State AdministrationPersonnel
Section § 1797.160
This law states that ambulance owners must ensure that the person operating the ambulance or the attendant on board has the necessary emergency medical training to care for sick or injured people during transport. However, in a declared state of emergency, when all ambulances must be used, it's okay if the personnel don't have the usual qualifications.
Section § 1797.165
This law allows CAL-FIRE to certify individuals as Emergency Medical Responders (EMRs) if they have completed a training program at a conservation camp and are working towards or have a high school diploma. These individuals must meet specific training requirements set out by regulations. The law ensures that past actions do not automatically disqualify someone from becoming an EMR unless such actions occurred after certification. EMR certifications under this law are valid statewide without re-testing.
The Department of Forestry and Fire Protection, alongside relevant authorities, will establish emergency regulations for certifying EMRs, which are considered crucial for public safety and well-being.
Section § 1797.170
This law outlines requirements and standards for certifying Emergency Medical Technicians (EMT-I) in California.
Regulations for EMT-I training and practice are developed by the relevant authority, and certification requires applicants to provide taxpayer or social security numbers for verification.
Citizenship status cannot be asked for certification, and denial cannot be based on it. Every EMT-I must be recognized statewide, complete training on sudden infant death syndrome, and receive specific training to administer naloxone for opioid overdoses.
Additionally, training must include interaction with dementia patients and address human trafficking issues.
Section § 1797.171
This section outlines the rules and standards for EMT-II (Emergency Medical Technician - Intermediate) training and certification in California. It mandates that by July 1, 2019, applicants must provide a taxpayer or social security number when applying for or renewing certification, but citizenship or immigration status cannot be required. EMT-IIs must complete training on sudden infant death syndrome. In rural areas with long transport times, EMT-IIs may get expanded practice scope equivalent to paramedics (EMT-P) if approved. Dementia-specific training, including interaction techniques for those with cognitive impairments, is required. Starting July 1, 2024, EMT-IIs must also take training on human trafficking.
Section § 1797.172
This section outlines the responsibilities of the authority in setting standards for EMT-Paramedics (EMT-Ps) in California. It covers their licensure, including initial application, renewal, and fees, which are set to cover program costs. The section also details the requirement for criminal background checks and the use of taxpayer or social security numbers for identification purposes, ensuring confidentiality unless needed for certification verification. Additionally, applicants cannot be denied based solely on citizenship or immigration status.
From January 2023, the Paramedic Disciplinary Review Board will handle appeals related to licensure denials. By July 2024, new EMT-Ps must take training on human trafficking and those with existing licenses will have dementia-specific training included in their education to better interact with affected individuals. The law permits entities to collect fees on behalf of the authority and mandates that these funds are deposited into the Emergency Medical Services Personnel Fund.
Section § 1797.173
This section mandates that training programs for different levels of Emergency Medical Technicians (EMTs) must be held in approved hospitals or educational institutions that have agreements with hospitals. Public safety agencies can also provide this training if approved by local emergency services. The training programs must have a competency-based curriculum. Additionally, fire service EMT training can be conducted at sites sanctioned by the State Board of Fire Services, and training for the California Highway Patrol can occur at their Academy.
Section § 1797.174
The law requires the development of statewide guidelines for continuing education and course approval for paramedics (EMT-Ps) in California. This includes creating quality improvement systems to ensure high standards of care provided by these medical professionals. The process will involve consultations with various organizations, including the Emergency Medical Directors Association of California, to ensure comprehensive and effective guidelines.
Section § 1797.175
This law requires the relevant authority to set the rules for ongoing education and choose the exams needed for both certifying and recertifying emergency medical workers. Additionally, it suggests that training should cover aspects of AIDS, including how to evaluate and treat it.
Section § 1797.176
This law requires the authority to set minimum standards for the rules and methods used to manage the Emergency Medical Services (EMS) system.
Section § 1797.177
This law states that a person cannot claim to be an EMT (Emergency Medical Technician) or paramedic unless they have proper current certification from a local EMS agency or another certifying body.
Section § 1797.178
This law states that no one can provide advanced life support or limited advanced life support unless they are officially recognized as part of the local emergency medical services or a specific pilot program under the Wedworth-Townsend Paramedic Act.
Section § 1797.179
This law says that any city, county, or special district in California that provides paramedic services must pay back the state for medical claims costs, as long as there's federal funding to help. They can use money from their allocations of the County Health Services Fund to make these payments.
Section § 1797.180
This California law states that any public or private agency cannot claim to offer EMT-II or EMT-P ambulance services in advertisements unless they actually provide these services 24/7. Additionally, vehicles displaying such advertisements must be exclusively used for those continuous services.
