Understanding Paramedic Accreditation in California

Accreditation is a critical step for paramedics seeking to practice in a local jurisdiction. California Code of Regulations Title 22, Division 9, Section 100094.02 outlines the requirements for accreditation, ensuring paramedics meet both state and local standards. This process differentiates paramedic applicants from accredited paramedics, each with distinct responsibilities during their transition into practice.

Requirements for Accreditation

To obtain accreditation, a paramedic must:

• Hold a valid California paramedic license.

• Apply for accreditation through the Local Emergency Medical Services Agency (LEMSA).

• Successfully complete the LEMSA EMS system orientation.

• Complete training on basic and/or local optional scope of practice if required.

• Apply to the LEMSA and pay the required fee.

Paramedic Accreditation Applicant vs. Accredited Paramedic

The distinction between an applicant and an accredited paramedic lies in their ability to practice independently. Below is a summary:

Status	Scope of Practice	Supervision Requirement
Applicant	Basic scope of practice only	Must have a second paramedic & evaluator
Accredited Paramedic	Full practice, including optional local scope	No additional supervision required

Paramedic Applicant

During the accreditation process, if a supervised field evaluation is required by the LEMSA:

• The paramedic applicant may only practice within the basic scope of practice while working alongside a second paramedic.

• The applicant may perform procedures within the local optional scope of practice only while under the direct supervision of a field evaluator responsible for patient care.

• If requirements are not completed within 30 days, the LEMSA may require the applicant to reapply.

  
  

Accredited Paramedic

Once accreditation is granted, the paramedic is authorized to practice without additional supervision. Accreditation remains valid as long as:

• The paramedic maintains state licensure.

• The paramedic meets local requirements for updates in policies, procedures, protocols, and optional scope of practice.

• The paramedic complies with the system-wide EMS Quality Improvement Program (EMSQIP) in accordance with Section 100096.01.

Final Thoughts

Accreditation is essential for paramedics to operate effectively within a local jurisdiction. By differentiating applicants from accredited paramedics, LEMSA ensures high standards of patient care and professional competency. Understanding these requirements is crucial for paramedics navigating the transition from licensure to full accreditation.