KBEMS Committee Meetings October 2, 2014 Planning and Operations a. KEMSIS Update No new information at this time 2. Old Business a. 109 2 8 Hearing is scheduled for Oct 16, 2014 in Rm 560 See board packet for Proposed 109 2 8 Spinal Motion restriction guidelines need to be considered with these requirements to make this equipment optional. This will be returned to the next board meeting. b. 109 5 3 became Law August 29, 2014 (Medication List) Med list is posted on the website c. Outstanding service sticker for outstanding inspections. Criteria is no errors during inspection process. This will start next year. Discussion of concern for sticker that identifies someone as an outstanding service without identifying inspection on the sticker add inspection. What about things that are repaired at the time (i.e. lights)? Initial discussion was a perfect inspection. Discussion on odds of having a perfect inspection changes for the service with 3 trucks vs the service with 28 trucks. Some things that are on the list are not in violation of state law for vehicles. Either committee needs to finalize details or a discussion for the full board. 3. New Business a. SCT Discussion Definition of SCT in the regulations is similar to Medicare definition. Services can bill SCT. 4. Presentation by KDHE Rural Health Survey. Packet given out EMS service director leadership training survey done June 2014. 138 of 171 responded to this survey. Survey results are in this packet. Communication, Networks, Team Building were the top three interests for Leadership and Management training. 5. One confirmed case of Ebola, CDC has put out transport guidelines take time to review these and be aware of this. 6. Public Comment 7. Member Comments Reminder: These are NOT the official minutes and are provided courtesy of Region III for informational purposes only. For the official minutes, see the Kansas Board of EMS website www.ksbems.org.
Executive Committee a. Legislative Update Development of 2015 Session Legislative Packet (to be discussed in New Business) b. MAC Report September Teleconference Meeting Notes The agenda focused on the position statements for RSI and Helicopter EMS Utilization, the MAC portion of the KBEMS website, Kansas Continued Competency, establishing 2015 meeting dates, and a participation request for membership on the FLEX EMS committee. Also discussed peer review legislative issues and Community Paramedicine as it move forward. 2. Old Business a. AG Opinion EMS attendant capabilities / limitations outside EMS environment. Received a letter acknowledging receipt, but no new information or anticipated date of response. b. State EMS Director no new information No discussion c. Board Bylaws A draft version of the board bylaws/guidelines is available for consideration/comments. This version reflects all compiled comments received from Board members since the August meeting. Next step is to review with comments and make a final draft. d. REPLICA The final draft version of the legislative has been provided. Board staff recommendation is to pursue this as a legislative priority in the 2015 Legislative Session 3. New Business a. Legislative packet for 2015 Staff is recommending that the Board pursue similar legislation as the 2014 session with the emphasis on clean up language, unifying process, and authority to implement a civil fine in lieu of other means of disciplinary action. Review scope for all levels to make sure it is not too specific with devices. Much discussion regarding subpoena powers 4. Public Comment Public comment time on the agenda is limited to no more than 5 minutes by any one speaker. If an individual wishes to comment on an agenda item after committee discussion but before a vote, one should notify the Chair prior to the start of the meeting.
5. Adjournment EETC Committee a. Transition Update 668 attendants remain to transition at the time of the agenda being released. Some have transitioned since this was released. Expire 2014 Expire 2015 4 FR 1 Fr 84 EMT B 96 EMT B 204 EMT I 186 EMT I 6 EMT D 6 EMT D 39 EMT I/D 42 EMT I/D Discussion followed regarding those that have not completed transition and if they are engaged and aware of the need to complete a transition course. 2. Regulations The following regulations are in the state process: 109 10 1, 109 10 1e, 109 10 7, 109 11 3a, 109 11 4a, 109 11 6a, and 109 11 10. The following are open for revision: 109 1 1, 109 5 1, 109 5 2, 109 5 3, and 109 15 1 3. Variances No variances have been submitted 4. BLS Exam Vendor Report Brad Sisk Discussion on new scenarios and need for new check sheets 5. EDTF a. Kansas Continued Competency see supporting document on board website action item. Request board action for approval of hours requirement for EMT to 34 hours. No action at this time Motion to take KCC forward but leave EMT hours open at this time. Second and passed. b. Scenario Development Ongoing c. Educator Proposal Implementation Plan Ongoing
In process of form development, working to make sure these coordinate in form and substance with current forms. Reviewing mentor process 6. Old Business a. 109 10 2 Long term accreditation of training programs conducting initial courses of instruction currently in revocation process b. AEMT Education Standards see supporting document (medication list) on board website Action Item Motion to move this forward to full board. 7. New Business Committee Purpose in reference to the by laws being drafted 8. Announcements Education Manager Report Naloxone from the NREMT perspective no additional information Information from the Kansas Athletic Trainers on possible removal of sports protective equipment. Committee received a position statement from NATA. Contact local EMS providers this is about communication with the local teams EMS is doing stand bys for on Friday nights. Audit of two AEMT transition courses Discussion on the TO renewal form regarding requiring documentation of 20 hours of instruction time this has been in regulation but has never been requested to submit proof of this. Copies of rosters will suffice as proof of education. 9. Public Comment Investigations Consent Agenda 1. 2010 032 Continuing education edit recommend audit the next two report cycles of 2014 and 2016 pulled from consent agenda for discussion. Motion to follow recommendation of two cycles of audit. Second and passed. 2. 2013 008 Felony conviction withdrew application 3. 2013 011 Felony conviction withdrew application
4. 2013 047 Felony conviction withdrew application 5. 2014 009 Felony conviction withdrew application 6. 2014 017 Felony conviction withdrew application Consent agenda 2 6 have motion to approve as listed. Motion second and passed. Other Cases 1. 13 037 self report of unauthorized activities alleging EMT initiated IV, AEMT allowed it then falsified the report by documenting AEMT started the IV. AEMT no longer working for service, currently attending a paramedic program. 2. 13 038 self report of unauthorized activity (see above) EMT suspended for 24 hours and required to do a presentation to the service on working outside authorized activities. Attendant is no longer full time, but does work some part time. 37 and 38 discussed together EMT received local action in suspension and presentation, AEMT did not receive local action. AEMT Motion to produce a summary proceeding order for 3 month suspension, to serve 1 month suspension with the remaining 2 months stayed pending no further occurrences in the following 2 years. This will cover both issues. Motion second. Question on how this affects paramedic internship riding as a 3 rd person/student this would fall to the institution. Motion Passed. EMT Motion to produce a summary proceeding order for 2 month suspension, to be stayed pending no further occurrences in the following 1 year. Motion passed Discussion to allow board staff to close cases for felony applications with withdraw of application without going to investigations. Sensitive material request everyone leave the room. 3. 14 031 4. 14 033