TITLE 22. Social Security

DIVISION 9. PREHOSPITAL EMERGENCY MEDICAL SERVICES
 
CHAPTER 1. EMERGENCY MEDICAL SERVICES AUTHORITY AND COMMISSION ON EMERGENCY MEDICAL SERVICES -CONFLICT OF INTEREST CODE
22 CA ADC T. 22, Div. 9, Chap. 1, References and Annotations
 
CHAPTER 1.1. TRAINING STANDARDS FOR CHILD CARE PROVIDERS
ARTICLE 1. DEFINITIONS
s 100000.1. Child.

s 100000.2. Child Care Facility.

s 100000.3. Child Care Center.

s 100000.4. Family Child Care Home.

s 100000.5. Child Care Provider.

s 100000.6. Training Program.

s 100000.7. Approved Training Program.

s 100000.8. Affiliate Program.

s 100000.9. Training Program Director.

s 100000.10. Training Program Instructor.

s 100000.11. Pediatric First Aid.

s 100000.12. Pediatric Cardiopulmonary Resuscitation.

s 100000.13. Preventive Health and Safety.

s 100000.14. Certificate of Approval.

s 100000.15. Course Completion Document.

s 100000.16. Course Completion Sticker.

ARTICLE 2. TRAINING REQUIREMENTS FOR CHILD CARE PROVIDERS
s 100000.17. Training Requirements for Child Care Providers.

ARTICLE 3. TRAINING PROGRAM APPROVAL
s 100000.18. Application Process for Program Review and Approval.

s 100000.19. Program Approval Documentation.

s 100000.20. Withdrawal of Program Approval.

ARTICLE 4. TRAINING PROGRAM DIRECTOR AND INSTRUCTOR REQUIREMENTS
s 100000.21. Director Requirements.

s 100000.22. Requirements for Instructor Training for Pediatric First Aid and CPR.

s 100000.23. Required Course Content for Pediatric First Aid and CPR Instructor Training.

s 100000.24. Requirements for Instructor Training for Child Preventive Health and Safety.

s 100000.25. Required Course Content for Child Preventive Health and Safety Instructor Training.

s 100000.26. Methodology for Evaluation of Instructor Competence.

s 100000.27. Instructor Certification/Authorization Requirements.

s 100000.28. Monitoring of Instructors.

ARTICLE 5. COURSE HOURS AND CLASS REQUIREMENTS
s 100000.29. Course Hours and Class Size Requirements.

s 100000.30. Required Course Content.

s 100000.31. Essential Skills Practice and Evaluation.

s 100000.32. Methodology for Evaluation of Trainee Competency.

ARTICLE 6. CLASS ROSTERS, COURSE COMPLETION DOCUMENTS AND STICKERS
s 100000.33. Class Rosters.

s 100000.34. Course Completion Documents and Stickers.

ARTICLE 7. FEES
s 100000.35. Fees.
 
CHAPTER 1.2. FIRST AID TESTING FOR SCHOOL BUS DRIVERS
ARTICLE 1. DEFINITIONS
s 100001. First Aid.

s 100002. Pre-Established Standard.

ARTICLE 2. GENERAL
s 100003. Application of Chapter to School Bus Drivers.

ARTICLE 3. EXAMINATION STANDARDS
s 100004. First Aid Practices Proficiency.
 
CHAPTER 1.5. FIRST AID STANDARDS FOR PUBLIC SAFETY PERSONNEL
ARTICLE 1. DEFINITIONS
s 100005. Automated External Defibrillator or AED.

s 100006. Public Safety AED Service Provider.

s 100007. Cardiopulmonary Resuscitation.

s 100008. Firefighter.

s 100009. First Aid.

s 100010. Lifeguard.

s 100011. Peace Officer.

s 100012. Primarily Clerical or Administrative.

s 100013. Qualified Instructor.

s 100014. Regularly Employed.

ARTICLE 2. GENERAL TRAINING PROVISIONS
s 100015. Application and Scope.

s 100016. Training Programs in Operation.

s 100017. Time Limitation for Initial Training.

