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State EMS/Board – December 2023

The new EMS board has established a committee on committees and is putting it’s new committees together to help with board business. At present, we have the Clinical Issues Committee, Education Committee, Ambulance Committee, Air Ambulance Committee, and the Leadership and Advancement Committee (LAC).

The LAC is tasked not only with advancing the Leadership course, but helping to draw a roadmap to where
they would like to see the profession in the next 10-20 years.

Other committees consist of the Committee on Pediatric Emergency Care (TCA 68-11-251) and the Telecommunications Committee (Created by the Office of EMS) — which advise and provide technical expertise but
are independent of the board.

At it’s December meeting, the board approved draft language for the handling of the EMS training stipend. There will be a rulemaking hearing to approve the draft rules in the near future. The board also adopted recommendations from the Clinical Issues Committee, which include

  • policy on the Buckle Guard device. It is to be used as a restraint device and cannot be permanently affixed to cots and only used on a case by case basis.
  • The Air Q 3 and other supraglottic devices which are FDA approved can be carried as supplemental airway devices.
  • The LifeVac and dechoker devices are not FDA approved, only FDA registered and thereby can not be carried on ambulances—all equipment must be FDA approved.
  • Umbilical Vein Catheterization is not in the national scope of practice is not an approved skill.

The board approved the Education Committee’s EMT to Paramedic pathway (bypassing AEMT). This will go to rulemaking.

Out of state programs EMS must reapply to send students into Tennessee for clinical rotation. They will need a local higher-ed EMS program sponsor to be considered by the Education Committee and EMS Board for approval.

Training Stipend

Ambulance Services will be required to register as suppliers in the state Edison system in order to receive payments to pass through to their personnel. Information has been e-mailed to service directors. County and municipal services
where the county or municipality are already set up as suppliers for the state in Edison should be okay. Others
services will definitely need to register in order to receive payments through the state.

Aaron Kinser – Consultant At-Large

Aaron Kinser from Wilson County has been hired to coordinate and oversee the training stipend program. Kinser is the newest EMS Consultant-at-Large for the state. He comes from Wilson County, where he worked as a firefighter paramedic and was also a paramedic assistant instructor. Kinser is also a SCUBA Divemaster and heavily involved in training with TARS and the American Heart Association.

Kinser will be responsible for the oversight and coordination of the training stipend program in addition to assisting with other regulatory and oversight duties in the state.


Data Manager Britnei Outland informs us the Tennessee Emergency Medical Services Information Systems (TNEMSIS) will be transitioning to NEMSIS (National EMS Information Systems) v3.5.0 in December 2023. This transition is to remain compliant with federal reporting standards/guidelines and continued integration of all reporting data to remain eligible for grants tied to NEMSIS compliance. Outland confirms that the Tennessee Office of EMS will continue
to accept NEMSIS v3.4.0 data until June 30, 2024. The Dataset information is available on the NEMSIS website, which can be found at You Can also find NEMSIS on Facebook at


A pilot course on Leadership was held at the Williamson County EOC on October 31, 2023. The course is a collaboration among TEMSEA, TASA, and the Office of EMS. The course was led by multiple instructors, including Eric Clause, who
is featured on the TEMSEA leadership podcast, and included input and interaction from several well-known leaders
within the Tennessee EMS Community. The pilot rollout was a resounding success and will be offered as a pre-conference session at the TASA Mid-Winter conference at the Park Vista Hotel in Gatlinburg in February.

This course is a great introduction and refresher for supervisors, administrators, and others in leadership positions. It is also recommended for those aspiring to leadership roles within their organization or as they grow and develop in the profession. The course focuses on identifying key leadership traits and habits, preparing attendees for leadership roles, and working effectively with stakeholders to achieve success. The course will continue to evolve to meet
the needs of participants and help them excel in their leadership roles. Leaders are made, not born.