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:
- A completed
application for an Emergency Medical Service License submitted at least 90 days prior to when the service expects to commence operations; and
- A listing of the names, license numbers and licensure levels of members/employees of your service; and
- Your written agreement with a licensed basic emergency medical service if the applicant does not own or lease an ambulance; and
- A description or map of your service area; and
- Completed Physician Medical Director Authorization or copy of the EMS Model Protocols, signed by your PMD, that your service has adopted.
- A Clinical Laboratory Improvement Amendments (CLIA) Certificate if your service will be using a glucose monitor.
- A 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:
- Completion of EMS Basic/Advanced Service Renewal Notice
- A list of the names of active members of service identifying each member’s licensure level.
- If applicable, prepare service records for audit.
- 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
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 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 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, Office Administrator
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
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:
- Name
- Profession
- License number
- Issuance date
- Expiration date
- Whether the licensee was granted by examination, waiver, or reciprocity
- Examination information, if available
- Whether disciplinary action has been taken against the license. If so, the type(s) and date(s) of the action will be included.
- SEAL of the Nebraska Department of Health & Human Services.
Verification includes:
- Name
- Profession
- License Number
- Expiration Date
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 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:
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 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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Professions and Occupations Page