ARTICLE 3. TRAINING STANDARDS
s 100018. Scope of Course.

s 100019. Required Topics.

s 100020. Optional Skill.

s 100021. Public Safety AED Service Provider.

s 100022. Testing.

s 100023. Training Instructor Requirements.

s 100024. Validation of Course Completion.

s 100025. Retraining Requirements.

ARTICLE 4. TRAINING APPROVAL OPTIONS
s 100026. Approved Courses.

s 100027. Course Approval Process.

s 100028. Program Review.
 
CHAPTER 1.8. TRAINING STANDARDS AND UTILIZATION FOR USE OF THE AUTOMATED EXTERNAL DEFIBRILLATOR BY NON-LICENSED OR NON-CERTIFIED PERSONNEL
ARTICLE 1. DEFINITIONS
s 100031. AED Service Provider.

s 100032. Authorized Individual.

s 100033. Automated External Defibrillator.

s 100034. Cardiopulmonary Resuscitation.

s 100035. Internal Emergency Response System.

s 100036. Prescribing Physician.

ARTICLE 2. GENERAL TRAINING PROVISIONS
s 100037. Application and Scope.

ARTICLE 3. AED TRAINING PROGRAM REQUIREMENTS
s 100038. Required Hours and Topics.

s 100039. Medical Director Requirements.

s 100040. Testing.

s 100041. Written Validation.

ARTICLE 4. OPERATIONAL AED SERVICE PROVIDER/VENDOR REQUIREMENTS
s 100042. Operational Requirements.

s 100043. AED Vendor Requirements
 
CHAPTER 2. EMERGENCY MEDICAL TECHNICIAN I
22 CA ADC T. 22, Div. 9, Chap. 2, References and Annotations
ARTICLE 1. DEFINITIONS
s 100056. Automated External Defibrillator or AED.

s 100056.1. EMT AED Service Provider.

s 100056.2. Manual Defibrillator.

s 100057. EMT-I Approving Authority.

s 100058. EMT-I Certifying Authority.

s 100059. Certifying Examination.

s 100059.1. Optional Skills Medical Director.

s 100059.2. Rural Area.

s 100060. Emergency Medical Technician I (EMT-I).

s 100061. Local Accreditation.

s 100061.1. Emergency Medical Services Quality Improvement Program.

ARTICLE 2. GENERAL PROVISIONS
s 100062. Application of Chapter to Operation of Ambulances.

s 100063. Scope of Practice of Emergency Medical Technician-I (EMT-I).

s 100063.1. EMT AED Service Provider.

s 100064. Optional Skills.

s 100064.1. EMT-I Trial Studies.

ARTICLE 3. PROGRAM REQUIREMENTS FOR EMT-I TRAINING PROGRAMS
s 100065. Approved Training Programs.

s 100066. Procedure for Program Approval.

s 100067. Didactic and Skills Laboratory.

s 100068. Clinical Experience for EMT-I.

s 100069. Program Approval.

s 100070. Teaching Staff.

s 100071. Program Review and Reporting.

s 100072. Withdrawal of Program Approval.

s 100073. Components of an Approved Program.

s 100074. Required Course Hours.

s 100075. Required Course Content.

s 100076. Required Testing.

s 100077. Course Completion Record.

s 100078. Course Completion by Challenge Examination.

ARTICLE 4. EMT-I CERTIFICATION
s 100079. Certification.

ARTICLE 5. MAINTAINING EMT-I CERTIFICATION AND RECERTIFICATION
s 100080. Maintaining EMT-I Certification.

s 100081. Recertification After Lapse in Certification.

ARTICLE 6. RECORD KEEPING AND FEES
s 100082. Record Keeping.

s 100083. Fees.

s 100084. Recertification.

s 100085. Record Keeping.

s 100086. Fees.
 
CHAPTER 3. EMERGENCY MEDICAL TECHNICIAN-II
ARTICLE 1. DEFINITIONS
s 100101. EMT-II Approving Authority.

s 100102. EMT-II Certifying Authority.

s 100103. Emergency Medical Technician-II.

s 100104. Certifying Examination.

