluation of psychomotor skills in the initial courses.5.
All paramedic courses shall meet paramedic student minimum competencies in accordance with nationally accepted accreditation standards and EMS-TEI requirements to verify paramedic course competency.(b)
An Initial Educational Course Roster within fourteen (14) days of the course start date listed on the Course Notification Application; and(c)
A Final Educational Course Roster within fourteen (14) days of course completion date listed on the Course Notification Application.(3)
Upon successful submission and board staff approval of all documents required by this section for courses that lead to certification by The National Registry of EMTs and licensure or certification by the board, the EMS-TEI shall be assigned a course number.(4)
An EMS-TEI that fails to provide documents as required may be subject to disciplinary action pursuant to KRS Chapter 311A up to and including revocation of the TEI.(5)
A course shall not commence until the EMS-TEI has obtained a board-approved course number.(a)
The office of the board shall review and approve off-campus, satellite, on-line, and alternate site initial courses for compliance before issuing an approved course number.(b)
For initial courses requiring accreditation, proof of approval by the accrediting agency for satellite and alternate site courses shall be required before an approved course number is issued by the office of the board.(6)
A course that does not meet all requirements of this administrative regulation may not lead to certification or licensure for students enrolled in the course or may result in postponement of the course until the requirements of this administrative regulation are met.(7)
An EMS-TEI shall notify the board within seven (7) days of any changes to the course as previously submitted on the Course Notification Application.(8)
An EMS-TEI shall notify the board within seven (7) days of cancellation of an initial certification or licensure course.(9)
An EMS-TEI that cancels an initial certification or licensure course that is underway or planned shall fully refund all tuition and fees paid by the students in the course that are impacted by the course cancellation.(10)
An EMS-TEI that is closing shall transfer, in a digital format, all course records required by this administrative regulation to the board for the previous three (3) years from the closing date.Section 9.
Requirements for All Training and Education Courses.(1)
All EMS educational programs in Kentucky that lead to EMS Provider certification by The National Registry of Emergency Medical Technicians (NREMT) and certification or licensure by the board shall:(a)
Comply with this administrative regulation;(b)
Not begin until the EMS-TEI has filed all documents required pursuant to Section 8 of this administrative regulation;(c)
Not begin until the EMS-TEI has paid all fees required pursuant to 202 KAR 7:030;(d)
Use the National Emergency Medical Services Education Standards that are appropriate for the level of EMS provider course being offered;(e)
Teach students the Kentucky and National EMS Scope of Practice Models;(f)
Meet the course administrative and faculty requirements in this administrative regulation, if applicable, as established by the NREMT approved accrediting agency; and(g)
Use educators certified by the board as EMS educators who are minimally certified or licensed at the level of the offered course.(2)
An EMS-TEI shall ensure that all student course work including lectures, practical skills lessons, and clinical or field rotations for courses that lead to certification by the National Registry of EMTs and certification and licensure by the board be completed within ninety (90) days of the course completion date listed on the Course Notification Application.(a)
The board shall not accept any changes made to course completion documents listed in Section 8 of this administrative regulation if submitted more than ninety (90) days after the course completion date as listed on the Course Notification Application.(b)
In exceptional circumstances, as determined by the board in instances such as if there is an emergent medical condition or a death in the immediate family, the EMS-TEI may submit a Final Educational Course Roster of students approved by the EMS-TEI program administrator and primary medical director for course work extension required in Section 8 of this administrative regulation.(3)
The EMS-TEI administrator shall approve all students to test with the National Registry of EMTs within fourteen (14) days of successful completion of an initial certification course and completion of all necessary documents and applications by the student.(4)
The EMS-TEI may use an assistant instructor who is not a board-certified educator to instruct no more than twenty (20) percent of the classroom didactic education time for initial certification or licensure courses.(5)
The EMS-TEI shall maintain an instructor to student ratio of no more than 1:20 for classroom sessions where skills are practiced. These sessions shall not proceed without the presence of:(a)
An educator certified by the board pursuant to 202 KAR 7:812 for the first twenty (20) students; and(b)
An additional certified educator or adjunct faculty for each one (1) to twenty (20) additional students. Additional adjunct faculty used shall:1.
Not be required to be certified as an EMS educator, but shall be certified by the board as an EMS provider at or above the level for the course being taught; or2.
