DPHHS adopts Proposed ECP Rules
The Montana Administrative Rules Notice relative to the DPHHS ECP proposed rules was filed with the Secretary of State and these were published on January 16th.
Both the original proposed rules and and the adopted MAR notices can be found at: http://www.dphhs.mt.gov/legalresources/rules/index.shtml.
Summary of Changes In 2000, the National Highway Traffic Safety Administration (NHTSA) published the National EMS Education Agenda. Additional supporting documents followed over the next years including the National EMS Scope of Practice Model and the National EMS Education Standards. These documents laid the foundation for new Emergency Medical Technician levels with new names.
Over this last year, the Board of Medical Examiners adopted rules which changed terms for licensed EMTs to the new terms - Emergency Medical Responder, Emergency Medical Technician, Advanced Emergency Medical Technician and Paramedic. They also recently adopted statewide protocols setting the scope of practice for each of these levels. The BOME rules and changes to the new terms and levels became effective on January 1st. In order to be consistent with BOME rule changes, these proposed rules changee the EMT terms and definitions in the DPHHS EMS service licensing rules to match the new licensed emergency care provider levels.
These proposed rules also reflect changes to terms describing the levels of licensed EMS services and the associated personnel requirements for these new levels. These proposed changes are largely cosmetic in nature and will have little effect on how EMS services are licensed. The term ‘advanced life support’ currently describes both levels of EMS services and levels of care. In order to reduce the potential confusion of using a single term to describe both concepts, these proposed rules define the use of advanced life support ‘EMS service’ and advanced life support ‘care’.
Lastly, a change to 37.104.401 ARM deletes the “grandfathered advanced first aid training” certification level as it’s an outdated term describing personnel that likely no longer exist on any EMS service roster.