Section § 1797.181
This law allows the authority to create and enforce rules for standardized symbols or logos that can be added to the uniforms of different levels of Emergency Medical Technicians (EMT-I, EMT-II, or EMT-P).
Section § 1797.182
This California law requires that all ocean, public beach, and public swimming pool lifeguards, as well as firefighters, receive training in first aid and CPR. Those whose jobs are mostly desk or administrative work are not included. They must complete their training within a year of being hired, and take a refresher course every three years. The law allows a designated public or nonprofit agency to provide this training in each county at no cost to the trainees. The definitions of 'lifeguard' and 'firefighter' include those employed by state, city, county departments, and other public entities.
Section § 1797.183
This law requires that all peace officers, except those with mainly clerical or administrative roles, must be trained in first aid and CPR within their first year of employment. The training must meet certain standards and include periodic refreshers or testing.
Section § 1797.184
This section outlines that the authority must create guidelines and regulations to ensure the safe practice of EMT-I and EMT-II certificate holders. They must develop rules for disciplinary actions, temporary suspensions, and probationary conditions to protect public health and safety. The authority must also establish certification and recertification processes for EMTs and guidelines for handling disciplinary cases, all ensuring public safety and compliance with certain government standards.
Section § 1797.185
This section outlines how California establishes and recognizes the licensing of EMT-P (Emergency Medical Technician-Paramedic) personnel across the state. It includes creating standards for training, testing, and licensure, potentially designating specific exams and requiring registration. Local health systems can accredit EMT-Ps, provided they maintain medical control and system integrity. There might be additional certifications for specialized practices, and fees can be set for testing and registration, which must be forwarded to the Emergency Medical Services Personnel Fund monthly.
The Paramedic Disciplinary Review Board is responsible for setting policies regarding the discipline of EMT-P personnel, including revoking or suspending licenses or appealing decisions. Finally, any new regulations related to EMT-P work must consider the statewide recognition of their licensure and practice scope.
Section § 1797.186
This law ensures that people who provide first aid or CPR as part of their service, whether they are volunteers or paid, have the right to receive preventive medical treatment if they are exposed to a contagious disease. This includes diseases listed under Section 2500 of Title 17 of California's Administrative Code.
Importantly, this right to medical treatment doesn't interfere with their ability to file claims for work-related injuries or the conditions outlined in certain labor divisions.
Section § 1797.187
This law requires that peace officers be notified if they are exposed to known cancer-causing agents (carcinogens) during investigations involving drugs or toxic waste incidents. These exposures could happen during drug manufacturing, storage, accidents, or fires.
Additionally, the law mandates training courses for peace officers, which include education on identifying and handling carcinogens, recognizing related health risks, using protective gear to avoid contamination, and properly disposing of hazardous materials. This training was to be part of the basic training courses by January 1, 1990.
Section § 1797.188
This section establishes the procedures for notifying emergency medical personnel about exposure to reportable communicable diseases. It defines key terms like 'prehospital emergency medical personnel', 'reportable diseases', and 'exposed'. If emergency medical workers think they've been exposed to a disease while treating someone, they must provide their contact info to the health facility. The facility's infection control officer will notify a designated officer if the disease is urgent, and that officer will inform the medical worker.
If workers didn't give their details, the health officer will only notify them if the disease's criteria meet certain urgency or exposure conditions. Employers and health facilities with websites must display contact info for relevant officers prominently. Officers must be available 24/7, and employees must be trained on these procedures. Confidentiality of patient information is maintained, and violations of this section are not considered criminal offenses.
Section § 1797.189
This law outlines procedures to notify emergency medical personnel if they've been exposed to a reportable disease while providing emergency services. 'Prehospital emergency medical care personnel' includes nurses, emergency technicians, lifeguards, firefighters, or peace officers who offer medical or rescue services before reaching a hospital.
If these personnel have been exposed to a contagious disease, they're to be informed by the county health officer. However, the patient's identity remains confidential.
The chief medical examiner-coroner must collect and share the contact info of the medical personnel with the county health officer if an exposure has occurred. The county health officer then notifies the personnel of the exposure risk without revealing the patient's name.
Additionally, funeral directors must be informed of any reportable disease afflicting the deceased before handling the body.
Importantly, breaking these procedures is not a criminal offense.
Section § 1797.190
This law allows the authority, likely a state organization involved in health or emergency services, to set basic rules about how people should be trained to use automatic external defibrillators (AEDs) and how these devices should be used.