Be a Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), Physician (DO or MD), or Physician Assistant (PA).(6)
The EMS-TEI program administrator and primary medical director shall approve any assistant instructor or adjunct faculty before the individual may assist in instruction.(7)
An EMS-TEI shall maintain a written contractual affiliation agreement or memorandum of understanding with each clinical rotation site that outlines, at a minimum, the responsibilities of each entity and reporting requirements for students involved in clinical and field training and education.(8)
An EMS-TEI shall provide faculty from the EMS-TEI training and education program, clinical coordinators, or designees under contract with the EMS-TEI to oversee student activity while in the clinical or field internship setting.(9)
The EMS-TEI shall provide clinical or field preceptor training to all clinical or field preceptors overseeing students during clinical or field internship rotations.Section 10.
Emergency Medical Responder Training and Education Course Requirements.(1)
Each Emergency Medical Responder (EMR) training and education course shall:(a)
Include all training and education requirements established in KRS Chapter 311A, 202 KAR 7:201, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Emergency Medical Responder for the duration of course including individual class segments;(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process; and(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for an EMR.(2)
EMR candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:201.Section 11.
Emergency Medical Technician Training and Education Course Requirements.(1)
Each Emergency Medical Technician (EMT) training and education course shall:(a)
Include all training and education requirements established in KRS Chapter 311A, 202 KAR 7:301, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Emergency Medical Technician for duration of course and individual class segments;(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process; and(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for an EMT.(2)
Each student shall complete clinical and field rotation that meets the requirements for EMT education as determined by this administrative regulation, including the National and Kentucky EMS Scope of Practice for an EMT student as approved by the applicable accrediting agency's minimum requirements. Each student shall complete a patient history and assessment on a care report form for each of the patients in the student minimum competency.(3)
Clinical or field rotations for EMTs shall be conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator and primary medical director that, if applicable, meets nationally accepted accreditation standards or EMS-TEI requirements to verify EMT course competency.(4)
If a student fails to achieve the goals established by the EMS-TEI for the EMT education program, the EMS-TEI administrator and primary medical director may require the student to repeat the failed portion of the EMT education program.(5)
EMT candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:301.(6)
EMT students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 12.
Advanced-Emergency Medical Technician Training and Education Programs.(1)
Each AEMT training and education course shall:(a)
Include all training and education pursuant to KRS Chapter 311A, 202 KAR 7:330, and 202 KAR 7:701;(b)
Use the National Emergency Medical Services Education Standards – Advanced Emergency Medical Technician for duration of course and individual class segments;(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process;(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for an AEMT; and(e)
Ensure students complete a clinical and field rotation that meets the requirements for AEMT education as determined by this administrative regulation.(2)
Clinicals or field rotations for AEMTs shall be conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator and primary medical director that, if applicable, meets nationally accepted accreditation standards or EMS-TEI requirements to verify AEMT course competency. Each student shall complete a patient history and assessment on a care report form for each of the patients in the student minimum competency.(3)
If a student fails to achieve the goals established by the EMS-TEI for the AEMT education program, the EMS-TEI administrator and primary medical director may require the student to repeat the failed portion of the AEMT education program.(4)
AEMT candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:330.(5)
AEMT students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 13.
Paramedic Training and Education Programs.(1)
Each Paramedic training and education course shall:(a)
Include all training and education as required by this administrative regulation, KRS Chapter 311A, 202 KAR 7:401, 202 KAR 7:701, and any other Kentucky statutes or administrative regulations that place mandates upon paramedic students;(b)
Use the National Emergency Medical Services Education Standards – Paramedic for duration of course and individual class segments;(c)
Ensure student competency throughout the course by an EMS-TEI validated examination measuring process;(d)
Ensure students receive instruction covering the National and Kentucky EMS Scope of Practice for a Paramedic; and(e)
Ensure students complete a clinical or field rotation that meets the requirements for paramedic education as determined by this administrative regulation.(2)
The minimum requirements of clinical or field rotations for paramedics shall include:(a)
Clinicals or field rotations conducted at a licensed ambulance service or other licensed health care facility selected by the EMS-TEI administrator and primary medical director that, if applicable, meets nationally accepted accreditation standards or EMS-TEI requirements to verify paramedic course competency; and(b)
Each student shall complete a patient history and assessment on a care report form for each of the patients in the student minimum competency.(3)
If a student fails to achieve the goals established by the EMS-TEI for the EMS education program, the EMS-TEI administrator and primary medical director may require the student to repeat the failed portion of the paramedic education program.(4)
Paramedic candidates shall meet all student eligibility requirements pursuant to 202 KAR 7:401.(5)
Paramedic students shall meet health and immunization standards as required through established TEI policy, or policies established by contracted TEI clinical sites.Section 14.
