Emergency Medical Services

Out-of-hospital emergency care providers are First Responders, Emergency Medical Technicians, Emergency Medical Technician Intermediates or Emergency Medical Technicians Paramedics who respond to a perceived individual need for immediate medical care in order to prevent loss of life or aggravation of physiological or psychological illness or injury.

NEW Amendment to EMS Protocols 
  NEW Addendum for CPR, AED, and ECC

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smblue.gif (933 bytes) Applications/Forms
        Initial
        Reinstatement
smblue.gif (933 bytes)Approved CPR Organizations
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Board  Information
smblue.gif (933 bytes)Brochures
smblue.gif (933 bytes)Complaints
smblue.gif (933 bytes) Competency Checklist 
       pdf icon Advanced Service
       pdf icon Basic Service
smblue.gif (933 bytes)Contact Information
        Other Related Contacts
smblue.gif (933 bytes)Continuing Education
smblue.gif (933 bytes)Duplicate Reissue
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Examination Requirements
smblue.gif (933 bytes)Fees
smblue.gif (933 bytes)License Lookup
smblue.gif (933 bytes)Licensee Assistance Program
smblue.gif (933 bytes)Licensure/Verification
smblue.gif (933 bytes) Name and Address Change
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Provider Renewal Information
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Reinstatement Information
smblue.gif (933 bytes) Requirements for Provider License
smblue.gif (933 bytes) Requirements From Another Jurisdiction
smblue.gif (933 bytes) Requirements for Service Licensure
     CLIA Certificate
     pdf icon CLIA LAB Information
smblue.gif (933 bytes)Rules and Regulations/Statutes
smblue.gif (933 bytes)Service Renewal Information
smblue.gif (933 bytes) Services
        pdf icon Equipment List for Services
      pdf icon Model Protocols
      pdf icon Roster of Providers
      pdf icon  Sample Policies
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Training Agencies

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Initial License Requirements

  1. A completed pdf icon application for Licensure As An Out-Of-Hospital Emergency Medical Care Provider;
  2. Evidence of being at least eighteen years of age;
  3. Evidence of citizenship, alien lawfully admitted into the United States, or non-immigrant lawfully present in the United states.  Accepted documentation for Proof of Citizenship include:
    1. U.S. Passport (unexpired or expired);
    2. Birth certificate issued by a state, county, municipal authority or outlying possession of the United States bearing an official seal;
    3. American Indian Card (I-872);
    4. Certificate of Naturalization (N-550 or N-570);
    5. Certificate of Citizenship (N-560 or N-561);
    6. Certification of Report of Birth (DS-1350);
    7. Consular Report of Birth Abroad of a Citizen of the United States of America (FS-240);
    8. Certification of Birth Abroad (FS-545 or DS-1350);
    9. United States Citizen Identification Card (I-197 or I-179);
    10. Northern Mariana Card (I-873);
    11. Alien Registration Receipt Card (Form I-551, otherwise known as a “Green Card”);
    12. Unexpired foreign passport with an unexpired Temporary I-551 stamp bearing the same name as the passport;Alien Registration Number (“A#”);
    13. Form I-94 (Arrival-Departure Record). 

      NOTE:  A copy of a Certified Birth Certificate will meet the documentation requirement for both #2 Proof of Age and #3 Evidence of Citizenship.
  4. A copy of a current Cardiopulmonary Resuscitation certification (CPR) that includes adult, child, infant, and 2-person CPR from:
  1. American Red Cross (the BLS for Professional Rescuer or the BLS for Professional Rescuer-Instructor)
  2. American Safety and Health Institute (CPR Pro for the Professional Rescuer)
  3. American Academy of Orthopaedic Surgeons – Emergency Care and Safety Intstitute (Professional Rescuer)
  4. National Safety Council
  5. PRO CPR Organization
  6. The American Heart Association (the BLS Course C, BLS CPR Instructor or BLS CPR Instructor Trainer, BLS CPR Affiliate Faculty, or Healthcare Provider);
  7. EMS Safety Services Inc.
  1. Proof of successful completion, within the two years preceding the application, the Department of Transportation required course for the level for which you are applying;
  2. Proof of successfully passing, with a score of 70% or above, the National Registry Written Examination; and
  3. Proof of successfully passing, within one year preceding the licensure application, the National Registry Practical Examination;
    1. First Responders and EMT’s complete the National Registry Practical Skills Examination at their respective training agency at the end of their course;
    2. EMT-Intermediates and EMT-Paramedics must complete the National Registry Practical Skills Test at a National Registry Approved Test Site; or
  4. Copy of the National Registry Certification Card.

