Within the certification period, the Paramedic must have:
(a) Completed all continuing education requirements listed in Section 3 of this Chapter;
(b) It is recommended that Paramedic personnel audit an American College of Surgeon's, Advanced Trauma Life Support (ATLS) program or a Rural Trauma Team Development Course (RTTDC). Attach copy of certificate;
(c) Completed an Advanced Cardiac Life Support (ACLS) program that is equal to or equivalent to that presented by the American Heart Association and submit a legible copy of a current certificate to the Division;
(d) Submitted to the Division documentary verification of a favorable recommendation from the physician medical director for Paramedic continuing medical education. The Division has established the following as appropriate criteria in meeting continuing medical education specific to the Paramedic's skill authorization. The physician medical director shall verify the attendant's practical performance competency in the areas listed below: - (ii) Intravenous therapy: Successfully perform six (6) venipunctures during each six (6) month period;
- (iii) Authorized medications: Participate in a one (1) hour in service every six (6) months on the preparation and administration of the Division approved drugs, to include dosages, indications, contraindications, available preparations and concentrations, and techniques of administration. This should include a practice session. Drawing blood samples, glucose reagent strips, saline locks, and Heparin locks, must be included in such in service training;
- (iv) Defibrillation and Cardioversion: Participate in a one (1) hour in service every six (6) months in which the equipment, indications, precautions and skills of defibrillation and cardioversion are reviewed. This must include a practice session on the particular monitor/defibrillator used;
- (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;
- (vi) If an authorized skill, orogastric/nasogastric intubations: Participate in a one (1) hour in service, presented at least every six (6) months, in which related anatomy, indications, precautions, equipment and techniques of orogastric/nasogastric intubations are reviewed;
- (vii) Cricothyroidotomy: Participate in a one (1) hour in service, presented at least every six (6) months, in which related anatomy, indications, precautions, equipment and the Division and Board approved technique of cricothyroidotomy are reviewed; and
- (viii) Chest Decompression: Participate in a one (1) hour in service, presented at least every six (6) months, in which related anatomy, indications, precautions, equipment, protocol, and techniques of needle decompression of the chest are reviewed.
(e) Complete the following advanced airway management continuing medical education, if the attendant has skill authorization in advanced airway management, completes the following: - (i) In Multi-lumen lower airway adjuncts:
- (A) Successfully insert six (6) multi-lumen lower airways during each six (6) month period; and
- (B) Participate in a one (1) hour in service of the utilized airway every six (6) months, to include indications for use, contraindications, precautions, insertion and removal techniques.
(f) Participate in paramedic case reviews, for a minimum of one (1) hour each quarter. Paramedic cases shall be reviewed by the physician medical director to provide medical director to provide medical audit and control; and
(g) Successfully complete the paramedic written recertification exam, as administered the Division or its representative, during the final one hundred fifty (150) days of the certification period.