Emergency Medical Services

 Rene Tiedt, Program Manager

In this current climate of fiscal responsibility to the citizens of this State, Nebraska Emergency Medical Services (EMS) has continued to look at ways that will provide effective and responsible care for everyone. The personnel that make up the EMS are affected by the decisions that are formulated by government and national organizations. These decisions include determining the amount of education and training that is required to obtain licenses and certificates to practice, and development of new protocols and standards to ensure the level of care in the time of an emergency is done so in a professional and safe manner. The people who serve as Nebraska EMS personnel strive to ensure the Good Life.

The State of Nebraska currently licenses as out-of-hospital emergency medical providers: Emergency Medical Responders, Emergency Medical Technicians, Advanced Emergency Medical Technicians,  and Paramedics. Individuals who currently hold an Emergency Medical Technician-Intermediate level license may renew and reinstate only. Licenses are also given to Basic Life Support and Advanced Life Support Services and Emergency Medical Services Training Agencies. 


                                                     NEW Approved Cardiopulmonary Resuscitation Organization
                                                     NEW Sample Service Backup Response Plan
                              NEW Model Protocols 2012
                              NEW Physician Medical Director Authorization  
                                                         
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        Initial
        Reinstatement
        Other Related Contacts
smblue.gif (933 bytes)Duplicate Reissue
     CLIA Certificate
smblue.gif (933 bytes) Services
      pdf icon Model Protocols
      pdf icon Roster of Providers

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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:
        a.  Driver's license
        b.  Birth Certificate
        c.  Marriage license that provides date of birth
        d.  U.S. Passport
        e.  Military Identification; or
        f.  Other similar documentation
  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). 
       
      ** A copy of a Certified Birth Certificate or United States Passport will meet the documentation requirement for both Proof of Age and  Evidence of Citizenship.
  4. A copy of a current signed Cardiopulmonary Resuscitation (CPR) certification  card 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 Institute (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.
  8. American Trauma Event Management
  1. Copy of the National Registry Certification Card.

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Temporary Licensure

The State of Nebraska allows for temporary licensure for individuals who have completed a Department of Transportation required course for the level for which they are applying, but have not obtained their National Registry Certification.  An individual with a temporary license MUST be supervised by an individual who holds a Nebraska license to practice at the same or higher level of out-of-hospital emergency care.  Refer to Title 172 NAC 11-004.02 Standards for Supervision.

All temporary licenses will become null and void upon the Department’s notification that the temporary licensee has passed the examination or a year from the issuance date, whichever comes first.

Temporary License Requirements

1.  A completed application for Temporary Licensure As An Out-Of-Hospital Emergency Medical
          Care Provider;
2. Evidence of being at least eighteen years of age;
     a. Driver’s License;
     b. Birth Certificate;
     c. Marriage license that provides date of birth;
     d. U.S. Passport;
     e. Military Identification; or
     f. Other similar documentation.
3. Evidence of citizenship, alien lawfully admitted into the United States, or non-immigrant
         lawfully present in the United States.
     a. U.S. Passport (unexpired or expired);
     b. Birth Certificate issued by a state, county, municipal authority or outlying possession of the
         United States bearing an official seal;
     c. American Indian Card (I-872);
     d. Certificate of Naturalization (N-550 or N-570);
     e. Certificate of Citizenship (N-560 or N-561);
     f. Certification of Report of Birth (DS-1350);
     g. Consular Report of Birth Abroad of a Citizen of the United States of America (FS-240);
     h. Certification of Birth Abroad (FS-545 or DS-1350);
     i. United States Citizen Identification Card (I-197 or I-179);
     j. Northern Mariana Card (I-873);
     k. Alien Registration Receipt Card (Form I551, otherwise known as a “Green Card”);
     l. Unexpired foreign passport with an unexpired Temporary I-551 stamp bearing the same
        name as the passport;
     m. A document showing the Alien Registration Number (“A#”); or
     n. Form I-94 (Arrival-Departure Record).

**A copy of a Certified Birth Certificate or United States Passport will meet the documentation requirement for both Proof of Age and Evidence of Citizenship.

4. A copy of a current signed Cardiopulmonary Resuscitation Certification (CPR Card) that includes adult, child, infant and 2-person CPR from:
     a. American Red Cross (the BLS for Professional Rescuer or the BLS for Professional Rescuer-Instructor);
     b. American Safety and Health Institute (CPR Pro for the Professional Rescuer);
     c. American Academy of Orthopaedic Surgeons – Emergency Care and Safety Institute (Professional Rescuer);
     d. National Safety Council;
     e. PRO CPR Organization;
     f. The American Heart Association (the BLS Course C, BLS CPR Instructor or BLS CPR Instructor Trainer, BLS CPR Affiliate Faculty, or Healthcare Provider);
     g. EMS Safety Services Inc.
     h. American Trauma Event Management

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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

 

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Reinstatement Information

There are two types of Reinstatement of a License for an out-of-hospital emergency care provider. The first is reinstatement after the license has expired, been placed on inactive status, or voluntarily surrendered unrelated to discipline. The other is reinstatement after the license has been revoked, suspended, had limitations placed on it, or was surrendered in lieu of discipline.

