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Draft - Emergency Medical Services (EMS)

The EMS division is created by statute in OS 63 1-2501 et seq., titled the Emergency Response Systems Development Act (formerly the Emergency Medical Services Act.)
The Act requires the health department to develop Rules for administering emergency response systems in the state. These are codified in the Oklahoma Administrative Code (OAC) in Chapter 310.

The Act also charges the Commissioner of Health, through EMS division, with oversight for many aspects of EMS including:

  • A comprehensive plan for EMS development
  • Certification of training programs and approval of training courses,
  • EMT testing and licensure
  • Collection of statewide EMS data
  • Maintaining a standard run report form
  • Emergency Medical Service agency licensure
  • Stretcher Aid Van licensure
  • Emergency Medical Response Agency Certification
  • Trauma Systems Development

EMS Staff facilitate the work of the Oklahoma Trauma and Emergency Response Advisory Council (OTERAC). The Council advises the Commissioner of Health and the Board of Health on EMS issues.

In late 2005 Governor Brad Henry convened the EMS Readiness Task Force to review the major challenges to EMS in Oklahoma and recommend action. Governor's EMS Readiness Task Force Final Report

The Protocol Application details the steps and directions for the approval of new protocols for Ambulance Services and Emergency Medical Response Agencies.

The cover letter identifies the protocols that have been changed or added since the last update. The application for protocols not only applies to the 2022 edition of protocols, but any future protocol submissions from an agency to our office.

The application includes the Agency Authorized Procedure List that will need to be submitted with the application. 

An example of an individual’s List of Authorized procedures is on the last page of the application.  That form does not need to be returned to the department, but retained at the agency in the staff members credential file.

Some services operate at a lesser licensure than some of their medics are licensed. This is when individual protocols come into play.

Ex: XYZ Ambulance Service is licensed as a Basic Service. They routinely have a few paramedics and/or intermediates on their trucks.  Their Medical Director has approved protocols for those individual medics to operate at their full licensure while on those trucks. This is an example of Individual Protocols.

The Medical Director is the only one who can approve Individual Protocols for a service. The medical director will make his determination of whom he will agree to sponsor, complete the appropriate forms and forward to OSDH EMS Division for final approval.

Allowing for Individual Protocols is also a service decision. Individual Protocols have proven invaluable for assisting services needing the ability to transport long-haul runs which require advanced skills. It can have an impact on the services bottom line as well as raises the skill level available.

However, this can place not only the medical director at risk but also the service as a whole. This is where due consideration must be given to the need and advantages for your service. Is your service financially set to handle the cost of additional equipment that would be required for use with a higher protocol level? Are you assured of the training status of the individual involved and are you willing to make that recommendation to your medical director?

An example of an individual’s List of Authorized procedures is on the last page of the application.  That form does not need to be returned to the department, but retained at the agency in the staff members credential file.

If you believe you are exposed to a communicable disease in the performance of your duties as an EMT, you and your employer have certain rights and responsibilities, including reporting the exposure to the Oklahoma State Department of Health.

To request for your ambulance unit inspection, please click on the link below. You may also download a Step-by-Step guide on how to submit your request.

  • Pre Hospital EMRA Application
    • Pre-hospital EMRA's will operate as part of an Emergency Medical System, responding to requests for service within a response area, supporting and being supported by a licensed ambulance service
  • Standby EMRA Application
    • Event Stand-by EMRA's will operate or contract for on-site medical care at locations that are open to the public or that will respond to the public. 
    • These types of EMRA's are certified to standby at a location or site and provide medical care to the public.

  April 21, 2020:  Updated renewal/recertification requirement section; Edited and Updated Education Events

Please contact us with questions or suggestions that will help us make this page a comprehensive “go-to” for everything regarding EMS education in Oklahoma.

                   •   Course Completion Guidance 4-16-2020 (002)-signed.pdf

                   •   EMR Testing Memo 4-16-2020 (002)-signed.pdf

2019 EMS Personnel Renewal Requirements

Nationally Certified EMS personnel must maintain their National Registry license in order to renew their Oklahoma license.

Nationally Certified EMS personnel may recertify by written examination or by fulfilling the required NCCP continuing education.  Refer to the NREMT’s Agency Guide for Recertification for more information. (https://content.nremt.org/static/documents/Agency_Guide_Recert_8_18.pdf)

Education requirements for the NCCP program can be found on the NREMT website. (https://www.nremt.org/rwd/public/document/recertification) These CE’s do not require Oklahoma licensed EMS Instructors to teach them, and the individual CE’s do not require Oklahoma State approval.