Continuing Education.(1)
Training and education courses provided to individuals that fulfill the continuing education requirements necessary to receive a certification or licensure from the board shall be provided by:(a)
An entity certified by the board as an EMS-TEI;(b)
An agency or department having contractual agreements with a board-certified EMS-TEI that is in good standing and not subject to disciplinary action;(c)
A board-approved symposium, state, national, or international school;(d)
A board-approved or nationally accredited online or distance education provider with up to 100 percent of the total continuing education hours to fulfill the continuing education requirements for renewal pursuant to KRS Chapter 311A or 202 KAR Chapter 7; or(e)
One (1) or more of the approved continuing education entities listed below:1.
The Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE);2.
Kentucky Board of Nursing;3.
Kentucky Board of Medical Licensure;4.
Kentucky Board of Respiratory Care;5.
Department of Homeland Security and all department components;6.
U.S. Fire Administration and all department components;7.
Kentucky Department of Criminal Justice Training (DOCJT);8.
Kentucky Cabinet for Health and Family Services;9.
Courses approved by any State EMS Office that are offered or completed outside the Commonwealth of Kentucky;10.
Kentucky Law Enforcement Council (KLEC); or11.
International Board of Specialty Certification (IBSC).(2)
Continuing education courses shall:(a)
Contain material relevant to the job specifications and professional development of EMS personnel; and(b)
Be conducted at an EMS level appropriate for the discipline of the participants.(3)
EMS-TEIs that provide initial education courses shall provide a course completion certificate, in hard copy or electronic format, to all participants who successfully complete an initial education course. The course completion certificate shall contain, at a minimum, the following items:(a)
Official name of the EMS-TEI as listed in the EMS-TEI KEMSIS account and certification number of the EMS-TEI issued by the board;(b)
Name of primary instructor and state EMS office EMS provider number;(c)
Name of course and board-issued course number if applicable;(d)
Breakdown of completed hours and subject categories instructed that meet the continuing education requirements established by 202 KAR 7:201, 202 KAR 7:301, 202 KAR 7:330, 202 KAR 7:401, and 202 KAR 7:410; and(e)
Signature of one (1) of the following EMS-TEI representatives:1.
EMS-TEI administrator;2.
Course coordinator; or3.
Course lead instructor.(4)
EMS-TEIs that provide continuing education courses shall provide a course completion verification for each participant who successfully completes a continuing education course by either:(a)
Issuing a course completion certificate, in hard copy or electronic format, to all participants who are not employees of the agency providing the course. The course completion certificate shall contain, at a minimum, the items listed in subsection (3)(a) through (e) of this section; or(b)
For EMS-TEIs that provide continuing education courses for their aligned licensed agency, course completion verification may be completed by entering student completion in an agency's employee training file system using sign-in rosters. The training file sign-in rosters shall contain, at a minimum, the items listed in subsection (3)(a) through (e) of this section.(5)
All training documents within an employee's training file system shall be made available to an employee or previous employee within seven (7) days of separation from the licensed agency.Section 15.
Education Instructor Requirements.(1)
The following persons shall be qualified to conduct continuing education courses for persons certified or licensed by the board:(a)
An EMS provider licensed or certified by the board that holds a CE, EMR, EMT, AEMT, APP, or Paramedic Educator credential;(b)
A physician (DO or MD) or Physician Assistant (PA) licensed in Kentucky or another state, who has specific expertise in an area of a prehospital discipline;(c)
A registered nurse (RN) or Advanced Practice Registered Nurse (APRN) licensed in Kentucky or another state, who has specific expertise in an area of a prehospital discipline; or(d)
An individual who is at least one (1) of the following and who shall be limited to teaching the specific subject approved by the EMS-TEI administrator and primary medical director:1.
Certified by a state or federal agency to teach or perform subject matter relevant to the National Emergency Medical Services Education Standards and National and Kentucky EMS Scope of Practice for a prehospital discipline;2.
Certified by a nationally recognized entity to provide EMS related training and education; or3.
A presenter at a National or State Symposium accredited by an agency or other board approved entity.(2)
The EMS-TEI or other approved contractual department or agency providing continuing education shall be required to:(a)
Maintain a roster, objectives, and outline for every continuing education course taught on file for a period of three (3) years beyond the end date of each EMS course;(b)
Maintain all documentation to have met the applicable accreditation agency standards, policies, and guidelines established in this administrative regulation; and(c)
Meet the requirements of this administrative regulation.(3)
If requested by the board, the EMS-TEI shall submit to the board the required documents for EMS initial and continuing education courses taught within the preceding three (3) years that lead to re-certification or re-licensure by the board, including:(a)
Contractual agreements;(b)
The continuing education instructor curriculum vitae or resume that includes at a minimum the educator's name, address, phone number, email address, education history, and employment history documenting the qualifications listed in subsection (1) of this section have been met;(c)
A completed Continuing Education Course Student Roster. The course roster shall include the participant's name, signature or digital equivalent, participant KEMSIS number, and board EMS credential held. If rosters are created or stored electronically, there shall be a verification of attendance component that may be verified by the board if requested; and(d)
Objectives, syllabi, outline, and a list of instructor resources used for each continuing education course.Section 16.
