105 CMR 171.00 — Massachusetts first responder training

105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR 171.000:MASSACHUSETTS FIRST RESPONDER TRAINING Section

105 CMR 171.00 Massachusetts first responder training

171.010 Purpose

171.010: Purpose

171.020 Authority

171.020: Authority

171.030 Citation

171.030: Citation

171.040 Scope and Application

171.040: Scope and Application

171.050 Definitions

171.050: Definitions

171.100 Initial Training Deadlines

171.100: Initial Training Deadlines

171.120 Refresher Training Deadlines

171.120: Refresher Training Deadlines

171.130 Initial and Refresher Training in First Aid

171.130: Initial and Refresher Training in First Aid

171.150 Initial and Refresher Training in Cardiopulmonary Resuscitation

171.150: Initial and Refresher Training in Cardiopulmonary Resuscitation

171.165 Approval of Programs for Training First Responders in Administration of Medications as

171.165: Approval of Programs for Training First Responders in Administration of Medications as Approved by the Department

171.200 Maintenance of Records

171.200: Maintenance of Records

171.210 Contents of Records

171.210: Contents of Records

171.220 Records Issued to the First Responder by the First Responder Agency

171.220: Records Issued to the First Responder by the First Responder Agency

171.223 Appointment of Designated Infection Control Officer

171.223: Appointment of Designated Infection Control Officer

171.225 Documentation Required for Optional Use of Automatic/Semi-automatic Defibrillation

171.225: Documentation Required for Optional Use of Automatic/Semi-automatic Defibrillation

171.227 Documentation Required for Optional Administration of Medications Approved by the

171.227: Documentation Required for Optional Administration of Medications Approved by the Department

171.230 Severability

171.230: Severability

171.010 Purpose

171.010: Purpose 105 CMR 171.000 is set forth for the purpose of interpreting and implementing M.G.L. c. 111, § 201, which confers on the Department of Public Health the responsibility for establishing training standards in first aid, including cardiopulmonary resuscitation, for certain police officers, fire fighters and lifeguards, hereinafter referred to as 'first responders'.

171.020 Authority

171.020: Authority 105 CMR 171.000 is adopted under the authority of M.G.L. c. 111, §§ 3 and 201.

171.030 Citation

171.030: Citation 105 CMR 171.000 shall be known as 105 CMR 171.000: Massachusetts First Responder Training.

171.040 Scope and Application

171.040: Scope and Application 105 CMR 171.000 applies to first responders, who are required to be trained to administer first aid under M.G.L. c. 111, § 201 and are not certified and working as EMS first responders (EFRs). The training, certification and scope of practice of EFRs, and the licensure and responsibilities of the EMS first response (EFR) services with whom they work, are governed by 105 CMR 170.000.

171.050 Definitions

171.050: Definitions The following terms used in 105 CMR 171.000 shall be defined as follows, unless the context or subject matter requires a different interpretation: Administrative Requirements (AR) means requirements issued by the Department’s Office of Emergency Medical Services to interpret, clarify and further define the application of certain provisions of 105 CMR 171.000. Clerical and Administrative Duties are those duties that relate to the internal operation of the first responder agency and which do not involve contact with the general public either directly or by telephone or radio communications. Persons with clerical or administrative duties would not be expected to render emergency medical assistance or advice or direction. 6/9/23105 CMR - 1029 (Mass. Register #1497, 6/09/2023)

