HomeMy WebLinkAbout990558.tiff d OFFICE OF BOARD OF COMMISSIONERS
PHONE (970) 356-4000, EXT 4200
FAX (970) 352-0242
915 TENTH STREET
P.O. BOX 758
C. GREELEY, CO 80632
COLORADO
March 17, 1999
James E. Wallace
20261 WCR 53
Kersey, CO 80644
RE: Your Letter Dated March 2, 1999
Dear Mr. Wallace:
The Kersey Fire Department is a special district established under the name of Platte Valley
Fire Protection District (FPD)by the vote of the electors under supervision of the Weld
District Court in District Court Case CV #12665 in 1954. Special Districts are quasi-
municipal entities recognized and authorized by the Colorado Constitution and by statute,
now found at C.R.S. Title 32, Article 1, and are governed by an elected Board of Directors.
Copies of the Statute are available in the Weld Library District and at
http://web.intellinetusa.com/stat98/ if you have web access. You may also be able to obtain
information regarding the workings of Special Districts by contacting the Department of
Local Affairs, Division of Local Government, (303) 866 2156.
At the time of the District's creation, the statutes did not provide for any role for the county to
play in the creation of special districts. Were this district to be created today, a service plan
would have to be reviewed and approved by the Board of County Commissioners of Weld
County before a vote of the electorate could be authorized by the Court. The County does not
oversee the operation of the District and, even under the current statute, the County's role
would be limited to requesting reports or considering amendments to the service plan.
State law regarding emergency medical services is found at C.R.S. Title 25, Article 3.5. and
in the Colorado Regulations at 6 CCR 1015-3 and 3 CCR 713-6. Weld County has adopted
ambulance regulations in Ordinance 77-D. Those rules,particularly 3-CCR-713-6 §3.3 and §
4.1, provide that emergency medical treatment may only be conducted under the supervision
of a physician advisor and that physician must have confidence that the Emergency personnel
under his supervision will follow all protocols and his or her direction. The County is not in
a position to respond as to why the FPD has not been able to retain a physician advisor's
services as that is between the physician and the FPD. The County is not responsible for
e"42-e O - 42L 990558
James E. Wallace, Letter
March 17, 1999
Page 2.
enforcing the state regulations and its emergency personnel must meet the same requirements.
It is our understanding that Dr. Campain has recently agreed to act as physician adviser. The
state regulations are enforced by the State board of medical examiners, in the Department of
Regulatory Affairs (303) 894-7690, and that Board is advised by the State Trauma Advisory
Board in the Colorado Department of Health and the Environment (303) 692-2980.
Sincerely,
WELD COUNTY BOARD OF COUNTY COMMISSIONERS
Dale K. Hall, Chair
Attachments: CCR and Court Order
M:\WPFILES\LET\WALLACE.WPD
Rules Pertaining to Emergency Medical Services
6 CCR 1015-3
Section 1 - Purpose and Authority for Establishing Rules
1.1 The purpose of these rules is to replace the existing rules pertaining to emergency medical
services with rules that will more adequately address: 1) current changes in pre-hospital
emergency medical care, 2) the department recognition process for pre-hospital emergency
medical care Training Centers and groups to assure standardized training, 3) the certification
process for all levels of emergency medical technician, 4) disciplinary procedures for denial,
revocation, limitation, or suspension of an individual's emergency medical technician
certificate, 5) the collection of essential data related to the performance and needs of the
emergency medical care system in Colorado, and 6) the minimum equipment required to be
carried on each ambulance.
1.2 General Authority for the promulgation of these rules is set forth in C.R.S. 25-3.5-105.
1.3 These rules apply to and are controlling for: 1) qualified applicants that desire to be state
recognized as a Training Center or Training Group for the purpose of conducting established
training courses (25-3.5-201), 2) certification requirements for all persons who desire to be
state certified as an emergency medical technician (25-3.5-203), 3) disciplinary procedures for
denial, revocation, limitation, or suspension of an individual's emergency medical technician
certificate, and 4) ambulance services, as defined i.n 25-3.5-103 (3), shall be governed by these
rules for the provisions and maintenance of essential data and reporting requirements (25-3.5-
501), and minimum essential equipment to be carried on ambulances (25-3.5-301(2)(a)).
Section 2 - Definitions
2.1 All definitions which appear in C.R.S. 25-3.5-103 shall apply to these rules.
2.2 "Advanced Cardiac Life Support (ACLS) - A course of instruction sponsored by the
American Heart Association designed to prepare students in the practice of advanced
emergency cardiac care.
2.3 "Ambulance Transport Agency" - Any public agency, volunteer organization or commercial
enterprise licensed as an ambulance service by the Board of County Commissioners of any
Colorado county.
2.4 "Board of Medical Examiners Rules" - Rules adopted by the Board of Medical Examiners
which establish responsibilities of physician advisors and all authorized acts of emergency
medical technicians.
2.5 "Council" - State Advisory Council on Emergency Medical Services.
6 CCR 1015-3 Colorado EMS Rules 9/98
2.6 "Division" -Emergency Medical Services Division of the Colorado Department of Health.
2.7 "Emergency call" - A real or self-perceived event where the EMS system is accessed by the 9-
1-1 emergency access number or its local equivalent, or an interfacility transfer where the
patient's health or well-being could be compromised if the patient is held at the originating
facility indefinitely.
2.8 "EMD Training Group" - A public safety communications center, public safety agency, or
EMS provider agency that has been formally recognized by the Division to conduct
Emergency Medical Dispatcher Training curricula established by the Division in accordance
with C.R.S. 25-3.5-201.
2.9 "Emergency Medical Technician-Basic (EMT-B)" - An individual who holds a current and
valid Emergency Medical Technician-Basic certificate issued by the Division.
2.10 "Emergency Medical Technician-Basic-IV(EMT-IV)" -Any individual, holding a current and
valid Emergency Medical Technician-Basic certificate, and, who has successfully completed a
Division recognized training course in Intravenous therapy, and, in accordance with Board of
Medical Examiners rules, is registered by the Division.
2.11 "Emergency Medical Technician-Basic-Defibrillator(EMT-D)" - Any individual, holding a
current and valid Emergency Medical Technician-Basic certificate, and, who has successfully
completed a Division recognized training course in automated external defibrillation, and, in
accordance with Board of Medical Examiners rules, is registered by the Division.
2.12 "Emergency Medical Technician-Intermediate (EMT-I)" - Any individual who holds a current
and valid Emergency Medical Technician-Intermediate certificate issued by the Division.
2.13 "Emergency Medical Technician-Paramedic (EMT-P)" - An individual who holds a current
and valid Emergency Medical Technician-Paramedic certificate issued by the Division.
2.14 "Graduate EMT-Intermediate" - an individual who has successfully completed a Division
recognized Emergency Medical Technician-Intermediate training course but has not yet
successfully completed the certification requirements set forth in these rules.
2.15 "Graduate EMT-Paramedic" - An individual who has successfully completed a Division
recognized EMT-Paramedic training course but has not yet successfully completed the
certification requirements set forth in these rules.
2.16 "Medical Director" - A Colorado licensed physician who is specifically designated and has
accepted responsibility for directing the conduct of pre-hospital training courses conducted by
a Division recognized Training Center or Training Group, and for evaluating the performance
of students in such training courses.
2.17 "Physician Advisor" - A Colorado licensed physician who establishes protocols and standing
orders for medical acts performed by EMT-Basics, EMT-Intermediates, or EMT-Paramedics
of a prehospital emergency medical care service agency and who is specifically identified as
being responsible to assure the competency of the performance of those acts by such EMT-
6 CCR 1015-3 Colorado EMS Rules 9/98
Basics, EMT-Intermediates, or EMT-Paramedics.
2.18 "Refresher/Continuing Education" - A course of instruction designed to provide training to
persons for the purpose of preparing them for renewal of certification. A course of instruction
condensed over a short period of time is classified as a refresher course. The same course, or a
self directed program, extended over a period of three years which meets the educational
requirements for renewal of certification is classified as Continuing Education.
2.19 "Training Center" - A university, college, vocational educational institution, or licensed
hospital that has been formally recognized to conduct training courses for the purpose of
preparing individuals for state certification or course completion certificates issued by the
Division. Training Centers are eligible to apply for any or all of the specialized training
courses specified in section 3.1.
•
2.20 "Training Course" - A series of lectures and other training activity that has been developed
from curricula designed and developed by the Division in consultation with the Council and
the Board of Medical Examiners.
2.21 "Training Course Policies" - Policies and procedures developed by the Division and the
Council that provide the basis for proper instruction of specialized curricula to be conducted
by the Training Center or Training Group.
2.22 "Training Group" - An EMS provider agency or organization that has been formally
recognized by the Division to conduct training courses for the purpose of preparing
individuals for renewal of certification as emergency medical technicians. A Training Group is
eligible for recognition to conduct training curricula for Emergency Medical Technician
Refresher/Continuing Education Classes, Emergency Medical Technician - Basic -Intravenous
Therapy, and Emergency Medical Technician-Basic-Defibrillator.
Section 3 - Recognition of Training Centers and Training Groups for the Purpose of
Establishing Eligibility to Conduct Training Courses Which Prepare Individuals
for State Certification.
