1. State of Indiana Department of Homeland Security
Rules and Regulations pertaining to Emergency Medical Services.
presentation by:
Don Hess, EMT-B, EMT-P, PI

2. Teach me and I will learn,
Tell me and I will forget,
Involve me and I will remember.
-Benjamin Franklin

3. Learning Objectives
At the completion of this lesson, course participants should be able to:
describe the state resources available to them through the internet;
discuss the roles and responsibilities of training institutions;
describe the paperwork necessary for various training programs;
discuss the need for instructors to keep current with laws, curriculum changes, and state / federal changes affecting training.

5. Training and Certification contacts: Tony Pagano, Sam Steinhilber, Karen Allen, Melissa VanLue Division of Fire and Building Safety, Fire Emergency Services contacts: Sherrie Crain, Tom Nowacki, Bernie White, Robin Stump, Troy Morgan, Becky Blagrave, Gail Fennell

15. IAC 836 Article 1 Emergency Medical Services
Article 2 Advanced Life Support
Article 3 Air Ambulance
Article 4 Training and certification

16. 836 IAC Article 1 Rule 1 Rule 4 Rule 5 thru 10 (Repealed) Rule 11
Definitions
Waivers
Reports and records
Audit and review
Training
Operating procedures
Rule 2
Certification of providers
Rule 3
Certification for ambulances
Rule 4
Communication requirements
Rule 5 thru 10 (Repealed)
Rule 11
EMS non-transport provider
Rule 12
EMT-Basic Advanced provider organization

17. 836 IAC Article 2 Rule 1 Rule 2 Rule 4.1 Rule 7.2 Rule 14 Definitions
Requirements for paramedic provider organization
Rule 4.1
Requirements for supervising hospital
Rule 7.2
Requirements for EMT-I provider organization
Rule 14
ALS non-transport provider requirements

18. 836 IAC Article 3

19. 836 IAC Article 4 Rule 1 Rule 2 Rule 3 Rule 4 Rule 5 Definitions
EMS Training Institutions
Staffing
Roles and responsibilities
Staff qualifications
Reporting requirements
Rule 3
First Responder training
Rule 4
EMT-Basic training
Rule 5
EMS Primary Instructor
Entrance requirements
High-school graduation
Current certification
1-year pre-hospital experience
EMT-B written 85%
EMT-B practical
Certification requirements
PI Training Program
PI written examination
Internship
Affiliation
Recertification requirements
Continuing education

20. Primary Instructor Course Prerequisites*
Agreement of an Indiana certified EMS Training Institution to affiliate you as a Primary Instructor Candidate during your internship. The necessary form will be given to you during this course.
Letter(s) documenting minimum of at least one year of experience in the delivery of emergency medical care in the prehospital setting. NOTE: the letter must state that the candidate provided PREHOSPITAL EMERGENCY MEDICAL care, stating that the candidate was merely a member of an organization does NOT meet this requirement. Be specific, give dates of service.
Initial certification year:________. Certification period must be one year or more.
Score received on the EMT-B Written Certification Examination:_____, this score must be 85% or higher to qualify for PI class. b. date examination taken:______. This exam attempt must be less than one year old on the start date of the PI course.
Score received on the EMT-B Practical Skills Examination:_____, this score must be PASS. b. date examination taken:______. This exam attempt must be less than one year old on the start date of the PI course.
Copy of HS diploma / GED Certificate.
Copy of Indiana certification as EMT-B or higher.
*The training institution presenting each PI course may make additions to this list for the course they present.
Training Center Agreement
One-year pre-hospital experience
One-year certification as EMT
EMT-B Written (min. 85%)
EMT-B Practical Exam
HS diploma/GED certificate

21. 12-hours Adult Education Information
PI Information
80 hours of teaching, inservices or classes, at your certification level and below.
Signatures
12-hours Adult Education Information

22. PRIMARY INSTRUCTOR CANDIDATE STUDENT TEACHING INTERNSHIP CHECKLIST
The Training Institution Official should complete this checklist as the Primary Instructor Candidate completes each Student Teaching Internship item. Once the EMT-B course has been completed and the candidate has completed their internship the Training Institution Official will sign this checklist and submit it to the state EMS office. The Candidate, to have successfully completed the Student Teaching Internship, will have achieved good instructor skills and routinely demonstrated their teaching abilities. Candidates who do not achieve or demonstrate good instructor skills will be considered to have failed their student teaching internship. Documentation is required for either situation, successful or unsuccessful completion of the Student Teaching Internship.
The elements to be evaluated are to be checked as each element is successfully demonstrated during the internship. The evaluation is to be completed during actual EMT-B Course sessions in which the Candidate is student teaching.
Items NOT successfully demonstrated during the internship time are to be noted with "0".
Items identified with "*" are determined to be essential skills which must be successfully completed routinely by Primary Instructors.

