Section 100192 - [Operative until 1/1/2025] Paramedic Scope of Practice, Accreditation, and Discipline(a) Scope of Practice. A community paramedic or triage paramedic shall utilize the paramedic scope of practice, approved LEMSA local optional scope as identified in section 100146 of this division, and trial study scope identified in section 100147 of this Division. This includes utilizing their general paramedic scope and other approved scopes while transporting to alternate destinations, providing care to discharged patients, providing vaccinations, and through other conditions as identified in approved community paramedicine and triage to alternate destination programs.(b) Community Paramedic Accreditation to Practice. (1) A community paramedic shall only utilize community paramedicine skills when accredited by the LEMSA as a community paramedic within that LEMSA jurisdiction and when associated with that LEMSA's overseen EMSA approved Community Paramedicine Program(s).(2) The LEMSA shall register the community paramedic accreditation in the Central Registry public look-up database within five (5) business days of the community paramedic accreditation application being approved.(3) An initial community paramedic accreditation is deemed effective when recorded in the Central Registry public look-up database.(4) An initial community paramedic accreditation shall expire on the last day of the month, two (2) years from the effective date of the initial accreditation.(5) Community paramedic accreditation shall require renewal every two (2) years by the LEMSA that oversees EMSA approved community paramedic program(s) in the jurisdiction in which the community paramedic is associated.(c) Initial Community Paramedic Accreditation Application Requirements and Process. (1) To be community paramedic accredited, the applicant shall submit to the community paramedic program(s) LEMSA the following eligibility criteria for review: (A) Proof of an active, unrestricted California issued paramedic license,(B) Social Security Number or Individual Tax Identification Number,(C) LEMSA approved community paramedicine course completion certificate, and(D) Proof of passing the IBSC community paramedic examination for community paramedics within the last two (2) years of the date of application submission.(2) The LEMSA shall review the submitted eligibility criteria for community paramedic accreditation and notify the applicant in writing within thirty (30) business days from the date of submission that:(A) The submission is incomplete or illegible and requires corrective action, or(B) The accreditation request has been approved and the accreditation data has been entered into the Central Registry public look-up database, or(C) The accreditation request has been denied; including the reason and notification of the applicant's right to appeal.(d) Renewal Community Paramedic Accreditation Requirements and Process. (1) To be eligible for renewal, the applicant shall submit to the community paramedic program(s) LEMSA the following eligibility criteria for review: (A) Proof of a current, unrestricted California issued paramedic license, and either, (i) Show proof of completion of eight (8) hours approved community paramedicine related continuing education (CE) every two (2) years, or(ii) Show proof of continued active, unrestricted IBSC.(2) The LEMSA shall review the submitted eligibility criteria for community paramedicine accreditation renewal and notify the applicant in writing within thirty (30) business days from the date of submission that: (A) The submission is incomplete or illegible and required corrective action, or(B) The accreditation request has been approved and renewal data is updated in the Central Registry public look-up database.(C) The accreditation request has been denied; including the reason and notification of the applicant's right to appeal.(e) Reinstatement Community Paramedic Accreditation Requirements and Process. (1) To be eligible for reinstatement of a community paramedic accreditation that has expired for a period of twelve (12) months or less, the applicant shall submit to the community paramedic program(s) LEMSA the following eligibility criteria for review: (A) Proof of a current, unrestricted California issued paramedic license, and either, (i) Proof of completion of eight (8) hours of approved local community paramedicine related CE, or(ii) Show proof of continued active, unrestricted IBSC.(2) To be eligible for reinstatement of a community paramedic accreditation that has expired more than twelve (12) months, the applicant shall submit to the community paramedic program(s) LEMSA the following eligibility criteria for review: (A) Proof of an active, unrestricted California issued paramedic license,(B) Proof of successful completion of a LEMSA approved community paramedicine course within the last two (2) years from the submission date of the reinstatement application, and(C) Proof of passing the IBSC Community Paramedic examination within the last two (2) years from the submission date of the reinstatement application.(3) The LEMSA shall review the community paramedic accreditation application and notify the applicant in writing within thirty (30) business days from the date of submission that the application is: (A) Incomplete or illegible and requires corrective action, or(B) The accreditation application has been approved and the accreditation data entered in the Central Registry public look-up database, or(C) The accreditation request has been denied; including the reason for the denial and notification of the applicant's right to appeal.