3.1 Specialized Training Curricula
The Department, in accordance with 25-3.5-201, has established the following training
curricula.
3.1.1 Emergency Medical Dispatcher-Provider (Initial and Refresher/Continuing Education
3.1.2 Emergency Medical Dispatcher-Instructor/Coordinator
3.1.3 Emergency Medical Technician-Basic (Initial and.Refresher/Continuing Education)
3.1.4 Emergency Medical Technician-Basic-Intravenous Therapy (IV)
3.1.5 Emergency Medical Technician-Basic-Defibrillator
6 CCR 1015-3 Co1ora3c -IRIS Rules 9/98 3
3.1.6 Emergency Medical Technician-Intermediate (Initial and Continuing Education)
3.1.7 Emergency Medical Technician-Paramedic (Initial and Refresher/Continuing
Education)
3.1.8 Emergency Medical Service-Instructor
3.2 Application for Recognition as a Training Center or Training Group.
To qualify the applicant must submit documentation containing the following:
3.2.1 An application form provided by the Division containing information deemed
appropriate by the Division.
3.2.2 A narrative description for each level or levels of EMT training course or courses
which the applicant is applying for recognition, the area to be served by the Training
Center or Training Group,justification that the training course is needed within the
area of service, and the approximate number of courses that will be conducted over
the three year recognition period.
3.2.3 An agreement acknowledging the role of the Division in the recognition process and
attesting to the fact that the applicant will conduct training courses that will be
overseen by the Training Center or Training Group Medical Director and in
conformance with training course policies established by the Division and Council.
3.2.4 A personnel roster, to include a curriculum vitae for the course coordinator and
medical director and the names of the instructional staff.
3.2.5 A description of the facilities to be used for course didactic and clinical instruction and
a listing of all training aids, and medical equipment necessary for the course.
3.2.6 Course policies and procedures, which at a minimum shall include:
a) admission requirements,
b) attendance requirements,
c) course schedule which details a breakdown of the didactic, clinical, skills
evaluations and testing criteria of the training course,
d) discipline/counseling of students,
e) grievance procedures,
f) successful course completion requirements,
g) testing policies,
h) tuition policy statement,
6 CCR 1015-3 Colorado EMS Rules 9/99
i) infection control plan,
j) description of insurance coverage for students,
k) state practical examination policies, if applicable, and
1) continuous quality improvement plan.
3.3 Application Procedures for Recognition as an EMD Training Group.
To qualify for recognition, the agency must submit the following:
3.3.1 An application form provided by the Division containing information deemed
appropriate by the Division.
3.3.2 An agreement acknowledging the role of the Division in the recognition process and
attesting to the fact that the applicant will conduct the programs in conformance with
training course policies adopted by the Division and Council.
3.3.3 Name and qualifications of the instructor.
3.3.4 Course policies and procedures, that at a minimum shall include:
a) admission requirements,
b) attendance requirements,
c) course schedule which details a breakdown of the didactic, clinical, and testing
criteria,
d) discipline/counseling of students,
e) grievance procedures,
f) successful course completion requirements,
g) testing policies,
h) tuition policy statement, and
i) continuous quality improvement plan
3.4 Emergency Medical Service Instructor Course.
3.4.1 The Division provides Emergency Medical Service Instructor training courses to
prepare individuals as an Emergency Medical Services Instructor. Any educational
institution or hospital may submit an application containing information deemed
appropriate by the Division to conduct an Emergency Medical Services Instructor
Course. Upon acceptance of the requirements specified in training course policies
6 CCR 1015-3 Colorado 11143 Ruses 9/96
adopted by the Division and the Council, the applicant may conduct the instructor
training course.
3.5 Procedure for Training Center, Training Group, and EMD Training Group Recognition.
The Division will notify the applicant regarding the status of the application. This notification
will either specify official recognition, indicate that a site visit is required, or identify
deficiencies with the application.
3.5.1 If the notification specifies a site visit, the applicant should be prepared to introduce
staff, faculty, medical director, and show all documentation, equipment, supplies and
facilities.
3.5.2 Applications determined to be incomplete shall be returned to the applicant with a list
specifying elements to be completed.
3.5.3 Official recognition shall be in written form from the Director of the Division, and shall
be based upon proof that the applicant has met all application requirements, has
demonstrated the ability to conduct training courses in compliance with training course
policies, has the necessary professional staff, equipment and supplies to provide the
training, and has justified the need for training within the area of service.
3.5.4 Denial of recognition will be in accordance with Section 4 of these rules.
3.5.5 Training Center recognition shall be valid for a period of three (3)years from the date
of the final recognition letter. Renewal of recognition shall be based upon satisfactory
past performance and submission of an application form containing information as
specified in Section 3.2. The Division may require an additional site visit in
conjunction with the renewal application.
3.6 Minimum Course Coordinator Requirements for Currently recognized Training Centers or
Groups.
By no later than January 1, 1995, currently recognized Training Centers and Training Groups
must utilize a course coordinator that has successfully completed a state Emergency Medical
Services Instructor course or its equivalent as established by the Division.
3.7 Recognition Procedures for Currently Recognized Training Centers and Training Groups.
3.7.1 By no later than 1 year from enactment of these rules, all Training Centers and
Training Groups recognized by the Division prior to the enactment of these rules shall
be required to submit all information as specified in Section 3.2 of these rules.
3.7.2 Currently recognized Training Centers or Training Groups complying with the
provisions stated in 3.7.1 shall receive official recognition which shall be valid for a
period of three (3) years from the date of issue.
3.7.3 Currently recognized Training Centers which fail to comply with the provision of 3.7.1
will no longer be recognized as a Training Center.
6 CCR 1015-3 Colorado EMS Rules 9/99 6
3.8 By no later than 1 year from enactment of these rules, currently recognized EMT-Paramedic
Training Centers must obtain accreditation by the American Medical Association Committee
on Allied Health Education (soon to be the Committee on Accreditation of Allied Health
Educational Programs) upon the recommendation of the Joint Review Committee on
Educational Programs for the Emergency Medical Technician-Paramedic.
3.9 To maintain recognition as an EMT-P Training Center, Training Centers receiving recognition
after the date of enactment of these rules must receive accreditation within one year after
completion of the first training course.
Section 4 - Denial, Revocation, Suspension, or Limitations of Training Center or Training
Group Recognition
4.1 The Department, in accordance with the administrative procedures act, 24-4-101, et seq., may
initiate action to deny recognition if any of the following conditions apply.
4.1.1 The applicant does not possess the necessary qualifications to conduct an adequate
training course in conformance with established training course policies.
4.1.2 The applicant is not capable of providing the necessary clinical experience that will
enable the student to gain practical skills in the performance of patient care.
4.1.3 The applicant has not demonstrated that a need exists within the area to conduct the
training course.
4.1.4 The applicant has committed fraud, misrepresentation, or deception in applying for
recognition.
4.1.5 The applicant fails to meet the application requirements specified in Section 3 of these
rules.
4.2 Any currently recognized Training Center or Training Group may have their recognition
suspended, revoked, limited, or placed on probation by the Department in accordance with the
provision of the Administrative Procedures Act as defined in C.R.S. 24-4-101, et seq, for the
following reasons:
4.2.1 Failure to conduct the training courses in compliance with training course policies.
4.2.2 Students are not receiving a course of instruction which meets generally accepted
standards.
4.2.3 Failure to notify the Division of changes in the medical director or course coordinator.
4.2.4 Providing false information to the Division with regard to successful completion of
training or successful completion of the state practical examination on behalf of
students.
4.2.5 Failure to comply with the provisions specified in Section 3.8 or 3.9.
6CCR1015-3 Colorado EMS Rules 9/98
Section 5 - Initial EMT-Basic, EMT-Intermediate, EMT-Paramedic Certification
5.1 General Requirements
5.1.1 No person shall hold themself out as an Emergency Medical Technician or offer,
whether or not for compensation, any services included in these rules or authorized
acts permitted by the Board of Medical Examiners Rules, unless that person is
currently state certified as an Emergency Medical Technician under these regulations,
or is working under the provisions of the Board of Medical Examiners Rules
pertaining to Graduate EMT-I or Graduate EMT-P, or otherwise authorized by law.
5.1.2 Certificates issued by the Division shall be for the highest level of training attained by
the individual, and multiple certification within the levels of EMT will not be
permitted. Certification at a higher level indicates that the holder of the certificate may
also provide medical care at a lower level of certification provided the certification has
not been revoked, modified, suspended, or expired.
5.1.3 All applicants must complete certification requirements within six (6) months from
successful completion of the training course. Successful completion of training shall be
the date specified on the course completion certificate issued by the Training Center or
Training Group. If an individual does not successfully complete certification
requirements within six months from successful completion of training, that individual
may still receive initial certification by complying with the re-entry requirements
specified in Section 7.
5.1.4 Any individual holding current and valid EMT state certification may request a lower
level of certification upon written request to the Division. The Division will issue a
certificate for the appropriate level. Such certificate will be valid for the remaining time
allotted on the higher level certificate.