Pilot Programs.(1)
A board-certified EMS-TEI that is in good standing may apply for an Educational Pilot Program.(2)
A pilot program shall involve specialized training and education, as well as associated procedures not otherwise provided for in 202 KAR Chapter 7.(3)
Educational Pilot Programs shall be subject to the provisions of 202 KAR 7:565.Section 17.
Incorporation by reference.(1)
The following material is incorporated by reference:(a)
"Training and Educational Institution (TEI) Application in KEMSIS", July 2019;(b)
"Course Notification Application in KEMSIS", July 2019;(c)
"Initial Educational Course Roster", September 2012;(d)
"National Emergency Medical Services Education Standards", National Highway Traffic Safety Administration, 2021;1.
"National Emergency Medical Services Education Standards-Emergency Medical Responder", National Highway Traffic Safety Administration, 2021;2.
"National Emergency Medical Services Education Standards-Emergency Medical Technician", National Highway Traffic Safety Administration, 2021;3.
"National Emergency Medical Services Education Standards-Advanced Emergency Medical Technician", National Highway Traffic Safety Administration, 2021;4.
"National Emergency Medical Services Education Standards-Paramedic", National Highway Traffic Safety Administration, 2021;(e)
"National EMS Scope of Practice Model 2019", National Highway Traffic Safety Administration, DOT HS 812 666, February 2019;(f)
"CoAEMSP Interpretations of the CAAHEP 2023 Standards and Guidelines for the Accreditation of Educational Programs in the EMS Professions", May 2025;(g)
"EMS-TEI Pre-Inspection Worksheet (CE Only)", August 2023;(h)
"EMS-TEI Pre-Inspection Worksheet (Levels 1 thru 4)", August 2023;(i)
"EMS-TEI Renewal Application", March 2026;(j)
"Final Educational Course Roster", September 2012;(k)
"Continuing Education Course Student Roster", September 2012;(l)
"Course Change Notification Application" in KEMSIS, July 2019;(m)
"EMR Student Minimum Competency", 2026;(n)
"EMT Student Minimum Competency", 2026; and(o)
"AEMT Student Minimum Competency", 2026.(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Office for the Kentucky Board of Emergency Medical Services, 500 Mero Street, 5th Floor 5SE32, Frankfort, Kentucky 40601, by appointment, Monday through Friday, 8:00 a.m. to 4:30 p.m.(3)
This material is also available on the board's Web site at: kbems.ky.gov.APPROVED BY THE BOARD ON: August 13, 2026
JOHN R. HOLDER, Chair
APPROVED BY AGENCY: October 13, 2026
FILED WITH LRC: October 13, 2026 at 3:30 p.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on December 21, 2026, at 1:00 PM ET at the Kentucky Board of Emergency Medical Services, 500 Mero Street, 5th Floor 5SE32, Frankfort, Kentucky 40601. Individuals interested in being heard at this hearing shall notify this agency in writing by five (5) workdays prior to the hearing of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be canceled. This hearing is open to the public. Any person who wishes to be heard will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through December 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: John K. Wood, counsel for the Kentucky Board of Emergency Medical Services, 163 East Main Street, Suite 200, Lexington, Kentucky 40507, Phone: (859) 225-4714, Fax: (859) 225-1493, Email: administrativeregulations@wgmfirm.com.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
John K. Wood, Phone: (859) 225-4714, Email: administrativeregulations@wgmfirm.com
Subject Headings:
Emergency Medical Services, Licensing, Education: Career and Technical
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation establishes requirements for an organization to be certified by the board as an Emergency Medical Service Training and Education Institute (EMS-TEI).
(b) The necessity of this administrative regulation:
KRS 311A.030 and 311A.125 require the board to promulgate administrative regulations establishing standards related to the training and education of emergency medical services personnel. KRS 311A.130 requires proper in-service and in-house in-service training and education. KRS 311A.025 requires the board to establish levels of certification. This administrative regulation is necessary to establish requirements for an organization to be certified by the board as an Emergency Medical Service Training and Education Institute (EMS-TEI).
