<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s4171f274-a732-4ab0-b3d0-95c96d389f34P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s4171f274-a732-4ab0-b3d0-95c96d389f34C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s4171f274-a732-4ab0-b3d0-95c96d389f34000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:61:02:02"><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000000">20:61:02:02</span></a><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">.  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">Educational requirements -- Subjects covered</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">.</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">T</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">he board </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">shall</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> approve a program of study </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">for a critical care or flight paramedic </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">that focuses on providing patient care in the pre-hospital, inter-hospital, and hospital settings</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">.</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">The program must include courses on:</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">(1)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Critical care transport methods and safety</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (2)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Assessing and packaging a critically ill patient for safe transport</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (3)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Demonstrating skill competencies while performing</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">:</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (a)  S</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">urgical and needle cricothyrotomy</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (b)  C</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">hest tube insertion</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (c)  P</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">ericardiocentesis</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (d)  C</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">entral venous access</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">; and</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (e)  Focused assessment with sonography for trauma exams</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> and intraosseous access</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (4)  A</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">nalyzing </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">and interpreting </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">diagnostic laboratory and x-ray results</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (5)  </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Identifying and managing blood and blood products and </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">the following </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">common critical care medications</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">:</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (a)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Antibiotic</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (b)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Anticoagulant</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (c)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Antiepileptic</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (d)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Immunological</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (e)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Vasoactive; and</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (f) </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Fibrinolytic</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">(6)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Interpreting invasive and noninvasive hemodynamic pressures, waveforms, and values</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (7)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Maintaining patients on an intra-aorta balloon pump and left ventricular assist device in a transport setting</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (8)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Understanding the purpose and maintenance of</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (a)  C</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">hest tubes</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (b)  C</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">entral lines</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (c)  I</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">ntravenous pumps</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (d)  M</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">edication pumps</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">; and</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">        (e)  H</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">emodynamic monitoring devices and equipment</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (9)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Recognizing proper mechanical ventilator settings, modes, and parameters</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">;</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (10)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Applying a ventilator with proper settings; and</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    (11)  </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">Assessing and managing common critical care conditions in all patient populations</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">.</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">Source:</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">50 SDR 12, effective August 10, 2023; 51 SDR 56, effective November 19, 2024</span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">.</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">General Authority:</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-35"><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000003">36-4B-35</span></a><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">.</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">    </span><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000001">Law Implemented:</span><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-18.1"><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0-000003">36-4B-18.1</span></a><span class="s4171f274-a732-4ab0-b3d0-95c96d389f34C0">.</span></p><p dir="ltr" class="s4171f274-a732-4ab0-b3d0-95c96d389f34P0"><span xml:space="preserve" class="s4171f274-a732-4ab0-b3d0-95c96d389f34000002"> </span></p></div></body></html>