5.1.5 Any individual dropping in levels of certification will not be permitted to elevate to a
higher level of certification until such time as that individual either successfully
completes an initial training course or, if eligible, complies with the re-entry
requirements as specified in Section 7 of these rules, and successfully completes state
certification requirements.
5.2 The Division shall issue an initial EMT-B or EMT-I certificate to any applicant who:
5.2.1 is at least 18 years of age at the time of application; and
5.2.2 submits an application form containing such information as deemed appropriate by the
Division;
5.2.3 provides the following reports:
a) a current report, obtained from the Colorado Bureau of Investigation,
local law enforcement agency, or the applicant's employer, that
provides information as to whether the applicant does or does not have
6 CCR 1015-3 Colorado EMS Rules 9/38 8
a past history of criminal activity, and
b) a current report, obtained from the State Motor Vehicle Division, local
law enforcement agency, or the applicant's employer, that provides
information as to whether the applicant does or does not have a past
history of motor vehicle traffic violations.
c) for purposes of this section, a current report is defined as a report
obtained no earlier than 3 months prior to submitting application.
5.2.4 successfully completes an initial EMT-B or EMT-I training course from a Division
recognized training center, or has received Division approval for transfer of out of
state certification;
5.2.5 possesses current professional level Basic Cardiac Life Support (CPR) certification
issued by a national or local organization recognized by the Division as providing
training in cardiopulmonary resuscitation at the time of application;
5.2.6 successfully completes the state practical examination requirements conducted by a
recognized training center; and
5.2.7 successfully completes the state written examinations requirements.
5.2.8 The requirement specified in 5.2.6 must be completed prior to taking the written
examination.
5.3 The Division shall issue initial EMT-P certificates to any applicant who:
5.3.1 is at least eighteen (18) years of age at the time of application, and
5.3.2 submits an application form containing such information as deemed appropriate by the
Division;
5.3.3 provides the following reports:
a) a current report, obtained from the Colorado Bureau of Investigation,
local law enforcement agency, or the applicant's employer, that
provides information as to whether the applicant does or does not have
a past history of criminal activity, and
b) a current report, obtained from the State Motor Vehicle Division, local
law enforcement agency, or the applicant's employer, that provides
information as to whether the applicant does or does not have a past
history of motor vehicle traffic violations.
c) for purposes of this section, a current report is defined as a report
obtained no earlier than 3 months prior to submitting application.
6 CCR 1015-3 Colorado EMS Rules 3/98 9
5.3.4 successfully completes an initial EMT-P training course from a Division recognized
Training Center, or has received Division approval for transfer of out of state
certification;
5.3.5 possesses current ACLS certification by a Division recognized organization at the time
of application;
5.3.6 successfully completes the state practical examination requirements conducted by a
Division recognized Training Center; and
5.3.7 successfully completes a state written examination.
5.3.8 The requirements specified in Section 5.3.6 must be completed prior to taking the
written examination.
5.4. All certificates issued by the Division shall be valid for three years from the date of issue. Date
of Issue for initial certification is defined as the date the applicant has successfully completed
the written examination.
Section 6 - Renewal of EMT Basic, EMT-Intermediate, EMT-Paramedic Certificates
6.1 General Requirements
6.1.1 Any individual who holds an expired EMT certificate is not classified as a state
certified EMT and shall not hold themselves out as such or provide medical care in the
capacity of a state certified emergency medical technician.
6.1.2 All persons who have permitted their certification to expire for a period not to exceed
6 months from the expiration date may renew their certification by complying with the
provisions of this Section 6. Any person permitting their certification to expire for a
period greater than 6 months from the expiration date will not be eligible for renewal
of certification and, if desiring to become re-certified, will be subject to compliance
with the re-entry program requirements specified in Section 7 of these rules.
6.1.3 All certificates renewed by the Division shall be valid for three years from the date of
issue.
a) Date of issue is established as follows:
1) for applicants successfully completing the renewal of
certification requirements and written examination earlier than
six months from the expiration date listed on their current
certificate, the date of issue will be the date of successful
completion of the written examination.
2) for applicants successfully completing the renewal of
certification requirements and written examination during the
last six months prior to their current certificate expiration date,
the date of issue will be the expiration date of the current valid
6 CCR 1015-3 Colorado EMS Rules 9/98 10
certificate being renewed.
3) for applicants successfully completing the renewal of
certification requirements after the expiration date of their
certificate, the date of issue will be the date of successful
completion of the written examination.
6.2 The Division shall renew a current and valid EMT-B, EMT-I, or EMT-P certificate or one not
more than six (6) months expired for persons who:
6.2.1 submit an application form containing such information as deemed appropriate by the
Division;
6.2.2 provide the following reports:
a) a current report, obtained from the Colorado Bureau of Investigation,
local law enforcement agency, or the applicant's employer, that
provides information as to whether the applicant does or does not have
a past history of criminal activity, and
b) a current report, obtained from the State Motor Vehicle Division, local
law enforcement agency, or the applicant's employer, that provides
information as to whether the applicant does or does not have a past
history of motor vehicle traffic violations.
c) for purposes of this section, a current report is defined as a report
obtained no earlier than 12 months prior to submitting application.
6.2.3 successfully completes the appropriate level refresher/continuing education training
course conducted by a Division recognized Training Center or Training Group;
6.2.4 successfully completes the appropriate level state practical skill evaluation conducted
by a Division recognized Training Center or Training Group no earlier than twelve
(12) months prior to the expiration of the current certification; and
6.2.5 successfully completes a state written examination.
6.2.6 In addition to 6.2.1 through 6.2.5, the following shall apply:
a) Persons renewing an EMT-Basic or EMT-Intermediate certificate shall
possess current Basic Cardiac Life Support (CPR) certification issued
by a national or local organization recognized by the Division as
providing training in cardiopulmonary resuscitation at the time of
application.
b) A person renewing an EMT-Paramedic certificate must possess current
ACLS certification at the time of application.
6.2.7 All requirements specified in 6.2.1 through 6.2.4 and 6.2.6 must be completed prior to
6CCR 1015-3 Colorado ?MS Rules 9/9P yy
taking the state written certification examinations.
Section 7 - Re-entry Process for Persons That Have Permitted Their Certification to Expire
for a Period Greater than 6 Months but Not Greater than 36 Months
7.1 General Requirements.
7.1.1 Any person permitting their certification to expire for a period greater than six (6)
months, or any person who has not successfully completed initial certification
requirements within six (6) months from the date of course completion, or any person
who has voluntarily dropped in level of certification may become certified by
complying with Section 7 of these rules provided
a) The certificate has not been expired for more than thirty-six (36)
months, or
b) Successful completion of the initial training course has not exceeded
thirty-six (36) months.
7.1.2 Any person who, being certified at a higher level of certification, has requested and
received a lower level certification will be eligible to return to their previous level of
certification by meeting the provisions of this Section 7 provided their current lower
level certificate is current and valid at the time of application.
7.1.3 Any person with an expired certificate greater than 36 months from the date of
expiration, or any person who has not been initially certified within 36 months from
the date of successful completion of an initial training course shall not be eligible for
certification until such time as the person successfully completes an initial training
course conducted by a recognized Training Center.
7.2 Persons meeting the criteria specified in 7.1.1 or 7.1.2 may obtain certification for EMT-B,
EMT-I, or EMT-P by fulfilling the following requirements:
7.2.1 Submit an application form containing such information as deemed appropriate by the
Division.
7.2.2 Provide the following reports:
a) a current report, obtained from the Colorado Bureau of Investigation,
local law enforcement agency, or the applicant's employer, that
provides information as to whether the applicant does or does not have
a past history of criminal activity, and
b) a current report, obtained from the State Motor Vehicle Division, local
law enforcement agency, or the applicant's employer, that provides
information as to whether the applicant does or does not have a past
history of motor vehicle traffic violations.
c) for purposes of this section, a current report is defined as a report
6 CCR 1015-3 Col o-aao EMS Rules 9/98 12
obtained no earlier than 3 months prior to submitting application.
7.2.3 Complete the refresher training course for the appropriate level of certification.
7.2.4 Complete the initial clinical and field training requirements specified in training course
policies for the appropriate level of certification.
7.2.5 Successfully complete the state practical examination as identified in training course
policies for initial certification for the appropriate level of certification.
7.2.6 Possess current professional level Basic Cardiac Life Support (CPR) certification
issued by a national or local organization recognized by the Division as providing
training in cardiopulmonary resuscitation.
7.2.7 Successfully complete the state written examination, in accordance with the provisions
of Section 9.2 of these rules.
7.2.8 In addition to 7.2.1 through 7.2.7, a person wanting to obtain certification as an EMT-
Paramedic shall possess current Advanced Cardiac Life Support certification.
7.2.9 All requirements specified in paragraphs 7.2.1 through 7.2.6 and 7.2.8 must be
completed prior to taking the state written examination.