If the reinstatement was after the license had expired, been placed on inactive status, or voluntarily surrendered unrelated to discipline, the licensee can apply for reinstatement at any time by submitting the following documents:

1. A completed application for Reinstatement
2. A copy of a current CPR card that includes adult, child, infant, and 2-person CPR from a Board-
   approved Cardiopulmonary Resuscitation Organization 
3. Proof of citizenship/lawful presence in the United States
4. If less than one year after expiration and you have met the renewal requirements, submit a 
   copy of your continuing education hours or a current NREMT card; or
5. If more than one year after expiration and did not meet the renewal requirements, a 
    certificate of completion of an approved refresher course for the level for which you are 
    applying or a current NREMT card; and
6. If the license was expired or placed on inactive status, the reinstatement fee of $35; or
7. If the credential was voluntarily surrendered, there is no fee.

If the reinstatement was after the license had been revoked, suspended, limitations placed on it, or surrendered in lieu of discipline, an individual 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 

An individual who wants to renew his/her out-of-hospital emergency care provider credential must request renewal as specified in 172 NAC 11-008.02. All out-of-hospital emergency care providers' credentials issued by the Department will expire on December 31 as follows:

    1. Emergency Medical Technicians: Every odd-numbered year
    2. Paramedics: Every even-numbered year
    3. EMT-Intermediates: Every even-numbered year
    4. Advanced Emergency Medical Technicians: Every even-numbered year
    5. Emergency Medical Responders: Every even-numbered year

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 Institute (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.
    8. American Trauma Event Management
  3. If you are an alien lawfully admitted into the United States, or non-immigrant 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 below); 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. 

    Table A

    Profession / Discipline

    Continuing Education Hours
    Required for Renewal.

    Emergency
    Medical Responder
    14 hours in the subject matter of the Emergency Medical Responder course and with no more than 7 hours in distributive learning programs.
    EMT 20 hours in the subject matter of the EMT course and with no more than 10 hours in distributive learning programs.
    Advanced EMT 26  hours - Of which 18 hours is in the subject matter of the EMT course and 8 hours in the subject of the Advanced EMT course and with no more than 10 hours in distributive learning programs.
    EMT - Intermediate 30 hours - Of which 20 hours is in the subject matter of the EMT course and 10 hours in the subject matter of the Intermediate course and with no more than 15 hours in distributive learning programs.
    Paramedic 40 hours – Of which 20 hours is in the EMT course and 20 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 and with no more than 20 hours in distributive learning programs.

    Requirements for Service Licensure

    To qualify for licensure as an 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, license numbers and licensure levels of members/employees of your service; and
    3. Your written agreement with a licensed basic emergency medical service if the applicant does not own or lease an ambulance; and
    4. A description or map of your service area; and
    5. Completed Physician Medical Director Authorization or copy of the pdf icon EMS Model Protocols, signed by your PMD, that your service has adopted.
    6. Clinical Laboratory Improvement Amendments (CLIA) Certificate if your service will be using a glucose monitor.
    7. Mid-level Practitioner Controlled Substance registration or a copy of your completed application for a Mid-level Practitioner Controlled Substance registration if you are applying for licensure as an Advanced Life Support Sevice.

    Service Renewal Information

     
    All service licenses issued will expire on December 31st of every even year.  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.

    Name and Address Change

    To request an address change, you may contact any staff member at (402) 471-2299 or 800-422-3460 (select Option 1, then Option 2). Or, submit a request via e-mail to Jacye LaFayette-Dymacek at jacye.lafayette-dymacek@nebraska.gov. Or, complete an Address Change Request Form and submit it to our office at the address listed below.

    To change your name on your license, you must complete the Affidavit of Name Change request form and submit it with a copy of the legal document verifying name change to our office at the address listed below.

    To notify us of a change in your Physician Medical Director, you may complete a Change of Physician Medical Director letter and submit it to our office at the address listed below.

    Nebraska Department of Health and Human Services
    Division of Public Health
    Licensure Unit - Attn: Jacye
    PO Box 94986
    Lincoln NE 68509-4986

    Duplicate Reissue
    Duplicates:  A duplicate large license or small license card may be requested at the time of initial licensure. A $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. A $10 fee per document is required.

    To request a duplicate or reissued license, you must complete a pdf icon Request for Reissuance form and submit it with the appropriate fees to our office at the address listed below.

    Nebraska Department of Health and Human Services
    Division of Public Health
    Licensure Unit - Attn: Jacye
    PO Box 94986
    Lincoln, NE 68509-4986

     

    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 here or by contacting Bill Wisell at (402) 471-0371 or by e-mail at bill.wisell@nebraska.gov

    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, Program Manager
    Phone: (402) 471-2299
    Toll Free: (800) 422-3460 ext. 1-3

    Advanced Providers, Services, and Tuition Reimbursement Questions:
    Pam Harris, Health Licensing Specialist
    Phone: (402) 471-2299
    Toll Free: (800) 422-3460 ext. 1-2
     
    Basic Providers and Services:
    Jacye LaFayette-Dymacek, Health Licensing Specialist
    Phone: (402) 471-0153
    Toll Free: (800) 422-3460 ext. 1-2

    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

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

     

    Certification/Verification

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

    To request either a Certification 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

    Certification 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.

    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:

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

    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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