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Rep. Michelle Mussman
Filed: 5/11/2016
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| 1 | | AMENDMENT TO SENATE BILL 3335
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| 2 | | AMENDMENT NO. ______. Amend Senate Bill 3335 by replacing |
| 3 | | everything after the enacting clause with the following:
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| 4 | | "Section 5. The Emergency Medical Services (EMS) Systems |
| 5 | | Act is amended by changing Section 3.55 as follows:
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| 6 | | (210 ILCS 50/3.55)
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| 7 | | Sec. 3.55. Scope of practice.
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| 8 | | (a) Any person currently licensed as an EMR, EMT, EMT-I,
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| 9 | | A-EMT, or Paramedic may perform emergency and non-emergency |
| 10 | | medical
services as defined in this Act, in accordance with his |
| 11 | | or her level of
education, training and licensure, the |
| 12 | | standards of
performance and conduct prescribed by the |
| 13 | | Department in
rules adopted pursuant to this Act, and the |
| 14 | | requirements of
the EMS System in which he or she practices, as |
| 15 | | contained in the
approved Program Plan for that System. The |
| 16 | | Director may, by written order, temporarily modify individual |
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| 1 | | scopes of practice in response to public health emergencies for |
| 2 | | periods not exceeding 180 days.
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| 3 | | (a-5) EMS personnel who have successfully completed a |
| 4 | | Department approved
course in automated defibrillator |
| 5 | | operation and who are functioning within a
Department approved |
| 6 | | EMS System may utilize such automated defibrillator
according |
| 7 | | to the standards of performance and conduct prescribed by the
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| 8 | | Department
in rules adopted pursuant to this Act and the |
| 9 | | requirements of the EMS System in
which they practice, as |
| 10 | | contained in the approved Program Plan for that
System.
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| 11 | | (a-7) An EMT, EMT-I, A-EMT, or Paramedic
who has |
| 12 | | successfully completed a Department approved course in the
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| 13 | | administration of epinephrine shall be required to carry |
| 14 | | epinephrine
with him or her as part of the EMS personnel |
| 15 | | medical supplies whenever
he or she is performing official |
| 16 | | duties as determined by the EMS System. The epinephrine may be |
| 17 | | administered from a glass vial, auto-injector, ampule, or |
| 18 | | pre-filled syringe.
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| 19 | | (b) An EMR, EMT,
EMT-I, A-EMT, or Paramedic may practice as |
| 20 | | an EMR, EMT, EMT-I, A-EMT, or Paramedic or utilize his or her |
| 21 | | EMR, EMT, EMT-I, A-EMT, or Paramedic license
in pre-hospital or |
| 22 | | inter-hospital emergency care settings or
non-emergency |
| 23 | | medical transport situations, under the
written or verbal |
| 24 | | direction of the EMS Medical Director.
For purposes of this |
| 25 | | Section, a "pre-hospital emergency care
setting" may include a |
| 26 | | location, that is not a health care
facility, which utilizes |
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| 1 | | EMS personnel to render pre-hospital
emergency care prior to |
| 2 | | the arrival of a transport vehicle.
The location shall include |
| 3 | | communication equipment and all
of the portable equipment and |
| 4 | | drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or |
| 5 | | Paramedic's
level of care, as required by this Act, rules |
| 6 | | adopted
by the Department pursuant to this Act, and the |
| 7 | | protocols of
the EMS Systems, and shall operate only with the |
| 8 | | approval
and under the direction of the EMS Medical Director.
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| 9 | | This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, |
| 10 | | or Paramedic
from practicing within an emergency department or
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| 11 | | other health care setting for the purpose of receiving
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| 12 | | continuing education or training approved by the EMS Medical
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| 13 | | Director. This Section shall also not prohibit an EMT,
EMT-I, |
| 14 | | A-EMT, or Paramedic from seeking credentials other than his or |
| 15 | | her EMT, EMT-I, A-EMT, or Paramedic
license and utilizing such |
| 16 | | credentials to work in emergency
departments or other health |
| 17 | | care settings under the
jurisdiction of that employer.
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| 18 | | (c) An EMT,
EMT-I, A-EMT, or Paramedic may honor Do Not |
| 19 | | Resuscitate (DNR) orders and powers
of attorney for health care |
| 20 | | only in accordance with rules
adopted by the Department |
| 21 | | pursuant to this Act and protocols
of the EMS System in which |
| 22 | | he or she practices.
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| 23 | | (d) A student enrolled in a Department approved EMS |
| 24 | | personnel
program, while fulfilling the
clinical training and |
| 25 | | in-field supervised experience
requirements mandated for |
| 26 | | licensure or approval by the
System and the Department, may |