Section 8 - Legal Recognition for Persons Possessing out of State EMT Certification
8.1 The Division may issue an EMT-B, EMT-I, or EMT-P certificate to an applicant possessing a
substantially equivalent or higher level EMT certificate from another state, United States
territory, Canadian Province, or National Registry provided that:
8.1.1 the Division determines that training received by the applicant is at least equivalent to
the training requirements for Colorado EMT-Certification, and provided the following
requirements are met.
a) the individual is eighteen (18) years of age or older and submits an
application form containing such information as deemed appropriate by
the Division.
b) the applicant provides the Division with the following reports:
1) a current report, obtained from the state or local law
enforcement agency in which the applicant is currently certified
or, in the case of National Registry certification, the place of
last residence prior to any Colorado residency, that provides
information as to whether the applicant does or does not have a
past history of criminal activity; and
2) a current report, obtained from the State Motor Vehicle
Division or local law enforcement agency in which the applicant
6 CCR 1015-3 Colorado EMS Rules 9/9B 13
is currently certified, or, in the case of National Registry
Certification, the place of last residence prior to any Colorado
residency, that provides information as to whether the applicant
does or does not have a past history of motor vehicle traffic
violations.
3) for purposes of this section, a current report is defined as a
report obtained no earlier than 3 months prior to submitting
application.
c) the applicant's non-Colorado certification is current and valid at the
time of application.
d) the applicant possesses current professional level basic cardiac life
support certification (CPR) issued by a national or local organization
recognized by the Division as providing training in cardiopulmonary
resuscitation.
e) the Division receives written verification from the non-Colorado
certifying authority that the applicant's non-Colorado certification is
current, valid and in good standing; and
f) within 6 months from the date of notification of eligibility by the
Division, successfully completes the state skills evaluation and state
written examination as specified in section 9 of these rules.
g) In addition, persons wanting to obtain certification as an EMT-
Paramedic must possess current Advanced Cardiac Life Support
certification.
8.1.3 Any certificate issued under these provisions will be classified as a transfer of the out-
of-state certification and will be valid for 36 months from the date of successful
completion of the state written examination.
8.2 The department may enter into agreements with other states that may allow a direct transfer
of certification provided that:
8.2.1 the applicant submits an application form containing such information as deemed
appropriate by the Division; and
8.2.2 the Division determines that the training received by the applicant and the certification
and recertification requirements performed by the certifying agency are at least
equivalent to the requirements for Colorado EMT-Certification; and
8.2.3 the applicant must be at least 18 years of age at the time of application.
8.2.4 the certificate issued by the Division will be valid for a period not to exceed thirty six
(36) months or the expiration date on the out-of-state certificate, whichever comes
sooner.
6 CCR1015-3 Colorado EMS Fobs 9/98 14
Section 9 - State Examinations and State Practical Skills Evaluations
9.1 State Practical Skills Evaluation Requirements.
The State practical skills evaluation, provided in training course policies, will be conducted by
recognized training centers or training groups after successful completion of the training
course.
9.2 State Written Certification Examinations Requirements.
The Division shall prepare and administer the state written certification examination. The
written examination will only be administered to individuals who have successfully completed
all training requirements and the State Practical Skills Evaluation Examination, if applicable,
for the appropriate level of certification. Successful completion requires a minimum score of
70%.
9.2.1 Applicants will be allowed two (2) attempts to successfully complete the written
examination. Applicants failing the first attempt shall have six (6) months from the
date of the first examination to complete the second examination. Applicants not
successfully completing the written examination after two (2) attempts will not be
eligible for certification until such time as they complete the requirements specified in
Section 5 of these rules.
Section 10 - Denial, Suspension, Revocation, Modification, or Limitation of Certification
10.1 Denial of Certification
The Department, in accordance with the Administrative Procedures Act, CRS 24-4-
101, et seq., as amended, may deny any certificate or refuse to renew a certificate to
any applicant for, but not limited to, the following reasons:
10.1.1 Failure to meet requirements specified in Sections 5 or 6 of these rules pertaining to
the Issuance of Certificates and the renewal of certification.
10.1.2 Any conduct as described in Section 10.2.2 pertaining to good cause for disciplinary
action.
10.1.3 Any conduct by a Graduate EMT-I or Graduate EMT-P as described in Section 10.2.2
pertaining to good cause for disciplinary action.
10.1.4 Fraud, misrepresentation, or deception in applying for or securing certification, or in
taking any written or practical certification examination.
10.1.5 Aiding and abetting another person in procuring EMT certification for any person who
is not eligible for certification.
10.1.6 Creating a disturbance during a state practical skills evaluation or a state written
6 CCR 1015-3 Colorado EMS Rules 9/98 15
examination, or conducting themselves in a manner that disrupts other persons taking
the examination or prevents the examination proctor from conducting the examination.
10.2 Revocation, Suspension, or Limitation of EMT Certification
10.2.1 Any certification issued by the Division may be suspended, summarily suspended,
revoked, or limited for good cause in accordance with the Administrative Procedures
Act, CRS 24-4-101 et seq., as amended.
10.2.2 Good cause for disciplinary sanctions listed in this section shall include, but not be
limited to:
a) Unlawful use, possessing, dispensing, administering, or distributing
controlled substances.
b) Conviction of, or a plea of no contest to, a felony or misdemeanor
under state or federal law.
c) Driving an emergency vehicle in a reckless manner, or while under the
influence of alcohol or other performance altering drugs.
d) Responding to or providing patient care while under the influence of
alcohol or other performance altering drugs.
e) Demonstrating a pattern of alcohol or other substance abuse.
f) Obtaining certification or recertification by fraud, misrepresentation,
deception, or subterfuge.
g) Materially altering any Division certificate, or using and/or possessing
any such altered certificate.
h) Having a certificate or license suspended or revoked in another state
while holding a Colorado EMT certificate.
i) Unlawfully discriminating in the provisions of services based upon
national origin, race, color, creed, religion, sex, age, physical or mental
disability, sexual preference, infectious disease, or economic status.
j) Representing qualifications at any level other than the person's current
certification level.
k) Failing to follow accepted standards of care in the management of a
patient, or in response to a medical emergency.
1) Failing to administer medications or treatment in a responsible manner
in accordance with the physician advisor's orders or protocols.
6 CCR 1015-3 Colorado EMS Rules 9/90 16
m) Failing to maintain confidentiality of patient information.
n) Failing to provide the Division with the current place of residence, or
change of name, or fails to register with the Division as an EMT-Basic
with IV or EMT-Basic with Defibrillation.
o) A pattern of behavior that demonstrates routine response to medical
emergencies without being under the policies and procedures of the
designated emergency medical response agency and providing medical
care without medical direction or supervision of a physician advisor.
p) Performing medical acts not authorized by the Board of Medical
Examiners as defined in CCR 3-713-6.
q) Failing to provide care, or discontinuing care when a duty to provide
care has been established.
r) Appropriating or possessing without authorization medications,
supplies, equipment or personal items of a patient or employer.
s) Falsifying entries or failing to make essential entries in a patient's run
report or medical record.
t) Falsifying entries made on the state pre-hospital care reporting form.
u) Violating any state or federal rule or regulation that would jeopardize
the health or safety of a patient or the public.
v) Unprofessional conduct at the scene of an emergency which hinders,
delays, eliminates, or deters the provisions of medical care to the
patient or endangers the safety of the public.
10.3 Complaints in writing relating to the conduct of any EMT certified in this state may be made
by any person or may be initiated by the Division. Upon receipt of a complaint from a person,
the Division may make inquiry as to the validity of such complaint prior to initiating an
investigation. If the Division determines that the complaint warrants a more extensive review,
an investigation may be initiated. If the complaint does not warrant further review or the
inquiry determines that the complaint is not within the regulatory jurisdiction of the Division,
the Division will notify the complainant of the results of the inquiry.
10.4 In accordance with CRS 24-4-104(4), the Department may summarily suspend a certificate
when the Department has reasonable grounds to believe and finds that the holder of the
certificate has been guilty of deliberate and willful violations or that the public health, safety or
welfare imperatively required such emergency action by the Department.
Section 11 - Data and Information Collection and Record Keeping
6 CCR 1015-3 Colorado EMS Rules 9/98 17
11.1 State Prehospital Care Reporting Requirements
All ambulance transport agencies shall provide the department with such data and information
required to evaluate, coordinate and plan for the continued development of the emergency
medical care system in the State. Such data and information shall be provided on forms
supplied by the Department, or on alternate media in a form acceptable to the Department.
11.1.1 In accordance with C.R.S. 25-3.5-501, the following information is necessary to
evaluate, coordinate and plan for the continued development of the emergency medical
care system and shall be reported to the Division by all ambulance services as defined
in CRS 25-3.5-103(3) for each emergency call.
a) Agency identification as assigned by the Division.
b) Date call was dispatched.
c) Time, in military format, to include:
1) Time call was dispatched.
2) Time ambulance went en route to the incident scene, if
applicable.
3) Time ambulance arrived at the incident scene, if applicable.
4) Time ambulance departed the incident scene, if applicable.
5) Time ambulance arrived at the receiving facility or patient care
was transferred to another EMS agency, if applicable.
6) Time ambulance was available to respond to another call.
d) County in which incident occurred.
e) Incident location categorized by classifications specified by the Council.
f) Mode of response (emergent or non-emergent) to and from the incident
scene, if applicable.
g) Classification of the call as "trauma" or "medical" in nature.
h) If the call is designated as "trauma", the primary mechanism of injury
categorized by classifications specified by the Council and the patient's
initial Revised Trauma Score. In addition, if the trauma is the result of
an incident involving a bicycle, motorcycle, motor vehicle or
recreational vehicle, an indication, if known, of the protective
equipment worn or utilized by the patient, and an indication, if known,
whether the patient was the operator or passenger of the vehicle.
