Title 7 . Health and Social Services

Chapter 26 . Embalming and Other Post-Mortem Services

Section 172. Mobile intensive care paramedic (MICP) training courses

7 AAC 26.172. Mobile intensive care paramedic (MICP) training courses

(a) An individual or organization may apply for approval of mobile intensive care paramedic training courses within Alaska. An individual or organization applying for approval of a mobile intensive care paramedic training course shall:

(1) apply to the department for course approval at least 120 days before the first day of the class; a request for course approval must be made on a form provided by the department, and must include prospective class and laboratory schedules and requirements for clinical and field internship rotations;

(2) have a course coordinator certified in accordance with 7 AAC 26.174 who agrees to fulfill the responsibilities set out in 7 AAC 26.176;

(3) agree to use a curriculum that meets the requirements outlined in 12 AAC 40.320, and the skills listed in the August, 1997 revision of the department's Alaska Paramedic Program Skill List, adopted by reference, and:

(A) plan for and present at least 500 hours of didactic instruction;

(B) plan for and provide at least 232 hours of clinical instruction in accordance with paragraph (6) of this subsection; and

(C) plan for and ensure at least 480 hours of field internship in accordance with 12 AAC 40.325, as well as documentation of 40 advanced life support emergency patient encounters, including at least 10 cardiac, 10 respiratory, 10 trauma, and 10 general medical emergencies;

(4) provide evidence that sufficient medical and educational equipment, in reliable working condition, and other appropriate instructional materials will be available to meet the training needs of the paramedic training course;

(5) have a written agreement with a physician who meets the qualifications for an MICP course medical director and agrees to fulfill the responsibilities outlined in 7 AAC 26.662(b) ;

(6) have written agreements with institutions and agencies that are to provide clinical experience to MICP students; under an agreement, an institution or agency must agree to:

(A) provide access to patients, in sufficient numbers and distributed by age and sex, who present common problems encountered in the delivery of advanced life support emergency patient care;

(B) assign students to sufficient clinical settings, including the operating room, recovery room, obstetrics, pediatrics, intensive care unit, psychiatric, respiratory therapy, coronary care unit, and the emergency department, in order to provide students with access to patients, in sufficient numbers and distributed by age and sex, who present common problems in the delivery of advanced life support pre-hospital emergency patient care; and

(C) ensure that the students are supervised by course instructors or clinical hospital personnel, such as physician assistants, nurses, and physicians;

(7) have written agreements with one or more advanced life support emergency medical services agencies that have a sufficient call volume to provide students with access to patients, distributed by age and sex, who present common problems in the delivery of advanced life support pre-hospital emergency patient care; under an agreement, an agency must

(A) provide evidence that adequate personnel resources exist within the EMS system so that the assigned student is never used as a substitute for EMS system personnel or as a required team member;

(B) ensure that the student is under the direct supervision of a physician or mobile intensive care paramedic, licensed or certified in the state where the internship takes place, who has been designated the responsibility of supervision by the course medical director;

(C) ensure that the student is assigned to a unit that has the capability of voice communications with on-line medical direction and that carries equipment and medications necessary for advanced life support;

(D) ensure that each student's performance is evaluated by the student's preceptor at the end of each shift and that the evaluation findings are documented on a form approved by the department and provided to the student at the end of each shift and to the MICP course coordinator at least once per week; and

(E) keep records concerning the types and numbers of emergency medical care procedures performed and whether each emergency medical procedure was performed competently;

(8) agree to limit enrollment to an individual who

(A) is currently registered by the National Registry of Emergency Medical Technicians (NREMT) at either the NREMT-Basic or NREMT-Intermediate levels, or who is certified in Alaska at the EMT-I, EMT-II, or EMT-III levels; and

(B) repealed 8/16/2002.

(9) have an advisory board charged with assisting sponsoring course personnel in meeting the responsibilities set out in this subsection and (b) of this section, including the review of the progress of the course and each student; the advisory board shall include, at a minimum, the following five individuals: the course medical director, the course coordinator, a mobile intensive care paramedic licensed in Alaska, a registered nurse involved with the student's clinical supervision or training, and a physician from the emergency department of a facility where clinical training is performed; the board must meet at least quarterly when the paramedic training course is in session;

(10) agree to ensure that students are clearly identified, whenever they are in clinical instruction and field settings, by name plate, uniform, or other apparent means to distinguish them from licensed MICPs, other health professionals, workers, and students;

(11) agree to provide a plan to verify the student's achievement of objectives stated in the didactic instruction, clinical instruction, and field internship portions of the MICP curriculum;

(12) agree to provide graduates of the training course with evidence of successful course completion signed by the course medical director and the MICP course coordinator;

(13) require students to pass, as a condition of successful course completion and eligibility for examinations for licensing under 12 AAC 40.310, comprehensive written and practical examinations that are representative of the type and complexity of examinations used for MICP licensing;

(14) provide an attendance policy that delineates the number of hours of didactic instruction that can be missed by a student and that ensures that appropriate remediation occurs after any excused absences;

(15) ensure that the student has demonstrated competence in the skills listed in the August 1997 revision of the department's Alaska Paramedic Program Skill List, adopted by reference in this section, before the beginning of the field internship;

(16) agree to arrange for an initial written and practical examination under 12 AAC 40.310(a) (6) to take place within six months following completion of the didactic instruction portion of the course; and

(17) agree to maintain during the course, and make accessible to the department within two working days of receipt of a written request from the department, the records listed in 7 AAC 26.176(a) (9).

(b) The department will approve a mobile intensive care paramedic training course that meets the requirements of (a) of this section.

(c) If the department approves a mobile intensive care paramedic training course under (b) of this section, the didactic instruction, clinical instruction, and field internship components of the course must be completed within 24 months following the first day of the course, unless the department, in its discretion, waives this requirement.

(d) An individual who is, or was, enrolled in a department approved MICP training course has the right to view the documentation listed in 7 AAC 26.176(a) (9).

(e) The department will approve a mobile intensive care paramedic training course that was in progress on the effective date of this section if the individual or organization applies for course approval and meets the requirements of (a) of this section, but the provision of (a)(1) of this section that requires application for course approval at least 120 days before the first day of class does not apply to an application made under this subsection.

History: Eff. 3/11/98, Register 145; am 8/16/2002, Register 163

Authority: AS 18.08.080

AS 18.08.082

AS 18.08.084

Editor's note: The Alaska Paramedic Program Skill List is available at no charge from the Section of Community Health and EMS, Department of Health and Social Services, Box 110616, Juneau, AK 99811-0616.