LCCR:  Oklahoma does not currently require CE’s under the Local Continued Competency Requirements portion of the NCCP.

Non-Nationally Certified EMS personnel still operate under pre-2016 statutes requiring a State approved refresher course and the additional Con-Ed requirements.  This applies to Oklahoma EMR’s and “grandfathered” EMS professionals allowed to drop their National Registry certification before 2016. Additionally, the Oklahoma Intermediates certified as National Registry EMT’s but maintaining the Intermediate level must meet the NCCP requirements to maintain their National Registry EMT certification while also meeting the pre-2016 Oklahoma requirements of the State approved refresher course and Con-Ed Requirements.  The CE requirements for State licensure and for NREMT’s NCCP can be shared.

Continuing Education Hours by Level for Non-Nationally Certified EMS Personnel

Level Refresher Hours Con-Ed Hours Other Renewal Requirements

EMR

16 n/a Current proof of a provider level CPR card

EMT

24

48 Current proof of a provider level CPR card
Intermediate (Option 2) 36 36

Current proof of a provider level CPR card

Verification of Skill Maintenance Sheet    

NR EMT/OK I-85

36 36

Current proof of a provider level CPR card

Verification of Skill Maintenance Sheet    

Current proof of a National Registry EMT license

AEMT*

n/a n/a n/a

Paramedic

48 24

Current proof of a ACLS Certification 

Verification of Skill Maintenance Sheet  

*The AEMT level was approved after the requirement for Oklahoma EMS personnel to have National Registry licensure.

Oklahoma Approved EMS Curriculum

Emergency Medical Responder
Full Course
 EMR Oklahoma 2011 Instructor Guidelines
 EMR National Registry 2012 Instructor Guidelines
 EMR Practical Skills
Refresher/CE's
 FR to EMR Refresher Outline(for Oklahoma EMR's)
 FR to EMR Oklahoma Refresher Syllabus
 EMR 2016 NCCP Training Officer Education Update new
 NREMT's Recertification Requirements for EMR
Emergency Medical Technician
Full Course
 EMT Oklahoma 2011 Instructor Guidelines
 EMT National Registry 2012 Instructor Guidelines
 EMT Practical Skills
Refresher/CE's
 EMT Refresher Outline(for Oklahoma EMT's)
 EMT Oklahoma Refresher Syllabus
 EMT 2016 NCCP Training Officer Education Update new
 NREMT's Recertification Requirements for EMT
Oklahoma Intermediate (I-85)
Full Course
 N/A
Refresher/CE's
 The I-85 Refresher requirement will be the AEMT Transition course
 I-85 to AEMT Transition Syllabus(for Oklahoma I-85's)
 I-85 to AEMT Oklahoma Transition Skills
 NR AEMT Refresher Course Brochure -lists the topics from the Transition Refresher
Advanced EMT
Full Course
 AEMT Oklahoma 2011 Instructor Guidelines
 AEMT National Registry Instructor Guidelines
Refresher/CE's
 AEMT Transition Syllabus can be used for AEMT refresher
 AEMT 2016 NCCP Training Officer Education Update new
 NR/Oklahoma NCCP reinstatement CE checklist for AEMT
 NREMT's Recertification Requirements for AEMT
Paramedic
 Full Course
 EMT Oklahoma 2011 Instructor Guidelines
 National Registry Paramedic Instructor Guidelines
Refresher/CE's
 Oklahoma Paramedic Course Syllabus
 Paramedic Refresher Course Outline(For Oklahoma Paramedics)
 Paramedic 2016 NCCP Training Officer Education Update new
 NREMT's Recertification Requirements for Paramedic
Instructor

 Full Course

 NAEMSE/NHTSA/HRSA EMS Instructor Course Guidelines

 Refresher/Updates

  Information coming soon

Instructor Resources

  Approved Instructor Continuing Education List  To have any CE topics added to this list, submit a description of the course and curriculum to esystems@health.ok.gov.

  List of Oklahoma Licensed EMS Instructors

  List of Oklahoma licensed EMS Training Programs

  List of Instructor Educators by Region - If you are an Instructor Educator and wish to be added to this list contact us.

EMS Education Events

To add an EMS Education Event to this section please email Esystems@health.ok.gov  with a link to the information.


Contact Information

Phone: (405) 426-8480
Fax: (405) 900-7560 or 4059007560@Xmedius.com (using email)
Email: Esystems@health.ok.gov