6 CCR 1015-3 Colorado EMS Rules 9/98 _8
i) If the call is designated as "medical", the signs, symptoms, illness or
emergency categorized by classifications as specified by the Division.
j) Patient age and sex.
k) Number of miles patient was transported from the incident scene to the
receiving facility or point of transfer to another EMS agency.
1) Receiving facility or agency identification number assigned by the
Division.
m) Any special codes assigned by the division to identify the classes of
patients or specific procedures performed in the field.
n) Five-digit ZIP code of the patient's residence, if known. Patients
residing outside the United States, or others without a residence will be
designated by a five-digit code assigned by the Division.
o) The outcome of the call categorized by classifications specified by the
Council.
p) An indication of the highest level of training, certification or licensure
of the medical personnel providing care from the reporting agency.
11.1.2 All ambulance transport agencies providing this information on data-collection forms
supplied by the state shall deliver a copy of the form to the receiving facility with the
patient, or include the state-assigned ambulance trip report number from the data-
collection form on the patient encounter record delivered with the patient. Ambulance
transport agencies providing this information on alternate media shall deliver a copy of
the patient encounter record including the state-assigned ambulance trip report
number, or its equivalent, to the receiving facility.
11.1.3 A licensed ambulance service must provide the information specified in Section 11.1.1
for that agency to be eligible for State monies distributed through the EMS Provider
Grant Program pursuant to the provisions of C.R.S. 25-3.5-601, as amended.
Section 12 - Minimum Equipment to Be Carried on an Ambulance
In accordance with 25-3.5-301, the Council, in consultation with the Department, has developed the
following list of minimum equipment required to be carried on a licensed ambulance.
12.1 Basic Life Support Ambulance
12.1.1 Ventilation and airway equipment
a) Portable suction unit with wide bore tubing, rigid pharyngeal curved
suction tip, and soft catheter suction tip to include pediatric sizes 5 Fr.
through 14 Fr.
6 CCR1015-3 Colorado EMS Rules 9/98 19
b) Bulb syringe.
c) Portable and fixed oxygen equipment to include; house oxygen, oxygen
bottles with variable flow regulators.
d) Oxygen masks and cannula capable of delivering high and low flow O2
to adults and infants.
e) Hand Operated Bag-Valve masks with reservoirs to include the
following sizes:
1) 500 cc bag with newborn, infant and child masks.
2) 1000 cc bag with adult mask.
All mask attachments must be 15 ml.
f) Nasopharyngeal airways in adult and pediatric sizes.
g) Oropharyngeal airways in adult and pediatric sizes 1 through 9.
h) Bite sticks or equivalent.
12.1.2 Circulatory Support Equipment.
a) Blood pressure cuffs to include large adult, regular and pediatric sizes.
b) Stethoscope.
12.1.3 Splinting Equipment.
a) Lower extremity traction splint.
b) Upper and lower extremity splints.
c) Long board, scoop, vacuum mattress or equivalent with appropriate
accessories to immobilize patient from head to heels.
d) Short board, K.E.D or equivalent, with ability to immobilize patient
from head to pelvis.
e) Pediatric spine board or adult spine board that can be adapted for
pediatric use.
f) Adult and pediatric head immobilization equipment.
g) Adult and pediatric cervical spine immobilization equipment per
physician advisor protocol.
6 COR 1015-3 Colorado EMS Rules 9/98 20
12.1.4 Dressing Materials.
a) Bandages - Various types and sizes per agency needs and physician
advisor protocol.
b) Dressings, various sizes per agency requirements and needs.
c) Burn sheets.
d) Adhesive tape per agency requirements and needs.
12.1.5 Obstetrical supplies.
a) Sterile OB Kit to include: Towels, 4x4 dressing, umbilical tape or cord
clamps, scissors, bulb syringe, sterile gloves, and blanket.
b) Silver Swadler and Stocking cap or equivalent.
12.1.6 Miscellaneous Equipment.
a) Heavy bandage scissors, shears or equivalent capable of cutting
clothing, belts, boots, etc.
b) Flashlight, either rechargeable or with spare batteries and bulb.
c) Space and/or thermal absorbent blankets and appropriate heat source
for ambulance compartment.
d) Non-sterile disposable gloves.
e) Protective eye wear.
f) Non-sterile surgical masks.
g) Safety protection gear for extrication per agency requirements and
needs.
h) Warning reflectors.
i) Two (2) 2.5 lb. ABC fire extinguishers, one accessible from inside the
patient compartment, one accessible from the vehicle cab or exterior.
12.1.7 Radio Equipment - Two-way radio communications that will enable the ambulance
personnel to communicate with the dispatch agency, medical control facility or
physician, and receiving facility.
12.1.8 Extrication equipment - Each ambulance should carry extrication equipment
appropriate for the level of extrication the service agency provides and in accordance
6 CCR 1015-3 Colorado EMS Rules 9/98 31
with requirements established by the county in which the ambulance is licensed.
12.2 Basic Life Support with Intravenous (IV) capability.
12.2.1 All equipment listed in 12.1.
12.2.2 Adult and pediatric intravenous solutions and equipment per physician advisor
protocol.
12.2.3 Arm boards for pediatric IV use.
12.3 Advanced Life Support - Intermediate
12.3.1 All equipment listed in 12.1 and 12.2.
12.3.2 Adult and pediatric endotracheal intubation equipment per physician protocol.
Pediatric sizes for endotracheal tubes uncuffed range from 2.5 - 5.5, and cuffed range
from 5.0 - 8.0. Laryngoscope blades, straight and/or curved, of sizes 0 - 3.
12.3.3 Monitor/defibrillator with tape write out and adult EKG electrodes and paddles. For a
manual model monitor/defibrillator you must have pediatric EKG electrodes and
paddles or paddle adapters within one (1)year from the date of enactment of these
rules., and the capability to dial down to appropriate watt/seconds for pediatrics within
five (5) years from enactment of these rules.
12.3.4 Pharmacologic agents per physician advisor protocol.
12.3.5 Pediatric equipment and drug dosage tape or age/weight chart.
12.4 Advanced Life Support- Paramedic
12.4.1 All equipment listed in 12.1, 12.2 and 12.3 and other equipment and
pharmacologic agents per physician advisor protocols.
6 CCR 1015-3 Colorado EMS Rules 9/98 22
Rules Defining the Duties and Responsibilities of
Emergency Medical Services Physician Advisors and
The Authorized Medical Acts of Emergency Medical Technicians
3-CCR-713-6
Section 1 - Purpose And Authority For Establishing Rules
1.1 The purpose of these rules is to define the duties and responsibilities of physician advisors
to emergency medical care service agencies and to define the authorized medical acts of
Initial Responders (IRS) and Emergency Medical Technicians (EMTs).
1.2 The general authority for the promulgation of these rules is set forth in Section 12-36-104
and Section 25-3.5-203, C.R.S.
1.3 These rules apply to and are controlling for any physician functioning as a physician
advisor to an emergency medical services organization and who authorizes and directs the
performance of medical acts by IRs and EMTs at all levels of certification in the State of
Colorado.
Section 2 - Definitions
2.1 All definitions which appear in Section 25-3.5-103, C.R.S., shall
apply to these rules.
2.2 "Automated external defibrillation(AED)" - use of an automatic or semi-automatic
external defibrillator that has an ECG rhythm analysis system and is capable of recording
both ECG and voice.
2.3 "Board" - The Colorado State Board of Medical Examiners.
2.4 "Division" - The Emergency Medical Services and prevention Division of the Colorado
Department of Public Health and Environment.
2.5 "Emergency Medical Technician-Basic (EMT-Basic)" - an individual who has a current
EMT-Basic certificate issued by the Division in accordance with the Rules Pertaining to
Emergency Medical Services, 5-CCR-1004 (referred to herein as the "State EMS Rules"),
and is authorized to provide basic emergency medical care in accordance with these rules
of the Colorado State Board of Medical Examiners.
2.6 "Emergency Medical Technician-Intermediate (EMT-Intermediate)" - an individual who
has a current EMT-Intermediate certificate issued by the Division in accordance with the
3-CCR-713-6 BME Rules-"Acts Allowed)9/98
State EMS Rules and is authorized to provide limited acts of advanced emergency medical
care in accordance with these rules of the Colorado State Board of Medical Examiners.
2.7 "Emergency Medical Technician-Paramedic (EMT-Paramedic)" - an individual who has a
current EMT-Paramedic certificate issued by the Division in accordance with the State
EMS Rules and is authorized to provide advanced emergency medical care in accordance
with the rules of the Colorado State Board of Medical Examiners.
2.8 "Graduate-EMT-Intermediate" - an individual who has successfully completed a
Division-approved EMT-Intermediate training course but has not yet successfully
completed the certification requirements set forth in the State EMS Rules.
2.9 "Graduate EMT-Paramedic" - an individual who has successfully completed a
Division-approved EMT-Paramedic training course but has not yet successfully completed
the certification requirements set forth in the State EMS Rules.