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EMT-Intermediates and EMT-Paramedics Procedure for Taking the NREMT Examination in Nebraska

  1. Submission of a completed Nebraska Licensure Application to the Department:
  2. Submit Fee -- Contact Pam Harris at pam.harris@nebraska.gov or 402-471-2159 for specific information on fees.

pdf icon National Registry Emergency Medical Technician  Intermediate/Paramedic Practical Examination Schedule at a Nebraska Approved Test Site.

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If you are seeking licensure in Nebraska and have a license in another jurisdiction, in addition to the initial license application, you need to submit:

  1. A certification from each jurisdiction or state where applicant is currently or previously licensed or certified (pdf icon Attachment A);

 

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Fees

pdf icon Fee Schedule

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Applications / Forms

These forms may be completed online; however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures.  If you complete the form online, you must print the form and mail it to the address below.

Licensure Unit
Department of Health & Human Services – Public Health
PO Box 94986
Lincoln, NE  68509-4986

pdf icon Approval as an Emergency Medical Services Training Agency
pdf icon Licensure as an Emergency Medical Services Instructor
pdf icon Attachment A for Applicants from Another State
pdf icon Licensure As An Out-Of-Hospital Emergency Care Provider
pdf icon Duplicates/Reissue form
pdf icon Emergency Medical Service License
pdf icon Name Change Form
pdf icon Reinstatement As An Out-of-Hospital Emergency Care Provider
pdf icon Reinstatement EMS Instructor Application

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Reinstatement Information

An Out-Of-Hospital Emergency Care Provider whose license has expired, been placed on inactive status, voluntarily surrendered unrelated to discipline, may apply for reinstatement at any time according to the following procedures:

For Reinstatement after expiration, submit:

  1. A completed pdf iconApplication for Reinstatement;
  2. A copy of a current Cardiopulmonary Resuscitation certification (CPR) that includes adult, child, infant, and 2-person CPR from:
    1. American Red Cross (the BLS for Professional Rescuer or the BLS for Professional Rescuer-Instructor)
    2. American Safety and Health Institute (CPR Pro for the Professional Rescuer)
    3. American Academy of Orthopaedic Surgeons – Emergency Care and Safety Intstitute (Professional Rescuer)
    4. National Safety Council
    5. PRO CPR Organization
    6. The American Heart Association (the BLS Course C, BLS CPR Instructor or BLS CPR Instructor Trainer, BLS CPR Affiliate Faculty, or Healthcare Provider);
    7. EMS Safety Services Inc.
  3. If you are an alien lawfully admitted into the United States, or non-immigrent lawfully present in the United States, you must submit one of the following:
    1. Alien Registration Receipt Card (Form I-551, otherwise known as a “Green Card”);
    2. Unexpired foreign passport with an unexpired Temporary I-551 stamp bearing the same name as the passport;Alien Registration Number (“A#”);
    3. Form I-94 (Arrival-Departure Record).
  4. If the credential expired, or was placed on inactive, the reinstatement fee of $35; or
  5. If the credential was voluntarily surrendered, there is no fee.

If less then one year after expiration and you met the renewal requirementssubmit documentation of meeting one of the following:

  • Verification of obtaining continuing education hours (See Table A); or
  • A copy of a current certificate for the appropriate level from National Registry of Emergency Medical Technicians.; or
  • Verification from the applicant’s service physician medical director or qualified physician surrogate that the applicant is qualified for renewal; or
  • Verification of passing an assessment examination.  Certificate holders may only take the assessment examination one time in order to utilize such examination for meeting the renewal requirements.  They must achieve a minimum score of seventy percent.  If they fail the examination, they will be required to meet one of the other requirements.  

If you did not meet the renewal requirements before license expired, you will need to submit:

EMT-Intermediates or EMT-Paramedics applying for reinstatement after expiration for more than three years, must reapply following the requirements for initial licensure for the appropriate level. 

Reinstatement Following Suspension, Limited, Revocation or Voluntary Surrender Due to Discipline

An individual or service whose license was suspended or limited may apply for reinstatement at any time.  An individual or service whose license has been revoked may apply for reinstatement after a period of two years has elapsed from the date of revocation.  An individual or service whose license was voluntarily surrendered due to discipline may apply for reinstatement according to the order entered by the Director.  To apply for reinstatement, the individual must contact the Licensure Unit at (402) 471-2299 for further direction.