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of KRS 311A.025, 311A.030, 311A.125, and 311A.130 by establishing certification requirements for EMS-TEIs.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This administrative regulation currently assists and will assist in the effective administration of the above-referenced statutes by establishing the certification requirements for EMS-TEIs.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
This amendment: Updates terminology regarding EMS-TEI administrators and medical directors. Requires an EMS-TEI’s primary medical director to meet the qualifications established in 202 KAR 7:801. Requires a memorandum of understanding or contract with the primary medical director outlining the relationship, duties, and requirements of the primary medical director and any associate or assistant medical director affiliated with the EMS-TEI. Updates course and policy requirements. Increases the minimum NREMT cumulative pass rate an EMS-TEI must maintain from sixty (60) to seventy (70) percent. Updates reporting requirements for graduate data. Updates course notification and roster requirements. Extends the window for course-completion documentation from sixty (60) to ninety (90) days, and extends the NREMT-testing approval window from seven (7) to fourteen (14) days. Lowers the percentage of classroom instruction an assistant instructor may teach from forty (40) to twenty (20) percent. Deletes EMS Educator certification provisions, which are now included in a separate new administrative regulation filed contemporaneously herewith. Deletes the Education Committee provisions. (The Education Committee remains established pursuant to 202 KAR 7:020, Section 2.) Requires an EMS-TEI that is closing to transfer its course records to the Board. Updates materials incorporated by reference.
(b) The necessity of the amendment to this administrative regulation:
This amendment is necessary to update EMS-TEI certification, management, and operating requirements, update EMS-TEI medical director requirements, and ensure consistent terminology use across regulations.
(c) How the amendment conforms to the content of the authorizing statutes:
This amendment conforms to the content of KRS 311A.025, 311A.030, 311A.125, and 311A.130 by updating the certification, management, and training standards applicable to EMS-TEIs.
(d) How the amendment will assist in the effective administration of the statutes:
This amendment will assist in the effective administration of the above-referenced statutes by updating and clarifying the certification, management, and training standards applicable to EMS-TEIs.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
Yes. Section 8(10) of this amendment implements the protection against the loss of educational records included in the amendment to KRS 311A.030 in House Bill 236 (2026 Regular Session), 2026 Ky. Acts ch. 105, sec. 5.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
EMS-TEIs and their administrators, medical directors, and students.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
EMS-TEIs will need to ensure that their primary medical director meets the requirements established in 202 KAR 7:801, have a memorandum of understanding or contract with their primary medical director with the contents required by this amendment, ensure that courses and policies comply with the requirements of this amendment, meet the minimum pass rate, and ensure timely reporting of required records and data.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
No additional costs are anticipated as a result of this amendment, other than administrative costs.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
EMS-TEIs and their students will benefit from a clearer medical oversight structure, updated syllabus and course standards, updated policy requirements, and updated materials that reflect current standards.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
Other than administrative costs, there will be no costs to the Board in implementing this administrative regulation.
(b) On a continuing basis:
Other than administrative costs, there will be no costs to the Board in implementing this administrative regulation.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The Kentucky Board of Emergency Medical Services is a state agency that receives its annual budget from the state government.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase in fees or funding will be necessary to implement this administrative regulation.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
This administrative regulation does not establish any fees or directly or indirectly increase any fees.
(10) TIERING: Is tiering applied?
Tiering is not applied to this administrative regulation because this administrative regulation applies to all EMS-TEIs.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311A.025, 311A.030, 311A.125, and 311A.130. KRS 311A.030 and 311A.125 require the board to promulgate administrative regulations establishing standards related to the training and education of emergency medical services personnel. KRS 311A.130 requires proper in-service and in-house in-service training and education. KRS 311A.025 requires the board to establish levels of certification.
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
This administrative regulation is expressly authorized by KRS 311A.025(1)(n) and (2). KRS 311A.025 was last amended by 2026 Ky. Acts ch. 105, sec. 8.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
This administrative regulation is promulgated by the Kentucky Board of Emergency Medical Services.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
Local entities are not directly affected by this administrative regulation.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
EMS-TEIs and their administrators, medical directors, and students.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The Board does not anticipate this administrative regulation will have any fiscal impact.
(b) Methodology and resources used to reach this conclusion:
This administrative regulation does not establish or increase any fees, and the board does not anticipate any compliance costs other than administrative costs.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
This administrative regulation will not have a major economic impact.
(b) The methodology and resources used to reach this conclusion:
This administrative regulation does not establish or increase any fees, and the board does not anticipate any compliance costs other than administrative costs.