2.10. "Initial Responder" - an individual who as part of their duty responds to medical
emergencies and has minimum training in adult basic cardiac life support.
2.11. "Medical Base Station" -the source of direct medical communications with and
supervision of the immediate field emergency care performance by IRs EMT-Basics,
EMT-Intermediates, or EMT-Paramedics.
2.12. "Physician Advisor" - a physician who establishes protocols and standing orders for
medical acts performed by IRs, EMT-Basics, EMT-Intermediates or EMT-Paramedics of
a pre hospital emergency medical care service agency and who is specifically identified as
being responsible to assure the competency of the performance of those acts by such IRs,
EMT-Basics, EMT-Intermediates or EMT-Paramedics.
2.13. "Protocol"- written standards for patient medical assessment and management.
2.14 "Service Agency" - any organized agency including but not limited to a "rescue unit" as
defined in Section 25-3.5-103(11), C.R.S., using IRs, EMT-Basics, EMT-Intermediates or
EMT-Paramedics to render initial emergency medical care to a patient prior to or during
transport to a hospital or emergency care clinic.
2.15. "Standing Order" - written authorization by a physician advisor for the performance of
specific medical acts by IRs, EMT-Basics, EMT-Intermediates or EMT-Paramedics prior
to their establishing communications with the supervising medical base station, or in the
event of communications malfunctions with the medical base station.
Section 3 - Qualifications and Responsibilities of Physician Advisors
3-CCR-713-6 BME Rules-"Acts Allowed)9/98 2
3.1 A physician advisor shall possess the following minimum qualifications:
a) be a physician currently licensed to practice medicine in the State of Colorado;
b) be actively involved in the provision of emergency medical services in the
community served by the service agency being advised;
c) be actively involved on a regular basis with the service agency being advised.
d) be trained in Advanced Cardiac Life Support according to the standards of the
American Heart Association.
3.2 The responsibilities of a physician advisor shall include:
a) Notifying the Board of the service agencies for which medical control functions are
being provided and notifying the Division of the individuals being supervised.
b) Establishing a medical quality control program for each service agency being
advised which assures the continuing competency of the performance of that
agency's IRs, EMT-Basics, EMT-Intermediates or EMT-Paramedics. This quality
control program shall include, but not necessarily be limited to, appropriate
protocols and standing orders, and provision for medical care audits, observation,
critiques, continuing medical education and direct supervisory communications.
c) Submitting to the Division the medical quality control program for a service
agency's IRs, EMT-Basics, EMT-Intermediates or EMT-Paramedics. The
Division shall evaluate the medical quality control program and forward it, along
with a written evaluation, to the Board for final approval.
3.3 The physician advisor shall provide monitoring and supervision of the medical field
performance of each advised service agency's IRs, EMT-Basics, EMT-Intermediates or
EMT-Paramedics. This responsibility may be delegated to other physicians or other
qualified health care professionals designated by the physician advisor. However, the
physician advisor shall retain ultimate authority and responsibility for the monitoring and
supervision, for establishing protocols and standing orders and for the competency of the
performance of authorized medical acts.
3.4 The physician advisor shall ensure that each verbal order, written standing order or
protocol is appropriate for the certification and skill level of each of the individuals to
whom the performance of medical acts is delegated and authorized. The physician advisor
shall be familiar with the training, knowledge and competence of each of the individuals to
whom the performance of such procedures is delegated.
3.5 The physician advisor shall be accountable to the Board for all actions in the authorization
3-CCR-713-6 BME Rules-"Acts Allowed)9/98 3
and delegation of medical acts, procedures, medical quality control program or use of
standing orders and established protocols which fail to meet generally accepted standards
of medical care.
3.6 The responsibilities of the physician advisor in the authorization, direction, monitoring and
supervision of IRs and EMT-Basics who perform automated external defibrillation (AED)
shall include the following:
a) The physician advisor of any IR and EMT-Basics who perform AED shall be able
to demonstrate the use of the AED device for said IRs and EMT-Basics.
b) The physician advisor shall authorize IRs and EMT-Basics to perform AED only
after the IRs and EMT-Basics have successfully completed an AED training course
approved by the Division and the IRs and EMT-Basics have demonstrated for the
physician advisor proficiency and skill in the performance of AED.
c) The physician advisor authorizing IRs and EMT-Basics to perform AED shall
authorize only the use of automated external defibrillators that are equipped with
voice and ECG recording capabilities and accessories in order to assure adequate
direction and supervision of IRs and EMT-Basics in the use of the AED device and
compliance with the medical quality control program required by these rules.
d) No less than sixty days prior to authorizing any IR or EMT-Basics to perform
AED, the physician advisor shall submit to the Division the following:
i) a form approved by the Board for registration of an AED program; and
ii) a medical quality control program, to be approved by the Board, which
shall include, but not necessarily be limited to: provision for mandatory
audit of each use of the AED device, within ninety days of said use, by the
physician advisor or his designee with the IRs or EMT-Basics involved in
said use; provision for identification and correction of deficiencies in the
performance of AED by the IRs and EMT-Basics; and provision for
ensuring through standing orders and protocols that the IRs and
EMT-Basics authorized to perform AED maintain proficiency and skills in
the performance of AED and basic life support by continuing education and
practice no less than thirty days following initial training and ninety days
thereafter.
e) Within ninety days of each use of the AED device by an IR or EMT-Basic, the
physician advisor or his designee shall submit to the Division the following
records, which may have the patient name deleted ad identified by a numbered
code, to be retained by the custodian of he records:
3-CCR-713-6 BME Rules-"Acts Allowed)9/98 4
i) a copy of the EMS Division AED Reporting Form completed by the IR(s)
or EMT-Basic(s) who performed AED and signed by the physician advisor;
ii) a copy of the pre-hospital care encounter form for the patient contact and
use of the AED device; and
iii) a copy of any electronic media recorded by the AED device for the patient
contact.
3.7 The physician advisor shall notify the Board and the Division within fourteen days of his
or her termination as physician advisor pursuant to these rules.
3.8 The physician advisor shall notify the Division within fourteen days of his or her
termination of the supervision of an EMT-Basic, EMT-Intermediate, or EMT-Paramedic
that may constitute good cause for disciplinary sanctions pursuant to Section 8.1 of the
EMS Rules. Such notification shall be in writing and shall include a statement of the
actions or omissions resulting in termination of supervision and copies of all pertinent
records.
Section 4 - Medical Acts Allowed
4.1 An Emergency Medical Technician-Basic may perform non-invasive emergency medical
acts consistent with the course of training approved by the Division for EMT Basic
certification. Effective April 1, 1992, an EMT-Basic who is a member or employee of a
service agency and who performs said emergency medical acts must have the authorization
of a physician advisor to perform said emergency medical acts.
4.2 An EMT-Basic may, in addition to the acts allowed in Section 4.1, inflate pneumatic
anti-shock (MAST) trousers, establish an intravenous line to keep the vein open for fluid
volume replacement or for dextrose administration, and use an automated external
defibrillator to perform cardiac defibrillation, provided that the EMT-Basic has
successfully completed a Division-approved training course in these medical acts,
performs these acts under authorization from a physician advisor, in accordance with the
provisions of Section 3, and is registered with the Division.
4.3 In addition to the acts an EMT-Basic is allowed to perform pursuant to these rules, an
EMT-Intermediate may, under the authorization of a physician advisor, perform
emergency medical acts consistent with the course of training approved by the Division for
EMT-Intermediate certification.
4.4 An EMT-Intermediate may, in addition to the acts allowed in Section 4.3, administer
drugs specified and approved by the Division with the concurrence of the Board. Such
drugs may be administered only under the direct verbal authorization of a physician
including by radio, in accordance with the provisions of Section 3. The Board may, upon
3-CCR-713-6 BME Rules-"Acts Allowed)9/98 5
request of the physician advisor, grant a waiver to allow standing orders to be
implemented for specific EMT-Intermediates in specific circumstances provided that
on-going quality assurance of each EMT-Intermediate's use of standing orders is
maintained by the physician advisor.
4.5 In addition to the acts an EMT-Basic is allowed to perform pursuant to these rules, an
EMT-Paramedic may, under the authorization of a physician advisor, perform advanced
emergency medical care acts consistent with the course of training approved by the
Division for EMT-Paramedic certification and, with appropriate training:
a) administer drugs authorized in written standing orders or protocols by the
physician advisor, and
b) perform other emergency life-saving invasive procedures authorized in written
standing orders or protocols by the physician advisor.
c) carry out a physician order for a mental health hold as set forth in Section
27-10-105(1), C.R.S. Such physician order may be verbal or by telephone, radio
or any other electronic means.
4.6 An EMT-Basic may, in addition to the acts allowed in Section 4.1 and 4.2, administer
activated charcoal, oral glucose, and chewable baby aspirin, and assist patients in taking
their prescriptions for the Epinephrine auto-injector, Nitroglycerin and meter dosed
inhalers, provided the EMT-Basic has successfully completed a Division approved training
course in these medical acts, performs these acts only under the direct verbal authorization
of a physician including by radio, in accordance with the provisions of Section 3.