105 CMR: DEPARTMENT OF PUBLIC HEALTH

171.050 continued

171.050: continued Department means the Department of Public Health established pursuant to M.G.L. c. 17. Emergency Medical Technician (EMT) means a person who has successfully completed a full course in emergency medical care approved by the Department and who is certified by the Department in accordance with 105 CMR 170.000 to provide emergency medical services to sick or injured persons in accordance with the Statewide Treatment Protocols. The term EMT shall include EMT-Basic, Advanced EMT and Paramedic. First Responder means a member of any of the following entities: a police or fire department; state police participating in highway patrol; an emergency reserve unit of a volunteer fire department or fire protection district, and persons appointed permanent or temporary lifeguards by the Commonwealth or any of its political subdivisions. A first responder shall not mean a police officer, firefighter or person engaged in police and fire work whose duties are primarily clerical or administrative. First Responder Agency means a police department, a fire department, the state police participating in highway patrol, an emergency reserve unit of a volunteer fire department or fire protection district, or the Commonwealth or any of its political subdivisons that appoints permanent or temporary lifeguards. A first responder agency shall not mean a service that is a licensed EFR service, as defined in 105 CMR 170.020. National EMS Education Standards means the current U.S. Department of Transportation's National Emergency Medical Services Education Standards. Patient Care Report means a report generated by all services to document every response to an EMS call, including each time an EMS vehicle or first responder agency vehicle is dispatched, whether or not a patient is encountered or ultimately transported by an ambulance service. Primary Instructor means a person who is responsible for conducting a training program designed to meet the minimum standards set forth in administrative requirements established by the Department and who has met the basic instructor qualifications set forth in the Department’s administrative requirements. This term does not include instructors for courses listed in 105 CMR 171.130(B). Statewide Treatment Protocols means the Emergency Medical Services Pre-hospital Treatment Protocols approved by the Department for application statewide.

171.100 Initial Training Deadlines

171.100: Initial Training Deadlines Each first responder shall satisfactorily complete initial training in first aid, including cardiopulmonary resuscitation, as soon as practical, but in no event more than one year after the date on which he or she became first responder; except that lifeguards shall satisfactorily complete initial training in first aid, including cardiopulmonary resuscitation, within 15 days after the lifeguard's first day of employment.

171.120 Refresher Training Deadlines

171.120: Refresher Training Deadlines (A) Each first responder shall satisfactorily complete a refresher course in first aid, other than cardiopulmonary resuscitation, every three years after initial training in first aid. (B) Each first responder shall satisfactorily complete a refresher course in cardiopulmonary resuscitation every two years after initial cardiopulmonary resuscitation training.

171.130 Initial and Refresher Training in First Aid

171.130: Initial and Refresher Training in First Aid Initial and refresher training in first aid, other than cardiopulmonary resuscitation, shall mean satisfactory completion of one of the following: 6/9/23105 CMR - 1030

105 CMR: DEPARTMENT OF PUBLIC HEALTH

171.130 continued

171.130: continued (A)A training course that meets the minimum standards for Department-approved first responder training in first aid, meeting the minimum requirements as specified in administrative requirements established by the Department. (B) Any course which has received prior approval by the Department as at least equivalent in scope and quality to 105 CMR 171.130(A), such as: (1) an emergency medical technician training course approved by the Department pursuant to 105 CMR 170.000; and (2) a course meeting the National EMS Education Standards at the emergency medical responder level; or (3) in the case of lifeguards only, a standard first aid course or an equivalent training course as determined by the Department.

171.150 Initial and Refresher Training in Cardiopulmonary Resuscitation

171.150: Initial and Refresher Training in Cardiopulmonary Resuscitation Initial and refresher training in cardiopulmonary resuscitation shall mean, at a minimum, successful completion of a course provided by a nationally recognized organization and reflecting current cardiopulmonary resuscitation (CPR) and emergency cardiac care resuscitation science and treatment recommendations issued by the International Liaison Committee on Resuscitation (ILCOR)'s International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR) or successor body, as documented by a current training certificate, renewed biennially, in Basic Cardiac Life Support health care professional CPR. CPR training must be obtained through an instructor-led program or blended learning experience with an in-person hands-on skills evaluation, and must include a cognitive examination.

171.165 Approval of Programs for Training First Responders in Administration of Medications as

171.165: Approval of Programs for Training First Responders in Administration of Medications as Approved by the Department The Department shall approve training programs for first responders in the administration of medications as approved by the Department in accordance with 105 CMR 700.003(D), and in compliance with the Statewide Treatment Protocols, that meet the following requirements: (A) Such program's medical director has approved the specific training program; and (B)The training program meets the minimum standards established by the Department as administrative requirements.