(f) Triage Paramedic Accreditation to Practice. (1) A triage paramedic shall only utilize triage to alternate destination skills when accredited by the LEMSA as a triage paramedic within that LEMSA's jurisdiction and when associated with that LEMSA's approved triage to alternate destination service program(s).(2) The LEMSA shall register the triage paramedic accreditation in the Central Registry public look-up database within five (5) business days of the triage paramedic accreditation application being approved.(3) An initial triage paramedic accreditation is deemed effective when recorded in the Central Registry public look-up database.(4) An initial triage paramedic accreditation shall expire on the last day of the month, two (2) years from the effective date of the initial accreditation.(5) Triage paramedic accreditation shall require renewal every two (2) years by the LEMSA that oversees EMSA approved triage to alternate destination service program(s) in the jurisdiction in which the triage paramedic is associated.(g) Initial Triage Paramedic Accreditation Application Requirements and Process. (1) To be triage paramedic accredited, the applicant shall submit to the triage program(s) LEMSA the following eligibility criteria for review: (A) Proof of an active, unrestricted California issued paramedic license,(B) Social Security Number or Individual Tax Identification Number, and(C) LEMSA approved triage paramedicine course completion certificate.(2) The LEMSA shall review the submitted eligibility criteria for triage paramedic accreditation and notify the applicant in writing within thirty (30) business days from the date of submission that: (A) The submission is incomplete or illegible and requires corrective action, or(B) The accreditation request has been approved and the accreditation data entered in the Central Registry public look-up database, or(C) The accreditation request has been denied; including the reason for the denial and notification of the applicant's right to appeal.(h) Renewal Triage Paramedic Accreditation Requirements and Process. (1) To be eligible for renewal, the applicant shall submit to the triage Paramedicine program(s) LEMSA the following eligibility criteria for review: (A) Proof of a current, unrestricted California issued paramedic license, and(B) Proof of completion of four (4) hours of approved local triage paramedicine related CE.(2) The LEMSA shall review the submitted eligibility criteria for triage paramedic accreditation and notify the applicant in writing within thirty (30) business days from the date of submission that: (A) The submission is incomplete or illegible and required corrective action, or(B) The accreditation request has been approved and the accreditation data entered in the Central Registry public look-up database.(C) The accreditation request has been denied; including the reason and notification of the applicant's right to appeal.(i) Reinstatement Triage Paramedic Accreditation Requirements and Process. (1) To be eligible for reinstatement of a triage paramedic accreditation that has expired twelve (12) months or less, the applicant shall submit to the triage paramedic program(s) LEMSA the following eligibility criteria for review: (A) Proof of a current, unrestricted California issued paramedic license, and(B) Proof of completion of four (4) hours of approved local triage paramedic related CE.(2) To be eligible for reinstatement of a triage paramedic certification that has been expired more than twelve (12) months, the applicant shall submit to the triage paramedicine program(s) LEMSA the following eligibility criteria for review: (A) Proof of a current, unrestricted California issued paramedic license, and(B) Proof of successful completion of a LEMSA approved triage to alternate destination training course within the last year from the submission date of the reinstatement application.(3) The LEMSA shall review the submitted eligibility criteria for triage paramedic accreditation and notify the applicant in writing within thirty (30) business days from the date of submission that: (A) The submission is incomplete or illegible and required corrective action, or(B) The accreditation request has been approved and the accreditation data entered in the Central Registry public look-up database.(C) The accreditation request has been denied; including the reason and notification of the applicant's right to appeal.(j) A LEMSA that authorizes community paramedicine or triage paramedic personnel, shall be responsible for submission of a summary data report of authorized personnel to the Authority no later than the thirtieth (30th) calendar day of January, April, July, and October.(k) The disciplinary procedures for a community paramedic or triage paramedic shall be consistent with subsection (d) of Section 1797.194 of the Health and Safety Code.Cal. Code Regs. Tit. 22, § 100192
1. New section filed 10-31-2022; operative 11-1-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). Note: Authority cited: Sections 1797.107, 1830 and 1831, Health and Safety Code. Reference: Sections 1797.117, 1797.194, 1830, 1831, 1843, 1852, 1853 and 1854, Health and Safety Code.
1. New section filed 10-31-2022; operative 11/1/2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.