23. Candidates must master these items during their internship:
Introduction
Use of Training Aids
Skill Teaching
Class Participation
Review and Critique
Didactic Presentation
Preparation
Speech Techniques
Instructor Qualities
Administration Duties

26. Rule 6 Rule 7 Rule 7.1 Rule 8 Rule 9 Rule 10 Advanced EMT training
EMT-BA certification requirements
Rule 7.1
EMT-Intermediate certification requirements
Rule 8
EMT-Paramedic certification requirements
Rule 9
Emergency Paramedic Certification
Rule 10
Penalties

27. Primary Instructor Course
2002 National Guidelines
For Educating EMS Instructors
Amended, adopted and approved by the
Indiana EMS Commission July 23, 2004
For a complete set of DOT lesson plans:
National Association of EMS Educators U.S. Department of Transportation U.S. Department of Health and Human Services
Indiana EMS Commission

28. Module 1: Introduction 1
Module 2: Roles and Responsibilities 20
Module 3: Administrative Issues 40
Module 4: Legal Issues In EMS Education 43
Module 5: Ethics 50
Module 6: The Learning Environment 55
Module 7: Learning Styles 63
Module 8: Domains of Learning 68
Module 9: Goals and Objectives 74
Module 10: Lesson Plans 84
Module 11: Presentation Skills 95
Module 12: Evaluation Techniques 103
Module 13: Facilitation Techniques 117
Module 14: Communication And Feedback 128
Module 15: Motivation 132
Module 16: Teaching Thinking Skills 135
Module 17: Teaching Psychomotor Skills 139
Module 18: Affective Domain 144
Module 19: Discipline
Module 20: Remediation 153
Module 21: Cultural Awareness 157
Module 22: Teaching Resources 162
Module 23: Research 170

30. Aspirin Module
SIDS/Abuse Module
Geriatric Module
HazMat Awareness
EMS Response to Terrorism
Suggested teaching hours of 144.5
Skills require 1 instructor : 6 students
EVOC Awareness
IV Line Maintenance
IN Driving Laws
Epi-pens on vehicles

31. Course Paperwork

32. Training Institution Information Course support information
Requested
Training Institution Information
TIO signature
Course support information

33. Appropriate signatures for respective courses
Must be submitted with all required documentation a minimum of 30 days prior to the start date of the class.

34. Course Approval Letter
written from the state training offices to the Training Institution Official and copied to the instructor.
this letter advises the program of approval of the course
do NOT begin class without approval!

35. Reference Materials
TRIPP Manual
P. I. Textbooks
Skills Guides

36. Course Number
Course Type
Training Institution
Course Information
Faculty Information
Signatures

37. Student Information
Name
County
Age
Address
Scores
Course Hours per student
Every student that begins the course should be listed on the course report, even if they didn’t finish.

38. Practical Skills Examination Coordinators’ Manual
Listing of required skills, random for basic, 4 for basic advanced
Explanation of Practical examination
Listing of random skills
Equipment list
Skills Sheets
Information for setting up skills examination sites
Open or Closed examination site
EMT-B or EMT-BA skills
Candidate names
Staffing needs / requirements .. NO ONE on duty!
Space requirements

39. Check one:_____We will NOT be able to accept additional students
Check one:_____We will NOT be able to accept additional students. You MUST have 15+ to close,
this is the “2002 Tony Rule”.
_____We WILL ACCEPT additional students to our roster.
Practical Skills Examination Reservation for EMT-BA or EMT-B (circle one)
To be received by Training Staff 30 days or more prior to the requested date. You may FAX at your own risk. MINIMUM of NINE (9) ROOMS REQUIRED. (SIX for EMT-BA).
Training Institution:____________________________________________________________________
Training Institution Official:______________________________________________________________
Telephone Number:____________________________________________________________________
Primary Instructor:_____________________________________________________________________
address for PI:___________________________________________________________________
Date Requested:____________Orientation Start Time:______________Course Number:_____________
Location/Address of Practical Site:_________________________________________________________
_____________
Examinee /Student Names: Initial or RT Crs #
_____________ 2. 3. 4. 5. 6. 7. 8. 9.
*Minimum of 10 examinees/students per practical examination site. If you have fewer than 10 you will need to consolidate with another course or accept additional students (see above) to increase your site roster to 10 or more. You may submit a practical application that is “OPEN” to additional students.

40. Practical Skills Report
(your State Practical Rep will bring these)
Candidate Information
Course Information
Site Information
Training Institution Name
Pass / Fail Requirements
Candidate Signatures

41. When you hear hoof beats, look for horses, not zebras, and you will be right most of the time.

42. The Five “D’s”
Dress
Defensiveness
Demeanor
Dignity
Dialogue

43. Teach me and I will learn,
Tell me and I will forget,
Involve me and I will remember.
-Benjamin Franklin

44. Summary Questions

45. What is the function of a Training Institution?

46. What is the function of the Primary Instructor Training Program?

47. What are the requirements for certification and re-certification for a Primary Instructor?

48. What is the function of following documents?
Course Application
Approval Letter
Practical Skills Examination Reservation Form
Report of Training
Remediation Form

49. What are the attributes of a good Primary Instructor?

50. QUESTIONS?