WAC 246

TABLE A: EDUCATION REQUIREMENTS FOR RECERTIFICATION	Basic Life Support		Intermediate Life Support (EMT-Intermediate Levels)					Paramedic (ALS)
	FR	EMT	IV	Air	IV/Air	ILS	ILS/Air	Paramedic
Annual Requirements
CPR & Airway	X	X	X	X	X	X	X
Spinal Immobilization	X	X	X	X	X	X	X
Patient Assessment	X	X	X	X	X	X	X
Certification Period Requirements
Infectious Disease	X	X	X	X	X	X	X	X
Trauma		X	X	X	X	X	X	X
Pharmacology		X	X	X	X	X	X
Other Pediatric Topics	X	X	X	X	X	X	X	X
*Additional education course hours totaling:	15 hrs	30 hrs	45 hrs	45 hrs	60 hrs	60 hrs	75 hrs	150 hrs

TABLE B: SKILLS MAINTENANCE REQUIREMENTS			Intermediate Life Support (EMT-Intermediate Levels)					Paramedic (ALS)
			IV	Air	IV/Air	ILS	ILS/Air	Paramedic
First Certification Period
• First Year of Certification
IV Starts
		Continuing Education Method may not be averaged	36		36	36	36	36
		OTEP Method	12		12	12	12	12
ETIs (4 must be performed on humans for each method)
		Continuing Education Method may not be averaged		12	12		12	12
		OTEP Method		4	4		4	4
Intraosseous infusion placement			X		X	X	X	X
• Second & Third Years of Certification
• Annual Requirements
IV Starts*
		Continuing Education Method	36		36	36	36	36
		OTEP Method	12		12	12	12	12
ETIs*(4 per year must be performed on humans for each method)
		Continuing Education Method		12	12		12	12
		OTEP Method		4	4		4	4
Intraosseous infusion placement			X		X	X	X	X
• During the Certification Period
Pediatric airway management				X	X		X	X
Multi-lumen airway placement						X	X
Defibrillation						X	X
Later Certification Periods
• Annual Requirements
IV Starts			X		X	X	X	X
ETIs (2 per year must be performed on humans for each method)
		Continuing Education Method		4	4		4	4
		OTEP Method		2	2		2	2
Intraosseous infusion placement			X		X	X	X	X
• During the Certification Period
Pediatric airway management				X	X		X	X
Multi-lumen airway placement						X	X
Defibrillation						X	X
	"X" indicates an individual must demonstrate proficiency of the skill to the satisfaction of the MPD.
	*The second and third year requirements may be averaged over the two years.
		Effective May 2004

	"X" indicates an individual must demonstrate knowledge and competency in the topic or skill.
	*Individuals obtaining education through the CME method must complete the total number of educational course hours indicated above. However, due to the competency-based nature of OTEP, fewer class hours may be needed to complete these requirements than the total course hours indicated above.