Within the certification period, the EMT Intermediate must:
(a) Complete all continuing medical education requirements listed in Section 3 of this Chapter;
(b) Submit to the Division documentary verification of a favorable recommendation from the physician medical director for EMT Intermediate continuing medical education. The Division has established the following as appropriate criteria in meeting continual medical education specific to the EMT Intermediate's skill authorization. The physician medical director shall verify the EMT Intermediate's practical performance competency in the following areas: - (i) Intravenous therapy. Successfully perform six (6) venipunctures in each six (6) month period. (Blood draws do not satisfy this requirement);
- (ii) Authorized medications. Participate in a one (1) hour in service each six (6) month period on the preparation and administration of the Division approved list of drugs, to include dosages, indications, contraindications, available preparations and concentrations, and techniques of administration. This should include a practice session. Drawing blood samples, glucose determination, saline locks, and Heparin locks, must be included in such in service training; and
- (iii) Defibrillation. Participate in a one (1) hour in service every six (6) months, in which the equipment, indications, precautions, and skills of defibrillations are reviewed. This must include a practice session with the device used by the service for which the EMT Intermediate is affiliated;
- (iv) Chest Decompression. Participate in a one (1) hour in service, presented t least every six (6) months, in which related anatomy, indications, precautions, equipment, protocol, and techniques of needle decompression of the chest are reviewed;
- (v) Electrocardiogram monitoring. Participate in a one (1) hour in service, presented at least every six (6) months, in which the electro physiology, equipment and protocols for EKG monitoring are reviewed; and
- (vi) If authorized, for the optional level, EMT Intermediate shall have completed an Advanced Cardiac Life Support (ACLS) course equivalent to American Heart Association guidelines and submit a legible copy of a current certificate to the Division.
(c) If authorized, complete the following required advanced airway management continuing medical education, in advanced airway management: - (i) In multi-lumen lower airway adjuncts:
- (A) Successfully insert six (6) multi-lumen lower airways during six (6) month period; and
- (B) Participate in a one (1) hour in service of the utilized airway every six (6) months, including indications for use, contraindications, precautions, insertion and removal techniques;
- (ii) Endotracheal intubations:
- (A) Successfully insert six (6) endotracheal tubes during each six (6) month period. Intubations performed during each six (6) month period shall be in humans, however if necessary, may be performed on an intubation manikin under supervision; and
- (B) Participate in a one (1) hour in service on endotracheal intubation every six (6) months. The review must include indications for use, contraindications, precautions, insertion and removal techniques;
(d) It is recommended that EMT Intermediate personnel audit an American College of Surgeon's Advanced Trauma Life Support (ATLS) program or Rural Trauma Team Development Course (RRTDC). Attach copy of certificate;
(e) Participate in EMT Intermediate case reviews, for a minimum of one (1) hour quarterly. EMT Intermediate cases shall be reviewed by the physician medical director to provide medical audit and control; and
(f) Successfully completed the EMT Intermediate written recertification exam administered by the Division, during the final one hundred fifty (150) days of the recertification period.