EMS Personnel: General Provisions

(A) There shall be four levels of function and training for EMS personnel: EFR, EMT-Basic, Advanced EMT and Paramedic. (B) No certified EMT or EFR may perform functions for which the individual is not properly trained and certified, except: (1) pursuant to and in accordance with the requirements of a waiver for a special project as set forth in 105 CMR 170.405; or (2) an EMT-Paramedic serving on a critical care medical crew of a service licensed at the critical care level, operating in compliance with the service’s clinical practice protocols and standing orders that meet CAMTS or Department-approved substantially equivalent accreditation standards. However, when working with an EMS service that is not licensed at the critical care level, the EMT-Paramedic shall perform and function in accordance with 105 CMR 170.800(C). (C) EMS personnel working in connection with a licensed service shall provide care in conformance with the Statewide Treatment Protocols, where relevant, and only up to the level of the license of that service. (D) EMS personnel shall operate in accordance with M.G.L. c. 111C, 105 CMR 170.000, all other applicable laws and regulations, administrative requirements of the Department, and their service’s established policies and procedures that are consistent with 105 CMR 170.000. (E) EMS personnel shall have current, valid EMT certification, CPR or ACLS credentials, as appropriate to their level of certification, and a current, valid driver’s license, in order to function as an EMT on the ambulance in any role; (F) EMS personnel shall not be under the influence of alcohol, or impaired by any controlled substance, including cannabis, while on duty at an ambulance service as an EMT or when responding or assisting in the care of a patient, or while in EMS educational programs and field or clinical internship components of educational programs. (G) EMS personnel shall cooperate with, and timely respond to, inquiries and investigations of agents of the Department.