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Provider Renewal Information

  • All licenses issued will expire on December 31 of the second year after issuance.
  • The Department will send a Renewal Notice at least ninety days prior to the expiration date to the address of record for those license holders whose licenses expire on December 31 of that year.
  • There are no fees required for renewal.
  • All licensees are subject to an audit of their Continuing Education hours that the licensee attested to on his/her renewal.

To renew a license, the license holder must submit:

  1. The renewal notice;
  2. A copy of a current Cardiopulmonary Resuscitation certification (CPR) that includes adult, child, infant, and 2-person CPR from:
    1. American Red Cross (the BLS for Professional Rescuer or the BLS for Professional Rescuer-Instructor)
    2. American Safety and Health Institute (CPR Pro for the Professional Rescuer)
    3. American Academy of Orthopaedic Surgeons – Emergency Care and Safety Intstitute (Professional Rescuer)
    4. National Safety Council
    5. PRO CPR Organization
    6. The American Heart Association (the BLS Course C, BLS CPR Instructor or BLS CPR Instructor Trainer, BLS CPR Affiliate Faculty, or Healthcare Provider);
    7. EMS Safety Services Inc.
  3. If you are an alien lawfully admitted into the United States, or non-immigrent lawfully present in the United States, you must submit one of the following:
    1. Alien Registration Receipt Card (Form I-551, otherwise known as a “Green Card”);
    2. Unexpired foreign passport with an unexpired Temporary I-551 stamp bearing the same name as the passport;Alien Registration Number (“A#”);
    3. Form I-94 (Arrival-Departure Record).
  4. Attestation of obtaining Continuing Education hours (See Table A); or
  5. A copy of a current certificate for the appropriate level from National Registry of Emergency Medical Technicians; or
  6. Verification from the applicant’s service physician medical director or qualified physician surrogate that the applicant is qualified for renewal; or
  7. Verification of passing an assessment examination.  License holders may only take the assessment examination one time in order to utilize such examination for meeting the renewal requirements.  They must achieve a minimum score of 70%.  If they fail the examination, they will be required to meet one of the other requirements. 

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    Table A

    Profession / Discipline

    Continuing Education Hours
    Required for Renewal.

    1st Responder 20 hours in the subject matter of the First Responder course.
    EMT 30 hours in the subject matter of the EMT course.
    Intermediate 45 hours -- Of which 30 hours in the subject matter of the EMT course and 15 hours in subject matter of the Intermediate Course; as well as documentation of demonstrated proficiency in peripheral IV administration and endotracheal intubation in a clinical, out-of-hospital or educational setting.
    Paramedic 60 hours – Of which, 30 hours is in the EMT course and 30 hours in the Paramedic course as well as documentation of demonstrated proficiency in peripheral IV administration, endotracheal intubation, and drug administration and cardiac skills in a clinical, out-of-hospital, or educational setting.

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    Requirements for Service Licensure

    To qualify for licensure as a Basic/Advanced Emergency Medical Service, you must submit:

    1. A completed pdf icon application for an Emergency Medical Service License submitted at least 90 days prior to when the service expects to commence operations; and
    2. A listing of the names, certification levels & certification numbers of employees/members of your service; and
    3. Your written agreement with a licensed basic life support service/advanced life support service if the applicant does not own or lease an ambulance; and
    4. A description or map of your service area; and
    5. A copy of the pdf icon EMS Model Protocols or copy of protocols that your service has adopted.
    6. If you are going to use a glucose monitor, you must have a Clinical Laboratory Improvement Amendments (CLIA) Certificate

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    Service Renewal Information


    All service licenses issued will expire on December 31st of the second year after issuance.  The Licensure Unit will send a Renewal Notice to the address of record for the EMS Service.  No fees are required for renewal.   Services are randomly audited each year.  If the word AUDIT is in the upper right hand corner of the renewal notice, the service will receive an inspection before December 31st.    The purpose of the audit is to determine that the service meets requirements outlined in Title 172 NAC 12.

    Renewal requirements:

    1. Completion of EMS Basic/Advanced Service Renewal Notice
    2. A list of the names of active members of service identifying each member’s licensure level.
    3. If applicable, prepare service records for audit.
    4. If an Advanced Emergency Medical Service, submit a copy of current DEA Controlled Substances Registration.