ARTICLE 2. GENERAL PROVISIONS
s 100105. Application of Chapter.

s 100106. Scope of Practice of Emergency Medical Technician II ( EMT-II).

s 100107. Responsibility of the Local EMS Agency.

ARTICLE 3. PROGRAM REQUIREMENTS FOR EMT-II TRAINING PROGRAMS
s 100108. Approved Training Programs.

s 100109. Teaching Staff.

s 100110. Didactic and Skills Laboratory.

s 100111. Hospital Clinical Training for EMT-II.

s 100112. Field Internship.

s 100113. Procedure for Program Approval.

s 100114. Program Approval.

s 100115. Application of Regulations to Existing Training Programs.

s 100116. Program Review and Reporting.

s 100117. Withdrawal of Program Approval.

s 100118. Student Eligibility.

s 100119. Required Course Hours.

s 100120. Required Course Content.

s 100121. Required Testing.

s 100122. Course Completion Record.

ARTICLE 4. CERTIFICATION
s 100123. Certification.

s 100124. Continuing Education.

s 100125. Recertification.

ARTICLE 5. OPERATIONAL REQUIREMENTS
s 100126. EMT-II Service Provider.

s 100127. EMT-II Base Hospital.

s 100128. Medical Control.

ARTICLE 6. RECORD KEEPING AND FEES
s 100129. Record Keeping.

s 100130. Fees.
 
CHAPTER 4. EMERGENCY MEDICAL TECHNICIAN-PARAMEDIC
ARTICLE 1. DEFINITIONS
s 100135. Approved testing Agency.

s 100136. Emergency Medical Services System Quality Improvement Program.

s 100137. Paramedic Training Program Approving Authority.

s 100138. Paramedic Licensing Authority.

s 100139. Emergency Medical Technician-Paramedic (EMT-P).

s 100140. Licensure Skills Examination.

s 100141. Licensure Written Examination.

s 100141.2. Quality Assurance.

s 100141.5. State EMT-P Application.

s 100142. Local Accreditation.

s 100142.5. State Written Examination.

s 100143. State Paramedic Application.

ARTICLE 2. GENERAL PROVISIONS
s 100144. Application of Chapter.

s 100145. Scope of Practice of Paramedic.

s 100146. Paramedic Trial Studies.

s 100147. Responsibility of the Local EMS Agency.

ARTICLE 3. PROGRAM REQUIREMENTS FOR PARAMEDIC TRAINING PROGRAMS
s 100148. Approved Training Programs.

s 100149. Teaching Staff.

s 100150. Didactic and Skills Laboratory.

s 100151. Hospital Clinical Education and Training for Paramedic.

s 100152. Field Internship.

s 100153. Procedure for Paramedic Training Program Approval.

s 100154. Paramedic Training Program Approval/Disapproval.

s 100155. Program Review and Reporting.

s 100156. Denial or Withdrawal of Program Approval.

s 100157. Student Eligibility.

s 100158. Required Course Hours.

s 100159. Required Course Content.

s 100160. Required Testing.

s 100161. Course Completion Record.

s 100161.1. Additional Documentation.

ARTICLE 4. APPLICATIONS AND EXAMINATIONS
s 100162. Date and Filing of Applications.

s 100162.1. Written and Skills Examination.

s 100163. Written and Skills Examination.

ARTICLE 5. LICENSURE
s 100164. Licensure.

s 100165. Accreditation to Practice.

s 100165.1. EMT-P Continuing Education (CE) Records.

s 100165.2. Approval of EMT-P Continuing Education (CE) Providers.

s 100165.3. EMT-P Continuing Education (CE) Providers.

ARTICLE 6. LICENSE RENEWAL
s 100166. License Renewal.

ARTICLE 7. SYSTEM REQUIREMENTS
s 100167. Paramedic Service Provider.

s 100168. Paramedic Base Hospital.

s 100169. Medical Control.

ARTICLE 8. RECORD KEEPING AND FEES
s 100170. Record Keeping.

s 100171. Fees.