171.200 Maintenance of Records

171.200: Maintenance of Records Each first responder agency shall maintain current, accurate records, in electronic or print format, documenting first aid training, including cardiopulmonary resuscitation training, for each first responder. Such records shall be maintained at the main office of the first responder agency and shall be available for inspection by the Department. Records shall be kept for a period of not less than seven years after completion of the training program and shall be stored in such a manner as to ensure reasonable safety from water and fire damage and unauthorized use.

171.210 Contents of Records

171.210: Contents of Records The following records shall be maintained for each first responder: (A)For training that complies with 105 CMR 171.130(A), an outline of the training program, including course contents, the location, date and name of the course, attendance and examination records, and documentation of the qualifications of the primary instructor, or (B) For training that complies with 105 CMR 171.130(A) or (B), a copy of current certification or other documentation of successful completion of training; and 6/9/23105 CMR - 1031

105 CMR: DEPARTMENT OF PUBLIC HEALTH

171.210 continued

171.210: continued (C)A copy of a current training certificate documenting successful completion of cardiopulmonary resuscitation training, as required by 105 CMR 171.150.

171.220 Records Issued to the First Responder by the First Responder Agency

171.220: Records Issued to the First Responder by the First Responder Agency Each first responder agency shall issue to each first responder a, card or other record documenting successful completion of initial and refresher training programs. The card or other record shall include the location, date and name of the course taken and shall be signed by the primary instructor. A current training card documenting successful completion of initial or refresher training required by 105 CMR 171.130, or, only in the case of lifeguards, standard first aid or equivalent first aid training card. or current certification as an EMT shall be deemed equivalent and will be acceptable under 105 CMR 171.220. 171.223 Appointment of Designated Infection Control Officer For the purpose of receiving notifications and responses from health care facilities regarding unprotected exposures to infectious diseases dangerous to the public health, as defined in 105CMR 172.001, reporting said exposures to first responders, and making requests on behalf of first responders, each first responder agency shall appoint one officer of the agency to act as a designated infection control officer. Each agency shall ensure that its first responders are informed of the requirements relating to the reporting of exposures to the infectious diseases set forth in 105 CMR 172.000: Reporting of Unprotected Exposures to Infectious Diseases Dangerous to the Public Health.

171.225 Documentation Required for Use of Automatic/Semi-automatic DefIbrillation

171.225: Documentation Required for Use of Automatic/Semi-automatic DefIbrillation First responder agencies shall maintain a memorandum of agreement with a hospital or a consortium of hospitals, to provide medical control for their first responders. The agreement shall identify a medical director to assume responsibility for all aspects of medical control of the program. Medial control shall include: (A) The review of all uses of automatic/semi-a~toma.tic defibrillators by first responders; (B)The maintenance of a systemwide database of cardiac arrest patient care reports filed by first responders with participating services, and the submission of summary reports to the Department upon request; and (C) The establishment of policies: (1)to ensure that first responders complete the manufacturer's training in use of the automatic/semiautomatic defibrillator; (2) for proper preventive maintenance schedules of automatic/semi-automatic defibrillator equipment; and (3) to ensure that patient care reports are submitted to the medical director and hospitals to which patients are transported.

171.227 Documentation Required for OptionalAdministration of Medications Approved by the Department

171.227: Documentation Required for OptionalAdministration of Medications Approved by the Department Any first responder agency that chooses to carry and administer medications approved by the Department, in accordance with 105 CMR 700.003(D), shall maintain a current memorandum of agreement with a hospital or medical director to provide medical control for their first responders. The agreement shall identify a medical director to assume responsibility for all aspects of the medical control of the program. The memorandum of agreement in each case shall address acquisition and replacement of the medications, quality assurance, Statewide Treatment Protocol compliance, training, record keeping, shelf life of the medication and proper storage and disposal conditions. 6/9/23105 CMR - 1032

105 CMR: DEPARTMENT OF PUBLIC HEALTH

171.230 Severability

171.230: Severability The provisions of 105 CMR 171.000 are severable. If any provision shall be determined invalid by any court, such provision shall be null and void and such determination shall not affect or impair any of the remaining provisions. REGULATORY AUTHORITY 105 CMR 171.000: M.G.L. c. 111, § 201. 6/9/23105 CMR - 1033