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    Name and Address Change

    To request an address change, you may fill out a pdf icon name change request form or can contact any staff member at (402)471-2299 or 800-422-3460 ext. 1-2.  You can also e-mail Pam Harris at pam.harris@nebraska.gov or Dave Henske at dave.henske@nebraska.gov.

    A change in physician medical director requires submission of a letter to the Licensure Unit stating:

    1. Termination date of the current physician medical director;
    2. Name of the new physician medical director;
    3. Effective date of appointment of new physician medical director; and
    4. A statement signed and dated by the new physician medical director stating he will operate the emergency medical service in accordance with the current statutes and regulations.

    If you wish to change your name on your license, you must complete the pdf icon affidavit of name change request form   and submit it with a copy of the legal document verifying name change to:

    Pam Harris (for Advanced Providers and Services) or Dave Henske (for Basic Providers and Services)

    Licensure Unit
    Emergency Medical Services
    PO Box 94986
    Lincoln, NE 68509-4986

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    Duplicate Reissue

    Duplicates:  A duplicate large license or small license card may be requested at the time of initial licensure.   $10.00 fee, per document, is required.

    Reissue:  A large license and/or small license card may be reissued when the licensee requests:  additional documents; replacement of original document(s) due to loss, mutilation or destruction; or replacement of document(s) due to a name change.

    To request a reissued license you must submit a pdf icon Request for Reissuance, and include a fee in the amount of $10.00 per document.

    Send all requests to:

    Pam Harris (for Advanced Providers and Services) or Dave Henske (for Basic Providers and Services)

    Licensure Unit
    Emergency Medical Services
    PO Box 94986
    Lincoln, NE 68509-4986

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    Rules and Regulations/Statutes

    pdf icon Regulations relating to Licensure of Out-Of-Hospital Emergency Care Providers - 172 NAC 11
    pdf icon Regulations relating to Licensure of Emergency Medical Services - 172 NAC 12
    pdf icon Regulations relating to Emergency Medical Services Training Agencies - 172 NAC 13
    pdf icon Regulations relating to Use of Automated External Defibillators Title 172 NAC 14
    pdf icon Statutes relating to Emergency Medical Services Act
    pdf icon Statutes relating to the Uniform Credentialing Act
    pdf icon Regulations relating to Mandatory Reporting
    Mandatory Reporting Forms

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    Board of Emergency Medical Services Information

    The pdf icon Board of Emergency Medical Services promotes the dissemination of public information and education programs to inform the public about out-of-hospital emergency medical care and other out-of-hospital medical information, including appropriate methods of medical self-help, first aid, and the availability of out-of-hospital emergency medical services training programs in the state.  The Board advises the Department of Health and Human Services Division of Public Health on all issues related to the regulation of emergency medical services.  Board member composition and length of terms follows:

    Membership and Requirements: 17 members appointed by the Governor, of which the composition must include:
    • 7 members shall be active out-of-hospital emergency care providers (2 first responders, 2 EMT’s, 1 intermediate, and 2 paramedics)
    • 3 members shall be qualified physicians actively involved in emergency medical care (at least 1 being a board-certified emergency physician)
    • 1 representative of an approved training agency
    • 1 physician assistant with at least 5 years of experience and active in out-of-hospital emergency medical care education
    • 1 registered nurse with at least 5 years of experience and active in out-of-hospital emergency medical care education
    • 2 consumers who have been residents of the State of Nebraska for at least 5 years
    • 2 members who have any of the qualifications listed above
    • In addition to any other criteria for appointment, among the members of the board there shall be at least 1 member who is a volunteer emergency medical care provider, at least 1 member who is a paid emergency medical care provider, at least 1 member who is a firefighter, at least 1 member who is a law enforcement officer, and at least 1 member who is active in the Critical Incident Stress Management Program. At least 5 members of the board shall be appointed from each congressional district. No more than 1 physician member shall reside in any single congressional district.
    Length of Terms: All members serve staggered 5-year terms and may be reappointed.

