Volume 45 - Issue 8 - February 19, 2026

State of Kansas

Board of Emergency Medical Services

Permanent Administrative Regulation

Article 11.—COURSE APPROVALS

109-11-8. Successful completion of a course of instruction. (a) To successfully complete an initial course of instruction for EMS provider, each student shall meet the following requirements:

(1) Demonstrate application of a cognitive understanding of each EMS educational standard;

(2) demonstrate all practical skills to the satisfaction of the primary instructor;

(3) for an emergency medical technician (EMT), initial course of instruction, demonstrate successful completion of each of the following:

(A) One complete patient assessment; and

(B) one nebulized breathing treatment during clinical training or field internship training;

(4) for an advanced emergency medical technician (AEMT), initial course of instruction, demonstrate successful completion of the following:

(A) 20 venipunctures, of which at least ten shall be for the purpose of initiating intravenous infusions;

(B) five intraosseous infusions;

(C) 15 complete patient assessments, of which at least ten shall be accomplished during field internship training;

(D) ten ambulance calls while being directly supervised by an AEMT, a paramedic, a physician, an advanced practice registered nurse, or a professional nurse;

(E) ten intramuscular or subcutaneous injection procedures;

(F) ten completed patient charts or patient care reports, or both; and

(G) eight electrocardiogram applications and interpretations during clinical training and field internship training; and

(5) for a paramedic initial course of instruction, demonstrate each of the following:

(A) Successful completion of both clinical and field internship components; and

(B) confirmation of eligibility to be conferred, at a minimum, an associate degree in applied science by the postsecondary institution.

(b) The primary instructor shall provide written verification that the primary instructor’s students in an initial course of instruction have met the requirements of subsection (a):

(1) No later than 15 days after the last date of class;

(2) prior to any student attempting to complete an examination for certification as specified in K.A.R. 109-8-1; and

(3) at least seven days before any student attempts to complete a psychomotor skills examination for certification. (Authorized by K.S.A. 2024 Supp. 65-6110; implementing K.S.A. 2024 Supp. 65-6111, K.S.A. 2024 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Jan. 31, 1994; amended Dec. 31, 2021; amended Nov. 24, 2023; amended March 6, 2026.)

Joseph House, Paramedic
Executive Director
Kansas State Board of Emergency Medical Services

Doc. No. 053900