ARTICLE 9. DISCIPLINE AND REINSTATEMENT OF LICENSE
s 100172. Proceedings.

s 100173. Denial/Revocation Standards.

s 100174. Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or Revocation of a License.

s 100175. Rehabilitation Criteria for Denial, Placement on Probation, Suspension, Revocations, and Reinstatement of License.

s 100176. Record Keeping.

s 100177. Fees.

s 100178. Proceedings.

s 100178.1. Denial/Revocation Standards.

s 100179. Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or Revocation of a License.

s 100180. Rehabilitation Criteria for Denial, Placement on Probation, Suspension, Revocations, and Reinstatement of License.
 
CHAPTER 5. PROCESS FOR APPLICANT VERIFICATION
s 100190. Limitations on Paramedic Licenses for Aliens.
 
CHAPTER 6. PROCESS FOR EMT-I AND EMT-II CERTIFICATION DISCIPLINARY ACTION
ARTICLE 1. DEFINITIONS
s 100201. Certificate.

s 100202. Certifying Authority.

s 100203. Division 2.5.

s 100204. Investigative Review Panel.

s 100205. Multiple Certificate Holder.

s 100206. Relevant Employer(s).

ARTICLE 2. GENERAL PROVISIONS
s 100207. Application of Chapter.

s 100208. Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or Revocation of a Certificate.

s 100209. Jurisdiction of Medical Director.

ARTICLE 3. EVALUATION AND INVESTIGATION
s 100210. Evaluation of Information.

s 100211. Use of an Investigative Review Panel (IRP).

ARTICLE 4. DETERMINATION AND NOTIFICATION OF ACTION
s 100212. Determination of Disciplinary Action by Medical Director.

s 100213. Immediate Suspension.

s 100214. Placement of a Certificate Holder on Probation.

s 100215. Suspension of a Certificate.

s 100216. Denial or Revocation of a Certificate.

s 100217. Notification of Action.

ARTICLE 5. LOCAL RESPONSIBILITIES
s 100218. Development of Local Policies and Procedures.

s 100219. Evaluation of Information.

s 100220. Immediate Suspension.

s 100221. Notification of Formal Investigation.

s 100222. Use of an Investigative Review Panel (IRP) When Suspension, Revocation, Denial, or Denial of Renewal of a Certificate May Occur.

s 100223. Determination of Appropriate Action by Medical Director.

s 100224. Placement of a Certificate Holder on Probation.

s 100225. Suspension of a Prehospital Emergency Medical Care Certificate.

s 100226. Revocation, Denial, or Denial of Renewal of a Prehospital Emergency Medical Care Certificate.

s 100227. Notification of Action.

s 100228. Development of Local Policies and Procedures.
 
CHAPTER 7. TRAUMA CARE SYSTEMS
ARTICLE 1. DEFINITIONS
s 100236. Abbreviated Injury Scale.

s 100237. Immediately Available.

s 100238. Implementation.

s 100239. Injury Severity Score.

s 100240. On-Call.

s 100241. Promptly Available.

s 100242. Qualified Specialist.

s 100243. Receiving Hospital.

s 100244. Residency Program.

s 100245. Senior Resident.

s 100246. Service Area.

s 100247. Trauma Care System.

s 100248. Trauma Center.

s 100249. Trauma Resuscitation Area.

s 100250. Trauma Service.

s 100251. Trauma Team.

s 100252. Triage Criteria.

ARTICLE 2. LOCAL EMS AGENCY TRAUMA SYSTEM REQUIREMENTS
s 100253. Application of Chapter.

s 100254. Trauma System Criteria.

s 100255. Policy Development.

s 100256. Trauma Plan Development.

s 100257. Data Collection.

s 100258. Trauma System Evaluation.

ARTICLE 3. TRAUMA CENTER REQUIREMENTS
s 100259. Level I and Level II Trauma Centers.

s 100260. Additional Level I Criteria.

s 100261. Level I and Level II Pediatric Trauma Centers.

s 100262. Additional Level I Pediatric Trauma Criteria.

s 100263. Level III Trauma Centers.

s 100264. Level IV Trauma Center.

ARTICLE 4. QUALITY IMPROVEMENT
s 100265. Quality Improvement.

