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1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Section 3.55 as follows:
 
6    (210 ILCS 50/3.55)
7    Sec. 3.55. Scope of practice.
8    (a) Any person currently licensed as an EMR, EMT, EMT-I,
9A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency
10and non-emergency medical services as defined in this Act, in
11accordance with his or her level of education, training and
12licensure, the standards of performance and conduct prescribed
13by the Department in rules adopted pursuant to this Act, and
14the requirements of the EMS System in which he or she
15practices, as contained in the approved Program Plan for that
16System. The Director may, by written order, temporarily modify
17individual scopes of practice in response to public health
18emergencies for periods not exceeding 180 days.
19    (a-5) EMS personnel who have successfully completed a
20Department approved course in automated defibrillator
21operation and who are functioning within a Department approved
22EMS System may utilize such automated defibrillator according
23to the standards of performance and conduct prescribed by the

 

 

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1Department in rules adopted pursuant to this Act and the
2requirements of the EMS System in which they practice, as
3contained in the approved Program Plan for that System.
4    (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
5Paramedic who has successfully completed a Department approved
6course in the administration of epinephrine shall be required
7to carry epinephrine with him or her as part of the EMS
8personnel medical supplies whenever he or she is performing
9official duties as determined by the EMS System. The
10epinephrine may be administered from a glass vial,
11auto-injector, ampule, or pre-filled syringe.
12    (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
13Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or
14Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN,
15PHAPRN, PHPA, or Paramedic license in pre-hospital or
16inter-hospital emergency care settings or non-emergency
17medical transport situations, under the written or verbal
18direction of the EMS Medical Director. For purposes of this
19Section, a "pre-hospital emergency care setting" may include a
20location, that is not a health care facility, which utilizes
21EMS personnel to render pre-hospital emergency care prior to
22the arrival of a transport vehicle. The location shall include
23communication equipment and all of the portable equipment and
24drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or
25Paramedic's level of care, as required by this Act, rules
26adopted by the Department pursuant to this Act, and the

 

 

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1protocols of the EMS Systems, and shall operate only with the
2approval and under the direction of the EMS Medical Director.
3    This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT,
4PHRN, PHAPRN, PHPA, or Paramedic from practicing within an
5emergency department or other health care setting for the
6purpose of receiving continuing education or training approved
7by the EMS Medical Director. This Section shall also not
8prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
9Paramedic from seeking credentials other than his or her EMT,
10EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and
11utilizing such credentials to work in emergency departments or
12other health care settings under the jurisdiction of that
13employer.
14    (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
15may honor Do Not Resuscitate (DNR) orders and powers of
16attorney for health care only in accordance with rules adopted
17by the Department pursuant to this Act and protocols of the EMS
18System in which he or she practices.
19    (d) A student enrolled in a Department approved EMS
20personnel program, while fulfilling the clinical training and
21in-field supervised experience requirements mandated for
22licensure or approval by the System and the Department, may
23perform prescribed procedures under the direct supervision of
24a physician licensed to practice medicine in all of its
25branches, a qualified registered professional nurse, or
26qualified EMS personnel, only when authorized by the EMS

 

 

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1Medical Director.
2    (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
3Paramedic may transport a police dog injured in the line of
4duty to a veterinary clinic or similar facility if there are no
5persons requiring medical attention or transport at that time.
6For the purposes of this subsection, "police dog" means a dog
7owned or used by a law enforcement department or agency in the
8course of the department or agency's work, including a search
9and rescue dog, service dog, accelerant detection canine, or
10other dog that is in use by a county, municipal, or State law
11enforcement agency.
12    (f) Nothing in this Act shall be construed to prohibit an
13EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an
14initial Occupational Safety and Health Administration
15Respirator Medical Evaluation Questionnaire on behalf of fire
16service personnel, as permitted by his or her EMS System
17Medical Director.
18(Source: P.A. 99-862, eff. 1-1-17; 100-108, eff. 1-1-18;
19100-1082, eff. 8-24-19.)