Section § 1797.191
This law outlines the responsibilities and standards for training programs in pediatric first aid, CPR, and preventive health practices. The authority is tasked with setting minimum standards and establishing a review process for these programs, which must meet the standards set out in another section. They can charge fees to cover costs related to the approval and review processes. A fee can be charged for course completion cards, but it must not exceed $7 per card until January 2001. The law explains what constitutes a training program and affiliated programs, which must comply with the division's regulations.
The director has the power to deny, suspend, or revoke the approval of programs if there's a threat to public health and safety, including fraud, incompetence, or criminal acts related to the program. Temporary standards may be set to ensure adequate training programs are available. Anyone who completed a preventive health practices course before amendments in 1998 is considered to have met the training requirement.
Section § 1797.192
This law required that by July 1, 1991, specific standards be set for training and testing Emergency Medical Technician-Paramedics (EMT-Ps).
While there is a statewide practice standard, local Emergency Medical Service (EMS) systems aren't obligated to use the whole standard. When EMT-Ps are tested for local-level accreditation, the test only covers local rules, policies, and specific medical procedures used in that EMS system.
Section § 1797.193
This law requires that all firefighters in California complete training on sudden infant death syndrome (SIDS). Firefighters who were already working by July 1, 1992, need to take this course by that date, while those who became firefighters after January 1, 1990, must complete it as part of their basic training. The course covers the nature of SIDS and community resources available to support families who have lost a child to SIDS.
The term 'firefighter' is defined as in another section, and if a local agency provides the training, they can charge a fee to cover their costs.
Section § 1797.194
This section is about licensing EMT-P (Emergency Medical Technician-Paramedic) personnel in California. It clarifies that 'certification' and 'licensure' are essentially the same concerning fees and requirements. To be an EMT-P, one must pass a state-designated exam and hold a state-issued license. Licenses need to be renewed every two years with proof of completed continuing education, and a reexamination might be required every 10 years. EMT-Ps can face disciplinary actions, and after Jan 1, 2023, a Paramedic Disciplinary Review Board may handle appeals. This law doesn't let EMT-Ps work outside prehospital settings, interfere with local EMS agency accreditation, or limit a local EMS medical director's control.
Section § 1797.195
This law allows certain emergency medical technicians (EMTs) to provide emergency care in small, rural hospital emergency departments under specific conditions. The hospital must have protocols in place, and the EMTs must work under direct supervision during a patient crisis. EMTs must complete a training program and regularly demonstrate their skills. They can only perform tasks within their certification and must follow continuity and supervisory procedures. A contract is required between the ambulance company and the hospital if the EMTs are employed by an outside company. The hospital is responsible for medical direction, and the law doesn’t change the type of care EMTs are allowed to provide.
Section § 1797.196
This law describes the responsibilities of individuals or entities that acquire Automated External Defibrillators (AEDs) to ensure public safety. It mandates proper placement, maintenance, and notification to local emergency services. AEDs must be regularly tested and inspected, with records of maintenance kept. Building owners where AEDs are installed must inform tenants about their location and offer AED usage demonstrations annually. Schools that install AEDs have similar duties to ensure that staff, administrators, and in some cases students, are informed about AED locations and equipped with usage knowledge. Manufacturers must supply all necessary use and maintenance information to the buyer.
Notably, there's no penalty for violating this section, and it doesn't obligate building managers or owners to install AEDs. Facilities licensed under specified sections are exempt. This law doesn't require medical oversight for acquiring or placing AEDs.
Section § 1797.197
This law requires that specific training and standards be established for emergency medical personnel. First, they must be trained on recognizing and treating severe allergic reactions (anaphylaxis) and using epinephrine. Secondly, emergency personnel need training on using naloxone, a medication that can reverse opioid overdoses, and other similar treatments. The state must create regulations for both. Local EMS agencies can approve trial studies for using naloxone, and the training from these studies can count towards fulfilling the training requirements. This training also aligns with existing civil code requirements related to naloxone use.
Section § 1797.197
This law allows certain trained non-medical individuals, called lay rescuers, to use epinephrine auto-injectors to treat someone having a severe allergic reaction, known as anaphylaxis. To do so, the epinephrine auto-injector must be obtained legally, used with the person's consent, stored properly, and the user must have completed a certified training course.
Training must be approved by the authority and includes recognizing signs of anaphylaxis, proper storage, and follow-up actions post-use. Authorized entities like businesses and nonprofits can keep epinephrine auto-injectors if they adhere to an operations plan and report each use. There are regulations around who can prescribe these devices and fees are assessed to cover training certification costs. Schools and emergency personnel already have separate rules for administering epinephrine and are not limited by this section.