Section 5 - Graduate and Out-of-state Applicants for Certification
5.1 Physician advisors may supervise graduate EMT-Intermediates and EMT-Paramedics for a
period of no more than six months following successful completion of an appropriate
Division-approved training course. Graduate EMT-Intermediates and EMT-Paramedics
must successfully complete certification requirements, as specified in the State EMS
Rules, within six months of the successful completion of a training course to continue to
function under the provisions of these rules.
5.2 A person certified as an EMT-Basic, EMT-Intermediate or EMT-Paramedic by another
state may, with the authorization of a physician advisor, function as an EMT-Basic,
EMT-Intermediate or EMT-Paramedic, only after approval of the EMS Division and only
for a period of six months. All requirements for Colorado certification must be
successfully completed within six months of the date of application to the EMS Division
for Colorado certification.
3-CCR-71 3-6 DME Rules-"Acts Allowed)9/98 6
Section 6 - Jurisdiction of Enforcement
6.1 All acts in violation of these rules by an EMT-Basic, EMT-Intermediate, or
EMT-Paramedic shall be referred to the Division for review and appropriate action in
accordance with the Colorado Emergency Medical Services Act, Section 25-3.5-101 et
seq., C.R.S., and the State EMS Rules. Complaints in writing relating to the actions of
any certified or graduate EMT-Basic, EMT-Intermediate or EMT- Paramedic pursuant to
these rules of the Board may be initiated by any person or by the Board or the Division.
6.2 All acts in violation of these rules of the Board by a physician shall be referred the Board
for review and appropriate action in accordance with Section 12-36-118, C.R.S.
Complaints in writing relating to the actions of any physician pursuant to these rules of the
Board may be initiated by any person or by the Board or the Division.
Effective 06/01/82; Revised 12/1984; Revised 03/02/91; Revised 08/20/91; Revised 04/13/95; Revised 06/30/97;
Revised 12/30/97; Revised 03/30/98
3-CCR-713-6 BME Rules-"Acts Allowed)9/98 7
IN THE DISTRICT COURT IN AND FOR THE 1-
COUNTY OF WELD AND STATE OF COLORADO JUNI2 1 1954
Civil Action No. 12665
IN THE MATTER OF THE ORGANIZATION OF THE ) FINDINGS OF FACT
PLATTE VALLEY FIRE PROTECTION DISTRICT. ) AND DECREE
THIS CAUSE coming on for hearing on the 21st day of June, A. D.
19511, being one of the regular juridioial days of the May 19511 tetra
of the District Court in and for the County of Weld and State of
Colorado, and the petitions appearing by their attorneys, Houtchens
and Houtchens, and no one appearing protesting against the creation
of the proposed District, and it appearing to the Court, and the Court
so finds that due and sufficient notice as provided by law and order
of this Court has been given by publication of the pendency of the Peti-
tion and of the time and place of hearing thereon, and it further appear-
ing that no Petition has been filed in the office of the Clerk of this
Court protesting against the creation of the proposed District and the
Court having examined said petition and having heard the evidence and
argument of counsel and being now sufficiently advised in the premises,
DOTH FIND, that the said Petition is in proper form and has been
duly signed by the requisite number of tax paying electors of said
District, and presented in conformity with Chapter 1611 of the Session
Laws of Colorado of 19119; that the allegations of said Petition are true
and that no protesting petition has been filed;
That the properties of tax payers used for manufacturing, mining,
railroad, or industrial purposes and having an assessed valuation in
excess of 1425,000.00 at the time of the filing of the Petition herein,
situate within said proposed District are, namely:
Hone Light and Power Company
Mountain States Telephone and Telegraph Company
Poudre Valley Rural Electric Company
Union Pacific Railroad Company
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That none of said taxpayers has filed its written consent to be
included in said proposed District and should be excluded therefrom.
That the District to be organized is located in Weld County, Colo-
rado, and that the description of the District to be organized herein
is as follows:
The lands embraced within School District No. 72;
the lands embraced within School District No. 73;
the lands embbraoed within School District No. 81;
the lands embraced within School District No. 98,
and all the lands embraced within School District
No. 87, except the following described property; the
SW4 of Section 30 and all of Section 31, Township 6
North, Range 63 West of the 6th P.N.; Sections 3, 9,
10, 11, 14, 15, 16, 23, 25 and 36, all in Township 6
North, Range 64 West of the 6th P.M. All of said ex-
cluded portion herein described is included within
School District No. 87, Weld County, Colorado.
That the description of the outside boundary of said lands within
the confines of Weld County is more particularly described in the Decree
following these Findings.
THE COURT DOTH FURTHER FIND that the individuals designated to serve
in said Petition as, the first Board of Directors of said District are
tax paying electors in said District and have consented to serve as such
Board of Directors for the following teens, to-wits Alfred Peters to
hold office until the first biennial election; George H. Morgan to hold
office until two years after the first biennial election; Gilbert Danley
to hold office until two years after the first biennial election; Fred C.
Herbst to hold office until four years after the first biennial election;
George F. Jurgen to hold office until four years after the first biennial
election.
DECREE
IT IS, THEREFORE, ORDERED, ADJUDGED, AND DECREED, that the PLATTE
VALLEY FIRE PROTECTION DISTRICT be, and the same is hereby declared to
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be duly organized, and the same shall be a governmental subdivision of the
State of Colorado, and a body corporate with all the powers of a public or
quasi municipal corporation.
IT IS FURTHER. ORDERED, ADJUDGED AND DECREED BY the Court that the
description of the territory to be included within said District shall be
as follows, to-wit: (All of the lands hereinafter described are located
in Weld County, Colorado)
The lands embraced within School District No. 72; the lands em-
braced within School District No. 73; the lands embraced within
School District No. 81; the lands embraced within School District
No. 98, and all the lands embraced within School District No. 87,
except the following described property: the SW4 of Section 30
and all of Section 31, Township 6 North, Range 63 West of the
6th P.M.; Sections 3, 9, 10, 11, 14, 15, 16, 23, 25 and 36, all
in Township 6 North, Range 64 West of the 6th P.M. All of said
excluded portion herein described is included within School Dis-
trict No. 87, Weld County, Colorado;
more particularly described as being those lands embraced within the follow-
ing described boundary in Weld County, Colorado, to-wit:
Commencing at the Northwest corner of Section 21, Township 6
North, Range 64 West of the 6th P.M.; thence South along the
West line of said Section 21 to the Southwest corner of the
NW4 of said Section 21; thence West along the North line of
the SEy of Section 20, Township 6 North, Range 64 West of the
6th P.M. to the Northwest corner of said SE4; thenoe South
along the West line of the SE4 of said Section 20 to the South
line of said Section 20; thence East along the South line of
the Uri of said Section 20 to the Southeast corner of said
Section 20; thence South along the West line of Section 28,
Township 6 North, Range 64 West of the 6th P.M. to the South-
west corner of the NW4 of said Section 28; thence West along
the North line of the, SE4 of Section 29, Township 6 North,
Range 64 West of the 6th P.M. to the Northwest corner of the
SE4 of said Section 29; thence South along the West line of
the said Section 29 to the Southwest corner of the SE4 of said
Section 29; thence continuing South along the West line of the
NE4 of Section 32, Township 6 North, Range 64 West of the 6th
P.M. to the Southwest corner of the NE4 of said Section 32;
thence West along the North line of the NEgSW1 to the Northwest
corner of the saidNEMSW4 of said Section 32; thence South along
the West line of the E1SW4 of said Section 32 to the South line
of said Section 32; thence West along the North line of Section
5, Township 5 North, Range 64 West of the 6th P.M. to the North-
west corner of said Section 5; thence South along the West line
of said Section 5 to the Southwest corner of said Section 5;
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thence West along the North line of Section 7, Township 5 North,
Range 64 West of the 6th P.M. to the Northwest corner of said
Section 7; thence South along the West line of said Section 7 to
the point where the Platte River intersects the West line of said
Section 7; thence South and West along the Platte River as the same
extends through Sections 12 and 13, Township 5 North, Range 65 West
of the 6th Y.M. to a point on the West line of Section 13, Township 5
North, Range 65 West of the 6th P.M. where the Platte River inter-
sects said West line; thence South along the West line of said Sec-
tion 13 to the Southwest corner thereof; thence East along the South
line of said Section 13 to the Southeast corner of said Section 13;
thence South along the West line of Section 19, Township 5 North,
Range 64 West of the 6th P.H. to the Union Pacific Railroad Company
right of way; thence Southwest along said Union Pacific Railroad
Company right of way to the Northwest corner of the SWTNE4 of Sec-
tion 25, Township 5 North, Range 65 West of the 6th P.M.; thence
South along the West line of the Fri of said Section 25 to the South
line of said Section 25; thence South along the West line of the
NEI of Section 36, Township 5 North, Range 65 West of the 6th P.M.
to the Southwest corner of the NEI of said Section 36; thence East
along the South line of the NEI of said Section 36 to the Southeast
corner of the NE/ of said Section 36; thence South along the West
line of Section 31, Township 5 North, Range 64 West of the 6th P.M.