    The Board of Emergency Medical Services meets five times per year – see Board meeting schedule for meeting dates and times.  Meetings are open to the public, with the exception of investigational matters.  Minutes of meetings are available by contacting Pam Harris at (402) 471-2159 or by E-Mail at pam.harris@nebraska.gov

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    Contact Information

    Mailing Address Physical Address
    DHHS, Division of Public Health
    Licensure Unit
    PO Box 94986
    Lincoln, NE 68509-4986
    Nebraska State Office Building
    301 Centennial Mall South
    14th and M Streets
    3rd Floor
    Lincoln, Nebraska

    EMS Scope of Practice, Training Agency Questions:
    Rene Tiedt, Office Administrator
    Phone: (402) 471-2299
    Toll Free: (800) 422-3460 ext. 1-3
    Email: rene.tiedt@nebraska.gov

    Advanced Providers, Services, and Tuition Reimbursement Questions:
    Pam Harris, Health Licensing Specialist
    Phone: (402) 471-2299
    Toll Free: (800) 422-3460 ext. 1-2
    Email: Pam.harris@nebraska.gov

    Basic Providers and Services:
    Dave Henske, Health Licensing Specialist
    Phone: (402) 471-2299
    Toll Free: (800) 422-3460 ext. 1-1
    Email: Dave.henske@nebraska.gov

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    Other Related Contacts

    EMS Regional Coordinators, CE Workshops, Grants, Trauma, CISM:
    Emergency Medical Services Program
    Doug Fuller, EMS Regional Coordinator
    Nebraska Health and Human Services
    Division of Public Health, Licensure Unit
    PO Box 95026
    Lincoln, NE 68509-5007
    Phone:  (402) 471-0124
    Toll Free: 800-422-3460 ext. 25
    Email: Doug.fuller@nebraska.gov
    Website:  www.dhhs.ne.gov/ems/emsindex.htm

    Nebraska Emergency Medical Services Association (NEMSA)
    837 J Street
    Burwell, NE  68823
    Phone:  (308) 346-4911
    Website:  www.NEMSA.org

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    Brochures

     

    Chemical Dependency in Health Care Professionals

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    Licensure/Verification

    Licensure and Verification information can be obtained by checking the website at:  www.dhhs.ne.gov/lis/lisindex.htm

    To request either a Licensure or Verification of your license to be sent to another licensing agency, send your request in writing along with the proper fee to our office.  Checks must be made payable to Licensure Unit, State of Nebraska.  

    FEES – License $25.00 – Verification $5.00

    License Includes:

    1. Name
    2. Profession
    3. License number
    4. Issuance date
    5. Expiration date
    6. Whether the licensee was granted by examination, waiver, or reciprocity
    7. Examination information, if available
    8. Whether disciplinary action has been taken against the license.   If so, the type(s) and date(s) of the action will be included.
    9. SEAL of the Nebraska Department of Health & Human Services.

    Verification includes

    1. Name
    2. Profession
    3. License Number
    4. Expiration Date
    5. Department Staff Signature

    Verification does not include the SEAL of the Nebraska Department of Health & Human Services nor information relating to discipline, school, or examination.

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    Licensee Assistance Program

    The Licensee Assistance Program (LAP) is an assessment, education, referral, case management, and monitoring service designed to help licensees, certificate holders, and registrants of the State of Nebraska work through substance abuse/addiction problems.

    The LAP services are free. However, in some cases treatment from a community resource agency may be needed. If further assistance is needed, the LAP Coordinator will help refer the Licensee to the most appropriate agency. When a treatment referral is made, those expenses become the responsibility of the Licensee.

    This program was authorized by pdf icon Neb. Rev. Stat. § 38-175 and is funded by license fees.

    LAP telephone number: (800) 851-2336 or (402) 354-8055.  You may also visit their website at www.lapne.org.

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    Complaints

    How do I file a complaint?  To file a complaint against a license holder, service or training agency, please see the Investigations web site.

    What activities must be reported by a licensee, certificate holder, or registrant?  Every credentialed person who has first-hand knowledge of unlicensed, illegal or unethical activities is required to report (includes self-reporting) within 30 days of the occurrence.  FAILURE TO REPORT may result in discipline.  To view additional information relating to mandatory reporting, click on the options below:

    Mandatory Reporting Forms
    pdf icon Mandatory Reporting Summary (chart showing who is to report and what is to be reported)
    pdf icon Mandatory Reporting Regulations

    Mandatory Reporting shall not apply:

    • To the spouse of the person,
    • To a practitioner who is providing treatment to such person in a practitioner-patient relationship concerning information obtained or discovered in the course of treatment unless the treating practitioner determines that the condition of the person may be of a nature which constitutes a danger to the public health and safety by the person’s continued practice, or
    • When a credentialed person who is chemically impaired enters the Licensee Assistance Program authorized by pdf icon Neb. Rev. Stat. § 38-175 except as provided in such section.

    How is a complaint reviewed, and what is the disciplinary process?   The following provides information relating to the complaint, investigative, and disciplinary process.

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