ARTICLE 5. TRANSFER OF TRAUMA PATIENTS
s 100266. Interfacility Transfer of Trauma Patients.
 
CHAPTER 8. PREHOSPITAL EMS AIRCRAFT REGULATIONS
ARTICLE 1. DEFINITIONS
s 100276. Advanced Life Support.

s 100277. Basic Life Support.

s 100278. Medical Flight Crew.

s 100279. Emergency Medical Services Aircraft.

s 100280. Air Ambulance.

s 100281. Rescue Aircraft.

s 100282. Advanced Life Support Rescue Aircraft.

s 100283. Basic Life Support Rescue Aircraft.

s 100284. Auxiliary Rescue Aircraft.

s 100285. Air Ambulance Service.

s 100286. Air Rescue Service.

s 100287. Air Ambulance or Air Rescue Service Provider.

s 100288. Classifying EMS Agency.

s 100289. Authorizing EMS Agency.

s 100290. Jurisdiction of Origin.

s 100291. Designated Dispatch Center.

ARTICLE 2. GENERAL PROVISIONS
s 100300. Application of Chapter.

ARTICLE 3. PERSONNEL
s 100302. Medical Flight Crew.

ARTICLE 4. SYSTEM OPERATION
s 100304. System Policies and Procedures.

ARTICLE 5. EQUIPMENT AND SUPPLIES, AIRCRAFT SPECIFICATIONS
s 100306. Space and Equipment.
 
CHAPTER 9. POISON CONTROL CENTER REGULATIONS
ARTICLE 1. DEFINITIONS
s 100321. Immediately Available.

s 100322. On-Call.

s 100323. Poison Control Center.

s 100324. Poison Control Center Service Area.

s 100325. Product Information Resources.

s 100326. Provisional Certificate.

s 100327. Temporary Designation.

ARTICLE 2. GENERAL PROVISIONS
s 100328. Poison Control Center Criteria.

s 100329. Poison Control Center Responsibilities.

s 100330. Poison Control Center Staffing.

s 100331. Quality Assurance Program.

s 100332. Data Collection.

ARTICLE 3. DESIGNATION PROCESS
s 100333. Designation Process.

s 100334. Revocation of Designation.
 
CHAPTER 11. EMS CONTINUING EDUCATION
ARTICLE 1. DEFINITIONS
s 100390. Emergency Medical Services (EMS) Continuing Education (CE) Provider.

s 100390.1. EMS Service Provider.

s 100390.2. EMS System Quality Improvement Program.

s 100390.3. Continuing Education.

s 100390.4. Continuing Education Hour (CEH).

s 100390.5. CE Provider Approving Authority.

s 100390.6. National Standard Curriculum.

s 100390.7. Pre-Hospital Emergency Medical Care Personnel.

ARTICLE 2. APPROVED CONTINUING EDUCATION
s 100391. Continuing Education Topics.

s 100391.1. Continuing Education Delivery Formats and Limitations.

ARTICLE 3. CONTINUING EDUCATION RECORDS
s 100392. Continuing Education Records.

ARTICLE 4. CE PROVIDER APPROVAL PROCESS
s 100393. Application for Approval.

s 100393.1. Application for Renewal.

ARTICLE 5. CE PROVIDER DENIAL/DISAPPROVAL PROCESS
s 100394. CE Provider Disapproval.

ARTICLE 6. CE PROVIDERS FOR EMS PERSONNEL
s 100395. CE Provider Requirements.
 
CHAPTER 12. EMS SYSTEM QUALITY IMPROVEMENT
ARTICLE 1. DEFINITIONS
s 100400. Emergency Medical Services System Quality Improvement Program.

s 100401. EMS Service Provider.

ARTICLE 2. EMS SERVICE PROVIDER
s 100402. EMS Service Provider Responsibilities.

ARTICLE 3. PARAMEDIC BASE HOSPITAL
s 100403. Paramedic Base Hospital and Alternate Base Station Responsibilities.

ARTICLE 4. LOCAL EMS AGENCY
s 100404. Local EMS Agency.

ARTICLE 5. EMS AUTHORITY
s 100405. EMS Authority.
 
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