to the Southwest corner of said Section 31; thence South along the
West lines of Sections 6, 7, 18 and 19, Township 4 North, Range 64
West of the 6th P.M. to the Southwest corner of said Section 19;
thence East alons the South line of said Section 19 to the Southeast
corner of the 014 of said Section 19; thence South along the West
line of the NEI of Section 30, Township 4 North, Menge 64 West of
the 6th P.M. to the Southwest corner of the said NEI; thence West
along the North line of the NEISW1 of said Section 30 to the North-
west corner of said NEISW}; thence South along the West line of the
*WI of said Section 30 to the Southwest corner of the said E1SW**
of Section 30; thence West along the North line of Section 31, Town-
ship 4 North, Range 64 West of the 6th P.M. to the Northwest corner
of said Section 31; thence South along the West line of said Section
31 to the Southwest corner of said Section 31; thence East along the
South lines of Sections 31, 32, 33, 34, 35 and 36, Township 4 North,
Range 64 West of the 6th P.M. to the Southeast corner of said Sec-
tion 36; thence continuing East along the South lines of Sections 31,
32, 33, 34, 35 and 36, Township 4 North, Range 63 West of the 6th P.M.
to the Southeast corner of said Section 36; thence continuing East
along the South lines of Sections 31, 32, 33 and 34, Township 4 North,
Range 62 West of the 6th P.M. to the Southeast corner of said Sec-
tion 34; thence North along the East lines of Sections 34, 27 and 22,
Township 4 North, Range 62 West of the 6th P.M. to the Northeast cor-
ner of said Section 22; thence West along the North line of Section 22,
to the Northwest corner of said Section 22; thence North along the
East line of Section 16, Township 4 North, Range 62 West of the 6th
P.M. to the Northeast corner of said Section 16; thence West along the
North lines of Sections 16 and 17, Township 4 North, Range 62 West of
the 6th P.M. to the Northwest corner of said Section 17; thence South
along the West line of said Section 17 to the Southwest corner of the
NW*NW oof said Section 17; thence West along the North line of the
SzNi of Section 18, Township 4 North, Range 62 West of the 6th P.M. to the
West line of said Section 18; thence North along the East line of Sec-
tion 13, Township 4 North, Range 63 West of the 6th P.M. to the North-
east corner of said Section 13; thence continuing North along the East
line of Sections 12 and 1, Township 4 North, Range 63 West of the 6th
P.M. to the Northeast corner of said Section 1; thence continuing North
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along the East lines of Sections 36, 25 and 24, Township 5 North,
Range 63 West of the 6th P.M. to the Northeast corner of said
Section 24; thence West along the North lines of Sections 24, 23,
22 and 21 to the Northwest corner of said Section 21, all in Town-
ship 5 North, Range 63 West of the 6th P.M.; thence North along
the East lines of Sections 17, B and 5, Township 5 North, Range
63 West of the 6th P.M. to the Northeast corner of said Section 5;
thence West along the North lines of Sections 5 and 6, Township 5
North, Range 63 West of the 6th P.M. to the Northwest corner of
said Section 6; thence continuing West along the North line of
Section 1, Township 5 North, Range 64 West of the 6th P.M. to the
Northwest corner of said Section 1; thence North along the East
lines of Sections 35 and 26, Township 6 North, Range 64 West of
the 6th P.M. to the Northeast corner of said Section 26; thence
West along the North line of said Section 26 to the Northwest
corner of said Section 26; thence North along the East line of
Section 22, Township 6 North, Range 64 West of the 6th P.M. to
the Northeast corner of said Section 22; thence West along the
North lines of Sections 22 and 21, Township 6 North, Range 64
West of the 6th P.M. to the Northwest corner of said Section 21,
which is the point of beginning;
excepting therefrom the real and personal property of the following owners
situate in said District, to-wits
Mane Light and Power Company
Mountain States Telephone and Telegraph Company
Poudre Valley Rural Electric Company
Union Pacific Railroad Company
insofar as any tract or parcel of real estate is used for manufacturing,
mining, railroad or industrial purposes and insofar as the personal prop-
erty thereon consists of machinery and equipment.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED, that the corporate name
of said District shall be the PLATTE VALLEY FIRE PROTECTION DISTRICT.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED, that the first Board of
Directors shall consist of Alfred Peters to hold office until the first
biennial election; George H. Morgan to hold office until two years after
the first biennial election; Gilbert Danley to hold office until two years
after the first biennial election; Fred C. Herbst to hold office until
four years after the first biennial election; George F. Jurgens to hold
office until four years after the first biennial election.
That the members of the Board shall qualify by filing with the Clerk
of this Court, their oaths of office and c orporate surety bonds at the
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expense of the District in the amount of $1,000.00 each for four members,
but in the amount of $5,000.00 for the member who is elected treasurer of
said District, the form of which bond shall be as follows:
"KNOW ALL MEN BY THESE PRESENTS, that we
of the County of Weld and State of Colorado, as principal and
, a corporation organized under the laws of ,
with its home office in the , as surety, are held and
firmly bound unto the people of the State of Colorado in the penal sum
of $5,000.00, current money of the United States, which payment well and
truly to be made and performed, we and each of us do hereby bind ourselves,
our heirs, executors, administrators, successors and assigns, jointly,
severally, and firmly by these presents.
The condition of this application is such that if the above bounden
, as Director of the Platte Valley Fire Protection
District shall faith!ully perform and discharge the duties of such office
as provided by law, then this obligation shall be void, otherwise to re-
main in full force and effect.
WITNESS our hands and seals, this day of , 1954.
(SEAL)
Principal
(SEAL)
of Surety
By
Attorney in fact "
IT IS FURTHER ORDERED that the Clerk of this Court shall within thirty
days from this date, t ransmit to the County Obrk and Recorder in Weld County,
Colorado, a copy of these Findings and Decree.
Done in open Court this 'I/ day of June, A. D. 1951,.
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BY THE COURT: 1
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CORRESPONIDENCE RESPONSE
DEPARTMENT OF ( r � , � �, ��, � , , ,
* * * PLEASE RESPOND WITHIN THREE DAYS.* * *
IF RESPONSE WILL BE DELAYED,
PLEASE NOTIFY "CTB GROUP" BY E-MAIL
T��ry4(1/� }���y,(�����y,(���-�ryq TI�\\gI TI I� TO4FI�'EXPECTED DATE FOR RESPONSE.
RECOMMENDED AA �l D 4D ACTION:
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Narrative:
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METHOD O? RESPONSE:
- Board Action
- Work Session
--N` Letter (Attached)
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Telephone Call
No Response (explain)
/17
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Plepartment Head Signature
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March 2, 1999 CLERK
TO TH r,1
TO: Board of County Commissioners of Weld County
P.O. Box 758
Greeley, CO 80631
FROM: James E. Wallace
20261 WCR 53
Kersey, CO 80644
To whom it may concem:
I am interested in better understanding some of the history of the founding of the
Kersey Fire Protection District. I understand that the authorization for the establishment of
the fire protection district originated with the Board of Commissioners. I am specifically in-
terested in obtaining a copy of the enabling legislation that required the formation of fire
protection districts statewide, the specific county "order" creating the Kersey Fire Protec-
tion District, and any and all rules regarding operation of such districts (duties and respon-
sibilities, liabilities, etc.) that may be in Weld County Statutes or Colorado Revised Statutes.
I understand that this could potentially require some extensive research and repro-
duction time, for which I would be willing to consider defraying some of the expense, if
necessary. As a taxpayer, I would hope that these expenses could be kept to a minimum,
and, in fact, if need be, could you possibly simply refer me to the appropriate places where
I might research these items myself, to reduce the cost to the county?
I have been approached about becoming a candidate for the Kersey fire Protec-
tion District, and, while I am not admitting to being a candidate at this point, I do feel the
need to understand as much as I can about the KFPD as possible, before I make any de-
cision. That having been said, I am starting from zero in my attempt to understand any
and all issues that might confront such a fire protection distrct board member.
In the event that I would not become a candidate, I would hope to enrich my own
understanding of our local fire department/rescue squad to be in better position to assist
them, now and in the future. I think a reading of the information I am requesting would be
very helpful, in that regard.
I am additionally interested in why it has taken so long for KFPD to retain the serv-
ices of a "supervisory physician" so as to enable their paramedic function to operate at full
potential. I understand there is some reluctance in the community of physicians in our
area (Greeley proper), to become associated with KFPD. I find it somewhat more than cu-
rious that most, if not all, other communities in Weld County don't seem to have this prob-
lem, and that virtually all parties concerned seem to be taking a "hands-off" attitude, with
the exception of the Kersey volunteer fire fighters. That this situation has continued for a
period of some years now, there would seem to be some failure of oversight responsibili-
ties of some authority higher up than KFPD, maybe not I don't know enough about the
issue currently to make an accurate analysis of it. However, as a resident of Weld County,
and the KFPD area specifically, I am concerned, and interested in what could be done to
facilitate a positive, expeditious, and satisfactory conclusion (to all parties concerned) to
this matter. This could only serve the best interests of the community as a whole, and as
such, should be accomplished sooner rather than later.
Thank you for your consideration, and any assistance you may see fit to allow.
Sincerely yours,
James E. Wallace
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